Application of ledger unified homogenization management in prevention and control of health care-associated infection in 81 community health service centers of Shenzhen
OBJECTIVE T o explore the application of ledger unified homogenization management in prevention and control of health care-associated infection in community health service centers.METHODS A survey was conduc-ted for the current status of prevention and control of health care-associated infection in 81 community health serv-ice centers in October,2021.The survey aimed to identify the required tasks for nosocomial infection management and establish a project ledger.Additionally,standardized systems,processes and instructional videos for nosoco-mial infection management were developed.A scoring criteria for quality control of nosocomial infection was es-tablished,homogenized training and assessment for nosocomial infection-related knowledge and skills were carried out.The effect on the prevention and control of health care-associated infection was compared before and after the management project was implemented for 1 year.RESULTS The prevention and control of health care-associated infection was fully carried out in all of the 81 community health service centers after the ledger unified homogeniza-tion management was implemented for 1 year,and there were significant differences in 19 of 26 tasks before and after the management project was carried out(all P＜0.05).There were significant differences in 7 of 10 scoring items for quality control of nosocomial infection:organization management,training assessment,emergency drill,hand hygiene management,disinfection management,occupational exposure treatment,medical waste manage-ment before and after the ledger unified homogenization management was carried out(P＜0.05).There were sig-nificant differences in all of the 6 items for assessment of nosocomial infection knowledge and related operation skills:hand hygiene practice,disposal of disinfectants,treatment of nosocomial infection outbreak,wearing and removing secondary protective equipment,occupational exposure treatment,sealing of medical waste before and after the ledger unified homogenization management was carried out(P＜0.05).The hand hygiene compliance rate was increased from 73.38％to 87.82％(P＜0.05).No staff had infection during COVID-19 pandemic.CONCLUSION The ledger unified homogenization management may facilitate the standardization of prevention and control of health care-associated infection,push forward the implementation of infection control tasks,put the in-fection control measures into practice,and improve the quality of nosocomial infection management in the commu-nity health service centers.
Community health service centerLedgerHomogenization managementHealth care-associated in-fectionPrevention and controlQuality
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NSTL
万方数据
维普
