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陈秀碧.静脉药物配置中心持续质量改进对医院感染的控制效果[J].中国医药科学,2021,(4):227-229        基金项目:
静脉药物配置中心持续质量改进对医院感染的控制效果
Control effect of continuous quality improvement in intravenous drug allocative center on nosocomial infection
  
DOI:
中文关键词:  [关键字] 静脉药物配置中心;持续质量改进;医院感染;控制效果
英文关键词:[Key words] Intravenous drug allocative center; Continuous quality improvement; Nosocomial infection; Control effect
作者单位
陈秀碧 福建省泉州市妇幼保健院·儿童医院配置中心,福建泉州 362000 
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中文摘要:
      [ 摘要 ] 目的 探究静脉药物配置中心持续质量改进对医院感染的控制效果。 方法 泉州市妇幼保健院·儿童医院在 2019 年 1 月以来对于静脉药物配置中心实施持续质量改进方法,在此过程中做好资料收集与记录,内容包括配置中心医务人员手部卫生的检测资料、空气培养、相关物品以及医院感染发生率。通过比较 2018 年7 月至 2019 年 12 月这 18 个月中,配置中心 2018 年 7—12 月、2019 年 1—4 月、5—8 月、9—12 月的数据变化分析持续质量改进在静脉药物配置中心的应用效果。 结果 18 个月中静脉药物配置中心抽查物品的合格率不断上升(P < 0.05),在 2019 年 9—12 月合格率均为 100% ;18 个月中医护人员手部卫生和空气培养的合格率也不断上升(P < 0.05),均于 2019 年 9—12 月合格率达到 100% ;18 个月中我院的院内感染发生率逐渐下降,2019 年 1—4 月院内感染发生率为 10.2%,2019 年 5—8 月院内感染发生率为 5.4%,2019 年 9—12 月院内感染发生率为 0,静脉药物配置中心实施持续质量改进以后院内感染发生率明显降低(P < 0.05)。 结论 持续质量改进应用于静脉药物配置中心,能够有效控制医院感染的发生,提高配置中心工作人员操作的规范性和科学性,减少甚至避免由于配置中心人员操作或者环境卫生引起的医院感染,极大地降低了院内感染的发生率。
英文摘要:
      [Abstract] Objective To investigate the control effect of continuous quality improvement in intravenous drug allocative center on nosocomial infection. Methods Since January 2019, continuous methods of quality improvement for the intravenous drug allocative center have been implemented in Quanzhou Women's and Children's Hospital, and data were collected and recorded in the process. Meanwhile, the detection data of hand hygiene, air culture, related items and the incidence of nosocomial infection of medical staff in the allocative center were included. The application effect of continuous quality improvement in intravenous drug allocative center was analyzed through comparing the data changes from July to December 2018, January to April 2019, May to August 2019 and September to December 2019, which are totally 18 months. Results During the 18 months, the qualified rates of the items randomly selected by the intravenous drug allocative center were increased continuously (P < 0.05), and the qualified rates were all 100% from September to December 2019. In the past 18 months, the qualified rates of hand hygiene and air culture of medical staff were also increased continuously (P < 0.05), and the qualified rates all reached 100% from September to December 2019. In the past 18 months, the incidence of nosocomial infection in our hospital was decreased gradually. The incidence of nosocomial infection was 10.2% from January to April 2019, 5.4% from May to August 2019, and 0 from September to December 2019. Meanwhile, the incidence of nosocomial infection was significantly reduced after continuous quality improvement in intravenous drug allocative center (P < 0.05). Conclusion The application of continuous quality improvement in intravenous drug allocative center can effectively control the incidence of nosocomial infection, increase the standardization and scientificness of staff operation in allocative center, reduce or even avoid nosocomial infection caused by staff operation or environmental hygiene in allocative center, and finally greatly decrease the incidence of nosocomial infection.
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