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第三方调查的绩效考核对改进医务人员手卫生依从性的效果

谢和宾 姚小红 杨红晖 曾唐怡 刘伟 董爱明 贺丹 廖淑荧

中国感染控制杂志2018,Vol.17Issue(3):211-214,4.
中国感染控制杂志2018,Vol.17Issue(3):211-214,4.DOI:10.3969/j.issn.1671-9638.2018.03.006

第三方调查的绩效考核对改进医务人员手卫生依从性的效果

Effect of performance appraisal through third party survey on improving the compliance of hand hygiene among health care workers

谢和宾 1姚小红 1杨红晖 1曾唐怡 1刘伟 1董爱明 1贺丹 1廖淑荧1

作者信息

  • 1. 长沙市中心医院,湖南 长沙 410004
  • 折叠

摘要

Abstract

Objective To understand the actual implementation of hand hygiene(HH)of health care workers(HCWs), and provide evidence for improving HH management.Methods HH performance appraisal began to implement in a hospital in 2016, at the same time, third party(healthcare-associated infection management professionals in other hospitals)was invited to carry out 4 times of anonymous survey on HH among HCWs in the hospital, change in HH compliance rate among HCWs was compared.Results HH compliance of HCWs surveyed by the third party was 60.68%, HH rates in the first half and second half year were 52.72%and 68.62%respectively, difference was statistically significant(P<0.001).Compliance rate of HH in key departments(intensive care unit and neonatal department, 87.44%)was higher than surgical departments(64.71%)and internal medicine departments(53.74%), difference was statistically significant(both P<0.05).HH compliance rates of HCWs before and after contact with patients and after contact with the surrounding environment of patients were all low(53.59%, 58.07%, 43.97%, respectively).Conclusion HH surveyed by the third party can effectively reduce the Hawthorne effect during the observation process.HH performance appraisal can significantly improve the compliance of HH among HCWs.

关键词

手卫生/第三方/医务人员/依从性/依从率

Key words

hand hygiene/third-party/health care worker/compliance/compliance rate

分类

医药卫生

引用本文复制引用

谢和宾,姚小红,杨红晖,曾唐怡,刘伟,董爱明,贺丹,廖淑荧..第三方调查的绩效考核对改进医务人员手卫生依从性的效果[J].中国感染控制杂志,2018,17(3):211-214,4.

基金项目

中医药防治重大传染病临床科研基地与技术平台建设(20122X10005010) (20122X10005010)

中国感染控制杂志

OA北大核心CSCDCSTPCD

1671-9638

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