中国感染控制杂志2019，Vol.18Issue(3)：238-242,5.DOI:10.12138/j.issn.1671-9638.20194229
运用风险评估方法降低重症医学科医院感染发病率
Reducing the incidence of healthcare-associated infection in department of critical care medicine by risk assessment method
摘要
Abstract
Objective To explore the effect of risk assessment method on the incidence of healthcare-associated infection (HAI) in high-risk departments.Methods A hospital was selected as the research object, risk assessment of HAI management at the hospital and department level was carried out, high-risk departments and high-risk links were screened out, targeted intervention was performed. Patients hospitalized in April-June 2017 were as control group and those hospitalized in July-September 2017 were as intervention group, incidence of HAI between two groups was compared.Results Through risk assessment at the hospital level, department of critical care medicine was the department with the highest risk, risk assessment at the department level showed that without wearing isolation clothes when contacting isolated patients during diagnosis and treatment, without using sterile sheeting when catheterization, and low correct rate of hand hygiene were high-risk links in department of critical care medicine. Targeted intervention was performed, isolation clothing allocation rate for contacting isolated patients increased from 0 to 100％, compliance rate to wearing isolation clothing among medical staff increased from 0 to 97.62％, implementation rate of using sterile sheet for deep vein catheterization increased from 72.50％ to 100％; hand hygiene correct rate increased from 85.00％ to 96.59％. Incidence of HAI decreased from 5.90％ to 2.64％, difference was statistically significant (P＜0.05).Conclusion Implementing risk assessment management of HAI in medical institutions can effectively guide the prevention and control of HAI in high-risk departments, and improve the level of HAI management.关键词
风险评估/医院感染/重症医学科/管理Key words
risk assessment/healthcare-associated infection/department of critical care medicine/management分类
医药卫生引用本文复制引用
吴增华,徐艳,胡倩倩,陈金波,李天波,李光友..运用风险评估方法降低重症医学科医院感染发病率[J].中国感染控制杂志,2019,18(3):238-242,5.基金项目
黔科合基础基金项目([2016]1509号) （[2016]1509号）
