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口腔门诊感染控制风险评估的建立与实施

丁建芬 胡凯 徐丹慧 朱洪平 陈霄迟

中国感染控制杂志2024,Vol.23Issue(4):514-521,8.
中国感染控制杂志2024,Vol.23Issue(4):514-521,8.DOI:10.12138/j.issn.1671-9638.20245135

口腔门诊感染控制风险评估的建立与实施

Establishment and implementation of risk assessment for infection control in oral outpatient department

丁建芬 1胡凯 1徐丹慧 1朱洪平 1陈霄迟1

作者信息

  • 1. 北京大学口腔医学院·口腔医院医院感染管理与疾病控制处国家口腔医学中心国家口腔疾病临床医学研究中心口腔生物材料和数字诊疗装备国家工程研究中心,北京 100081
  • 折叠

摘要

Abstract

Objective To establish a risk assessment system for infection control in oral outpatient department,grasp the high risk factors,and provide direction for the continuous improvement of infection control measures in oral diagnosis and treatment.Methods Based on the Delphi expert consultation method,clauses in national indus-try standards and specifications related to infection control in oral outpatient department were captured,and a risk assessment system was established,healthcare-associated infection risks of outpatient department of a tertiary sto-matological specialty hospital were evaluated,high-risk points were quantitatively obtained with the failure mode and effect analysis method.Results The risk assessment system for infection control in oral outpatient department was established,including 3 first-level indexes,15 second-level indexes and 74 third-level indexes.A total of 18 risk points were identified,including incorrect hand hygiene opportunities of health care workers,incorrect cleaning and disinfection methods for cleaning appliances,lower hand hygiene compliance rate than the hospital-wide baseline,non-timely disinfection for containers and areas of fabrics after use,unclear use location of cleaning appliances,in-complete or incorrect infection control system,irregular monitoring of ultraviolet lamp irradiation intensity,overloa-ding of medical waste,without quality assessment on cleaning and disinfection,as well as incorrect wearing or re-moval of protective equipment.Conclusion The method for risk index system for infection control in the oral outpa-tient department is initially established,and the possible high-risk points in the implementation of infection control measures in the oral outpatient department are identified,which provide reference for the continuous improvement of infection control in the oral outpatient department.

关键词

口腔门诊/感染控制/风险评估

Key words

oral outpatient department/infection control/risk assessment

分类

医药卫生

引用本文复制引用

丁建芬,胡凯,徐丹慧,朱洪平,陈霄迟..口腔门诊感染控制风险评估的建立与实施[J].中国感染控制杂志,2024,23(4):514-521,8.

基金项目

2021年度首都卫生发展科研专项项目(首发2021-1G-4101) (首发2021-1G-4101)

中国感染控制杂志

OA北大核心CSTPCD

1671-9638

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