中国卫生事业管理2025,Vol.42Issue(3):282-285,304,5.
基于网格化管理的持续质量改进筑牢医院感染防控
Strengthening the Nosocomial Infection Prevention and Control by Continuous Quality Improvement Based on Grid Management Sampled with the Affiliated Hospital of Nantong University
摘要
Abstract
Objective To explore the application effect of continuous quality improvement based on grid management in noso-comial infection management.Methods Inpatients in this hospital from May to December 2021 were selected as control group,and the inpatients in the same period in 2022 and 2023 were selected as observation group 1 and observation group 2,respectively.The indexes of infection rate(case rate),device-related infection rate,multiple resistance detection and infection rate,and sur-gery monitoring indicators,antimicrobial related indicators,occupational exposure and grid member assessment indicators before and after improvement were compared by descriptive analysis and x2 test.Results The nosocomial infection rate(case rate),typeⅠ surgical incision surgery preventive medication rate,nosocomial infection rate related to surgery and occupational exposure rate were lower than the control group(P<0.05).While the pathogen detection rate before antimicrobial therapy/key antimicrobial combination therapy and grid test scores were higher than the control group(P<0.05).Conclusion The continuous quality im-provement measures based on grid management can effectively improve nosocomial infection management ability,improve their cognitive behavior ability,and optimize a number of infection control indicators and nosocomial infection management environ-ment.According to their own characteristics,medical and health institutions can develop a unit grid hospital infection management mode with their own characteristics,in order to achieve comprehensive hierarchical management and avoid the blind side of infec-tion control.关键词
医院感染/网格化管理/医院质量管理/感染防控Key words
nosocomial infection/grid management/hospital quality management/infection prevention and control分类
医药卫生引用本文复制引用
顾李琴,肖俊,周小娣,张海峰,陈红,徐晓耘,章艳菊..基于网格化管理的持续质量改进筑牢医院感染防控[J].中国卫生事业管理,2025,42(3):282-285,304,5.基金项目
国家科技部"中枢神经系统感染患者队列特征与体液标记物研究"(2023YFC2306501) (2023YFC2306501)
江苏省医院协会医院管理创新研究课题"基于风险评估的达芬奇手术围手术期全流程感控管理研究"(JSYGY-3-2024-209) (JSYGY-3-2024-209)