持续质量改进在医院手卫生管理中的应用

Application of continuous quality improvement in the hand hygiene management in the hospital

  • 摘要: 目的 探讨持续质量改进(CQI)在医院手卫生管理中的应用,提高临床医务人员手卫生的依从性。方法 2012年5月成立手卫生管理CQI小组;评估手卫生管理存在的问题,分析原因;制定持续改进措施并组织实施,包括完善考核制度、改进手卫生设施、加强对医务人员的教育培训以强化手卫生意识、严格督查考核、注重效果评价等;并对结果进行统计分析。结果 经过一年的质量持续改进,医务人员手卫生的执行率有较大提升,CQI前(2012年6月)共观察563人次手卫生时机,手卫生执行率为28.60%;CQI后(2013年6月)共观察622人次手卫生时机,手卫生执行率为52.57%,CQI前后手卫生执行率差异有统计学意义(P<0.05)。结论 应用CQI方法进行手卫生管理,能有效提高医务人员手卫生的依从性。

     

    Abstract: OBJECTIVE To explore the application of continuous quality improvement (CQI) in the hand hygiene management in hospital and improve the hand hygiene compliance of clinical medical staff. METHODS In May 2012, hand hygiene management of CQI groups were established, problems of hand hygiene management were evaluated, and their causes were analyzed. The continuous improvement measures were developed, including improvement of the evaluation system and hand hygiene facilities, strengthening the education of medical personnel training and supervision inspection, and paying attention to the effect evaluation. The results were statistically analyzed. RESULTS After a year of continuous improvement, the implementation rate of medical staff hand hygiene had larger ascension. Before the CQI (June 2012), 563 hand hygiene timing were observed, with the implementation rate of hand hygiene of 28.60%. After the CQI (June 2013), 622 hand hygiene timing were observed, with the implementation rate of hand hygiene of 52.57%, the difference before and after the CQI was significant (P<0.05). CONCLUSION Application of CQI method in the management of hand hygiene can effectively improve the compliance of hand hygiene of medical staff.

     

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