Abstract:
OBJECTIVE To select the optimal hospital infection indicators suitable for open and transparency so as to promote the innovation of management of nosocomial infections and improve the efficiency of supervision.
METHODS The questionnaire was developed according to the 22 hospital infection indicators recommended for public reports which were screened in the previous study.The full-time administrators for hospital infection in secondary public hospitals or tertiary public hospitals were recruited as the study objects, and the onsite questionnaire survey was conducted.
RESULTS A total of 137 full-time participants who came from 16 provinces were investigated, of whom 75.91% had sub-senior or senior professional title, and 67.88% were engaged in the hospital infection management for more than 5 years.The total active coefficient was 83.03%, the authoritative coefficient was 0.88, and the Kendall coefficient was 0.037 (
χ2=213.467,
P<0.001).The top three indicators by importance scoring were "hand hygiene compliance rate of medical staff", "implementation rate of core preventive measures of ventilator-associated pneumonia" and "incidence of hemodialysis-related bloodstream infection"; and the top three indicators by suitability scoring were "compliance rate of perioperative prophylactic rational use of antimicrobial drugs", "hand hygiene compliance rate of medical staff" and "etiological submission rate as therapeutic antibiotics were used".There was difference in the ranking order of indicators between the importance scoring and the suitability scoring.The ranking orders of indicators by importance scoring and by suitability scoring of the secondary hospitals slightly differed from those of the tertiary hospitals.
CONCLUSION The results of this survey are credible, scientific and reliable, and the confirmed hospital infection indicators provide theoretical support and evidence-based basis for finally achieving the transparent supervision.