医院感染控制小组在提高环境物表清洁度中的作用研究

Role of nosocomial infection control group in improving the cleanliness of environmental object surface

  • 摘要: 目的 探讨医院感染控制小组在改善环境物表清洁效果中的作用,使医院感染预防控制工作更加系统化、细节化,使医院环境物表清洁度不断提高。方法 医院感染控制小组按计划定期对各个科室进行检查、指导和监控,运用PDCA循环管理工具,对环境物表清洁质量进行分析与改进,对 2015年1月及6月医院感染控制小组对各临床科室调查结果进行对比分析。结果 2015年1月,医院感染控制小组介入前,对临床科室环境物表清洁度进行调查,共调查的66项中,45项存在问题,21项合格,缺陷率为68.2%,物表清洁度检查存在的问题中,手卫生不到位、科室无质控、科内制度不完善占70.6%;而医院感染控制小组介入后,同年6月同样调查的66项中,22项存在问题,44项合格,缺陷率仅为33.3%,缺陷率显著降低;在医院感染控制小组的督导以及各科室的努力下,各科室实施标准预防,严格规范洗手,六部洗手法规范率已达到90.0%,科室定期质量控制,有完善的奖惩制度,物表擦拭尽量选择消毒湿纸巾,采用"Z"型擦拭,能做到每日至少擦拭4次。结论 医院环境物表清洁度是体现医院感染控制的一个重要指标,提高环境物表清洁度,减少医院感染的发生率,充分发挥医院感染控制小组的作用尤为重要。

     

    Abstract: OBJECTIVE To explore the role of nosocomial infection control group in improving the cleanliness of environmental object surface, so as to make nosocomial infection and control work more systematic and detailed and improve the cleanliness of environmental objects surface. METHODS The nosocomial infection control group routinely inspected, directed, and monitored individual care units as planned. The cleaning quality of the environmental objects surface were analyzed and improved by PDCA cycle management tools. In Jan. and Jun. in 2015, the nosocomial infection control group conducted a comparative analysis of the results of various clinical departments. RESULTS In Jan. 2015, before the intervention of nosocomial infection control group, the cleanliness of environmental object surface of clinical departments were surveyed, including 66 items, and 45 had problems, 21 were qualified, with the defect rate of 68.2%. In the existing problems, insufficient hand hygiene, departments without quality control, and imperfect department system was accounted for 70.6%. After hospital infection control group intervention, in Jun. of the same year, in the same survey, 22 had problems, 44 were qualified, with the defect rate of only 33.3%, and the defect rate was significantly reduced. With the nosocomial infection control group supervision and the efforts of various departments, the implementation of standard prevention and strictly regulation of the hand washing, the specification rate of six-step hand washing method reached 90.0%. Regular quality control was conducted, a perfect reward and punishment system was established, wiping the object surface was as much as possible to choose disinfectant wet wipes and use "Z" -type wipe at least 4 times a day. CONCLUSION The cleanliness of hospital environmental objects surface is an important indicator of showing hospital infection control. It is of vital importance to improve the cleanliness of environmental object surface, reduce the incidence of nosocomial infections and give full play to the role of hospital infection control group.

     

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