PDCA循环质量管理模式控制康复医院多重耐药菌感染的效果

doi:10.3969/j.issn.1006-9771.2016.12.025

《中国康复理论与实践》 ›› 2016, Vol. 22 ›› Issue (12): 1476-1475.doi: 10.3969/j.issn.1006-9771.2016.12.025

PDCA循环质量管理模式控制康复医院多重耐药菌感染的效果

李晨¹^a，²，刘志忠¹b,²，谢家兴¹c,²，张海青¹^a，²，白志珍¹^a，²

1.中国康复研究中心北京博爱医院，a.院感科；
b.检验科；
c.护理部，北京市 100068；
2.首都医科大学康复医学院，北京市 100068。

收稿日期:2016-10-26 出版日期:2016-12-25 发布日期:2017-01-15
通讯作者: 刘志忠，男，博士，主任检验师，副教授。E-mail: lilycrrc@sina.com。
作者简介:李晨(1973-)，女，汉族，河南息县人，硕士，副主任检验师，主要研究方向：医院感染管理，微生物学。
基金资助:
中国康复研究中心2015年度科研项目(No.2015ZX-14)。

Effects of PDCA Cycle Quality Management Model on Multi-drug Resistant Organism Infection Control in Rehabilitation Hospital

LI Chen¹^a，², LIU Zhi-zhong¹b,², XIE Jia-xing¹c,², ZHANG Hai-qing¹^a，², BAI Zhi-zhen¹^a，²

1. a. Hospital Infection Control Department；
b. Clinical Laboratory；
c. Nursing Department, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China；
2. Capital Medical University School of Rehabilitation Medical, Beijing 100068, China

Received:2016-10-26 Published:2016-12-25 Online:2017-01-15
Contact: LIU Zhi-zhong. E-mail: lilycrrc@sina.com

摘要/Abstract

摘要： 目的　探讨PDCA循环质量管理模式对某三甲康复医院多重耐药菌(MDROs)感染控制的效果。方法　2013年3月~2015年12月本院开展MDROs目标性监测，运用PDCA循环质量管理模式完善工作，并对三年MDROs检出率、MDROs防控知识知晓率、医生开具隔离医嘱率和护士消毒隔离措施执行率进行分析。结果　随着PDCA质量管理持续进行，耐甲氧西林金黄色葡萄球菌(MRSA)和耐碳青霉烯类铜绿假单胞菌(CR-PA)检出率均呈下降趋势(χ2>3.922, P<0.05)，多重耐药鲍曼不动杆菌(MDR-AB)检出率无显著性差异(χ2=8.775, P=0.071)；2015年MDROs防控知识知晓率、医生开具隔离医嘱率和护士消毒隔离措施执行率均显著提高(χ2>399.17, P<0.001)。结论　PDCA循环质量管理模式在康复医院MDROs预防控制中起着重要作用。

关键词: PDCA循环质量管理模式, 目标性监测, 多重耐药菌

Abstract: Objective To analyze the effect of PDCA cycle quality management model on multi-drug resistant organism (MDROs) infection control in a tertiary rehabilitation hospital.Methods From March, 2013 to December, 2015, targeted surveillance of MDROs infection control was performed with PDCA cycle quality control. The MDROs detection rate, the awareness rate of MDROs prevention and control, the rate of doctor issuing isolation orders and execution rate of medical sanitation disinfection and isolation were analyzed.Results The detection rates of methicillin-resistant staphylococcus aureus and Carbapenem-resistant Pseudomonas aeruginosa decreased (χ2>3.922, P<0.05), while no significant difference was found in the detection rate of multidrug- resistance Acinetobacter baumanii (χ2=8.775, P=0.071). The awareness rate of MDROs prevention and control, the rate of doctor issuing isolation orders and execution rate of medical sanitation disinfection and isolation significantly improved (χ2>399.17, P<0.001).Conclusion PDCA cycle quality management model played an important role in the prevention and control of MDROs in rehabilitation hospital.

Key words: PDCA cycle quality control, targeted surveillance, multi-drug resistant organism

中图分类号:

R472

李晨,刘志忠b,谢家兴c,张海青,白志珍，. PDCA循环质量管理模式控制康复医院多重耐药菌感染的效果[J]. 《中国康复理论与实践》, 2016, 22(12): 1476-1475.

LI Chen, LIU Zhi-zhongb, XIE Jia-xingc, ZHANG Hai-qing, BAI Zhi-zhen，. Effects of PDCA Cycle Quality Management Model on Multi-drug Resistant Organism Infection Control in Rehabilitation Hospital[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(12): 1476-1475.

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PDCA循环质量管理模式控制康复医院多重耐药菌感染的效果

Effects of PDCA Cycle Quality Management Model on Multi-drug Resistant Organism Infection Control in Rehabilitation Hospital

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