运用PDCA循环持续提高医务人员手卫生依从性
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周健

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R197.323

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Application of PDCA cycle to improve hand hygiene compliance among health care workers
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    摘要:

    目的通过持续质量改进,提高全院医务人员的手卫生依从性,有效降低医院感染的发生率。方法应用计划-实施-检查-处理(PDCA)循环即管理循环模式进行持续质量改进,加强全员培训,注重过程管理,强调规范洗手,并定期检查和随机抽查。结果实施PDCA循环后,医务人员的手卫生知识掌握率由48.00%上升至63.99%;手卫生依从率由实施前的65.11%上升至实施后的82.40%,差异均有统计学意义(χ2值分别为12.75、259.65,均P<0.05)。1 000住院床日速干手消毒剂消耗量递增明显,实施后是实施前的2.95倍。结论应用PDCA循环进行持续质量改进,可有效提高医务人员手卫生意识及其依从性。

    Abstract:

    ObjectiveTo improve hand hygiene compliance among health care workers(HCWs) through continuous quality improvement, and effectively reduce the incidence of healthcareassociated infection(HAI). MethodsContinuous quality improvement was performed by adopting plandocheckaction(PDCA) cycle, all HCWs were trained, hand hygiene was stressed, periodical  and random checking was conducted. ResultsAfter the implementation of PDCA cycle, the acknowledge  rate of hand hygiene enhanced from 48.00% to 63.99%; hand hygiene compliance rate enhanced from 65.11% to 82.40%,the difference were both significant(χ2=12.75, 259.65, respectively, both P<0.05).The daily consumption of instant hand antiseptic per 1 000 bed day increased obviously, which was 2.95fold of preimplementation. ConclusionContinuous quality improvement through PDCA cycle can effectively improve hand hygiene compliance rate of HCWs.

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戴玉芳,周健,彭美玲,等.运用PDCA循环持续提高医务人员手卫生依从性[J]. 中国感染控制杂志,2014,13(10):616-618. DOI:10.3969/j. issn.1671-9638.2014.10.010.
DAI Yufang, ZHOU Jian, PENG Meiling, et al. Application of PDCA cycle to improve hand hygiene compliance among health care workers[J]. Chin J Infect Control, 2014,13(10):616-618. DOI:10.3969/j. issn.1671-9638.2014.10.010.

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  • 收稿日期:2014-03-12
  • 最后修改日期:2014-05-26
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  • 在线发布日期: 2014-10-30
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