应用品管圈提高重症医学科医务人员手卫生正确率
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王雪

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R197.323

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Application of QCC for improving the correct rate of hand hygiene among health care workers  in intensive care unit
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    摘要:

    目的探讨品管圈(QCC)在提高重症医学科医务人员手卫生正确率的应用效果。方法成立QCC活动小组,确立活动主题,监测2014年3月(活动前组)医务人员手卫生正确率,分析导致手卫生行为不正确的原因,设立目标;2014年5月开始实施QCC活动,将活动前手卫生正确率与2014年9月(活动后组)进行比较。结果QCC活动前调查医务人员手卫生834例次,活动后调查900例次,活动前后手卫生正确次数分别为360、714例次,活动后手卫生正确率高于活动前(79.33% vs 43.17%),差异有统计学意义(χ2=240.19,P<0.05)。本科室及外来学习的医务人员手卫生正确率活动后均高于活动前(χ2分别为264.44、6.36,均P<0.05)。活动前后手卫生行为不正确的主要情况均为有手卫生指征时未执行。结论应用QCC对重症医学科医务人员手卫生行为进行管理,能有效提高重症医学科医务人员手卫生正确率。

    Abstract:

    ObjectiveTo explore effect of application of quality control circle (QCC) on improving the correct rate of hand hygiene (HH) among health care workers (HCWs)  in intensive care unit(ICU). MethodsQCC activity group was set up, the activity theme was established, correct rate of HH among HCWs in March 2014 (preintervention group) was monitored, the causes of incorrect HH behavior were analyzed, goals were set; from May 2014,  QCC activities were initiated, correct rate of HH between before performing QCC activities and September 2014 (postintervention group) was compared. Results834 and 900 times of HH among HCWs were investigated before and after performing QCC activities,  the number of correct HH before and after QCC activities were 360 and 714 respectively, correct rate of HH after implementing QCC was higher than before QCC activities (79.33% vs 43.17%, χ2=240.19, P<0.05).  The correct rate of HH  among HCWs of this ICU and HCWs engaging in advanced studies in this ICU after implementing QCC activities were both higher than before QCC activities(χ2=264.44, 6.36,respectively, both P<0.05). The main incorrect HH  before and  after  QCC was nonimplementation of HH indication. ConclusionApplication of QCC activities for the management of HH among HCWs can effectively improve the correct rate of HH among HCWs in ICU.

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赵小利, 刘革婷, 雷小红,等.应用品管圈提高重症医学科医务人员手卫生正确率[J]. 中国感染控制杂志,2016,15(7):504-507. DOI:10.3969/j. issn.1671-9638.2016.07.016.
ZHAO Xiaoli, LIU Geting, LEI Xiaohong, et al. Application of QCC for improving the correct rate of hand hygiene among health care workers  in intensive care unit[J]. Chin J Infect Control, 2016,15(7):504-507. DOI:10.3969/j. issn.1671-9638.2016.07.016.

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  • 收稿日期:2015-08-09
  • 最后修改日期:2015-12-23
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  • 在线发布日期: 2016-07-30
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