PDCA循环管理方法在多重耐药菌预防控制中的应用
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周斌

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R181.3+2

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Application of PDCA cycle management method in prevention and control of multidrugresistant organisms
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    摘要:

    目的评价计划-实施-检查-处理(PDCA)循环管理方法提高多重耐药菌(MDROs)预防控制措施的效果。方法应用PDCA循环管理方法完善某院管理制度,改善管理流程等,比较 2014年7—12月(PDCA执行前)和2015年1—6月(PDCA执行后)临床科室MDROs预防控制效果。结果执行PDCA循环管理方法半年后,MDROs防控措施总执行率从57.14%(360/630)提高至79.69%(510/640),差异有统计学意义(P<0.05);医生在病程中记录、护士在护理病程中记录、登记上报和张贴隔离标识的执行率均有所提高,差异均有统计学意义(均P<0.05)。MDROs总检出率从PDCA执行前的30.65%(347/1 132),降至PDCA执行后的22.61%(236/1 044),差异具有统计学意义(χ2=10.393,P<0.05)。结论PDCA循环管理方法能改善MDROs预防控制效果。

    Abstract:

    ObjectiveTo evaluate the effect of plandocheckact (PDCA) cycle management method on improving multidrugresistant organisms (MDROs) prevention and control measures. MethodsPDCA cycle management method was applied to improve the management system and management process of a hospital, prevention and control efficacy of MDROs in clinic departments between JulyDecember 2014 (before PDCA implementation) and JanuaryJune 2015 (after PDCA implementation) was compared. ResultsAfter half a year implementation of PDCA cycle management, the total implementation rate of MDROs prevention and control measures increased from 57.14% (360/630) to 79.69% (510/640), difference was statistically significant(P<0.05); implementation rate of recording by doctors during the disease course , recording by nurses during the nursing process, registration and reporting of MDROs, as well as posting isolation signs were all improved, difference was statistically significant (all P< 0.05). The total isolation rate of MDROs declined from 30.65%(347/1 132)before PDCA implementation to 22.61%(236/1 044) after PDCA implementation, difference was statistically significant(χ2=10.393, P<0.05). ConclusionApplication of PDCA cycle can improve the prevention and control measures of MDROs.

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邓媛媛,万琼,童一帆,等. PDCA循环管理方法在多重耐药菌预防控制中的应用[J]. 中国感染控制杂志,2018,17(2):165-168. DOI:10.3969/j. issn.1671-9638.2018.02.016.
DENG Yuanyuan, WAN Qiong, TONG Yifan, et al. Application of PDCA cycle management method in prevention and control of multidrugresistant organisms[J]. Chin J Infect Control, 2018,17(2):165-168. DOI:10.3969/j. issn.1671-9638.2018.02.016.

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  • 收稿日期:2017-06-12
  • 最后修改日期:2017-08-25
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  • 在线发布日期: 2018-02-01
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