基于秩和比法的不同临床科室医院感染风险评估
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陆芸芸

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R181.3+2

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Risk assessment on healthcareassociated infection in different clinical departments based on ranksum ratio method
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    摘要:

    目的通过运用秩和比法对某三级甲等综合性医院临床科室进行风险评估,筛选出医院感染高风险的科室,为制定医院感染控制策略提供依据。方法运用秩和比法,选择7项指标对某院2016年临床部门的医院感染控制进行风险评估,划分出高度、中度、低度风险的界定线。结果2016年28个临床科室各评价指标完成情况中未出现全优或全差的现象。秩和值与概率单位存在高度相关性(相关系数r=0.944,P<0.01,直线回归方程RSR=-0.022+0.106Y)。对各科室的RSR值进行频数分析,结果符合正态分布(KS检验,P=0.873),大部分科室处于中度风险,只有少数科室处于高度或低度风险。处于高度风险的6个科室及RSR值分别为神经内科(0.7165)、重症医学科(0.6763)、创伤手外科(0.6652)、神经外科(0.6406)、关节外科(0.6317)和呼吸内科(0.6205)。结论运用秩和比法可以真实、客观、科学地评估医院感染风险,明确医院感染防控工作的重点,提高高风险科室的资源配置,降低医院感染的发生。

    Abstract:

    ObjectiveTo conduct risk assessment on clinical departments in a tertiary firstclass general hospital using ranksum ratio(RSR) method, screen out highrisk departments of healthcareassociated infection(HAI), and provide basis for developing HAI control strategies.MethodsRSR method was used to select 7 indexes for conducting a risk assessment on HAI control in clinical departments of a hospital in 2016, a high, medium and low risk rating was defined.ResultsIn 2016, neither complete good nor complete bad results appeared in the completion of each assessed index in 28 clinical departments. There was a high correlation between ranksum value and probability units(correlation coefficient r=0.944,P<0.01, Linear regression equation RSR=-0.022+0.106Y). Frequency analysis on RSR values in each department showed that results conformed to normal distribution ( KS test,P=0.873),most departments were at moderate risk, and only a few departments were at high or low risk. Six departments at high risk were neurology, intensive care unit, trauma hand surgery, neurosurgery, joint surgery, and respiratory medicine, RSR values were 0.7165, 0.6763, 0.6652, 0.6406, 0.6317, and 0.6205 respectively.ConclusionRSR method can be used to assess the risk of HAI in a real, objective, and scientific way, define key points of HAI prevention and control, improve resource allocation of high risk departments, and reduce incidence of HAI.

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甘泳江, 陆芸芸, 梁丹燕.基于秩和比法的不同临床科室医院感染风险评估[J]. 中国感染控制杂志,2018,17(5):418-422. DOI:10.3969/j. issn.1671-9638.2018.05.011.
GAN Yongjiang, LU Yunyun, LIANG Danyan. Risk assessment on healthcareassociated infection in different clinical departments based on ranksum ratio method[J]. Chin J Infect Control, 2018,17(5):418-422. DOI:10.3969/j. issn.1671-9638.2018.05.011.

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  • 收稿日期:2017-06-25
  • 最后修改日期:2017-08-12
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  • 在线发布日期: 2018-05-28
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