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目的探讨品管圈(QCC)活动对提升医院感染管理工作质量的作用。方法通过在全院组织医院感染管理QCC活动,结合临床观察,对某医院在开展QCC活动前后医务人员手卫生依从性、医院感染率和呼吸机相关肺炎发病率等指标进行评价和比较。结果本次QCC活动目标达成83项,涉及15类医院感染薄弱环节。开展QCC活动1个月之后,医务人员手卫生依从性由73.81%提高到95.63%;医院感染发病率从2.93%下降至0.84%;呼吸机相关性肺炎发病率从18.94‰下降至4.98‰;导尿管相关尿路感染发病率由5.46‰下降至1.04‰;中心静脉导管相关血流感染发病率从12.52‰下降至1.92‰。结论开展QCC活动有效降低了医院感染发病率,明显提高了医院感染管理水平,取得满意的结果。
Objective To explore the role of QCC activities in improving the quality of hospital infection management. Methods Through the organization of hospital infection management QCC activities in the hospital, combined with clinical observation, before and after the conduct of QCC activities in a hospital before and after medical staff hand hygiene compliance, hospital infection rates and ventilator-associated pneumonia incidence and other indicators were evaluated and compared. Results The QCC activity goal reached 83, involving 15 kinds of hospital infection weak links. After one month of carrying out QCC activities, the medical staff’s compliance degree of hand hygiene increased from 73.81% to 95.63%; the incidence of nosocomial infection dropped from 2.93% to 0.84%; the incidence of ventilator-associated pneumonia dropped from 18.94 ‰ to 4.98 ‰; The incidence of urinary tract-related urinary tract infections decreased from 5.46 ‰ to 1.04 ‰; the incidence of central venous catheter-related bloodstream infections decreased from 12.52 ‰ to 1.92 ‰. Conclusion The implementation of QCC activities effectively reduced the incidence of nosocomial infections and significantly improved the management of nosocomial infections with satisfactory results.