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目的:研究“你接生我接种”的预防接种服务模式对新生儿预防接种安全、质量、效果的影响,为创新新生儿预防接种服务模式提供依据。方法:将产科接种点与预防接种门诊合二为一,接种门诊护士深入产科实施新生儿预防接种,并对新生儿预防接种质量和安全进行跟踪。形成了以硬件设施规范化、综合素质培养及考核经常化、质量控制严格化、警示教育制度化、安全措施具体化、服务流程科学化、健康宣教系统化、人性化服务时时化、跟踪随访常态化的新型预防接种系统化服务模式。结果:创新服务模式后,新生儿乙肝疫苗和卡介苗24 h及时接种率分别为99.98%和99.93%,卡证执有率100.00%,卡介苗接种后卡痕有效率和阳转率分别是98.20和98.61%,且无疫苗接种后不良反应和并发症发生,无疫苗接种反应处理不当事件;无因新生儿接种引起的纠纷,差错和事故发生,卡介苗使用率提高了19.21%,产妇及其家属在预防接种方面的满意度达99.81%,预防接种护士由原来的6人减到5人。结论:将产科接种点与预防接种门诊合二为一的预防接种的服务模式保证了新生儿预防接种安全和质量,是“优化服务流程”最好举措,是人性化服务的最好体现,节约了人力物力资源,创造了社会和经济效益。该服务模式将有广泛的应用前景。
OBJECTIVE: To study the impact of vaccination service mode of “your delivery and I inoculation” on the safety, quality and effectiveness of vaccination in newborns and provide basis for innovating newborns vaccination service mode. Methods: The obstetric vaccination and outpatient vaccination were combined into one, inpatient nurses in-depth neonatal immunization vaccination and follow-up of neonatal vaccination quality and safety. Formed a standardization of hardware facilities, comprehensive quality training and assessment of the normalization of strict quality control, warning education system, the specific security measures, scientific and scientific service process, health missionary system of education, human services time and place, tracking the normalization of follow-up The new vaccination system of service mode. Results: The 24 h vaccination rate of neonatal hepatitis B vaccine and BCG were 99.98% and 99.93% respectively after the innovative service mode. The effective rates of card and card were 100.00% and 98.20 and 98.61 respectively after BCG vaccination %, And no adverse reactions and complications after vaccination, no vaccination response to deal with inappropriate events; no disputes caused by neonatal vaccination, errors and accidents, the use of BCG increased by 19.21%, maternal and family members in the prevention Inoculation satisfaction reached 99.81%, vaccination nurses reduced from 6 to 5 people. Conclusion: The vaccination service mode that combines maternity vaccination sites and vaccination clinics ensures the safety and quality of immunization for newborns, which is the best measure of “optimizing service process” and the best manifestation of humanized service , Saving manpower and material resources, creating social and economic benefits. The service model will have a wide range of applications.