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目的探讨提高社区健康服务中心(以下简称社康中心)的医院感染控制质量的有效手段。方法引入PDCA循环法,采取标准评估、采样监测、问卷调查和现场抽查等方式,通过效果评价,找寻出影响医院感染控制质量的关键因素,针对存在的主要问题和缺陷进行持续改进和循环式管理。结果社康中心医院感染在管理、监测、消毒隔离及医疗废物等相关质量的管理达标率从引入PDCA循环前的61.8%上升到引入PDCA循环后的97.1%,差异有统计学意义(P<0.01)。医务人员的医院感染知识知晓率、控制医院感染措施的正确执行率都有明显提高。结论通过引入PDCA循环法对社康中心医院感染控制质量实行科学管理,可有效控制和降低医院感染的发生,全面提升社康中心医院感染控制质量水平。
Objective To explore effective ways to improve the quality of hospital infection control in community health service centers (hereinafter referred to as community health centers). Methods The method of PDCA was introduced to identify the key factors influencing the quality of hospital infection control by means of standard assessment, sampling and monitoring, questionnaire survey and on-site spot check. Through continuous improvement and circular management of the main problems and defects . Results The compliance rate of social health center hospital management in management, monitoring, disinfection and isolation and medical waste-related quality rose from 61.8% before the introduction of PDCA cycle to 97.1% after PDCA cycle introduction, the difference was statistically significant (P <0.01 ). The awareness rate of hospital infection among medical staff and the correct implementation of the measures to control hospital infection have been significantly improved. Conclusions The introduction of PDCA circulation method to control the quality of infection control in community health centers can effectively control and reduce the incidence of nosocomial infections and improve the quality of infection control in community health centers.