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目的探讨医院感染管理过程中应用持续质量改进的效果。方法在2015年9月—2016年9月于本院实施持续质量改进管理方法,并与前期未应用时的感染情况与满意率进行比较。计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果在应用持续质量改进前,我院感染科271例患者中,总感染率为27.31%(74/271);应用持续质量改进期间,感染科患者294例,感染率为12.24%(36/294)。持续质量改进应用前后患者不同部位的感染情况比较,差异均有统计学意义(均P<0.05)。在持续质量改进应用前,患者满意人数为219例(80.81%);经持续质量改进后,患者满意人数为274例(93.20%)。持续质量改进应用前后患者的满意率比较,差异有统计学意义(χ~2=19.454,P<0.05)。不同科室人员持续质量改进应用前后的满意率比较,差异均有统计学意义(均P<0.05)。结论应用持续质量改进可以有效提高医院感染管理工作质量,降低医院感染发生率,提高医院工作满意程度。
Objective To explore the effect of applying continuous quality improvement in the management of nosocomial infections. Methods From September 2015 to September 2016, we conducted continuous quality improvement management in our hospital, and compared them with the infection rate and satisfaction rate in the non-application period. Count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results Before applying continuous quality improvement, the total infection rate was 27.31% (74/271) in 271 cases of infection department in our hospital. During the application of continuous quality improvement, 294 cases were infected, the infection rate was 12.24% (36/294 ). Before and after the continuous improvement of quality of application in patients with different parts of the infection, the differences were statistically significant (P <0.05). Before continuous quality improvement, the number of satisfied patients was 219 (80.81%). After continuous quality improvement, the number of satisfied patients was 274 (93.20%). The satisfaction rate of patients before and after continuous quality improvement was statistically significant (χ ~ 2 = 19.454, P <0.05). There were significant differences in the satisfaction rates of the continuous quality improvement among different departments before and after the application (all P <0.05). Conclusion The application of continuous quality improvement can effectively improve the quality of hospital infection management, reduce the incidence of nosocomial infections and improve the hospital’s job satisfaction.