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目的:利用Levey-Jennings质量控制工具,使用质控限分析某儿童医院住院患者医院感染例次率,为是否对临床科室采取医院感染干预措施提供参考依据。方法:该研究引进质控限的质量控制管理和预警化管理理念,通过医院感染管理软件收集我院某科室2014年1月1日至2015年12月31日住院患者医院感染例次率,计算出医院感染例次率平均值、临界值、预警值和失控值,利用该质控限分析2016年医院感染例次率,实现对临床科室的医院感染预警化管理。结果:该科室2年医院感染例次率平均值、临界值、预警值和失控值分别为1.27%、2.00%、2.73%和3.46%,作为2016年医院感染例次率的质控限;医院利用该质控限对2016年医院感染例次率进行分析,成功整改并降低该科室医院感染例次率。结论:利用质控限对医院感染病例监测的方法,可对各科室医院感染质量及时预警和调控,有效降低医院感染例次率,是医院感染管理的新思路和模式。
OBJECTIVE: To use the Levey-Jennings quality control tool to analyze the case-control rate of nosocomial patients in a hospital for children by using the quality control limit, and to provide a reference for whether to take nosocomial infection interventions in clinical departments. Methods: The study introduced the concept of quality control management and warning management of quality control limits. Through hospital infection management software, the number of hospital infection cases in our hospital from January 1, 2014 to December 31, 2015 was collected and calculated The average rate, the critical value, the early warning value and the out-of-control rate of hospital infection were used to analyze the rate of nosocomial infections in 2016 and to realize the warning management of nosocomial infections in clinical departments. Results: The mean, critical, early warning and uncontrolled rates of hospital infection in two years in this department were 1.27%, 2.00%, 2.73% and 3.46%, respectively, which were used as the quality control limits for the nosocomial infection rate in 2016. The hospital The quality control limit was used to analyze the rate of nosocomial infections in 2016 and the number of nosocomial infections was reduced in the department. Conclusion: The method of using quality control limit to monitor hospital infection can provide early warning and control of hospital infection quality in various departments and reduce the rate of hospital infection. It is a new idea and mode of hospital infection management.