论文部分内容阅读
目的探讨静脉用药调配质量控制在静脉用药调配中心(PIV AS)集中调配相关感染控制中的应用效果评价,为临床预防和控制医院感染提供参考依据。方法选择2013年3-12月PIV AS配制静脉药液治疗的300例患者和2014年3-12月PIV AS实施静脉用药调配质量控制之后治疗的300例患者,对静脉用药调配质量控制实施前后患者住院期间的医院感染情况进行观察;并对两年PIV AS相关物品的合格率、空气培养质量、工作人员手卫生以及使用PIV AS静脉用药后感染率的统计结果对比。结果 2014年PIV AS内相关物品的卫生合格率显著优于2013年,差异均有统计学意义(P<0.05);2014年PIV AS内空气培养质量和工作人员手卫生合格率显著高于2013年,且差异均有统计学意义(P<0.05);通过质量控制管理后2014年内静脉用药调配和员工操作的出错率明显降低(P<0.05);2014年PIV AS配制的静脉药液应用于患者后住院期间出现的医院感染率明显低于2013年(P<0.05)。结论质量控制环节对于PIV AS控制医院感染十分关键,能优化PIV AS体系的管理,减少药品浪费,减少患者的医院感染现象发生。
Objective To investigate the application effect of intravenous drug administration in central administration of PIV AS and to provide reference for clinical prevention and control of nosocomial infection. Methods 300 patients treated with intravenous liquid preparation of PIV AS from March to December in 2013 and 300 patients treated after intravenous administration of PIV AS in March to December in 2014 were enrolled in this study. Before and after the quality control of intravenous drug administration Hospital infection during hospitalization was observed; and the two-year PIV AS-related items passing rate, air quality, staff hand hygiene and the use of intravenous PIVAS infection rate statistics comparison. Results The health pass rate of related articles in PIV AS in 2014 was significantly better than that in 2013 (P <0.05). The quality of air culture and hand hygiene in PIV AS in 2014 was significantly higher than that in 2013 , And the differences were statistically significant (P <0.05). After the quality control was administered, the error rates of intravenous drug administration and staff operations were significantly reduced in 2014 (P <0.05). In 2014, intravenous fluids prepared from PIV AS were used in patients Hospital infection rates during later hospitalizations were significantly lower than in 2013 (P <0.05). Conclusion Quality control is critical to PIV AS in controlling nosocomial infections. It can optimize the management of PIVAS system, reduce drug waste and reduce nosocomial infections.