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目的:通过对重症监护病房患者发生医院感染的原因进行分析,探索过程管理在医院感染防控中的应用效果。方法:组成过程管理小组,将过程管理法应用到重症监护病房120例患者的感染防控中,评价住院期间医院感染的发生率。结果:实施过程管理前,医院感染发生率为40%,实施后医院感染发生率为15%,感染率显著下降(P<0.05)。同时重症监护室综合质量管理合格率与灭菌消毒质量均有了显著提高。结论:将过程管理运用到重症监护室的感染防控中,将医院感染重点环节作为质控点,有利于降低病房医院感染的发生率,改善重症监护室的综合质量管理合格率。
Objective: To analyze the causes of nosocomial infections in intensive care unit patients and explore the application of process management in prevention and control of nosocomial infections. Methods: The process management team was formed to apply the process management method to the prevention and control of infection in 120 intensive care unit patients and to evaluate the incidence of nosocomial infections during hospitalization. Results: Before the implementation of process management, the incidence of nosocomial infection was 40%. After the implementation, the incidence of nosocomial infection was 15%, and the infection rate was significantly decreased (P <0.05). At the same time ICU overall quality management pass rate and sterilization quality have been significantly improved. Conclusion: Applying process management to the prevention and control of infection in intensive care unit, taking the key links of hospital infection as the quality control point is helpful to reduce the incidence of nosocomial infection and improve the qualification rate of comprehensive quality management in intensive care unit.