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目的通过改变新生儿重症监护病房(NICU)感染管理模式,探索提高NICU医院感染管理质量的有效途径。方法本院2010年开始将计划、实施、检查、处理(PDCA)循环模式引入NICU的感染管理工作,通过目标性监测,及时发现感染隐患,制定针对性的感染控制干预措施和标准操作规程,并对干预措施的落实加以巩固。观察2009年和2010年NICU医院感染率及相关质控指标的变化。结果 2009年NICU医院感染率16.9%,2010年NICU医院感染率9.6%,两年比较差异有统计学意义(χ2=7.936,P<0.05);2010年NICU环境卫生学监测合格率及工作人员的手卫生依从性明显提高,与2009年比较差异均有统计学意义(P均<0.05)。结论 NICU引进PDCA循环管理模式,能够提高感染管理质量,降低医院感染率。
Objective To explore effective ways to improve the quality of NICU infection management in NICU by changing the NICU infection management model. Methods The hospital started to introduce the cycle planning, implementation, inspection and treatment (PDCA) cycle into the infection management of NICU in 2010 and targeted infection control interventions and standard operating procedures were developed through targeted monitoring and timely detection of infection risks The implementation of interventions to be consolidated. Observe the changes of NICU hospital infection rate and related quality control indexes in 2009 and 2010. Results The NICU hospital infection rate was 16.9% in 2009 and the NICU hospital infection rate was 9.6% in 2010, with significant difference between the two years (χ2 = 7.936, P <0.05). In 2010, the compliance rate of NICU environmental hygiene and the staff’s Compliance with hand hygiene was significantly improved, with significant differences from 2009 (P <0.05). Conclusion The NICU introduced the PDCA cycle management model, which can improve the quality of infection management and reduce the hospital infection rate.