持续质量改进在妇幼保健院感染控制管理中的应用

目的探讨持续质量改进（CQI）在妇幼保健院感染质量管理中的应用效果。 方法本院感染控制管理中引入持续质量改进方法,建立质量改进小组,完善相关标准方案,并在医疗各个环节中贯彻执行。比较实施持续质量改进前后的医院感染控制效果。 结果实施CQI后,患者院内感染知晓率由69.5%上升至90.8%,患者满意度由71.5%上升至98.8%,患者医院感染率由5.5%下降至2.0%,医护人员手卫生合格率由84.0%上升至91.7%,医疗用品消毒合格率由80.4%上升至97.9%,医疗垃圾处理合格率由82.3%上升至99.4%,与实施CQI前比较,差异均具有统计学意义（P均< 0.05）。 结论引入CQI方法有效提高了感染控制质量,得到了各级管理部门、医务工作人员和患者的一致认可。     

Practical infection control

Ambulatory surgery has increased in popularity in response to rising costs of inpatient hospital care. The technological developments in medicine, surgery, pharmacology and anaesthesia management also advanced ambulatory surgery. At present, 60– 70% of surgery in North America is performed on an ambulatory basis. The increasing number and complexity of operations being performed on an outpatient basis presents many unique challenges to the anaesthetists. The symposium on “Practical Issues in Outpatient Anaesthesia” was presented at the 1995 Annual Meeting of Canadian Anaesthetists’ Society in Ottawa, Ontario. The symposium was divided into three parts. The first part dealt with the management of postoperative pain and emesis in outpatients, the second part dealt with the practical infection control issues and the third part dealt with the practical discharge issues. Ambulatory anaesthesia will play an ever-important role in the decade of the nineties. As more extensive and painful surgical procedures are being performed on an outpatient basis, anaesthetic techniques to improve analgesia with decreased emesis is needed to improve our ability to provide cost-effective care. The safe and expeditious conduct of ambulatory surgical care can only succeed by careful selection of patients and surgical procedures, appropriate intraoperative and postoperative anaesthetic care, prudent and timely discharge of patients.