应用品管圈提高神经科医务人员手卫生依从性

目的了解品管圈（QCC）在提高神经科医务人员手卫生依从性中的效果。方法成立QCC活动小组，制定活动方案，采用自行设计的调查表，对某院神经科62名医务人员进行手卫生随机调查，观察手卫生的执行情况，分析原因找出对策，并进行为期6个月的质量持续改进。结果QCC 活动后医务人员手卫生依从率、正确率分别为80.00%、81.55%，均高于活动前（手卫生依从率、正确率分别为44.41%、46.46%），差异均有统计学意义（χ2值分别为63.652、39.940，均P＜0.01）。其中重点改善群体医生和护士手卫生依从率分别由活动前的42.68%、48.41%，提高至活动后的85.54%、78.38%。QCC 活动前依从率最低的手卫生时刻：医生为接触患者前（18.18%），护士为执行清洁/无菌操作前（28.00%），活动后分别提高至63.16%、60.00%。QCC 活动后目标达成率为138.43%，进步率为80.14%，圈成员在活动中能力得到较大提升。结论QCC 活动能充分调动大家的积极性，培养医务人员团队精神，提高医务人员手卫生依从性。

Application of quality control circle for improving hand hygiene compliance of health care workers in department of neurology

ObjectiveTo understand the effect of quality control circle (QCC) on improving hand hygiene(HH) compliance of health care workers(HCWs) in department of neurology. MethodsQCC activity group was established, activity plan was formulated, and self designed questionnaire was adopted to investigate HH of 62 HCWs in the neurology department of a hospital, the implementation of HH was observed, causes and countermeasures were analyzed, and a 6 month continuous quality improvement was conducted. ResultsThe compliance rate and correct rate of HH among HCWs after QCC activities were both higher than that before QCC activities (80.00% vs 44.41%, χ2 =63.652, P＜0.01; 81.55% vs 46.46%, χ2 =39.940, P＜0.01）. The compliance rate and correct rate of HH among doctors and nurses improved from 42.68% and 48.41% before QCC to 85.54% and 78.38% respectively after QCC. The lowest compliance rates of HH moment before QCC activities were as follows: doctors were before contacting with the patients（18.18%），nurses were before performing cleaning/aseptic operation（28.00%）, which improved to 63.16% and 60.00% respectively after QCC activities. Goal achievement rate after QCC activity was 138.43%, improvement rate was 80.14%, ability of circle members improved greatly in the activities. ConclusionQCC activities can fully mobilize the enthusiasm of everyone, develop the team spirit of HCWs, and improve HH compliance of HCWs.