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。

Application of continuous quality improvement of infection control and management in maternal and child health hospital

ObjectiveTo investigate the application of continuous quality improvement (CQI) in infection control and management in the maternal and child health hospital. MethodsThe CQI method was introduced into the infection control and management in our hospital. The quality improvement teams were set up and the related standard solutions were completed and applied throughout the medical treatment strictly. The infection control and management effect before and after CQI implementation were compared, respectively. ResultsAfter the implementation of CQI, the qualified rate of nurse hand hygiene increased from 84.0% to 91.7%, qualified rate of medical supplies disinfection increased from 80.4% to 97.9%, and medical garbage disposal qualification rate increased from 82.3% to 99.4%. The awareness rate of nosocomial infection and satisfaction in the patients were improved significantly, from 69.5% to 90.8% and from 71.5% to 98.8%, respectively. The hospital infection rate of the patients was reduced from 5.5% to 2.0%. Compared with the indexes before the implementation of CQI, all the differences were significant (P all < 0.05). ConclusionsThe introduction of CQI method can effectively improve the standard of infection control in hospital operations and the quality of hospital infection management, which was approved by the leaders, medical staff and patients.