目的 探讨品管圈活动在降低EICU多重耐药菌（multi drug resistant organisms, MDRO）环境管理缺陷率中的应用及效果。方法 组建品管圈小组,确定以“降低EICU多重耐药菌环境管理缺陷率”为活动主题,基于现状调查及原因分析拟定对策并组织实施,进行持续质量改进。结果 EICU多重耐药菌环境管理缺陷率由活动前的34.82％降低至活动后的10.87％,圈员运用品管圈后,发现及解决临床问题的能力得到提高。结论 品管圈活动可有效降低EICU多重耐药菌环境管理缺陷率并增强团队协作能力。
Objective To explore the effect of quality control circle activities on reducing the defect rate of environmental management of multi-drug resistant organisms （MDRO） in EICU. Methods A quality control circle group was established to conduct activities themed on "reducing the defect rate of environmental management of multi-drug resistant organisms in EICU", formulate countermeasures, and organize implementation based on current situation investigation and cause analysis, aiming to achieve continuous quality improvement. Results The environmental management defect rate of MDRO in EICU decreased from 34.82% before the activity to 10.87% after the activity. The ability of group members to use the quality control circle to find and solve clinical problems was improved. Conclusion The activities of quality control circle can effectively reduce the defect rate of environmental management of MDRO in EICU and enhance the ability of team cooperation.
[1] 刘欢,黄云丹.护理安全管理在急诊重症监护室多重耐药菌医院感染控制中的应用效果[J]. 当代护士(中旬刊),2020,27(2):178-180.
[2] 刘晖,朱雪慧,陈焕红,等.消毒湿巾对多重耐药菌病房高频接触表面消毒效果研究[J]. 中国医学创新,2018,15(16):140-143.
[3] 王力红,赵霞.我国医疗机构多重耐药菌防控的管理要求与实践[J]. 中国护理管理,2019,19(8):1135-1138.
[4] 中华人民共和国卫生部.多重耐药菌医院感染预防与控制技术指南(试行)[J]. 中国危重病急救医学,2011,23(2): 65-65.
[5] 中华人民共和国国家卫生和计划生育委员会.医疗机构环境表面清洁与消毒管理规范 WS/T512—2016[S].
[6] 倪晓平. 《医疗机构环境表面清洁与消毒管理规范》对临床护理的重要性[J]. 中国护理管理,2017,17(6):733-736.
[7] 张慧琳,芦桂芝,陈天成,等.不同专科重症监护病房高频接触物体表面的量性研究[J]. 中国感染控制杂志,2017,16(6):506-510.
[8] Jiang Q, Zhang D, Majaw J, et al.Minimization of the perianal infection rate of hematological malignancies with agranulocytosis by quality control circle activity and patient- hospital-student win-win concept[J]. J Int Med Res, 2018, 46(6): 2338-2345.
[9] 王月华. 多学科协作管理在多重耐药菌医院感染防控中的效果[J]. 中国医药科学,2021,11(5):193-196.
[10] 乔甫,黄文治,宗志勇.多重耐药菌感染防控的意义与发展趋势[J]. 中国护理管理,2019,19(8):1129-1134.
[11] 苗勤,杨宝财,张换春,等.不同清洁消毒方式对呼吸重症监护室环境多重耐药菌的影响[J]. 中国医学装备,2018,15(11):111-113.
