Objective To explore the supervision and inspection mechanism of hospital-acquired infection management at hospital-level in order to promote continuous quality improvement of hospital-acquired infection control.
Methods Instead of inspecting hospital departments only by hospital infection control professionals, the clinical hospital infection control nurses were also involved in the two cross-inspections carried out respectively in September and December, 2013, which shared the same contents, methods, and the inspectors. According to standard procedures, on-site view and inquiry methods were adopted to check the implementation of the system and measures and the infection control knowledge among medical staff. Inspection results were written down to feed back to each department with a unified form. The problems found during the two inspections were classified to be analyzed and solved. The results of the two inspections were compared to understand whether the effect of continuous quality improvement can be achieved through cross-inspections and subsequent work.
Results The excellent rate of department and overall accuracy rate of the second inspection increased with statistical significance compared to that of the first inspection (χ2=619.902, P=0.000; χ2=40.347, P=0.000). Meanwhile, the correct rate of each module and infection control knowledge among all kinds of medical staff also increased compared with the first inspection with statistically significant differences (P<0.05).
Conclusion Long-term mechanism of cross-inspection involving hospital infection control nurses should be established to facilitate the continuous quality improvement of hospital-acquired infection management.
Citation:
YINWei-jia, HUANGWen-zhi, HUANGJing, ZHUANGHong-di, QIAOFu, RAOLi, ZONGZhi-yong. Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management. West China Medical Journal, 2014, 29(3): 409-412. doi: 10.7507/1002-0179.20140124
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- 6. 中华人民共和国卫生部. WS 310.1-2009医院消毒供应中心第1部分:管理规范[S]. 2009.
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- 9. 中华人民共和国卫生部. GB 15982-2012医院消毒卫生标准[S]. 2012.
- 10. 中华人民共和国卫生部. 卫生部关于印发《医务人员艾滋病病毒职业暴露防护工作指导原则(试行)》的通知[EB/OL]. (2004-06-07)[2013-12-30]. http://www.moh.gov.cn/mohbgt/pw10405/200804/18623.shtml.
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