根因分析法在颅脑手术后颅内感染控制中的应用

发布时间：2018-08-03 07:15

【摘要】：目的了解根因分析法在颅脑手术颅内感染患者控制中的应用效果,为医院感染管理工具的应用提供参考。方法调查2014年1-9月发生颅内感染患者的资料,使用根因分析法进行根本原因分析,制定并实施围术期无菌操作过程监控机制,实行手术器械集中清洗消毒,强化对医护人员培训等改进措施,于2014年11月-2015年7月评估改进效果,比较根因分析实施前、后神经外科显微器械清洗合格率、外科手术人员手术时无菌操作规范性、颅脑术后颅内感染发生率。结果实施根因分析后,神经外科显微器械清洗合格率和外科手术人员术中无菌操作规范率较实施前明显增高,差异有统计学意义(P0.05);颅脑手术后颅内感染发生率在根因分析实施前、后分别为2.67%和0,两者差异有统计学意义(P0.05)。结论运用根因分析法可更加系统、直接地找到事件发生的根本原因,采取相应改进措施,从而有效降低颅脑手术后颅内感染发生率。
[Abstract]:Objective to investigate the effect of root cause analysis in the control of intracranial infection in craniocerebral surgery, and to provide reference for the application of hospital infection management tools. Methods the data of patients with intracranial infection from January to September 2014 were investigated. The root cause analysis was used to analyze the root cause. The monitoring mechanism of aseptic operation process was established and implemented during perioperative period, and the surgical instruments were cleaned and disinfected centrally. To strengthen the improvement measures such as training of medical staff, evaluate the effect of improvement from November 2014 to July 2015, compare the qualified rate of cleaning microinstruments of posterior neurosurgery before and after the implementation of root cause analysis, and standardize the aseptic operation of surgical personnel during operation. Incidence of intracranial infection after craniocerebral surgery. Results after root cause analysis, the qualified rate of cleaning of neurosurgical microinstruments and the rate of aseptic operation of surgical personnel were significantly higher than those before implementation. The incidence of intracranial infection after craniocerebral surgery was 2.67% and 0 respectively before and after the root cause analysis (P0.05). Conclusion the root cause analysis method can be used to find out the root cause of the event directly and to take corresponding measures to reduce the incidence of intracranial infection after craniocerebral surgery.
【作者单位】：重庆医科大学附属永川医院医院感染管理科;重庆医科大学附属永川医院医院中心实验室;
【基金】：重庆市科委基础与前沿研究计划基金资助项目(cstc2015jcyjA10043)
【分类号】：R473.6

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