重庆地区67所医院感染监测基本数据及质量控制指标调查研究

发布时间：2018-06-13 14:06

本文选题：医院感染监测 + 基本数据　；参考：《重庆医学》2016年36期

【摘要】：目的调查重庆地区67所医院感染监测基本数据与质量控制指标情况,为探寻医院感染监测规范提供基础数据。方法根据国家卫计委《医院感染监测基本数据及质量控制指标调查》问卷,选取重庆地区部分医疗机构进行问卷调查,对回收的调研报告数据进行统计分析。结果本次共收集有效调查问卷67所,21所为三级医院,46所为二级医院。其中教学医学5所、综合医院47所、中医院11所、厂矿医院3所、私立医院1所。床位与人员配备达标56所,未达标的有11所。67所医院中有电子病历管理系统占71.64%,其医院感染信息系统占83.33%,有手术麻醉系统占31.34%,有抗菌药物管理监测系统占68.65%。医院感染监测以常规性监测和目标性监测两项为主。监测对象正确率为74.62%,抗菌药物用药在手术室占44.78%;监测统计以月为单位占73.13%,计算NNIS手术危险因素时长分级与手术时长的P75值正确率不高,手术与诊疗操作混淆占97.01%,对微生物检验知识与技术判定掌握率较低。结论医院感染监测基本数据与质量控制指标调查能了解医院感染管理开展的情况,针对调查项目发现薄弱环节并进行相关的强化、干预,有助于提高医院感染的监测水平。
[Abstract]:Objective to investigate the basic data and quality control index of infection monitoring in 67 hospitals in Chongqing, and to provide basic data for exploring the standard of nosocomial infection monitoring. Methods based on the survey of the basic data of hospital infection monitoring and quality control index survey by the National Health Planning Commission, a questionnaire survey was conducted in some medical institutions in Chongqing, and the recovery was carried out. A total of 67 effective questionnaires were collected, 21 were grade three hospitals and 46 were grade two hospitals, including 5 teaching medicine, 47 comprehensive hospitals, 11 Chinese medicine hospitals, 3 factories and mines hospitals, 1 private hospitals. The beds and staffs were equipped with the standard 56, and there were 67 hospital records in the 11 hospital in which there was an electronic medical record. The management system accounted for 71.64%, the hospital infection information system accounted for 83.33%, the operation anesthesia system accounted for 31.34%, the antibiotics management monitoring system accounted for the 68.65%. hospital infection monitoring with the conventional monitoring and the target monitoring two items. The accuracy rate of the monitoring objects was 74.62%, the antimicrobial drug used in the operation room was 44.78%, and the monitoring statistics was a month as a unit. 73.13%, the calculation of the risk factors of NNIS operation was not high, the correct rate of P75 value was not high, the confusion of operation and diagnosis and treatment operation was 97.01%, and the knowledge of microbiological inspection and technical determination was low. Conclusion the basic data of hospital infection monitoring and quality control index investigation can understand the situation of hospital infection management. It is helpful to improve the monitoring level of nosocomial infection to find out the weak links and strengthen the relevant interventions.
【作者单位】：第三军医大学大坪医院野战外科研究所感染控制科/重庆市医院感染控制中心;
【分类号】：R197.323

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