Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management_West China Medical Journal

Authors：

 YINWei-jia , HUANGWen-zhi , HUANGJing , ZHUANGHong-di , QIAOFu ,  RAOLi , ZONGZhi-yong

Department of Nosocomial Infection Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

RAOLi, Email: lrlz1989@cd120.com

Keywords：

Management of hospital-acquired infection; Cross-inspection; Continuous quality improvement

DOI：

10.7507/1002-0179.20140124

Video：

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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 Copy

1.	中國醫院協會. 三級綜合醫院評審標實施細則(2011年版)[M]. 北京:人民衛生出版社, 2011:16-132.
2.	屈文東. 醫院感染管理督導檢查追蹤管理評價表的設計及應用[J]. 中華醫院感染學雜志, 2013, 23(2):418-419.
3.	周麗芬. 醫院感染管理科在各科室檢查中發現問題及整改措施分析[J]. 首都醫藥, 2012, 10(下):19.
4.	付強, 郭燕紅. 新時期國家醫院感染管理戰略探討[J]. 中華醫院感染學雜志, 2013, 23(20):4861-4864.
5.	中華人民共和國衛生部. 醫院感染管理辦法[EB/OL]. (2006-07-05)[2013-12-30]. http://www.gov.cn/ziliao/flfg/2006-07/25/content_344886.htm.
6.	中華人民共和國衛生部. WS 310.1-2009醫院消毒供應中心第1部分:管理規范[S]. 2009.
7.	中華人民共和國衛生部. WS 367-2012醫療機構消毒技術規范[S]. 2012.
8.	中華人民共和國衛生部. WS 311-2009醫院隔離技術規范[S]. 2009.
9.	中華人民共和國衛生部. GB 15982-2012醫院消毒衛生標準[S]. 2012.
10.	中華人民共和國衛生部. 衛生部關于印發《醫務人員艾滋病病毒職業暴露防護工作指導原則(試行)》的通知[EB/OL]. (2004-06-07)[2013-12-30]. http://www.moh.gov.cn/mohbgt/pw10405/200804/18623.shtml.
11.	中華人民共和國衛生部. 衛生部辦公廳關于印發《多重耐藥菌醫院感染預防與控制技術指南(試行)》的通知[EB/OL]. (2011-01-26)[2013-12-30]. http://www.moh.gov.cn/mohyzs/s3594/201101/50487.shtml.
12.	中華人民共和國衛生部. 醫療衛生機構醫療廢物管理辦法[EB/OL]. (2003-10-15)[2013-12-30]. http://www.moh.gov.cn/zhuzhan/wsbmgzl/200804/133efb6d99cd47d4ac6765a16874161c.shtml.
13.	孫曉, 張平, 華衛紅. 堅持日常督導檢查全面提升醫院感染管理質量[J]. 中醫藥管理雜志, 2011, 19(4):373-375.
14.	朱仕俊. 醫院感染管理與持續質量改進[J]. 中國醫院, 2006, 10(5):1-4.
15.	陳國歡. 監控員參與質控檢查在醫院感染控制中的應用研究[J]. 實用心腦肺血管病雜志, 2010, 18(7):982-983.

1. 中國醫院協會. 三級綜合醫院評審標實施細則(2011年版)[M]. 北京:人民衛生出版社, 2011:16-132.
2. 屈文東. 醫院感染管理督導檢查追蹤管理評價表的設計及應用[J]. 中華醫院感染學雜志, 2013, 23(2):418-419.
3. 周麗芬. 醫院感染管理科在各科室檢查中發現問題及整改措施分析[J]. 首都醫藥, 2012, 10(下):19.
4. 付強, 郭燕紅. 新時期國家醫院感染管理戰略探討[J]. 中華醫院感染學雜志, 2013, 23(20):4861-4864.
5. 中華人民共和國衛生部. 醫院感染管理辦法[EB/OL]. (2006-07-05)[2013-12-30]. http://www.gov.cn/ziliao/flfg/2006-07/25/content_344886.htm.
6. 中華人民共和國衛生部. WS 310.1-2009醫院消毒供應中心第1部分:管理規范[S]. 2009.
7. 中華人民共和國衛生部. WS 367-2012醫療機構消毒技術規范[S]. 2012.
8. 中華人民共和國衛生部. WS 311-2009醫院隔離技術規范[S]. 2009.
9. 中華人民共和國衛生部. GB 15982-2012醫院消毒衛生標準[S]. 2012.
10. 中華人民共和國衛生部. 衛生部關于印發《醫務人員艾滋病病毒職業暴露防護工作指導原則(試行)》的通知[EB/OL]. (2004-06-07)[2013-12-30]. http://www.moh.gov.cn/mohbgt/pw10405/200804/18623.shtml.
11. 中華人民共和國衛生部. 衛生部辦公廳關于印發《多重耐藥菌醫院感染預防與控制技術指南(試行)》的通知[EB/OL]. (2011-01-26)[2013-12-30]. http://www.moh.gov.cn/mohyzs/s3594/201101/50487.shtml.
12. 中華人民共和國衛生部. 醫療衛生機構醫療廢物管理辦法[EB/OL]. (2003-10-15)[2013-12-30]. http://www.moh.gov.cn/zhuzhan/wsbmgzl/200804/133efb6d99cd47d4ac6765a16874161c.shtml.
13. 孫曉, 張平, 華衛紅. 堅持日常督導檢查全面提升醫院感染管理質量[J]. 中醫藥管理雜志, 2011, 19(4):373-375.
14. 朱仕俊. 醫院感染管理與持續質量改進[J]. 中國醫院, 2006, 10(5):1-4.
15. 陳國歡. 監控員參與質控檢查在醫院感染控制中的應用研究[J]. 實用心腦肺血管病雜志, 2010, 18(7):982-983.

West China Medical Journal

Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management

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