Construction of a healthcare-associated infection management quality evaluation index system and an empirical study of comprehensive evaluation_West China Medical Journal

Authors：

HUANG Wenzhi ^1,2 , YIN Weijia ¹ ,  QIAO Fu ¹ , ZHANG Wei ²

1. Department of Infection Control, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

QIAO Fu, Email: qiaofu2005@gmail.com

Keywords：

Healthcare-associated infection; index system; analytic hierarchy process; comprehensive evaluation method

DOI：

10.7507/1002-0179.202201120

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To construct a quality evaluation index system for healthcare-associated infection (HAI) management, and conduct an empirical evaluation on the quality of HAI management in clinical departments. Methods The literature research method and panel discussion method were adopted to initially form the framework of HAI management quality evaluation index system, and the Delphi method and the analytic hierarchy process were used to establish the index system and determine the weights from January to December 2018. Eight comprehensive evaluation methods, such as osculating value method and technique for order preference by similarity to an ideal solution method, were used to evaluate the quality of HAI management in clinical departments of West China Hospital, Sichuan University in 2018. Kendall’s coefficient of concordance (W) was used to assess the consistency of the results. The clinical departments were ranked by the standardized total scores, which were the means of the normalized scores of the eight methods. Results A quality evaluation index system for HAI management with 3 first-level indicators and 15 second-level indicators was established finally. The results of the eight comprehensive evaluation methods for the quality evaluation of HAI management in 39 clinical departments of West China Hospital, Sichuan University were consistent (W=0.952, χ²=259.800, P<0.001). The standardized total score of Department 18 was 100, which ranked the first place. Conclusion The HAI management quality evaluation index system constructed in this study could be used in clinical departments to evaluate the quality of HAI management in combination with comprehensive evaluation methods.

Citation： HUANG Wenzhi, YIN Weijia, QIAO Fu, ZHANG Wei. Construction of a healthcare-associated infection management quality evaluation index system and an empirical study of comprehensive evaluation. West China Medical Journal, 2022, 37(3): 349-356. doi: 10.7507/1002-0179.202201120 Copy

1.	國家衛生健康委員會. 醫院感染管理質量控制指標（2015 年版）. (2015-04-10)[2022-03-01]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094217171.pdf.
2.	張京利, 王力紅, 馬文暉, 等. 構建動態績效考核指標體系持續提升醫院感染管理水平. 中華醫院感染學雜志, 2016, 26(18): 4245-4247.
3.	黃慶寧, 劉丁, 陳萍, 等. 量化質量控制在醫院感染預警化管理的應用. 中華醫院感染學雜志, 2015, 25(21): 4979-4981.
4.	徐建鳴, 張琦, 朱曉玲, 等. 感染監控指標在醫院績效考核中的應用. 中國護理管理, 2016, 16(7): 887-890.
5.	莫元春, 李沃田, 楊文, 等. 構建醫院感染質量指標評價體系對醫院感染控制的作用. 中國感染控制雜志, 2019, 18(12): 1127-1131.
6.	周水紅, 王青, 楊金蓮, 等. 基于醫院績效考核的醫院感染管理質量考核指標體系的構建與評價. 中國感染控制雜志, 2020, 19(9): 773-779.
7.	王力紅, 趙霞, 王允琮, 等. 醫院感染防控績效評價體系構建研究. 中國衛生質量管理, 2021, 28(2): 85-88.
8.	Xiong L, Sheng G, Fan ZM, et al. Environmental design strategies to decrease the risk of nosocomial infection in medical buildings using a hybrid MCDM model. J Healthc Eng, 2021, 2021: 5534607.
9.	Sayan M, Yildirim FS, Sanlidag T, et al. Capacity evaluation of diagnostic tests for COVID-19 using multicriteria decision-making techniques. Comput Math Methods Med, 2020, 2020 1560250.
10.	Ghorui N, Ghosh A, Mondal SP, et al. Identification of dominant risk factor involved in spread of COVID-19 using hesitant fuzzy MCDM methodology. Results Phys, 2021, 21: 103811.
11.	國家衛生健康委員會. 三級綜合醫院評審標準（2011 年版）. (2011-04-22)[2022-03-01]. http://www.nhc.gov.cn/cmsresources/mohwsyjbgs/cmsrsdocument/doc14029.doc.
12.	丁晉飛, 談立峰, 湯在祥, 等. 德爾菲法及其在公共衛生領域的應用和展望. 環境與職業醫學, 2012, 29(11): 727-730.
13.	巴比艾爾, 巴比, 邱澤奇. 社會研究方法. 11 版. 北京: 華夏出版社, 2005: 262.
14.	常敏, 孔燕, 尚文, 等. 新生兒重癥監護室早產兒主要照顧者能力評價指標體系的構建. 中國實用護理雜志, 2019, 35(7): 519-524.
15.	曾光. 現代流行病學方法及應用. 北京: 北京醫科大學中國協和醫科大學聯合出版社, 1994: 323.
16.	馬萍. 基于文獻計量層次分析法的研究綜述. 經濟研究導刊, 2018(32): 6-8.
17.	孫振球. 醫學綜合評價方法及其應用. 北京: 化學工業出版社, 2006: 1.
18.	鐘韻. 綜合評價法在醫院感染防控質量評價中的應用. 中國消毒學雜志, 2018, 35(5): 367-369.
19.	楊立成, 楊潔, 趙臨, 等. 基于 AHP-Topsis 法的醫院感染管理質量評價. 中國感染控制雜志, 2018, 17(8): 679-682, 687.
20.	甘泳江, 陸蕓蕓, 梁丹燕. 基于秩和比法的不同臨床科室醫院感染風險評估. 中國感染控制雜志, 2018, 17(5): 418-422.

1. 國家衛生健康委員會. 醫院感染管理質量控制指標（2015 年版）. (2015-04-10)[2022-03-01]. http://www.nhc.gov.cn/ewebeditor/uploadfile/2015/04/20150415094217171.pdf.
2. 張京利, 王力紅, 馬文暉, 等. 構建動態績效考核指標體系持續提升醫院感染管理水平. 中華醫院感染學雜志, 2016, 26(18): 4245-4247.
3. 黃慶寧, 劉丁, 陳萍, 等. 量化質量控制在醫院感染預警化管理的應用. 中華醫院感染學雜志, 2015, 25(21): 4979-4981.
4. 徐建鳴, 張琦, 朱曉玲, 等. 感染監控指標在醫院績效考核中的應用. 中國護理管理, 2016, 16(7): 887-890.
5. 莫元春, 李沃田, 楊文, 等. 構建醫院感染質量指標評價體系對醫院感染控制的作用. 中國感染控制雜志, 2019, 18(12): 1127-1131.
6. 周水紅, 王青, 楊金蓮, 等. 基于醫院績效考核的醫院感染管理質量考核指標體系的構建與評價. 中國感染控制雜志, 2020, 19(9): 773-779.
7. 王力紅, 趙霞, 王允琮, 等. 醫院感染防控績效評價體系構建研究. 中國衛生質量管理, 2021, 28(2): 85-88.
8. Xiong L, Sheng G, Fan ZM, et al. Environmental design strategies to decrease the risk of nosocomial infection in medical buildings using a hybrid MCDM model. J Healthc Eng, 2021, 2021: 5534607.
9. Sayan M, Yildirim FS, Sanlidag T, et al. Capacity evaluation of diagnostic tests for COVID-19 using multicriteria decision-making techniques. Comput Math Methods Med, 2020, 2020 1560250.
10. Ghorui N, Ghosh A, Mondal SP, et al. Identification of dominant risk factor involved in spread of COVID-19 using hesitant fuzzy MCDM methodology. Results Phys, 2021, 21: 103811.
11. 國家衛生健康委員會. 三級綜合醫院評審標準（2011 年版）. (2011-04-22)[2022-03-01]. http://www.nhc.gov.cn/cmsresources/mohwsyjbgs/cmsrsdocument/doc14029.doc.
12. 丁晉飛, 談立峰, 湯在祥, 等. 德爾菲法及其在公共衛生領域的應用和展望. 環境與職業醫學, 2012, 29(11): 727-730.
13. 巴比艾爾, 巴比, 邱澤奇. 社會研究方法. 11 版. 北京: 華夏出版社, 2005: 262.
14. 常敏, 孔燕, 尚文, 等. 新生兒重癥監護室早產兒主要照顧者能力評價指標體系的構建. 中國實用護理雜志, 2019, 35(7): 519-524.
15. 曾光. 現代流行病學方法及應用. 北京: 北京醫科大學中國協和醫科大學聯合出版社, 1994: 323.
16. 馬萍. 基于文獻計量層次分析法的研究綜述. 經濟研究導刊, 2018(32): 6-8.
17. 孫振球. 醫學綜合評價方法及其應用. 北京: 化學工業出版社, 2006: 1.
18. 鐘韻. 綜合評價法在醫院感染防控質量評價中的應用. 中國消毒學雜志, 2018, 35(5): 367-369.
19. 楊立成, 楊潔, 趙臨, 等. 基于 AHP-Topsis 法的醫院感染管理質量評價. 中國感染控制雜志, 2018, 17(8): 679-682, 687.
20. 甘泳江, 陸蕓蕓, 梁丹燕. 基于秩和比法的不同臨床科室醫院感染風險評估. 中國感染控制雜志, 2018, 17(5): 418-422.

West China Medical Journal

Construction of a healthcare-associated infection management quality evaluation index system and an empirical study of comprehensive evaluation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content