基于FOCUS-PDCA的院感质控管理措施对环境卫生学消毒效果和手卫生的影响

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Abstract Objective To investigate the application effect of hospital quality control management measures based on find-organize-clarify-understand-select-plan-do-check-act（FOCUS-PDCA) model on the disinfection effect of environmental hygiene and hand hygiene in primary hospitals. Methods In January 2021, Xixi Hospital in Hangzhou began to apply the quality control management measures based on FOCUS-PDCA to manage the prevention and control of hospital infection. The period from January to December 2020 before the application of the new quality control management measures was selected as the control period, and the period from January to December 2021 after the application of the new quality control management measures was selected as the observation period. At the same time, a total of 80 medical staff from various departments in the hospital were selected for inclusion in the study. The monitoring of disinfection and hygiene in the hospital before and after the implementation of FOCUS-PDCA were compared. At the same time, the scores of infection control knowledge, hygiene, and disinfection skills of medical staff in the hospital and the qualified status of hand hygiene of medical staff were compared. Results After the implementation of FOCUS-PDCA, the test pass rate of the in-hospital environmental samples was higher than that before the implementation, and the difference was statistically significant (P ＜ 0.05). After the implementation of FOCUS-PDCA, the scores of infection control knowledge and sanitation and disinfection skills of the medical staff in the hospital were higher than those before the implementation, and the differences were statistically significant (P ＜ 0.05). The qualified rate of hand hygiene of medical staff in the hospital before contact with patients, before aseptic operation, after risky operation, and after contact with patients were higher than that before implementation, and the differences were statistically significant (P ＜ 0.05). Conclusion The hospital infection quality control management measures based on FOCUS-PDCA can significantly improve the disinfection effect of environmental hygiene in the prevention and control of hospital infection, enhance the awareness of hand hygiene and the implementation of hospital infection prevention and control among medical staff, and promote the standardization of nosocomial infection prevention and control.

Key words： Quality control Nosocomial infection prevention and control Disinfection Hand hygiene Hospital management

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	WU Wenjuan ZHENG Shuifeng ZHONG Nan LUO Xin▲

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WU Wenjuan ZHENG Shuifeng ZHONG Nan LUO Xin▲. Influence of hospital quality control management measures based on FOCUS-PDCA on environmental hygiene disinfection effect and hand hygiene#br#[J]. 中国医药导报, 2022, 19(22): 160-163,180.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I22/160

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