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題 名 | 品管圈應用於降低院內感染之成效=The Effect of Applying Quality Control Circle in Reducing Nosocomial Infections |
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作 者 | 楊麗瑟; 游素碧; 林慧姬; 張瑛瑛; 王麗華; 孫春轉; 王秀華; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:3 2001.06[民90.06] |
頁 次 | 頁137-147 |
分類號 | 419.38 |
關鍵詞 | 品管圈; 院內感染; 洗手; Quality control circle; Nosocomial infection; Handwashing; |
語 文 | 中文(Chinese) |
中文摘要 | 院內感染為醫療照護重要品質指標之一,此文係一嬰兒加護病房工作人員運用品管方法,用於減少院內感染之實例。該單位住院病患大都為六個月以下之嬰幼兒,主要診斷為心臟血管感染症及呼吸道疾病,均由護理人員照顧,家屬只在訪客時間探視。該單位於1997年1月由10位護理人員組成品管圈,經圈員討論將改善護理人員洗手未確實率作為品管圈主題,經由特性要因分析、調查發生原因、確立問題及實施對策後,洗手未確實率由改善前 73.5% 降至改善後 3.4% 。而在院內感染率方面,在實施改善措施前後每月院內感染率由平均 8.3 %降至 3.5%。比較實施改善措施前後之院內感染發生率具有統計學上之顯著差異 (X2=27.27,P=O.001)。單位發生群突發事件也明顯減少。在部位感染率方面,由 1996 年至 1998年除傷口感染率變化不大外,尿路感染、呼吸道感染、腸胃道感染及血流感染皆有下降。其中暘胃道感染下降最多亦是感染流行減少之主要原因。感染致病原中革蘭氏陰性菌及病毒皆有下降。由此次經驗可呈現由單位內自動參與感染控制相關之品質管制活動對感染控制之成效。(感控雜誌2001;11:137-47) |
英文摘要 | Nosocomial infection is considered to be an important indicator of health care quality. The medical staffs of an infant intensive care unit utilized quality control method to reduce hospital-acquired infections in the unit. The majority of patients admitted to this ICU were under 6 months with the diagnosis of cardiac and respiratory diseases. The nurses were the main caregivers the patients, and the families only come to visit patients during visiting times. In January 1997, ten of the nurses in the unit formed a group of quality control circle in an effort to improve staffs' handwashing compliance. They used factor analysis to identify the cause and further defined problems. After institute control measures, the handwashing non-compliance rates decreased dramatically from 73.5% to 3.4%. At the same time, the monthly average nosocomial infection rate also lowered from 8.3% to 3.5%. The difference was statistically significant (X2=27.27, P=0.001). The occurrence of outbreak did also decrease. In the aspect of infection sites, except for surgical site infection, the infecton rate of urinary tract, respiratory tract, gastrointestinal tract and blood stream decreased between 1996 to 1998. The number of causative pathogens are decreased too. From this experience, it shows that the participation of the staff members together with quality control activities from the infection control were effective in decreasing nosocomial infection. (Nosoaom Infect Control d 2001;11:I37-47) |
本系統中英文摘要資訊取自各篇刊載內容。