頁籤選單縮合
題 名 | 2014年一般、產後及精神護理之家感染管制查核結果及缺失改善情形=Infection Control Inspections at the General, Postpartum and Psychiatric Nursing Facilities, 2014 |
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作 者 | 王思惠; 詹宜娟; 柯玉芬; 曾淑貞; 張筱玲; 曾淑慧; 曾淑貞; 張筱玲; 詹宜娟; 王思惠; 曾淑慧; 柯玉芬; | 書刊名 | 疫情報導 |
卷 期 | 32:17 2016.09.06[民105.09.06] |
頁 次 | 頁368-378 |
分類號 | 419.38 |
關鍵詞 | 護理機構; 長期照護; 感染管制; 查核; |
語 文 | 中文(Chinese) |
中文摘要 | 為提升護理機構照護服務品質,降低醫療照護相關感染之發生,疾病管制署業訂定一般、產後及精神護理之家感染管制查核基準,並於2014年首度推動護理機構感染管制查核作業,由地方衛生局聘任委員於4月至10月期間進行實地查核。查核對象為符合查核條件之全國各縣市護理機構456家,包含一般護理之家328家,產後護理之家111家,精神護理之家17家。查核之合格標準為一般護理之家「各查核項目評分等級達C以上比率」、產後及精神護理之家「各查核項目符合比率」達60%者為合格,未達此標準者,由地方衛生局加強追蹤輔導,並進行實地複查。查核結果顯示整體合格率為99.8%,僅有1家一般護理之家不合格。查核項目方面,機構於「工作人員或服務對象的健康檢查和疫苗預防接種」、「工作人員(含廚工及供膳人員)職前及在職感染管制教育訓練」、「服務對象感染預防及處理」、「防疫物資儲備」、「隔離空間設置及使用」、「飲用供水設備清潔」及「污物處理空間」等事項仍有進步的空間,各機構依委員建議已進行改善或提出相關改善計畫。本文提供該查核方法、結果分析及缺失改善情形,以作為推動長期照護機構感染管制政策及查核方式之參考。 |
英文摘要 | To improve the healthcare quality and reduce health care-associated infections in nursing facilities, Taiwan Centers for Disease Control established the infection control inspection checklist for general, postpartum and psychiatric nursing facilities and started the first inspection in 2014. The on-site inspections were conducted by infection control experts appointed by local health authorities during April–October, 2014. Total 456 nursing facilities, including 328 general nursing facilities, 111 postpartum nursing facilities and 17 psychiatric nursing facilities were inspected. The criteria require a rating of inspection tasks scored “level C and above” for general nursing facilities, or tasks scored “meet the criteria” should achieve 60 % for both postpartum and psychiatric nursing facilities. Local health authorities assist facilities failing the inspection to correct their flaws and conduct a follow-up inspection. Overall, 99.8% of the facilities fulfilled the criteria; only one general nursing facility did not pass the inspection. Facilities’ performance were weak in several inspection tasks, such as “health examination and vaccination of workers and residents”, “pre-employment and on-job infection control training for workers (including kitchen workers and meal-serving staff)”, “infection prevention and treatment for residents”, “stockpile of personal protective equipment”, “setting and using of the isolation area”,“cleanness of the potable water equipment”, and “setting and using of the contaminant handling area”. Facilities had corrected their flaws or proposed improvement plans based on experts’ recommendations after the inspection. These experiences can be used as reference for formulating and implementing infection control policies and inspection programs of the long-term care facilities. |
本系統中英文摘要資訊取自各篇刊載內容。