Application of risk assessment in nosocomial infection control in surgical departments of infectious disease hospitals_West China Medical Journal

Authors：

CHEN Ping ,  WANG Yan , DUAN Xiaofei , LIN Hua , CHEN Lan

Nosocomial Infection Management Department, Public Health Clinical Center of Chengdu City, Chengdu, Sichuan 610000, P. R. China;

Corresponding?author：

WANG Yan, Email: 283887542@qq.com

Keywords：

Risk assessment; Nosocomial infection; Surgical department

DOI：

10.7507/1002-0179.201701031

Video：

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Objective To investigate the application of risk assessment in the control of nosocomial infections in surgical departments of infectious disease hospitals so as to provide references for the regulation of prevention and control measures. Methods Nosocomial infection risks in surgical departments of infectious disease hospitals were identified by the method of brainstorming. Based on risk assessment and planning of American children's national medical center in Washington for epidemic and infectious diseases control, the matrix method was used for risk assessment. The three highest risks were controlled, and then we compared the incidence of nosocomial infections before and after the risk assessment. Results The major risk factors in surgical departments existed in the process of diagnosis and treatment. By matrix scoring, excluding high readiness items, we found that the top three risks were airborne diseases, prevention and nursing of hematogenous infections and air disinfection. Nosocomial infection rate in the surgical departments dropped to 2.03% after carrying out risk assessment and taking correspondent measures (χ²=5.480,P=0.019). Conclusion Evaluation of nosocomial infection risk in surgical departments of infectious disease hospitals can discover major potential risks and reduce the incidence of nosocomial infections, which can provide references for management and control of nosocomial infections.

Citation： CHEN Ping, WANG Yan, DUAN Xiaofei, LIN Hua, CHEN Lan. Application of risk assessment in nosocomial infection control in surgical departments of infectious disease hospitals. West China Medical Journal, 2017, 32(3): 339-343. doi: 10.7507/1002-0179.201701031 Copy

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13.	任小兵, 劉焱銀, 陳華麗, 等. 消毒供應中心醫院感染管理中實施PDCA的效果評估. 華西醫學, 2012(9): 1302-1305.
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1. 吳幫輝．淺析醫療機構在醫療器械風險管理中的地位和作用//第一屆中國醫療器械風險管理研討會論文集. 北京: 中國醫療器械行業協會, 2008.
2. 余江, 徐劍鋮, 王振維. 風險管理理論在醫院的應用和發展趨勢. 重慶醫學, 2010, 39(10): 1310-1310, 1316.
3. 衛生部醫管司. 三級綜合醫院評審標準條款評價要素與方法說明. 北京: 人民衛生出版社, 2011.
4. Uguen M, Daniel L, Cosse M, et al. Influence of risk assessment inspection on the prevention of nosocomial infection. J Hosp Infect, 2016, 93(3): 315-317.
5. 成嵐, 孫紐云, 王莉, 等. 英美加澳和中國臺灣地區醫療風險管理方法與評估工具的比較研究. 中國循證醫學雜志, 2011, 11(11): 1240-1246.
6. 賈巍, 楊洪彩, 張輝文. 醫院感染脆弱性分析的研究. 新疆醫科大學學報, 2014, 37(3): 369-372.
7. 古寶蘭, 王定清, 黃文財, 等. 醫療失效模式與效應分析在預防母嬰同室院內感染中的應用. 齊魯護理雜志, 2014, 20(19): 121-123.
8. 周春蓮, 陳惠清, 王世英, 等. 某三級醫院醫院感染風險評估. 中華醫院感染學雜志, 2015, 25(2): 360-362.
9. Bish EK, El-Amine H, Steighner LA, et al. A socio-technical, probabilistic risk assessment model for surgical site infections in ambulatory surgery centers. Infect Control Hos Epidemiol, 2014, 35(Suppl 3): S133-S141.
10. 李六億, 徐艷. 醫院感染管理的風險評估. 中國感染控制雜志, 2016, 15(7): 441-446.
11. 張淑平, 譚慕楊. 風險管理在醫院感染管理中的應用與效果分析. 華西醫學, 2012(1): 129-131.
12. 中華人民共和國國家質量監督檢驗檢疫總局, 中國國家標準化管理委員會. GB/T 27921—2011 風險管理風險評估技術, 2011.
13. 任小兵, 劉焱銀, 陳華麗, 等. 消毒供應中心醫院感染管理中實施PDCA的效果評估. 華西醫學, 2012(9): 1302-1305.
14. 趙霞, 王力紅, 張京利, 等. ICU醫院感染風險評估. 中華醫院感染學雜志, 2013, 23(20): 5016-5017, 5053.
15. 中華人民共和國國家衛生和計劃生育委員會. 衛生部辦公廳關于印發《三級綜合醫院評審標準實施細則(2011年版)》的通知. (2011-11-25)[2011-12-23]. .

West China Medical Journal

Application of risk assessment in nosocomial infection control in surgical departments of infectious disease hospitals

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