Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management_West China Medical Journal

Authors：

 YINWei-jia , HUANGWen-zhi , HUANGJing , ZHUANGHong-di , QIAOFu ,  RAOLi , ZONGZhi-yong

Department of Nosocomial Infection Management, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

RAOLi, Email: lrlz1989@cd120.com

Keywords：

Management of hospital-acquired infection; Cross-inspection; Continuous quality improvement

DOI：

10.7507/1002-0179.20140124

Video：

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Objective To explore the supervision and inspection mechanism of hospital-acquired infection management at hospital-level in order to promote continuous quality improvement of hospital-acquired infection control. Methods Instead of inspecting hospital departments only by hospital infection control professionals, the clinical hospital infection control nurses were also involved in the two cross-inspections carried out respectively in September and December, 2013, which shared the same contents, methods, and the inspectors. According to standard procedures, on-site view and inquiry methods were adopted to check the implementation of the system and measures and the infection control knowledge among medical staff. Inspection results were written down to feed back to each department with a unified form. The problems found during the two inspections were classified to be analyzed and solved. The results of the two inspections were compared to understand whether the effect of continuous quality improvement can be achieved through cross-inspections and subsequent work. Results The excellent rate of department and overall accuracy rate of the second inspection increased with statistical significance compared to that of the first inspection (χ²=619.902, P=0.000; χ²=40.347, P=0.000). Meanwhile, the correct rate of each module and infection control knowledge among all kinds of medical staff also increased compared with the first inspection with statistically significant differences (P<0.05). Conclusion Long-term mechanism of cross-inspection involving hospital infection control nurses should be established to facilitate the continuous quality improvement of hospital-acquired infection management.

Citation： YINWei-jia, HUANGWen-zhi, HUANGJing, ZHUANGHong-di, QIAOFu, RAOLi, ZONGZhi-yong. Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management. West China Medical Journal, 2014, 29(3): 409-412. doi: 10.7507/1002-0179.20140124 Copy

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4. 付强, 郭燕红. 新时期国家医院感染管理战略探讨[J]. 中华医院感染学杂志, 2013, 23(20):4861-4864.
5. 中华人民共和国卫生部. 医院感染管理办法[EB/OL]. (2006-07-05)[2013-12-30]. http://www.gov.cn/ziliao/flfg/2006-07/25/content_344886.htm.
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15. 陈国欢. 监控员参与质控检查在医院感染控制中的应用研究[J]. 实用心脑肺血管病杂志, 2010, 18(7):982-983.

West China Medical Journal

Establishing Long-term Mechanism of Cross-inspection to Promote Continuous Quality Improvement of Hospital-acquired Infection Management

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