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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1. 吴帮辉．浅析医疗机构在医疗器械风险管理中的地位和作用//第一届中国医疗器械风险管理研讨会论文集. 北京: 中国医疗器械行业协会, 2008.
2. 余江, 徐剑铖, 王振维. 风险管理理论在医院的应用和发展趋势. 重庆医学, 2010, 39(10): 1310-1310, 1316.
3. 卫生部医管司. 三级综合医院评审标准条款评价要素与方法说明. 北京: 人民卫生出版社, 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. 成岚, 孙纽云, 王莉, 等. 英美加澳和中国台湾地区医疗风险管理方法与评估工具的比较研究. 中国循证医学杂志, 2011, 11(11): 1240-1246.
6. 贾巍, 杨洪彩, 张辉文. 医院感染脆弱性分析的研究. 新疆医科大学学报, 2014, 37(3): 369-372.
7. 古宝兰, 王定清, 黄文财, 等. 医疗失效模式与效应分析在预防母婴同室院内感染中的应用. 齐鲁护理杂志, 2014, 20(19): 121-123.
8. 周春莲, 陈惠清, 王世英, 等. 某三级医院医院感染风险评估. 中华医院感染学杂志, 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. 李六亿, 徐艳. 医院感染管理的风险评估. 中国感染控制杂志, 2016, 15(7): 441-446.
11. 张淑平, 谭慕杨. 风险管理在医院感染管理中的应用与效果分析. 华西医学, 2012(1): 129-131.
12. 中华人民共和国国家质量监督检验检疫总局, 中国国家标准化管理委员会. GB/T 27921—2011 风险管理风险评估技术, 2011.
13. 任小兵, 刘焱银, 陈华丽, 等. 消毒供应中心医院感染管理中实施PDCA的效果评估. 华西医学, 2012(9): 1302-1305.
14. 赵霞, 王力红, 张京利, 等. ICU医院感染风险评估. 中华医院感染学杂志, 2013, 23(20): 5016-5017, 5053.
15. 中华人民共和国国家卫生和计划生育委员会. 卫生部办公厅关于印发《三级综合医院评审标准实施细则(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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