目的 对浙江省某综合医院医院感染管理进行风险评估分析。方法 对2022年浙江省某综合医院医院感染管理进行风险识别,并将其分为管理指标、结果指标、过程指标,通过风险发生的概率、风险发生后的潜在严重性、风险发生后医院是否做好准备三维度对指标进行评分,对医院不同片区临床科室进行风险评估。结果 浙江省某综合医院外科片区极高风险科室为神经外科、重症医学一区(外科ICU)、重症医学三区(综合ICU);内科片区极高风险科室为急诊重症监护病区、重症医学二区(内科ICU)、老年病区;妇儿片区极高风险科室为新生儿监护室。外科片区临床科室平均风险值(120.94)高于内科片区平均风险值(113.15)。结论 本次医院感染风险评估结果准确性及真实性较高,为下一步开展医院感染管理工作提供了数据支持。
Abstract
Objective To analyze the risk assessment of healthcare-associated infection (HAI) management in a general hospital in Zhejiang Province. Methods The risk indicators of HAI management were identified and divided into management indicators,outcome indicators and process indicators in a general hospital in Zhejiang Province in 2022.Indicators were scored on three dimensions: the probability of the risk occurring,the potential severity of the risk if it occurs,and the readiness of the hospital to respond to the risk if it occurs.Risk assessment was conducted on clinical departments in different areas of the hospital. Results The top 3 departments that ranked the highest risk in the surgical system were neurosurgery,ICU-I,and ICU-III.The high-risk departments in the internal medicine system were emergency ICU,ICU-II,and geriatric area.The high-risk departments in the maternal and child system were neonatal monitoring rooms.The average risk value of clinical departments in surgical area (120.94) was higher than that of internal medicine area (113.15). Conclusion The accuracy and authenticity of the assessment results are high,which provides data support for the next step of HAI management work.
关键词
医院感染 /
风险评估 /
管理 /
综合医院
Key words
Hospital Infection /
Risk assessment /
Management /
General hospital
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参考文献
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基金
金华市公益性技术应用研究项目(2022-4-126)
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