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.
Key words
Hospital Infection /
Risk assessment /
Management /
General hospital
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References
[1] Alam N,Hobbelink EL,van Tienhoven AJ,et al.The impact of the use of the Early Warning Score (EWS) on patient outcomes:a systematic review[J].Resuscitation,2014,85(5):587-594.
[2] 李六亿,徐艳,贾建侠,等.医院感染管理的风险评估分析[J].中华医院感染学杂志,2016,26(11):2607-2610.
[3] 国家卫生健康委员会.关于进一步加强医疗机构感染预防与控制工作的通知.[EB/OL].(2019-05-23)[2023-10-28].http://www.nhc.gov.cn/yzygj/s7659/201905/d831719a5ebf450f991ce47baf944829.shtml.
[4] 国家卫生健康委员会.关于印发三级医院评审标准(2022年版)的通知.[EB/OL].(2022-12-15)[2023-10-28].http://www.nhc.gov.cn/yzygj/s3585/202212/cf89d8a82a68421cbb9953ec610fb861.shtml.
[5] 苏晴晴,刘玲,袁洪兰.基于失效模式与效应分析法的三管风险评估与管理在ICU医院感染控制中的效果评价研究[J].医药高职教育与现代护理,2023,6(1):52-55.
[6] 杜庆玮,李克诚,陈培伟,等.基于失效模式与效应分析法评估闭环管理在多药耐药菌感控中的应用[J].中华医院感染学杂志,2020,30(14):2221-2225.
[7] 王文革,张雯雯,宋鑫.应用Delphi法构建眼科手术部位感染风险评估体系[J].护理研究,2019,33(24):4232-4235.
[8] 姚尧,查筑红,李凌竹,等.基于风险矩阵的医院感染管理系统风险评估[J].中华医院感染学杂志,2020,30(24):3806-3811.
[9] 刘小燕,李寅环,冼翠尧,等.医院感染风险评估模型的建立与应用[J].中华医院感染学杂志,2017,27(17):4031-4033.
[10] 史兰萍,杨香玉,王东明.灾害脆弱度分析在医院感染管理风险评估中的应用[J].江苏卫生事业管理,2019,30(6):741-743.
[11] 宗艳红,余丽,赵蓓,等.基于检查表风险评估的干预方案对老年脑梗死患者医院感染的影响[J].中华医院感染学杂志,2018,28(21):3353-3356.
[12] 国家卫生健康委医政医管局.2021年国家医疗质量安全改进目标[J].中国卫生质量管理,2021,28(4):15.
[13] 贾会学,赵艳春,贾建侠,等.医院感染管理风险评估的效果[J].中国感染控制杂志,2020,19(4):347-352.
[14] 刘丹,郭玉香,张兰兰,等.某综合医院住院患者医院感染现患率调查与危险因素分析 [J].安徽预防医学杂志,2023,29 (4): 275-279.
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