期刊论文

Application of PDCA cycle in the management of Clostridium difficile infection

中文

武汉轻工大学学报

2095-7386

2020

39

1

68-71

10.3969/j.issn.2095-7386.2020.01.013

湖北省卫生计生科研基金资助(WJ2018H0031)。

本校为第一机构

运用PDCA循环规范艰难梭菌感染的管理。收集资料分析现状,通过绘制鱼骨图找出艰难梭菌感染管理不到位的原因。针对原因制定持续改进计划,并采取完善规章制度、全员培训、加强巡查、加大考查等措施,评估执行的落实情况及效果,最后进行反馈总结,进入下一次PDCA循环。医务人员经培训后,艰难梭菌感染相关知识的知晓率均提高到90%以上,较培训前明显提高;PDCA循环实施后,医师对艰难梭菌感染患者开具接触隔离医嘱率较实施前有明显提高,护士执行接触隔离医嘱率无明显差异,CDI检出率下降至0.02%。应用PDCA循环持续改进,可有效加强与规范艰难梭菌感染管理。

This study aimed to improve in the management of Clostridium difficile infection(CDI)by the implementation of the PDCA cycle.The datum about CDI were collected to draw the fishbone diagram.The schemes were constructed for continuous improvement which included revising regulations,strengthening staff-training and inspection.Before the next PDCA,the performance of scheme was assessed and summarized.After the implementation of the PDCA cycle,the awareness rate of CDI went above 100%.There was no significant difference in statistics of the rate of ...