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我院自１９９３年１月始开展了以临床科室为重点的医院感染的“双轨式”管理。本文对１９９１～１９９４年住院患者医院感染监测资料进行了管理前后的对比分析。实行该管理后的医院感染率（Ｘ２＝２６．３９Ｐ＜０．０１）、手术后伤口感染率（ｘ２＝７．５６Ｐ＜０．０１）、科室漏报率（Ｘ２＝９３．９６Ｐ＜０．０１）均较实行该管理前有非常显著差异。于１９９４年１月对该管理模式的认识进行了各级医护人员的问卷调查。采用Ｒｉａｉｔ分析方法，对其进行了评价。通过比较分析说明：以临床科室为重点的医院感染管理模式具有可操作性。
Since January 1993, our hospital has started the “dual-track” management of hospital infections focusing on clinical departments. This article compares the surveillance data of inpatients who were hospitalized from 1991 to 1994. After the implementation of the management of the hospital infection rate (X2 = 26.39P <0.01), wound infection rate after surgery (x2 = 7.56P <0.01), the department missed rate (X2 = 93.96P <0. 01) There are very significant differences before implementing this management. In January 1994, a survey of health care workers at all levels was conducted on the understanding of the management model. The Riait analysis method was used to evaluate it. Through comparative analysis, it shows that the hospital infection management model with the focus on clinical departments is operational.