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目的:探讨PDCA循环管理法在医务人员手卫生管理的应用。方法:通过学习PDCA质量管理相关理论知识和手卫生在医院感染控制中的作用。提高医务人员手卫生的依从性及正确率。通过三级质控检查,层层落实,不断发现影响手卫生的因素,作为下一个PDCA环,持续促进手卫生培训的不断改进。结果:通过1年来的培训,医务人员手卫生依从性及正确率明显提高,手卫生质量监控各项指标达标。医务人员手卫生依从性及正确率由实施前66.6%上升为99%,达到了手卫生管理的目的。结论:PDCA循环管理法是实施急诊科医务人员手卫生管理行之有效的方法。
Objective: To explore the application of PDCA cycle management in hand hygiene management of medical personnel. Methods: By studying the theoretical knowledge of PDCA quality management and the role of hand hygiene in nosocomial infection control. Improve medical staff hand hygiene compliance and accuracy. Through the three quality control checks, layers of implementation, continue to identify the factors that affect hand hygiene, as the next PDCA ring, continued to promote the continuous improvement of hand hygiene training. Results: After one year of training, the compliance and correctness of hand hygiene of medical staff were significantly improved, and the indicators of hand hygiene quality control met the standards. Medical staff hand hygiene compliance and correct rate from 66.6% before implementation to 99%, reaching the purpose of hand hygiene management. Conclusion: The PDCA cycle management method is an effective method to implement hand hygiene management for emergency department medical personnel.