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目的通过品管圈活动降低中心静脉导管相关血流感染(CLABSI)的千日感染率。方法成立品管圈,遵循品管圈的活动步骤,对2015年9月至2016年4月某院ICU留置中央静脉导管患者收集CLABSI发生的情况,分析患者CLABSI发生的原因,并制定对策,实施改善方案。采用SPSS16.0统计软件进行分析,计数资料应用卡方检验和秩和检验,发病率应用STATA9软件进行分析。结果活动前1539个导管留置日发生中心导管相关感染9例,发病率为5.84‰,活动后2628个导管留置日发生中心导管相关感染6例,发病率为2.28‰,差异有统计学意义(P<0.05),品管圈活动后不仅CLABSI感染率明显下降,而且成员的综合素质明显的提高。结论品管圈活动可降低CLABSI感染发生率,提高成员的综合素质,同时也增强了多学科协作的团队意识。
Objective To reduce the clonal infection rate of central venous catheter-related bloodstream infections (CLABSI) through QA activities. Methods The quality control circle was established to follow the steps of quality control circle. CLABSI was collected in patients with central venous catheter indwelling ICU from September 2015 to April 2016, and the causes of CLABSI were analyzed, and the countermeasures were formulated Improvement plan. Using SPSS16.0 statistical software for analysis, count data using chi-square test and rank sum test, the incidence of STATA9 software application analysis. Results There were 9 central catheter-related infections in 1539 pre-event catheters and the incidence rate was 5.84 ‰. There were 6 central catheter-related infections in 2628 catheters after the activity, the incidence rate was 2.28 ‰ (P <0.05), the difference was statistically significant (P <0.05). Not only the infection rate of CLABSI was significantly decreased after the QC activities, but also the overall quality of the members was significantly improved. Conclusions Quality control ring activities can reduce the incidence of CLABSI infection, improve the overall quality of members, but also enhance the multi-disciplinary team awareness.