Objective
To analyze the main problem of continuous hand hygiene improvement by PDCA cycle, find out the causes and carry out corresponding measures, in order to improve hand hygiene management continuously.
Methods
Between January and June 2014, PDCA cycle was used to strengthen comprehensive training, enhance awareness of hand hygiene, reinforce supervision, and evaluate the effect of continuous hand hygiene improvement. The knowledge of hand hygiene, increase of hand hygiene facilities, use of hand hygiene products and hand hygiene implementation before (from July to December 2013) and after PDCA application (from January to June 2014) were compared and analyzed.
Results
After the implementation of PDCA cycle, the pass rate of hand hygiene knowledge increased from 61.0% to 88.3%; the total amount of hand hygiene use increased from 1 817 046 mL to 3 347 386 mL; the hand hygiene compliance rate increased from 43.03% to 71.31%; and the correct rate of hand hygiene implementation increased from 62.68% to 87.68%. All the above differences were statistically significant (P<0.05). After the implementation of PDCA cycle, the compliance rate of different hand hygiene indications became significantly different (P<0.05). The growth rate of hand hygiene implementation before aseptic manipulation and after contact with body fluids were relatively higher (34.56% and 34.01%, respectively).
Conclusion
Through the application of PDCA cycle, hand hygiene compliance rate and correct rate have gradually increased.
Citation：
SUNRui, CHENLiping, TANGYan, TANMuyang. Application of PDCA cycle to improve hand hygiene continuously. West China Medical Journal, 2017, 32(1): 60-63. doi: 10.7507/1002-0179.201503217
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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王建安. 活学活用 PDCA: 医院持续质量改进 70 例. 北京: 光明日报出版社, 2014.
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黄琼华. 院科两级医务人员手卫生依从性和正确率调查结果比较. 华西医学, 2015, 30(4): 717-720.
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中华人民共和国卫生部. WS/T 313—2009 中华人民共和国卫生行业标准. 2009.
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田素芳. 医务人员手卫生的行为干预与医院感染的相关研究. 中华医院感染学杂志, 2012, 22(13): 2888-2889.
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尚少梅, 王宜芝, 郑修霞, 等. 促进护理人员洗手行为依从性的研究. 中华医院感染学杂志, 2003, 13(6): 507-510.
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王丽霞, 占健. 医护人员手卫生依从行为及其影响因素. 中国感染控制杂志, 2016, 15(4): 258-261.
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王玉芳, 刘艳清, 杨桂荣, 等. 手消毒剂支领量纳入科室考核对手卫生效果的影响. 护士进修杂志, 2012, 27(20): 1838-1839.
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曾滔, 许宝华, 史俊林, 等. 2011 年宜昌市 37 所医院执行手卫生现状调查. 中国感染控制杂志, 2012, 11(6): 425-429.
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乐磊, 吴小英, 陈春. 品质管理圈在提高医务人员手卫生依从性的实践. 华西医学, 2015, 30(2): 236-238.
|
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李六亿, 姚希, 赵艳春, 等. 提高医务人员手卫生依从率干预效果分析. 中华医院感染学杂志, 2014, 24(10): 2569-2571.
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程莉莉, 杨洪艳, 臧彬, 等. 医护人员手卫生干预措施的效果评价. 现代医院管理, 2014, 12(5): 24-26.
|
- 1. 王建安. 活学活用 PDCA: 医院持续质量改进 70 例. 北京: 光明日报出版社, 2014.
- 2. Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect, 2009, 73(4): 305-315.
- 3. 中华人民共和国卫生部. 三级综合医院评审标准及实施细则(2011 年版). (2011-12-23)[2014-01-01]. http://wsb.moh.gov.cn/ mohylfwjgs/s3577/201112/53721/_les/02b5187a195c42e0855e4e27445fc2f0.pdf.
- 4. 中华人民共和国卫生部. 医务人员手卫生规范. 中华医院感染学杂志, 2009, 19(12): Ⅰ-Ⅱ.
- 5. 黄琼华. 院科两级医务人员手卫生依从性和正确率调查结果比较. 华西医学, 2015, 30(4): 717-720.
- 6. 中华人民共和国卫生部. WS/T 313—2009 中华人民共和国卫生行业标准. 2009.
- 7. 田素芳. 医务人员手卫生的行为干预与医院感染的相关研究. 中华医院感染学杂志, 2012, 22(13): 2888-2889.
- 8. 尚少梅, 王宜芝, 郑修霞, 等. 促进护理人员洗手行为依从性的研究. 中华医院感染学杂志, 2003, 13(6): 507-510.
- 9. 戴玉芳, 周健, 彭美玲, 等. 运用 PDCA 循环持续提高医务人员手卫生依从性. 中国感染控制杂志, 2014, 13(10): 616-618.
- 10. 王丽霞, 占健. 医护人员手卫生依从行为及其影响因素. 中国感染控制杂志, 2016, 15(4): 258-261.
- 11. 王玉芳, 刘艳清, 杨桂荣, 等. 手消毒剂支领量纳入科室考核对手卫生效果的影响. 护士进修杂志, 2012, 27(20): 1838-1839.
- 12. 曾滔, 许宝华, 史俊林, 等. 2011 年宜昌市 37 所医院执行手卫生现状调查. 中国感染控制杂志, 2012, 11(6): 425-429.
- 13. 乐磊, 吴小英, 陈春. 品质管理圈在提高医务人员手卫生依从性的实践. 华西医学, 2015, 30(2): 236-238.
- 14. 李六亿, 姚希, 赵艳春, 等. 提高医务人员手卫生依从率干预效果分析. 中华医院感染学杂志, 2014, 24(10): 2569-2571.
- 15. 程莉莉, 杨洪艳, 臧彬, 等. 医护人员手卫生干预措施的效果评价. 现代医院管理, 2014, 12(5): 24-26.
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