风险管理在人工肝血浆置换医院感染预防与控制中的应用

摘要

目的：将风险管理应用于预防与控制人工肝血浆置换医院感染，控制安全因素降低过程风险，降低人工肝血浆置换治疗重症肝炎患者的医院感染率。方法通过对2011年8月～2014年7月我院行人工肝疗血浆置换的71例患者，随机分为对照组36例和试验组35例。试验组患者在对照组基础上实施风险管理策略，医院感染各环节的风险评估、实施风险管理策略、风险管理效果评价、持续改进程序运用，不断修订风险管理预防措施，进而降低医院感染危险因素，指导临床医疗护理实践。统计学数据应用SPSS16.0统计软件进行统计分析。结果计数资料和等级资料分别采用x2检验和Wilcoxon秩和检验。风险管理预防策略的实施降低了医院感染发生率，差异有统计学意义（P＜0.05）。结论风险管理在血浆置换感染控制中的应用降低了医院感染率。%ObjectiveTo apply risk management in prevention and control of nosocomial infection of artificial liver plasmapheresis,control safety factor to reduce the risk of process and reduce nosocomial infection rate of artificial liver plasmapheresis in treatment of patients with severe hepatitis.Methods 71 patients who were received artificial liver plasmapheresis in our hospital from August 2011 to July 2014 were randomly allocated to the control group with 36 cases and the experiment group with 35 cases.Patients in the experiment group were received risk management strategy at the basis of the control group.Risk assessment of every part of nosocomial infection,implementation of risk management strategies, evaluation of risk assessment,continuous improvement of program application and constant revision of preventive measures of risk management reduce risk factors of nosocomial infection and guide the clinical medical nursing practice. Statistical data were statistically analyzed by SPSS16.0 statistical software package. Results Count data and grade data were tested byx2 test and Wilcoxon respectively rank sum test.Implementation of preventive measures of risk management reduces the incidence of nosocomial infection.The difference was statistically significant (P<0.05).ConclusionApplication of risk management in infection control of plasmapheresis reduces the nosocomial infection rate.