目的 通过多学科协作提升医护高频接触物体表面的清洁度.方法 某院2015年第四季度医院感染专职人员开展基线调查(基线调查阶段),2016年第一季度医院感染管理办公室联合医务处、护理部开展多部门协作,共同干预(干预阶段),2016年第二季度、第三季度、第四季度为干预措施执行的效果评价阶段,比较不同阶段高频接触物体表面清洁度.结果 基线调查时医疗组荧光标记的合格率为44.25%,护理组为61.61%,多部门联合干预后,医疗组荧光标记的合格率提升至89.83%,护理组荧光标记的合格率提升至87.50%,差异均有统计学意义(均P<0.05).基线调查阶段医院感染发病率为1.22%,实施干预后效果评价3阶段医院感染发病率为1.02%,差异有统计学意义(P<0.05).结论 多学科协作能有效整合医院管理资源,使医务处、护理部充分发挥各自的职能,有效提升医护高频接触物体表面的清洁度.%Objective To improve the cleanliness of object surface frequently touched by doctors and nurses through collaboration of multidisciplinary team(MDT). Methods In the fourth quarter of 2015,a baseline survey was performed by healthcare-associated infection(HAI)management professionals in a hospital(baseline survey stage),in the first quarter of 2016,HAI management office combined with medical affairs office and nursing de-partment to carry out collaboration of MDT intervention(intervention stage). The second,third,and fourth quar-ters of 2016 were evaluation stages for efficacy of implementation of intervention measures,cleanliness of frequently touched object surface at different stages was compared.Results In the baseline survey,the qualified rates of fluo-rescent labeling in doctor group and nurse group were 44.25% and 61.61% respectively,after MDT joint interven-tion,the qualified rates of fluorescence labeling in doctor group and nurse group increased to 89.83% and 87.50%respectively,difference was statistically significant(both P<0.05). The incidence of HAI in baseline survey stage was 1.22%,at stage three of post-intervention,incidence of HAI was 1.02%,difference was statistically signifi-cant(P<0.05).Conclusion MDT can effectively integrate hospital management resources,make medical affairs office and nursing department give full play to their respective function,and effectively enhance the cleanliness of frequently touched object surface during medical care.
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