持续质量管理降低导管相关性血流感染

摘要

Objective To explore the effect of continuous quality improvement (CQI) in reducing catheter-related blood stream infection (CRBSI) in patients taking hemodialysis.Methods The incidence of CRBSI in the patients taking maintenance hemodialysis at our hospital from 2015 to 2017 was investigated;PDCA circulation method management was carried out.By monitoring the number of cases of catheter infection in the patients taking hemodialysis at our department,the related factors of infection were analyzed,the problems were found in time,and measures for continuous improvement were taken.The incidences of CRBSI before and after PDCA were compared.Results After 2 years' application of PDCA circulation,the infection rate decreased from 13.19％ to 3.45％,and was decreasing.Conclusion CQI can reduce the incidence of CRBSI and is worth for clinical application.%目的 探讨应用持续质量改进(CQI)的方法降低血液透析患者导管相关血流感染(CRBSI)的效果.方法 调查广州市花都区人民医院2015至2017年维持性血液透析患者发生CRBSI的情况,实施PDCA循环法管理.通过对本科室血液透析患者发生导管感染例数的监测,分析感染的相关因素,及时发现问题,采取措施进行持续性的改进,对比实施PDCA前后CRBSI发生率.结果 通过应用PDCA循环管理2年后,感染率从13.19％降至3.45％,感染率呈逐年下降趋势.结论 持续质量改进的方法可以降低CRBSI发生率,值得临床推广应用.