With the development of medicine and the transformation of medical model, hospital infection occupies an important position in hospital management. Hospital infection is not only related to the health of doctors and patients but also affects the quality of hospital care. Under the attention and concern of the hospital leadership, from the beginning of the implementation of the organization, to the strict management system, to take a variety of measures, so that our hospital infection management is gradually standardized, institutionalized. In order to further improve the management of hospital-acquired infections in the future, this year's hospital-acquired infection control work is summarized as follows:
First, to strengthen the organizational leadership; to ensure the smooth development of hospital-acquired infections management work
Hospital-acquired infections management organization consists of three-tiered system, hospital-acquired infections management committee - hospital-acquired infections management section ---- Clinical departments hospital infection monitoring group consists of the business dean as chairman, focusing on the monitoring group personnel to supplement and adjust, and clarify the responsibilities of personnel at all levels of the system. All levels of hospital infection monitoring personnel to fulfill the corresponding functions of hospital infection management, thus further improving the management of hospital infection.
Second, according to the plan of education and training to improve the hospital's medical staff sense of control awareness
(1) June 25 to the inpatient department, the emergency department issued the "diagnostic criteria for hospital-acquired infections", the doctor manually a book, and issued a review question, the monitoring team to study seriously, July 6 department closed-book examination, hospital infection supervision, **** 26 doctors took the exam. All 90 points or more.
(2) July 12 on the medical, nursing, technical personnel and new and internship personnel "hand hygiene standards, hospital sensory knowledge should know and should be trained *** 81 people, after the examination, all qualified.
(3) November 2, organized by the Medical Department, Hospital Sensory Division of the hospital's medical, nursing, technical staff for the new version of the "Disinfection Technology Specification for Healthcare Institutions" training, 85 participants, and finally passed the exam.
(4) Our hospital leaders pay great attention to hospital infection control, sent the director of the hospital sensory department, the director of the Department of Nursing, operating room nurses to participate in the Yangquan City Health Bureau of knowledge of the infection teacher training, sent the supply room Tian Yuying to the First People's Hospital of Yangquan City, "Disinfection and Supply Center" training and internship.
Third, the monitoring of the reverse:
(1) to assist the inspection department of the key departments of the air disinfection effect of monitoring every month, and other departments once a quarter.
(2) supply room physical and chemical monitoring per pot, with records, unqualified resolutely not issued.
(3) UV lamp monitoring every six months, unqualified timely replacement.
(4) of hospital infection cases of each department monthly zero reporting system, hospital infection department monthly in-depth department to investigate the leakage situation, this year *** admitted 1,766 people infected 6 people, the infection rate of 0.34 % leakage rate of 16 %, targeted monitoring of 61 cases of clean surgical incision, 0 cases of infection, clean surgical grade A healing rate of 100%, catheter-related urinary tract infection monitoring 294 people, infections 2 people infection rate of 0.68% Routine instrument disinfection qualification rate of 100%, one person, one needle, one tube sterilization implementation rate of 100%.
(5) November 15, the city CDC on our hospital infection key departments of environmental hygiene and disinfection effect of annual monitoring.
(6) November 27 on the inpatient hospitalization rate survey, inpatient **** 29 people, 28 people survey, the actual rate of 96.6 %. The survey results of the present rate of 3.45 %, the omission rate of 0%, antimicrobial drug use rate of 72.4%, higher than the Ministry of Health standard of 60%,
(7) Monthly collection of data related to the hospital-wide infection monitoring, statistics. Do monthly summary, quarterly feedback (quarterly briefings), annual summary.
(8) with the cooperation of the Prevention and Protection Section, the hospitalized patients telephone call back people to solicit the patient`s `opinion, the satisfaction rate of % to bring greetings to the patient at the same time, but also timely detection of surgical incision infection cases.
Four, strengthen the management of medical waste:
with the logistics section to strengthen the routine supervision and inspection of medical waste is the hospital's medical waste in the existing conditions of collection, classification, handover, registration, incineration to achieve the standardized management of medical waste loss, leakage did not occur. In particular, with the Laboratory Department of each bag of expired blood tracking treatment, no bag to the outside loss caused by adverse events.
Fifth, the implementation of the system, check in place:
seriously do a good job in the daily work, with the hospital's comprehensive target inspection, refinement of the standard, the results of the inspection in the director of the regular meeting of notification, rectification of deficiencies.
Six, the management of medical personnel occupational protection:
Strengthen the medical staff of their own safety, to prevent sharp injuries and other occupational exposure management. From hand hygiene, the use of protective gear to start, improve the awareness of the medical staff of occupational protection, the annual occupational exposure of 1 case, not infected with blood-borne infectious diseases. Problems:
1, in accordance with the "hospital disinfection supply center management norms", our hospital supply room is in urgent need of change. Higher department inspection has been proposed many times, the nursing department has sent people to study.
2, the bacterial room construction of the laboratory.
3, sewage treatment.
In short, some aspects of our hospital infection potential is still very serious, we firmly believe that as long as the leadership attention, our functional departments to cooperate, each with their own responsibilities, the normal management, hospital infection control work can be done.