Summary of infectious diseases work in 2023 1
In order to further implement the Ministry of Health's "Hospital Infection Management Stand
Summary of infectious diseases work in 2023 1
In order to further implement the Ministry of Health's "Hospital Infection Management Standard" and "Disinfection Technical Standard", promote the management of hospital infection in overseas universities, and ensure the quality and safety of medical care, a series of work has been carried out with the full cooperation of the party and government leaders of the hospital and the staff of the whole hospital, which are summarized as follows:
First, strengthen management and improve various rules and regulations:
1. The party and government leaders of our hospital attach great importance to hospital infection management, and the dean in charge directly serves as the director of the hospital infection management committee, and put this work on the agenda, which is included in the comprehensive target management content and annual work plan. The three-level management of hospital infection prevention and control has been effectively achieved, and the management of hospital infection prevention and control has entered standardized management.
2. According to the requirements of hospital classification management and Hospital Infection Management Standard of the Ministry of Health, the Hospital Infection Committee has formulated various rules and regulations for the prevention and control of hospital infection and distributed them to all subjects, and each infection group has carefully organized study and implementation.
3. The hospital infection management team held irregular meetings in time according to the work needs, reported the main problems, actively searched for hidden dangers, and formulated and implemented improvement measures in time, which reflected that the hospital infection management team played an important role in earnestly performing its functions, achieving its work objectives and strengthening hospital infection management.
4, organize department personnel to learn the hospital infection management standards, technical specifications for disinfection, the infectious disease prevention law and other content of knowledge.
Second, earnestly perform the duties of the Hospital Infection Management Committee.
All management norms are in place, actively coordinate and solve major problems related to hospital infection management, and put forward specific improvement measures:
1. Develop a comprehensive monitoring method for nosocomial infection in our hospital. Full-time hospital infection management personnel should check the daily discharge medical records, make case registration and infection statistics, monitor and analyze hospital infection every month, put forward the key points of two-level hospital infection in time, and feed them back to the infection management team in time.
2. In order to ensure the quality of disinfection work in all subjects in our hospital, the Hospital Infection Management Committee strengthened the management of disinfection work in the whole hospital and established the disinfection management system in all subjects in the whole hospital. Members of the Hospital Infection Management Committee often go deep into departments to check the disinfection management, find out the existing problems in disinfection work in time and put forward improvement measures.
3, adhere to the disinfection work in all subjects. The disinfection management in key areas such as operating room, ward and supply room was strengthened, which effectively curbed the spread of cross-infection in the hospital.
4. Strengthen the management of disposable medical supplies, destroy and disinfect them immediately after use to ensure the safe use of disposable medical supplies in our hospital.
5. Strengthen the management of medical waste;
(1). Formulated various rules and regulations for the collection, recovery and management of medical wastes. Medical wastes from all subjects are collected by all subjects, and there is a special person on duty every day, and the registration work is done well and handled in time.
(2) Pay attention to the discharge and treatment of hospital sewage, designate a person to be responsible for the disinfection and treatment of hospital sewage, and the environmental protection department will monitor the discharge up to standard. The management of all kinds of medical wastes has been done well, and the hidden danger of hospital infection caused by this poor work has been controlled to the maximum extent.
Third, strengthen the management of infectious diseases:
1, strengthening the prevention and control of infectious diseases:
Health education and legal publicity of infectious diseases have been strengthened, the environment has been purified, people's awareness of prevention and control has been improved, and the transmission route has been cut off. The management system of fever clinic, the responsibility system of first consultation, workflow, the staff's own protection system, and the escort procedure of SARS patients in hospital were formulated. The disinfection and isolation work of fever clinic has been strengthened, and various disinfection drugs and protective articles have been prepared, and they are often supervised, inspected and guided by departments.
2. Each department organizes medical personnel to study the Law on the Prevention and Control of Infectious Diseases. Hospital Infection Management Committee attaches great importance to the management of hospital infectious diseases. In addition to frequent visits to infectious diseases departments, fever clinics and diarrhea clinics for disinfection and isolation, we also actively urge relevant departments to seriously report the epidemic situation of infectious diseases and make timely and accurate online direct reports. In view of the epidemic season of various infectious diseases, we should take corresponding effective preventive measures in time to effectively put an end to the epidemic of infectious diseases in our hospital.
3, conscientiously do a good job of centralized management of pulmonary tuberculosis patients, fill in the referral list of pulmonary tuberculosis patients up to 100%.
Fourth, vigorously popularize the knowledge of hospital infection, and strengthen the skills upgrading and training of hospital staff's professional knowledge such as hospital infection norms.
1, continue to organize the staff of the whole hospital to learn the Law on the Prevention and Control of Infectious Diseases and its implementation measures, the Management Standard for Infection in Hospitals Studying Abroad, the Management Measures for Disinfection and other laws and regulations and the relevant systems of our hospital.
2, organize the floor cleaning staff to learn simple hospital infection prevention knowledge, disinfection and isolation and hygiene knowledge. Give them the guidance of disinfection and isolation methods, so that the cleaners in the whole hospital can master the health standards and requirements in the specific environment of the hospital, perform their duties seriously, and effectively prevent hospital infection from the perspective of cleanliness and hygiene.
Problems with verbs (abbreviation of verb);
1, hospital infection management has not been paid enough attention by some medical staff, some doctors can't make a correct diagnosis of hospital infection, and some doctors still abuse antibiotics in clinic. It is necessary to strengthen the study of medical staff, strengthen inspection and supervision, and make rational use of antibiotics not only in words, but also in action.
2. Strengthen the training and study of full-time hospital infection staff and medical staff on hospital infection management.
Summary of infectious diseases in 2023 II
In 20xx, under the great attention of the Dean and the Party Committee of the hospital, under the correct guidance of the Hospital Infection Management Committee, with the close cooperation of all departments in the hospital and the joint efforts of all medical staff, the hospital infection work has made certain achievements, and now we report to the hospital leaders:
First, according to the work priorities formulated by the Party Committee of the College at the beginning of the year, conscientiously implement the spirit of relevant provincial and municipal documents, strengthen the study of medical ethics, abide by the rules and regulations of the College, actively participate in various activities organized by the College, and make a record of political study and business study once a month.
Second, the adjustment of institutions and the improvement of systems. According to some personnel changes and work needs, the composition of the following five management institutions has been adjusted: hospital infection management Committee, infectious disease management Committee, medical waste management Committee, infection management leading groups of various departments and epidemic situation leading groups. And distributed to all relevant departments in the form of documents. According to the relevant national laws and regulations and work requirements, the relevant management system has been improved. For example, the disinfection and isolation system of hyperbaric oxygen chamber, the cleaning and disinfection system of oxygen humidifying bottle atomizer and its pipeline of ventilator, the prevention and control system of multi-drug resistant bacteria infection, and the safety management system of medical waste.
Thirdly, in order to reduce the writing time of nurses' form records, infectious diseases department redesigned the registration form of disinfectant concentration ratio and the record form of supervision and inspection, so that nurses can have more time to serve patients and save expenses for hospitals. As always, all kinds of report forms and telephones in the treatment area are on call, and the staff of infection department are on standby 24 hours a day.
Four, in order to do a good job in hospital infection monitoring, every quarter will release the hospital infection rate monitoring and analysis feedback in each treatment area, so as to take corresponding intervention measures in time. Targeted monitoring began in July. By the end of 10, the number of discharged patients was xx, the number of nosocomial infections was xx, the nosocomial infection rate was 4.03% (the nosocomial infection rate of hospitals studying abroad was ≤ 10%), the missed detection rate was 0, the first-class healing rate of aseptic surgical incision was 100%, and the qualified rate of aseptic articles was 100%.
Five, strengthen environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring. In order to standardize hospital disinfection and prevent hospital infection, six industry hygiene standards issued by the Ministry of Health were issued to operating rooms and supply rooms. The personnel of infection department monitor the intensity of ultraviolet lamps in various departments of the hospital once every quarter, and replace them in time if they find that they are unqualified, thus ensuring the disinfection effect. The frequency of environmental monitoring in key departments such as operating room and supply room increased, and the qualified rate was 100%.
Six, according to the classification management system of clinical application of antibacterial drugs formulated by our hospital, users of antibiotics should have a superior doctor's approval form, and report the use of antibiotics to the whole hospital every quarter, which provides a reliable basis for doctors in clinical departments to use antibiotics reasonably.
Summary of infectious diseases in 2023 3
In the first half of 20xx, under the correct leadership of the Party and government leading bodies and the Medical Department, the Infectious Diseases Department conscientiously implemented the hospital's diagnosis and treatment norms, core system and infectious disease disinfection and isolation system. Carry out new technologies and projects to effectively prevent and control the occurrence and spread of infectious diseases and ensure that all work is carried out in a timely and effective manner. The half-year work is summarized as follows:
First, strictly implement the system and strengthen departmental management.
1, standardize medical record management, improve the quality of medical record writing, and complete the writing of hospital medical records within the specified time. Write prescriptions and inspection reports as required.
2, adhere to the first diagnosis responsibility system, according to the infectious disease triage system, triage. Don't shirk patients, change service methods, strengthen service awareness and improve service quality.
3, in accordance with the provisions of the "infectious disease management law", do a good job in the management of infectious disease reports. Fill in the infectious disease report card in time, and report 52 cases of infectious diseases in the first half of the year.
4, insist on business study once a month, in order to improve the quality of medical staff. Improve and update the activity records of the committees, and all the work has detailed and standardized written records.
5, through the monthly administrative rounds and department self-examination, found that the problem timely rectification.
Second, actively carry out new technologies and projects to improve the cure rate of infectious diseases.
The application of 1. adefovir dipivoxil in the antiviral treatment of chronic hepatitis B enables more than 90% patients with hepatitis B to continuously inhibit the replication of hepatitis B virus, prevent or delay the progress of hepatitis B virus, prevent and reduce the occurrence of cirrhosis and liver cancer, thus alleviating the pain of patients and improving the quality of life of patients with hepatitis B.
2. It is effective to treat chickenpox with arabinoside monophosphate. Shorten the course of the patient, relieve the pain of the patient and make the patient recover as soon as possible.
Third, the workload and the rescue of critically ill patients
Five critically ill patients were rescued in the first half of the year. Among them, there were 2 cases of severe hemorrhagic fever, mumps complicated with meningitis 1 case, mumps complicated with inflammation 1 case, cirrhosis ascites complicated with gastrointestinal bleeding and multiple organ injury 1 case. With strict scientific attitude, exquisite medical technology and unity, the general medical staff successfully treated the above five critically ill patients and turned the patients to safety. Received the pennant from the patient.
Four, strict disinfection and isolation system, control the occurrence of hospital infection.
1, standardize the management of fever clinics and infectious wards. According to the routine equipment, disinfection drugs, improve disinfection and isolation technology, fixed personnel management. Do a good job in disinfection and isolation of wards on time, disinfect patients at the end of discharge, and make reasonable arrangements according to the infectious disease prevention and control process.
2. Strengthen the awareness of self-protection. According to different infectious diseases and personal protection levels, medical staff should dress neatly and strictly observe hand hygiene. After the operation, patients should be disinfected by hand washing or use quick hand disinfectant to ensure the safety of medical staff.
3, do a good job in medical waste management, put an end to cross infection. Strictly use, recycle and store disposable medical supplies. Harmless treatment of patient secretions and excreta. According to the Regulations on the Management of Medical Wastes, medical wastes shall not be lost or leaked, but shall be transported in a sealed manner, stored in a designated place and registered by a special person to ensure medical safety.
Summary of Infectious Diseases Work in 2023 4
Here comes 20xx. With the correct leadership and strong support of hospital leaders, and under the guidance of the Hospital Infection Committee, the hospital medical staff actively participated in the hospital infection monitoring. Doctors in various clinical departments conducted a prospective survey of nosocomial infection in all inpatients, and found that nosocomial infection could be reported timely and accurately. At the same time, the hospital infection department also strengthened the management of hospital infection case reports. When there were cases of nosocomial infection, monitoring and control were strengthened, and no epidemic events of nosocomial infection occurred. Relying on the nursing department to carry out routine supervision of disinfection and isolation quality, aseptic technical supervision and feedback, the medical department and nursing department cooperate with hospital leaders to do a good job in medical safety management. Hold a meeting of the hospital perception Committee under the auspices of the dean every quarter, and issue a hospital perception newsletter.
Xxx Hospital Sense Management has done the following work in 20xx:
First, according to the requirements of hospital safety production, detailed hospital quality management measures.
According to the requirements of "safe production" and "quality management" in hospitals, the quality control and evaluation system of hospital infection has been improved, and the comprehensive target evaluation standard of hospital infection quality has been refined. According to the comprehensive objectives, supervision and feedback were carried out, and all aspects of hospital infection prevention and control were comprehensively inspected and sorted out, and potential safety hazards were carefully investigated. In order to ensure the safety of the hospital, the management of key departments, key parts and key links, especially the operating room, disinfection supply room and stomatology department, has been effectively grasped. Hospital infection prevention and control measures for key parts and key links have also been formulated, and the hospital infection department regularly conducts supervision and guidance to prevent hospital infection from erupting in the hospital.
Two, according to the requirements of infectious disease management to strengthen the prevention and control of infectious diseases.
During the epidemic period of hand, foot and mouth disease and influenza A (h 1n 1), we will further strengthen the management of pre-inspection and triage stations, pediatric clinics, internal medicine clinics and hot (emergency) clinics, conscientiously implement the requirements for hospital infection control of hand, foot and mouth disease and influenza A (h 1n 1), and increase the prevention and control of hospital infection. Strengthen the training on prevention and control of hand, foot and mouth disease, influenza A h 1n 1 and other infectious diseases and self-protection, strictly implement hospital infection prevention and control and personal protection measures to prevent cross-infection in hospitals, actively cooperate with relevant departments, and do a good job in epidemic prevention and control.
Third, according to the requirements of hospital management, do a good job of retrospective investigation of cases.
A retrospective survey was conducted on all xx cases discharged from hospital in 20xx. The results showed that the nosocomial infection rate was xx% and the case infection rate was xx%. Hospital infection occurred in the following departments: the incidence of hospital infection in internal medicine was xx%, that in orthopedics was xx%, that in surgery was xx%, and that in internal medicine was xx%. The most common infection sites are: the infection rate of lower respiratory tract infection is 0. 30%; The infection rate of upper respiratory tract was xx %；; Urinary tract infection rate xx %；; The infection rate of gastrointestinal cases was xx %；; The infection rate of clean surgical incision in hospital was 0%. The main types of nosocomial infection are: nervous system diseases, and the infection rate of each case is xx %；; The infection rate of endocrine diseases is xx %；; Circulatory diseases, infection rate of xx%, urogenital diseases, infection rate of xx%, musculoskeletal diseases, infection rate of xx%. The survey of risk factors showed that the infection rate of diabetes cases was xx%, that of chronic cases was xx%, and that of elderly cases was xx%. The top three susceptible factors related to hospital feeling are chronic disease, old age and diabetes.
Four, environmental sanitation, disinfection and sterilization effect and hand hygiene monitoring
In order to standardize the disinfection and sterilization work in hospital and prevent nosocomial infection, the hospital infection department strengthened the sampling monitoring of nosocomial infection in 20xx years, monitored the disinfection and sterilization effect of all departments in the hospital, and strengthened the environmental hygiene monitoring of high-risk areas such as operating room, gastroscope room, stomatology department, supply room and germ room, and the hand hygiene monitoring of medical staff. Xx samples were taken from the whole hospital throughout the year, including xx samples of air, xx samples of object surface, xx samples of medical staff, xx samples of disinfectant, xx samples of sterilized goods, xx samples of sterile goods, and xx samples of autoclaved sterilization effect monitoring, with a qualified rate of 100%. This year, the Municipal Center for Disease Control and Prevention conducted sampling monitoring on xx samples from our hospital, and the qualified rate was 100%.
Summary of infectious diseases in 2023: 5 pages
First, the main work carried out by hospitals and hospital sensory departments:
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2. Strengthen the supervision of the prevention and control of nosocomial infection in clinical departments, communicate in time, guide and improve in time when problems are found, especially for the phenomenon that the medical waste classification of medical staff in our hospital is unclear and the aseptic operation of a few clinicians is not in place, conduct on-site supervision and correction for many times, thoroughly clean up the dead corner of the prevention and control of nosocomial infection, truly achieve the standardization and unity of hospital infection management in the whole hospital, and fully reflect the hospital infection management.
3. Strengthen and improve the monitoring of environmental microorganisms and bacteria, combine monitoring with clinical work, and initiate environmental dynamic bacteria monitoring, which will play a substantial role in the inspection and supervision of clinical disinfection and isolation, especially take the initiative to conduct random sampling monitoring of neonatal wards, maternal and child wards, neonatal incubators, etc. And play a good role in monitoring and prompting the environmental quality of disinfection and isolation work in key areas.
4. Carry out monitoring of nosocomial infection cases in key areas and start targeted monitoring of nosocomial infection in icu.
5. Do a good job in hospital infection outbreak monitoring report and prevention and control. In xx, the Department of Nosocomial Infection formulated the Early Warning Report System of Clinical Nosocomial Infection Outbreaks to strengthen the prospective monitoring of nosocomial infection outbreaks and implement the system. In April this year, the hospital infection department actively went deep into the front-line investigation and treatment, reported to the hospital infection Committee in time, and assisted the outpatient department to take corresponding control measures to control the outbreak of infection in time.
6. Do a good job in the prevention and control of nosocomial infection of infectious diseases, and do a good job in the prevention and control of nosocomial infection in pre-inspection triage desks and isolation wards, especially the prevention and control of hand, foot and mouth disease and influenza A (h 1n 1). Hospital infection department conscientiously implements the relevant spirit of the superior health administrative department, and seriously standardizes and formulates relevant work systems and processes to meet the requirements of hospital infection prevention and control. There was no nosocomial infection of infectious diseases in our hospital in the first half of the year, and it is planned to meet the standard.
7. Further strengthen the continuing education and training of hospital infection knowledge. In the first half of the year, the hospital sensory department has completed off-campus training and some in-hospital training.
8. Strengthen the supervision and assessment of the implementation of hospital infection prevention and control measures in clinical departments.
Adhere to the working concept of continuous improvement, find problems, study in time, communicate in time, improve in time, incorporate persistent problems into the quality control assessment score at the hospital level, and honor rewards and punishments; Do check and guide at any time, regularly assess and evaluate, regularly report the assessment to each department, and report relevant information to the higher authorities, hospital leaders and hospital quality control departments on time and in accordance with regulations.
9. Further strengthen the management of classified collection and treatment of medical wastes. After use, the recovery rate in disposable goods is 65,438+000%, and the incineration rate of waste medical waste is 65,438+000%. The key supervision is the classification and packaging of domestic waste and medical waste, the treatment of medical sharps and infectious waste.
10, conscientiously implement the system of hospital infection evaluation and analysis, do a good job in statistical reporting of relevant information, hold regular hospital infection work meetings, evaluate and analyze the occurrence, monitoring and evaluation of hospital infection and the implementation of hospital infection prevention and control measures, monitor drug-resistant strains, analyze the pathogenic inspection rate of hospital infection cases, and publish hospital infection newsletters on a regular basis.
Second, the main problems existing in hospital public opinion work and the focus of work in the second half of the year:
1, the target monitoring work is not perfect.
2. The facilities for classified collection and treatment of medical wastes in the whole hospital need to be improved (trash cans and garbage bags).
3, hand washing facilities need to be improved (faucet, hand sanitizer, etc.). ).
Summary of infectious diseases in 2023 6 pages
In 20xx, with the strong support of hospital leaders and the joint efforts of members of the Infection Management Committee, according to the relevant documents and regulations such as "Hospital Infection Management Standard" and "Disinfection Technical Standard", the corresponding hospital infection control scheme was formulated, and implemented in time, the effect was monitored, and the measures were revised in time, so that the incidence of hospital infection in our hospital was controlled in a good range, and no hospital infection outbreak occurred. The main work this year is summarized as follows:
First, improve the management system and give full play to the role of the system.
1. In order to further strengthen hospital infection management, clarify responsibilities and implement tasks, members of the hospital infection management committee and infection monitoring in clinical departments were adjusted and enriched, and the secondary management system was improved.
Second, strengthen management to ensure medical safety.
1, quality control, quality inspection every Tuesday afternoon, monthly summary, feedback on existing problems, rectification, implementation of effective measures to prevent hospital infection, report the dynamic situation of hospital infection, the incidence of hospital infection, the use of antibiotics at the monthly team leader meeting, analyze the existing security risks and propose improvement measures.
Third, hospital infection monitoring
Responsible for monitoring the incidence of nosocomial infection in the whole hospital, supervise and monitor the environmental sanitation and disinfection and sterilization effect of the hospital every year, summarize and analyze the monitoring results in time, find out the risk factors of nosocomial infection and find effective prevention and control methods. Through monitoring-control-monitoring, the occurrence of hospital infection is finally reduced and controlled, and the medical quality is improved.
1, medical record monitoring:
Retrospective investigation mode of nosocomial infection cases, refer to the discharge medical records one by one to prevent missing reports and truly understand the baseline of nosocomial infection rate in our hospital. At the same time, the whole treatment and nursing process of key patients in the lower ward was followed up by prospective investigation, and the occurrence of hospital infection was closely observed.
2. Infection rate monitoring: 3 people were infected in the hospital, and the infection rate was 3%, which met the requirements of the health department.
3. Monitoring of the rate of missing reports: from checking the running medical records to filing the medical records, no missing reports of hospital infection medical records were found.
4. Carry out prevalence survey:
The prevalence rate of hospitalized patients was investigated in July. The investigation time was 1 day, and 32 patients were investigated. The actual investigation rate was 100%. The survey results show that the hospital infection rate is 0.
5, disinfection and sterilization monitoring:
1. Monitor the effect of pre-vacuum pressure cooker in disinfection room every month. According to the requirements of the supply room disinfection management standard, B-D test is done every week, and chemical sterilization experiment is carried out for each package to ensure that the disinfection and sterilization quality of the disinfection package reaches 100%.
2. Monitor the 84 disinfectant used in the whole hospital every month: * * monitoring 190, qualified 186, and the qualified rate is 96%.