Effect of continuous quality improvement in improving hand hygiene compliance in infusion room
持续质量改进在输液室提高手卫生依从性中的效果

摘要

目的 探究输液室中使用持续质量改进对提高护理人员手卫生的依从性和合格率分析。方法 选 取在本院输液室工作的 68 例医护人员作为研究对象，选取时间跨度为 2020 年 3 月～2021 年 3 月期间，将 2020 年 3 月～2020 年 9 月即实施前的医护人员称为参照组，将 2020 年 10 月～2021 年 3 月即持续质量改进 措施实施后的医护人员称为实验组，比较两组的手卫生改善情况。结果 实验组医护人员采用持续质量改进 措施后的手卫生依从性和合格率均明显较参照组高，两组差异比较为 P<0.05，存在临床统计学意义；实验 组医护人员采用持续质量改进措施后洗手执行不规范率明显较参照组高，洗手正确率明显较参照组低，两 组差异比较为 P<0.05，存在临床统计学意义。结论 将持续质量改进运用到输液室中能明显提高医护人员的 手卫生依从性，手卫生合格率也较高，同时洗手执行逐渐规范，洗手正确率明显提高，此方式可在医院中 广泛应用和推广。

Abstract

Objective To explore the use of continuous quality improvement in transfusion room to improve the compliance of nursing staff hand hygiene and qualified rate analysis.
Methods A total of 68 medical staff working in the transfusion room of our hospital were selected as the research objects, and the time span was from March 2020 to March 2021. The medical staff before the implementation from March 2020 to September 2020 were referred to as the reference group. The medical staff from October 2020 to March 2021 after the implementation of continuous quality improvement measures were called the experimental group, and the improvement of hand hygiene of the two groups was compared.
Results The compliance and pass rate of hand hygiene in the experimental group were significantly higher than those in the reference group after the use of continuous quality improvement measures, and the difference between the two groups was P<0.05, showing clinical statistical significance. Compared with the reference group, the non-standard hand-washing rate was significantly higher in the experimental group and the correct hand-washing rate was significantly lower in the experimental group after continuous quality improvement measures. The difference between the two groups was P<0.05, indicating clinical statistical significance.
Conclusion   The application of continuous quality improvement in infusion room can significantly improve the hand hygiene compliance of medical staff, and the qualified rate of hand hygiene is also high. Meanwhile, the implementation of hand washing is gradually standardized, and the correct rate of hand washing is significantly improved. This method can be widely used and promoted in hospitals.