应用全面质量管理提高医务人员卫生手消毒依从性

Application of total quality management for improving hygienic hand disinfection compliance among healthcare workers

摘要:

目的探讨如何有效提高临床医务人员的卫生手消毒依从性。方法应用全面质量管理（TQM）理论和方法（以2008年6月调查资料为基线信息，2009—2010年为干预措施实施、巩固阶段，2010年进行汇总），针对造成医务人员卫生手消毒依从性差的主要原因采取一系列措施，通过循环改进，逐步提高医务人员卫生手消毒的依从率。结果2008年6月—2010年6月共进行专项调查3次，通过多项干预措施，医务人员卫生手消毒的依从率逐年上升，从最初2008年的35.23%(315/894)上升至2010年的53.11%(563/1 060),两者比较，差异有高度显著性（χ2＝62.65，P＜0.01）。结论应用TQM法能有效提高临床医务人员卫生手消毒的依从性。

关键词:

卫生手消毒;手卫生;全面质量管理;医院感染;医务人员

Abstract:

ObjectiveTo explore the method to improve hygienic hand disinfection compliance among healthcare workers.MethodsA series of measures were drawn up by applying total quality management (TQM) theory and method to improve hygienic hand disinfection compliance among healthcare workers, investigated data of June,2008 was as basic information, 2009-2010 was intervention enforcement stage, and data was summarized in 2010 .ResultsThree investigations between June,2008 to June,2010 were carried out, the hygienic hand disinfection compliance rate rose from 35.23% (315/894) in 2008 to 53.11%(563/1 060) in 2010, there was significant difference between the two (χ2＝62.65，P＜0.01).ConclusionTQM can enhance effectively the compliance to hygienic hand disinfection among healthcare workers.

Key words:

hygienic hand disinfection; hand hygiene;total quality management;nosocomial infection; healthcare workers