口腔专业的医院感染控制评价指标体系建设初探

Establishment of evaluation index system of healthcareassociated infection control in stomatological medicine

摘要:

目的探索构建口腔专业医院感染控制评价指标体系。方法通过主题框架法初步形成评价指标框架，运用德尔菲法和层次分析法构建分级评价指标，并运用判断矩阵计算指标权重系数。结果初步形成具有机构管理、诊疗环境、隔离措施、消毒区域、消毒药械及卫生用品、医疗废物6个维度、3个层次、47项指标的定性与定量相结合的评价体系。第三级指标中权重系数居前5位的指标分别是：消毒产品及卫生用品证件齐全（0.0362）、物表清洁与消毒（0.0344）、医疗废物分类收集（0.0326）、监督管理（0.0323）、冲洗消毒水管路（0.0321）。结论初步构建的评价指标体系在一定程度上为开展口腔专业的医院感染控制评价、监督、标准规范制定、教育课程内容建设提供了科学依据和实践工具。

Abstract:

ObjectiveTo explore the establishment of evaluation index system of healthcareassociated infection (HAI) control in stomatological medicine.MethodsThe evaluation index framework based on theme framework approach was preliminarily formed, Delphi method and analytic hierarchy process (AHP) were used to construct grading evaluation index, judgement matrix was adopted to calculate the weight coefficient of index.ResultsThe qualitative and quantitative combined evaluation system, a threelevel evaluation index system with 47 indicators, was built，which was composed of six following dimensions: organization management, diagnosis and treatment environment, isolation measures, disinfection area, disinfectant medical devices and hygiene products, and medical waste. Among the tertiary indexes, complete documents of disinfectant medical devices and hygiene products (0.0362）, object surface cleaning and disinfection(0.0344), medical waste classification and collection (0.0326）, supervision and management（0.0323）, flushing and disinfection of dental unit water lines （0.0321） were of higher weight coefficients.ConclusionThe preliminarily established evaluation index system can provide a scientific basis and practical tool for carrying out evaluation and supervision, formulating standards, as well as developing curriculum content for HAI control in stomatological medicine.