基于新媒体的医院感染全过程管理

Management of whole process of healthcareassociated infection based on new media

摘要:

目的通过开发新媒体功能，促进医院感染全过程精细化管理。方法2016年借助新媒体网络工具微信企业号，通过采用消息推送、图文宣教和问卷调查等方式，深度整合优化现有程序，构建医院感染防控信息平台，比较2014—2016年平台实施和运行过程中医院感染漏报率、医院感染病例上报参与率等。结果2016年医院感染病例上报的参与率达90.43%，相比2014年的64.09%，增加了26.34%，三年医院感染病例上报参与率比较，差异有统计学意义（χ2=104.53，P＜0.001）。2014—2016年医院感染漏报率分别为14.63%、10.81%、4.24%，三年医院感染漏报率比较，差异有统计学意义（χ2=53.85，P＜0.001）。2014—2016年医院感染主动上报率由0增至14.22%，医院感染正常上报率由12.88%增至44.17%，医院感染迟报率由87.12%降至41.61%。结论基于新媒体的医院感染创新管理模式，有助于进行医院感染前瞻性防控，实现了医院感染主动管理与实时监控，推动了医院感染防控全过程闭环式管理。

Abstract:

ObjectiveTo promote the meticulous management on whole process of healthcareassociated infection (HAI) through the development of new media function.MethodsIn 2016, with the help of WeChat enterprise number of the new media network tool, existing procedures were deeply integrated and optimized by means of information push as well as image and questionnaire survey, HAI prevention and control information platform was constructed, participation rate of the missing reporting and reporting of HAI during the process of implementation and operation of the platform in 2014-2016 were compared.ResultsIn 2016, the participation rate of reporting of HAI cases was 90.43%, with an increase of 26.34% compared with 64.09% in 2014, there was significant difference in reporting rate of HAI in three years（χ2=104.53， P＜0.001）. From 2014 to 2016, missing reporting rate of HAI were 14.63%, 10.81%, and 4.24% respectively, difference was statistically significant （χ2=53.85，P＜0.001）. From 2014 to 2016, the active reporting rate of HAI increased from 0 to 14.22%, the normal reporting rate of HAI increased from 12.88% to 44.17%, and the delayed reporting rate of HAI decreased from 87.12% to 41.61%.ConclusionThe innovative management mode of HAI based on new media is helpful for conducting prospective prevention and control of HAI, achieve the active management and realtime monitoring on HAI, and promote the closedloop management on the whole process of HAI prevention and control.