《医院隔离技术规范WS/T 311-2009》实施情况调查报告

Survey report on implementation of Technique Standard for Isolation in Hospitals (WS/T 311-2009)

摘要:

目的 了解《医院隔离技术规范WS/T 311-2009》（以下简称"隔离规范"）在全国各级医院的实施情况，为"隔离规范"的修订提供科学依据。方法 2017年全国抽查12个省（市）的253所医院，调查"隔离规范"颁布前后医院隔离措施实施情况，包括隔离制度的修订，开展培训、督导等管理工作，建筑布局与设施设置，手卫生工作的开展，标准预防相关工作的开展，防护用品的使用及职业暴露管理等的实施情况。结果 2017年在调查的253所医院中，99.21%（251所）已经建立了隔离预防制度，97.23%（246所）定期对隔离工作进行指导与监督；开展手卫生工作在2009年达到高峰；76.28%（193所）设立肠道门诊，79.84%（202所）设立发热门诊，88.54%（224所）设立门急诊预检分诊；99.21%（251所）医院开展了标准预防相关工作；与2010年相比，医用个人防护用品使用量增长超过1倍；98.02%（248所）医院有针刺伤报告流程与制度。结论 "隔离规范"的颁布对规范各医院的隔离工作起到了促进作用。

Abstract:

Objective To survey the implementation of Technique Standard for Isolation in Hospitals (WS/T 311-2009)(referred to as isolation standard) at all levels of hospitals in China, and provide scientific basis for the revision of isolation standard. Methods In 2017, 253 hospitals in 12 provinces (municipalities) in China were selected to survey the implementation of isolation measures before and after the issuing of isolation measures, including revision of isolation system, training, supervision and other management work, building layout and installation of facilities, implementation of hand hygiene, implementation of standard prevention relevant work, use of protective equipment, and implementation of occupational exposure management. Results In 2017, of 253 surveyed hospitals, 99.21% (n=251) established isolation prevention system, 97.23% (n=246) regularly guided and supervised isolation work; implementation of hand hygiene reached peak in 2009; 76.28% (n=193) of hospitals set up intestinal outpatient clinics, 79.84% (n=202) set up fever clinics, 88.54% (n=224) set up outpatient and emergency pre-examination and triage; 99.21% (n=251) carried out standard prevention relevant work; compared with 2010, the use of medical personal protective equipment increased more than double; 98.02% (n=248) of hospitals had reporting procedure and system of needle stick injury. Conclusion Issuing of isolation standard has played a promoting role in standardizing the isolation work of hospitals.