Application of quality control circle for improving compliance to ventilatorassociated pneumonia control measures

Abstract:

ObjectiveTo evaluate the effect of quality control circle(QCC) on improving compliance to ventilatorassociated pneumonia(VAP) control measures. Methods100 patients who were admitted to an intensive care unit(ICU) and with mechanical ventilation in JanuaryDecember 2014 (control group) and 100 patients with mechanical ventilation in JanuaryDecember 2015 (trial group) were selected with convenient sampling method. Trial group implemented QCC management method，compliance to VAP control measures and hand hygiene (HH) among HCWs before and after implementing QCC was compared respectively. ResultsDifference in compliance to each VAP control measure between HCWs in trial group and control group was significant（all P＜0.001）；compliance rate to all control measures in control group and trial group were 32.00% and 74.00% respectively（P＜0.001）. Compliance rate and qualified rate of HH among HCWs in control group were 29.14% and 42.50% respectively, trial group were 83.64% and 82.50% respectively， incidence of VAP in patients in control group and trial group were 10.00% and 2.00% respectively ( all P＜0.001). ConclusionQCC management has remarkable effect on improving bundle prevention strategy of VAP and HH compliance of HCWs, and can effectively reduce the incidence of VAP.
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