Control effects of continuous quality improvement for inpatient hospital orthopedic infection

doi:10.3877/cma.j.issn.1674-1358.2016.04.009

Abstract

Abstract:

Objective

To investigate the control effects of continuous quality improvement for inpatient hospital orthopedic infection.

Methods

Total of 150 cases of orthopedics in our hospital from May to November in 2014 were selected as control group, with routine nursing. While 150 cases of orthopedics in our hospital from December 2014 to May 2015 were selected as experimental group, the continuous quality improvement were adopted on the basis of the routine nursing. Infection rates, patients’ satisfaction, environmental hygiene monitoring yield after one month of two groups were compared, respectively. Each aspect of hospital infection was evaluated while the infection evaluation of total scores of two groups were compared.

Results

The infection rate of the control group was 5.33%, and that of experimental group was 2.00%. Continuous quality was an effective management to control orthopedic patient infection. Continuous quality improvement was 2.00%; The infection rate of experimental group was significantly lower than that of control group (χ²= 6.208, P = 0.024). Patients’ satisfaction survey found that 19 patients in the control group were not satisfied, 33 cases were satisfied, and 98 cases were very satisfied, the rate of satisfaction was 87.33%. In the experimental group, 6 patients were not satisfied, 27 patients were satisfied, 117 patients were very satisfied, the satisfaction rate was 96.00%. The satisfaction rate in the experimental group was significantly higher than that of control group (χ²= 6.454, P = 0.011). The qualification rate of ward environmental hygiene in the control group was 80.67%, and that of experimental group was 99.33%, with significant difference (χ²= 6.215, P = 0.021). The total evaluation score of hospital infection in experimental group was significantly higher than that in control group (χ²= 6.194, P = 0.027).

Conclusion

Continuous quality improvement is an effective management method to control orthopedics patients with hospital infection.

Key words: Continuous quality improvement thopedics, Orthopedics, Infection control

Weihong Wang. Control effects of continuous quality improvement for inpatient hospital orthopedic infection[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(04): 426-429.

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组别	例数（例）	性别构成（男/女）	平均年龄（±s，岁）
对照组	150	83/65	52.12±10.94
试验组	150	85/67	51.33±9.91
统计量值		χ²=1.541	t =1.637
P值		0.104	0.097

组别	例数（例）	性别构成（男/女）	平均年龄（±s，岁）
对照组	150	83/65	52.12±10.94
试验组	150	85/67	51.33±9.91
统计量值		χ²=1.541	t =1.637
P值		0.104	0.097

组别	例数	不满意[例（%）]	满意[例（%）]	非常满意[例（%）]	满意度（%）^a
对照组	150	19（12.67）	33（22.00）	98（65.33）	87.33
试验组	150	6（4.00）	27（18.00）	117（78.00）	96.00

组别	例数	不满意[例（%）]	满意[例（%）]	非常满意[例（%）]	满意度（%）^a
对照组	150	19（12.67）	33（22.00）	98（65.33）	87.33
试验组	150	6（4.00）	27（18.00）	117（78.00）	96.00

组别	环境物表清洁、消毒	器械器具物品消毒灭菌	无菌物品存放及使用	安全注射	手卫生管理	职业防护	医院感染上报	总分^a
对照组	73	79	71	82	70	68	75	518
试验组	86	92	87	95	85	82	87	614

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