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Objective@#To explore the practice and effect of transparent supervision in the prevention and control of multidrug-resistant organism (MDRO).@*Methods@#Transparent supervision was introduced to intervene into the MDRO management of monitored departments. Such transparent supervision was aided by IT means, and transparent MDRO control indexes. These indexes included hand hygiene compliance rate, qualification rate of ATP detection of environmental object surface, implementation rate of main MDRO prevention and control measures, MDRO resistance rate, and nosocomial infection incidence. The data before and after the intervention were compared by Chi square test to evaluation the effect.@*Results@#After intervention, the hand hygiene compliance rate increased from 49.83% to 65.61% (χ2=47.389, P<0.001), and the qualification rate of ATP detection of environmental object surface increased from 48.50% to 83.33% (χ2=96.115, P<0.001). Meanwhile, such indexes as prescription of patient isolation, placement of isolation identifiers and that of specialized bedside equipments increased significantly(P<0.001). The MDRO detection rate decreased from 75.08% to 63.31% (χ2=28.123, P<0.001), and the incidence of nosocomial infection decreased from 4.77% to 3.47%(χ2=20.303, P<0.001).@*Conclusions@#The practice of transparent supervision could reduce the risk of MDRO transmission at hospitals effectively, proving its importance in ensuring medical quality and patient safety.
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OBJECTIVE To ensure the lustration of atmosphere in the admixture room of pharmacy intravenous admixture service(PIVAS).METHODS We adopted strict nosocomial infection administration in PIVAS management and maintenance of the cleaning procedure.At the same time,we taken disinfection measurement and management of the staff,articles and operation criteria strictly.RESULTS Every supervision items had reached the government standards since the PIVAS was put into clinical use 3 years ago and the intravenous infusion reactions had not happened.CONCLUSIONS These administration measures can ensure the lustration of atmosphere to reach the standard effectively.
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OBJECTIVE To improve the work quality in department of nosocomial infection management,and make the "The Year of Hospital Management" action go on effectively.METHODS To look into and analyze the difficulty point in the work of nosocomial infection management.RESULTS Lots of difficulty points about nosocomial infection management existed in departments of nosocomial infection management of 24 hospitals and affected the management quality of nosocomial infection.CONCLUSIONS Solving the difficulty points about nosocomial infection management,it can make the work of nosocomial infection go on smoothly,and improve the medical care quality.
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OBJECTIVE To strengthen the infection management in the public and private town hospitals.METHODS We investigated the infection management in the public and private hospitals which are below Grade 2 in our city.RESULTS The problems existing in the infection management in these hostpitals were obvious and severe,mainly including the leaders′ ignorance of the importance of infection management,incomplete organization and regulation,medical workers′ lacking of the related knowledge about infection management,behindhand hospital infection management, monitoring and prevention,and incorrect sterilization.CONCLUSIONS The infection mangement in public and private town hospitals is weak and needed to be strengthened.
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OBJECTIVE To introduce the methods of hospital disease prevention and control and advance the level of infection management.METHODS We constituted and administered thoroughly hospital regulations of infection prevention and control according to our country and PLA′s laws and statutes.RESULTS To eliminate effectively the outbreak and epidemic of the hospital infection and cross infection,and complete the work of hospital disease prevention and control that leads appointed us.CONCLUSIONS Disease prevention and control are the key to the infection control in hospitals.