Practice and consideration of fostering hospital execution culture for healthcare-associated infection management / 中国感染控制杂志

ABSTRACT

Objective To explore the application value of hospital execution culture in healthcare-associated infec-tion(HAI)management.Methods All departments in a hospital from January 1 ,2013 to December 31 ,2014 were studied.From January 1 ,2014,ideas and fostering methods for hospital execution culture were applied in HAI management,the working enthusiasm,working ability,and working achievements of health care workers (HCWs) on HAI control before and after the application of execution culture were compared.Results 53 departments in the hospital were surveyed annually in 2013 and 2014.Working enthusiasmthe number of departments participating in hospital-wide training increased from 24 (45.28%)to 49 (92.45%),the number of departments that carried out subsequent training increased from 21(39.62%)to 48(90.57%),departments that initiatively carried out self-inspec-tion increased from 10(18.87%)to 43(81 .13%),differences were all significant (all P <0.001).Working abilitypercentage of HCWs knew knowledge about hand hygiene as well as prevention and control measures for multidrug resistance bacteria increased from 49.05% (103/210)and 37.14% (78/210)to 96.30% (208/216)and 97.22%(210/216)respectively;while in 2013,only 2 departments (3.77%)performed regular rectification on daily work, which increased to 19 departments (35.85%)after training,differences were all significant (all P <0.001).Working achievementsthe qualified rate of correct hand hygiene among HCWs increased from 8.57%(18/210)to 87.04%(188/216);implementation rate of multidrug resistance bacteria isolation increased from 50.00% to 80.08%,path-ogenic detection in patients receiving therapeutic antimicrobial agents increased from 28.85% to 51 .30%,differ-ences were all significant(all P <0.001).Conclusion Fostering of hospital execution culture has improved the en-thusiasm and work ability of HCWs to participate in HAI management,promoted the implementation of HAI man-agement,and is a powerful tool for the management of HAI.