Risk assessment and control of nosocomial infection in fever clinic of general hospital

ABSTRACT

OBJECTIVE: To establish the risk assessment system of nosocomial infection in fever outpatient department of general hospital, and to realize the accurate risk control to reduce the occurrence of nosocomial infection in doctors and patients. METHODS: Based on the healthcare failure mode and effect analysis(HFMEA), the quantitative risk assessment was carried out in the fever clinic in a general hospital to establish the risk system. Regular evaluation was performed to find out the key risks that should be controlled. Accurate measures were implemented and re-evaluated were performed and then adjusted. The cycle of the process will be conducted in a row to get the improvement. RESULTS: The risk assessment system of fever clinic included the building layout and facilities whether meet the requirements of the infectious diseases prevention and control, whether the system of prevention and control of hospital infection was complete, whether the personnel management and protection was proper, whether the item management, environment cleaning and disinfection were legal compliance and whether the medical process can meet the demands of the hospital infection prevention and control, etc. At the beginning of COVID-19 epidemic, the first round of risk assessment was carried out on fever clinics, and 44 risk points were identified, among which 8 risk points needed to be controlled by key intervention measures. Targeted improvement measures were performed, then the second round of risk assessment was conducted to evaluate the control effect, which showed good risk control effect. CONCLUSION: The quantitative risk assessment system established based on HFMEA was used to regularly evaluate the risk to find out the potential nosocomial infection, to timely detect the potential nosocomial infection risk in fever outpatient clinics, to achieve accurate prevention and control of nosocomial infection in fever outpatient clinics, which can greatly reduce the risk of cross-infection of infectious diseases in hospitals and nip it in the bud.