Application of Quality Control Circle in Improving the Correct Implementation Rate of Multiple Drug Resistant Organism Isolation Measures in ICU Medical Personnel

Dongliang Xu, W. Lv, Yixiang Liu, Ziqiang Yu, Yiting Feng, Jia-Wei Tang
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Abstract

Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.
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品管圈在提高ICU医护人员多重耐药菌分离措施正确执行率中的应用
目的:对多重耐药菌(MDRO)患者进行有效的隔离管理是预防交叉感染的重要措施。为了减少MDRO的传播,有必要改进对重症监护病房(ICU)医务人员隔离措施的正确实施。探讨品管圈(QCC)活动在提高ICU医护人员对MDRO患者隔离措施的正确执行率中的应用。方法:建立10人QCC活动组。以所有ICU医护人员为研究对象,包括医生、护士、助理护士、轮训人员、外部ICU咨询师、保洁人员。对MDRO感染患者隔离措施的正确执行情况进行调查研究,找出存在的问题,分析主要原因。制定并实施了ICU医护人员的质量改进对策,并与质量控制活动前后的结果进行了比较。结果:QCC活动后,ICU医护人员对MDRO感染患者隔离措施的正确执行率由57.7%提高到82.4%。ICU患者MDRO感染发生率由9.64%降至3.77%,差异有统计学意义(P < 0.05)。结论:QCC活动提高了ICU医护人员对MDRO隔离措施的正确执行率,规范了MDRO患者的隔离管理,有效降低了ICU患者MDRO的发生率。
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