Application of plan-do-check-act cycle in improving disinfection efficacy of object surface
10.3969/j.issn.1671-9638.2015.05.009
- VernacularTitle:PDCA 循环法改善物体表面消毒效果研究
- Author:
Jingjing HAN
;
Yuhong HE
;
Yaqing XU
;
Hongxia ZHOU
;
Qing YE
;
Hong YU
;
Chenliang ZHOU
;
Yujia CHENG
- Publication Type:Journal Article
- Keywords:
intensive care unit;
plan-do-check-act;
healthcare-associated infection;
multidrug-resistant organism;
disinfection;
infection control
- From:
Chinese Journal of Infection Control
2015;(5):321-324
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of plan-do-check-act (PDCA)cycle method in improving disinfection efficacy of object surface in intensive care unit (ICU).Methods On the basis of management of healthcare-associat-ed infection (HAI)and prevention of multidrug-resistant organisms,disinfection efficacy of object surface in an ICU was intervened,data about surface object specimens taken before,during,and after intervention,HAI in patients, as well as detection of MDROs were collected.Results The total qualified rate of specimens taken before,during, and after intervention was 58.24%,76.74%,and 88.71 %,respectively,there was an increased tendency,the difference was significant (χ2 =17.41 ,P =0.009);the incidence of HAI was 3.72%,2.42%,and 1 .78%,respec-tively,there was a decreased tendency(χ2 =6.03,P =0.039),case infection rate was 4.36%,2.75%,and 2.37%respectively,there was a decreased tendency (χ2 = 7.24,P = 0.046 );detection rate of MDROs was 34.03%, 27.45%,and 14.05%,respectively,there was a decreased tendency (χ2 =33.84,P =0.007),the percentage of pa-tients who were detected MDROs and HAI caused by MDROs showed a decreased tendency(χ2 =6.14,6.02,both P<0.05).Conclusion The implementation of PDCA cycle can effectively improve disinfectant efficacy of ICU object surface,and reduce the incidence of MDRO HAI.
