Application of PDCA cycle in the hospital management of multidrug-resistant organisms
10.3969/j.issn.1671-9638.2018.03.015
- VernacularTitle:PDCA循环在医院多重耐药菌管理中的应用
- Author:
Jing-Shu GONG
1
;
Ran XIN
Author Information
1. 首都医科大学附属北京中医医院
- Keywords:
PDCA cycle;
continuous quality improvement;
multidrug-resistant organism;
healthcare-associated infection management
- From:
Chinese Journal of Infection Control
2018;17(3):256-259
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the change in isolation rates of multidrug-resistant organisms (MDROs) before and after adopting plan-do-check-act (PDCA) cycle method for management of MDROs. Methods Bacterial culture specimen submission and isolation of MDROs in a tertiary first-class hospital before the implementation of PDCA cycle (January 2013-December 2014) and after implementation of PDCA cycle (January 2015-December 2016) were collected and analyzed. Results A total of 14 889 specimens were sent for detection before the implementation of PDCA cycle, 6 345 strains were isolated, 650 of which were MDROs, isolation rate of MDROs was 10. 24％; after the implementation of PDCA cycle, 17 856 specimens were sent for detection, 7 568 strains were isolated, 476 were MDROs, isolation rate of MDROs was 6.29％; difference in MDRO detection rate before and after the implementation of PDCA was statistically significant (X2=72.567, P＜0.001). After Cochran-Armitage trend test, the isolation rates of MDROs in 2013-2016 showed a decreased trend (Z= - 7.8856). The amount and cost of hand hygiene products have increased. Conclusion By carrying out PDCA cycle for MDROs management, the isolation rate of MDROs in hospital is reduced. PDCA cycle management method can effectively promote the continuous quality improvement of hospital MDROs management.
