Multi-dimensional evaluation on management effectiveness of safe injec-tion in a tertiary general hospital
10.3969/j.issn.1671-9638.2018.11.014
- VernacularTitle:一所三级综合医院安全注射管理效果的多维度评价
- Author:
Yuan-Qiu YANG
1
;
Quan LIU
;
Chang-Rong CHEN
;
Shan-Hua WANG
Author Information
1. 重庆市涪陵中心医院
- Keywords:
safe injection;
management;
intervention;
effectiveness;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2018;17(11):1013-1018
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore scientific and effective management methods for safe injection,provide reference for improving compliance rate of safe injection behavior and achieving continuous improvement in safe injection. Methods A special safety injection program was formulated,baseline survey and safe injection-related training were carried out,safe injection system and standard procedures were formulated,on-site supervision and examination were strengthened,quantitative indexes such as qualified rate of safe injection facilities,theoretical examination re-sult,behavior compliance rate,and occurrence rate of sharp injury before intervention (baseline survey in May 2016)and after intervention (2017)were compared.Results Through comprehensive intervention,facilities alloca-tion rates of safe injection in whole hospital were all＞97%,qualified rates of all medical waste disposal were all＞93%,actual average consumption of alcohol-based hand rub in the whole hospital increased from (5.56±2.13) mL/bed-day to (9.95±5.38)mL/bed-day;the average score of safety injection knowledge examination of health care workers(HCWs)increased from (71.20±12.22)before intervention to (92.59±5.99)after intervention;HCWs’compliance rate to safe injection increased from 62.50% before intervention to 88.53% after intervention, difference were all statistically significant (P＜0.05).Reporting rate of sharp injuries in the whole hospital within a week increased from 15.79% before intervention to 71.43% after intervention;occurrence rate of case incidence of sharp injuries in the whole year and 100-day hospitalization decreased from 9.98% and 0.0276% before intervention to 5.31% and 0.0168% after intervention respectively,differences were both statistically significant (both P＜0.05).Conclusion Effective comprehensive intervention measures can strengthen the awareness of safe injection, improve compliance rate of safe injection behavior,effectively prevent the occurrence of occupational injuries in HC-Ws caused by unsafe injection,and prevent the spread of healthcare-associated infection.
