Application of transparent supervision in the multidrug-resistant organism management
10.3760/cma.j.issn.1000-6672.2018.08.013
- VernacularTitle: 透明监管在多重耐药菌管理中的应用研究
- Author:
Li TAN
1
;
Yanfang LIANG
;
Chuan XU
;
Min TU
;
Wei XIONG
;
Min XU
;
Xiaoquan LAI
Author Information
1. Department of Hospital Infection Management, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
- Publication Type:Journal Article
- Keywords:
Infection control;
Transparent supervision;
Multidrug-resistant organism;
Nosocomial infection management;
Prevention and control measure
- From:
Chinese Journal of Hospital Administration
2018;34(8):667-670
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the practice and effect of transparent supervision in the prevention and control of multidrug-resistant organism (MDRO).
Methods:Transparent supervision was introduced to intervene into the MDRO management of monitored departments. Such transparent supervision was aided by IT means, and transparent MDRO control indexes. These indexes included hand hygiene compliance rate, qualification rate of ATP detection of environmental object surface, implementation rate of main MDRO prevention and control measures, MDRO resistance rate, and nosocomial infection incidence. The data before and after the intervention were compared by Chi square test to evaluation the effect.
Results:After intervention, the hand hygiene compliance rate increased from 49.83% to 65.61% (χ2=47.389, P<0.001), and the qualification rate of ATP detection of environmental object surface increased from 48.50% to 83.33% (χ2=96.115, P<0.001). Meanwhile, such indexes as prescription of patient isolation, placement of isolation identifiers and that of specialized bedside equipments increased significantly(P<0.001). The MDRO detection rate decreased from 75.08% to 63.31% (χ2=28.123, P<0.001), and the incidence of nosocomial infection decreased from 4.77% to 3.47%(χ2=20.303, P<0.001).
Conclusions:The practice of transparent supervision could reduce the risk of MDRO transmission at hospitals effectively, proving its importance in ensuring medical quality and patient safety.
