Current status of management of three quality control indexes for management of hospital-associated infection in medical institutions above secondary level nationwide
10.11816/cn.ni.2025-250235
- VernacularTitle:全国二级以上医疗机构三项医院感染管理质控指标的管理现况调查
- Author:
Shanshan LIU
1
;
Jie ZHANG
;
Li'ang WANG
;
Jialu SUN
;
Shuo ZHAO
Author Information
1. 徐州医科大学附属连云港医院(连云港市第一人民医院)感染管理科/南京医科大学康达学院第一附属医院(连云港市第一人民医院)感染管理科,江苏连云港 222002
- Publication Type:Journal Article
- Keywords:
Hospital-associated infection management;
Hospital-associated infection incidence rate;
Hospital-asso-ciated infection prevalence rate;
Hospital-associated infection underreporting rate;
Quality control indicator;
Eval-uation
- From:
Chinese Journal of Nosocomiology
2025;35(19):2970-2974
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE T o investigate the data and usage,effectiveness and existing issues of three medical quality control indicators for hospital-associated infection management(2015 Edition),including hospital-associated infec-tion incidence rate,hospital-associated infection prevalence rate and hospital-associated infection underreporting rate.METHODS Data from hospitals that participated in reporting for three consecutive years(2018-2020)prior to the survey were selected for analysis through the annual professional quality control work conducted by the Na-tional Nosocomial Infection Management and Quality Control Center.An online questionnaire-based sampling sur-vey was conducted to evaluate the usage of the aforementioned three hospital-associated infection quality control in-dicators.RESULTS The usage rates of the three indicators were above 80%in hospitals of different levels and types.For the two indicators of hospital-associated infection incidence rate and hospital-associated infection under-reporting rate,the usage rates were higher in tertiary hospitals than in secondary hospitals,and higher in general hospitals than in specialized hospitals(P<0.05).For the hospital-associated infection prevalence rate indicator,the usage rate was 96.01%in tertiary hospitals,higher than that in secondary hospitals(90.73%),with a statisti-cally significant difference(P<0.05).The usage rate of such indicator was also higher in general hospitals(92.22%)than in specialized hospitals(89.50%)(P=0.102).Regarding self-evaluatio n of the implementation ef-fectiveness of the hospital-associated infection incidence rate,statistically significant differences were found among hospitals of different levels and types(P<0.001).For self-assessment of the implementation effectiveness of the hospital-associated infection prevalence rate and hospital-associated infection underreporting rate,statistically sig-nificant differences were found among hospitals of different levels(P<0.001).CONCLUSIONS The three indica-tors,hospital-associated infection incidence rate,hospital-associated infection prevalence rate and hospital-associ-ated infection underreporting rate,have been stable overall in the past three years.There are certain differences in their usage and evaluation.Reasonable revisions should be made based on actual situations to better guide clini-cal infection control work.