Application of dual evaluation system"quality control plus law enforcement"in prevention and control of hospital-associated infections in regional oral healthcare institutions
10.11816/cn.ni.2025-250106
- VernacularTitle:"质控+执法"双评价体系在区域性口腔医疗机构医院感染防控中的实践
- Author:
Qin WEN
1
;
Hongwei DAI
;
Xin YU
;
Shumei LUO
;
Xinxin HUANG
;
Fenfen ZHANG
Author Information
1. 重庆医科大学附属口腔医院医院感染控制科,重庆 401147
- Publication Type:Journal Article
- Keywords:
Regional;
Oral;
Hospital-associated infection;
Quality control;
Health supervision;
Evaluation system
- From:
Chinese Journal of Nosocomiology
2025;35(18):2831-2836
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore and establish the working mechanism for prevention and control of hospital-as-sociated infections in regional oral medical institutions so as to standardize the prevention and control of the hospi-tal-associated infections in the regional oral medical institutions.METHODS Taking an administrative division of Chongqing as example,the matrix evaluation was carried out based on the quality control mode for management of hospital-associated infections in oral medical institutions' action planning,training guidance,quality control super-vision,summary review' organically in combination with'quality control plus law enforcement',a color-co-ded management of the oral medical institutions in the region was implemented,and the effectiveness of improved work in infection control was examined.RESULTS From the perspective of the grade of medical institution,the qualified rates of hospital infection management system construction,architectural layout and process,cleaning,disinfection and sterilization of oral instruments,environmental cleaning and disinfection,isolation,safe injection,use of occupational protection supplies and disposal of medical waste of the primary and unrated medical institu-tions were respectively 26.51%,49.40%,24.10%,37.35%,31.33%,46.99%,67.47%and 51.81%before the improvement and were respectively increased to 67.47%,63.86%,45.78%,66.27%,63.86%,73.49%,84.34%and 66.27%after the improvement,and there were significant differences(P<0.05).From the perspec-tive of the property of the medical institution,the qualified rates of the above items of the private medical institu-tions were respectively 24.66%,47.95%,21.92%,34.25%,31.51%,45.21%,69.86%and 50.68%before the improvement and were respectively increased to 65.75%,61.64%,42.47%,64.38%,63.01%,71.23%,84.93%and 63.01%after the improvement,and there were significant differences(P<0.05).CONCLUSION The working mechanism on prevention and control of hospital-associated infections in regional oral medical institu-tions that is established based on'quality control plus law enforcement'with the introduction of social credit can effectively raise the qualified rates of the infection prevention and control measures,which achieves more remarka-ble improvement effectiveness in grass-roots oral medical institutions such as the private,primary and unrat-ed medical institutions.