门诊外科中心的感染控制评估
Melissa K Schaefer1, Michael Jhung, Marilyn Dahl
1Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop A-31, Atlanta, GA 30333, USA. mschaefer@cdc.gov
JAMA
|June 10, 2010
概括
在美国的门诊外科中心 (ASC) 中,感染控制漏洞很常见,超过三分之二的设施至少有一个问题. 关键问题包括药物处理和设备再加工,突出需要改善ASC的安全实践.
科学领域:
- 医疗保健的质量和安全.
- 预防和控制感染.
- 门诊外科手术护理服务
背景情况:
- 5000多个门诊外科中心 (ASC) 参与医疗保险.
- 我们对ASC内部的感染控制实践知之甚少.
- 医疗保险和医疗补助服务中心 (CMS) 开发了一个审计工具来评估ASC.
研究的目的:
- 描述美国ASC样本中的感染控制实践.
- 确定这些设施内的感染控制常见缺陷.
主要方法:
- 七个州被邀请参加;三个州根据地理分布和成本而被选中.
- 在2008年6月至10月期间,评估了68个ASC的分层随机样本.
- 调查人员使用CMS审计工具来评估5个关键感染控制领域的合规性.
主要成果:
- 67.6%的评估ASC (46/68) 至少有一次感染控制失效.
- 17.6%的ASC (12/68) 在三个或更多类别中出现过失.
- 常见的问题包括药物瓶处理 (28.1%),设备再加工 (28.4%) 和血糖监测 (46.3%).
结论:
- 在美国的ASC中,感染控制方面的缺陷很普遍.
- 诸如药物处理和设备再加工等特定领域需要注意.
- 这些发现强调了在门诊外科手术环境中需要加强感染控制措施的必要性.
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