标准化捆绑护理和捆绑合规对减少外科手术部位感染的影响:一个务实的回顾性队列研究
Yu-San Chien1,2, Hsiang-Ting Chen3, Hsiu-Tzy Chiang4
1Department of Critical Care, Mackay Memorial Hospital, Taipei City, Taiwan.
概括
实施标准化护理包显著减少了手术部位感染 (SSI). 完全遵守感染控制包中所有四个组成部分对于尽量减少SSI至关重要.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防和控制感染的预防和控制.
- 外科手术的安全性
背景情况:
- 护理包是基于证据的措施,以预防与医疗相关的感染.
- 手术部位感染 (SSIs) 仍然是手术患者结果的一个重大问题.
- 标准化协议对于医院的一致的感染控制至关重要.
研究的目的:
- 评估标准化护理包对SSI费率的影响.
- 为了比较SSI发病率在捆绑实施之前和之后.
- 为了确定护理捆绑合规与SSI费率之间的关系.
主要方法:
- 一个回顾性研究,比较SSI数据从2017-2020年.
- 在2019年实施一套4个组成部分的护理包 (抗生素,血糖控制,皮肤准备,体温).
- 对6059程序的分析,评估SSI率,标准化感染率 (SIR) 和捆绑合规性.
主要成果:
- 在捆绑后实施,SSI发生率从1.7%降至1.0% (P=0.013).
- 标准化感染率 (SIR) 在捆绑后显著改善.
- 完全遵守护理包导致SSI率显著降低 (0.3%),而部分遵守 (4.0%,P<0.01).
结论:
- 一个标准化的护理包有效地减少了跨手术专业的手术部位感染.
- 完全遵守护理包的所有组成部分对于最佳的SSI减少至关重要.
- 这些发现支持在外科环境中广泛采用综合护理包.
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