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目的:提高手卫生执行率,降低医院感染发生率。方法:从2003年至今,采取改善洗手设施、制定《瑞金医院手部卫生指南(试行)》、组织形式多样的培训、督查手卫生执行状况、统计手卫生用品用量并反馈等措施,以提高手卫生执行率。结果:通过干预,2005年至2008年该院手卫生执行合格率从33.33%上升至78.94%,手卫生用品用量从11.25ml/(床·日)增至20.03ml/(床·日),医院感染发生率从8.84%下降至5.11%。结论:提高工作管理水平,注意方式方法,可有效提高手卫生执行率,降低医院感染发生率。
Objective: To improve the implementation rate of hand hygiene and reduce the incidence of nosocomial infections. Methods: From 2003 to present, measures such as improvement of hand-washing facilities, development of hand hygiene guidelines of Ruijin Hospital (trial), organization of various forms of training, supervision over the implementation of hand hygiene, statistics on the amount of hand hygiene supplies and feedback were taken to improve Hand hygiene implementation rate. Results: Through intervention, the passing rate of hand hygiene in this hospital increased from 33.33% to 78.94% from 2005 to 2008, and the amount of hand hygiene products increased from 11.25ml / (bed · day) to 20.03ml / (bed · day). The hospital The infection rate dropped from 8.84% to 5.11%. Conclusion: Improving work management level and paying attention to ways and means can effectively improve the implementation rate of hand hygiene and reduce the incidence of nosocomial infection.