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目的评价多系统网络信息化平台对医院感染管理工作的作用,以提高医院感染管理效率。方法采用蓝蜻蜓医院感染管理系统、LIS、HIS、OA办公系统,进行传染病、医院感染病例、多药耐药菌、职业暴露、抗菌药物、医院感染暴发、医院感染知识培训等多方面的监测与管理。结果应用多系统网络信息化管理后,传染病、医院感染病例、多药耐药菌的迟报率由0.5%、6.0%、15.0%分别降低至0,其漏报率由13.0%、21.0%、35.0%降低至0;职业暴露迟报率由50.0%降低至8.0%,消毒灭菌效果监测干预时间由30d减少至7d;清洁切口手术用药比例97.5%降低至42.3%,用药时机、用药疗程合理率由32.7%、12.9%分别提高至75.0%、53.4%;呼吸机相关性肺炎、导管相关性血流感染、导尿管相关性尿路感染千日感染率由11.53‰、9.85‰、12.26‰降低至8.96‰、6.75‰、7.89‰;多药耐药菌医院感染病例检出构成比由55.1%降低至33.8%;全员培训参学率由82.9%上升至98.1%。结论多系统网络信息化交互性医院感染管理,提高了医院感染管理工作效率与实效。
Objective To evaluate the effect of multi-system network information platform on hospital infection management in order to improve the efficiency of hospital infection management. Methods Blue Dragonfly hospital infection management system, LIS, HIS and OA office system were used to monitor infectious diseases, nosocomial infections, multi-drug resistant bacteria, occupational exposure, antibacterials, nosocomial infection and hospital infection knowledge training With management. Results The rate of delayed reporting of infectious diseases, nosocomial infections and multidrug-resistant bacteria was reduced from 0.5%, 6.0% and 15.0% to 0, respectively, with a false alarm rate of 13.0% and 21.0% respectively after multi-system network information management. , 35.0% to 0; the rate of delayed occupational exposure decreased from 50.0% to 8.0%, the time for disinfection and sterilization monitoring decreased from 30 days to 7 days; the rate of clean incision operation reduced to 97.5% to 42.3% The reasonable rates increased from 32.7% and 12.9% to 75.0% and 53.4% respectively. The infection rates of ventilator-associated pneumonia, catheter-related bloodstream infection and urethral catheter-related urinary tract infection were 11.53 ‰, 9.85 ‰ and 12.26 ‰ to 8.96 ‰, 6.75 ‰, 7.89 ‰. The detection rate of multidrug-resistant bacteria in hospital was reduced from 55.1% to 33.8%. The rate of attendance for full training increased from 82.9% to 98.1%. Conclusions Multi-system network information interactive hospital infection management, improve the efficiency and effectiveness of hospital infection management.