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目的为实现精准化感染控制,明确临床科室的风险级别及风险指标特点,针对性进行管理。方法 2017年1月,在某三级甲等综合性教学医院运用医院感染风险管理方法,探寻临床科室风险级别,分析其在管理、过程和结果指标中的意义。结果研究显示,神经外科、急诊ICU和神经内科ICU为极高风险科室,急诊外科、综合ICU、儿科ICU及急诊内科为高风险科室;不同科室其风险指标的特点有所不同,管理指标风险最高的前5位分别为急诊内科、介入科、疼痛科、颌面外科和中医科;过程指标风险最高的前5位分别为儿科ICU、神经外科、综合ICU、心外科及骨外科;结果指标风险最高的前5位分别为神经外科、神经内科ICU、急诊ICU、儿内科和呼吸ICU。结论在医院感染管理领域,运用风险管理方法,能够明确重点部门及相关指标,为精准化感染控制打好基础。
Objective To achieve accurate infection control, a clear clinical departments of the risk level and risk characteristics of indicators, targeted management. Methods In January 2017, using a hospital infection risk management method in a tertiary level general teaching hospital, we explored the clinical department risk level and analyzed its significance in management, process and outcome indicators. Results The study showed that neurosurgery, emergency ICU and neurology ICU were high-risk departments, emergency surgery, integrated ICU, pediatric ICU and emergency medicine as high-risk departments; different departments had different characteristics of risk indicators and management indicators had the highest risk The top 5 subjects were emergency department of internal medicine, interventional department, pain department, maxillofacial surgery and Chinese medicine department respectively. The top 5 subjects with the highest risk of process indicators were pediatric ICU, neurosurgery, general ICU, cardiology and orthopedics respectively. Results Indicator risk The top five are neurosurgery, neurology ICU, emergency ICU, pediatric and respiratory ICU respectively. Conclusion In the field of nosocomial infection management, using risk management methods can clearly identify key departments and related indicators and lay the foundation for accurate infection control.