Application of PDCA cycle to improve hand hygiene continuously_West China Medical Journal

Authors：

SUNRui ,  CHENLiping , TANGYan , TANMuyang

Nosocomial Infection Management Office, the First People’s Hospital of Yibin, Yibin, Sichuan 644000, P. R. China;

Corresponding?author：

CHENLiping, Email: 1837639492@qq.com

Keywords：

PDCA cycle; Hand hygiene; Continuous improvement

DOI：

10.7507/1002-0179.201503217

Video：

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Objective To analyze the main problem of continuous hand hygiene improvement by PDCA cycle, find out the causes and carry out corresponding measures, in order to improve hand hygiene management continuously. Methods Between January and June 2014, PDCA cycle was used to strengthen comprehensive training, enhance awareness of hand hygiene, reinforce supervision, and evaluate the effect of continuous hand hygiene improvement. The knowledge of hand hygiene, increase of hand hygiene facilities, use of hand hygiene products and hand hygiene implementation before (from July to December 2013) and after PDCA application (from January to June 2014) were compared and analyzed. Results After the implementation of PDCA cycle, the pass rate of hand hygiene knowledge increased from 61.0% to 88.3%; the total amount of hand hygiene use increased from 1 817 046 mL to 3 347 386 mL; the hand hygiene compliance rate increased from 43.03% to 71.31%; and the correct rate of hand hygiene implementation increased from 62.68% to 87.68%. All the above differences were statistically significant (P<0.05). After the implementation of PDCA cycle, the compliance rate of different hand hygiene indications became significantly different (P<0.05). The growth rate of hand hygiene implementation before aseptic manipulation and after contact with body fluids were relatively higher (34.56% and 34.01%, respectively). Conclusion Through the application of PDCA cycle, hand hygiene compliance rate and correct rate have gradually increased.

Citation： SUNRui, CHENLiping, TANGYan, TANMuyang. Application of PDCA cycle to improve hand hygiene continuously. West China Medical Journal, 2017, 32(1): 60-63. doi: 10.7507/1002-0179.201503217 Copy

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1. ?王建安. 活學活用 PDCA: 醫院持續質量改進 70 例. 北京: 光明日報出版社, 2014.
2. Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect, 2009, 73(4): 305-315.
3. 中華人民共和國衛生部. 三級綜合醫院評審標準及實施細則(2011 年版). (2011-12-23)[2014-01-01]. http://wsb.moh.gov.cn/ mohylfwjgs/s3577/201112/53721/_les/02b5187a195c42e0855e4e27445fc2f0.pdf.
4. 中華人民共和國衛生部. 醫務人員手衛生規范. 中華醫院感染學雜志, 2009, 19(12): Ⅰ-Ⅱ.
5. 黃瓊華. 院科兩級醫務人員手衛生依從性和正確率調查結果比較. 華西醫學, 2015, 30(4): 717-720.
6. 中華人民共和國衛生部. WS/T 313—2009 中華人民共和國衛生行業標準. 2009.
7. 田素芳. 醫務人員手衛生的行為干預與醫院感染的相關研究. 中華醫院感染學雜志, 2012, 22(13): 2888-2889.
8. 尚少梅, 王宜芝, 鄭修霞, 等. 促進護理人員洗手行為依從性的研究. 中華醫院感染學雜志, 2003, 13(6): 507-510.
9. 戴玉芳, 周健, 彭美玲, 等. 運用 PDCA 循環持續提高醫務人員手衛生依從性. 中國感染控制雜志, 2014, 13(10): 616-618.
10. 王麗霞, 占健. 醫護人員手衛生依從行為及其影響因素. 中國感染控制雜志, 2016, 15(4): 258-261.
11. 王玉芳, 劉艷清, 楊桂榮, 等. 手消毒劑支領量納入科室考核對手衛生效果的影響. 護士進修雜志, 2012, 27(20): 1838-1839.
12. 曾滔, 許寶華, 史俊林, 等. 2011 年宜昌市 37 所醫院執行手衛生現狀調查. 中國感染控制雜志, 2012, 11(6): 425-429.
13. 樂磊, 吳小英, 陳春. 品質管理圈在提高醫務人員手衛生依從性的實踐. 華西醫學, 2015, 30(2): 236-238.
14. 李六億, 姚希, 趙艷春, 等. 提高醫務人員手衛生依從率干預效果分析. 中華醫院感染學雜志, 2014, 24(10): 2569-2571.
15. 程莉莉, 楊洪艷, 臧彬, 等. 醫護人員手衛生干預措施的效果評價. 現代醫院管理, 2014, 12(5): 24-26.

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