Rath A, Sack A, Knaut S, Daschner F, Rüden H, Gastmeier P
Institut für Hygiene, Freien Universität Berlin.
Zentralbl Chir. 2001 Sep;126(9):686-90. doi: 10.1055/s-2001-18243.
A successful introduction of surveillance of NI and quality circles for prevention of infection was achieved in hospital A. The major requirements therefore are according to our experiences determination of the topics of the quality circles by the participants themselves, interest and engagement for the work of the quality circles and the realization of ideas, support by the hospitals' management, acceptance of this work by the wards, continuous evaluation of the work of the quality circle. Often the most important problem was not identification of weaknesses and creating of possible solutions, but putting the ideas into practice on the wards. This was the case for problems in the field of care as well as in the responsibility of physicians. Altogether a significant 42% reduction of nosocomial infections was achieved.
医院A成功引入了医院感染监测和质量改进小组以预防感染。因此，根据我们的经验，主要要求包括由参与者自行确定质量改进小组的主题、对质量改进小组工作的兴趣和参与度以及想法的落实、医院管理层的支持、各病房对这项工作的认可、对质量改进小组工作的持续评估。通常，最重要的问题不是识别薄弱环节并制定可能的解决方案，而是在病房中将想法付诸实践。护理领域以及医生职责方面的问题都是如此。总体而言，医院感染显著减少了42%。
