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医院感染预防跨部门优化指标综述——基于结构和流程导向卫生学的视角

Review of indicators for cross-sectoral optimization of nosocomial infection prophylaxis - a perspective from structurally- and process-oriented hygiene.

作者信息

Hübner Nils-Olaf, Fleßa Steffen, Jakisch Ralf, Assadian Ojan, Kramer Axel

机构信息

Robert Koch-Institute Berlin, Germany.

出版信息

GMS Krankenhhyg Interdiszip. 2012;7(1):Doc15. doi: 10.3205/dgkh000199. Epub 2012 Apr 4.

DOI:10.3205/dgkh000199
PMID:22558049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3334955/
Abstract

In the care of patients, the prevention of nosocomial infections is crucial. For it to be successful, cross-sectoral, interface-oriented hygiene quality management is necessary. The goal is to apply the HACCP (Hazard Assessment and Critical Control Points) concept to hospital hygiene, in order to create a multi-dimensional hygiene control system based on hygiene indicators that will overcome the limitations of a procedurally non-integrated and non-cross-sectoral view of hygiene. Three critical risk dimensions can be identified for the implementation of three-dimensional quality control of hygiene in clinical routine: the constitution of the person concerned, the surrounding physical structures and technical equipment, and the medical procedures. In these dimensions, the establishment of indicators and threshold values enables a comprehensive assessment of hygiene quality. Thus, the cross-sectoral evaluation of the quality of structure, processes and results is decisive for the success of integrated infection prophylaxis.This study lays the foundation for hygiene indicator requirements and develops initial concepts for evaluating quality management in hygiene.

摘要

在患者护理中，预防医院感染至关重要。要取得成功，跨部门、面向接口的卫生质量管理必不可少。目标是将HACCP（危害评估与关键控制点）概念应用于医院卫生，以便基于卫生指标创建一个多维卫生控制系统，该系统将克服卫生程序上非整合且非跨部门观点的局限性。在临床常规中实施卫生三维质量控制可确定三个关键风险维度：相关人员的体质、周围的物理结构和技术设备以及医疗程序。在这些维度中，指标和阈值的建立能够对卫生质量进行全面评估。因此，对结构、过程和结果质量的跨部门评估对于综合感染预防的成功至关重要。本研究为卫生指标要求奠定了基础，并为评估卫生质量管理制定了初步概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/a8eb8e925226/KHI-07-15-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/f5186af68685/KHI-07-15-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/14c8f575d3cb/KHI-07-15-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/318c249f1f70/KHI-07-15-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/3369840c5444/KHI-07-15-t-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/242c8c4e43e6/KHI-07-15-t-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/a8eb8e925226/KHI-07-15-g-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/f5186af68685/KHI-07-15-t-001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/14c8f575d3cb/KHI-07-15-t-002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/318c249f1f70/KHI-07-15-t-003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/3369840c5444/KHI-07-15-t-004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/242c8c4e43e6/KHI-07-15-t-005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc05/3334955/a8eb8e925226/KHI-07-15-g-001.jpg

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