英格兰全国重症监护感染质量改进计划：利益相关者优先事项和偏好调查
A national Infection in Critical Care Quality Improvement Programme for England: A survey of stakeholder priorities and preferences.
出版信息
J Intensive Care Soc. 2016 Feb;17(1):27-37. doi: 10.1177/1751143715598791. Epub 2016 Feb 1.
INTRODUCTION
Severe infection is one of the most common causes of critical illness. Healthcare-associated infections complicating critical illness bring the additional challenge of multidrug resistance. However, England lacks a national surveillance system for infections in intensive care units. Prior experience with surveillance systems suggests that they are most effective when placed within a collaborative quality improvement framework.
METHOD
A national survey of adult, paediatric and neonatal intensive care doctors, nurses, microbiologists and infection control practitioners was undertaken throughout the UK to determine stakeholder engagement.
RESULTS
Of 763 respondents (80% ICU physicians; 8% nurses) from 158 hospital Trusts across the UK, 721 (94.4%) supported establishing a surveillance system; 63.5% preferred that data collection be mandatory; 47.5% considered that the work should be undertaken within existing resources. Respondents prioritised catheter-associated and multidrug resistant infections. Free-text responses demonstrated strong support for using the data for epidemiological information and benchmarking for quality improvement.
DISCUSSION
The survey provides a satisfactory foundation for establishing a national surveillance system for infection prevention and control in critical care in England.
引言
严重感染是危重病最常见的病因之一。与医疗保健相关的感染使危重病病情复杂化，带来了多重耐药性这一额外挑战。然而，英国缺乏针对重症监护病房感染的全国监测系统。以往监测系统的经验表明，当置于协作性质量改进框架内时，它们最为有效。
方法
在英国全国范围内对成人、儿科和新生儿重症监护医生、护士、微生物学家和感染控制从业者进行了一项调查，以确定利益相关者的参与度。
结果
来自英国158家医院信托机构的763名受访者（80%为重症监护病房医生；8%为护士）中，721人（94.4%）支持建立监测系统；63.5%的人倾向于强制收集数据；47.5%的人认为这项工作应在现有资源范围内开展。受访者将导管相关感染和多重耐药感染列为优先事项。自由文本回复表明，强烈支持将这些数据用于流行病学信息和质量改进的基准设定。
讨论
该调查为在英国建立重症监护中感染预防与控制的全国监测系统提供了令人满意的基础。
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