利用监测数据减少医疗相关感染：瑞典的一项定性研究
Using surveillance data to reduce healthcare-associated infection: a qualitative study in Sweden.
作者信息
Ridelberg Mikaela, Nilsen Per
机构信息
Department of Medical and Health Sciences, Division of Health Care Analysis, Linkoping University, Linköping, Sweden.
出版信息
J Infect Prev. 2015 Sep;16(5):208-214. doi: 10.1177/1757177415588380. Epub 2015 Jun 4.
INTRODUCTION
Healthcare-associated infection (HAI) surveillance data can be used to estimate the scope, spread and location of infections, monitor trends, evaluate preventive efforts, and improve practices, policy and facility planning. In Sweden, national point prevalence surveys (PPS) have been conducted twice yearly in all county councils since 2008.
AIM
The aim of this study was to identify key obstacles concerning the HAI surveillance process.
METHODS
Twenty-two infection control practitioners (ICPs) from all county councils in Sweden were interviewed, using semi-structured interview guides. Data were analysed using qualitative content analysis.
RESULTS
Sixteen types of obstacles pertaining to four surveillance stages were identified. Most obstacles were associated with the first two stages, which meant that the latter stages of this process, i.e. the use of the results to reduce HAI, were underdeveloped. The ICPs observed scepticism towards both the PPS methodology itself and the quality of the HAI data collected in the PPS, which hinders HAI surveillance realising its full potential in Swedish healthcare.
引言
医疗保健相关感染（HAI）监测数据可用于估计感染的范围、传播和地点，监测趋势，评估预防措施，并改进实践、政策和设施规划。自2008年以来，瑞典所有郡议会每年进行两次全国性的现患率调查（PPS）。
目的
本研究的目的是确定医疗保健相关感染监测过程中的关键障碍。
方法
使用半结构化访谈指南，对瑞典所有郡议会的22名感染控制从业人员（ICP）进行了访谈。采用定性内容分析法对数据进行分析。
结果
确定了与四个监测阶段相关的16种障碍类型。大多数障碍与前两个阶段相关，这意味着该过程的后两个阶段，即利用结果减少医疗保健相关感染的阶段，发展不足。感染控制从业人员对现患率调查方法本身以及现患率调查中收集的医疗保健相关感染数据的质量都持怀疑态度，这阻碍了医疗保健相关感染监测在瑞典医疗保健中充分发挥其潜力。
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