The impact of weekly data feedback and full-time supervision on nosocomial infection control

doi:10.3877/cma.j.issn.2096-1537.2018.04.006

Abstract

Abstract:

Objective

To investigate the impact of weekly data feedback and full-time supervision on nosocomial infection control.

Methods

A retrospective study was conducted to analyze the incidence of nosocomial infection in our ICU and the rate of missing report from January, 2014 to December, 2016. A weekly nosocomial infection data feedback included: publicity of nosocomial infection data of each beds from each doctor in charge, i.e. incidence of nosocomial infection, nosocomial pathogens, multidrug-resistant bacteria, reporting of infection, isolation and notification of nosocomial infection. Daily full-time supervision included: hand hygiene of all medical staff, aseptic medical procedures, coordination and supervision of auxiliary person (guards, caregivers, cleaners), daily disinfection of equipments, environment in the unit.

Results

The nosocomial infection rate before and after the implementation of weekly data feedback were 9.90% (199/2019) and 5.50% (124/2239) respectively, with a statistically significant difference (χ²=28.239, P<0.001). The nosocomial infection rate before and after the implementation of full-time supervision were 8.40% (83/993) and 3.30% (41/1246) respectively, with a statistically significant difference (χ²=27.131, P<0.001). The rate of missing report for nosocomial infection decreased to 0 after the implementation of weekly data feedback and full-time supervision (Z=-4.538, P=0.00).

Conclusion

Weekly data feedback may reduce nosocomial infection rate. Full-time supervision may further reduce the nosocomial infection rate. Weekly data feedback weekly and full-time supervision may improve the compliance of nosocomial infection control and quality of management.

Key words: Data feedback, Nosocomial infection, Nosocomial infection management, Nosocomial infection supervision

Qingchun Yao, Lihui Zhang, Hua Xu, Anman Gu, Yuping Wang, Mei Meng, Hongsheng Ren, Jicheng Zhang, Chunting Wang. The impact of weekly data feedback and full-time supervision on nosocomial infection control[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2018, 04(04): 323-328.

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References 35

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反馈前		医院感染率（%）	住院人数	患者危险等级评分	反馈后		医院感染率（%）	住院人数	患者危险等级评分
2014年		?	?	?	2015年		?	?	?
?	1月	12.86	141	3.33	?	7月	8.80	127	3.62
?	2月	10.98	65	3.69	?	8月	8.62	120	3.28
?	3月	13.46	102	3.59	?	9月	8.50	107	3.31
?	4月	6.19	111	3.48	?	10月	12.00	107	3.76
?	5月	7.08	114	3.59	?	11月	8.82	102	3.51
?	6月	12.00	73	3.51	?	12月	6.99	136	3.85
?	7月	2.31	114	3.44	2016年		?	?	?
?	8月	7.08	109	3.52	?	1月	5.22	65	3.14
?	9月	8.79	95	3.51	?	2月	13.50	85	3.48
?	10月	8.33	95	3.80	?	3月	5.56	144	3.47
?	11月	14.61	88	3.36	?	4月	1.24	161	3.54
?	12月	14.29	182	3.68	?	5月	6.34	136	3.30
2015年		?	?	?	?	6月	3.82	133	3.46
?	1月	10.80	100	3.28	?	7月	4.90	148	3.49
?	2月	17.80	76	3.20	?	8月	3.33	113	3.31
?	3月	7.60	120	3.30	?	9月	5.47	125	3.48
?	4月	3.70	133	3.66	?	10月	4.17	119	3.52
?	5月	12.30	149	3.49	?	11月	3.25	165	3.61
?	6月	8.33	152	3.64	?	12月	0.00	145	3.45
反馈前均数		9.90	112.16±30.34	3.50±0.16	反馈后均数		5.50^a	124.33±25.51^b	3.47±0.17^c

反馈前		医院感染率（%）	住院人数	患者危险等级评分	反馈后		医院感染率（%）	住院人数	患者危险等级评分
2014年		?	?	?	2015年		?	?	?
?	1月	12.86	141	3.33	?	7月	8.80	127	3.62
?	2月	10.98	65	3.69	?	8月	8.62	120	3.28
?	3月	13.46	102	3.59	?	9月	8.50	107	3.31
?	4月	6.19	111	3.48	?	10月	12.00	107	3.76
?	5月	7.08	114	3.59	?	11月	8.82	102	3.51
?	6月	12.00	73	3.51	?	12月	6.99	136	3.85
?	7月	2.31	114	3.44	2016年		?	?	?
?	8月	7.08	109	3.52	?	1月	5.22	65	3.14
?	9月	8.79	95	3.51	?	2月	13.50	85	3.48
?	10月	8.33	95	3.80	?	3月	5.56	144	3.47
?	11月	14.61	88	3.36	?	4月	1.24	161	3.54
?	12月	14.29	182	3.68	?	5月	6.34	136	3.30
2015年		?	?	?	?	6月	3.82	133	3.46
?	1月	10.80	100	3.28	?	7月	4.90	148	3.49
?	2月	17.80	76	3.20	?	8月	3.33	113	3.31
?	3月	7.60	120	3.30	?	9月	5.47	125	3.48
?	4月	3.70	133	3.66	?	10月	4.17	119	3.52
?	5月	12.30	149	3.49	?	11月	3.25	165	3.61
?	6月	8.33	152	3.64	?	12月	0.00	145	3.45
反馈前均数		9.90	112.16±30.34	3.50±0.16	反馈后均数		5.50^a	124.33±25.51^b	3.47±0.17^c

反馈前		漏报率（%）	反馈后		漏报率（%）
2014年		?	2015年		?
?	1月	0	?	7月	0
?	2月	11.11	?	8月	0
?	3月	7.14	?	9月	0
?	4月	0	?	10月	0
?	5月	62.50	?	11月	0
?	6月	11.11	?	12月	0
?	7月	33.33	2016年		?
?	8月	36.56	?	1月	0
?	9月	12.50	?	2月	0
?	10月	37.50	?	3月	0
?	11月	46.15	?	4月	0
?	12月	26.67	?	5月	0
2015年		?	?	6月	0
?	1月	18.00	?	7月	0
?	2月	10.00	?	8月	0
?	3月	0	?	9月	0
?	4月	20.00	?	10月	0
?	5月	0	?	11月	0
?	6月	10.00	?	12月	0
秩均值		25.50	秩均值		11.50^a

反馈前		漏报率（%）	反馈后		漏报率（%）
2014年		?	2015年		?
?	1月	0	?	7月	0
?	2月	11.11	?	8月	0
?	3月	7.14	?	9月	0
?	4月	0	?	10月	0
?	5月	62.50	?	11月	0
?	6月	11.11	?	12月	0
?	7月	33.33	2016年		?
?	8月	36.56	?	1月	0
?	9月	12.50	?	2月	0
?	10月	37.50	?	3月	0
?	11月	46.15	?	4月	0
?	12月	26.67	?	5月	0
2015年		?	?	6月	0
?	1月	18.00	?	7月	0
?	2月	10.00	?	8月	0
?	3月	0	?	9月	0
?	4月	20.00	?	10月	0
?	5月	0	?	11月	0
?	6月	10.00	?	12月	0
秩均值		25.50	秩均值		11.50^a

监管前		医院感染率（%）	监管后		医院感染率（%）
2015年		?	2016年		?
?	7月	8.80	?	4月	1.24
?	8月	8.62	?	5月	6.34
?	9月	8.50	?	6月	3.82
?	10月	12.00	?	7月	4.90
?	11月	8.82	?	8月	3.33
?	12月	6.99	?	9月	5.47
2016年		?	?	10月	4.17
?	1月	5.22	?	11月	3.25
?	2月	13.50	?	12月	0.00
?	3月	5.56	?	?	?
均数		8.40	均数		3.30^a

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