Evaluation Research Of Quality Control Circle In VAP Control

BackgroundRespirator-associated pneumonia,which is one of the nosocomial infections,is a serious complication of hospitalized patients in the intensive care unit(ICU).Research at home and abroad has confirmed that it is very harmful,and it brings a great extra burden to both patients and hospitals.In the first half of 2018,the target hospital introduced a combined care model to prevent VAP in the ICU,but the infection still occurred.Based on the root cause analysis,the quality control circle activity based on tracking methodology has been introduced into mainland China for many years and has its own advantages.Studies have shown that the application of quality control circle activities in the hospital management process can achieve significant results,while the current research also has shortcomings.PurposesAnalyze the status quo,describe the problems in the prevention and control of VAP in the target hospital ICU ward;study the causes of each major problem,formulate countermeasures and implement them;evaluate the improvement effect.Research Object and MethodThe study subjects were patients who were hospitalized in the ICU(stomach tube,artificial airway)and related medical personnel before and after the QRC activities.The quality control circle activities were carried out in two ICU wards,and a total of 244 inpatients were investigated,including 124 in the experimental group and 120 in the control group.Two IUC wards were randomly divided into experimental group and control group,and 50 medical staff were randomly assigned to two wards according to random number method.Regular medical education was carried out for the medical staff in the control group,and the medical staff of the experimental group worked in the quality control circle activities.The infection status of VAP in the two groups and the implementation of each operation link of the two groups of medical staff were compared and analyzed.Research ResultThere were no significant differences in gender,mean age,disease type,apacha score,length of hospital stay,and type of disease between the two groups.There was no significant difference in age,length of service,education,and professional title between the two groups of medical staff.After the implementation of the quality control circle activities,the correct rate of receiving isolation and isolation of the experimental group was 88.89%,which was significantly higher than that of the control group(68.25%).The correct rate of the isolation marker setting in the experimental group was 80%,which was significantly higher than that of the control group(68.25%).The correct rate of stethoscope in the experimental group was 82.22%,which was significantly higher than that in the control group(65.08%).The correct rate of raising the bedside in the experimental group was 77.78%,which was significantly higher than that in the control group(66.67%).In addition,sampling and monitoring of multi-site multi-bacteria showed that the multi-resistant bacteria in the experimental group were significantly less than the control group.It can be seen that the multi-resistant bacteria isolation of the experimental group has been improved through this quality control circle activity.After the quality control circle activities,the probability of nurses using the mouthwash for the experimental group was 80.6%,which was significantly higher than 76.7%of the control group.The number of plaques in the experimental group was 2.00±0.47,which was significantly lower than that in the control group(2.41 ±0.59).It is indicated that the quality control circle activity significantly improved the oral care process and results of the experimental group.After the implementation of the quality control circle activities,the correct rate of hand washing for the medical staff in the experimental group was 91%,and the number of daily hand washing was 56.34± 12.54 times,which was significantly higher than the correct hand washing rate of 59%in the control group and the number of daily hand washings of 28.54±8.43 times.Significant.It can be seen that the hand hygiene of the medical staff in the experimental group has been improved through this quality control circle activity.In addition,statistical analysis,application of quality control circle activities can significantly reduce the patient's mechanical ventilation time,total ICU retention time and the occurrence of VAP The rate(RR=0.286)improved patient satisfaction and also had a certain significance in health economics.The knowledge level of the medical staff and the personal ability of the quality control circle were also significantly improved after the quality control circle activities.Conclusions and RecommendationsConducting quality control circle activities in the ICU can achieve significant VAP prevention and control effects,improve the ability of medical personnel to prevent and control VAP and patient family satisfaction,and have certain economic benefits.It can be promoted and applied in future work.The hospital can promote the application of quality control circle activities in future work.To speed up device updates and introduce new technologies.Strengthen education and training,multi-department linkage,and optimize system construction.