Application of FOCUS-PDCA program to reduce the incidence of ventilator-associated pneumonia in ICU patients (运用Focus-PDCA降低重症监护室患者呼吸机相关性肺炎发生率)
WANG Jing (王静),
CAO Zhuan (曹转),
YAN Ailing (闫爱玲),
FAN Xiaoyan (范小燕),
XU Yuanle (许远乐)
Affiliations
WANG Jing (王静)
Department of Critical Care Medicine, Northwest University First Hospital, Xi’an Shaanxi, 710043 (西北大学第一医院 重症医学科, 陕西 西安, 710043)
CAO Zhuan (曹转)
Department of Critical Care Medicine, Northwest University First Hospital, Xi’an Shaanxi, 710043 (西北大学第一医院 重症医学科, 陕西 西安, 710043)
YAN Ailing (闫爱玲)
Department of Critical Care Medicine, Northwest University First Hospital, Xi’an Shaanxi, 710043 (西北大学第一医院 重症医学科, 陕西 西安, 710043)
FAN Xiaoyan (范小燕)
Department of Critical Care Medicine, Northwest University First Hospital, Xi’an Shaanxi, 710043 (西北大学第一医院 重症医学科, 陕西 西安, 710043)
XU Yuanle (许远乐)
Central Sterile Supply Department, The Second Affiliated Hospital of Xi’an Medical University, Xi’an, Shaanxi, 710038 (西安医学院第二附属医院 消毒供应科, 陕西 西安, 710038)
Objective To investigate the effect of FOCUS-PDCA program to reduce the incidence of ventilator-associated pneumonia in ICU patients. Methods The incidence of ventilator-associated pneumonia in ICU patients during 2016 and 2018 were retrospectively analyzed. A FOCUS-PDCA project management team was established to improve the airway management of ICU patients with ventilation. Results A bundle of prevention measures and regulations had been established. The incidence of VAP in ICU patients was decreased form 4. 68‰ to 2. 28‰. Conclusion The Focus-PDCA program is effective to reduce the incidence of ventilator-associated pneumonia in ICU patients (目的 探讨Focus-PDCA管理程序降低重症监护室患者呼吸机相关肺炎的发生率的效果。方法 通过发现重症监护室2016年—2018年呼吸机相关肺炎的发生率逐年递增问题, 2019年及时组建专项管理小组, 利用Focus-PDCA管理工具进行改进。结果 规范重症监护室呼吸机相关性肺炎的预防措施, 呼吸机相关肺炎发生率从4. 68‰下降至2. 28‰。结论 重症医学科实施Focus-PDCA管理能有效降低患者呼吸机相关性肺炎的发生率。)
