摘要
目的研究硬件设施改造对新生儿重症监护室医院感染控制与运行效益的影响。方法对比分析新生儿重症监护室改造建筑布局和优化医用设备前后的环境类别、医院感染发病率、呼吸机相关肺炎发病率和血管导管相关血流感染发病率,以及出院例数、住院死亡率、出院者平均住院日、每住院人次费用、自费部分比例、药费比例、医用材料收入比例、医院感染控制直接费用比例和利润率情况。结果改造后,新生儿重症监护室环境类别由II类环境上升为I类环境,医院感染发病率降低,呼吸机相关肺炎发病率降低,血管导管相关血流感染发病率降低。出院例数增多,住院死亡率降低,出院患者平均住院日无变化,每住院人次费用增加,自费部分比例增加,药费比例和医用材料收入比例下降,医院感染控制直接费用比例增加,利润率升高。结论硬件设施改造能有效提高新生儿重症监护室医院感染控制质量,提升了科室运行效益。
Objective To study the impact of hardware facilities reconstruction on the hospital infection control and operation efficiency of the neonatal intensive care unit.Methods Comparative analysis of indicators before and after the reconstruction of the layout and optimization of medical equipment of neonatal intensive care unit was made,including the environmental categories,hospital infection incidence,ventilator-associated pneumonia incidence,and vascular catheter-related bloodstream infection incidence,as well as the number of discharge cases,hospital mortality,the average hospitalization days of discharged patients,the cost per person hospitalized,the proportion of self-financed portion,the proportion of medical expenses,the proportion of income of medical materials,the proportion of direct costs of hospital infection control and the profit rate.Results The environmental category of the neonatal intensive care unit increased from a Class II environment to a Class I environment.The incidence of hospital infections,the incidence of ventilator-associated pneumonia decreased,and the incidence of vascular catheter-related bloodstream infections all decreased.The number of discharge cases increased,and the hospital mortality rate decreased.The average hospital stay of discharged patients remained unchanged.The cost per hospitalization and the proportion of self-paid portion increased.The proportion of medical expenses and medical materials income decreased and the proportion of direct costs of hospital infection control increased.The profit margin was higher.Conclusion The reconstruction of hardware facilities can effectively improve the quality of hospital infection control in the neonatal intensive care unit and improve the operating efficiency of the department.
作者
田佳
杨丽萍
TIAN Jia;YANG Liping(The Office of Nosocomial Infection Control of Zhongnan Hospital of Wuhan University,Wuhan,430071,China)
出处
《中国社会医学杂志》
2020年第3期325-327,共3页
Chinese Journal of Social Medicine
基金
湖北省卫生计生委科研基金项目(WJ2018H0031)。
关键词
新生儿重症监护室
医院感染
运行效益
Neonatal intensive care unit
Hospital infection
The operating efficiency
