Abstract
Objective: Effective isolation management of multiple drug resistant organism (MDRO) patients is considered an important measure to prevent cross-infection. To reduce the spread of MDRO, there is a need to improve the correct implementation of isolation measures for intensive care unit (ICU) medical personnel. We will investigate the application of quality control circle (QCC) activities in improving the correct implementation rate of isolation measures for patients with MDRO in ICU medical personnel. Methods: A 10-member QCC activity group was established. All of the ICU medical personnel were taken as the research objects, including doctors, nurses, assistant nurses, rotation training personnel, external ICU consultants and cleaning personnel. The correct implementation of isolation measures for patients with MDRO infection were investigated and studied, which identified the problem areas and analyzed the main reasons. The quality improvement countermeasures were formulated and implemented in ICU medical personnel, while the results were compared with before and after the QCC activities. Results: After QCC activities, the correct implementation rate of isolation measures by ICU medical personnel for patients with MDRO infection increased from 57.7% to 82.4%. The incidence of MDRO infection in ICU patients decreased from 9.64% to 3.77%, with statistically significant differences (P < 0.05). Conclusion: The QCC activities improved the correct implementation rate of MDRO isolation measures by ICU medical personnel, standardizing the isolation management of MDRO patients, while the incidence of MDRO in ICU patients was also effectively reduced.
Highlights
Multiple drug resistant organism (MDRO) refers to bacteria that are resistant to three or more antimicrobial agents used in clinical practice, which have become an important pathogen of nosocomial infections [1, 2]
The Quality Control Circle (QCC) is a quality management group, which is composed of staff from the same or similar or complementary workplaces who automatically form an organizational group with several people in one circle, maintain cooperation, brainpower, and solve quality management problems by applying seven techniques of Quality management according to certain activity procedures [6]
The results showed that the medical staff in the intensive care unit (ICU) of MDRO isolation measures witting rate was 80.56%, and the corresponding measures were enforced only 69.44%, which was far from the requirements of the guidelines
Summary
Multiple drug resistant organism (MDRO) refers to bacteria that are resistant to three or more antimicrobial agents used in clinical practice, which have become an important pathogen of nosocomial infections [1, 2]. Effective isolation management of MDRO patients is considered an important measure to prevent cross-infection and reduce the incidence of MDRO [4]. To prevent and control the hospital-based prevalence and outbreak of MDRO, the ICU medical personnel in isolation for MDRO infection prevention needs to strictly follow the “Technical Guidelines for the Prevention and Control of MDRO Infections” [5]. Those regulations are not strictly enforced by ICU medical personnel in the implementation of the MDRO preventive isolation measures with poor compliance or other phenomena. QCC activities have been widely carried out and applied in nursing work, effectively promoting the continuous improvement of nursing quality and patient
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