Summary is a written material that reviews, analyzes and objectively evaluates the work, study or thoughts of the past period. The following is my summary essay about Hospital Infection Month. Let's have a look!

Chapter 1: Summary of Hospital Infection Month: With the correct leadership of hospital leaders and the strong support of all departments in the hospital, the hospital infection management has been strengthened, ensuring the smooth development of all work in the hospital infection department, but there are still some problems that need to be solved and improved. Hospital infection management is summarized as follows:

First, strengthen the control of hospital sensory quality, especially the management and supervision of key departments and key links.

1. Every month, according to the hospital infection inspection standard, conduct irregular inspection and supervision on all departments in the hospital, especially key departments such as supply room, operating room, delivery room, abortion room and clinical laboratory, and provide timely written feedback when problems and hidden dangers of hospital infection are found. Department to find out the reason, formulate corrective measures and then return to the hospital infection department. Hospital infection department tracks and checks the improvement effect according to the rectification measures.

2, strengthen the supervision and inspection of key links, focusing on the implementation of hand hygiene standards, disinfection and isolation system, aseptic technology operating norms and medical waste management norms, found that they are not implemented, timely feedback and stop. Reduce the probability of cross-infection and nosocomial infection.

3. Conduct 1 month comprehensive supervision and inspection on all clinical departments, medical technology, outpatient departments and property cleaning, check the implementation of disinfection and isolation, aseptic technology, medical waste management, hand hygiene, hospital infection control management, hospital infection knowledge learning and assessment in all departments, give timely feedback when problems and hidden dangers are found, put forward rectification opinions, and track and check the rectification effect.

Second, strengthen the monitoring of hospital infection

1, the prevalence rate of nosocomial infection in our hospital is zero.

2. We monitored and summarized the surgical incision in the first half of 20xx. In the first half of 20xx, the infection rate of cesarean section incision in our hospital was 0, which indicated that the control of surgical incision infection in our hospital was effective.

3, statistics, analysis of the use rate of antibiotics in each department twice, and print the analysis report issued by the department, put forward opinions and suggestions.

4, retrospective investigation of all hospital medical records of hospital infection, and timely inspection.

In order to find the problems and clues of hospital infection in time and take countermeasures in time, all surgical cases should be targeted for detection of surgical incision. * * * More than 6,000 cases were investigated, and the incidence of nosocomial infection in our hospital was 65,438 0.8%, which was lower than last year.

5, environmental hygiene monitoring and biological monitoring, every month for key departments, every quarter for non-key departments of air, surface, disinfectant, staff hands and other environmental sampling monitoring of bacterial growth and disinfection effect monitoring, monthly summary. Biological monitoring of pressure steam sterilization is carried out every week, pre-vacuum test is carried out every day, physical and chemical test is carried out on each tank, and monitoring results are recorded. The qualified rates of sterilization effect monitoring, biological monitoring, air bacterial culture, surface bacterial culture, medical staff hand bacterial culture and disinfectant contamination were 65438 000%, 65438 000%, 99.6% and 95.6% respectively.

Third, strengthen the management of medical waste.

Focus on strengthening the daily supervision of hospital medical waste and sewage treatment, requiring strict implementation of laws, regulations and rules, strict separation of medical waste from domestic waste, classified collection of medical waste in the production department, double packaging, clear and dense identification.

When the transportation is closed, the medical waste will be stored in the temporary storage place for no more than 48 hours. Timely feedback and rectification when problems are found to ensure the timeliness and effectiveness of medical waste management.

Fourth, strengthen the study and training of hospital infection prevention and control knowledge.

According to the requirements of hospital induction training and the plan made at the beginning of the year, organize all the staff to carry out it? The importance of hospital infection control? 、? Ebola prevention and control? , "Interpretation of Disinfection Technical Specification 20 12 Edition", "Training of Hospital Awareness Knowledge for Grass-roots Staff" and other hospital awareness prevention and control knowledge trainings * * * 4 times, and examinations were conducted to conduct pre-job training and assessment of hospital awareness knowledge for new medical staff. Each department learns hospital sensory knowledge once a month, takes an exam once a quarter, and the hospital sensory department supervises the implementation every month. It not only increases knowledge, but also improves medical staff's understanding of the importance of hospital infection prevention and control, and improves compliance.

Problems in intransitive verbs

1, the compliance of medical staff in hospitals to implement hand hygiene standards is still not high, and the implementation of hand hygiene system in various departments is generally ineffective, which has hidden dangers of cross-infection in hospitals.

2. Some medical personnel and property personnel lack the concept of sterility, and the disinfection and isolation system and aseptic technology are not strictly implemented. Property personnel have low education level, poor compliance in learning and implementing disinfection and isolation, and there are potential safety hazards of cross-infection.

3. Clinical departments pay insufficient attention to the diagnosis and report of nosocomial infection, and there is a phenomenon of omission. The annual omission rate was 33.3%, which was higher than the standard of no more than 20%.

4. The full-time staff in our hospital have not obtained the certificate of approval, and the full-time staff and part-time staff in our hospital lack the training of relevant knowledge and technology, so it is difficult to carry out some targeted monitoring and hospital control projects.

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Chapter 2: Summary of Hospital Infection Month. With the care and attention of hospital leaders and the cooperation of hospital medical staff, a lot of work has been done in hospital infection control. From organization and implementation to strict management system and necessary clinical monitoring, various measures have been taken to make the hospital infection management in our hospital standardized, institutionalized and scientific step by step and control the hospital infection at a low level. In order to further improve the management of hospital infection in the future, the hospital infection control work in our hospital is summarized as follows:

First, strengthen organizational leadership to ensure the smooth development of hospital infection management. Under the personal leadership of the hospital leaders, do a good job in daily work, regularly and irregularly supervise and inspect the infection control work of various hospitals, and collect and count the relevant data of the hospital. Due to the implementation of the work at different levels, the smooth development of hospital infection management in our hospital was ensured.

Second, continue to carry out disinfectors, environmental sanitation, disinfection and sterilization effect and hand hygiene, chemical disinfectants and biological monitoring of disinfectants; Biological monitoring of the pressure cooker in the whole hospital, summarizing and analyzing the reasons in time, and reporting to clinical departments, medical education departments, nursing departments and hospital infection committees. Discover medical hidden dangers in time to prevent the outbreak of hospital infection.

Third, focus on monitoring multi-drug resistant bacteria to prevent nosocomial transmission.

Monitoring methicillin-resistant Staphylococcus aureus, Klebsiella pneumoniae producing extended-spectrum β-lactamases, Escherichia coli producing extended-spectrum β -lactamases and pan-resistant Acinetobacter baumannii. And found that multi-drug resistant bacteria or carry cases to urge clinical departments to implement isolation measures.

Summary of nosocomial infection work

Regularly check the implementation of isolation measures to effectively prevent the spread of multi-drug resistant bacteria in hospitals. The bacteria isolated from the hospital and their drug resistance were counted every six months to provide early warning reports for the clinical application of antibacterial drugs. The statistical results and early warning report were published in Hospital Sensory Newsletter, which provided a basis for clinicians to use antibiotics rationally.

Four, to carry out targeted monitoring, timely detection of hospital infection, to prevent the prevalence and outbreak of hospital infection.

In the first half of the year, the target monitoring of surgical cholecystectomy, bile duct surgery, appendicitis surgery, obstetrics and gynecology uterus and accessories surgery incision was carried out; In the second half of the year, hernia repair and targeted monitoring of obstetric cesarean section incision were carried out in two departments.

Fifth, the cross-sectional survey of inpatients in this hospital was completed, and the utilization rate of antibiotics, the incidence of nosocomial infection, the rate of specimens submitted for treatment and the situation of treatment+preventive medication were further understood, which provided a strong basis for the rational use of antibiotics in this hospital. Obtained the advanced unit of national cross-sectional survey of nosocomial infection in 20 12 years.

Six, strengthen the disinfection management of supply room equipment

Insist on separating unsterilized and sterilized items. During pressure steam sterilization, self-monitoring should be carried out by using indicator tape outside the package and indicator card inside the package, and biological monitoring should be carried out by using pressure cooker every week to ensure the quality of disinfection and sterilization. Bending plate, laminated tape, etc. Cleaning and disinfection should be carried out in the supply room, and centralized disinfection supply should be achieved as far as possible to ensure the quality of cleaning and disinfection.

Seven, continue to pay special attention to the disinfection and isolation of clinical departments, infection control.

In accordance with the Measures for the Administration of Hospital Infection and the Measures for the Administration of Disinfection, strengthen the disinfection and isolation of clinical departments, monitor the infection once a month, and handle problems in time when found, especially in gastroscope room, operating room, supply room and other departments.

In the sampling and monitoring of disinfectants throughout the year, the preparation and replacement time of disinfectants basically meet the requirements.

Eight, strengthen the management of disposable supplies and medical waste.

If disposable articles are used throughout the year, the disposable articles used shall be disposed of in strict accordance with medical waste. Standardize the management of medical waste, cancel the soaking of medical waste, avoid secondary pollution to the environment, require the destruction, storage and disposal of medical waste, and make handover registration. Avoid the phenomenon that disposable medical supplies are reused and flow into the society; Medical waste is collected by a staff member, which reduces the accidental injury to medical staff and pedestrians during the transportation of medical waste and reduces the probability of hospital infection.

Nine, strengthen the study and training of hospital knowledge, take a variety of ways, to the superior medical institutions, invite superior experts and our own teaching. Improve the management ability of infection management department and the knowledge and awareness of hospital staff on hospital infection prevention and control.

1, full-time hospital sensory staff participated in sensory learning training in provincial and state hospitals for 3 times, organized the heads of key hospital departments to participate in sensory learning in California hospitals for 2 times, *** 14 person-times, and received comrades from hospital infection management department of Fuquan Traditional Chinese Medicine Hospital and Fuquan Third People's Hospital to visit and study, and everyone exchanged and learned from each other, achieving the goal of * * progress and * * improvement.

2. Hire provincial hospital infection experts and full-time staff of our hospital to conduct the second ***2 14 person-time hospital infection related knowledge training and 182 person-time hospital infection knowledge assessment;

3. Under the arrangement of Fuquan Health, US Food and Drug Administration and Fuquan Medical Association, the continuing medical education and training of health technicians in Fuquan City was examined for 7 periods with 945 person-times.

4. 56 times of hospital infection training and hospital infection knowledge assessment were conducted for new employees;

5. Conduct 50 times of hospital infection training for interns.

Ten, cooperate with the hospital planning and setting up the layout, process and transformation of hospital infectious diseases department; Cooperate with the hospital to put forward reasonable suggestions on the process and facilities of disinfection supply room.

XI。 Cooperate with the hospital to relocate the inpatient building of surgical system and internal medicine system, do a good job in environmental health monitoring and paste relevant signs;

12. Monitor the intensity of ultraviolet lamps in the whole hospital, and replace them in time if they are unqualified to ensure the disinfection effect. Avoid hospital infection.

Thirteen, actively complete other tasks assigned by the hospital.

In the hospital infection control work throughout the year, due to the great attention of hospital leaders and the active cooperation of various departments, the work was carried out smoothly and achieved good results. Next year, according to the relevant norms, regulations and work plans of hospital infection control, we should constantly sum up experience, learn with an open mind and be down-to-earth, and do a better job in hospital infection control.

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Chapter III: Summary of Hospital Infection Month Work Under the leadership of the hospital leaders and the infection management committee, our department has formulated the corresponding hospital infection control scheme, organized its implementation, monitored the effect in time, and revised the measures in time to control the incidence of hospital infection in a better range and prevent the outbreak of hospital infection. The main work this year is summarized as follows:

First, improve the management system and give full play to the role of the system.

1. In order to further strengthen hospital infection management, clarify responsibilities and implement tasks, the hospital infection management committee and the clinical department infection monitoring team were readjusted and enriched in August this year, and the three-level network management system was improved. At work, when there is a need for multi-department coordination, report to the competent leader in time to solve the problem.

2. 165438+ 10, with the initiative of the infection management committee and the support of hospital leaders, the hospital infection management department joined the medical quality inspector in our hospital and formulated severe reward and punishment measures.

Second, the hospital infection monitoring

Our department is responsible for monitoring the incidence of nosocomial infection in the whole hospital, regularly monitoring the environmental sanitation and disinfection and sterilization effect of the hospital, summarizing and analyzing the monitoring results in time, finding out the risk factors of nosocomial infection and looking for effective prevention and control methods. Through surveillance? Control? Monitoring can ultimately reduce and control the occurrence of hospital infection and improve the quality of medical care.

Third, training management mechanism.

According to the characteristics of hospital specialties, the corresponding management measures can not only manage the patient's process, but also continuously train the bed management doctors. This work has achieved the expected results, which can find hospital infection cases in time and prevent the outbreak of hospital infection.

(1) To investigate the infection rate of 175 1 aseptic incision in our hospital. Three cases were infected, and the infection rate was 0. 15%. Meet the requirements of the Ministry of Health? 0.5% requirement

3. Environmental monitoring

There is a special notebook in the operating room ward, and the monthly sampling results are recorded. The coincidence rate of environmental monitoring in the whole year was 97. %. Re-monitor the unqualified aspects after disinfection.

(2) For the first time, the sampling method of laminar air in the operating room adopted the specific sampling requirements in Technical Specification for Building of Clean Operating Department of People's Republic of China (PRC) National Standard Hospital, and the sampling results all met the requirements.

4, disinfection and sterilization monitoring

1). Monitor the effect of disinfection room every month, do B-D test every day, and do biological monitoring according to the requirements of national disinfection standards every month.

2). In June, the ultraviolet lamp in use was monitored. In the first half of the year, a total of 10 lamps were monitored, and 10 lamps were qualified, with a qualified rate of 99%. right

3) Disinfectants and disposable medical instruments and supplies used in our hospital are recorded.

5, antibiotic use survey

Monitor antibacterial drugs every month, within the scope of reasonable use.

Fourth, the monitoring of management quality.

1). To contribute to the final implementation that the medical wastes generated by various departments in the hospital are collected by full-time personnel in the infection department, and to complete the necessary laws and regulations and personal protection training for full-time personnel. Make the management process of medical waste more realistic and reduce

Pollution and the chance of medical personnel being injured.

2) Redesign the medical waste recycling register, which is beneficial to recycling and archiving.

Six, key departments, key parts of hospital infection management

1. Spot check the infection management of key departments every quarter, find problems, actively communicate with the department director or head nurse and supervise the improvement.

Seven, multi-channel training, improve the hospital awareness of medical staff.

1. New employee training: 13 new employees were trained and assessed on hospital infection and medical waste management knowledge, and the qualified rate was 100%. The newly admitted interns and nurses were trained in hospital infection knowledge, so that they had a preliminary understanding of the general situation of hospital infection;

2. Take various forms of infection knowledge training, organically combine centralized training with morning meeting department training, increase clinical medical staff's knowledge of hospital infection and improve hospital awareness.

Planning and organizing once in March and September? Knowledge of infection and disinfection and isolation? Courseware training. The theme of the activity is:? Infection prevention and control, hand? Bear the brunt? . Through training activities, people realize that hand washing is the most effective, simple and economical way to prevent hospital infection; Establish a correct concept, change behavior patterns, and provide safety services.

Although the work of our department has made great progress this year, there are still some problems:

1. The clinical infection management team has not fully played its role.

2. The results of infection monitoring will sometimes be reported to clinical departments irregularly.

3. Some doctors in clinical departments do not pay enough attention to hospital infection, and the diagnosis and condition analysis of patients with hospital infection are insufficient.

The new year is coming, and our department will continue to carry out all kinds of work, and in view of this year's problems, we specially put forward a preliminary work plan of 20xx.

1. Give full play to the role of the three-level monitoring network, and formulate the control plan for the next stage according to the requirements of the leaders in charge and the infection management committee. Give full play to the role of clinical infection management team, and implement the training and quality control inspection of departments to individuals.

2. Establish hospital-acquired communication: every quarter, the number of infected people, the number of missing reports, the number of Class I incision infections, and the hygienic monitoring of various clinical departments are fed back to the clinical departments in the form of feedback sheets, and the clinical departments are assessed, and our department will follow up and check the improvement results.

3. Do a good job in hospital infection diagnosis training. Combined with the diagnosis of nosocomial infection and the cases reported by doctors in our hospital, a new training courseware was formulated and the study was organized.

4. Continue to carry out targeted monitoring of ophthalmic surgical sites, and analyze the relevant monitoring data to find out the weak links of infection control, formulate targeted monitoring programs, and carry out link intervention to ensure the sustained and effective implementation of infection control projects.

6. Make monthly plans, weekly arrangements and daily priorities, and make records for the record while implementing them.

7. Cooperate with the Pharmaceutical Affairs Management Committee, and participate in the rational use and management of anti-infective drugs in our hospital according to the Management Standard for the Use of Anti-infective Drugs in Hospitals of Liaoning Province.

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