The expert group penetrated key departments such as the neonatal room, operating room, disinfection supply center, stomatology department, and endoscopy room through information review, field inspection, personnel interviews, on-site assessment, etc., from system construction, building layout setting, and three-level network Organizational structure setting, personnel responsibilities implementation, hospital awareness training, targeted infection monitoring in hospitals, sterilization quality monitoring, multi-drug resistant bacteria prevention and control, implementation of key site infection prevention and control measures, endoscope cleaning and disinfection, oral diagnosis and treatment equipment Disposal and other aspects were carefully inspected and comprehensively guided.
The inspection team fully affirmed the infection management work in our hospital, especially the management of the details of neonatal infection prevention and control, the sterilization quality monitoring of the disinfection supply center, and the standard disposal of oral instruments, while highlighting the neonatal room and the disinfection supply center. There are problems in the building layout, endoscope room and operating room facilities and equipment, etc., and put forward targeted rectification requirements and practical improvement suggestions.
Immediately after the inspection, Qin Xitong, the director in charge, organized relevant personnel to hold a special meeting and requested to sort out the problems existing in the inspection one by one and establish a rectification account. Problems that can be rectified immediately should be rectified immediately. Provide rectification deadlines. All functional departments and clinical departments should compare standards, check for leaks and make up shortcomings, and timely find and eliminate hidden dangers of hospital safety.Promote reform by investigation, and promote construction by investigation. Our hospital will take the opportunity of this hospital sense quality inspection as an opportunity to continuously strengthen the institutionalization and standardization of hospital infection management work, effectively promote the implementation of various hospital sense systems and improve the overall level of hospital infection management.