The application of plan, do, check, act(PDCA) quality management in reducing nosocomial infections in endoscopy rooms: it does work.

Kong, Xiaoming; Zhu, Xiaolu; Zhang, Yidan; Wu, Jie

BACKGROUND The role of plan, do, check, act(PDCA) cycle quality management in reducing nosocomial infections in endoscopy rooms remains unclear, we aimed to evaluate the effects of PDCA in the nosocomial infections control of endoscopy rooms. METHODS This present study was a before and after design. The patients treated in our endoscopy room from January 1, 2019 to December 31, 2019 were included in the control group, which were managed according to current department practice. The patients from January 1, 2020 to December 31, 2020 were included in the PDCA group, which were managed according to PDCA cycle quality management including formulation of cleaning and disinfection process. establishment of an infection control team and improvement of inspection standards. The nosocomial infections of patients, the pass rate of medical staff's knowledge on the nosocomial infection and hand hygiene, the pass rate of disinfection of endoscope cavity and surface, the incidence of sharp injury and biological pollution were compared between two groups. RESULTS A total of 1020 patients were included, with 512 patients in PDCA group and 508 patients in the control group. The incidence of nosocomial infections in PDCA group was significantly lower than that of control group(0.98% vs. 2.76%, P=0.002). The pass rate of medical staff's knowledge on the nosocomial infection and hand hygiene were significantly higher than that of control group (all P<0.05). The pass rate of disinfection of endoscope cavity in PDCA group was significantly higher than that of control group(P=0.037). The incidence of sharp injury and biological pollution in PDCA group were significantly lower than that of control group (all P<0.05). CONCLUSIONS PDCA cycle management is beneficial to reduce the risk of nosocomial infection, enhance the awareness of infection control and reduce the risk of occupational exposure of medical staff in the endoscopy room.