Abstract:

Objective To evaluate the application value of management circulation of Plan-Do-Check-Action(PDCA for short) in tuberculosis infection control.Methods A total of 10979 patients with pulmonary tuberculosis patients including 53 patients treated with mechanical ventilation admitted in the first hospital of Jiaxing city, Zhejiang province were collected in this study during January 2010 to December 2017. 2501 patients with pulmonary tuberculosis admitted during from January 2010 to December 2012 were managed by traditional management methods and 8478 patients with pulmonary tuberculosis admitted during from January 2013 to December 2017 were managed by PDCA. The data of nosocomial tuberculosis infection were compared with these two management methods among clinical medical staff during the period. A survey on the satisfaction degree was conducted between 24 medical staff from the period of traditional management methods and 27 medical staff from the period of PDCA administration.Results There were 10 clinical medical staff infected with tuberculosis among the control group of 1174 average annual clinical medical staff during the three years from January 2010 to December 2012. However, there were no staff infected with tuberculosis among the research group of 1513 average annual clinical medical staff after improving sputum management by using PDCA during these five years from January 2013 to December 2017. The difference of nosocomial tuberculosis infection was statistically significant (χ ²=10.64, P<0.01). The satisfaction degree of medical staff in traditional management period was 91.92±1.69 and that in PDCA method was 97.07±1.92. The difference was statistically significant (t=10.12, P=0.000). Conclusion PDCA management can reduce the incidence of tuberculosis infection among clinical medical staff in hospital and improve the satisfaction of clinical medical staff on infection control measures.

Key words: Tuberculosis, pulmonary, Infection control, Case management, Total quality management, Evaluation studies