2021 Hospital Sense Work Summary (6 general articles)

Inadvertently, the work has come to an end. This is a precious working time. We have gained a lot, and it is time to work The summary summarizes the past achievements. What should the work summary you have seen look like? The following is a summary of the 2021 hospital sense work that I compiled (6 general articles). I hope it will be helpful to everyone.

Summary of hospital infection work 1

Under the leadership of hospital leaders and the infection management committee, our department, in accordance with the "Hospital Infection Management Standards", "Disinfection Technical Standards" and "Infectious Diseases In accordance with relevant documents and regulations such as the Prevention and Control Law, we formulate corresponding nosocomial infection control plans and organize their implementation, monitor the effects in a timely manner, and revise measures in a timely manner to control the incidence of nosocomial infections in our hospital within a good range and prevent the outbreak of nosocomial infections. . The main work this year is summarized as follows:

1. Improve the management system and give full play to the role of the system

1. In order to further strengthen the management of hospital infections, clarify responsibilities and implement tasks, in August this year The hospital infection management team of the department has been readjusted and enriched, and the three-level network management system has been improved. At work, when coordination and cooperation from multiple departments are required, promptly report to the supervisor to solve the problem.

2. In November, under the initiative of the Infection Management Committee and with the support of hospital leaders, the hospital infection management department joined the inspection of medical care quality in our hospital and formulated strict reward and punishment measures.

2. Surveillance of hospital infections

Our department is responsible for monitoring the incidence of infections in the radiology department, and regularly supervises and monitors the environmental hygiene, disinfection, and sterilization effects of the radiology department, and promptly Summarize and analyze monitoring results to discover risk factors for hospital infections and find effective prevention and control methods. Through monitoring-control-monitoring, we can ultimately reduce and control the occurrence of hospital infections and improve the quality of medical care.

1. Medical record monitoring

Retrospective investigation mode of nosocomial infection cases (check discharge medical records one by one in the medical record room to prevent missed reports) to truly understand the nosocomial infection rate in our hospital baseline. At the same time, a forward-looking investigation method was adopted to follow up the entire treatment process of key patients in the ward and closely observe the occurrence of nosocomial infections. This not only achieved process management of patients, but also provided continuous training for bedside doctors. This work With the expected results, hospital infection cases can be detected in time and the outbreak of hospital infection can be prevented.

① Monitoring of infection rate:

② Monitoring of missed reporting rate: reporting rate of infectious diseases. Comply with Ministry of Health requirements.

2. Environmental monitoring

① Regular sampling of the radiology department environment, with a pass rate of 98.6%. For those who fail, find out the reasons promptly and resample.

4. Disinfection and sterilization monitoring

1. Monitor the effect of the pre-vacuum pressure cooker in the disinfection room every month. According to the requirements of the national disinfection standards, do B-D tests every day and every month. Biological monitoring ensures the quality of pressure cooker disinfection and sterilization. Monitor the national sterilization specifications for rapid pressure steam sterilizers in operating rooms to ensure sterilization quality.

2. Monthly monitoring of disinfectants used in the radiology department: 246 samples were monitored, 246 were qualified, and the pass rate was 100%. And gradually cancel the glutaraldehyde immersion disinfection in surgical wards and use pressure steam sterilization.

Ultraviolet lamps in use were monitored in March and June. In the first half of the year, 79 lamps were monitored and 75 were qualified, with a pass rate of 94.9%. Please keep the UV lamp with this mark and notify the department to replace it in time.

4. The disinfectants and disposable medical equipment and items used in our hospital have been registered.

3. Nosocomial infection management at key sites

Conduct random inspections of infection management at key DSAs every quarter, identify problems, proactively communicate with department directors or head nurses and supervise improvements.

4. Carry out training through multiple channels to improve medical staff’s hospital awareness.

1. New employee training: Three new employees were trained and assessed on the introduction to hospital infections and medical waste management knowledge. The passing rate of the assessment was 100%; the newly admitted intern doctors and nurses were trained and assessed on hospital infections. Knowledge training so that they have a preliminary understanding of the general situation of hospital infections;

2. Adopt various forms of infection knowledge training, organically combine centralized training with morning meeting department training, and increase the quality of clinical medical staff. Knowledge on hospital infections and improve awareness of hospital infections.

5. Problems

1. The clinical infection management team did not fully play its role.

2. Some doctors do not pay enough attention to nosocomial infections. They are deficient in the diagnosis and condition analysis of patients with nosocomial infections, and the nosocomial infection registration form cannot be submitted in time. Summary of Hospital Infection Work 2

This year, under the correct leadership and strong support of the hospital leaders, we conscientiously implemented the "Hospital Infection Management Measures", "Disinfection Technical Specifications" and "Medical and Health Institution Medical Treatment Measures" promulgated by the Ministry of Health. Waste Management Measures and other relevant laws and regulations on hospital management, strengthening link quality management and hospital-wide nosocomial infection knowledge training, and strict quality monitoring and assessment have reduced the incidence of nosocomial infections, effectively controlled nosocomial infections, and ensured medical safety. The work in 20xx is now summarized as follows:

1. Improve department rules and regulations and improve management processes

In order to further strengthen hospital infection management, clarify responsibilities, implement tasks, and enrich infection monitoring Team members have established an infection quality inspection team to be responsible for monthly infection quality inspections. They have improved the three-level management system, refined the tasks and implemented them for each person. They hold meetings every month at department weekly meetings and monthly quality control feedback meetings. After reporting a problem in the infection management work, the quality control team leader is responsible for rectification and gradually implements various tasks so that the hospital infection work can be continuously improved.

2. Strengthen quality management to ensure medical safety

1. Quality control: conduct a major inspection every month, random inspections every week, and systematically investigate, collect, organize, and analyze relevant nosocomial infections situation, provide timely feedback and sort out existing problems, and effectively prevent and control hospital infections.

2. Strengthen hygienic hand washing: Hand hygiene is closely related to people’s health. The pathogenic bacteria carried on the hands not only potentially threaten the health of medical staff and family members, but are also easily transmitted to others through various operations. For patients, hand-washing facilities, hand sanitizer, rapid hand disinfectant, etc. are provided for medical staff, which greatly improves the quality of hand-washing and reduces nosocomial infections.

3. Conduct monthly training on hospital infection knowledge and skills to enable medical staff to master the types, reporting time limits and reporting procedures of infectious diseases, so that the reporting rate of statutory infectious diseases in our hospital reaches 100%. Effective isolation measures were implemented for patients with infectious diseases, and no local epidemic of infectious diseases in the hospital occurred.

4. Strengthen the training and management of new employees and interns, and achieve the principle of training as soon as they are hired, and assessment as soon as they are trained.

5. Management of antimicrobial drugs: Based on the actual situation of our hospital, a system for the rational use of antimicrobials has been formulated and implemented in conjunction with the Pharmacy Department.

6. Management of disposable medical items: Reuse is eliminated, and the classification and incineration of medical waste meet the standards of the "Medical Waste Management Regulations".

7. Formulate corrective measures for Acinetobacter baumannii reported in hospital infections in XX, refine the ventilator cleaning and disinfection process, strengthen the supervision and inspection of ventilator cleaning and disinfection, conduct bacterial culture of ventilator parts every month, and conduct bacterial culture on ventilator parts every month. Unqualified parts will be promptly analyzed and discussed with the director of the hospital for rectification, and the reasons will be found until they are qualified.

3. Strengthen the monitoring and supervision of hospital infections and provide a safe medical environment

1. Conduct monthly environmental hygiene monitoring: the monitoring objects are mainly key parts, and the air quality will be monitored every month , commonly used instruments and equipment, the environment, medical staff's hands, and object surfaces that medical staff often come into contact with are monitored, and the monitoring results are summarized and analyzed, corrective measures are proposed and strictly implemented.

2. Monitoring of occupational exposure of medical staff: Medical staff are strictly required to implement standard preventive measures, try to avoid occupational exposure, and monitor and register occupational exposure. No occupational exposure occurred in 20xx.

3. Carry out the monitoring of multi-drug-resistant bacteria: conduct training on multi-drug-resistant bacteria knowledge for department staff, and understand the test results of pathogenic bacteria from time to time every week. If multi-drug-resistant bacterial infection is found, promptly Take isolation measures to strengthen self-protection of staff and avoid cross-infection.

4. Strengthen the management of medical waste

The temporary storage area of ??medical waste has been renovated and disinfected with daily ultraviolet rays. Improve various rules and regulations and assign dedicated personnel for recycling and registration. Medical waste management knowledge training for medical staff and cleaning staff has improved the staff's awareness, fulfilled the responsibilities of various personnel, and standardized the management of medical waste classification, collection, storage, and handover.

5. Strengthen publicity and training to improve medical staff’s awareness of infection

Through training, medical staff’s awareness of infection control and infection knowledge have been improved, and some new concepts and ideas have been attracted. , to standardize the infection work in the department.

Through one year of hard work, the quality of hospital infections has been brought to a new level, the incidence of infection has been reduced, the quality of staff has been improved, and a safe working environment and medical treatment have been provided for medical staff and patients. environment, in short, nosocomial infection involves every corner of the department, runs through the entire process from admission to discharge, and runs through every detail of treatment and care. To this end, our department must work tirelessly to ensure that various monitoring and statistical indicators are Meet the standards required for hospital infection management and safeguard the improvement of the quality of medical services in the department and the development of the medical industry. Summary of Hospital Infection Work 3

In the first half of the year, under the leadership and guidance of the dean and the dean in charge, the hospital’s Infectious Disease Department carried out the following work according to the work goals and plans of the hospital’s Infectious Disease Department this year:

1. Strengthen the reporting of nosocomial infection cases

Conscientiously implement the national Ministry of Health’s nosocomial infection control standards and relevant regulations, and establish and improve the discovery, registration, reporting, analysis and feedback of nosocomial infection cases , when nosocomial infection cases are found, they are immediately reported according to prescribed procedures, promptly isolated and treated, and corresponding preventive measures are taken. The hospital's infectious disease department conducts irregular spot checks on discharged cases. There were 13 nosocomial infection cases in the first half of the year.

2. Strengthen the management of medical device disinfection

Strictly abide by the "Hospital Disinfection Technical Specifications", the hospital's infectious disease department samples sterilized items every month for bacterial culture, so that sterile items can be sterilized. The bacterial rate reaches 100%.

3. Strengthen the rational use of antibiotics

In accordance with the spirit of the notice of the Ministry of Health on the special rectification of antibacterial drugs, the Infectious Diseases Department of the hospital tracks the use of antibacterial drugs among inpatients and discharged patients in the hospital every month. Investigation and timely summary, reporting and feedback provide important basis for the rational use of antibacterial drugs.

4. Strengthen the disinfection and isolation work in the ward

Regularly monitor and spot-check the air, object surfaces, disinfectants, and medical staff's hands in the ward, and conduct spot checks on oxygen inhalation devices, atomized inhalers, etc. Try to use disposable equipment so that one person can use it once and disinfect it at the same time.

5. Strengthen hand hygiene

The Infectious Diseases Department of the hospital conducts spot checks on the implementation of hand hygiene in each department every month and assesses the hand hygiene of medical staff. The head nurse of each department is responsible for inspection and guidance. Truly cut off the ways of spreading diseases through the hands of medical personnel.

6. Strengthen the standardized management of key departments

Standardize the layout of each department, clearly mark clean areas, contaminated areas, and sterile areas, and clearly define boundaries. Disinfect and isolate key departments. Supervise from time to time to strengthen awareness of aseptic concepts, improve aseptic operation techniques, ensure smooth progress of work, and nip hidden dangers of hospital infections in the bud.

7. Carry out targeted monitoring

Starting from January, targeted monitoring of Class I incisions (thyroid, hernia) will be carried out in the surgical department. Monthly summary analysis will show that there is no case of Class I incisions. Incision infection. Strengthen medical waste management in all aspects of garbage classification, collection, and transportation. Inspect and supervise strictly in accordance with the medical waste management system. Strict handovers are implemented. Each section is registered, handed over, and signed clearly. Each department has a spring label. When handing over, each department Weighing, registration, and final statistics are carried out by the medical waste manager. A dedicated person is responsible for each link. If any problem occurs, the responsibility is traced. The hospital's infectious disease department conducts inspections of the temporary garbage storage area from time to time to ensure that medical waste is not lost.

8. Strengthen the monitoring of sterilants and disinfectants throughout the hospital

The hospital’s Infectious Diseases Department samples sterilants every month and disinfectants every quarter. The pass rate is within 100% 10. In the first half of the year, a hospital-wide knowledge training on hospital sense was conducted, and a hospital sense quality analysis meeting was held. The hospital sense tasks in the first half of the year were successfully completed. Summary of Hospital Infection Work 4

In 20xx, under the great attention and correct leadership of the center leaders, and with the strong assistance, support and cooperation of all employees, environmental sanitation was done well according to the relevant requirements of the hospital infection work. , disinfection and sterilization effect, hand hygiene and disinfection, strengthening the management of medical waste and wastewater and training on hospital infection knowledge. The key work is to strengthen hand hygiene promotion and management of key departments, and continuously strengthen quality control and continuous quality improvement in key links, so as to effectively prevent and control the occurrence of hospital infections. There will be no hospital infections or infectious disease outbreaks throughout the year. The hospital infection work in 20xx is as follows:

1. Education and training

1. Organize two publicity trainings on hospital infection-related knowledge.

2. Organize all hospital staff to take a knowledge test related to hospital infection and a 7-step handwashing method operation test once each.

3. Instruct relevant personnel to carry out disinfection and isolation work. Each executor is required to clarify the concentration, preparation method, and replacement time of disinfection and sterilization agents.

2. Implement the ledger registration and disinfection and isolation system, and monitor the effectiveness of disinfection and sterilization

1. The disinfectants used in each department are replaced on time according to their performance, and the instruments are disinfected in a timely manner according to regulations. Sterilization, the pass rate reaches 100%, and is recorded in time.

2. Regularly check whether all types of disinfection items have expired, and clean and register UV lamps.

3. Strictly manage the classification, collection, transportation, storage and outbound transportation of medical waste to prevent leakage incidents

1. Ensure that domestic waste and medical waste are classified and placed in a seepage-proof manner.

2. Medical waste should be classified and placed as required, sealed, the packaging bags should be marked, discharge should be registered, and recycling should be signed.

3. The medical station fills out the medical waste transfer form and saves the stub for future reference.

4. In the garbage room, safety measures should be taken to prevent rats, mosquitoes, flies, cockroaches, and theft in the garbage room.

4. Strengthen the disinfection management of key departments

1. Laboratory: Supervise laboratory personnel to perform sterile procedures for venous blood collection, so that one person, one needle, one tube, one area and one person wash their hands, and do a good job Disinfect isolation ledger.

2. Dressing room and outpatient clinic: Carry out disinfection of disinfection items at the central service station, and work with the central government to carry out ultraviolet disinfection, thermometer disinfection, and sanitation of the dressing room. Instruct service station doctors to carry out disinfection and isolation work at the service station and keep good ledger records.

3. Infusion room: Work with the nurse to sterilize and replace humidification bottles, tourniquets, etc. every day according to regulations, ensuring that each person uses one needle and one tube, and the sterilized items have been opened and used for a period of time It should not exceed 24 hours. Indicate the opening time, disinfect the ultraviolet lamp after work, and keep various ledger records.

5. Strengthen occupational protection and prevent sharp instrument injuries

1. Strengthen personal protection awareness and place sharp instrument boxes in the infusion room, laboratory, and dressing room.

2. Dispose of contaminated sharps promptly.

3. Dispose of sharps containers in a timely manner.

Although our hospital's hospital infection control work has made great progress this year, there are still many shortcomings:

1. The awareness of medical staff in aseptic operations needs to be strengthened.

2. It is best to use disposable items for disinfection of sterile items.

3. The implementation of disinfection of thermometers at service stations needs to be strengthened.

4. The awareness of hospital sense among all hospital staff needs to be strengthened.

I hope there will be a new breakthrough in the hospital sense work in our hospital in 20xx. Summary of Hospital Infection Work 5

In order to further standardize the management of hospital infections, effectively control the occurrence of hospital infections, and ensure the medical safety of patients, in accordance with the requirements of the "Measures for the Management of Hospital Infections", our hospital will now Provide feedback on the hospital’s work status.

From January to June this year, with the active participation and cooperation of all medical staff in various clinical departments, hospital infection management work was carried out smoothly, and there was no outbreak of infection. The specific situation is reported as follows:

1. Raise awareness, strengthen learning, and continuously promote the development and implementation of hospital infection work. In the first half of the year, we conducted two trainings on hospital infection knowledge for all employees, and sent knowledge on hospital infection to the hospital WeChat group from time to time, so that All employees in the hospital are easily visible, and new employees have been given pre-job training and all have passed the assessment.

2. By strengthening the monitoring and self-examination of nosocomial infections and the guidance provided by superior leaders’ visits to the hospital for inspections, we have made improvements in the monitoring of nosocomial infections based on the actual situation of our hospital. The system and operating procedures have been updated, which has improved the hospital's prevention of hospital infections; the learning of hand hygiene has been strengthened, so that hand hygiene compliance has also been improved, and disinfection and isolation measures have also been improved, effectively preventing cross-infection in the hospital. occurrence of infection.

1. The incidence and underreporting rate of nosocomial infection.

From January to June, there were 339 patients and 5 infections. Pulmonary infections were the most common, followed by urinary tract infections. The infection rate was 1.47%, which was less than the second half of last year. There was no underreporting. There were 85 patients in the hospital sent for pathogen testing, and the testing rate was 25.07%. The testing rate on a case-by-case basis was 26.5%. The number increased by 1.6% compared with the second half of last year. There were 8 multi-drug-resistant bacterial infections (including imported infections and in-hospital infections). infection), Staphylococcus aureus is the most common, followed by Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli, Pseudomonas aeruginosa, Enterococcus faecium, Enterococcus faecalis, etc. Multi-drug-resistant bacterial infections Most of them are brought in patients, accounting for 2.35%. The number of infections in the medical ward is relatively high. According to statistical analysis, the causes of infection are: the inpatients are older, have longer hospitalization times, more cancer patients and diabetics, are bedridden for a long time, and have implants at the same time. There are urinary tubes, gastric tubes, chest drainage tubes, etc., and the immunity is low, making it difficult to avoid cross-infection.

2. Regarding multi-drug-resistant bacterial infections, our hospital’s infection control office has also taken measures. If a person is found to be infected with drug-resistant bacteria, the laboratory department will notify the hospital’s infection monitoring personnel by phone, and the hospital’s infection control personnel will go to the patient’s location. The department carried out supervision, intervention and disposal, and reminded everyone to strengthen hand hygiene compliance and carry out disinfection and isolation to avoid the spread and outbreak of hospital infection.

3. Rational use of antibiotics

Internal Medicine: A review of the medical history of inpatients and discharged patients from January to June showed that through constant feedback and supervision by the Medical Department and the Hospital Infection Office, no The rational use of antibiotics has been significantly reduced, and the rate of blood routine and pathogenic testing has been increased. Individual cases of unreasonable use have been reported to the department where they are located.

Surgery: The use of perioperative antibiotics during surgery. For surgical patients who take prophylactic antibiotics, 98% are brought into the operating room before surgery. 100% of patients take antibiotics half an hour before anorectal surgery. The usage rate of prophylactic antibiotics for similar incisions is 7.14%. The number of antibiotics used for more than 3 days after surgery has decreased compared with the second half of last year. Therefore, this needs to change the concept and organize everyone to learn the rational use and principles of antibiotics.

4. Occupational exposure of medical staff is also very important in daily work. Through learning, everyone has improved their awareness. In the first half of this year, no staff was injured due to occupational exposure, but we still need to remind everyone to follow the operating procedures. Do it and develop good habits.

5. Existing problems: Some doctors have poor awareness of infection treatment. After infection occurs, they do not promptly send pathogens and drug susceptibility cultures for testing; some urine routines are abnormal upon admission and are not reviewed; analysis The reason is that doctors have poor concept of etiological examination; the phenomenon of under-reporting of nosocomial infections still exists. The main reason for under-reporting is that doctors are busy with daily medical work and do not pay enough attention to this work. In addition, the prophylactic antibiotics after surgery exceed The 72-hour phenomenon still exists because of doctors’ medication habits and their concept of using antibiotics.

Based on the above issues, it is hoped that all departments will strengthen the learning of hospital infection knowledge in future work, use drugs in accordance with antibiotic application management standards, and attract ideological attention. Hospital infection management is an important part of hospital management and is an important part of hospital management. As an important guarantee of medical quality, hospital awareness work has a heavy responsibility. The recent key arrangements for hospital infection work are as follows:

1. In the future, all departments should attach great importance to the control of hospital infection, strengthen the learning of hospital infection knowledge, emphasize the importance of hand hygiene and standard prevention, and implement it conscientiously.

2. Standardize the use of antibiotics in accordance with the "Regulations on the Clinical Application of Antimicrobial Drugs", control the preventive use of antibiotics in first-class surgical incisions, and strictly control the indications for therapeutic use of antibiotics to reduce multi-drug-resistant bacterial infections and strengthen pathogens Awareness of inspection.

3. Improve hand hygiene compliance management and strengthen monitoring.

4. Hospital infection cases should be reported in a timely manner. If there are omissions or late reports, the punishment will be increased in combination with bonuses. Summary of Hospital Infection Work 6

In the first half of this year, under the correct leadership and strong support of the hospital leaders and the Hospital Infection Management Committee, our department strictly followed the "Measures for the Management of Hospital Infections", "Technical Specifications for Disinfection", The "Medical Waste Management Regulations" and other laws and regulations as well as the industry standards newly promulgated by the Ministry of Health, with the goal of standardized and process-oriented management, continue to standardize and improve the various rules, systems and responsibilities of our hospital, and strengthen the knowledge of medical staff in the hospital. Training has been carried out to improve the awareness of hospital infection among medical staff in the hospital, control the infection rate in the hospital to a low level, and ensure medical safety. In order to further improve the management of nosocomial infections in the future, the nosocomial infection control work of our hospital in the first half of the year is summarized as follows:

1. Standardize and improve the various regulations and responsibilities of nosocomial infections

In order to The work of hospital infection can be standardized, institutionalized and scientific. In the first half of this year, the hospital's infectious disease department has standardized, Standardized and procedural consideration of all medical staff in the hospital will ensure that they have rules to follow when engaging in their respective medical activities. A department hospital infection quality control team has been established. At the same time, the responsibilities of all types of personnel at all levels in hospital infection management have been clarified. Corresponding responsibilities.

2. Strictly implement various basic methods and operating procedures to prevent and control hospital infections

In order to prevent and control hospital infections, in order to control the hospital infection rate in our hospital in the future At the lowest level, in the first half of this year, our department formulated a series of basic methods and operating procedures for preventing and controlling hospital infections in accordance with relevant national laws and regulations and the actual situation of our hospital, in order to standardize the work of medical staff in our hospital. This laid a good foundation for the prevention and control of hospital infections in future medical activities.

3. Strengthen the hospital sense knowledge training for all medical staff and improve the hospital sense awareness of all medical staff

By organizing the hospital sense knowledge training for all medical staff, and daily self-study and self-examination , the department organized learning to make all medical staff clear their respective responsibilities in hospital infection work, and also improved the awareness of hospital infection among all medical staff. In the first half of the year, a hospital sense knowledge test was conducted on all clinical medical staff, and overall good results were achieved.

4. Strengthen the management of disinfection and sterilization to effectively control hospital infections

Adhere to weekly inspections and guidance in the department, and provide guidance on disinfection, isolation, hand hygiene, aseptic operation, and environmental sanitation and the quality of cleaning and sanitation work. In accordance with the annual work plan, the monitoring of key departments was completed: 7 departments were monitored for environmental hygiene and disinfection and sterilization effects every month, with 198 samples taken, and the pass rate was 100%. Ultraviolet lamp monitoring is also qualified.

5. Standardize the management of medical waste

According to the Ministry of Health's "Medical Waste Management Regulations", "Medical Waste Classification Catalog" and other laws and regulations related to medical waste, combined with the actual situation of our hospital, Relevant measures including how to collect, classify, and incinerate medical waste and emergency plans for the spread and loss of medical waste have been formulated to standardize the management of medical waste in our hospital. In particular, the requirements for the disposal of medical waste in laboratories and the recycling and processing of medical waste in the bureau's clinic have been strengthened in a focused manner. Existing deficiencies and work priorities in the second half of the year:

1. Continue to increase hospital infection monitoring, strictly enforce requirements, and urge clinical departments to carry out bacterial culture for patients using antibacterial drugs, so as to provide scientific evidence for standardizing the use of antibacterial drugs. in accordance with. Implement the Ministry of Health's "Hospital Infection Monitoring Standards" and conduct monthly statistics, analysis, and feedback on infection case monitoring.

2. Standardize the disinfection and sterilization of biological specimens in laboratories; increase the standardized management of the disinfection supply room to make sterilization monitoring regular and regular.

Conduct monthly environmental hygiene monitoring of air, object surfaces, and medical staff's hands in key departments such as operating rooms, delivery rooms, intensive care units, abortion rooms, disinfection supply rooms, and treatment rooms and dressing rooms of general departments, and provide relevant guidance. , the unqualified departments and departments will find out the reasons and conduct relevant monitoring again at a selected time.

3. Continue to pay close attention to the implementation and management of the hand hygiene system of medical staff, strengthen the awareness of hand hygiene among medical staff, and improve hand hygiene compliance.

4. Strengthen the management of medical waste and strictly implement the "Medical Waste Management Regulations".

5. Continue to carry out hospital-wide knowledge training for all hospital staff to improve hospital-wide staff awareness, and provide guidance and supervision on medical waste classification and management. Conduct pre-job training and examination on nosocomial infection knowledge for new medical staff. ;