Application of vertical and horizontal two-way hierarchical responsibility system management in infection risk control in the gynecological operating room

WEI Wei; LI Huijie; HE Chang

doi:10.3969/j.issn.1674-3768.2024.07.009

Abstract：Objective To explore the application effect of vertical and horizontal two-way hierarchical responsibility system in infection risk control of the gynecological operating room.Methods Totally 154 patients undergoing gynecological surgeries in the first affilated hospital of Zhengzhou university in 2022 were selected.Among them,72 treated in the first half of 2022 were chosen into the control group,while the other 82 operated in the second half were selected into the observation group.The control group was given routine management,while the observation group was managed based on the vertical and horizontal two-level hierarchical responsibility system.After the intervention,the quality of infection risk control,the amount of bacteria and the occurrence of infection events in the operating room were compared between the two groups.Results The operating room infection risk control quality scores of environment,equipment,personnel and operation management in the observation group were significantly higher than that of the control group(t=-5.791,P＜0.001;t=-5.315,P＜0.001;t=-3.418,P＜0.001;t=-4.121,P＜0.001).Moreover,the bacteria content in the operating room environment at 5 minutes after the surgeries in the observation group was significantly lower than that of the control group(t=6.403,P＜0.001).The incidence rate of operating room infection events of the observation group was also significantly lower than that of the control group(x2=4.034,P=0.045).Conclusion The vertical and horizontal two-way hierarchical responsibility management is of significant value in the prevention and control of infection risk of the gynecological operating room,as it can significantly enhance the quality of operating room infection risk control,and lower the risk and occurrence of infection.