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KMID : 1002520150090040033
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Korean Journal of Health Service Management
2015 Volume.9 No. 4 p.33 ~ p.49
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Analysis of the Status of Infection Controls after Application of the Healthcare Accreditation System
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정선영:Jeong Sun-Young
오향순:Oh Hyang-Soon/천희경:Chun Hee-Kyung
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Abstract
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Objectives : This study was conducted to measure the effects of healthcare accreditation (HA) on the changes in infection control (IC).
Methods : Questionnaires were e-mailed to 60 hospitals from 23 October to 23 December, 2011. Data were analyzed by SPSS 12.0.
Results : Finally 50 hospitals (83.0%) were enrolled in the study: Seoul area (40.0%), tertiary (76.0%), and >500 beds (98.0%). Nine hospitals (18.0%) had a full time infection control nurse[ICN] with 300 beds. Among various factors, ICN (36.0%), hospital facilities (66.0%), instruments (32.0%) and supplies (88.0%) all improved. Hand hygiene increased (53.1% vs 83.2%, p<.001), but it was continued only in 34.1% of hospitals. Healthcare-associated infection (68.4%), multi drug resistant organisms (42.1%) and outbreaks (26.3%) decreased. Reasons for difficulties in satisfying the HA standards were inadequate support which included hospital facilities, instruments, budget, and a shortage of ICNs and healthcare workers (HCWs).
Conclusions : HA had effects on the IC, but they were transient. Staffing in ICN and HCW staffing, hospital facilities, instruments, and supplies all need to be improved.
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KEYWORD
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Healthcare Accreditation, Healthcare Quality, Infection Control, Hospitals
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