Study on the effectiveness of integrated management of infection prevention and control in the field of care for eye surgery
The purpose is to explore the effects of the integrated management model of medical care for the prevention and control of infections in the eye. A number of cases were selected for eye surgery before and after the implementation of the integrated management of infection prevention and control, comparing the incidence of surgical infections, post-operative eye inflammation indicators, hospitalization time and patient satisfaction. As a result, there has been a significant reduction in the incidence of surgical infections as a result of the implementation of the integrated model of medical care, an improvement in the indicators of eye inflammation, a reduction in the length of hospitalization and a significant increase in patient satisfaction. Integrated management of infection prevention and control in health care can be effective in reducing the risk of ophthalmic infections and improving the quality of care and has high outreach value.
Introduction
The complexity of the ophthalmological surgery, which is extremely demanding for the operating environment and operation, can, if infected, seriously affect the recovery of the patient ‘ s vision and even lead to disastrous consequences such as blindness. The traditional health-care division of labour may be linked to the infection prevention and control chain, and information is not being communicated in a timely manner.
II. Structured model for the integrated management of infection prevention and care
(i) Organization of multidisciplinary teams
The group consists of ophthalmologists, nurses, anesthesiologists and infections control specialists. Doctors are responsible for the development of surgical protocols, management of risk of infection in surgery; nurses lead pre-operative preparation, post-operative care and environmental monitoring; anaesthetists provide security in the process of anaesthesia and reduce the risk of infection caused by anaesthesia; and infections control specialists provide professional guidance and regular training.
(ii) Improved system processes
Joint development of infection prevention controls covering pre-operative, mid-operative and post-operative processes. Prior to the operation, the patient ‘ s eye-cleaning methods were regulated, pre-operative screening was improved to remove the infection; during the operation, strict non-bacterial norms were applied, standards for the maintenance of surgical equipment for disinfection and sturgeon were refined; after the operation, the frequency of eye-care and medical instructions were specified, and the hygiene management of wards was strengthened.
(iii) Enhanced information-sharing and communication
Establishment of a platform for immediate communication of medical care, timely feedback from pre-operative nurses to doctors on changes in the patient ‘ s eye condition, coordination with nurses in case of emergency, joint assessment of patient recovery after the operation, dynamic adjustment of infection prevention and control measures, weekly group meetings to draw lessons and resolve problems.
III. EVALUATION OF CORRECTIVE EFFECTS
(i) Comparison of infection rates
[X] per cent of pre-implementation infections, with the main types of infections including oral infections, inflammation, etc.; [X] per cent of post-implementation infections, with significantly reduced risk of infection and statistically significant differences.
(ii) Post-operative eye inflammation indicators
(b) Testing of post-occult oedema, water cell count in the room, and conjunction of blood. As a result of the integrated management of health care, there has been a marked improvement in the indicators of inflammation, which indicates that partial eye inflammation is effectively controlled and contributes to the recovery of the patient ‘ s vision.
(iii) Duration of hospitalization
By comparison, it was found that the average post-implementation hospitalization time was [X] days shorter than before, and that rapid rehabilitation benefited from infection prevention and control, reduced post-operative complications and accelerated healing processes.
(iv) Patient satisfaction
Through the questionnaire, patient satisfaction with medical care services, infection prevention and control increased from [X] per cent before implementation to [X] per cent after implementation, and patient experience improved significantly.
IV. Discussion
(i) Analysis of strengths
The health-care integration model breaks the health-care gap and achieves synergy of 1 + 1 > 2. At key nodes of infection prevention and control, such as pre-operative eye preparation, co-supervisory medical supervision ensures cleanness and thoroughness; co-ordinates in the operation to reduce the risk of infection due to mishandling; joint post-operative inspection of the room, with timely intervention in the first sign of infection.
(ii) Challenges faced
In the early stages of implementation, the traditional division of labour among health-care providers and the difficulty of changing roles require enhanced training; there is occasional a lack of accountability in teamwork, with greater clarity of responsibilities; and information communication platforms may be overloaded or delayed, and management needs to be optimized.
Conclusions
Despite the challenges, the integrated management of infection prevention and control in medical care provides an innovative and effective way to prevent and control the infection in ophthalmological surgery, which, through continuous improvement, can significantly improve the effectiveness of prevention and control, guarantee the safety of patients in ophthalmological surgery and give a strong impetus to the improvement of the quality of ophthalmological care.
