Thursday, 16 October 2008
The Ministry of Health informed of Xi'an Jiaotong University School of Medicine of the First Affiliated Hospital infection case
In September 2008, Xi'an Jiaotong University School of Medicine of the First Affiliated Hospital of serious infection in hospitals, 8 neonate lead Sept 5 to 15 took place during the day disseminated intravascular coagulation have been killed. Ministry of Health yesterday that the investigation into the incident and was informed of the results. Informed by the Ministry of Health expert group to investigate that the incident was a serious infection in the hospital, the hospital the following questions: First, the hospital did not fully implement the technical specifications clinics and hospital infection management system; part of the work of the medical staff do not have a strong sense of responsibility, thinking of paralysis. Second, the hospital has not yet set up an independent hospital infection management and performance of the duties. In addition, hospital infection management staffing is insufficient to ensure the focus of infection in the hospital sector and the implementation of aspects of testing, inspection and guidance. Third, the hospital did not establish an effective monitoring system for hospital infections can not be found in a timely manner hospital infections and outbreaks of infection in hospitals, unable to take effective measures to deal with and control. Hospital neonatal section in a short period of time, there have been a number of infections and deaths, hospital concealed the existence of a major incident hospital infection. Fourth, infection prevention and control many aspects of the existence of hidden dangers. Serious incidents of nosocomial infection in the newborn section layout of the building, work flow, disinfection and isolation in such areas as there is an obvious flaw. On the part of the neonatal equipment and materials used in the wrong use of the method of disinfection; does not regulate medical personnel to carry out hand hygiene; for the newborn heparin tube closure without the use of liquid marking time, and so on. After the incident, Xi'an Jiaotong University basis of the findings to remove the Xi'an Jiaotong University School of Medicine and president of the First Affiliated Hospital, vice president in charge of the office, the director of newborn removed from the hospital, the head nurse's office, replacing the Department of Medical Hospital, nursing Department and other relevant functions of the head office. (Author: Zhang Ying)
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