의료기관 인증제 도입에 따른 감염관리 실태 분석

다국어 초록 (Multilingual Abstract)

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.

목차 (Table of Contents)

• Abstract
• Ⅰ. 서론
• 1. 연구의 필요성
• 2. 연구의 목적
• Ⅱ. 연구방법
• 1. 연구 설계
• 2. 연구 대상
• 3. 연구 도구
• 4. 자료 수집 방법
• 5. 자료 분석 방법
• Ⅲ. 연구결과
• 1. 일반적 특성
• 2. 의료기관 인증제 도입에 따른 감염관리 변화
• 3. 의료기관 인증제의 추적조사방법이 감염관리변화에 기여한 정도
• 4. 의료기관 인증 조사 준비 시 대상자가 지각한 어려움
• 5. 감염관리 개선활동의 지속성
• Ⅳ. 고찰
• Ⅴ. 결론
• REFERENCES

참고문헌 (Reference)

1 송영채, "치과의료기관 종사자의 치과의료기관 평가제도에 대한 수용에 관한 연구 -감염관리 부문을 중심으로-" 한국병원경영학회 15 (15): 123-142, 2010

2 박은숙, "중소병원의 의료관련감염 감시" 대한의료관련감염관리학회 16 (16): 54-62, 2011

3 이가언, "중소병원 종사자의 의료기관평가 수검 후 평가결과 및 영향․과제에 대한 인식" 보건의료산업학회 3 (3): 29-43, 2009

4 한우석, "의료기관평가가 병원의 경영성과에 미치는 영향" 대한경영학회 21 (21): 2549-2580, 2008

5 이상완, "의료기관평가, 내부서비스품질, 서비스가치, 경영성과와의 관계" 대한회계학회 15 (15): 253-276, 2010

6 오향순, "국내 200병상이상 의료기관의 다약제 내성균 감염관리 실태조사" 보건의료산업학회 8 (8): 163-173, 2014

7 "https://www.accreditation.ca/accreditation-canad a-programs"

8 "http://www.wpro.who.int/mediacentre/mers-hl msg/en/"

9 "http://www.who.int/management/facility/hospit al/en/index3.html"

10 "http://www.who.int/emergencies/mers-cov/en/"

11 "http://www.mers.go.kr/mers/html/jsp/main.jsp"

12 "http://www.law.go.kr/"

13 "http://www.cdc.gov/HAI/pdfs/hai/Scott_CostPa per.pdf"

14 "http://www.cdc.gov/HAI/"

15 R. W. Haley., "The SENIC Project. Study on th Efficacy of Nosocomial Infection Control(SENIC Project) : Summary of Study Design" 111 : 472-485, 1980

16 K. Brubakk., "Systematic Review of Hospital Accreditation : The Challenges of Measuring Complex Intervention Effects" 15 : 280-, 2015

17 Joint Commission International, "Joint Commission International Accreditation Standards for Hospitals" A Division of Joint Commission Resourses, Inc. 33-229, 2010

18 M. Sekimoto., "Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention. Impact of Hospital Accreditation on Infection Control Programs in Teaching Hospitals in Japan" 36 (36): 212-219, 2008

19 M. Sekimoto., "Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention. Factors Affecting Performance of Hospital Infection Control in Japan" 37 (37): 136-142, 2009

20 S. H. Suk, "Improvement Plans of Accreditation Program for Healthcare Organizations in Korea" 202 : 39-47, 2013

21 L. J. Henman., "Identifying Changes in the Role of the Infection Preventionist through the 2014Practice Analysis Study Conducted by the Certification Board of Infection Control and Epidemiology, Inc" 43 (43): 664-668, 2015

22 J. Y. Kim, "Healthcare Accreditation System and Consumer" 20 : 15-27, 2011

23 G. E. Yi, "A Study on the Recognition of Mid sized Hospital Employee about the Hospital Evaluation" Catholic University of Pusan 2008

24 Korea Institute for Healthcare Accreditation, "2010 Healthcare Accreditation Standards" The Institute for Healthcare Accreditation 3-8, 2010