内部审计是确保COVID-19大流行期间工作人员和患者安全的质量保证工具

S. Dubey, Shalinder Sabherwal, J. Farooqui, P. Garg, U. Mathur, Ashutosh Kumar Singh
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摘要

我们介绍了一家三级眼科医院预防COVID-19传播的内部审计的制定和实施过程,可用于进一步改进系统,并可供类似组织使用,以提高患者和员工的安全和服务质量。这是一个单中心前瞻性审核。根据各种国际(疾病控制和预防中心、世界卫生组织)和印度(卫生和家庭福利部、全印度眼科学会)当局提出的指导方针,制定了预防方案。为了确保这些规程得到遵守,编制了核对表和调查表形式的审计单。对登记、门诊和术前咨询进行了设施和过程审核。进行试点审计,以制定更详细的审计,并实施了一周。员工在个人防护用品使用和手部卫生方面100%符合要求。但是,注意到21起他们没有保持身体距离的事件。医护人员和患者对口罩使用的符合性为100%,但发现有34.5%的患者口罩佩戴不当。还注意到,在进入时,6/53(11.3%)的观察没有进行热筛选,3/23的观察没有进行热筛选。本研究描述了作为监测和评估工具制定和实施审计的过程,这与正在进行的COVID-19大流行最相关,以确保患者和医护人员的安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Internal Audit as a Quality Assurance Tool to Ensure Staff and Patient Safety During COVID-19 Pandemic
We present the process of development and implementation of an internal audit for prevention of spread of COVID-19 at a tertiary eye hospital, which can be used for further improvement of the system and be utilized by similar organizations to enhance patient and staff safety and quality of service. It is a Single center prospective audit. Based on the guidelines put forth by various international (Centers for Disease Control and Prevention, World Health Organization) and Indian (Ministry of Health and Family Welfare, All India Ophthalmological Society) authorities, preventive protocols were formulated. To ensure compliance of these protocols, audit sheets in the form of checklists and questionnaires were prepared. Facility and process audits were undertaken for registration, outpatient department and pre-surgical counseling. Pilot audits were carried out to develop more detailed audits, and implemented for one week. There was 100% compliance from the staff in personal protective equipment usage and hand hygiene. However, 21 incidents of physical distancing not being maintained by them were noted. Though there was 100% compliance in use of facemask by the staff and patients, 34.5% of patients were noticed wearing the mask improperly. It was also noted that, at the entry, thermal screening was not performed at 6/53 (11.3%) observations with no thermal screener at 3/23 instances. This study describes the process of formulating and conducting audits as a monitoring and evaluation tool, which is most relevant in ongoing COVID-19 pandemic to ensure safety of patients and health care workers.
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