“患者安全意识周”活动（附原文献）
APIC面对患者的“患者安全意识周”活动，题目是：如何使自己有一个安全的住院期？给病人下发与宣教，以提高感控水平。很有新意，现介绍给大家。患者安全意识周
2008年3月3日（3月2日至8日），华盛顿特区开展“患者安全意识周”活动。活动期间，每个住院患者都先从以下五个方面发挥自己的作用，以减少发生感染的可能。APIC通过网络给予患者指导，帮助患者了解更多信息。
1 ）第一步，了解医院情况
大多数人花在视频商店挑选一部电影碟的时间，都比花在关心自己保健措施的时间还多。患者要了解医院感染控制的措施和手段。例如，他们的手部卫生政策？。您手术前，您的医疗组讨论您的感染预防问题了吗？在您要接受外科手术或其他侵入性操作时，你的医生指示你用洗必泰肥皂洗浴，以清除你的皮肤细菌了吗？
2 ）抗生素类药物/感染
一个住院周期，平均要使用10种药物。滥用和过度使用抗生素，会产生像MRSA这些越来越具有抗药性的病菌，容易造成严重的医院获得性感染。问你的医生，给你开的抗生素是否必要？如果不能得到满意的回答，请你坚决拒绝使用。
3 ）关注插管
1/4的美国住院病人插导尿管。留置导尿超过2-3天，尿路感染风险的大幅增加令人不安。请问您的医生，是否有必要插导尿管？如果留置导尿管48小时，问医生是否可以拔除？
4 ）了解谁是该病区的院感监控人员
病人常常可以看到许多医护人员。但他们通常不会关注看到的不良操作。所有病区都应该有感染防控专业人员（感控员）：一个有资质的护士或医生。如果您有任何感染风险的疑问，及时向监控员询问。
5 ）手部卫生
病菌可以隐藏在医院许多地方的表面。比如：床扶手、听诊器、水龙头和电视遥控器。你接触这些物品，病菌就可以污染你的手。所以保持您的双手远离你的伤口、你的脸。并经常要注意用肥皂勤洗手或6 0％的酒精手清洁。你的房间还应该定期清洁与消毒。大胆！任何人不洗手就想触摸你时（包括医生，护士和访客），只管讲，这并不是不礼貌。
APIC的任务就是提高健康水平和保障病人的安全，减少被感染的风险。
文献：
APIC ISSUES RECOMMENDATIONS ON HOW
TO HAVE A HEALTHY HOSPITAL STAY
Washington, DC, March 3, 2008 – To commemorate Patient Safety Awareness Week (March 2-8), the Association for Professionals in Infection Control and Epidemiology (APIC) is issuing five steps every patient can take to become their own advocate and reduce the risk of developing an infection during a hospital stay.
Visit www.apic.org during Patient Safety Awareness Week to learn more.
1) First Step, Hospital Prep
Most people invest more time into selecting a movie at the video store than they spend on their healthcare options. Research the hospital’s infection control practices, such as their hand hygiene policy. Discuss strategies for infection prevention with your healthcare team prior to surgery. Follow your doctor’s instructions to wash with chlorhexidine soap before entering the hospital for surgery or other invasive procedures to remove bacteria from your skin.
2) Antibiotics/Infections
The average hospital patient receives 10 different drugs during a single stay. The misuse and overuse of antibiotics produces strains of increasingly drug-resistant germs – like MRSA – that cause serious hospital-acquired infections. Ask if the antibiotics you are prescribed are necessary, take them as directed, and don’t insist on antibiotics if your doctor doesn’t advise them – in or out of the hospital.
3) Becareful with Catheters
One in four Americans in the hospital right now has a urinary catheter. The risk of an uncomfortable urinary tract infection increases significantly if the catheter is left in place longer than two to three days. Ask if it is necessary to have a urinary catheter. If your catheter is still in place 48 hours after surgery, ask if removal is possible.
4) Knowing the Important People on Your Care Team
Patients often see a myriad of healthcare workers, but they don’t usually see those who work behind the scenes to help prevent infections. All facilities should have an Infection Prevention and Control Professional (ICP) – a qualified nurse or professional dedicated to the prevention of healthcareassociated infections. If you have questions about your risk of infection, ask to see the ICP.
5) Hand Hygiene
Germs can hide on many surfaces in the hospital – including bed rails, stethoscopes, faucets and even the TV remote control. You can pick up these germs on your hands, so keep hands away from
your wound and your face, and wash your hands frequently. Your room should be cleaned with disinfectant regularly. Be bold – it’s not impolite to insist that anyone who touches you – including doctors, nurses and visitors – wash their hands with soap or a 60 percent alcohol hand sanitizer.
[ 本帖最后由 胡杨 于 2008-3-4 16:41 编辑 ] 题目是：如何使自己有一个安全的住院期？给病人下发与宣教，以提高感控水平!
患者几家属的参与更有利于医院感染的预防控制!! 好文章！:handshake
回复 #1 胡杨 的帖子
亟需培养一支病区高质量的监控队伍。:ok回复
好东西，已经下载，学习学习。
对你的劳动和付出深表感谢:handshake
回复
好文章，非常感谢！:handshake
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