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人工智能技术在外科手消毒管理中的应用及效果分析OA

Application and effect of artificial intelligence technology in the manage-ment of surgical hand disinfection

中文摘要英文摘要

目的 评价人工智能(AI)外科手消毒监测系统在手术室医护人员中的应用效果.方法 选取浙江省某三级甲等医院120名手术室医护人员为研究对象.其中2023年1-12月采用常规外科免冲洗手消毒方法的60名为对照组,采用现场观察或查看监控监测其外科手消毒执行情况;以2024年1-12月应用 AI外科手消毒流程监测系统的60名为干预组,采用 AI实时监测与反馈.比较两组医护人员手部菌落计数、外科手消毒情况及满意度.结果 两组医护人员手部菌落计数均符合国家标准(≤5 CFU/cm2),干预组菌落计数低于对照组,差异有统计学意义(P<0.05).干预组医护人员外科手消毒流程总正确率为(97.69±2.46)%,高于对照组的(91.94±5.92)%,差异有统计学意义(P<0.05).干预组外科手消毒时间为(232.42±29.89)s,长于对照组的(158.12±47.43)s;干预组外科手消毒时间合格率(98.33%)高于对照组(76.67%);干预组医护人员对外科手消毒流程的满意度(98.33%)高于对照组(86.67%);差异均有统计学意义(均P<0.05).结论 AI外科手消毒监测系统可提升外科手消毒管理效率与医护人员满意度,是一种有效的智能化医院感染控制手段.

Objective To evaluate the application effect of artificial intelligence(AI)surgical hand disinfection monitoring system in healthcare workers(HCWs)in the operating room.Methods 120 HCWs from the operating room of a tertiary first-class hospital in Zhejiang Province were selected as the research subjects,out of which 60 HCWs who adopted conventional surgical rinsing-free hand disinfection method from January to December 2023 were the control group,and implementation of surgical hand disinfection was monitored by on-site observation or video monitoring.Other 60 HCWs who adopted AI surgical hand disinfection process monitoring system from January to December 2024 served as the intervention group,AI was adopted for real-time monitoring and feedback.Hand bacterial colony forming unit(CFU),surgical hand disinfection status,and satisfaction between two groups of HCWs were compared.Results Bacterial CFU on the hands of both groups of HCWs met the national standard(≤5 CFU/cm2),intervention group was lower than control group,and the difference was statistically significant(P<0.05).The total correct rate of surgical hand disinfection process for HCWs in the intervention group was(97.69±2.46)%,which was higher than(91.94±5.92)%of control group,and the difference was statistically significant(P<0.05).The surgical hand disinfection time of intervention group was(232.42±29.89)seconds,which was longer than(158.12±47.43)seconds of control group.The qualified rate of surgical hand disinfection time of intervention group(98.33%)was higher than control group(76.67%);the satisfaction rate of HCWs towards surgical hand disinfection process in intervention group(98.33%)was higher than control group(86.67%);differences were all statistically significant(all P<0.05).Conclusion The AI surgical hand disinfection monitoring system can improve the efficiency of surgical hand disinfection management and the satisfaction of HCWs,and is an effective intelligent healthcare-associated infection control method.

吕桂萍;张子贤;邓雪琴

杭州市中医院麻醉手术中心,浙江 杭州 310007杭州市中医院麻醉手术中心,浙江 杭州 310007杭州市中医院麻醉手术中心,浙江 杭州 310007

医药卫生

人工智能外科手消毒医院感染护理管理

artificial intelligencesurgical hand disinfectionhealthcare-associated infectionnursing management

《中国感染控制杂志》 2026 (5)

638-644,7

浙江省医药卫生科技计划项目(2024KY1382)

10.12138/j.issn.1671-9638.20263158

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