Quality Control Of Intensive Care Unit In Anhui Province From 2013 To 2015:Crosssectional Survey

Objective To investigate the baseline of quality control system for intensive care unit(ICU),and toprovide a scientific basis for the development of ICU in Anhui province.Methods A questionnaire was used toinvestigate the quality control indexes in 108 hospitals in Anhui province from 2013 to 2015.SPSS 20.0 statistical softwarewas used to analyze and statistically describe the survey results.Results A total of 110 questionnaires from 108 hospitalswere received,including 43 tertiary hospitals and 65 secondary hospitals.In these 110 ICUs,96.36% were integrated ICU.The total average number of ICU beds was 14.46±7.12,accounting for1.58%±1.04% of the total hospital beds.The ratiosof practicing physicians-beds and registered nurses-beds were 0.57±0.24: 1 and 1.54±0.79: 1,respectively.A total of29hospitals(26.36%)met the conditions that the ratio of the total number of beds in the ICU to the hospital was 2% to 8%.Only 5 ICU(4.55%)could meet the conditions that each bed covered an area ?15 m2.The average incidence of ventilatorassociated pneumonia,catheter-related blood stream infection and catheter-related urinary tract infection in ICU patientswere(17.30±15.36)‰,(3.07±3.93)‰,and(3.49±4.27)‰,respectively.The incidences in the tertiary hospitals werehigher than the secondary hospital.There was no ICU to achieve all 19 key technologies.42.73% directors of ICUengaged in the professional career more than 10 years.Only 2.73% of the medical institutions in the intensive medicalstaff performance distribution than the average level of hospital.ConclusionICU in Anhui province has beenachieved a rapid development,and covers all municipal hospitals and more than 80% of the county-level hospitals.But itconfronts with a series of problems,such as lack of medical resources,the construction of talent echelon lag,low overalllevel of discipline,lack of specialist,work intensity,low performance and a series of constraints which restricted thedevelopment of disciplines.It strongly suggests that we should further improve the quality control system of critical caremedicine,standardize the quality control process,improve and implement the standardized operation standard of criticalcare medicine,strengthen the construction of disciplines talent echelon.We are expected to enhance the overall level ofdiscipline and to ensure medical quality and safety.