WS/T 312-2023 in English
VALIDStandard for healthcare associated infection surveillance
- Issued on:2023-08-20
- Implemented on:2024-02-01
- File Format:PDF
- Delivery:Via email within 5 business days
$582.00
本标准规定了医院感染监测的管理与要求、监测方法及医院感染监测质量的控制。
本标准适用于医院，其他医疗机构如妇幼保健院、血液净化中心、专科疾病防治院、急救中心、护理院参照执行。
Introduction
Analysis of core changes in the standard
| Monitoring dimensions | Requirements of the 2009 version | Additions/modifications in the 2023 version |
|---|---|---|
| Definitions of terms | 8 | 12 new key indicators (such as vascular catheter-related infection rate, etc.) |
| Monitoring scope | Inpatients | Expanded to emergency patients > 48 hours and day surgery |
| Appendix content | 7 | 4 new normative appendices such as hemodialysis and occupational exposure |
Key points for the implementation of key monitoring indicators
1. Instrument-related infection monitoring: The daily usage rate and infection rate of catheters need to be calculated separately, including:
- Central venous catheters include PICC, CVC and infusion ports
- Ventilator-associated pneumonia monitoring needs to exclude cases with onset within 48 hours of admission
2. Multidrug-resistant bacteria prevention and control: Focus on monitoring five types of drug-resistant bacteria, including CRE and CRAB, with the following requirements:
- The detection rate and infection rate need to be counted according to the source of the specimen
- ICU patients need to undergo clinical condition assessment every week (according to the standards in Table C.1)
Requirements for the construction of an information-based monitoring system
Article 5.9 of the standard specifies that hospital information systems must meet the following requirements:
- Automatically capture antimicrobial drug usage data
- Intelligently classify surgical incision types
- Interface with the microbiology laboratory LIS system
- Comply with the WS 670 data set specification
Implementation recommendations
Phase-based implementation path:
| Phase 1 (January-March) | Complete a comprehensive baseline monitoring survey for the entire hospital |
| Phase 2 (April-June) | Carry out targeted monitoring of ICU, surgical sites, etc. |
| Phase 3 (July-December) | Establish an early warning mechanism for multidrug-resistant bacteria |
Staff training focus: The newly added hemodialysis event monitoring requires special attention to the 21-day repeated event judgment rule.
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