ORIGINAL RESEARCH article
Front. Med.
Sec. Infectious Diseases: Pathogenesis and Therapy
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1604312
PDCA cycle management model in hospital-wide infection control: a single-center randomized controlled study
Provisionally accepted
- Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, China
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Introduction: Hospital-acquired infections (HAIs) pose significant challenges to patient safety and healthcare quality. This study investigated the effectiveness of the Plan-Do-Check-Act (PDCA) cycle management model in enhancing infection control across a hospital setting. Methods: A single-center randomized controlled trial was conducted with 120 inpatients, randomly assigned to a control group (CG, routine management) or an observation group (OG, PDCA management). The PDCA model involved systematic planning, implementation, evaluation, and improvement of infection control measures. Outcomes assessed included infection rates, compliance with infection control protocols, nursing staff performance, patient negative emotions, quality of life, and satisfaction. Results: The OG demonstrated significantly higher compliance rates in hand hygiene (P=0.02), antimicrobial drug use (P=0.01), and medical waste disposal (P=0.04). The overall infection rate in the OG (5.00%) was markedly lower than in the CG (10/60, 16.67%). Additionally, the OG showed improved nursing staff performance in medication device management, safety management, and antimicrobial drug management (P<0.05). Patients in the OG exhibited reduced anxiety and depression scores (P<0.05), enhanced quality of life, and higher satisfaction levels (mean score: 91.92 vs. 88.2, P<0.05).The PDCA cycle model effectively reduced hospital infections, improved staff compliance, and enhanced patient outcomes compared to routine management. Its systematic approach demonstrates strong potential for infection control and care quality improvement.
Keywords: Hospital-acquired infections, PDCA, Infection Control, quality of care, Quality of Life
Received: 01 Apr 2025; Accepted: 11 Jul 2025.
Copyright: © 2025 Chen, Liu and Yan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ying Yan, Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, China
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