北京某三甲医院医务人员锐器伤调查分析.pdf

Patient Safety 北京某三甲医院医务人员锐器伤调查分析 Investigation and Analysis of Sharp Instrument Injuries in a Tertiary Hospital in Beijing □袁逸文 YUAN Yi-wen 杨雪松 YANG Xue-song 袁晓宁 YUAN Xiao-ning 张文丽 ZHANG Wen-li* □ 目的 分析我院2006-2013年锐器伤情况，为持续改进锐器伤安全管理工作提出建议。方法 对上报的《医 疗锐器伤登记表》进行分析总结。结果 2006-2013 年共上报 429 例锐器伤，主要人群为护士（59.7%）和医 生（33.3%）；工龄主要为 5 年及以下者（72.5%）；发生地点主要为病房（43.1%）和手术室（27.7%）；致 伤物主要为注射器针头（30.5%）、头皮针输液器针头（21.2%）和缝合针（18.2%）；护士和医生的主要致 伤环节分别为整理锐器和手术中缝合；血液传染病污染的锐器占 40.1%；锐器伤随访率为 93.8%，无血源性 病原感染病例发生。结论 建议加强医务安全教育，针对重点人群高危环节进行培训，完善锐器伤相关管理 制度，加强高危人群管理。 Abstract: Objective To analyze sharp instrument injuries in our hospital from 2006 to 2013 and to provide suggestions for its further improvement of safety management. Methods Review and analyze the reported cases of Registration Form of Medical Sharp Apparatus Wound. Results There were 429 cases of sharp instrument injuries from 2006 to 2013. Nurses (59.7%) and doctors (33.3%) were the major sufferers. The highest incidence of sharp instrument injuries occurred in those staffs with working age of 5 years or less (72.5%). The sharp instrument injuries mainly happened in wards (43.1%) and operating room (18.2%). Disposable syringes needle (30.5%), intravenous infusion needle (21.2%) and surgical needle (18.2%) were the main instruments caused injuries. Sharp instrument injuries usually occurred in handling sharp instruments and surgical suture procedure. 40.1% of sharp instrument was polluted by blood-borne diseases. Follow-up visit rate of the healthcare workers suffering from sharp instrument injuries was 93.8% and there was no blood-borne infectious case. Conclusion Safety education should be strengthened among the hospital staffs. The management of sharp instrument injury on high risk populatio