医务人员锐器伤漏报分析及对策

Analysis and countermeasures of report omission of medical staff with sharp injury

目的分析医务人员锐器伤漏报原因,提出预防对策。方法自行设计医务人员锐器伤调查问卷表,选取该院290名锐器使用医务人员进行问卷调查,并对调查结果进行统计分析。结果共计收回调查表273份,调查参与率为94.14%。医务人员1个月内发生锐器伤67名,锐器伤发生率为24.54%。发生锐器伤后仅7名医务人员上报医院感染管理科,锐器伤漏报率高达89.55%,其中护理人员、临床医生漏报比例最高,分别为58.34%、28.33%。漏报原因包括认为麻烦(28.33%)、不知晓(16.67%)、不知道报告流程(16.67%)、认为没必要报告(15.00%)等。结论加强医务人员职业防护培训,提高其锐器伤报告意识以预防、减少医务人员职业暴露的发生。

Objective To analyze the cause of report omission of medical staff with sharp injury and propose the preventive measures.Methods Self-designed questionnaire concerning medical staff with sharp injury was employed.290 medical staff with sharp injury in a hospital were selected to conduct questionnaire survey and the results were subjected to statistical analysis.Results A total of 273 questionnaires were collected with participation rate of 94.14%.Sharp injuries occurred in 67 medical staff during a month with incidence of 24.54%,however,only 7 cases were reported to nosocomial infection management department.Omission rate of sharp injury report was up to 89.55%.Nurses and clinicians possessed the highest proportion of omission which were 58.34%,28.33%,respectively.Causes of report omission included trouble（accounting for 28.33%）,unacquaintance（accounting for 16.67%）,unawareness of reporting process（accounting for 16.67%） and unnecessary（accounting for 15.00%）.Conclusion Enhancing medical staff training of occupational protection and improving their awareness of sharp injury reporting can prevent and decrease the incidence of occupational exposure of medical staff.