某三级甲等医院医务人员锐器伤发生情况调查

Sharp instrument injury to medical staff at a tertiary hospital

目的了解某三级甲等医院医务人员锐器伤发生情况,发现危险因素,提出预防与控制措施,降低锐器伤发生率。方法采用问卷调查法,对某三级甲等医院2017-04医务人员发生锐器伤情况进行回顾性调查。结果在调查的1184名医务人员中,发生锐器伤19人,锐器伤发生率为1.60%。不同工作类别医务人员发生锐器伤差异有统计学意义,护士锐器伤发生率高于医技人员;不同性别、工作年限医务人员发生锐器伤差异无统计学意义。锐器伤高发科室为普通病房,占78.95%;高发操作环节为静脉/皮下注射,占36.84%;高发器具为一次性注射器,占36.84%。结论 2017-04某医院锐器伤发生人群集中在护士,发生场所集中在普通病房,发生时机集中在静脉/皮下注射,发生器具集中在一次性注射器,应加强对高危人群、高发环节的监管,规范操作,降低锐器伤发生率。

Objective To find out about the occurrence of sharp instrument injuries to the medical staff of a hospital,identify the risk factors and propose prevention and control measures in order to reduce the incidence of sharp instrument injuries. Methods A questionnaire survey was conducted to retrospectively investigate sharp instrument injuries to the medical personnel in our hospital in April 2017. Results Among the 1184 medical staffs surveyed,there were 19 cases of（ 1. 60%） sharp instrument injuries. There was significant difference in the incidence of sharp instrument injuries between health care providers with different jobs. The incidence of sharp instrument injuries to nurses was higher than that of medical technicians. There was no statistically significant difference in the incidence of sharp instrument injuries to the medical staff between staffs of different genders or different lengths of employment. Sharp instrument injuries were more likely to occur in ordinary wards,accounting for 78. 95%,Intravenous/subcutaneous injection was a leading cause of such injuries,accounting for 36. 84%,Disposable syringes were most responsible for sharp instrument injuries,accounting for 36. 84%. Conclusions In April 2017,nurses and ordinary wards were more vulnerable to sharp instrument injuries in this hospital. Intravenous/subcutaneous injection and disposable syringes were more likely to cause such injuries. High-risk populations and vulnerable processes should be more effectively monitored to reduce the incidence of sharp instrument injuries.