关于手术期间针刺伤害和使用不针来减少职业暴露和卫生效益的研究
1Department of Operating Room, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou, China.
概括
针刺伤害是外科医生面临的重大风险,通常发生在长时间的手术中,可见度差. 新型的针有效地减少了这些伤害和相关成本.
科学领域:
- 外科手术的安全性
- 职业健康 职业健康 职业健康
- 医疗设备创新 医疗设备创新
背景情况:
- 传统的圆针给外科医生带来了大量针刺伤害的风险,这是一个公认的全球性职业危险.
- 这些伤害增加了医院费用,并使医护人员暴露在血液传播的病原体中.
- 新型形针的国内有限采用需要进行比较疗效研究.
研究的目的:
- 为了调查手术医生在手术期间针刺伤的发生率.
- 评估新型形针在减少这些伤害方面的有效性.
- 为了比较粗针与尖针的安全性和经济卫生结果.
主要方法:
- 一项研究涉及106名外科部门医生超过2年,使用关于针刺伤害的问卷调查.
- 参与者被分为一个控制组 (普通圆针) 和一个研究组 (新型形针) 进行为期6个月的干预.
- 两组之间针伤害发病率和经济卫生益处的比较.
主要成果:
- 最初的调查显示,针刺伤害发生率为18.87%,较长的切口 (>10厘米),可见度差以及长时间的手术时的发病率更高.
- 大多数伤害被快速发现,但由于感知到的复杂性,报告不足是常见的.
- 与对照组相比,形针组每次手术的伤害明显减少,职业暴露成本较低 (p<0.05).
结论:
- 针伤害很常见,特别是在具有挑战性的手术条件下,以及由于外科医生疲劳.
- 尽管检测率高,但伤害报告不足仍然是一个问题.
- 新型形针可以显著降低受伤率,从而提高外科手术的安全性和成本效益.
相关概念视频
01:26Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
01:23Hand hygiene
3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.2K
01:22PPE Use in Healthcare Settings I: Donning
944
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
944
01:19Handwashing II: Pre-procedure and Initial Procedure Steps
908
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
908
01:10PPE Use in Healthcare Settings II: Doffing
894
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
894