在医疗保健中面对针刺和刺伤害:在大学教学医院的十年的斗争和进步
Shuk-Ching Wong1,2,3, Lithia Lai-Ha Yuen4, Germaine Kit-Ming Lam4
1Infection Control Team, Queen Mary Hospital, Hong Kong West Cluster, Pokfulam, Hong Kong Special Administrative Region, China. shchwong@hku.hk.
针刺和尖伤害 (NSI) 对医疗保健工作者 (HCW),特别是实习生来说是一个重要的风险. 有针对性的培训显著降低了实习生中NSI率,但正确使用安全设备仍然是一个挑战.
科学领域:
- 职业健康 职业健康 职业健康
- 预防和控制感染的预防和控制.
- 医疗安全 医疗安全
背景情况:
- 针刺和尖伤害 (NSI) 在全球范围内对医疗保健工作者 (HCW) 构成重大风险.
- 有效的感染预防策略对于在临床环境中减轻NSI至关重要.
研究的目的:
- 分析2014-2023年女王玛丽医院NSI的发病率和特征.
- 评估针对实习人员的有针对性的培训计划在减少NSI方面的有效性.
主要方法:
- 从2014年至2023年间对1,076份NSI报告进行了回顾性分析.
- 评估每10,000个患者日和每100个全职同等值 (FTE) 的NSI率.
- 评估2019年实习生实施个人指导培训之前和之后的NSI趋势.
主要成果:
- 医务人员 (47%) 和护理人员 (32%) 受到NSI的影响最大.
- 经验不到一年的医疗保健工作者,特别是实习生 (26%的NSI总数) 受到了不成比例的影响.
- 针对实习生的有针对性的培训导致NSI率显著降低,从每10,000个患者日减少0.82至0.46,每100个FTE减少6.84至3.40.
结论:
- 在医疗保健工作者 (HCW),尤其是缺乏经验的员工中,NSI仍然是一个关键问题.
- 虽然培训计划显示出有效性,但不适当使用安全装置的高发病率凸显了持续教育的必要性.
- 持续培训和实践实践对于提高安全性和预防医疗环境中的NSI至关重要.
更多相关视频
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
05:04Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
相关概念视频
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Hand hygiene
Hand washing...
PPE Use in Healthcare Settings I: Donning
Standard Precaution
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...
Endocarditis I: Introduction
