评估一个大型社区医院的危险药物表面污染监测计划
Alexis Hayes-Porter1, Blake Shay2
1Banner Thunderbird Medical Center, Glendale, AZ, USA.
概括
危险药物 (HD) 表面污染被有效地识别和减少,使用擦拭采样技术和社区医院的改进程序. 这种方法提高了监控透明度,并完善了标准操作程序,以确保更安全的药物处理.
科学领域:
- 职业健康 职业健康 职业健康
- 环境监测 环境监测
- 制药科学 制药科学
背景情况:
- 职业接触危险药物 (HDs) 带来了需要仔细监测的风险.
- 社区医院需要有效的策略,以尽量减少医疗保健工作者接触HDs.
研究的目的:
- 评估特定危险药物擦拭采样技术 (BD HD Check系统) 和相关程序对识别表面污染的影响.
- 评估环境程序,风险评估和记录工具在降低高发性疾病暴露风险方面的有效性.
主要方法:
- 一项为期16周的评估,涉及25个清洁室和输液区内25个地点的HD擦拭采样.
- 风险分层决定了高,中,低风险地区的测试频率.
- 样本被分析为甲状腺素,多克索鲁比辛,和环胺,与SOPs对消毒和重新测试.
主要成果:
- 在收集的238个样本中,15个地点最初显示出感染HD的阳性结果.
- 除污染后,92.5%最初阳性地点的检测结果为阴性.
- 三个持续阳性地点需要进行第二轮污染清除,之后测试结果为阴性.
结论:
- 实施的HD擦拭采样技术和程序成功减少了表面污染.
- 这种方法提高了HD监测的透明度,并有助于完善准备,清洁和采样的标准操作程序.
- 在建立和改进HD处理协议方面,BD HD Check系统被证明是有价值的.
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