在爱尔兰的外科实习生中,针刺伤害的发生率和报告
Fergus J McCabe1, Niamh Dunne1, Shane K Farrington1
1Department of Trauma and Orthopaedic Surgery, St. James's Hospital, Dublin, 8, Ireland.
概括
爱尔兰的外科实习生经常遭受针刺伤害 (NSI),但由于时间限制和复杂的程序,大多数人不会报告这些伤害. 简化报告对医疗保健工作者安全至关重要.
科学领域:
- 医疗保健工作人员的安全.
- 进行外科手术培训.
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 针刺伤害 (NSI) 是爱尔兰医疗保健工作者日益关注的问题.
- 手术学员面临特别高的NSI风险.
- 了解NSI发生率,报告和障碍对于提高安全至关重要.
研究的目的:
- 估计爱尔兰外科实习生中NSI的发生率.
- 评估本组内NSI的报告行为.
- 识别对报告NSI的感知障碍.
主要方法:
- 一项匿名在线调查分发给爱尔兰的外科实习生.
- 该调查收集了有关NSI历史,贡献因素,报告实践和障碍的数据.
- 顺序逻辑回归被用来识别NSI的独立预测因子.
主要成果:
- 73名学员参加了培训;99%的人报告至少有一次NSI,中位数为6次受伤.
- 更高一年的培训与增加的NSI有关 (OR 1.32).
- 时间压力,精神疲劳,时间要求和复杂的报告途径是主要障碍;只有14%的人报告了所有NSI.
结论:
- 显著的多数外科实习生持有NSI,但报告不足.
- 时间限制和复杂的报告系统等障碍妨碍了准确的NSI数据收集.
- 简化NSI报告途径至关重要,以鼓励全面报告和提高学员安全.
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