CAJ | 학술논문

目的分析我院2006-2013年锐器伤情况，为持续改进锐器伤安全管理工作提出建议。方法对上报的《医疗锐器伤登记表》进行分析总结。结果2006-2013年共上报429例锐器伤，主要人群为护士（59.7%）和医生（33.3%）；工龄主要为5年及以下者（72.5%）；发生地点主要为病房（43.1%）和手术室（27.7%）；致伤物主要为注射器针头（30.5%）、头皮针输液器针头（21.2%）和缝合针（18.2%）；护士和医生的主要致伤环节分别为整理锐器和手术中缝合；血液传染病污染的锐器占40.1%；锐器伤随访率为93.8%，无血源性病原感染病例发生。结论建议加强医务安全教育，针对重点人群高危环节进行培训，完善锐器伤相关管理制度，加强高危人群管理。
목적분석아원2006-2013년예기상정황，위지속개진예기상안전관리공작제출건의。방법대상보적《의료예기상등기표》진행분석총결。결과2006-2013년공상보429례예기상，주요인군위호사（59.7%）화의생（33.3%）；공령주요위5년급이하자（72.5%）；발생지점주요위병방（43.1%）화수술실（27.7%）；치상물주요위주사기침두（30.5%）、두피침수액기침두（21.2%）화봉합침（18.2%）；호사화의생적주요치상배절분별위정리예기화수술중봉합；혈액전염병오염적예기점40.1%；예기상수방솔위93.8%，무혈원성병원감염병례발생。결론건의가강의무안전교육，침대중점인군고위배절진행배훈，완선예기상상관관리제도，가강고위인군관리。
Objective To analyze sharp instrument injuries in our hospital from 2006 to 2013 and to provide suggestions for its further improvement of safety management. Methods Review and analyze the reported cases of 'Registration Form of Medical Sharp Apparatus Wound'. Results There were 429 cases of sharp instrument injuries from 2006 to 2013. Nurses (59.7%) and doctors (33.3%) were the major sufferers. The highest incidence of sharp instrument injuries occurred in those staffs with working age of 5 years or less (72.5%). The sharp instrument injuries mainly happened in wards (43.1%) and operating room (18.2%). Disposable syringes needle (30.5%), intravenous infusion needle (21.2%) and surgical needle (18.2%) were the main instruments caused injuries. Sharp instrument injuries usually occurred in handling sharp instruments and surgical suture procedure. 40.1%of sharp instrument was polluted by blood-borne diseases. Follow-up visit rate of the healthcare workers suffering from sharp instrument injuries was 93.8%and there was no blood-borne infectious case. Conclusion Safety education should be strengthened among the hospital staffs. The management of sharp instrument injury on high risk populations should be further improved and training with regard to high risk procedures should be conducted.