医务人员锐器伤漏报分析及对策

目的分析医务人员锐器伤漏报原因,提出预防对策。方法自行设计医务人员锐器伤调查问卷表,选取该院290名锐器使用医务人员进行问卷调查,并对调查结果进行统计分析。结果共计收回调查表273份,调查参与率为94.14%。医务人员1个月内发生锐器伤67名,锐器伤发生率为24.54%。发生锐器伤后仅7名医务人员上报医院感染管理科,锐器伤漏报率高达89.55%,其中护理人员、临床医生漏报比例最高,分别为58.34%、28.33%。漏报原因包括认为麻烦(28.33%)、不知晓(16.67%)、不知道报告流程(16.67%)、认为没必要报告(15.00%)等。结论加强医务人员职业防护培训,提高其锐器伤报告意识以预防、减少医务人员职业暴露的发生。

Analysis and countermeasures of report omission of medical staff with sharp injury

Objective To analyze the cause of report omission of medical staff with sharp injury and propose the preventive measures.Methods Self-designed questionnaire concerning medical staff with sharp injury was employed.290 medical staff with sharp injury in a hospital were selected to conduct questionnaire survey and the results were subjected to statistical analysis.Results A total of 273 questionnaires were collected with participation rate of 94.14%.Sharp injuries occurred in 67 medical staff during a month with incidence of 24.54%,however,only 7 cases were reported to nosocomial infection management department.Omission rate of sharp injury report was up to 89.55%.Nurses and clinicians possessed the highest proportion of omission which were 58.34%,28.33%,respectively.Causes of report omission included trouble(accounting for 28.33%),unacquaintance(accounting for 16.67%),unawareness of reporting process(accounting for 16.67%) and unnecessary(accounting for 15.00%).Conclusion Enhancing medical staff training of occupational protection and improving their awareness of sharp injury reporting can prevent and decrease the incidence of occupational exposure of medical staff.