Zakrzewska J M, Greenwood I, Jackson J
Oral Medicine Department, St. Bartholomew's and The Royal London School of Medicine and Dentistry.
Br Dent J. 2001 Jan 27;190(2):88-92. doi: 10.1038/sj.bdj.4800891.
How an appropriate safety syringe was chosen, how the change-over to it was achieved and what outcome measures were used to measure the effectiveness of this change.
One third of all reported sharps injuries in dental practice are due to the use of non disposable dental syringes with most injuries being sustained during removal and disposal of the disposable needle from the non-disposable syringe.
After evaluation of all available disposable safety syringes they were introduced into a dental school after appropriate education of all staff and students. Risk management provided data on all reported needle-stick injuries in the dental school and a control unit using non disposable syringes for a period of two years.
Avoidable needle stick injuries reduced from an average of 11.8 to 0 injuries per 1,000,000 hours worked per year as compared with a control unit who reduced their frequency from 26 to 20 injuries per 1,000,000 hours worked. The cost of safety syringes is comparable to non-disposable syringes but the reduction in cost of management of needle stick injuries including the psychological effects are significant.
Education plays a vitally important role in the effective implementation of the change to safety syringes which is advocated for all dentists.
如何选择合适的安全注射器,如何实现向其转换,以及使用哪些结果指标来衡量这一转换的效果。
牙科实践中报告的所有锐器伤中有三分之一是由于使用非一次性牙科注射器造成的,大多数损伤发生在从非一次性注射器上取下和丢弃一次性针头的过程中。
在评估了所有可用的一次性安全注射器后,在对所有教职员工和学生进行适当培训后,将其引入一所牙科学院。风险管理提供了该牙科学院所有报告的针刺伤数据,以及一个使用非一次性注射器的对照组在两年期间的数据。
与一个对照组相比,可避免的针刺伤从每年每工作100万小时平均11.8起降至0起,该对照组的针刺伤频率从每工作100万小时26起降至20起。安全注射器的成本与非一次性注射器相当,但包括心理影响在内的针刺伤管理成本的降低是显著的。
教育在有效实施向安全注射器的转换中起着至关重要的作用,这一转换是向所有牙医倡导的。