美国医疗机构临床医生的注射操作实践。

Injection practices among clinicians in United States health care settings.

机构信息

Premier Safety Institute, Premier Healthcare Alliance, 13034 Ballantyne Corporate Place, Charlotte, NC 28277, USA.

出版信息

Am J Infect Control. 2010 Dec;38(10):789-98. doi: 10.1016/j.ajic.2010.09.003.

DOI:10.1016/j.ajic.2010.09.003

PMID:21093696

Abstract

BACKGROUND

Improper use of syringes, needles, and medication vials has resulted in patient-to-patient transmission of bloodborne pathogens, including hepatitis C virus. This study examined the injection practices of health care providers to identify trends and target opportunities for education on safe practices.

METHODS

An on-line survey was conducted in May and June 2010 of clinicians in US health care settings that prepare and/or administer parenteral medications.

RESULTS

The majority of the 5446 eligible respondents reported injection practices consistent with current recommendations. However, the following unsafe practices were identified: 6.0% "sometimes or always" use single-dose/single-use vials for more than 1 patient; 0.9% "sometimes or always" reuse a syringe but change the needle for use on a second patient; 15.1% reuse a syringe to enter a multidose vial and then 6.5% save that vial for use on another patient (1.1% overall).

CONCLUSION

Unsafe injection practices represent an ongoing threat to patient safety. Ensuring safe injection practices in all health care settings will require a multifaceted approach that focuses on surveillance, oversight, enforcement, and continuing education.

摘要

背景

注射器、针和药物小瓶的不当使用导致了血源性病原体在患者之间的传播，包括丙型肝炎病毒。本研究检查了医疗保健提供者的注射实践，以确定趋势并确定安全实践教育的机会。

方法

2010 年 5 月至 6 月，对美国准备和/或管理肠胃外药物的医疗保健环境中的临床医生进行了在线调查。

结果

在 5446 名符合条件的受访者中，大多数人报告的注射实践符合当前建议。然而，发现了以下不安全的做法：6.0%的人“有时或总是”将单次剂量/单次使用的小瓶用于不止一个患者；0.9%的人“有时或总是”重复使用注射器但更换针头用于第二个患者；15.1%重复使用注射器进入多剂量小瓶，然后 6.5%将该小瓶保存用于另一个患者（总体为 1.1%）。