Horn M, Patel N, MacLellan D M, Millard N
ORNAC J. 2016 Jun;34(2):36-50.
Exposure to blood and body fluids is a major concern to health care professionals working in operating rooms (ORs). Thus, it is essential that hospitals use fluid waste management systems that minimise risk to staff, while maximising efficiency.
The current study compared the utility of a 'closed' system with a traditional canister-based 'open' system in the OR in a private hospital setting.
A total of 30 arthroscopy, urology, and orthopaedic cases were observed. The closed system was used in five, four, and six cases, respectively and the open system was used in nine, two, and four cases, respectively. The average number of opportunities for staff to be exposed to hazardous fluids were fewer for the closed system when compared to the open during arthroscopy and urology procedures. The open system required nearly 3.5 times as much staff time for set-up, maintenance during procedures, and post-procedure disposal of waste. Theatre staff expressed greater satisfaction with the closed system than with the open.
In conclusion, compared with the open system, the closed system offers a less hazardous and more efficient method of disposing of fluid waste generated in the OR.
接触血液和体液是手术室医护人员主要关注的问题。因此，医院必须采用能将工作人员风险降至最低同时效率最大化的液体废物管理系统。
本研究比较了私立医院手术室中“封闭式”系统与传统基于罐的“开放式”系统的效用。
共观察了30例关节镜、泌尿外科和骨科手术病例。封闭式系统分别用于5例、4例和6例，开放式系统分别用于9例、2例和4例。与开放式系统相比，在关节镜和泌尿外科手术过程中，封闭式系统使工作人员接触危险液体的平均机会更少。开放式系统在设置、手术过程中的维护以及术后废物处理方面所需的工作人员时间几乎是封闭式系统的3.5倍。手术室工作人员对封闭式系统的满意度高于开放式系统。
总之，与开放式系统相比，封闭式系统提供了一种危害较小且更高效的处理手术室产生的液体废物的方法。
