Morinaga Kazuki, Hagita Keiko, Yakushiji Takashi, Ohata Hitoshi, Sueishi Kenji, Inoue Takashi
Infection Control Committee, Tokyo Dental College Chiba Hospital.
Bull Tokyo Dent Coll. 2016;57(4):299-305. doi: 10.2209/tdcpublication.2015-0036.
Here we investigated needlestick and similar injuries reported over a 10-year period between April 2004 and March 2014. The purpose of this study was to prevent recurrence and reduce the incidence of such injuries at Tokyo Dental College Chiba Hospital. The Division of Medical Risk Management at Chiba Hospital anonymized the data to protect personal information prior to analysis. A total of 213 injuries occurred over the 10-year period investigated, but the number of cases decreased yearly. Many cases involved dental undergraduate students and dentists, followed by trainee dentists, students at the school of dental hygiene, nurses, dental hygienists, and cleaners. Suture needles, followed by injection needles, were the top two most common injury-causing instruments, contributing to approximately 50% of the total number of such cases. Many injection needle injuries occurred during tidying up, while those caused by suture needles occurred during dental treatment. Taken together, these findings suggest the importance of strict adherence to guidelines provided in safety manuals on error-free procedures and handling of instruments. Improvement in the ability to sense potential risk is essential if such injuries are to be avoided.
在此，我们调查了2004年4月至2014年3月这10年间报告的针刺伤及类似损伤情况。本研究的目的是防止此类损伤在东京齿科大学千叶医院再次发生并降低其发生率。千叶医院医疗风险管理部门在分析前对数据进行了匿名化处理以保护个人信息。在调查的10年期间共发生了213起损伤事件，但病例数量逐年减少。许多病例涉及牙科本科生和牙医，其次是实习牙医、口腔卫生学校的学生、护士、口腔保健员和清洁工。导致损伤的器械中，缝合针位居首位，其次是注射针，这两类器械导致的损伤约占此类病例总数的50%。许多注射针损伤发生在清理过程中，而缝合针导致的损伤则发生在牙科治疗期间。综合来看，这些发现表明严格遵守安全手册中关于无差错操作程序和器械处理的指南非常重要。如果要避免此类损伤，提高感知潜在风险的能力至关重要。
