Department of Hygiene and Health Promotion, Medical University of Lodz, 90-647 Lodz, Poland.
Department of Econometrics, University of Lodz, 90-214 Lodz, Poland.
Int J Environ Res Public Health. 2018 Aug 10;15(8):1722. doi: 10.3390/ijerph15081722.
(1) Background: An analysis of work-related sharp injuries in Healthcare Workers (HCWs) based at a selected hospital in Central Poland by presenting the frequency of accidents, injury rates, and identifying circumstances of Needle Sticks and Sharp Injuries (NSSI) and giving Post-Exposure Procedures (PEP). (2) Methods: A retrospective analysis of medical documentation regarding work-related NSSI at a district hospital located in central Poland; over the period 2010⁻2017. The study group included HCWs who had an accident while on duty. (3) Results: Most injuries were reported by nurses and staff over 40, on the morning shift. The most common injuries were using a needle. The most exposed part of the body were fingers. The average annual injury rates were: 1.22/100 Nurses; 2.02/100 doctors; 1.34/100 hospital beds; and 8.59/100,000 inpatient days. The rates for 3-year periods, after the implementation of legal regulations were higher than before.
Injuries rates are more reliable for comparison than frequency. Legislation on the need to register injuries seems to be necessary. In the supervision of work safety of personnel, reliable reporting of all injuries by the respective HCWs plays a key role.
(1)背景:通过展示频率、伤害率以及识别针刺和锐器伤(NSSI)的情况并提供暴露后预防程序(PEP),对波兰中部某选定医院的医疗保健工作者(HCWs)的与工作相关的锐器伤进行分析。(2)方法:对位于波兰中部地区的一家地区医院 2010 年至 2017 年期间与工作相关的 NSSI 医疗文件进行回顾性分析;研究对象为在工作中发生事故的 HCWs。(3)结果:大多数伤害报告来自于护士和 40 岁以上的工作人员,发生在上午班。最常见的伤害是使用针具。受伤最常见的身体部位是手指。护士的年均伤害率为 1.22/100;医生为 2.02/100;医院床位为 1.34/100;住院患者天数为 8.59/100,000。在实施法律规定后的 3 年期间,伤害率高于之前。结论:与频率相比,伤害率更适合用于比较。似乎有必要立法要求登记伤害。在人员工作安全监督中,各自的 HCWs 可靠报告所有伤害至关重要。