危险药物暴露：一项前瞻性、多地点研究中肿瘤科护士在门诊环境中暴露情况的病例报告分析。
Hazardous Drug Exposure: Case Report Analysis From a Prospective, Multisite Study of Oncology Nurses' Exposure in Ambulatory Settings.
机构信息
University of Michigan School of Nursing and University of Michigan Rogel Cancer Center.
Northwestern University.
出版信息
Clin J Oncol Nurs. 2020 Jun 1;24(3):249-255. doi: 10.1188/20.CJON.249-255.
BACKGROUND
Hazardous drug exposure is an occupational health hazard to oncology nurses. Sparse data are available regarding the frequency and characteristics of hazardous drug spills.
OBJECTIVES
This article aims to describe nurses' hazardous drug exposures and use of personal protective equipment during drug spills.
METHODS
The Drug Exposure Feedback and Education for Nurses' Safety study launched in March 2015. When drug spills occurred, consented RNs administering chemotherapy in ambulatory infusion settings completed brief questionnaires. Descriptive statistics were used to summarize equipment use and spill events.
FINDINGS
Spills were common, despite the use of closed-system transfer devices. Over two years, 51 nurses from 12 participating academic infusion centers reported 61 unique spills. Spills commonly involved highly toxic drugs. Personal protective equipment use during drug spills was suboptimal. These foundational data reveal gaps in clinical practice.
背景
肿瘤护士在工作中会接触到有害药物，这对他们的健康是一种危害。目前，有关有害药物溢出的频率和特征的数据十分有限。
目的
本研究旨在描述护士在药物溢出时的有害药物暴露情况和个人防护设备的使用情况。
方法
“药物暴露反馈和护士安全教育研究”于 2015 年 3 月启动。当发生药物溢出时，正在门诊输液环境中进行化疗的同意参与的注册护士完成简短的问卷。使用描述性统计来总结设备使用和溢出事件。
结果
尽管使用了密闭式传输装置，但溢出仍很常见。在两年的时间里，来自 12 个参与学术输液中心的 51 名护士报告了 61 个独特的溢出事件。溢出通常涉及高毒性药物。药物溢出时个人防护设备的使用并不理想。这些基础数据揭示了临床实践中的差距。
Zotero 插件