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对锐器处理的认知显著改善了医疗安全:对新冠疫情期间英国国家医疗服务体系合规情况的审计

Awareness About Sharps Disposal Leads to Significant Improvement in Healthcare Safety: an Audit of Compliance in the National Health Service During the COVID-19 Pandemic.

作者信息

Hussain Asfa, Shah Yusra, Raval Pradyumna, Deroeck Nicholas

机构信息

Department of Trauma and Orthopaedics, Lister Hospital, Stevenage, SG1 4AB UK.

出版信息

SN Compr Clin Med. 2020;2(12):2550-2553. doi: 10.1007/s42399-020-00624-2. Epub 2020 Oct 31.

Abstract

Needle-stick injuries (NSIs) pose serious health risks and can transmit blood-borne diseases (BBDs), such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus from the patient to the staff member. The purpose of this study was evaluation of appropriate and safe disposal of sharps within a 730-bed acute district general hospital (DGH) in the UK. One hundred sharps containers were audited in November 2019 to assess whether they complied with the health and safety regulations across surgical, medical, and acute wards. Meetings with the appropriate staff members were organised and posters placed throughout the hospital to raise awareness. One hundred twenty-five sharps containers were re-audited in July 2020, in the midst of the COVID-19 pandemic to ascertain if there was an improvement. In November 2019, a total of 56% of sharps containers were overfilled and hence were non-compliant with safety regulations. A re-audit performed in July 2020 found only 17% of sharps containers to be overfilled, which was a significant improvement () in practice. We noted that the overall compliance improved from being 44% in 2019 to 82.64 in the year 2020. This audit showed a significant improvement in the compliance of sharps bin containers in a DGH, signifying the increased awareness. It is necessary to audit sharps management regularly to accurately assess practice and prevent exposure to BBDs.

摘要

针刺伤会带来严重的健康风险,可将血源性疾病(如乙型肝炎病毒、丙型肝炎病毒和人类免疫缺陷病毒)从患者传播给工作人员。本研究的目的是评估英国一家拥有730张床位的急性区综合医院(DGH)内锐器的妥善和安全处置情况。2019年11月对100个锐器盒进行了审核,以评估它们是否符合外科、内科和急症病房的健康与安全规定。组织了与相关工作人员的会议,并在医院各处张贴海报以提高认识。在2020年7月新冠疫情期间,对125个锐器盒进行了重新审核,以确定是否有改进。2019年11月,共有56%的锐器盒装填过量,因此不符合安全规定。2020年7月进行的重新审核发现只有17%的锐器盒装填过量,这在实际操作中是一个显著的改进。我们注意到总体合规率从2019年的44%提高到了2020年的82.64%。本次审核表明一家区综合医院锐器盒的合规情况有显著改善,这意味着意识有所提高。有必要定期审核锐器管理情况,以准确评估实际操作并防止接触血源性疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94cb/7603408/de0ed4a0e5de/42399_2020_624_Fig1_HTML.jpg

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