German Social Accident Insurance, Institution for the Health and Welfare Services (BGW), 22089 Hamburg, Germany.
Competence Center for Epidemiology and Health Services Research for Healthcare Professionals (CVCare), 20246 Hamburg, Germany.
Int J Environ Res Public Health. 2020 Nov 24;17(23):8721. doi: 10.3390/ijerph17238721.
Safety-engineered devices (SEDs) have been developed to protect healthcare personnel (HCP) from needlestick and sharps injuries (NSIs). The aim of this study was to analyze NSIs associated with SEDs and non-SEDs among HCP in hospitals, medical offices and care facilities. Records from online questionnaires on NSIs were used. Causes of NSIs were compared for SED use and healthcare setting. A sample of 835 files was included. Injuries with SEDs accounted for 35.0% of all NSIs, whereas the proportions were higher in medical offices and lower in care facilities. NSIs in nurses were more often associated with SEDs than NSIs in physicians. NSIs from intravenous needles were associated with SEDs in more than 60% of cases in hospitals and medical offices and in about 30.0% of cases in care facilities. In contrast, suturing was associated with every fourth NSI in hospitals, of which fewer than 10.0% were associated with SEDs. In care facilities, SEDs were involved in 36.1% of NSIs during subcutaneous injections. NSIs during disposal accounted for 29.2% of total NSIs, of which 36.1% were associated with SEDs. Frequent reasons for SED-associated NSIs were technical problems, unexpected patient movement and problems during disposal. Our analysis shows that many NSIs are associated with SEDs. Continuous training is necessary in the handling and disposal of SEDs.
安全工程设备 (SED) 的开发是为了保护医护人员 (HCP) 免受针和锐器伤害 (NSI)。本研究旨在分析医院、医疗办公室和护理机构中 HCP 使用 SED 和非 SED 时发生的 NSI。使用在线 NSI 问卷调查记录。比较了 SED 使用和医疗环境中 NSI 的原因。共纳入 835 份文件的样本。SED 相关的 NSI 占所有 NSI 的 35.0%，而医疗办公室的比例较高，护理机构的比例较低。护士发生的 NSI 与 SED 的相关性大于医生发生的 NSI。静脉内针引起的 NSI 与 SED 的相关性在医院和医疗办公室中超过 60%的病例中，在护理机构中约为 30.0%。相比之下，在医院中，缝合与每四例 NSI 相关，其中不到 10.0%与 SED 相关。在护理机构中，SED 与皮下注射时的 36.1%的 NSI 相关。处理过程中的 NSI 占总 NSI 的 29.2%，其中 36.1%与 SED 相关。SED 相关 NSI 的常见原因是技术问题、患者意外移动和处理过程中的问题。我们的分析表明，许多 NSI 与 SED 相关。SED 的处理和处置需要持续培训。
