Hameed Tahira, Bashir Eitezaz Ahmed, Khan Abdul Qadeer, Ahmad Murtaza
Dr. Tahira Hameed, MBBS, MRCS. Registrar, Fauji Foundation Hospital, Rawalpindi, Pakistan.
Brig. Dr. Eitezaz Ahmed Bashir, FCPS (Surg), Professor and Head General Surgery, Fauji Foundation Hospital, Rawalpindi, Pakistan.
Pak J Med Sci. 2021 Mar-Apr;37(2):379-383. doi: 10.12669/pjms.37.2.2946.
BACKGROUND & OBJECTIVES: The study was undertaken to estimate the prevalence of body and blood fluid exposure incidents such as needle stick injuries, direct contact, splashes, and cuts among health care personnel (HCP) in operation theaters (OTs). The study objective was to investigate perception of safety culture and potential challenges faced by HCP in Pakistani context.
An analytical cross-sectional survey was conducted in four tertiary care hospitals of Rawalpindi and Islamabad that were Akbar Niazi Teaching Hospital (ANTH), Fauji Foundation Hospital (FFH), Benazir Bhutto Hospital (BBH) and Holy Family Hospital (HFH) during March, 2019 to June, 2019. The data of the current study was collected from surgical staff in OTs at four tertiary care teaching hospitals including nurses, house officers, post graduate trainees, registrars, consultants, and technicians in the twin cities i.e., Rawalpindi and Islamabad.
In our findings () there was a high prevalence of exposure incidents in past six months, 45% had had got a needle injury, 36% have got a splash, 28.8% had direct contact and 35.6% had a cut once respectively in past six months, the occurrence of exposure incidents twice, thrice and more is also enormous.
The study reflected a dire need of trainings at hospitals so that very strategically the importance of safety being a priority and value of HCP is inculcated on daily basis.
开展本研究以估计手术室医护人员针刺伤、直接接触、飞溅和割伤等身体及体液暴露事件的发生率。研究目的是调查巴基斯坦背景下医护人员对安全文化的认知以及所面临的潜在挑战。
2019年3月至2019年6月，在拉瓦尔品第和伊斯兰堡的四家三级护理医院，即阿克巴·尼亚齐教学医院（ANTH）、富吉基金会医院（FFH）、贝娜齐尔·布托医院（BBH）和圣家族医院（HFH）进行了一项分析性横断面调查。本研究的数据收集自这四家三级护理教学医院手术室的外科工作人员，包括护士、住院医师、研究生学员、住院总医师、顾问医师和技术人员，地点位于拉瓦尔品第和伊斯兰堡这两座双子城。
在我们的研究结果中，过去六个月暴露事件的发生率很高，45%的人曾有过针刺伤，36%的人有过飞溅暴露，28.8%的人有过直接接触暴露，35.6%的人曾有过一次割伤，暴露事件发生两次、三次及以上的情况也很多。
该研究反映出医院迫切需要进行培训，以便从战略高度将安全作为首要任务的重要性以及医护人员的价值观念每天都灌输到工作中。
