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关注伊朗医学诊断实验室中医疗紧急情况的意义。

The Significance of Paying Attention to Medical Emergencies in Medical Diagnostic Laboratories in Iran.

作者信息

Yousefi Mohammad Javad, Soltani Mansoor, Mezginejad Fatemeh, Yousefi Kosar, Takhviji Mahdi, Soltani Mohammad Hossein

机构信息

Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.

School of Allied Medicine, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

Emerg Med Int. 2024 Dec 2;2024:1813732. doi: 10.1155/emmi/1813732. eCollection 2024.

Abstract

Medical diagnostic laboratories as high-risk environments are often exposed to unpredictable situations such as patient fainting, blood pressure drops, chemical spills, and burns. These life-threatening events defined as medical emergencies and necessitate urgent actions. Hence, determining the most common medical emergencies in medical laboratories, so understanding and planning strategies to effective management seems to be crucial. This study aimed to investigate medical crises in Iranian medical laboratories. In this cross-sectional study, data collection was performed by a simple random sampling method through electronic and paper questionnaires filled by personnel in private and hospital laboratories in different provinces. The most frequent medical emergencies were patient fainting, staff needle stick, and patient's blood pressure dropping. The occurrence of medical emergencies was 24% and 76% in men and women, respectively. Out of all, treatment was administered at the scene of the accident in 37.1% of cases, and 28.1% were discharged after sampling. Moreover, 51% of the medical diagnostic laboratories had a trolley code, with injection devices and angiocaths as available tools. In 81% of the laboratories, practicing for probable medical emergencies was not possible. A significant relationship was found between the type of client (laboratory personnel or the referring person) and the type of emergency event ( < 0.05). Considering the prevalence and importance of handling medical emergencies in a short time, it is necessary to design training courses for laboratory personnel and expert them to encountering with unpredictable threats in order to help affected individuals.

摘要

作为高风险环境的医学诊断实验室经常面临不可预测的情况,如患者昏厥、血压下降、化学品泄漏和烧伤。这些危及生命的事件被定义为医疗紧急情况,需要采取紧急行动。因此,确定医学实验室中最常见的医疗紧急情况,进而理解并规划有效的管理策略似乎至关重要。本研究旨在调查伊朗医学实验室中的医疗危机。在这项横断面研究中,通过简单随机抽样方法,由不同省份的私立和医院实验室的人员填写电子和纸质问卷来收集数据。最常见的医疗紧急情况是患者昏厥、工作人员针刺伤和患者血压下降。医疗紧急情况的发生率在男性和女性中分别为24%和76%。在所有情况中,37.1%的病例在事故现场进行了治疗,28.1%的患者在采样后出院。此外,51%的医学诊断实验室有急救推车,配备注射装置和血管导管作为可用工具。在81%的实验室中,无法针对可能的医疗紧急情况进行演练。发现客户类型(实验室人员或转诊人员)与紧急事件类型之间存在显著关系(<0.05)。考虑到在短时间内处理医疗紧急情况的普遍性和重要性,有必要为实验室人员设计培训课程,并使他们有能力应对不可预测的威胁,以帮助受影响的个体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03fa/11628171/efceeccaff2f/EMI2024-1813732.001.jpg

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