学术医疗中心住院医师的职业锐器伤和针刺伤
Occupational Sharps and Needlestick Injuries Among Physician Residents at an Academic Medical Center.
作者信息
Krainev Alexei, Jahangiri Wali, Villaveces Sofia, Phipps Hannah, Wulsin Victoria, Davis Kermit G, Gillespie Gordon Lee
机构信息
Department of Environmental and Public Health Sciences, University of Cincinnati, Cincinnati, United States.
Department of Population Health, University of Cincinnati, Cincinnati, United States.
出版信息
J Hosp Adm. 2025;14(1):34-41. doi: 10.63564/jha.v14n1p34.
OBJECTIVE
Occupational sharps and needlestick injuries (SNSI) are a significant and persistent challenge in the U.S. healthcare work environment. With the purpose of better delineating contributing factors for a ubiquitous occupational injury among healthcare workers, we undertook a two-component study of SNSIs among physician residents and nurses at an academic medical center.
METHODS
Retrospective injury data among nurses (N=58) and medical residents (N=63) were analyzed. A 35-item cross-sectional survey was used to evaluate the prevalence, non-reporting, and contributing factors among physician residents who sustained a SNSI (N=76).
RESULTS
Physician residents had a rate of injury that was 11.0 SNSIs/100 medical residents/year compared to nurses at 3.2 SNSIs/100 nurses/year; a rate three-fold higher. Physician residents in neurosurgery, otolaryngology, OB/GYN, and general surgery reported the highest rates of injury.
CONCLUSIONS
Our results underscore the need for a more comprehensive study to better identify injury drivers specific to the operating room environment.
目的
在美国医疗工作环境中，职业锐器伤和针刺伤（SNSI）是一个重大且长期存在的挑战。为了更好地确定医护人员普遍存在的职业伤害的促成因素，我们在一家学术医疗中心对住院医师和护士中的SNSI进行了一项分为两部分的研究。
方法
分析了护士（N = 58）和住院医师（N = 63）的回顾性伤害数据。采用一项包含35个项目的横断面调查来评估遭受SNSI的住院医师（N = 76）中的患病率、未报告情况和促成因素。
结果
住院医师的伤害发生率为每年每100名住院医师中有11.0例SNSI，而护士为每年每100名护士中有3.2例SNSI；住院医师的发生率是护士的三倍。神经外科、耳鼻喉科、妇产科和普通外科的住院医师报告的伤害发生率最高。
结论
我们的结果强调需要进行更全面的研究，以更好地确定手术室环境特有的伤害驱动因素。
Zotero 插件