Harrington J M, Shannon H S
Br Med J. 1977 Mar 5;1(6061):626-8. doi: 10.1136/bmj.1.6061.626.
A retrospective postal survey of 24 000 medical laboratory workers in England, Wales, and Scotland showed highly variable standards of safety and health care. Pre-employment health screening was offered to two-thirds of employees, the physicians being the least likely to be examined (15%). Scottish laboratories provided better safety control than English and Welsh laboratories, while Public Health Service Laboratories had a better record than National Health Service establishments. Mouth pipetting is still practised in 65% of English and Welsh laboratories, and the use of protective clothing is rarely compulsory. The servicing of safety cabinets is often inadequate. Known and suspected carcinogens are still apparently used in a few laboratories (2-10%). In view of the wide variation in standards among laboratories, urgent consideration should be given to establishing regulations for codes of safe practice rather than relying merely on recommendations as at present.
一项针对英格兰、威尔士和苏格兰24000名医学实验室工作人员的回顾性邮寄调查显示,安全和医疗保健标准差异很大。三分之二的员工接受了入职前健康筛查,医生接受检查的可能性最小(15%)。苏格兰的实验室比英格兰和威尔士的实验室提供了更好的安全控制,而公共卫生服务实验室的记录比国民健康服务机构更好。在英格兰和威尔士65%的实验室中仍在使用口吸移液法,防护服的使用很少是强制性的。安全柜的维护往往不足。已知和疑似致癌物显然仍在少数实验室中使用(2%-10%)。鉴于各实验室之间标准差异很大,则应紧急考虑制定安全操作规范条例,而不是像目前这样仅仅依靠建议。