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将持续质量改进工具应用于降低针刺伤风险

Application of CQI tools to the reduction in risk of needlestick injury.

作者信息

Burnett L, Chesher D

机构信息

Department of Clinical Chemistry, Westmead Hospital, NSW, Australia.

出版信息

Infect Control Hosp Epidemiol. 1995 Sep;16(9):503-5. doi: 10.1086/647168.

Abstract

OBJECTIVE

To reduce the risk of needlestick injuries to laboratory workers.

DESIGN

Continuous Quality Improvement (CQI) tools were applied to data collected on the number of blood gas syringes that arrived in the laboratory with needles still attached and to the reasons for these occurrences.

SETTING

A clinical chemistry department within a 900-bed tertiary referral university teaching hospital.

PARTICIPANTS

Clinical chemistry laboratory staff and medical staff responsible for sending syringes with needles still attached.

INTERVENTIONS

Changing to a preheparinized blood gas syringe that included a syringe cap within the packaging.

RESULTS

Fivefold reduction in the number of syringes arriving in the laboratory with needles still attached.

CONCLUSION

The risk of needlestick injury to laboratory workers can be reduced by provision to clinical staff of preheparinized blood gas syringes that include a syringe cap within the packaging. The techniques to CQI provide powerful tools for the identification, solving, and monitoring of safety-related issues within the healthcare environment.

摘要

目的

降低实验室工作人员针刺伤的风险。

设计

采用持续质量改进(CQI)工具,对送达实验室时仍带有针头的血气注射器数量及出现此类情况的原因所收集的数据进行分析。

地点

一家拥有900张床位的三级转诊大学教学医院的临床化学科。

参与者

临床化学实验室工作人员以及负责送检仍带有针头的注射器的医务人员。

干预措施

更换为预肝素化血气注射器,其包装内配有注射器帽。

结果

送达实验室时仍带有针头的注射器数量减少了五倍。

结论

向临床工作人员提供包装内配有注射器帽的预肝素化血气注射器,可降低实验室工作人员针刺伤的风险。CQI技术为识别、解决和监测医疗环境中与安全相关的问题提供了强大工具。

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