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尖銳器械清洗時扎傷之改善方案

Decreasing Injury Caused by Sharp Instruments During Cleaning

摘要


本專案目的在改善清洗過程中被尖銳器械扎傷,以確保人員安全。當發生扎傷時,不僅會增加被感染的風險,甚至會造成死亡。專案前發現尖銳器械扎傷件數每月平均為1.125件,經現況分析發現導因有器械乾涸、定期教育訓練不足、缺乏安全防護設備、未遵守標準作業流程及查核制度不完善等因素。予運用決策矩陣分析方法,擬定解決辦法為定期舉辦教育訓練課程、採購安全防護設備、修訂標準作業流程及查核制度等,使專案實施後,尖銳器械扎傷件數,每月平均降至0.05件,達到專案目標,落實職場安全。

關鍵字

尖銳器械 扎傷

並列摘要


This study examined how to reduce injuries caused by sharp instruments during cleaning in medical contexts. Injuries resulting from sharp instruments can increase the risk of infection and may even be fatal. The average number of injuries recorded before the study was 1.125 per month. Following analysis, we determined that excessive dryness, lack of safety equipment, lack of regular training, failure to follow procedure, and provision of imperfect guidelines were responsible for the high rate of injury caused when cleaning sharp instruments. We employed decision matrix analysis to evaluate the reasons behind the injuries and proposed the following solutions: implementing training programs, purchasing relevant equipment, standardizing operating procedures, and revising cleaning guidelines. Following implementation of the solutions, the average number of injuries caused by sharp instrument during cleaning decreased from 1.125 to 0.05 per month, improving overall workplace safety.

並列關鍵字

sharp instruments injury

參考文獻


黃嗣棻、蘇喜、戴玉慈(2012).某醫學中心醫護人員工作中尖銳物扎傷與相關因素之初步探討.護理暨健康照護研究,8(2),117-127。
王寶清、陳珍梅(2011).醫療器械清洗方法效果探討.中國護理管理,11(5),69-70。
方嬋娟、梁幸如、劉永芳(2013).從實證的觀點談針扎及預防.中華職業醫學雜誌,20(1),65-71。
陳姿吟(2011).台灣醫療人員因針扎所致之直接成本費用推估.論文發表於國立台灣大學.台北市:國立台灣大學護理學研究所
勞動部勞動及職業安全衛生研究所(2016,10月1日).中文版EPINet針扎通報監控系統資料統計分析.取自http://meeting.ilosh.gov.tw/epinet/DF/針扎統計資料20150114.pdf

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