首页> 美国卫生研究院文献>Journal of Infection Prevention >Sharps injury reduction: a six-year three-phase study comparing use of a small patient-room sharps disposal container with a larger engineered container
【2h】

Sharps injury reduction: a six-year three-phase study comparing use of a small patient-room sharps disposal container with a larger engineered container

机译:锐器减少伤害:一项为期六年为期三个阶段的研究比较了使用小型病房的锐器处置容器和较大的工程容器

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

A 350-bed Sydney hospital noted excessive container-associated sharps injuries (CASI) using small sharps containers and compared the effect from 2004 to 2010 of using a larger container engineered to reduce CASI. In Phase 1 (Ph1), disposable 1.4L containers (BD Australia) were carried to/from patients’ rooms. In Phase 2 (Ph2), this stopped and a safety-engineered 32L reusable container (the Device; Sharpsmart, SteriHealth) was mounted in medication stations only and sharps were carried to and from patient rooms using kidney dishes. In Phase 3 (Ph3), the Device was wall-mounted in patient rooms. Sharps injuries were categorised as ‘during-procedure’, ‘after-procedure but before disposal’, ‘CASI’, and ‘improper disposal SI’. Disposal-related SI comprised CASI plus improper-disposal SI. Injuries per 100 full-time-equivalent staff were analysed using Chi2; p ≤ 0.05; and relative risk and 95% confidence limits were calculated. In Ph1 (small containers) 19.4% of SI were CASI and transport injuries were zero. In Ph2 (Device in medication station) CASI fell 94.9% (p <0.001); Disposal-related SI fell 71.1% (p=0.002) but transport injuries rose significantly. In Ph3 (Device in patient room) zero CASI occurred (p<0.001); Disposal-related SI fell 83.1% (p=0.001). Recapping SI fell 85.1% (p=0.01) with the Device. The Device’s volume, large aperture, passive overfill-protection and close-at-hand siting are postulated as SI reduction factors.
机译:悉尼一家拥有350个床位的医院指出,使用小号锋利的集装箱会导致与集装箱相关的锋利的伤害过多(CASI),并比较了2004年至2010年使用大型集装箱设计以减少CASI的效果。在第1阶段(Ph1)中,将一次性1.4升容器(BD澳大利亚)运至患者病房或从患者病房运出。在第2阶段(Ph2)中,该容器停止了操作,仅将安全设计的32升可重复使用容器(该设备; Sharpsmart,SteriHealth)安装在药物站中,并使用肾脏器皿将尖锐物带入和带出患者病房。在阶段3(Ph3)中,将设备壁挂在患者房间中。锐器的伤害分为“过程中”,“但在处置后但在处置后”,“ CASI”和“处置不当SI”。处置相关的SI包括CASI加上处置不当的SI。使用Chi 2 分析每100名全职当量员工的伤害; p≤0.05;并计算了相对风险和95%置信限。在Ph1(小型容器)中,SI的19.4%为CASI,运输伤害为零。在Ph2(用药站中的设备)中,CASI下降了94.9%(p <0.001);与处置相关的SI下降了71.1%(p = 0.002),但运输伤害显着上升。在Ph3(患者房间中的设备)中,CASI发生为零(p <0.001);处置相关的SI下降了83.1%(p = 0.001)。设备的重新贴装SI下降了85.1%(p = 0.01)。假定设备的体积,大孔径,被动式防溢出保护和近距离选址是减少SI的因素。

著录项

相似文献

  • 外文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号