Effect of bundle interventions on the cognition of occupational exposure protection and exposure rate among medical staff_West China Medical Journal

Authors：

WANG Junkui ,  ZHANG Shuhua , YANG Chaoqun , TANG Chunlian , XIE Juan

Department of Healthcare-associated Infection Management, Nanchong Central Hospital, Nanchong, Sichuan 637000, P. R. China;

Corresponding?author：

ZHANG Shuhua, Email: 1053173693@qq.com

Keywords：

Medical staff; Occupational exposure; Bundle interventions

DOI：

10.7507/1002-0179.201912119

Video：

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Objective To study the effect of new bundle interventions on medical staff’s cognition of occupational exposure protection and exposure rate, and provide evidence for reducing medical staff’s occupational exposure.Methods The 1 435 medical practitioners in 37 clinical/technical departments of Nanchong Central Hospital were selected as the research objects. Bundle intervention strategies about occupational exposure for whole population and high risk population were implemented, and the medical staff’s cognition of occupational exposure, occurrence of occupational exposure, and post-exposure reporting in 2017 (before intervention) and 2018 (after intervention) were investigated and compared to evaluate the intervention effects.Results The numbers of valid survey forms collected before intervention and after intervention were 1 160 and 1 421, respectively. The total awareness rate increased from 91.10% before intervention to 96.10% after intervention (P<0.001). The exposure rate and average rank of exposure frequency after intervention were lower than those before intervention (10.98% vs. 17.50%, 1 250.74 vs. 1 340.32), the reporting rate of initial exposure after intervention (69.23%) was higher than that before intervention (57.64%), and the differences were all statistically significant (P<0.05).Conclusion Through gradually implementing the new bundle interventions, medical staff can improve the cognition of occupational exposure, reduce the occurrence of occupational exposure, improve the enthusiasm of reporting, and create a safe atmosphere.

Citation： WANG Junkui, ZHANG Shuhua, YANG Chaoqun, TANG Chunlian, XIE Juan. Effect of bundle interventions on the cognition of occupational exposure protection and exposure rate among medical staff. West China Medical Journal, 2020, 35(3): 316-321. doi: 10.7507/1002-0179.201912119 Copy

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15.	王云龍, 陳長香, 馬素慧, 等. 三種平衡量表在腦卒中患者評測中的天花板效應研究及相關分析. 中國康復醫學雜志, 2015, 30(7): 679-683.
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1. 秦啟彤, 石悅. 醫務人員職業暴露的法律保護. 中國衛生事業管理, 2016, 331(1): 53-55.
2. 范珊紅, 李穎, 許文, 等. 陜西省醫療職業防護管理現況調查分析. 中華醫院感染學雜志, 2017, 27(18): 4282-4285.
3. 花靜, 李家斌, 王進, 等. 某三級甲等綜合性醫院醫務人員血源性職業暴露現狀調查分析及干預措施評價. 中華醫院感染學雜志, 2017, 27(18): 4286-4289.
4. 劉正慧, 崔利利, 崔琢, 等. 醫務人員血源性職業暴露流行病學特征分析. 中華全科醫學, 2019, 17(7): 1213-1217.
5. 孫建, 徐華, 顧安曼, 等. 中國醫務人員職業暴露與防護工作的調查分析. 中國感染控制雜志, 2016, 15(9): 681-685.
6. 劉媛媛, 王紅梅, 劉敏龍, 等. 集束化干預對預防靜脈留置導管相關血流感染的效果研究. 中國消毒學雜志, 2018, 35(2): 155-156.
7. 李彥, 李巖, 陳同利, 等. 銳器傷專項微型培訓在職業暴露風險中的應用. 中華醫院感染學雜志, 2017, 27(9): 2148-2151.
8. Nwaiwu CA, Smith S, Egro FM, et al. Seroconversion rate among health care workers exposed to HIV-contaminated body fluids: the University of Pittsburgh 13-year experience. Am J Infect Control, 2017, 45(9): 896-900.
9. Egro FM, Nwaiwu CA, Smith S, et al. Seroconversion rates among health care workers exposed to hepatitis C virus-contaminated body fluids: the University of Pittsburgh 13-year experience. Am J Infect Control, 2017, 45(9): 1001-1005.
10. 李建民, 甘泳江, 梁丹燕, 等. 某三級醫院醫務人員職業傷害防護認知、實踐與干預研究. 職業衛生與應急救援, 2019, 37(2): 138-141.
11. 唐燕, 陳麗萍, 孫睿, 等. 醫務人員血源性職業暴露監測分析. 華西醫學, 2016, 31(12): 2017-2020.
12. 暢立宏, 趙仙山, 尚郭麗, 等. 醫務人員職業暴露調查分析. 中華醫院感染學雜志, 2017, 27(17): 4074-4076.
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14. 駱煥園, 劉慧芳, 吳艷喬, 等. 根據重復觀察數據分析臨床病人轉歸的統計學問題和實踐. 中國衛生統計, 2017, 34(5): 749-752.
15. 王云龍, 陳長香, 馬素慧, 等. 三種平衡量表在腦卒中患者評測中的天花板效應研究及相關分析. 中國康復醫學雜志, 2015, 30(7): 679-683.
16. 王根妹, 陳宗存, 王燕萍, 等. 醫務人員職業暴露干預方法及其效果分析. 中國消毒學雜志, 2016, 33(4): 391-392.
17. 鄧媛媛, 童一帆, 萬瓊, 等. 基于醫院感染管理系統的綜合措施提高醫務人員職業暴露上報和隨訪效果. 華西醫學, 2019, 34(8): 944-947.
18. 聶圣肖, 冷婧, 王慧, 等. 北京市三級綜合醫院護士對血源性職業暴露相關的醫院安全氛圍的感知. 護理管理雜志, 2016, 16(2): 128-131.

West China Medical Journal

Effect of bundle interventions on the cognition of occupational exposure protection and exposure rate among medical staff

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