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目的通过问卷调查及现场核查了解上海市医院注射器具和药液共用情况,以加强医院注射器具和药液的管理。方法于2015年11月设计调查问卷下发上海市级质量控制中心覆盖的91所二级以上甲等综合医院医院感染管理科,由专职人员采用问卷调查和现场督查方法,调查2015年7月1日-9月30日各所医院的介入手术室、心导管室、CT室、内镜中心、手术室、人流室、门诊注射室、重症监护病房、内分泌科、感染性疾病科等856个科室注射器具及药液共用情况;将数据上报信息系统,组织市级专家现场督查并核实调查表的准确性;所有数据采用SPSS 21.0软件进行统计分析。结果对91所医院下发调查问卷,回收91份,回收率100.0%,共调查91所医院856个科室;病区内的操作例如皮内试验、胰岛素注射、冲封管、血气分析的注射器具共用率较少,仅为0.5%,但注射药液共用率例较高,为25.0%;造影剂、麻醉注射、肉毒杆菌的注射药液和注射器具共用率分别为14.0%和11.2%。结论上海市目前注射器具及药液存在不同程度的共用现象,皮内试验、胰岛素、冲封液、造影剂药液共用和造影剂注射器具共用率例较高,亟待加强管理。
Objective To understand the sharing of syringes and medical fluids in Shanghai hospitals by means of questionnaires and on-site inspections in order to strengthen the management of hospital injectors and medical fluids. Methods In November 2015, a questionnaire was designed and delivered to the Infection Management Section of 91 Grade A or above Grade A General Hospital hospitals covered by the Shanghai Quality Control Center. Questionnaires and on-site inspection methods were employed by full-time staff to investigate the data of July 2015 From January 1 to September 30, 856 departments, including the interventional operating room, cardiac catheterization room, CT room, endoscopic center, operating room, abortion room, outpatient injection room, intensive care unit, endocrinology and infectious diseases department, Injection equipment and liquid shared situation; the data reported to the information system, organize municipal experts on-site inspection and verify the accuracy of the questionnaire; all data using SPSS 21.0 software for statistical analysis. Results A total of 91 questionnaires were collected from 91 hospitals and the recovery rate was 100.0%. A total of 856 departments in 91 hospitals were surveyed. In the wards, such as intradermal tests, insulin injections, puncture sealing tubes and blood gas analysis instruments The common rate was only 0.5%. However, the common rate of injecting drug solution was 25.0%. The rates of contrast agent, anesthetic injection and botulinum injection were 14.0% and 11.2% respectively. Conclusions There is a common phenomenon that injecting instruments and liquid medicines exist in different degrees in Shanghai at present. There is a high sharing rate of intradermal test, insulin, flushing liquid, contrast agent liquid and contrast agent injection equipment, which urgently needs to be strengthened.