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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1. 秦启彤, 石悦. 医务人员职业暴露的法律保护. 中国卫生事业管理, 2016, 331(1): 53-55.
2. 范珊红, 李颖, 许文, 等. 陕西省医疗职业防护管理现况调查分析. 中华医院感染学杂志, 2017, 27(18): 4282-4285.
3. 花静, 李家斌, 王进, 等. 某三级甲等综合性医院医务人员血源性职业暴露现状调查分析及干预措施评价. 中华医院感染学杂志, 2017, 27(18): 4286-4289.
4. 刘正慧, 崔利利, 崔琢, 等. 医务人员血源性职业暴露流行病学特征分析. 中华全科医学, 2019, 17(7): 1213-1217.
5. 孙建, 徐华, 顾安曼, 等. 中国医务人员职业暴露与防护工作的调查分析. 中国感染控制杂志, 2016, 15(9): 681-685.
6. 刘媛媛, 王红梅, 刘敏龙, 等. 集束化干预对预防静脉留置导管相关血流感染的效果研究. 中国消毒学杂志, 2018, 35(2): 155-156.
7. 李彦, 李岩, 陈同利, 等. 锐器伤专项微型培训在职业暴露风险中的应用. 中华医院感染学杂志, 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. 某三级医院医务人员职业伤害防护认知、实践与干预研究. 职业卫生与应急救援, 2019, 37(2): 138-141.
11. 唐燕, 陈丽萍, 孙睿, 等. 医务人员血源性职业暴露监测分析. 华西医学, 2016, 31(12): 2017-2020.
12. 畅立宏, 赵仙山, 尚郭丽, 等. 医务人员职业暴露调查分析. 中华医院感染学杂志, 2017, 27(17): 4074-4076.
13. 赵小莲, 金凤玲, 脱军运, 等. 医务人员职业暴露防护体系的构建. 中华医院感染学杂志, 2013, 23(14): 3476-3477.
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15. 王云龙, 陈长香, 马素慧, 等. 三种平衡量表在脑卒中患者评测中的天花板效应研究及相关分析. 中国康复医学杂志, 2015, 30(7): 679-683.
16. 王根妹, 陈宗存, 王燕萍, 等. 医务人员职业暴露干预方法及其效果分析. 中国消毒学杂志, 2016, 33(4): 391-392.
17. 邓媛媛, 童一帆, 万琼, 等. 基于医院感染管理系统的综合措施提高医务人员职业暴露上报和随访效果. 华西医学, 2019, 34(8): 944-947.
18. 聂圣肖, 冷婧, 王慧, 等. 北京市三级综合医院护士对血源性职业暴露相关的医院安全氛围的感知. 护理管理杂志, 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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