Objective To investigate the occurrence of sharp instrument injuries among healthcare workers in a comprehensive teaching hospital and explore the risk factors, so as to provide scientific basis for the prevention approaches. Methods A total of 1 180 healthcare workers with sharp instrument injuries between 2011 and 2014 were included in the study. Occupational hematogenous exposure monitoring and protecting system for health workers was established and optimized. The report and treatment process was standardized. Targeted monitoring system of sharp instrument injuries was developed. Sharp instrument injuries between 2011 and 2014 were systematically collected and analyzed. Results Between 2011 and 2014, there were 1 180 health workers who had sharp instrument injuries. Health workers had the highest rate of exposure to hepatitis B virus(41.06%), followed by syphilis (13.35%). Syringe needles (27.54%), suture needles (24.15%) and scalp needles (19.58%) were the instruments that caused most of the injuries. We constructed occupational exposure records for all those with sharp instrument injuries, and performed regular follow-up. No hematogenous infections were found because of sharp instrument injuries. Conclusions Sharp instrument injuries are common in healthcare institutions. It is important to establish and perfect the occupational exposure monitoring and protecting system, so as to reduce the risk of occupational exposure for health workers in hospitals.
Objective To optimize the report procedure of infectious diseases, solve the problems during routine surveillance such as incomplete report and incorrect report, in order to improve the report quality of infectious diseases. Methods Common problems in the report cards which were systematically collected in the infectious disease report management system were analyzed. Then, through negotiation with engineers of the information center, procedures which might easily lead to errors were deleted, report procedures were optimized. Furthermore, clinicians were also trained on infectious disease report from time to time. The entire study was divided into three periods, including baseline period (from October 1, 2012 to December 31, 2013), intervention period (from January 1, 2014 to December 31, 2014) and enhanced intervention period (from January 1, 2015 to December 31, 2015). The incorrect report rate and incomplete report rate were automatically calculated and compared among the three periods to evaluate the report quality. Results Compared with the baseline period, the total incomplete rate in the enhanced intervention period decreased from 8.21% to 3.19% (χ2=103.143,P<0.001), the incorrect report rate of hepatitis B virus decreased from 32.84% to 21.63% (χ2=19.002,P<0.001), and the incorrect report rate of syphilis decreased from 24.93% to 6.86% (χ2=90.416,P<0.001). respectively. Conclusion The infectious disease report system plays a very important role in timely identification of errors and improvement of incomplete and incorrect report, and is of great significance in the management of infectious diseases.