護理人員針扎防治改善專案

Improving needle injury prevention of nurses

在醫療服務環境中，針扎危害對護理人員而言，一直是深具威脅性的，不僅危害人體、造成壓力，更花費不少人力、物力、金錢等的損失。在重視員工安全工作環境的前提下，應用品管手法，有效改善問題、降低職災，實爲醫院管理中之重要課題。本專案以實際發生針扎之資料統計分析現況，應用三現法、問卷法實際查檢發現影響因素之後再經相關文獻探討，運用PDCA循環管理方法進行改善，執行結果單位針扎發生率由半年7件降至半年0件，顯示所擬定之對策，確實可降低人員針扎之發生率，提升工作環境安全。

In health care settings, needle injuries have always been a notorious threat to the safety of the nursing staff. Not only do they produce health problems and stress to the nursing staff, but also spent tremendous amount of personnel time, material, and money to resolve this issue. In respect to the environmental health and safety of nursing staff, it is very important for the hospital management to realize the significance of applied quality management, effective problem-solving skills, and reduced work-related injury. This study analyzes the statistics of real needle injury cases by utilizing observation, questionnaires, and meta-analysis. The improvement measures can be found by using PDCA method: 1.Improved design of smaller and lighter needle recycling box. 2. Education and training. 3. Warning sign labeling. 4. Production of needle injury prevention manual. 5. Rearrangement of therapeutic tray. The outcome is the reduction of needle injury cases from 7 cases in 6 months to zero case in 6 months. This study shows by utilizing the above improvement measures, we can effectively reduce the rate of needle injury, subsequently provide nursing staff a safe and healthy workplace.