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題名：醫療人員針扎之流行病學、經濟耗損與政策議題
書刊名：臺灣公共衛生雜誌
作者：吳雪菁／郭育良 引用關係／蕭淑銖
作者(外文)：Wu, Hsueh-ching／Guo, Leon Yue-liang／Shiao, Judith Shu-chu
出版日期：2013
卷期：32:5
頁次：頁424-434
主題關鍵詞：針扎；醫療人員；安全針具；流行病學；Needlestick injury；Healthcare workers；Safety needle；Epidemiology
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:7
  • 點閱點閱:53
針扎是醫療照護人員最常見的職業傷害，對醫療人員的工作安全與健康造成極大的威脅，且遭受針扎後的通報流程與追蹤處理費用，也是醫院的重要經濟成本。而預防針扎最有效的方法為使用安全針具，為了讓醫療人員有更安全的工作環境，除了衛生福利部將「安全針具」列入醫院評鑑內容及感染管制查核外，立法院亦修正「醫療法」，規定五年內醫療機構須逐步完成安全針具的全面性替換。故本文擬就醫療人員發生針扎的流行病學、針扎後造成醫療院所經營成本的經濟耗損，並針對美國於2000年通過「針扎安全及預防法案（The Needlestick Safety and Prevention Act）」後，政策對其醫療人員針扎狀況所造成的影響等相關文獻進行整理，以提供國內未來臨床執業環境改善、政策及相關研究方向的參考。
Needlestick injury (NSI) is the most common occupational hazard among healthcare workers (HCWs). Not only do NSIs present a great threat to HCWs' safety and health, but they also result in substantial costs to hospitals as a result of subsequent tracking expenses, including blood tests and preventive treatments. The most effective measure to avoid preventable NSIs is to provide safe needles to HCWs. In order to provide a safer working environment for HCWs, the Department of Health has listed the use of safety devices as one of the criteria for hospital accreditation. The Legislature Yuan has also imposed a regulation by amending the Medical Act to require that hospitals replace conventional medical devices with ones with safety features within five years. This article reviews the epidemiologic, economic and policy aspects of NSIs. It also examines the overall situation of NSIs in the United States after the passage of the Needlestick Safety and Prevention Act of 2000.
期刊論文
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17.Hansen, M. E.、Miller, G. L.、Redman, H. C.、McIntire, D. D.(1993)。Needle-stick injuries and blood contacts during invasive radiologic procedures: frequency and risk factors。AJR Am J Roentgenol，160，1119-1122。  new window
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19.Lulloff, S. J.、Vergeront, J. M.、Druckenmiller, J.、Hoxie, N. J.(1996)。The incidence of needlestick and sharps injuries and use of safer devices in Wisconsin hospitals。Wis Med J，95，379-381。  new window
20.Armstrong, G. L.、Wasley, A.、Simard, E. P.、McQuillan, G. M.、Kuhnert, W. L.、Alter, M. J.(2006)。The prevalence of hepatitis C virus infection in the United States, 1999 through 2002。Ann Intern Med，144，705-714。  new window
21.Wicker, S.、Cinatl, J.、Berger, A.、Doerr, H. W.、Gottschalk, R.、Rabenau, H. F.(2008)。Determination of risk of infection with blood-borne pathogens following a needlestick injury in hospital workers。Ann Occup Hyg，52，615-622。  new window
22.Centers for Disease Control and Prevention(2001)。Updated U.S. public health service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for postexposure prophylaxis。MMWR: Morb Mortal Wkly Rep，50，1-42。  new window
23.Rehermann, B.、Nascimbeni, M.(2005)。Immunology of hepatitis B virus and hepatitis C virus infection。Nat Rev Immunol，5，215-229。  new window
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30.Anonymous(1984)。Needlestick transmission of HTLVIII from a patient infected in Africa。Lancet，324，1376-1377。  new window
31.Jagger, J.、Perry, J.、Gomaa, A.、Phillips, E. K.(2008)。The impact of U.S. policies to protect healthcare workers from bloodborne pathogens: the critical role of safety-engineered devices。J Infect Public Health，1(2)，62-71。  new window
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33.King, S.、O’Keeffe, J.、Edmonds, D.、Brett, J.(2010)。Good ViBES: results from a Victorian Blood Expsure Surveillance (ViBES) initiative 2005-2008。Healthc Infect，15，71-75。  new window
34.Jagger, J.、Perry, J.(2003)。Comparison of EPINet data for 1993 and 2001 shows marked decline in needlestick injury rates。Adv Expo Prev，6，25-27。  new window
35.Shiao, J. S.-C.、Guo, L.、McLaws, M. L.(2002)。Estimation of the risk of bloodborne pathogens to health care workers after a needlestick injury in Taiwan。American Journal of Infection Control，30(1)，15-20。  new window
36.Sohn, S.、Eagan, J.、Sepkowitz, K. A.、Zuccotti, G.(2004)。Effect of implementing safety-engineered devices on percutaneous injury epidemiology。Infect Control Hosp Epidemiol，25(7)，536-542。  new window
37.Shiao, J. S.-C.、Lin, M.-S.、Shih, T.-S.、Jagger, J.、Chen, C.-J.(2008)。National incidence of percutaneous injury in Taiwan healthcare workers。Research in Nursing & Health，31(2)，172-179。  new window
38.Shiao, J. S.-C.、McLaws, M.-L.、Lin, M.-H.、Jagger, J.、Chen, C.-J.(2009)。Chinese EPINet and recall rates for percutaneous injuries: an epidemic proportion of underreporting in the Taiwan healthcare system。Journal of Occupational Health，51(2)，132-136。  new window
39.蕭淑銖、林洺秀、林曉玫、陳秋蓉(20050700)。臺灣醫療人員針扎與血液體液暴觸之監控。中華職業醫學雜誌，12(3)，135-147。  延伸查詢new window
40.Twu, S. J.、Huanh, Y. F.、Lai, A. C.、Ming, N.、Su, I. J.(2004)。Update and projection on HIV/AIDS in Taiwan。AIDS Educ Prev，16(Suppl. A)，53-63。  new window
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學位論文
1.陳姿吟(2011)。台灣醫療人員因針扎所致之直接成本費用推估(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.陳秋蓉、林洺秀(2008)。針扎與血液體液暴觸監控及其對醫療工作環境安全之影響。臺北：行政院勞工委員會勞工安全研究所。  延伸查詢new window
2.WHO(2002)。The World Health Report: Quantifying Selected Major Risks to Health。Geneva：WHO。  new window
3.蕭淑銖、林洺秀(2012)。職業性針扎通報及防治推廣101年。臺北：行政院勞工委員會勞工安全衛生研究所。  延伸查詢new window
4.Prüss-Üstün, A.、Rapiti, E.、Hutin, Y.(2003)。Sharps Injuries: Global Burden of Disease from Sharps Injuries to Health-Care Workers. WHO Environmental Burden of Disease Series。Geneva：WHO。  new window
5.Expert Advisory Group on AIDS and the Advisory Group on Hepatitis(1998)。Guidance for Clinical Health Care Workers: Protection against Infection with Blood-Borne Viruses。London：Department of Health。  new window
6.蕭淑銖、林洺秀(2010)。職業性針扎通報及防治推廣99年。臺北：行政院勞工委員會勞工安全衛生研究所。  延伸查詢new window
7.鄭永銘(2005)。基礎病理學。臺北：合記。  延伸查詢new window
8.陳秋蓉、蕭淑銖、林洺秀(2005)。針扎與體液血液暴觸之報告與追蹤系統。臺北：行政院勞工委員會勞工安全衛生研究所。  延伸查詢new window
9.林洺秀、徐儆暉、何啟功(2010)。醫療保健服務業針扎危害管理指引。臺北：行政院勞工委員會勞工安全衛生所。  延伸查詢new window
10.U.S. Government Accountability Office(2000)。Occupational Safety: Selected Cost and Benefit Implications of Needlestick Prevention Devices for Hospitals。Washington D.C.：GAO。  new window
11.林洺秀、蕭淑銖(2008)。針扎與血液體液暴觸監控。臺北：行政院勞工委員會勞工安全衛生所。new window  延伸查詢new window
其他
1.International Health Care Worker Safety Center。Exposure prevention information network，www.healthsystem.virginia.edu/internet/ epinet/epinet4.cfm， 2013/05/13。  new window
2.Occupational Safety and Health Administration, U.S. Department of Labor。Standard interpretations: 11/21/2002: safer medical devices must be selected based on employee feedback and device effectiveness, not group purchasing organizations 05，http://www.osha.gov/pls/oshaweb/owadisp.show， 2013/05/13。  new window
3.CDC。Workbook for designing, implementing, and evaluating a sharps injury prevention program，http://www.cdc.gov/sharpssafety/pdf/sharpworkbook.2008.pdf， 2013/04/04。  new window
 
 
 
 
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