本專案目的在改善清洗過程中被尖銳器械扎傷，以確保人員安全。當發生扎傷時，不僅會增加被感染的風險，甚至會造成死亡。專案前發現尖銳器械扎傷件數每月平均為1.125件，經現況分析發現導因有器械乾涸、定期教育訓練不足、缺乏安全防護設備、未遵守標準作業流程及查核制度不完善等因素。予運用決策矩陣分析方法，擬定解決辦法為定期舉辦教育訓練課程、採購安全防護設備、修訂標準作業流程及查核制度等，使專案實施後，尖銳器械扎傷件數，每月平均降至0.05件，達到專案目標，落實職場安全。

This study examined how to reduce injuries caused by sharp instruments during cleaning in medical contexts. Injuries resulting from sharp instruments can increase the risk of infection and may even be fatal. The average number of injuries recorded before the study was 1.125 per month. Following analysis, we determined that excessive dryness, lack of safety equipment, lack of regular training, failure to follow procedure, and provision of imperfect guidelines were responsible for the high rate of injury caused when cleaning sharp instruments. We employed decision matrix analysis to evaluate the reasons behind the injuries and proposed the following solutions: implementing training programs, purchasing relevant equipment, standardizing operating procedures, and revising cleaning guidelines. Following implementation of the solutions, the average number of injuries caused by sharp instrument during cleaning decreased from 1.125 to 0.05 per month, improving overall workplace safety.