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中華職業醫學雜誌

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篇名 臺灣地區外離島醫院檢驗科實驗室安全調查與因應之研究
卷期 16:3、16:3
並列篇名 Study of Laboratory Safety and Responding Survey of Taiwan Off-shore Island Hospital
作者 林雯志林士傑袁援張錦標
頁次 207-219
關鍵字 檢驗科實驗室安全安全品質Medical laboratoryLaboratory safetySafety qualityTSCI
出刊日期 200907

中文摘要

研究背景:檢驗料為高度傳染源之作業環境,近年來實驗室安全為醫院高度重視。方法:本研究針對台灣離島地區醫院之檢驗科醫檢師做結構式不記名問卷調查。言十統計5家醫院、發出問卷計34份,回位有技之間卷佔94%(32/34)。研究目的包括:實驗 室安全規範調查、實驗室安全設備調查、被驗人員行為態度、人員教育與訓練、工作安全之風受。
結果:問卷分析結呆,在實驗室安全規範調查項目:只有44%(14/32)的人員知道實驗室有張貼逃生疏散的路線圖。在實驗室安全設備調查項目:65 %(20/31)的工作同仁確 認其工作場所內有緊急淋浴設備,65%(20/31)確認有沖眼設備, 38%(12/32)的人員知道 實驗室的電氣設備安全守則。檢驗人員行為態度調查項目:論驗人員在實驗室工作時,按規定穿著實驗衣39%(13/33),而28%(9/32)的人員了解違反檢驗室安全規定時將給予處罰。此外,在人員教育與訓練調查項目:55%(18/33)的新進人員知道或參與定期實驗室 之安全講習或演習,53%(16/30)知道實習生或受訓的檢驗人員檢驗室之安全職前講習並 簽名。最後,對於工作安全之成受調查項目:滿意者佔45%(15/33),其中以針扎引起的傷害認為最需改善41%(13/32) ,而有害化學藥品的傷害41%(13/32)居次。
結論:實驗室安全規範為主管之職責,其中色括執行定期的再教育與不定期的監控,外島工作人員較低比例暸解安全規範'對於安全防護設備及防護用具有較高比例之認識及使用,值得主管深思並重視全面在職安全教育,以提昇檢驗料實驗室安全品質。

英文摘要

Background: Medical lab is a highly infectious working area, much attention to be paid for lab safety issues by hospital in recent years.
Method: Our research based on Taiwan off-shore island hospital medical lab technician with undisclosed name questionnaire survey. Survey included 5 hospitals, 34 questionnaire surveys were issued, and 94% of survey was valid (32/34). Purpose of research include: laboratory safety issues investigation, laboratory safety facilities investigation, technician behavior, staff education and training, feeling of working area safety issues.
Results: In terms of laboratory safety issues investigation, only 44% (14/32) knew the emergency flee route illustration map had already issued by laboratory; In laboratory safety facilities investigation, 65% (20/31) of staff confirmed there were emergency shower facilities in their working area, 65% (20/31) of staff confirmed emergency eyes wash facilities, 38% (12/32) 。fstaff understood their laboratory electrical facilities safety issues; For the investigation of behavior of medical technician: In working area, 39% (13/33) of staff followed the instruction of lab by wearing laboratory coat, 28% (9/32) knew they would be punished if they broke the rules of laboratory safety issues; Regarding the staff education and training: 55% (18/33) of new staff took part in periodical laboratory safety issues exercises and training, 53% (16/30) of interns and trainees knew laboratory safety pre-work training and signature were given after course; Last, the feeling of working area safety issues: 45% (15/33) of staff satisfied with current issues, 41 % (13/32) regarded that needlestick injury need to be improved and concerned mostly, and chemical toxic material harming 41% (13/32) became the second issues to be concerned Conclusion: The director of laboratory is under obligation to execute laboratory safety issues, including periodical re-education and nonscheduled monitoring, but fewer off-shore staff understands the necessary of enough safety facilities and standard procedure, most of them satisfy with current situation, thus, it is worth for lab director to contemplating the potential risk, in order to improve laboratory safety quality.

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