目標：以文獻回顧的方式，描述醫院健康照護人員的職業危害風險因素和相關介入措 施，並建議醫院決策者進行有效策略改善以降低醫院工作職場的危害。方法：使用網上數 據庫包括OVID, ProQuest, MEDLINE和CINAHL搜尋過去25年時期到2011年12月之間中英文 文獻，依據健康照護人員，職業危害，風險因素，策略及醫院等關鍵詞進行組合搜尋及全 文檢索。結果：醫院健康照護人員經常面臨許多職業危害暴露風險。根據國際研究報告指 出醫院健康照護人員在工作相關的健康與安全上的問題，源於每日在工作中暴露在複雜性 的職業危害。雖然已經研究制定相關策略或介入措施以因應相關職業傷害之發生，職業危 害事故發生率和賠償比率仍然居高不下。結論：醫院健康照護人員在日常工作中經常暴露 於許多職業危害風險，如生物致病源、化學或物理性傷害、生理或心理性危害。關於如何 有效管理醫院健康照護人員的職業傷害和疾病，許多研究已經闡述了可能的策略或介入措 施，不僅要提高個人的專業知識和技能，改變工作條件和環境，更需要推動安全文化氛圍 及制定工作場所健康促進的政策和施行方案，為全體醫院健康照護人員營造一個更安全和 健康的工作場所。

Objectives: To critique the evidence of factors and strategies that underpins interventions intended to minimize occupational hazards in the hospitals, to inform researchers and policy makers regarding the implementation and evaluation of the occupational hazards interventions in hospitals. Methods: The literature as examined for the past 25-yaer period up to December 2011.The database searched were Ovid, ProQuest, Medline and CINAHL, using the key words of health care workers, occupational hazards, risk factors, strategies, hospital, review in varying combinations. Results: Health care workers are exposed to a variety of occupational hazards in the hospitals. Estimates of risk factors for contracting these occupational hazards and strategies to prevent these exposures are reviewed. International studies have clearly demonstrated serious concerns in work-related health and safety among health care workers in hospitals as a result of exposure to complex occupational hazards occurring daily at work. Although interventions and strategies have been developed to manage the possibility of occupational injury and illnesses, the incident rates and compensation claims in this occupation remain higher. Conclusions: Health care workers are exposed to a wide range of biological, chemical, physical and psychological hazards at their daily work in hospitals. To manage occupational injuries and illnesses among health care workers, several studies have described the possible strategies or interventions in preventing and protecting health care workers from those workplace hazards. Not only to improve individual knowledge and skills, change working condition and environment, but also to develop safety climate policies and health promotion programs to create a healthy and safe workplace in hospital settings.