Avtor/Urednik		Zupančič Knavs, Irena
Naslov		Neželeni dogodki v zdravstvenem okolju na Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije - Soča v letih od 2007 do 2011
Prevedeni naslov		Health care incidents at the University Rehabilitation Institute in Ljubljana in the period from 2007 to 2011
Tip		članek
Vol. in št.		Letnik 12, št. 2
Leto izdaje		2013
Obseg		str. 55-60
ISSN		1580-9315 - Rehabilitacija
Jezik		slv
Abstrakt		Izhodišča: Članek pojasnjuje, kaj je neželen dogodek oziroma incident v zdravstvenem okolju, kako ravnati ob takem dogodku in ali incidente lahko preprečimo. V empiričnem delu prikazuje pogostost poškodb s kontaminiranimi ostrimi predmeti na Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije Soča (URI Soča) v letih od 2007 do 2011. Iz prijavljenih poškodb pri delu smo želeli ugotoviti pogostost in vrsto incidentov ter kategorije poškodovanih zdravstvenih delavcev. Iz podatkov o odvzemih krvi za serološke preiskave smo želeli ugotoviti tudi zaščito poškodovanih proti virusu hepatitisa B (HBV). Metode: Podatke o incidentih smo pridobili iz izpolnjenih prijavnic o poškodbi zdravstvenega delavca. Leta 2008 smo poleg prijavnice ob poškodbi zdravstvenega delavca uvedli še vprašalnik za zdravstvene delavce ob incidentu, ki je vseboval vprašanje, ali je bil poškodovani že cepljen proti HBV in kdaj. Za analizo podatkov smo uporabili opisno statistiko. Rezultati: V letih od 2007 do 2011 smo obravnavali 41 incidentov. Največ poškodb (80 %) se je pripetilo z uporabljeno iglo. Večino incidentov so doživele medicinske sestre in zdravstveni tehniki (32), manj incidentov je bilo pri zdravnikih (3), bolniških strežnicah (3) in čistilkah (3). S serološko preiskavo krvi ob incidentu smo ugotovili, da od 33 poškodovanih, ki so bili cepljeni proti HBV, kar 13 (40 %) oseb v krvi nima protiteles proti HBV. Te osebe so bile napotene na ponovno cepljenje. Zaključek: Na URI Soča imamo vpeljana pravila ravnanja ob poškodbi pri delu. Zaposleni so z njimi seznanjeni tudi prek programa preprečevanja bolnišničnih okužb in prek predavanj o incidentih ter njihovem preprečevanju. Poškodbo, zlasti pa incident, je treba takoj prijaviti, da lahko, če je treba, takoj ukrepamo.Background: The article explains what an incident in health care environmentis, how to act when it happens, and how to prevent incidents. The empirical part addresses incidence of injuries with contaminated sharp objects at the University Rehabilitation Institute in Ljubljana between 2007 and 2011. Based on the filed injury-at-work reports we wanted to assess the frequency and type of incidents as well as the types of injured health care professionals. In addition, we wanted to investigate the protection of the injured persons against hepatitis B virus (HBV) based on the data on serological blood tests. Methods: The data on the incidents were acquired from the filled-in reports on injuries at work of health care professionals. In addition, in 2008, a questionnaire was introduced for all those involved in the incidents containing the question whether the person had been vaccinated against HBV(and if so, when). Descriptive statistics were used for data analysis. Results: During the study period 41 incidents occurred. The majority of the injuries (80%) were caused by used needle. The incidents mainly involved nurses (32 cases); physicians (3 cases), hospital attendants (3 cases) and cleaning ladies (3 cases) were less frequently involved. Serological blood tests following the incidents revealed that among the 33 injured who had been vaccinated against HBV, as many as 13 (40%) had no HBV antibodies in their blood and were hence re-vaccinated. Conclusion: Our Institute has established precise rules of action upon injuries at work. The staffs are reminded of those procedures through our hospital infection prevention programme, as well as through lectures on incidents and their prevention. Any work-related injury, and especially an incident, should be immediately reported so that adequate action can be taken if necessary.
Deskriptorji		Health personnel
Proste vsebinske oznake		work-related injuries health care professionals sharp objects poškodbe pri delu zdravstveni delavci ostri predmeti