Investigation of occupational injuries in a tertiary hospital

Postgraduate Thesis uoadl:2879373 252 Read counter

Unit:
Κατεύθυνση Δημόσια Υγεία: Δημόσια Υγεία
Library of the School of Health Sciences
Deposit date:
2019-07-19
Year:
2019
Author:
Plevraki Maria
Supervisors info:
Σουρτζή Παναγιώτα, Καθηγήτρια, Τμήμα Νοσηλευτικής, Ε.Κ.Π.Α., Επιβλέπουσα
Βελονάκης Εμμανουήλ, Καθηγητής, Τμήμα Νοσηλευτικής, Ε.Κ.Π.Α.
Διομήδους Μαριάννα, Καθηγήτρια, Τμήμα Νοσηλευτικής, Ε.Κ.Π.Α.
Original Title:
Διερεύνηση των τραυματισμών επαγγελματικής αιτιολογίας σε τριτοβάθμιο νοσοκομείο
Languages:
Greek
Translated title:
Investigation of occupational injuries in a tertiary hospital
Summary:
INTRODUCTION: Improving the health and safety conditions of workers and generally improving the working environment tends to be a priority of more and more countries. Hospitals are extremely complex organizations that bring together a multitude of occupational risk factors arising both from the hospital environment itself and from the nature of the work being done.
AIM: The aim of this study was to record and analyze the work accidents that were declared by the workers at the occupational health service in one University Hospital in Attica during the five-year period 2013-2017.
MATERIAL AND METHOD: In this retrospective descriptive study, data were collected from the 505 work accident claim forms completed between 2013 and 2017. In particular, the activities during which the accidents occurred were investigated as well as the causes of the injuries, the area of injury, the use of MAP, the results of the virological checks and the necessary instructions that were given after the accident. At the same time, an attempt was made to identify and assess risk factors and injury conditions. Data were entered in a Microsoft Excel 2010 spreadsheet, while statistical analysis of these with Statistical Program for Social Sciences (SPSS) v.21.
RESULTS: The majority (73,5%) of injuries occurred in women, while the 64,4% of injuries was recorded in the age group of 19-35 years old. The nursing personnel suffered the 31,5% of injuries, university students the 28,5%, specialising doctors the 22,4% and specialist doctors the 6,3%, while smaller percentages occurred to the cleaning personnel (6,2%), the auxiliary personnel (3,2%), the lab personnel (2,4%) and the technical/other personnel (0,6%). The most frequent injuries were those by sharp objects (77,2%) and the exposure to biological materials (16,9%). Accidents were recorded in most hospital departments of which the dominant were the internal medicine department, the surgical department, the intensive care units (I.C.U.), and the Emergency Department. The 76,7% of the employees used the appropriate Personal Protective Equipment during the time of the accident, while there was not a statistically significant difference between the genders. The 82,3% injuries was found in the upper body, the 12,3% in the face, the 3,6% in the lower body, the 0,6% in other parts of the body while the 1,2% of injuries were found in multiple areas. As for the level of immunization against the HBV virus the 85,1% was vaccinated, while after the injury, the 12,1% needed a boost dose of the specific vaccine, the 2,9% needed to get immunoglobulin, while the 1% took antiretroviral treatment. There was no sickness absence for the 93,7% of the declared accidents, while for the 6,3% of the employees were absent for more than 3 days. In the medical personnel, the cleaning personnel and the rest of the personnel (auxiliary, lab, technical) there was a reduction in the accidents for the years 2015-2017 in comparison to the years 2013-2014, namely after the application of the Presidential Decree 6/2013. On the contrary, an increase was recorded in the accidents of the nursing personnel, from 29,2% in the period of 2013-2014, to 33,3% in the period of 2015-2017 and in university students from 23,3% to 32,6%. There was a statistically significant increase in injuries from misplaced movements between the two time periods from 63.2% to 73.7% (p-value = 0.012). Finally, a statistically significant reduction in the percentage of non-vaccinated employees against hepatitis B virus (2013-2014: 13.9% versus 2015-2017: 7.9%, p-value = 0.025). Only 8.7% (43 people) stated that they had been trained in occupational health and safety issues, of which 55.8% were employees of the contractor company and they had been trained by the contractor company.
CONCLUSION: Sharp injuries and exposure to biological fluids have a high impact on health professionals working in the hospital environment. In parallel with the lack of training on Work Health and Safety issues, the need for an integrated prevention and protection strategy is highlighted with the cooperation of all: State, Hospital, Labor, Safety, and Employees themselves through Workers' Health and Safety Committees.
Main subject category:
Health Sciences
Keywords:
Hospital, Health care professionals, Risk factors, Occupational accidents, Work health and safety, Sharp injuries, Exposure to biological risk factors
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
68
Number of pages:
132
File:
File access is restricted only to the intranet of UoA.

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