RESUMO
In a study of injection safety in Abha health district, Saudi Arabia, data were collected from 47 physicians and 85 nurses at 24 primary health care centres, using an observation checklist and an interview questionnaire. All centres used individually packed disposable syringes and puncture-proof containers to collect used needles. Needlestick injury in the previous year was reported by 14.9% of physicians and 16.5% of nurses (0.21 and 0.38 injuries/person/year respectively). Logistic regression analysis identified recapping the needle after use (physicians and nurses) and bending the needle before disposal (physicians) as significant risk factors for injury.
Assuntos
Ferimentos Penetrantes Produzidos por Agulha , Saúde Ocupacional , Atenção Primária à Saúde , Gestão da Segurança/organização & administração , Acidentes de Trabalho/prevenção & controle , Acidentes de Trabalho/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Equipamentos Descartáveis , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Modelos Logísticos , Masculino , Corpo Clínico/educação , Corpo Clínico/psicologia , Eliminação de Resíduos de Serviços de Saúde/métodos , Pessoa de Meia-Idade , Análise Multivariada , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Ferimentos Penetrantes Produzidos por Agulha/etiologia , Ferimentos Penetrantes Produzidos por Agulha/prevenção & controle , Recursos Humanos de Enfermagem/educação , Recursos Humanos de Enfermagem/psicologia , Atenção Primária à Saúde/organização & administração , Fatores de Risco , Arábia Saudita/epidemiologia , Inquéritos e Questionários , SeringasRESUMO
OBJECTIVE: This study aims to display the quality of the clinical notes at Abha Psychiatric Hospital out-patient clinics. METHODS: In this chart review study, a total of 380 charts were randomly collected, and reviewed for the clinical items that should be included in the psychiatric clinical notes. Each chart note quality was indicated as good, fair or poor based on means and standard deviations. RESULTS: The quality of clinical notes was good in 16.3%, fair in 71.1% and poor in 12.6% of the total records. The most frequent clearly present items were medications (92.1%), and personal data (91.1%); while the most frequent clearly absent items were psychotherapy (90.8%), and functioning (80.8%). CONCLUSION: The quality of psychiatric clinical notes needs to be improved. Practical recommendations regarding this were stressed.