[Analysis of work accidents during the years 1999-2006 in a hospital company in Lombardia]. / Analisi del fenomeno infortunistico 1999-2006 in un'Azienda Ospedaliera Lombarda.

This study describe accidents occurred in the period between 1999 and 2006 in the Hospital of Cremona, in which about 2400 subjects operate. The analysis of Accident Register showed a reduction of about 30% of the total number of accidents during the examined period and a non homogeneous distribution of the various types of accidents. The most frequent accidents were prick (25.8%), trauma (22.9%) and "in itinere" accidents (7.8%). One type of accident has been little considered up to now: the aggressions. Professional nurses were the most frequently involved and the most affected units were those that belong to the Internal Medicine Department. "In itinere" accidents had the longest average prognosis (11.6 days). The repetition of accidents occurred to the same operator hasn't been analysed before now: a professional nurse had nine accidents (of various type) in the seven years considered. Probably the reduction of accident must be attributed to the effectiveness of the prevention activities undertaken during the reviewed period. Biological accidents, for which it was possible to implement prevention programs, have been markedly reduced; it was not the same for "In Itinere" accidents, that depend significantly on external factors that are not easily dismissed.

[Theoretical-practical training for personnel involved in patient assistance for limiting the risk of manual handling of the patients in a hospital company]. / Corso teorico-pratico di formazione al personale di assistenza per il contenimento del rischio da mobilizzazione manuale dei pazienti in una Azienda Ospedaliera.

Worker education and training must represent a deep cultural change that can be achieved, fulfilled and strengthened through constant guiding steps and periodical checks regarding practical application of acquired knowledge. In our hospital, a multi-subject team has been identified to face such problem of risk reduction from inpatient mobilization in a shared and synergic manner. Therefore a theory and practical training course is being proposed, with a theoretic part of one hour and a half to be held in a classroom to small groups (not more than 20 people) and a practical part (addressed to 8 people groups) composed of 4 sections of 1 hour and a half each: once listening in class and then being subdivided in the relative belonging wards as well as after an explanation, everyone will have here the chance to perform the correct manual mobilization handlings also in association with the use of minor aid devices. At the end of each section, a referent-educator is identified for each Operative Unit: such a figure is extremely important as a reference for his/her collegues, for new employees and to support and/or substitute the outside inspector in checking operations during the year following the end of the course itself. This latest phase is thus considered absolutely necessary to realize the actual change in the staff habits.