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Sharps Injuries during Dissection: A Five-Year Retrospective Study in the Context of Safety.
Anatomical Sciences Education ( IF 7.3 ) Pub Date : 2019-06-10 , DOI: 10.1002/ase.1894
Jakub Foytl 1, 2 , Fraser Chisholm 2 , Ourania Varsou 2, 3
Affiliation  

The supplementation of lecture‐based anatomy teaching with laboratory sessions, involving dissection or anatomical specimens, is commonly used. Hands‐on dissection allows students to handle instruments correctly while actively exploring three‐dimensional anatomy. However, dissection carries a potential risk of sharps and splash injuries. The aim of this study was to quantify the frequency rate of such cases per 1,000 student‐hours of dissection and identify potential factors than might influence safety in anatomy laboratories. Data were retrospectively collected from September 2013 to June 2018 at the University of St Andrews, Scotland, UK. Overall, 35 sharps injuries were recorded in undergraduate medical students, with a frequency rate of 0.384 and no splash cases. A statistically significant, moderate negative association between year of study and frequency rate (rho(25) = −0.663; P < 0.001) was noted. A statistically significant difference in the frequency rate between different semester modules (χ2(4) = 13.577, P = 0.009) was observed with the difference being between Year 1 Semester 2 and Year 3 Semester 1 (P = 0.004). The decreasing trend with advancing year of study might be linked to increasing dissecting experience or the surface area of the region dissected. The following factors might have contributed to increased safety influencing frequency rates: single‐handed blade removal systems; mandatory personal protective equipment; and having only one student dissecting at a given time. The authors propose that safety familiarization alongside standardized training and safety measures, as part of an evidence‐based culture shift, will instill safety conscious behaviors and reduce injuries in anatomy laboratories.

中文翻译:

解剖期间锐利伤害:在安全性背景下的五年回顾性研究。

通常使用基于解剖学或解剖学标本的讲座进行解剖学教学的补充。通过动手解剖,学生可以在积极探索三维解剖结构的同时正确处理器械。但是,解剖可能会导致锐器和飞溅伤的危险。这项研究的目的是量化每千个学生小时解剖的此类病例的发生率,并确定可能影响解剖学实验室安全性的潜在因素。数据从2013年9月至2018年6月在英国苏格兰圣安德鲁斯大学进行回顾性收集。总体而言,本科医学生记录了35起锐器受伤事件,发生频率为0.384,无飞溅病例。具有统计意义的(25) = -0.663;  注意到P <0.001)。在不同的学期模块之间的频率速率的统计学差异显著(χ 2 (4) = 13.577,P  = 0.009),用第1年2学期和第三年第一学期之间的差被观察(P = 0.004)。随着学习年限的增加,下降趋势可能与解剖经验或解剖区域的表面积增加有关。以下因素可能会增加安全性对频率的影响:单手刀片移除系统;强制性个人防护装备;并且在给定的时间只有一个学生进行解剖。作者建议,将安全知识与标准化的培训和安全措施结合起来,作为基于证据的文化转变的一部分,将灌输安全意识行为并减少解剖实验室的伤害。
更新日期:2019-06-10
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