尖銳物品穿刺傷，為醫療臨床人員最常發生的職業傷害之一，約有87%醫療工作人員曾有針扎經驗；醫療工作人員可能因為針扎傷而有感染血行性傳染疾病的風險。國內雖然已將安全針具納入醫療法及醫院評鑑項目，但尖銳物品收集裝置相關處置規範，目前尚以廢棄物相關處理條例為主；本研究發現社區長期照護系統，預防針扎傷事件發生的安全設備選擇性較少，除醫療器材廠商所販售之外，常見使用回收容器做為尖銳物品收集之用。透過文獻蒐集了解國內、外，針扎傷事件預防相關法規及安全裝置設計建議、研究，參考人因工程與本質安全設計概念及相關研究，作為本研究改善方案參考概念。
本研究方法藉由分析臨床常見安全設備，收集針扎傷事件經驗者訪談資料，針對訪談結果中高風險醫療技術，進行技術流程分析，找出改善點；再依據人因工程及本質安全設計原則，以徹底消除這些針扎的根本原因為目標，設計一項能有效降低針扎風險、消除危險因子的銳器安全收集裝置，提供臨床工作人員選擇，協助建置一個友善安全的工作環境。
關鍵字: 人因工程、針扎傷、尖銳物品收集裝置

Needlestick injury , one of the most common occurring occupational injuries to medical clinical workers. About 87% of clinical workers had Needlestick injury experience. Medical clinical workers may be at risk of acquiring a bloodborne infectious disease by Needlestick injury. Although the safety design needle has been included in the medical law and hospital evaluation project, but the sharp Container related to the disposal of equipment specifications, the current waste disposal regulations are still the main,
This study found that long-term care system, less safety equipment could be select. the common use of recycling containers for the collection of sharp objects. This study reviewed the literature on needle-stick injury events, post-exposure prophylaxis and the requirement of safety design.
This study analyze those common safety equipment in clinical use, and collect information from interview those who had Needlestick injury events. After the analysis, we can found the high risk medical clinical technology. We analyze the process of high risk clinical technology and try to found the improve point. According to Ergonomics and Intrinsic safety principle to design a sharp collector device. This device can drop the risk value and eliminate the factor of Needlestick injury. Provide clinical staff another options to help create a friendly and safety work environment.

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