Potential for reported needlestick injury prevention among healthcare workers through safety device usage and improvement of guideline adherence: expert panel assessment

2006 ◽  
Vol 63 (4) ◽  
pp. 445-451 ◽  
Author(s):  
B.L. Cullen ◽  
F. Genasi ◽  
I. Symington ◽  
J. Bagg ◽  
M. McCreaddie ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Guideline Adherence ◽  
Healthcare Workers ◽  
Expert Panel ◽  
Needlestick Injury ◽  
Safety Device

Effect of the Introduction of an Engineered Sharps Injury Prevention Device on the Percutaneous Injury Rate in Healthcare Workers

2007 ◽  
Vol 28 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Madelyn Azar-Cavanagh ◽  
Pam Burdt ◽  
Judith Green-McKenzie
Keyword(s):  
Injury Prevention ◽  
Healthcare Workers ◽  
Medical Center ◽  
Injury Rate ◽  
Needlestick Injury ◽  
Hospital Policy ◽  
Bloodborne Pathogens ◽  
Safety Features ◽  
Sharps Injury ◽  
Hospital Wards

Objective.To evaluate the effect of introducing an engineered device for preventing injuries from sharp instruments (engineered sharps injury prevention device [ESIPD]) on the percutaneous injury rate in healthcare workers (HCWs).Methods.We undertook a controlled, interventional, before-after study during a period of 3 years (from January 1998 through December 2000) at a major medical center. The study population was HCWs with potential exposure to bloodborne pathogens. HCWs who sustain a needlestick injury are required by hospital policy to report the exposure. A confidential log of these injuries is maintained that includes information on the date and time of the incident, the type and brand of sharp device involved, and whether an ESIPD was used.Intervention.Introduction of an intravenous (IV) catheter stylet with a safety-engineered feature (a retractable protection shield), which was placed in clinics and hospital wards in lieu of other IV catheter devices that did not have safety features. No protective devices were present on suture needles during any of the periods. The incidence of percutaneous needlestick injury by IV catheter and suture needles was evaluated for 18 months before and 18 months after the intervention.Results.After the intervention, the incidence of percutaneous injuries resulting from IV catheters decreased significantly (P < .01), whereas the incidence of injuries resulting from suture needle injuries increased significantly (P < .008).Conclusion.ESIPDs lead to a reduction in percutaneous injuries in HCWs, helping to decrease HCWs' risk of exposure to bloodborne pathogens.

scholarly journals NEEDLESTICK INJURY AMONG HEALTHCARE WORKERS IN A TERTIARY CARE HOSPITAL, KERALA

2017 ◽  
Vol 4 (82) ◽  
pp. 4846-4850 ◽  
Author(s):  
Chintha Sujatha ◽  
Jacquilene Vadasseril ◽  
Govind Jayaprakash ◽  
John K. Joy
Keyword(s):  
Healthcare Workers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Needlestick Injury ◽  
Care Hospital

Risk of Transmission and Features of Hepatitis C After Needlestick Injuries

1999 ◽  
Vol 20 (01) ◽  
pp. 63-64 ◽  
Author(s):  
Saeed S. Hamid ◽  
Badar Farooqui ◽  
Qudsia Rizvi ◽  
Tarranum Sultana ◽  
Anwar A. Siddiqui
Keyword(s):  
Hepatitis C ◽  
Healthcare Workers ◽  
Cost Effective ◽  
Asymptomatic Infection ◽  
Needlestick Injury ◽  
Hcv Rna ◽  
Needlestick Injuries ◽  
Cost Effective Method ◽  
Polymerase Chain

Abstract The rate of transmission and management of needlestick injuries from hepatitis C virus (HCV) patients to healthcare workers is still a matter of debate. We used a stringent protocol using monthly transaminase levels and polymerase chain reaction for HCV RNA to monitor 53 healthcare workers prospectively for up to 6 months following needle injuries from HCV-positive patients. Evidence of transmission of HCV was found in only 2 workers (4%) with mild asymptomatic infection, one of which resolved spontaneously. Based on our experience, we now use a less-intensive follow-up protocol. Further investigation is required to determine the most cost-effective method to monitor individuals who suffer a needlestick injury from an HCV-positive patient.

Needlestick Injury in Hospital Personnel: A Multicenter Survey From Central Italy

1992 ◽  
Vol 13 (9) ◽  
pp. 540-544 ◽  
Author(s):  
Francesco Albertoni ◽  
Giuseppe Ippolito ◽  
Nicola Petrosillo ◽  
Lorenzo Sommella ◽  
Vincenzo Di Nardo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Hepatitis B ◽  
Healthcare Workers ◽  
Student Nurses ◽  
Injury Rate ◽  
Needlestick Injury ◽  
Public Hospitals ◽  
Hospital Personnel ◽  
Hospital Workers ◽  
Multicenter Survey

AbstractObjectives:To assess the rate of needlestick injury in hospital personnel in an Italian region. To identify risk factors potentially amenable to correction.Design:Hospital workers undergoing hepatitis B prevaccination testing in 1985 through 1986 were interviewed regarding needlestick injury in the previous year, job category, area of work, years of employment, and other pertinent information.Setting:Of the 98 public hospitals of the Latium region, 68 participated in the survey: 32 of 55 with less than 200 beds, 20 of 25 with 200 to 300 beds, 11 of 13 with 400 to 900 beds, and all of the 5 with more than 1,000 beds.Participants:All healthcare workers providing direct patient care or environmental services as well as student nurses were invited by the hospital directors to undergo hepatitis B prevaccination testing and vaccination, if eligible.Results:Of 30,226 hospital workers of the 68 participating hospitals, 20,055 were interviewed (66.3%): 47.7% of the 7,172 doctors, 71% of the 14,157 nurses, 55.9% of the 2,513 technicians, and 71.9% of the 6,384 ancillary workers. Needlestick injury was recalled by 29.3%; the rates were 54.9%, 35.3%, 33.8%, 26.5%, 18.7%, and 14.7% in surgeons, registered and unskilled nurses, physicians, ancillary workers, and technicians, respectively. The recalled injury rate was 39.7% and 34.0% in surgical and intensive care areas; in infectious diseases, it was 16.7%. Bates were lower in hospitals with 200 to 300 beds (25.6%). The needlestick injury rate declined from 32% in those with less than 5 years of employment to 28% in those with more than 20 years (p<.01). Prevalence of HBV infection was higher in student nurses and young workers recalling a needlestick exposure (14.3% and 15.8%, respectively), versus 10.1% and 12.8% in those not exposed (p<.01 and <.05, respectively).Conclusions:Parenteral exposure to bloodborne infectious agents is a relevant risk among healthcare workers in our region, particularly in defined job categories and hospital areas (surgeons, nurses, surgical, and intensive care areas). Immunization and educational efforts should be made along with better designs of devices to reduce the risk of infection.

Workers' Compensation Claims for Needlestick Injuries Among Healthcare Workers in Washington State, 1996-2000

2005 ◽  
Vol 26 (9) ◽  
pp. 775-781 ◽  
Author(s):  
Syed M. Shah ◽  
David Bonauto ◽  
Barbara Silverstein ◽  
Michael Foley
Keyword(s):  
Healthcare Workers ◽  
Needlestick Injury ◽  
Washington State ◽  
Workers Compensation ◽  
Nursing Facilities ◽  
Needlestick Injuries ◽  
Skilled Nursing ◽  
Compensation Claim ◽  
Compensation Claims ◽  
State Fund

AbstractObjectives:To characterize accepted workers' compensation claims for needlestick injuries filed by healthcare workers (HCWs) in non-hospital compared with hospital settings in Washington State.Design:Descriptive study of all accepted workers' compensation claims filed between 1996 and 2000 for needlestick injuries.Participants:All Washington State HCWs eligible to file a state fund workers' compensation claim and those who filed a workers' compensation claim for a needlestick injury.Results:There were 3,303 accepted state fund HCW needlestick injury claims. The incidence of needlestick injury claims per 10,000 full-time-equivalent HCWs in hospitals was 158.6; in dental offices, 104.7; in physicians' offices, 87.0; and in skilled nursing facilities, 80.8. The most common mechanisms of needlestick injury by work location were as follows: for hospitals, suturing and other surgical procedures (16.7%), administering an injection (12.7%), and drawing blood (10%); for dentists' offices, recapping (21.3%) and cleaning trays and instruments (18.2%); for physicians' offices, disposal (22.2%) and administering an injection (10.2%); and for skilled nursing facilities, disposal (23.7%) and administering an injection (14.9%). Nurses accounted for the largest (29%) proportion of HCWs involved, followed by dental assistants (17%) and laboratory technicians and phlebotomists (12%) in non-hospital settings. Rates of needlestick injury claims increased for non-hospital settings by 7.5% annually (95% confidence interval [CI95], 4.89% to 10.22%; P < .0001). Rates decreased for hospital settings by 5.8% annually, but the decline was not statistically significant (CI95, -12.50% to 1.34%; P < .1088). HCWs were exposed to hepatitis B, hepatitis C, and human immunodeficiency viruses in non-hospital settings.Conclusion:There was a difference in the incidence rate and mechanisms of needlestick injuries on review of workers' compensation claim records for HCWs in non-hospital and hospital settings.

scholarly journals Needlestick injury in a pregnant inpatient in an overcrowded hospital

2014 ◽  
Vol 15 (2) ◽  
pp. 66-68 ◽  
Author(s):  
Nnabuike Chibuoke Ngene ◽  
Chioma Obiageli Onyia ◽  
Jagidesa Moodley ◽  
Mokete Joseph Titus
Keyword(s):  
Healthcare Workers ◽  
Injured Patient ◽  
Pregnant Patient ◽  
Needlestick Injury ◽  
Labour Induction ◽  
Post Exposure Prophylaxis ◽  
Hospital Beds ◽  
Compromise Patient Safety ◽  
Exposure Prophylaxis ◽  
Hiv Negative

Needlestick injury (NSI) is commonly reported among healthcare workers, but is not well documented in patients. We report a case of an NSI in an HIV-negative, gestational hypertensive patient admitted to a hospital for induction of labour at term. Owing to an insufficient number of hospital beds, patients were seated in an overcrowded corridor of the antenatal ward where a patient stepped on the needle of an inadvertently disconnected intravenous infusion set of another pregnant patient, who was HIV-infected. The injury occurred prior to labour induction. Antiretroviral post-exposure prophylaxis to prevent HIV infection was administered to the injured patient and her newborn. This report illustrates how hospital bed shortage may compromise patient safety and discusses measures to prevent NSI among patients and hospital overcrowding.

scholarly journals Assessing applications for healthcare workers and providers: Development and validation of the 17-item scale, the ISYScore-Pro a Delphi Expert Panel Study (Preprint)

10.2196/17660 ◽  
2020 ◽  
Author(s):  
Immaculada Grau-Corral ◽  
Percy Efran Pantoja ◽  
Francisco J. Grajales III ◽  
Belchin Kostov ◽  
Valentí Aragunde ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Expert Panel ◽  
Panel Study ◽  
Development And Validation ◽  
Item Scale
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