Effect of Educational Programs, Rigid Sharps Containers, and Universal Precautions on Reported Needlestick Injuries in Healthcare Workers

1991 ◽  
Vol 12 (4) ◽  
pp. 214-219 ◽  
Author(s):  
Calvin C. Linnemann ◽  
Constance Cannon ◽  
Martha DeRonde ◽  
Bruce Lanphear
Keyword(s):  
Infection Control ◽  
General Hospital ◽  
Educational Program ◽  
Healthcare Workers ◽  
University Hospital ◽  
Needlestick Injuries ◽  
Universal Precautions ◽  
Control Programs ◽  
University Of Cincinnati ◽  
The University

AbstractObjective:To evaluate the effect of infection control programs on reported needlestick injuries in a general hospital.Design:Surveillance of all reported needlestick injuries at the University of Cincinnati Hospital was maintained by the infection control department for five years, from 1985 through 1989. Data on individual workers were collected, tabulated on a monthly basis, and reviewed continually to monitor trends in injuries. During this time, the effects of each of three new infection control programs on reported injuries were evaluated sequentially.Setting:A 700-bed general hospital that serves as the main teaching hospital of the University of cincinnati.Participants:All employees of University Hospital who reported to personnel health for management of needlestick injuries.Interventions:In 1986, an educational program to prevent injuries was initiated and continued throughout the surveillance period. In 1987, rigid sharps disposal containers were placed in all hospital rooms. In 1988, universal precautions were introduced with an intensive inservice.Results:Surveillance identified 1,602 needlestick injuries (320/year) or 104/1 ,000/ year. After the educational program began, reported injuries increased rather than decreased, and this was attributed to increased reporting. Subsequently, after installation of the new disposal containers, reported injuries returned to the levels seen prior to the educational program, but recapping injuries showed a significant decrease from 63/year to 30, or 20/1,000/year to 10. This decrease was observed in nurses but not in other healthcare workers. After universal precautions were instituted, total injuries increased slightly, but recapping injuries remained at 50% of the levels reported prior to the use of rigid sharps disposal containers.Conclusions: The three infection control programs failed to produce a major reduction in reported needlestick injuries, except for a decrease in recapping injuries associated with the placement of rigid sharps disposal containers in all patient rooms. These observations indicate that new approaches are needed to reduce needlestick injuries.

An Effective Educational Program to Reduce the Frequency of Needle Recapping

1990 ◽  
Vol 11 (12) ◽  
pp. 635-638 ◽  
Author(s):  
Bruce S. Ribner ◽  
Barbara S. Ribner
Keyword(s):  
Educational Program ◽  
Healthcare Workers ◽  
Needlestick Injuries

AbstractWe developed an educational program that reported the rate of needle recapping to healthcare workers, in conjunction with emphasis on appropriate disposal procedures. Over 12 months, the rate of recapping needles used for venipuncture and for percutaneous medication injections fell from 61% to 16% (p<.0001). Over the same period, the recapping of needles used primarily for intravenous (IV) administration fell from 44% to 33% (p = .03). Re-evaluation of the rate of recapping eight months later showed a continuation of these lowered rates. Needlestick injuries were too few in number during the study period to detect any change accompanying the decreased recapping rate. We conclude that programs that report back to employees their rate of recapping can significantly reduce this activity in the disposal of needles used for venipuncture and for percutaneous medication injections. While such reporting may reduce the rate of recapping of needles used for IV administration, the effect is not nearly so marked. Modifications in design remain the most promising approach to preventing needlestick injuries from recapping needles used for IV administration.

A Five-Year Study of Needlestick Injuries: Significant Reduction Associated With Communication, Education, and Convenient Placement of Sharps Containers

1992 ◽  
Vol 13 (5) ◽  
pp. 265-271 ◽  
Author(s):  
Donna J. Haiduven ◽  
Tammy M. DeMaio ◽  
David A. Stevens
Keyword(s):  
Infection Control ◽  
Patient Care ◽  
Healthcare Workers ◽  
Medical Center ◽  
Educational Programs ◽  
Needlestick Injuries ◽  
San Jose ◽  
Communication Education ◽  
Santa Clara Valley ◽  
Control Department

AbstractObjective:To decrease the numbers of needlesticks among healthcare workers.Design:All reported needlestick injuries at Santa Clara Valley Medical Center, San Jose, California, were reviewed, analyzed, and tabulated by the infection control department yearly from 1986 to 1990.Setting:A 588-bed county teaching hospital in San Jose, California, affiliated with Stanford University.Participants:All employees of Santa Clara Valley Medical Center who reported needlestick injuries on injury report forms.Interventions:From April to December 1987, more needle disposal containers were added to as many patient care areas and as close to the area of use as possible. Results of 1986, 1988, 1989, and 1990 analyses were communicated yearly to all personnel, extensive educational programs were conducted in 1987 and 1988, and educational efforts continued in 1989 and 1990.Results:In 1986, there were 259 needlestick injuries at our institution, 22% (32) from recapping. After needle disposal containers were added to all patient care areas, needlestick injuries for 1988 totalled 143, a 45% decrease in the total needlestick injuries and a 53% decrease in recapping injuries. Communication of results to all areas of the hospital and educational activities were started in 1987 and continued through the next 3 years. In 1989, there were 135 needlestick injuries, a decrease of 6% from 1988; recapping injuries decreased 40% from 1988. In 1990, there were 104 needlestick injuries, a 23% decrease since 1989, and a 33% decrease in recapping injuries. The total number of needlestick injuries from 1986 to 1990 decreased by 60%, and those injuries from recapping decreased by 81% to 89%.Conclusions:We have continued to monitor needlestick injuries, communicate findings to all personnel, and include needlestick prevention in educational programs. We contend that more convenient placement of needle disposal containers, communication of tidings, and education do decrease needlestick injuries in healthcare workers.

scholarly journals Practices for rational use of blood components in a universitary hospital

2015 ◽  
Vol 61 (4) ◽  
pp. 355-361
Author(s):  
Sydney Correia Leão ◽  
Mariana Araújo Bezerra Gomes ◽  
Mila Cintra de Azevedo Aragão ◽  
Iza Maria Fraga Lobo
Keyword(s):  
Comparative Analysis ◽  
Health Professionals ◽  
Educational Program ◽  
University Hospital ◽  
Theoretical Knowledge ◽  
Blood Transfusions ◽  
Significant Gain ◽  
Blood Components ◽  
Post Intervention ◽  
The University

SummaryObjective:to produce improvements in transfusion practices through the implementation of an educational program for health professionals in a university hospital.Methods:this is an interventional and prospective study, with pre- and postanalysis of an educational intervention. The research was developed at the University Hospital of the Universidade Federal de Sergipe, involving participation of health professionals in the stage of training, during the month of February 2011, in addition to the monitoring of blood transfusions performed in the preand post-intervention periods. Transfusion practices were investigated upon request for transfusion or devolution of unused blood components. Knowledge of health professionals was assessed based on the responses to a questionnaire about transfusion practices.Results:during the educative campaign, 63 professionals were trained, including 33 nurses or nursing technicians and 30 physicians. Among the doctors, there was a statistically significant gain of 20.1% in theoretical knowledge (p=0.037). Gain in the nursing group was even higher: 30.4% (p=0.016). The comparative analysis of transfusion request forms showed a non-significant decrease from 26.7 to 19.5% (p=0.31) in all forms with incomplete information. We also observed a statistically significant improvement in relation to the filling of four items of transfusion request.Conclusion:there was a significant improvement of the entire process related to blood transfusions after interventional project conducted in February 2011.

scholarly journals Nurses Practice Regarding Infection Control Measures during The Second Stage of Labor: A Multicenter Study

2021 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Somia F. E. Fahmi ◽  
Zeinab A. A. Baraia ◽  
Inaam H. Abdelati
Keyword(s):  
Infection Control ◽  
General Hospital ◽  
Infection Control Practice ◽  
Control Measures ◽  
University Hospital ◽  
Second Stage Of Labor ◽  
Control Practice ◽  
Second Stage ◽  
Infection Control Measures ◽  
Significant Difference

Context: Infection prevention remains a significant public health challenge for healthcare systems, especially in maternity and delivery units. Good understanding and compliance of nurses with infection control measures during delivery are essential factors that improve maternal and neonatal outcomes and decrease morbidity and mortality. Aim: This study aimed to assess nurses' practice regarding infection control measures during the second stage of labor in multiple centers. Methods: Cross-sectional descriptive observational study was adopted in this study. The study population included all nurses working in labor rooms of four hospitals (100 nurses), namely Suez Canal University Hospital, Zagazig University Hospital, Ismailia General Hospital, And Zagazig General Hospital. Data collection tool encompassed a structured interviewing questionnaire to assess nurses' general characteristics, physical and organizational barriers that prevent nurses from complying with infection control measures, infection control practice checklist to assess nurses` compliance with infection control measures during the second stage of labor. Results: The highest percentage of the studied nurses' age was between 19-<29 (56.6%, 63.8%). Near half were technical nurses (43.4%, 44.7%). The majority of the studied nurses had not had periodic checks. Also, most of them were vaccinated against viral hepatitis B (86.8%, 91.5%). There was a statistically significant difference between Ismalia and Zagazig hospitals in physical barriers. The highest mean percent for infection control practice was for perineal care 100%, using the invasive device during labor 92%, preparing birthing room and its equipment 75.9%. A satisfactory infection control practice was revealed among 88% of the studied nurses. The satisfactory practice of nurses was 100%, 92.1%, 86.9%, 44.1% in Zagazig General Hospital, Ismalia University Hospital, Zagazig University Hospital, Ismalia General Hospital, respectively. Conclusion: The result of the study concluded that most nurses' practice regarding infection control in the delivery room was satisfactory. The study recommended upgrading and qualifying nurses in the labor room to improve their practical skills in Obstetric Nursing.

Nasal and Hand Carriage ofStaphylococcus aureusin Staff at a Department for Thoracic and Cardiovascular Surgery: Endogenous or Exogenous Source?

2003 ◽  
Vol 24 (9) ◽  
pp. 686-689 ◽  
Author(s):  
Ann Tammelin ◽  
Fia Klötz ◽  
Anna Hambræus ◽  
Elisabeth Ståhle ◽  
Ulrika Ransjö
Keyword(s):  
Healthcare Workers ◽  
Cardiovascular Surgery ◽  
Nasal Carriage ◽  
Pulsed Field Gel Electrophoresis ◽  
University Hospital ◽  
Point Prevalence Study ◽  
Moderate Rate ◽  
Hand Antisepsis ◽  
The University ◽  
Exogenous Source

AbstractObjective:To investigate the rates ofStaphylococcus aureuscarriage on the hands and in the noses of healthcare workers (HCWs) and the relatedness ofS. aureusisolates found in the two sites.Design:Point-prevalence study.Setting:Department for Thoracic and Cardiovascular Surgery at the University Hospital of Uppsala, Uppsala, Sweden.Subjects and Methods:Samples were obtained from 133 individuals, 18 men and 115 women, using imprints of each hand on blood agar and a swab from the nose.S. aureusisolates were identified by standard methods and typed by pulsed-field gel electrophoresis.Results:S. aureuswas found on the hands of 16.7% of the men and 9.6% of the women, and in the noses of 33.3% of the men and 17.4% of the women. The risk ratio forS. aureuscarriage on the hands with nasal carriage was 7.4 (95% confidence interval, 2.7 to 20.2;P< .001). Among the 14 HCWs carryingS. aureuson their hands, strain likeness to the nasal isolate was documented for 7 (50%).Conclusions:Half of the HCWs acquiredS. aureuson the hands from patients or the environment and half did so by apparent self-inoculation from the nose. Regardless of the source of contamination, good compliance with hand hygiene is needed from all HCWs to protect patients from nosocomial infections. The moderate rate ofS. aureuscarriage on hands in this setting could be the result of the routine use of alcoholic hand antisepsis.

scholarly journals Longitudinal Study of Viral and Bacterial Contamination of Hospital Pediatricians’ Mobile Phones

2020 ◽  
Vol 8 (12) ◽  
pp. 2011
Author(s):  
Aymeric Cantais ◽  
Florence Grattard ◽  
Julie Gagnaire ◽  
Olivier Mory ◽  
Aurélie Plat ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Mobile Phones ◽  
Healthcare Workers ◽  
Winter Season ◽  
University Hospital ◽  
Infectious Agents ◽  
Study Results ◽  
Before And After ◽  
The University

Mobile phones (MPs) of healthcare workers (HCWs) may represent an important source of transmission of infectious agents. This longitudinal study documents the contamination of these tools. Ten MPs handled by senior pediatricians were sampled once a week during 23 weeks in three pediatric wards of the University Hospital of Saint-Etienne, France. Cultures were performed for bacteria and multiplex PCR assays for a panel of respiratory and enteric viruses. A questionnaire on hygiene habits regarding phoning and care was filled-in by pediatricians before and after the study. From a total of 230 samples, 145 (63%) were contaminated by at least one pathogen. The MPs from emergency departments were the most impacted. Viruses were detected in 179 samples; bacteria were isolated in 59 samples. Contamination increased during the winter epidemic peak. A cross-contamination by Paracoccus yeei between hands and MPs of different HCWs was demonstrated. The communication of the study results influenced the hygiene behaviors. This study highlights the contamination of MPs by pathogens that are resistant in the environment, and its sustainability along the winter season. The role of MPs as vectors of nosocomial infection needs to be better investigated.

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