Needlestick Injury: Impact of a Recapping Device and an Associated Education Program

1991 ◽  
Vol 12 (4) ◽  
pp. 220-225 ◽  
Author(s):  
Michael Whitby ◽  
Pat Stead ◽  
Jake M. Najman
Keyword(s):  
Nursing Staff ◽  
Education Program ◽  
Injury Rate ◽  
Needlestick Injury ◽  
Full Time ◽  
Needlestick Injuries ◽  
Safety Device ◽  
Tertiary Referral Hospital ◽  
Staff Members ◽  
The Impact

AbstractObjective:To determine the impact of the introduction of a plastic shield-shaped device (Needleguard, Biosafe, Auckland, New Zealand) and education program designed to allow safer recapping, on recorded rates of needlestick injury.Design:A before-after trial with a two-year duration of follow-up.Setting:Tertiary referral hospital.Participants:Nursing and other hospital personnel.Results:Prospectively collected baseline data, together with the results of an anonymous questionnaire of 25% of the hospital nursing staff, defined a reported needlestick injury rate of 6.9 per hundred full-time nursing staff per year. In the pre-intervention period, there were 6.7 needlestick injuries per 100 nursing staff members per year reported. This increased to 15.4 (p<.0001) needlestick injuries per 100 nursing staff members per year after the intervention. An anonymous survey undertaken at both time periods suggests that the apparent increase in officially reported needlestick injuries is due to an increase in the willingness of nurses to now report previously unreported needlestick injuries.Conclusions: The impact of the safety device and education program was the more accurate reporting of needlestick injuries; many nursing staff continued to resheath needles contrary to hospital policy. Many staff simply did not use the newly designed safety device. Approaches to improving compliance with such safety devices are considered.

Randomized Prospective Study of the Impact of Three Needleless Intravenous Systems on Needlestick Injury Rates

1996 ◽  
Vol 17 (12) ◽  
pp. 803-808
Author(s):  
Paul B. L'Ecuyer ◽  
Elizabeth Owens Schwab ◽  
Elizabeth Iademarco ◽  
Norma Barr ◽  
Elizabeth A. Aton ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Tertiary Care ◽  
Control Area ◽  
Needlestick Injury ◽  
Pathogen Transmission ◽  
Needlestick Injuries ◽  
Injury Rates ◽  
Rate Ratios ◽  
And Control ◽  
The Impact

AbstractObjective:To determine the impact of three needleless intravenous systems on needlestick injury rates.Design:Randomized controlled trial.Setting:1,000-bed tertiary-care Midwestern hospital.Participants:Nursing personnel from general medical, general surgical, and intensive-care units.Interventions:From June 1992 through March 1994, a metal blunt cannula (MBC), two-way valve (2-way), and plastic blunt cannula (PBC) were introduced into three study areas, and needlestick injury rates were compared to three control areas using traditional needled devices.Results:24 and 29 needlestick injuries were reported in study and control areas. Intravenous-therapy-related injuries comprised 45.8% and 57.1% of injuries in each area. Thirty-seven percent and 20.7% of study and control area needlestick injuries were considered to pose a high risk of bloodborne infection. The 2-way group had similar rates of total and intravenous-related needlestick injuries compared to control groups. The PBC group had lower rates of total and intravenous-related needlestick injuries per 1,000 patient-days (rate ratios [RR], 0.32 and 0.24; 95°% confidence intervals [CI95], 0.12-0.81 and 0.09-0.61;P=.02 andP=.003, respectively) and per 1,000 productive hours worked (RR, 0.11 and 0.08; CI95, 0.01-0.92 and 0.010.69;P=.03 andP=.005, respectively) compared to controls.Conclusions:Needlestick injuries continued in study areas despite the introduction of needleless devices, and risks of bloodborne pathogen transmission were similar to control areas. The PBC device group noted lower rates of needlestick injuries compared to controls, but there were problems with product acceptance, correct product use, and continued traditional device use in study areas. Low needlestick injury rates make interpretations difficult. Further studies of safety devices are needed and should attempt greater control of worker behavior to aid interpretation.

Needlestick injuries: the role of safety-engineered devices in prevention

2020 ◽  
Vol 29 (14) ◽  
pp. S22-S30 ◽  
Author(s):  
Andrew Paul Jackson ◽  
Leo Andrew Almerol ◽  
Jackie Campbell ◽  
Louise Hamilton
Keyword(s):  
Healthcare Workers ◽  
Medical Literature ◽  
Substantial Reduction ◽  
Needlestick Injury ◽  
Needlestick Injuries ◽  
Clinical Interest ◽  
Percutaneous Exposure ◽  
The Impact

The first documented mention of a needlestick injury (NSI) in the medical literature appeared in 1906. Despite growth in academic and clinical interest for NSI prevention, a global report identified that approximately 3 million healthcare workers have suffered percutaneous exposure to blood-borne pathogens. Legislation is an important component of NSI prevention. Unfortunately, the impact of legislation may not always reduce the incidence of NSI as much as expected. Safety-engineered device (SED) implementation has demonstrated a substantial reduction in NSI rates compared with non-SEDs. More importantly, passive SEDs are 10 times less likely to be connected with an NSI incident

scholarly journals Predictors of Work Stress among Psychiatric Nursing Staff in Rural and Urban Settings in Taiwan

2016 ◽  
Vol 1 (1) ◽  
pp. 70 ◽  
Author(s):  
Yu-Chin Ma ◽  
Chiu-Yueh Yang ◽  
Chin-An Tseng ◽  
Mei-Hui Wu
Keyword(s):  
Work Stress ◽  
Nursing Staff ◽  
Rural Areas ◽  
Work Experience ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Full Time ◽  
Cross Sectional ◽  
Staff Members ◽  
Rural And Urban

<p>Aim: The aim of this study was to compare the work stress of nursing staff in urban and rural areas of Taiwan and to explore the predictors of work stress in nurses in Taiwan.<br />Method: In this cross-sectional study, purposive sampling was adopted to select 271 nursing staff members from 2 psychiatric teaching hospitals. The Emotional Quotient Inventory (Sun, 2004) and the Nurse Stress Checklist (Tsai &amp; Chen, 1996) were used to perform this study. A hierarchical multivariate regression model was used to examine significant predictors of work stress.<br />Results: The work stress of nursing staff in urban hospitals was lower than that of nursing staff in rural hospitals. Compared with the urban nursing staff who participated in the EQ and stress classes, the rural nursing staff, regardless of whether they had attended the classes, experienced more work stress; and hospital types, employment patterns, years of work experience, and emotional intelligence were predictors of work stress. <br />Conclusion: Overall, the findings demonstrate that administration managers must provide effective career advancement measures (eg, offering full-time jobs) or increase salaries to recruit sufficient nursing staff. In addition, managers could avoid unfair treatment experienced by part-time nursing staff by placing additional emphasis on the basic welfares and salaries of nursing staff to effectively mitigate the stress that they experience.</p>

scholarly journals Cross-sectional study assessing the risk of needlestick injury from an insulin pen among nursing care providers

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096540
Author(s):  
Yanlin Zhang ◽  
Li Liu ◽  
Kaixiu Cai ◽  
Lirong Zhang ◽  
Ling Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Injury Rate ◽  
Cross Sectional Study ◽  
Needlestick Injury ◽  
Care Providers ◽  
Needlestick Injuries ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Potential Risk Factors ◽  
Associated Risk Factors

Objective Needlestick injuries caused by insulin pen injection are a serious occupational hazard for health care workers in China. We evaluated the prevalence of stick injuries with insulin pen injection and identified associated risk factors. Methods This cross-sectional survey was conducted from 1 October to 30 November 2018 in two tier three hospitals in Chongqing, China. Self-administered questionnaires were developed by the Chinese Nursing Association Diabetes Care Special Committee. We analyzed associations between potential risk factors and injuries at different operational steps. Results A total 233 of 302 (77%) participants (mean age 28.5±5.3 years) reported a needlestick incident. Most respondents (49%) had 3 to 10 years’ working experience and had received injection safety training. Most needlestick injuries occurred while recapping needles after injection. The risk of injury was significantly associated with department and job position. The injury rate increased with increased number of years worked. Respondents with ≥10 years working experience reported the highest needle-capping injury rate (88%): odds ratio 1.93, 95% confidence interval, 1.01 to 3.69. Conclusion Recapping needles after injection showed the highest risk for stick injury with an insulin pen. Nurses in the surgery department and those with longer work histories were more likely to be injured.

Issues in Understanding the Impact of the Needlestick Safety and Prevention Act on Hospital Sharps Injuries

2013 ◽  
Vol 34 (9) ◽  
pp. 935-939 ◽  
Author(s):  
Elayne Kornblatt Phillips ◽  
Mark Conaway ◽  
Ginger Parker ◽  
Jane Perry ◽  
Janine Jagger
Keyword(s):  
Injury Rate ◽  
Cost Savings ◽  
Common Denominator ◽  
Full Time ◽  
Prospective Design ◽  
Injury Rates ◽  
Hospital Worker ◽  
Prevention Act ◽  
The Impact ◽  
Sharps Injuries

Objective.Measuring the effect of the Needlestick Safety and Prevention Act (NSPA) is challenging. No agreement exists on a common denominator for calculating injury rates. Does it make a difference? How are the law and safety-engineered devices related? What is the effect on injuries and costs? This study examines those issues in assessing the impact of the legislation on hospital worker percutaneous injuries.Methods.Using a historic prospective design, we analyzed injury data from 85 hospitals. Injury rates were calculated per 100 full-time equivalents, 100 staffed beds, and 100 admissions each year from 1995 to 2005. We compared changes for each denominator. We measured the proportion of the injury rate attributed to safety-engineered devices. Finally, we estimated a national change in injuries and associated costs.Results.For all denominators, a precipitous drop in injury rates of greater than one-third (P<.001) occurred in 2001, immediately following the legislation. The decrease was sustained through 2005. Concomitant with the decrease in rates, the proportion of injuries from safety-engineered devices nearly tripled (P <.001) across all denominators. We estimated annual reductions of more than 100,000 sharps injuries at a cost savings of $69-$415 million.Conclusions.While the data cannot demonstrate cause and effect, the evidence suggests a reduction in hospital worker injury rates related to the NSPA, regardless of denominator. It also suggests an association between the increase in safety-engineered devices and the reduction in overall injury rates. The decreases observed translate into significant reductions in injuries and associated costs.

609 Development and Implementation of the Burn Nurse Mentor Role

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S148-S148
Author(s):  
Kristy D Hemingway ◽  
Megan Fernandez
Keyword(s):  
Nursing Staff ◽  
Thinking Skills ◽  
Staff Turnover ◽  
Staff Retention ◽  
Full Time ◽  
New Nurses ◽  
Burn Center ◽  
Step Down ◽  
One Year ◽  
The Impact

Abstract Introduction Training and preparation of nurses in the burn unit is a long and costly process. Attrition of seasoned staff and a shortage of qualified preceptors places added pressure on experienced preceptors. Additionally, attrition of established preceptors leaves the crucial job of preparing new nurses to novice preceptors who are less experienced or inadequately prepared. High rates of burnout and turnover have been shown to negatively affect patient care outcomes and can lead to further increased staff turnover. Quality of environment and adequate job preparation are evidence-based strategies to increase new nurse retention. Our Burn Center’s Step Down unit was averaging a staff turnover rate of 14%, and 60% of the nursing team had less than one year of experience. We determined the need to create a mentorship role in order to increase staff retention and satisfaction, with the potential to improve patient outcomes. Methods The goals of the Burn Nurse Mentor role are to encourage and develop the competency of the nursing staff on the Burn Step Down unit. In planning for the role, an additional full time position was drafted and justified prior to creation. The job requirements included having a BSN, a minimum of 2 years ICU experience with the burn population, classified as a clinical nurse III or higher on the clinical ladder, and functioning as a preceptor. The role was designed to be at the elbow support for new nurses who are either being precepted or newly off of orientation. This support for the nursing staff would help offload preceptor burden and encourage development of critical thinking skills. Additionally, the Burn Nurse Mentor would assess and intervene when educational, practice, or process gaps arise on the unit. The goals of the position are to encourage and develop the competency of the nursing staff on the Burn Step Down unit. Results The anecdotal response to the Burn Nurse Mentor role from nursing staff has been generally positive. As this was an entirely new role for the Burn Center, periodic clarification of scope and responsibilities was needed to ensure staff comfort and familiarity with the role. Initial qualitative and quantitative data regarding quality outcomes and staff retention have trended upward as well. Conclusions The Burn Nurse Mentor is a newly designed and implemented role for our Burn Center. As such, there is a limited amount of data and research available. Future analysis of the impact of this role will include formal staff feedback at the one year mark and nursing-sensitive and patient quality indicators. Applicability of Research to Practice Using the information presented in this project, other Burn Centers can analyze the need for a mentor on their unit and use it to develop a mentor on their own unit.

scholarly journals The Impact of Social Media Engagement from a Pathology Department During COVID

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S163-S164
Author(s):  
C Crowe
Keyword(s):  
Social Media ◽  
Full Time ◽  
University Of Alabama ◽  
Staff Members ◽  
Social Media Platforms ◽  
Twitter Account ◽  
Media Channels ◽  
The University ◽  
The Impact

Abstract Introduction/Objective The events of the past year brought into stark relief the importance and impact of social media and digital communications for pathology departments as managed by an intra-departmental team of communications professionals. The University of Alabama at Birmingham Department of Pathology is home to nearly 100 faculty, more than 200 staff members and close to 40 trainees. The department’s internal communications team consists of a director of communications and content coordinator, both full time employees. Prior to the COVID pandemic, the team hosted departmental Twitter and Facebook accounts. During the course of the year, we added Instagram and LinkedIn accounts, as well as a YouTube channel. These vehicles provided multiple platforms for communicating our messages, relating to COVID and promoting regular news and updates broadly, to both internal and external audiences. Methods/Case Report We created LinkedIn and Instagram accounts in July 2020, to round out our social media platforms. We use Sprout Social to manage our various accounts. Results (if a Case Study enter NA) For the timeframe of March 2020–2021 our @UABPathology Twitter account had a total of 933 published posts, and 1,022,785 total impressions, for 3,889 followers. Total engagements with the posts were 48,420, with 2,301 post link clicks. For the same timeframe, our nascent @UABPathology Instagram account earned 56,662 impressions, and 3,329 total engagements, for a 5.9% engagement rate. Most experts agree that a good engagement rate is between 1 and 5%. Conclusion Our departmental social media accounts generated high impact engagements with an audience primarily in the demographic of our target for trainee and young faculty recruits, ages 25-34, in addition to broadly disseminating our department’s ongoing news and updates during the COVID pandemic. The impact of effectively communicating through social media channels is measurable, and will continue to grow the reputation of the department as a top-tier clinical, research and educational program in the field.

scholarly journals Risk Groups for Needlestick Injury Among Healthcare Workers in Children‘s Hospital: A Cross-sectional Study

2020 ◽  
Vol 54 (4) ◽  
pp. 212-217
Author(s):  
Mine Düzgöl ◽  
Ahu Kara Aksay ◽  
Ersin Durgun ◽  
Yeliz Yaman ◽  
Nevbahar Demiray ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Healthcare Workers ◽  
Risk Group ◽  
Tertiary Care ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Needlestick Injury ◽  
Sectional Study ◽  
Needlestick Injuries ◽  
Cross Sectional

Objective: Needlestick injuries are important for healthcare workers due to their morbidity and mortality. The aim of this study was to determine the risk group of needlestick injuries (NSIs) among healthcare workers, and possible risk groups, actions, and prevention practices of the healthcare workers. Material and Methods: This cross-sectional study included 249 healthcare workers(doctors, nursing staff, laboratory technicians and the cleaning personnel) in a tertiary care pediatric hospital in Turkey. Results: Among the 249 healthcare workers, there were 35 physicians, 124 nursing staff, 11 laboratory technicians and 79 cleaning personnel. Seventy (28.1%) were males, 179 (71.9%) were females. The most common equipment associated with needlestick injury were syringe needles ( 54.6 %), followed by intravenous cannula (peripheral catheter) (17.2%). In 103 (41.2%) cases, the injury occurred during use of the needle, with the greater part of injuries (24%) while establishing a venous access. Most healthcare workers experienced hand injuries (%82.7). Conclusion: This study revealed that the high risk group for needlestick injury was nurses followed by the cleaning personnel. Healthcare workers did not take the necessary measures for themselves. Needlestick injuries could be prevented easily by increasing the use of needles when needed, increasing awareness for using devices with safety features, promoting education and safe work practices for needles and related systems.

scholarly journals Risk Groups for Needlestick Injury Among Healthcare Workers in Children‘s Hospital: A Cross-sectional Study

2020 ◽  
Vol 54 (4) ◽  
pp. 231-236
Author(s):  
Mine Düzgöl ◽  
Ahu Kara Aksay ◽  
Ersin Durgun ◽  
Yeliz Yaman ◽  
Nevbahar Demiray ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Healthcare Workers ◽  
Risk Group ◽  
Tertiary Care ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Needlestick Injury ◽  
Sectional Study ◽  
Needlestick Injuries ◽  
Cross Sectional

Objective: Needlestick injuries are important for healthcare workers due to their morbidity and mortality. The aim of this study was to determine the risk group of needlestick injuries (NSIs) among healthcare workers, and possible risk groups, actions, and prevention practices of the healthcare workers. Material and Methods: This cross-sectional study included 249 healthcare workers(doctors, nursing staff, laboratory technicians and the cleaning personnel) in a tertiary care pediatric hospital in Turkey. Results: Among the 249 healthcare workers, there were 35 physicians, 124 nursing staff, 11 laboratory technicians and 79 cleaning personnel. Seventy (28.1%) were males, 179 (71.9%) were females. The most common equipment associated with needlestick injury were syringe needles ( 54.6 %), followed by intravenous cannula (peripheral catheter) (17.2%). In 103 (41.2%) cases, the injury occurred during use of the needle, with the greater part of injuries (24%) while establishing a venous access. Most healthcare workers experienced hand injuries (%82.7). Conclusion: This study revealed that the high risk group for needlestick injury was nurses followed by the cleaning personnel. Healthcare workers did not take the necessary measures for themselves. Needlestick injuries could be prevented easily by increasing the use of needles when needed, increasing awareness for using devices with safety features, promoting education and safe work practices for needles and related systems.

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