Blood and body fluid exposure risks among health care workers: Results from the Duke Health and Safety Surveillance System

Dement, John M.; Epling, Carol; Østbye, Truls; Pompeii, Lisa; Hunt, Debra L.

doi:10.1002/ajim.20106

Cited by 129 publications

(93 citation statements)

References 26 publications

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“…[3][4][5][6] According to Jagger et al, 7 although sharps injuries in the nonsurgical setting have decreased substantially since the passage of the Needlestick Safety and Prevention Act of 2000, reported sharps injuries in the surgical setting have actually increased 6.5%. BBF exposures, therefore, remain a common health risk among healthcare workers, particularly for surgical staff members.…”

mentioning

confidence: 99%

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Myers

Lipscomb

Epling

et al. 2015

Infect. Control Hosp. Epidemiol.

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OBJECTIVETo use a unique multicomponent administrative data set assembled at a large academic teaching hospital to examine the risk of percutaneous blood and body fluid (BBF) exposures occurring in operating rooms.DESIGNA 10-year retrospective cohort design.SETTINGA single large academic teaching hospital.PARTICIPANTSAll surgical procedures (n=333,073) performed in 2001–2010 as well as 2,113 reported BBF exposures were analyzed.METHODSCrude exposure rates were calculated; Poisson regression was used to analyze risk factors and account for procedure duration. BBF exposures involving suture needles were examined separately from those involving other device types to examine possible differences in risk factors.RESULTSThe overall rate of reported BBF exposures was 6.3 per 1,000 surgical procedures (2.9 per 1,000 surgical hours). BBF exposure rates increased with estimated patient blood loss (17.7 exposures per 1,000 procedures with 501–1,000 cc blood loss and 26.4 exposures per 1,000 procedures with >1,000 cc blood loss), number of personnel working in the surgical field during the procedure (34.4 exposures per 1,000 procedures having ≥15 personnel ever in the field), and procedure duration (14.3 exposures per 1,000 procedures lasting 4 to <6 hours, 27.1 exposures per 1,000 procedures lasting ≥6 hours). Regression results showed associations were generally stronger for suture needle–related exposures.CONCLUSIONSResults largely support other studies found in the literature. However, additional research should investigate differences in risk factors for BBF exposures associated with suture needles and those associated with all other device types.Infect. Control Hosp. Epidemiol. 2015;37(1):80–87

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confidence: 99%

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Myers

Lipscomb

Epling

et al. 2015

Infect. Control Hosp. Epidemiol.

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“…The cause of higher recall of PIs may reflect perception rather than reality, yet it is the only rapid, available method of comparison. Given the EPINet rate for all staff is at epidemic levels and accepting the recall rate with reservations, we believe the true rate of PI reflects rates of lowly or moderately resourced healthcare systems 12,13) and is unacceptable when we compare these results with other highly resourced healthcare systems 8,[14][15][16] . In Australia the underreporting rate has ranged from 4-24% 2) .…”

Section: Discussionmentioning

confidence: 99%

Chinese EPINet and Recall Rates for Percutaneous Injuries: An Epidemic Proportion of Underreporting in the Taiwan Healthcare System

Shiao

McLaws

Lin

et al. 2009

Journal of Occupational Health

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Objectives: As an occupational injury, percutaneous injury (PI) can result in chronic morbidity and death for healthcare workers (HCWs). A pilot surveillance system for PIs using the Chinese version of Exposure Prevention Information Network (EPINet) was introduced in Taiwan in 2003. We compared data from EPINet and recall of PIs using a cross-sectional survey for rates to establish the reliability of the new system. Methods: HCWs from hospitals that had implemented EPINet for ≥12 months completed a survey for recall of contaminated PIs sustained between October 2004 and September 2005, type of item involved, and reasons for reporting or not reporting the PI. Comparative data from EPINet for the same period were analyzed. Results: The EPINet rate, 36.1/1,000 HCW (95%CI 31.8-41.1) was almost 5 times lower (p<0.0001) than the PI recall rate for 2,464 HCWs of 170/1,000 HCWs (95%CI 155.4-185.5). Approximately 2.5 PIs were recalled for every 1,000 bed-days of care. The recall rate by physicians was 268.3/1,000, 188.5/1,000 for nurses, 88.9/1,000 for medical technologists and 81.3/1,000 for support staff. Hollow-bore needle items most commonly recorded on EPINet includ, disposable needles and syringes were underreported by 81%, vacuum tube holder/needles by 67%, and arterial blood gas needles by 75%. Nearly 63% of the reasons for underreporting were related to the complexity of the reporting process, while 37% were associated with incorrect knowledge about the risks associated with PIs. Conclusions: EPINet data underestimates a commonplace occupational injury with nearly four in five PIs not reported. Addressing the real barriers to reporting must begin with hospital administrators impressing on HCWs that reporting is essential for designing appropriate safety interventions. (J Occup Health 2009; 51: 132-136)

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“…Sağlık personellerinin mesleki nedenlerle enfekte kan ve vücut sıvılarıyla karşı karşıya kalmaları sonucu hepatitler ve AIDS (Edinilmiş İmmun Yetersizlik Sendromu) gibi önemli mortalite ve morbiditeye neden olabilen enfeksiyon hastalıklarına yakalanmaları kaçınılmazdır (3,4).…”

Section: Introductionunclassified

Eğitim ve Araştırma Hastanesinde Çalışan Hemşirelerin Kesici-Delici Tıbbi Aletleri Güvenli Kullanımlarına İlişkin Farkındalıkları

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Aydin

2016

Journal of Contemporary Medicine

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ÖZETAmaç: Kesici-delici tıbbi alet yaralanmaların en fazla hemşirelerde görülmesi, onların daha çok farkındalıklarının artırılmasının önemini ortaya koymaktadır. Çalışmamızda Eğitim ve Araştırma Hastanesinde (EAH) görev yapan hemşirelerin kesici-delici tıbbi aletleri (KDTA) güvenli kullanımlarına ilişkin farkındalıklarının ölçülmesi ve bu konu ile ilgili yapılması planlanan eğitim programına temel oluşturması amaçlanmıştır.Gereç ve Yöntem: Çalışma Hitit Üniversitesi EAH görev yapan (N=365) hemşirelerde tanımlayıcı ve kesitsel tipte yapılmıştır. Araştırmada örneklem seçimine gidilmemiş, çalışmanın yapıldığı tarihler arasında (15.02/15.05.15) görev yapan hemşireler araştırmanın örneklemini (n=259) oluşturmuştur. Araştırma verileri hemşirelerin tanımlayıcı özelliklerini belirlemeye yönelik ve "Sağlık Çalışanlarının KDTA Güvenli Kullanımına Yönelik Tutum Ölçeği" sorularını içeren anket formu kullanılarak toplanmıştır. Araştırma verileri uygun istatistiksel yöntemlerle değerlendirilmiştir. p<0.05 istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Hemşirelerin "Sağlık Çalışanlarının KDTA Güvenli Kullanımına Yönelik Tutum Ölçeği"nden aldıkları toplam puan 70.26±11.65'dur. Araştırmaya katılan > 5 yıl çalışan hemşirelerin bilişsel, duyuşsal ve davranışsal alt ölçek puan ortalamalarının ≤ 5 yıl çalışanlara göre daha yüksek olduğu belirlenmiş olup, bu farkın istatistiksel olarak ileri düzeyde anlamlı olduğu (p<0.01) görülmüştür.Sonuç: Araştırmadan elde ettiğimiz sonuçlar doğrultusunda, hemşirelerin neredeyse tamamının (93.1%) "KDTA yaralanmaları ile ilgili eğitim" aldığı görülmüştür. Fakat ≤ 5 yıl çalışan personelin ölçek puan ortalamalarının düşük çıkması, onların daha sık ve düzenli eğitim almasının önemini ortaya koymaktadır. Ülkemizde hasta ve çalışan güvenliği konusunun gelişmesinde önemli rol oynayan kesicidelici tıbbi aletlerin güvenli kullanımına yönelik çalışmalara gereksinim bulunmaktadır. ABSTRACTObjective: The fact that sharp-edged medical instrument injuries are mostly seen among nurses demonstrates the importance of increasing their awareness about this topic. With this present study it is intended to measure the awareness regarding safe use of sharpedged medical instrument of nurses working in Training and Research Hospitals and to create the basis for the training program planned to be provided on this topic.Method: This descriptive and cross-sectional type study was conducted on nurses (N=365) working in the Training and Research Hospital of Hitit University. No sample selection was made, the sample consisted of nurses (n=259) working during the dates of the study (15.02/15.05.15). Research data has been collected through an "Attitude Scale of Health Care Workers to Safe Use of Sharp-Edged Medical Instrument" questionnaire and characteristics of participants defining questions. Research data has been evaluated with appropriate statistical methods. p<0.05 has been accepted as statistically significant.Results: The total score obtained by nurses from the "Attitude Scale of Health Care Workers to Safe ...

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Blood and body fluid exposure risks among health care workers: Results from the Duke Health and Safety Surveillance System

Cited by 129 publications

References 26 publications

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Surgical Procedure Characteristics and Risk of Sharps-Related Blood and Body Fluid Exposure

Chinese EPINet and Recall Rates for Percutaneous Injuries: An Epidemic Proportion of Underreporting in the Taiwan Healthcare System

Eğitim ve Araştırma Hastanesinde Çalışan Hemşirelerin Kesici-Delici Tıbbi Aletleri Güvenli Kullanımlarına İlişkin Farkındalıkları

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