Comparison of Injuries From Sharps Among Resident Physicians Within Dermatology and Other Medical and Surgical Specialties

Morris, Chance; Adotama, Prince; Li, Ji; Stasko, Thomas

doi:10.1001/jamadermatol.2018.4468

Cited by 5 publications

(6 citation statements)

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“…We found sharps injuries most often involved suture needles (Table 1), consistent with other studies. 4,25–27 Where possible, alternative methods of closure should be used that eliminate the risk of a sharps injury altogether (substitution). When sutures are necessary, suture needles remain a prime target for safety innovation.…”

Section: Discussionmentioning

confidence: 99%

Sharps Injuries Among Medical Trainees and Attending Physicians

et al. 2023

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Purpose Sharps injuries are a particularly concerning occupational hazard faced by physicians and are largely preventable. This study compared the proportion and rate of sharps injuries among medical trainees with those among attending physicians by sharps injury characteristics. Method The authors used data reported to the Massachusetts Sharps Injury Surveillance System from 2002–2018. Sharps injury characteristics examined were department where injury occurred, device, purpose or procedure for which device was used or intended, presence of sharps injury prevention feature, who was holding the device, and how and when the injury occurred. Global chi-square was used to assess differences in the percent distribution of sharps injury characteristics between physician groups. Joinpoint regression was used to evaluate trends in injury rates among trainees and attendings. Results From 2002–2018, 17,565 sharps injuries among physicians were reported to the surveillance system, 10,525 of which occurred among trainees. For attendings and trainees combined, sharps injuries occurred most in operating and procedure rooms and most often involved suture needles. Significant differences in sharps injuries were found between trainees and attendings with respect to department, device, and intended purpose or procedure. Sharps without engineered sharps injury protections accounted for approximately 4.4 times as many injuries (13,355, 76.0%) as those with protections (3,008, 17.1%). Among trainees, sharps injuries were highest in the first quarter of the academic year and decreased over time, while sharps injuries among attendings had a very slight, significant increase. Conclusions Sharps injuries are an ongoing occupational hazard faced by physicians, particularly during clinical training. Further research is needed to elucidate the etiology of the observed injury patterns during the academic year. Medical training programs need to implement a multipronged approach to prevent sharps injuries, including increased use of devices with sharps injury prevention features and robust training on safe handling of sharps.

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Section: Discussionmentioning

confidence: 99%

Sharps Injuries Among Medical Trainees and Attending Physicians

et al. 2023

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“…Occupational differences exist in both the prevalence and reporting of NSIs among HWCs. Studies have examined NSIs among various HWCs professions, including nursing students (8), dentists (11,12), resident physicians (13)(14)(15), surgeons (16), and OR nurses (17). Significant variations are observed in the frequency and reporting habits between these groups (8,12,14,18,19).…”

Section: Introductionmentioning

confidence: 99%

A large-scale survey on epidemiology and underreporting of needlestick and sharp injuries among healthcare workers in China

Tonghui,

Ying,

Xiaolu

et al. 2023

Front. Public Health

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BackgroundNeedlestick and sharp injuries (NSI) carry the risk of transmitting numerous bloodborne pathogens, leading to both health and economic burdens. The underreporting of NSIs among healthcare workers (HCWs) is a global issue of concern, as timely treatment and prevention of complications rely on proper reporting. Underreporting further impedes accurate surveillance and appropriate resource allocation, with developed and developing nations facing disparities due to differences in healthcare policy.PurposeThe purpose of this research is to examine the epidemiology of NSIs and NSI underreporting, as well as to identify the determinants associated with the occurrence of NSIs and the underreporting of such injuries.MethodA retrospective online survey was conducted from January 15 to January 31, 2022 among healthcare workers (HCWs) across Gansu Province, China.ResultsA total of 7,283 healthcare workers (HCWs) from various institutions participated in this study. After quality assurance checks, 6,464 (88.77%) responses were included in the final analysis. Results revealed a 32.86% self-reported needlestick and sharp injury (NSI) incidence among respondents, with 28.53% of NSIs going unreported. Contrary to common belief, more experienced HCWs exhibited higher rates of both NSIs and underreporting compared to their less experienced peers. The primary reasons cited for NSIs and underreporting were lapses in concentration and not perceiving patients as infectious. Multivariate regression analysis exposes the significant influence of training frequency, occupation, department and years of services on the occurrence of NSIs. Conversely, the reporting of NSIs is primarily influenced by training, reimbursement,occupation, department and hospital grade. Compared to HCWs with no training, those who received ≥3 training sessions per year showed a 12.16% lower NSI incidence (27.12% vs. 39.28%, p < 0.001) and a 55.68% lower underreporting rate (14.61% vs. 70.29%, p < 0.001).ConclusionThere is a pressing need for enhanced surveillance, tailored training programs, and more efficient reporting mechanisms to combat this significant occupational health challenge.

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“…1,2 Compared with other physicians, dermatologists and dermatology residents have higher rates of injury, closer to those of general surgery. [3][4][5][6] The rates of injury specifically among dermatologic surgeons have been reported to range from 37.5% to 64.7%. 2,7 The most concerning sequalae of sharps injury is transmission of bloodborne pathogens (BBP).…”

mentioning

confidence: 99%

A Cross-Sectional Analysis of Sharps Injuries Among Dermatologic Surgeons: A Survey of American College of Mohs Surgery Members

Talebi-Liasi,

Lewin

2023

Dermatol Surg

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BACKGROUND There is a paucity of data on sharps injuries and bloodborne pathogen exposure among Dermatologic Surgeons. OBJECTIVE Quantify occupational risks from sharps injuries among Mohs surgeons. Determine rate of injury, reporting, and confidence in staff's sharps handling. METHODS A cross-sectional analysis performed using survey responses from Mohs surgeons with membership in the American College of Mohs Surgery (ACMS). RESULTS A total of 60 ACMS members completed the survey. Overall, 56.7% reported at least 1 sharps injury within the past year, of which 14.7% resulted in a bloodborne exposure (odds of exposure: 7.5% per year). The most common type of injury was self-inflicted suture needlestick (76.5%). Forty-four-point-one percent did not report their injuries. Ninety-five percent reported access to postexposure prophylaxis at their workplace. In addition, respondents in academic and single-specialty practices were more likely to report high or moderate confidence in staff sharps handling knowledge and in injury reporting compared with respondents from multispecialty and solo practices (88% vs 54% p = .02, 76%–81% vs 27% p = .0004, respectively). CONCLUSION Sharps injuries and under-reporting of these injuries are common among Mohs surgeons. Despite reporting of higher confidence in staff knowledge and training in academic and single-specialty practices, there was no correlation with surgeon's rate of injury.

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Comparison of Injuries From Sharps Among Resident Physicians Within Dermatology and Other Medical and Surgical Specialties

Abstract: had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Cited by 5 publications

References 5 publications

Sharps Injuries Among Medical Trainees and Attending Physicians

Sharps Injuries Among Medical Trainees and Attending Physicians

A large-scale survey on epidemiology and underreporting of needlestick and sharp injuries among healthcare workers in China

A Cross-Sectional Analysis of Sharps Injuries Among Dermatologic Surgeons: A Survey of American College of Mohs Surgery Members

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