Increase in Sharps Injuries in Surgical Settings Versus Nonsurgical Settings after Passage of National Needlestick Legislation

Jagger, Janine; Berguer, Ramón; Phillips, Elayne Kornblatt; Parker, Ginger; Gomaa, Ahmed

doi:10.1016/j.jamcollsurg.2009.12.018

Cited by 65 publications

(33 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regardless of what might be driving this increase in BBF exposures in the surgical theater, this finding is consistent with a recent study of 87 hospitals in the United States reported by Jagger et al 7 The challenge of improving safety during surgical procedures, therefore, remains widespread and may require novel approaches centered on certain devices, surgical departments, or properties of surgical procedures.…”

Section: Resultssupporting

confidence: 88%

“…[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%

See 1 more Smart Citation

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

Myers

Lipscomb

Epling

et al. 2015

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

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

show abstract

Section: Resultssupporting

confidence: 88%

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.

View full text Add to dashboard Cite

show abstract

“…they are not the original user of the instrument or device. This finding was reported in surgical settings [2].…”

Section: Discussionsupporting

confidence: 79%

“…In this study, the majority of injured HCWs were nurses; a finding that has been repeatedly reported in all health care settings [2,3,[7][8][9][10][11]. This is because the nurses constitute the major group of health care workers in all health care settings.…”

Section: Discussionmentioning

confidence: 74%