Prevalence of safer needle devices and factors associated with their adoption: results of a national hospital survey

Sinclair, Raymond; Maxfield, Andrew; Marks, Ellen; Thompson, Douglas; Gershon, Robyn R.M.

doi:10.1016/s0033-3549(04)50170-x

Cited by 13 publications

(10 citation statements)

References 27 publications

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“…70,71 Safety-engineered devices are more expensive than their traditional counterparts, and typically require training to ensure correct use. 72 Despite these increased initial costs, the implementation of these devices has been shown to be cost-effective, and successfully reduce the rates of sharps injuries within an institution.…”

Section: Strategies For Preventionmentioning

confidence: 99%

Sharps Injuries

Waljee

Malay

Chung

2013

Plastic and Reconstructive Surgery

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Surgeons are at risk for injury in the operating room daily. Despite the ubiquity of occupational hazards, injuries remain prevalent and expensive. Although occupational hazards can include musculoskeletal conditions, psychosocial stress, radiation exposure, and the risk of communicable diseases, sharps injuries remain the most common among surgeons in practice and the most frequent route of transmission of blood-borne pathogens. Therefore, increased attention to the health, economical, personal and social implications of these injuries is essential for appropriate management and future prevention.

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Section: Strategies For Preventionmentioning

confidence: 99%

Sharps Injuries

Waljee

Malay

Chung

2013

Plastic and Reconstructive Surgery

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“…81,82 This also emphasizes the need for meticulous handling and disposal of needles and other sharp instruments, as well as the use of special "sharps boxes" designed to minimize accidental needlesticks (e.g., "mailbox"-type boxes that do not allow the hand to enter the disposal area). [83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98] The U.S. Centers for Disease Control and Prevention (CDC) has estimated that in the United States there are approximately 385,000 cutting and piercing accidents annually among HCP in hospitals; 25% of these occur in the OR. 77 However, the actual prevalence is thought to be much greater, because many of these events are unreported.…”

Section: Body Fluidmentioning

confidence: 99%

Infectious Disease Considerations for the Operating Room

Jaichenco¹

2009

A Practice of Anesthesia for Infants and Children

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“…These injuries can also be costly with estimates for a single injury ranging from $65 to as high as $4,800 (2012 US$) for post-exposure treatment and testing [3]. As with many innovations, the adoption of SEMDs by healthcare organizations was slow initially [4] primarily due to the fact that the cost of SEMDs compared to conventional devices can be 25-80% higher [5]. …”

Section: Introductionmentioning

confidence: 99%

“…Regulation may serve as a potentially powerful institutional force to promote the adoption of occupational health and safety policies and practices [4,7]. There may also be limitations to the use of regulation when dealing with occupational health and safety issues [8].…”

Section: Introductionmentioning

confidence: 99%

“…The selection of organizational and external influencing factors was influenced by the implementation effectiveness model [18,19] in addition to other concepts in the implementation science and occupational health and safety literature [4,26-35]. The conceptual model represents a starting point for thinking about the implementation process and conditions that may facilitate or impede the integration of SEMDs.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the implementation of health and safety innovations under a regulatory context: A collective case study of Ontario’s safer needle regulation

et al. 2013

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BackgroundImplementation effectiveness models have identified important factors that can promote the successful implementation of an innovation; however, these models have been examined within contexts where innovations are adopted voluntarily and often ignore the socio-political and environmental context. In the field of occupational health and safety, there are circumstances where organizations must adopt innovations to comply with a regulatory standard. Examining how the external environment can facilitate or challenge an organization’s change process may add to our understanding of implementation effectiveness. The objective of this study is to describe implementation facilitators and barriers in the context of a regulation designed to promote the uptake of safer engineered medical devices in healthcare.MethodsThe proposed study will focus on Ontario’s safer needle regulation (2007) which requires healthcare organizations to transition to the use of safer engineered medical devices for the prevention of needlestick injuries. A collective case study design will be used to learn from the experiences of three acute care hospitals in the province of Ontario, Canada. Interviews with management and front-line healthcare workers and analysis of supporting documents will be used to describe the implementation experience and examine issues associated with the integration of these devices. The data collection and analysis process will be influenced by a conceptual framework that draws from implementation science and the occupational health and safety literature.DiscussionThe focus of this study in addition to the methodology creates a unique opportunity to contribute to the field of implementation science. First, the study will explore implementation experiences under circumstances where regulatory pressures are influencing the organization's change process. Second, the timing of this study provides an opportunity to focus on issues that arise during later stages of implementation, a phase during the implementation cycle that has been understudied. This study also provides the opportunity to examine the relevance and utility of current implementation science models in the field of occupational health where the adoption of an innovation is meant to enhance the health and safety of workers. Previous work has tended to focus almost exclusively on innovations that are designed to enhance an organization’s productivity or competitive advantage.

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Prevalence of safer needle devices and factors associated with their adoption: results of a national hospital survey

Cited by 13 publications

References 27 publications

Sharps Injuries

Sharps Injuries

Infectious Disease Considerations for the Operating Room

Evaluating the implementation of health and safety innovations under a regulatory context: A collective case study of Ontario’s safer needle regulation

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