The national study to prevent blood exposure in paramedics: rates of exposure to blood

Boal, Winifred L.; Leiss, Jack K.; Ratcliffe, Jennifer M.; Sousa, Sara; Lyden, Jennifer T.; Li, Jia; Jagger, Janine

doi:10.1007/s00420-009-0421-x

Cited by 29 publications

(30 citation statements)

References 29 publications

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“…12 Exposure to violent patients and bystanders, bodily fluids, and stressful situations are common for EMS clinicians. 13–15 …”

Section: Introductionmentioning

confidence: 99%

“…12 Studies in the USA and Canada indicate that exposure to violent patients and bystanders, bodily fluids and stressful situations is common for EMS clinicians. [13][14][15] There are no prescribed or evidence-based guidelines for formation of EMS work teams based on familiarity among clinician teammates. Most teams are deployed in shifts and include two clinicians.…”

Section: Introductionmentioning

confidence: 99%

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Teammate familiarity and risk of injury in emergency medical services

et al. 2015

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OBJECTIVE-We investigated the association between teammate familiarity and workplace injury in the Emergency Medical Services (EMS) setting. METHODS-We abstracted a mean of 29-months of shift records and Occupational SafetyHealth Administration injury logs from 14 EMS organizations with 37 total bases located in four U.S. Census regions. Total teammate familiarity was calculated for each dyad as the total number of times a clinician dyad worked together over the study period. We used negative binomial regression to examine differences in injury incidence rate ratios (IRR) by familiarity. HHS Public AccessAuthor manuscript Emerg Med J. Author manuscript; available in PMC 2017 May 23. Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript RESULTS-We analyzed 715,826 shift records, representing 4,197 EMS clinicians and 60,701 unique dyads. We determined the mean shifts per dyad was (5.9, SD 19.7), and quartiles of familiarity were 1 shift worked together over the study period, 2-3 shifts, 4-9 shifts, and ≥10 shifts worked together. More than half of all dyads worked one shift together (53.9%, n=32,739), 24.8% of dyads 2-3 shifts, 11.8% worked 4-9 shifts, and 9.6% worked ≥10 shifts. The overall incidence rate of injury across all organizations was 17.5 per 100 FTE, range 4.7 to 85.6 per 100 FTE. The raw injury rate was 33.5 per 100 FTEs for dyads with one shift of total familiarity, 14.2 for 2-3 shifts, 8.3 for 4-9 shifts, and 0.3 for ≥10 shifts. Negative binomial regression confirmed that dyads with ≥10 shifts had the lowest incidence of injury (IRR=0.03; 95%CI 0.02-0.04).CONCLUSIONS-Familiarity between teammates varies in the EMS setting, and less familiarity is associated with greater incidence of workplace injury.

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“…12 Exposure to violent patients and bystanders, bodily fluids, and stressful situations are common for EMS clinicians. 13–15 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Teammate familiarity and risk of injury in emergency medical services

et al. 2015

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“…Os enfermeiros (28,7%), os médicos (26,0%) e técnicos em enfermagem (26,0%) foram os profissionais que mais se acidentaram com MB corroborando dados da literatura nacional e internacional sobre serviços de APH (3)(4)(5)(6)(7)(8)(9) . A alta prevalência de acidentes com esses profissionais em serviços de APH, pode estar relacionada à maior exposição durante um atendimento, à realização de procedimentos invasivos, à submissão a grande carga de estresse e à cobrança por resultados rápidos e eficazes (4)(5)13,15) .…”

Section: Discussionunclassified

“…Rotineiramente, esse trabalho envolve procedimentos que são realizados sob condições de estresse, com alto risco de morte das vítimas, em condições frágeis de estrutura física, o que, particularmente, torna os profissionais do APH mais susceptíveis a acidentes envolvendo material biológico (MB) (3) . Estudos apresentam taxas elevadas de acidentes com MB entre esses trabalhadores (4)(5)(6)(7)(8)(9)(10) . Embora os profissionais oriundos da área da saúde apresentem maior risco de acidentes envolvendo MB, haja vista a natureza dos procedimentos que executam, os demais também participam de situações que envolvem o risco biológico (RB), entretanto, a discussão da comunidade científica predomina o enfoque aos primeiros.…”

Section: Introductionunclassified

Acidente com material biológico no atendimento pré-hospitalar móvel: realidade para trabalhadores da saúde e não saúde

et al. 2013

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Estudo analítico transversal, com objetivos de identificar a prevalência e caracterizar os acidentes com material biológico entre profissionais do Atendimento Pré-Hospitalar (APH) e comparar os comportamentos de risco adotados entre os grupos saúde e não saúde que podem influenciar na ocorrência e na gravidade destes acidentes. Dados foram obtidos por meio de questionário aplicado a todos os trabalhadores do APH de Goiânia - GO. Verificou-se alta prevalência de acidentes envolvendo material biológico que, apesar de maior no grupo saúde, também acometeu o grupo não saúde. Comportamentos de risco, estatisticamente significativos (p<0,05), para ocorrência de acidentes em ambos os grupos: não uso de luvas, máscara e óculos de proteção, descarte inapropriado de perfuro-cortante, vestimenta incompleta, reencape de agulhas e não imunização contra hepatite B. Os dados evidenciaram a importância da adesão às medidas preventivas por ambos os grupos e a necessidade de estruturação e implementação de um sistema de vigilância e controle deste tipo de acidente.

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“…3 The supervisory behaviors, as depicted in these two questions, had moderate to strong associations with the risk of needlestick and nonintact skin exposure to blood-Paramedics who were not subject to these management practices had approximately two to three times the exposure risk of paramedics who were subject to them. 4,5 Other factors related to management emphasis on workplace safety culture, such as provision of safety devices and PPE, were also related to reduced risk of blood exposure.…”

mentioning

confidence: 98%