Assessing the effect of long-term availability of engineering controls on needlestick injuries among health care workers: A 3-year preimplementation and postimplementation comparison

Reddy, Siddharta G.; Emery, Robert J.

doi:10.1067/mic.2001.118404

Cited by 21 publications

(39 citation statements)

References 5 publications

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“…However, only one (1.1%) cited availability of safety equipment as a prevention measure. This is curious, since this strategy has been considered one of the main measures to reduce occupational accidents in several countries (5,(9)(10) . Permanent education at work using SP is appointed by 54 (16.0%) answers related to the institution's human resources.…”

Section: Nurses In Leading Positions and Measures To Prevent Occupatimentioning

confidence: 99%

“…It turns out to be an obstacle that hinders occupational accident prevention involving potentially contaminated biological materials. The measures are theoretically accepted but not always performed (10) .…”

Section: Introductionmentioning

confidence: 99%

“…Studies show that accidents with needlestick injuries represent greater incidence with biological materials and more effective measures should be implemented, such as update courses, educative programs, medical accompanying, vaccination and the use of safety equipment to perform invasive procedures (9)(10) .…”

Section: Introductionmentioning

confidence: 99%

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Enfermeiros com cargos de chefia e medidas preventivas à exposição ocupacional: facilidades e barreiras

Malaguti

Hayashida

Canini

et al. 2008

Rev. esc. enferm. USP

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RESUMENEn este estudio descriptivo se tuvo como objetivo evaluar las facilidades y barreras enfrentadas por enfermeros con cargo de jefe en cuanto a las medidas preventivas a la exposición ocupacional que involucre material biológico, teniendo como base el Modelo de Creencias en Salud de Rosenstock. El estudio fue realizado con 87 enfermeros de un hospital escuela del interior de Sao Paulo, en el 2006. Los datos fueron recolectados a través de una guía de entrevista semi-estructurada, con preguntas abiertas y cerradas y analizados con la técni-ca del Análisis de Contenido. El equipamiento de protección individual fue citado como la mayor facilidad para la prevención de accidentes, no obstante la falta de adhesión al uso y uso incorrecto fueron referidos como barreras para la prevención de accidentes y como los principales motivos para que éstos ocurran. Es importante que estos enfermeros estén preparados para desarrollar estrategias individualizadas y motivadoras para la adhesión al uso del equipamiento de protección individual en sus sectores de trabajo. DESCRIPTORES ABSTRACTThis descriptive study aimed to assess the facilities and barriers that nurses in leading positions endure with respect to the nursing team's compliance to measures for preventing occupational exposure involving biological materials, based on Rosenstock's Health Belief Model. The study was carried out with 87 nurses of a university hospital in Sao Paulo, Brazil, in the year of 2006. Data were collected through a semistructured form with open and closed questions and analyzed through Content Analysis. Individual protection equipment was mentioned as the greatest form for preventing accidents, but lack of compliance to usage and incorrect use were indicated as barriers to accident prevention and as the main reasons for their occurrence. It is important for these nurses to be prepared to develop individualized and motivating strategies focused on compliance to the use of individual protection equipment in their work sectors.

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Section: Nurses In Leading Positions and Measures To Prevent Occupatimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Enfermeiros com cargos de chefia e medidas preventivas à exposição ocupacional: facilidades e barreiras

Malaguti

Hayashida

Canini

et al. 2008

Rev. esc. enferm. USP

View full text Add to dashboard Cite

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“…Subsets of HCWs were examined primarily when accurate denominators were unavailable for certain occupational groups. For calculation of PI rates, most studies applied measures of person-time at risk, including FTE HCWs [4,5,11,14,16], HCW-days [19], person/worker-years [6,10], and hours/productive hours worked [12,17]. To adjust for differences in device utilization, studies also calculated PI rates using numbers of patient-days [17] and occupied hospital beds [6].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The most commonly evaluated safety-engineered devices were needleless intravenous systems (evaluated in 8 of 17 studies) [5,6,11,[14][15][16][17]19], followed by safety syringes [4,5,11,12,19], resheathable winged steel needles [3,5,7,8], vacuumtube blood-collection devices [3,5,7], retractable lancets [4,10], and guarded arteriovenous fistula needles [9]. Eight studies evaluated the introduction of 11 type of device.…”

Section: Study Characteristicsmentioning

confidence: 99%

Efficacy of Safety-Engineered Device Implementation in the Prevention of Percutaneous Injuries: A Review of Published Studies

Tuma

Sepkowitz

2006

Clinical Infectious Diseases

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Nearly 6 years have passed since the Needlestick Safety and Prevention Act of 2000 was signed into law. We reviewed studies published since 1995 that evaluated the effect of safety-engineered device implementation on rates of percutaneous injury (PI) among health care workers. Criteria for inclusion of studies in the review were as follows: the intervention used to reduce PIs was a needleless system or a device with engineered sharps-injury protection, the outcome measurements included a PI rate, the intervention was evaluated in a defined population with clear comparison groups in clinical settings, and outcomes and denominators used for rate calculations were objectively measured using consistent methodology. All 17 studies reported substantial decreases in device-associated or overall PI rates after device implementation (range of reduction, 22%-100%). The majority of studies ( ) were uncontrolled before-after trials with limited ability to control for confounding n p 12 variables. In addition, implementation of safety-engineered devices was often accompanied by other interventions, and direct measurement of outcomes was not performed. Nevertheless, safety-engineered devices are an important component in PI prevention.

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Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel

Lavoie

Verbeek

Pahwa

2014

Cochrane Database of Systematic Reviews

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Assessing the effect of long-term availability of engineering controls on needlestick injuries among health care workers: A 3-year preimplementation and postimplementation comparison

Cited by 21 publications

References 5 publications

Enfermeiros com cargos de chefia e medidas preventivas à exposição ocupacional: facilidades e barreiras

Enfermeiros com cargos de chefia e medidas preventivas à exposição ocupacional: facilidades e barreiras

Efficacy of Safety-Engineered Device Implementation in the Prevention of Percutaneous Injuries: A Review of Published Studies

Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel

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