Do training and needle-safety devices prevent needlestick injuries? A systematised review of the literature

Aziz, Ann-Marie

doi:10.12968/bjon.2018.27.16.944

Cited by 11 publications

(11 citation statements)

References 38 publications

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“…Very few programs employ targeted approaches. For example, programs [ 21 ] for training of HCWs, and the adoption of needle-safety devices, have an impact on preventing NSIs. The US Occupational Safety and Health Administration (OSHA) suggests that general work practice control and engineering control for all HCWs are the primary means that should be used to reduce risks of NSIs [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with needlestick injuries among healthcare workers: implications for prevention

Alfulayw

Al-Otaibi

Alqahtani

2021

BMC Health Serv Res

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Background Our study sought to determine the frequency of Needlestick injuries (NSIs) among Healthcare Workers (HCWs) working at governmental hospital and to study the factors that associated with occurrence of NSIs, and to develop recommendations for a comprehensive program for prevention. Methods Retrospective study of all reported cases of NSIs in the period from April 2016 to May 2018 among healthcare workers at a governmental hospital. Results Incidence of NSIs over 26 months was 8.4% among all participants. Nurses were the most affected staff (52.5%) resulted commonly from disposing syringes (58.9%). In contrast, the incidence of NSIs among physicians was 24.9% where surgical devices were the primary source of NSIs among them (40%). Failure to complete all required hepatitis B vaccination was common among expatriates of the participants of this study. Conclusions NSIs was common among HCWs participated in this study. Preventive measures should be implemented including adequate hepatitis B immunization.

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Section: Discussionmentioning

confidence: 99%

Factors associated with needlestick injuries among healthcare workers: implications for prevention

Alfulayw

Al-Otaibi

Alqahtani

2021

BMC Health Serv Res

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“…Other published studies also suggest that specific safety precautions and basic infection prevention training in hospitals can improve the operational safety of HCWs, thus reducing the occurrence of sharp injuries (18,19). In a study on training of European medical personnel pointed out training has a spectacular impact on prevention and economic benefits improvement of SIs (20). Besides, reeducation of the HCWs also been proposed.…”

Section: Discussionmentioning

confidence: 99%

A survey of sharps injuries and occupational infections among healthcare workers in Shanghai

Lin¹,

Gao²,

Cui³

et al. 2019

Ann. Transl. Med.

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Background: Healthcare workers (HCWs) are at greater risk of occupational exposure to sharp injuries in their daily routine work, which is extremely worrying due to the potential risk of transmitting bloodborne pathogens. This study aims to assess what procedures and factors present the greatest risk of sharp injuries to HCWs in Shanghai and to provide an evidence base for improving measures to reduce sharps injuries.Methods: A cross-sectional study was administered to all HCW who might be exposed to sharp instruments in 81 hospitals in Shanghai. According to the voluntary, investigate as many HCWs as possible and get feedbacks N=61,309. The survey addressed the sharp injury (SI) incidents, SIs of common instruments, SIs of common locations, SIs of operating procedures, SIs of common instruments and common sources of SI occurrences. Statistical analysis was performed using the SPSS program.Results: A total of 61,309 HCWs were surveyed for this study, and 935 (1.53%) HCWs experienced the various types of sharp injuries in one month. Of the 1,140 sharp injuries, 292 (25.61%) sharp injuries were reported, and 815 (71.49%) sharp injuries were traced to their sources. Interns experienced the highest proportion of sharps injuries (4.12%). General wards were the most common location where sharp injuries occurred to HCWs (36.05%), while disposable syringes were the most common medical devices that caused sharp injuries (32.11%). Nurses, doctors and logistical workers who did not receive relevant training had a higher incidence of SI (4.40%, 4.95% and 4.03%, respectively) than those who received training (1.58%, 1.03% and 0.67%, respectively, P<0.001). HBV infection was the main source of exposure to sharp injuries, with scalpel cuts being the most common related occurrence.Conclusions: Sharp injuries occur among HCWs in Shanghai dented optimism. There are multiple highrisk factors for SI and exposure to blood-borne pathogens in their work such as interns, general wards, disposable syringes, and lack of relevant training. HBV infection was the main source of exposure to sharp injuries. As such, medical institutions shall pay closer attention to this topic.

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“…Internationally, regulations have been issued to promote the dissemination of such devices, but to ensure that these devices are introduced effectively, staff must be trained in the use of the new tools 7. The devices should be more safe than the previous devices, and the devices should be introduced in a controlled and gradual manner to merge the improvements in safety with the available resources 8…”

Section: Introductionmentioning

confidence: 99%

Needlestick prevention devices: data from hospital surveillance in Piedmont, Italy—comprehensive analysis on needlestick injuries between healthcare workers after the introduction of safety devices

Ottino

Argentero

et al. 2019

BMJ Open

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ObjectiveNeedlestick and sharps injuries (NSIs) involving healthcare workers (HCWs) are worldwide under surveillance since long time; the implementation of the European Directive 32/2010 regarding the mandatory use of safety-engineered devices (SEDs) seems to have reduced the number of these accidents. Our surveillance investigated the frequency and the modality of SED-related NSIs in the Piedmont region to verify changes in the epidemiology of these events.MethodsWe analysed the exposure records of NSIs, device usage data and structural data of 42 acute care hospitals and compared conventional and safety devices. We calculated the accident rates per 100 000 needles and, as a measure of SED efficacy, the relative risk between the use of safety and non-safety devices with a 95% CI. We also described the dynamics of the NSIs and the most involved professional groups of HCWs, procedures and devices.ResultsTotal and specific device accident rates for 100 000 needles were lower with the use of SEDs. In 2015–2016, there were 1640 NSIs, with a decreasing absolute number during the observation period; 18% were SEDs related. Half of the total accidents with SEDs occurred in the patient’s room, and nurses were involved in 78% of the cases. The most involved devices were the butterfly needles and peripheral venous catheters, and the most involved procedures were venous sampling (40%) and phlebotherapy (16%). The exposures occurred mostly during the procedure, and 45% of the SED-related injuries occurred during the disposal of the device; 92% of the SEDs involved had a manual activation mechanism.ConclusionIn agreement with the results of other European studies, our results show that SEDs reduce the risk of percutaneous exposure of HCWs, but in introducing SEDs, we must select those with a higher level of safety (with a passive activation mechanism) and improve the healthcare staff training programmes.

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Do training and needle-safety devices prevent needlestick injuries? A systematised review of the literature

Cited by 11 publications

References 38 publications

Factors associated with needlestick injuries among healthcare workers: implications for prevention

Factors associated with needlestick injuries among healthcare workers: implications for prevention

A survey of sharps injuries and occupational infections among healthcare workers in Shanghai

Needlestick prevention devices: data from hospital surveillance in Piedmont, Italy—comprehensive analysis on needlestick injuries between healthcare workers after the introduction of safety devices

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