Underreporting of needlestick injuries in a university hospital

Hamory, Bruce H.

doi:10.1016/0196-6553(83)90077-9

Cited by 147 publications

(50 citation statements)

References 5 publications

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“…Reporting systems should include ready access to expert consultants as well as safeguards to protect the confidentiality of the exposed worker. Unfortunately, a significant proportion of percutaneous injuries are not reported to hospital surveillance systems (range, 5 to 60%) (59,129,177,183,204). Timely and complete reporting of exposures can be facilitated by education of HCWs and a supportive, nonpunitive response by employers.…”

Section: Exposure Reportingmentioning

confidence: 99%

“…The CDC's surveillance system likely does not reflect the full extent of occupationally acquired HIV infection because of underreporting of known infections or underrecognition of HIV infection. Studies of HCWs in hospital settings suggest that many percutaneous injuries are not reported (129,177). Also, HCWs may not complete postexposure follow-up serologic testing (D. Cardo and the Health Care Worker Surveillance Study Group, Abstr.…”

Section: Incidence Of Occupationally Acquired Hiv Infectionmentioning

confidence: 99%

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Risk and Management of Blood-Borne Infections in Health Care Workers

Beltrami¹,

Williams

Shapiro

et al. 2000

Clinical Microbiology Reviews

355

209

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Section: Exposure Reportingmentioning

confidence: 99%

Section: Incidence Of Occupationally Acquired Hiv Infectionmentioning

confidence: 99%

Risk and Management of Blood-Borne Infections in Health Care Workers

Beltrami¹,

Williams

Shapiro

et al. 2000

Clinical Microbiology Reviews

355

209

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“…For example, 6.9 injuries, 18.2 injuries and 25.4 injuries were reported per 100,000 disposable syringes, winged steel-needle intravenous sets and vacuum-tube phlebotomy assemblies that were purchased, respectively. Studies have also shown that needle stick injuries are often unreported, for example, Hamory (1983) found that 75% of injuries were unreported, whilst Gaffney et al (1992) found that less than 5% of injuries were reported.…”

Section: Venepuncture Procedures Analysismentioning

confidence: 99%

“…A value of 0.001 was chosen for the probability that a needle stick injury occurs. This was estimated based on the studies into the number of incidents that are reported per device purchased (Jagger et al, 1988) and the proportion of incidents that are reported (Gaffney et al, 1992;Hamory, 1983).…”

Section: Task Modelsmentioning

confidence: 99%

Effect of venepuncture process design on efficiency and failure rates: A simulation model study for secondary care

Reed

Remenyte‐Prescott

Rees

2017

International Journal of Nursing Studies

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Reed, Sean and Remenyte-Prescott, Rasa and Rees, Ben (2017) Effect of venepuncture process design on efficiency and failure rates: a simulation model study for secondary care. International Journal of Nursing Studies,[68][69][70][71][72][73][74][75][76][77][78][79][80][81][82] Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/41154/1/Effect%20of%20Venepuncture%20process %20design%20on%20efficiency%20and%20failure.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the Creative Commons Attribution Non-commercial No Derivatives licence and may be reused according to the conditions of the licence. For more details see: http://creativecommons.org/licenses/by-nc-nd/2.5/ A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.uk Effect of venepuncture process design on efficiency and failure rates: a simulation model study for secondary care AbstractBackground: Healthcare aims to deliver good patient outcomes. For many clinical procedures there are multiple alternative task sequences that can be performed. These deviations can influence procedure reliability, efficiency of usage of hospital resources and risk to staff and patient safety. Venepuncture is one of the most common invasive procedures in healthcare. Literature of clinical practice shows evidence of wide variability in the procedure order and the duration of each step, which can depend on attributes, such as patient health, sampling method and staff skills.Objective: To use a computer simulation model based on Petri nets to evaluate the impact on outcomes of commonly practiced deviations from the guideline venepuncture procedure and variations in key dependent variables. The outcomes considered include the probability of successfully obtaining a blood sample and the procedure completion time.Design: A computer simulation model was constructed using the Petri net technique which mimics the different variations of the venepuncture procedure. Qualitative and quantitative data for the model was collected from the literature and through interviews and questionnaire responses from doctors and phlebotomists. Statistics on the reliability and duration for different variations were then calculated from the model output.Setting: A digital laboratory to model venepuncture in secondary care.Results: The model showed that the common practice of applying the tourniquet prior to vein identification and releasing it after sample tubes are filled may result in a ten-fold increase in sample haemolysis, compared to the recommended guideline procedure. Equipment la...

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“…Although knowledge about biological risk in recent decades has advanced, and concerns with the under-reporting of accidents involving biological materials have been discussed in scientific literature even before the identification of HIV [7], accident under-reporting represents a great challenge in infection control and occupational health, as it impedes knowledge of the actual epidemiological situation and, consequently, hampers the proposal and practice of specific safety policies and preventive strategies.…”

Section: Introductionmentioning

confidence: 99%