Safety-engineered device implementation: Does it introduce bias in percutaneous injury reporting? Journal Article
| Authors: | Sohn, S.; Eagan, J.; Sepkowitz, K. A. |
| Article Title: | Safety-engineered device implementation: Does it introduce bias in percutaneous injury reporting? |
| Abstract: | OBJECTIVE: To examine whether implementation of safety-engineered devices in 2001 had an effect on rates of percutaneous injury (PI) reported by HCWs. DESIGN: Before-and-after intervention trial comparing 3-year preintervention (1998-2001) and 2-year postintervention (2001-2002) periods. PI data from anonymous, self-administered surveys were prospectively entered into CDC NaSH software. SETTING: A 427-bed, tertiary-care hospital in Manhattan. PARTICIPANTS: HCWs who attended state-mandated training sessions and completed the survey (1,132 preintervention; 821 postintervention). INTERVENTION: Implementation of a "safer-needle system" composed of various safety-engineered devices for needle-safe IV delivery-insertion, blood collection, and intramuscular-subcutaneous injection. RESULTS: Preintervention, the overall annual rate of PIs self-reported on the survey was 36.5 per 100 respondents, compared with 13.9 per 100 respondents postintervention (P < .01). The annual rate of formally reported PIs decreased from 8.3 to 3.1 per 100 respondents (P < .01). Report rates varied by occupational group (P ≤ .02). The overall rate did not change between study periods (22.7% to 22.3%), although reporting improved among nurses (23.6% to 44.4%, P = .03) and worsened among building services staff (90.5% to 50%, P = .03). HCWs with greater numbers of PIs self-reported on the survey were less likely to formally report injuries (P < .01). The two most common reasons for nonreport (ie, thought injury was low risk or believed patient was low risk for blood-borne disease) did not vary from preintervention to postintervention. CONCLUSIONS: Safety-engineered device implementation decreased rates of PIs formally reported and self-reported on the survey. However, this intervention, with concomitant intensive education, had varying effects on reporting behavior by occupation and a minimal effect on overall reporting rates. |
| Keywords: | major clinical study; infection; incidence; health behavior; health survey; self report; blood sampling; device; health care personnel; outcome and process assessment (health care); new york city; staff training; equipment design; bias (epidemiology); infection control; needle; occupational diseases; health care surveys; injury; risk management; engineering; occupational exposure; hospital building; nurse; occupational safety; needlestick injuries; humans; human; article; percutaneous injury; bloodborne disease |
| Journal Title: | Infection Control and Hospital Epidemiology |
| Volume: | 25 |
| Issue: | 7 |
| ISSN: | 0899-823X |
| Publisher: | The Society for Healthcare Epidemiology of America |
| Date Published: | 2004-07-01 |
| Start Page: | 543 |
| End Page: | 547 |
| Language: | English |
| DOI: | 10.1086/502437 |
| PROVIDER: | scopus |
| PUBMED: | 15301025 |
| DOI/URL: | |
| Notes: | Infect. Control Hosp. Epidemiol. -- Cited By (since 1996):24 -- Export Date: 16 June 2014 -- CODEN: ICEPE -- Source: Scopus |
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