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A Comprehensive Approach to Percutaneous Injury Prevention During Phlebotomy: Results of a Multicenter Study, 1993-1995

Published online by Cambridge University Press:  02 January 2015

Francisco Alvarado-Ramy ,
Elise M. Beltrami ,
Louise J. Short ,
Pamela U. Srivastava ,
Keith Henry ,
Meryl Mendelson ,
Julie L. Gerberding ,
George L. Delclos ,
Scott Campbell  and
Robin Solomon
...Show all authors
Francisco Alvarado-Ramy
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Elise M. Beltrami
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Louise J. Short
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Pamela U. Srivastava
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Keith Henry
Affiliation:
HIV Program, Regions Hospital, St. Paul, Minnesota
Meryl Mendelson
Affiliation:
Mount Sinai Medical Center, New York, New York
Julie L. Gerberding
Affiliation:
San Francisco General Hospital, San Francisco, California
George L. Delclos
Affiliation:
University of Texas Health Science Center, Houston, Texas
Scott Campbell
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Robin Solomon
Affiliation:
Mount Sinai Medical Center, New York, New York
Rita Fahrner
Affiliation:
San Francisco General Hospital, San Francisco, California
David H. Culver
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
David Bell
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Denise M. Cardo*
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
Mary E. Chamberland
Affiliation:
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Mailstop E-68, 1600 Clifton Road, Atlanta, GA 30333
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Abstract

Objective:

To examine a comprehensive approach for preventing percutaneous injuries associated with phlebotomy procedures.

Design and Setting:

From 1993 through 1995, personnel at 10 university-affiliated hospitals enhanced surveillance and assessed underreporting of percutaneous injuries; selected, implemented, and evaluated the efficacy of phlebotomy devices with safety features (ie, engineered sharps injury prevention devices [ESIPDs]); and assessed healthcare worker satisfaction with ESIPDs. Investigators also evaluated the preventability of a subset of percutaneous injuries and conducted an audit of sharps disposal containers to quantify activation rates for devices with safety features.

Results:

The three selected phlebotomy devices with safety features reduced percutaneous injury rates compared with conventional devices. Activation rates varied according to ease of use, healthcare worker preference for ESIPDs, perceived “patient adverse events,” and device-specific training.

Conclusions:

Device-specific features and healthcare worker training and involvement in the selection of ESIPDs affect the activation rates for ESIPDs and therefore their efficacy. The implementation of ESIPDs is a useful measure in a comprehensive program to reduce percutaneous injuries associated with phlebotomy procedures.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 24 , Issue 2 , February 2003 , pp. 97 - 104
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

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