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Needlestick Injury: Impact of a Recapping Device and an Associated Education Program

Published online by Cambridge University Press:  21 June 2016

Michael Whitby ,
Pat Stead  and
Jake M. Najman
Michael Whitby*
Affiliation:
Department of Infectious Diseases, Princess Alexandra Hospital, Brisbane, Australia
Pat Stead
Affiliation:
Department of Infectious Diseases, Princess Alexandra Hospital, Brisbane, Australia
Jake M. Najman
Affiliation:
Departments of Social and Preventive Medicine and Anthropology and Sociology, University of Queensland, Brisbane, Australia
*
Princess Alexandra Hospital, Brisbane 4102Australia
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Abstract

Objective:

To determine the impact of the introduction of a plastic shield-shaped device (Needleguard, Biosafe, Auckland, New Zealand) and education program designed to allow safer recapping, on recorded rates of needlestick injury.

Design:

A before-after trial with a two-year duration of follow-up.

Setting:

Tertiary referral hospital.

Participants:

Nursing and other hospital personnel.

Results:

Prospectively collected baseline data, together with the results of an anonymous questionnaire of 25% of the hospital nursing staff, defined a reported needlestick injury rate of 6.9 per hundred full-time nursing staff per year. In the pre-intervention period, there were 6.7 needlestick injuries per 100 nursing staff members per year reported. This increased to 15.4 (p<.0001) needlestick injuries per 100 nursing staff members per year after the intervention. An anonymous survey undertaken at both time periods suggests that the apparent increase in officially reported needlestick injuries is due to an increase in the willingness of nurses to now report previously unreported needlestick injuries.

Conclusions:

The impact of the safety device and education program was the more accurate reporting of needlestick injuries; many nursing staff continued to resheath needles contrary to hospital policy. Many staff simply did not use the newly designed safety device. Approaches to improving compliance with such safety devices are considered.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 12 , Issue 4 , April 1991 , pp. 220 - 225
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1991

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