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Workers' Compensation Claims for Needlestick Injuries Among Healthcare Workers in Washington State, 1996-2000

Published online by Cambridge University Press:  21 June 2016

Syed M. Shah ,
David Bonauto ,
Barbara Silverstein  and
Michael Foley
Syed M. Shah*
Affiliation:
from the Safety & Health Assessment & Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington
David Bonauto
Affiliation:
from the Safety & Health Assessment & Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington
Barbara Silverstein
Affiliation:
from the Safety & Health Assessment & Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington
Michael Foley
Affiliation:
from the Safety & Health Assessment & Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington
*
Department of Community Health and Epidemiology, University of Saskatchewan, Health Sciences Building, 107 Wiggins Road, Saskatoon, SK S7N5E5, Canada.. [email protected]
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Abstract

Objectives:

To characterize accepted workers' compensation claims for needlestick injuries filed by healthcare workers (HCWs) in non-hospital compared with hospital settings in Washington State.

Design:

Descriptive study of all accepted workers' compensation claims filed between 1996 and 2000 for needlestick injuries.

Participants:

All Washington State HCWs eligible to file a state fund workers' compensation claim and those who filed a workers' compensation claim for a needlestick injury.

Results:

There were 3,303 accepted state fund HCW needlestick injury claims. The incidence of needlestick injury claims per 10,000 full-time-equivalent HCWs in hospitals was 158.6; in dental offices, 104.7; in physicians' offices, 87.0; and in skilled nursing facilities, 80.8. The most common mechanisms of needlestick injury by work location were as follows: for hospitals, suturing and other surgical procedures (16.7%), administering an injection (12.7%), and drawing blood (10%); for dentists' offices, recapping (21.3%) and cleaning trays and instruments (18.2%); for physicians' offices, disposal (22.2%) and administering an injection (10.2%); and for skilled nursing facilities, disposal (23.7%) and administering an injection (14.9%). Nurses accounted for the largest (29%) proportion of HCWs involved, followed by dental assistants (17%) and laboratory technicians and phlebotomists (12%) in non-hospital settings. Rates of needlestick injury claims increased for non-hospital settings by 7.5% annually (95% confidence interval [CI95], 4.89% to 10.22%; P < .0001). Rates decreased for hospital settings by 5.8% annually, but the decline was not statistically significant (CI95, -12.50% to 1.34%; P < .1088). HCWs were exposed to hepatitis B, hepatitis C, and human immunodeficiency viruses in non-hospital settings.

Conclusion:

There was a difference in the incidence rate and mechanisms of needlestick injuries on review of workers' compensation claim records for HCWs in non-hospital and hospital settings.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 26 , Issue 9 , September 2005 , pp. 775 - 781
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2005

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References

1.Centers for Disease Control and Prevention. The National Surveillance System for Health Care Workers (NaSH). Summary Report for Data Collected From June 1995 Through July 1999. Atlanta, GA: Centers for Disease Control and Prevention, Division of Healthcare Quality Promotion; 2001. Available at www.cdc.gov/ncidod/hip/NASH/report.htm. Accessed May 4, 2004.Google Scholar
2.Perry, J, Parker, G, Jagger, J. EPINet report: 2001 percutaneous injury rates. Advances in Exposure Prevention 2003;6:32–36.Google Scholar
3.Gillen, M, McNary, J, Lewis, J, et al.Sharps-related injuries in California healthcare facilities: pilot study results from the Sharps Injury Surveillance Registry. Infect Control Hosp Epidemiol 2003;24:113–121.CrossRefGoogle ScholarPubMed
4.Beltrami, EM, McArthur, MA, McGeer, A, et al.The nature and frequency of blood contacts among home healthcare workers. Infect Control Hosp Epidemiol 2000;21:765–770.CrossRefGoogle ScholarPubMed
5.Thurn, J, Willenbring, K, Crossley, K. Needlestick injuries and needle disposal in Minnesota physicians' offices. Am J Med 1989;86:575–579.CrossRefGoogle ScholarPubMed
6.Shah, SM, Bonauto, D, Silverstein, B, Foley, M, Kalat, J. Injuries and illnesses from framing in residential construction, Washington State, 1993-1999. J Occup Environ Med 2003;45:1171–1182.CrossRefGoogle ScholarPubMed
7.Silverstein, B, Welp, E, Nelson, N, Kalat, J. Claims incidence of work-related disorders of the upper extremities: Washington State, 1987 through 1995. Am J Public Health 1998;88:1827–1833.CrossRefGoogle ScholarPubMed
8.Kaufman, JD, Cohen, MA, Sama, SR, Shields, JW, Kalat, J. Occupational skin diseases in Washington State, 1989 through 1993: using workers' compensation data to identify cutaneous hazards. Am J Public Health 1998;88:1047–1051.CrossRefGoogle ScholarPubMed
9.Pollack, ES, Keimig, D. Counting Illnesses and Injuries in the Workplace: Proposals for a Better System. Washington, DC: National Academy of Sciences; 1987.CrossRefGoogle Scholar
10.Washington State Department of Health, Center for Health Statistics. Trend Review. Available at www.doh.wa.gov/EHSPHL/hospdata/Summary/TrendReview.xls. Accessed December 15, 2002.Google Scholar
11.Jagger, J, Hunt, EH, Brand-Elnaggar, J, Pearson, RD. Rates of needlestick injury caused by various devices in a university hospital. N Engl J Med 1988;319:284–288.CrossRefGoogle ScholarPubMed
12.Choudhury, RP, Cleator, SJ. Preventing needlestick injuries. BMJ 1991:302:1602.Google Scholar
13. Anonymous. Needlesticks: preaching to the seroconverted? Lancet 1992;340:640–641.CrossRefGoogle Scholar
14.Hatcher, IB. Reducing sharps injuries among healthcare workers: a sharps container quality improvement project, Jt Comm J Qual Improv 2002;28:410–414.Google ScholarPubMed
15.Tan, L, Hawk, JC, Sterling, ML. Report of the Council on Scientific Affairs: preventing needlestick injuries in health care settings. Arch Intern Med 2001;161:929–936.CrossRefGoogle ScholarPubMed
16.Jagger, J, Hunt, E, Pearson, R. Estimated cost of needlestick injuries for six major needled devices. Infect Control Hosp Epidemiol 1990;11:584–588.CrossRefGoogle ScholarPubMed
17.Fisman, DN, Mittleman, MA, Sorock, GS, Harris, AD. Willingness to pay to avoid sharps-related injuries: a study in injured health care workers. Am J Infect Control 2002;30:283–287.CrossRefGoogle ScholarPubMed
18.Tandberg, D, Stewart, KK, Doezema, D. Under-reporting of contaminated needlestick injuries in emergency health care workers. Ann Emerg Med 1991;20:66–70.CrossRefGoogle ScholarPubMed
19.Hamory, BH. Under-reporting of needlestick injuries in a university hospital. Am J Infect Control 1983;11:174–177.CrossRefGoogle Scholar
20.Tereskerz, PM, Jagger, J. Occupationally acquired HIV: the vulnerability of health care workers under workers' compensation laws. Am J Public Health 1997;87:1558–1562.CrossRefGoogle Scholar