Effectiveness of measures to prevent needlestick injuries among ...

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Authors: Sandra I. Sulsky, Thomas Birk, Linda C. Cohen, Rose S. Luippold, Maria J. Heidenreich, Anthony Nunes ENVIRON International Corporation, Health Science Institute www.environhsi.com Editorial coordinators: Annette Nold, Frank Bochmann Published by: Hauptverband der gewerblichen Berufsgenossenschaften (HVBG) Alte Heerstr. 111, D-53754 Sankt Augustin Telefon: +49 / 02241 / 231 − 01 Telefax: +49 / 02241 / 231 − 1333 Internet: www.hvbg.de − March 2006 − ISBN: 3-88383-696-6 Cover picture: Isabell Fincke
Effectiveness of measures to prevent needlestick injuries among employees in health professions Abstract The pathogens of greatest concern that may be transmitted by a needlestick injury (NSI) are hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). The objective of the study was to critically review and summarize the published literature on NSI, with the main focus on studies evaluating the effectiveness and cost aspects of the implementation of safer devices and other preventive measures in hospitals. A comprehensive literature search on MEDLINE identified more than 2,300 publications. A multi-stage selection process was used to identify those studies appropriate for inclusion in the Quality Based Critical Review (QBCR), which finally included 61 publications on intervention studies. These studies were evaluated and rated according to quality indicators. Additionally, papers discussing the costs and benefits of the introduction of safer device have been analyzed. Those with the most patient contact, nurses and physicians, were the most likely to report NSI, and NSI were most likely to occur in patient and operating rooms. However, underreporting presents a serious problem for the development of accurate risk estimates. The majority of the intervention programs, despite large differences in methodological quality, showed in general that engineering controls, especially the introduction of safety-designed devices, were effective in reducing the number of reported NSI. There are only few studies investigating the cost-effectiveness of this introduction and their results are suggesting that a complete substitution currently might not be cost neutral for a hospital. However, these studies showed little methodological consistency and therefore do not allow to draw firm conclusions. Societal as well as intangible costs and benefits should be considered in an overall assessment.
Page 1: Effectiveness of measures to preven
Page 6 and 7: Wirksamkeit und Wirtschaftlichkeit
Page 8 and 9: Eficacia y rentabilidad de medidas
Page 10 and 11: 5 Cost effectiveness ..............
Page 13 and 14: Preface Preface It has long been re
Page 15 and 16: 1 Introduction 1 Introduction Altho
Page 17 and 18: 1 Introduction scientific laborator
Page 19: 1 Introduction To complete each of
Page 23 and 24: 3 Descriptive epidemiology of NSI 3
Page 25 and 26: 3 Descriptive epidemiology of NSI a
Page 27 and 28: 3 Descriptive epidemiology of NSI c
Page 29 and 30: 3 Descriptive epidemiology of NSI s
Page 31 and 32: 3 Descriptive epidemiology of NSI h
Page 33 and 34: 4 Intervention program evaluation 4
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Page 41 and 42: 4 Intervention program evaluation c
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4 Intervention program evaluation 4
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4 Intervention program evaluation C
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4 Intervention program evaluation a
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5 Cost effectiveness Both costs and
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5 Cost effectiveness 21 % by using
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5 Cost effectiveness the high HBV v
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5 Cost effectiveness After the impl
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5 Cost effectiveness estimating cos
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6 Discussion 6 Discussion This repo
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7 Recommendations 7 Recommendations
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8 Bibliography [12] Verordnung übe
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8 Bibliography A retrospective stud
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8 Bibliography [48] Gartner, K.: Im
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8 Bibliography [66] O'Connor, R. E.
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8 Bibliography [86] Thomas, S.; Aga
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Tables Table 1: Overview of prevent
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Tables Table 3: Distribution of cou
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Tables Table 5: Distribution of nee
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Tables Table 7: Activity during nee
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Tables Table 9: Screening Criteria
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Tables Table 11: Quality indicators
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Tables Table 13: Examples of estima
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Annex 1: Glossary and abbreviations
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Annex 1: Glossary and abbreviations
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Annex 2: QBCR review form COMPARISO
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Annex 2: QBCR review form Character
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Annex 2: QBCR review form DISCUSSIO
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Annex 3: Definitions/guidelines for
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Annex 3: Definitions/guidelines for
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Annex 4: Working group Needlestick
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