Management Practices and Risk of Occupational Blood Exposure in U.S. Paramedics: Needlesticks

Details

• Personal Author:
  Leiss, Jack K.
• Description:
  Background: The purpose of this study was to present risk estimates for needlestick in U.S. paramedics and estimated risk ratios for selected management practices. Methods: A mail survey was conducted among a national sample of U.S. paramedics in 2002-2003. Results: The adjusted response rate was 55% (n¼2,664). The overall 12-month risk of needlestick was 6.7% (95% confidence interval, 5.4-7.9). Risk ratios for provision of safety-engineered medical devices and two supervisory behaviors that emphasized safe work practices ranged from 2.5 to 3.2. The protective effect of working in an environment that included both of the supervisory behaviors was greater than the protective effect of always being provided with safety devices. A sensitivity analysis indicated that the risk ratio estimates were unlikely to be inflated by nonresponse bias. Conclusions: These results suggest that greater provision of safety devices and interventions aimed at management practices that promote worker safety could substantially reduce the risk of needlestick among U.S. paramedics. [Description provided by NIOSH]
• Subjects:
  Accidents, Occupational Blood Blood-Borne Pathogens Emergency Responders Health Personnel Hematologic Diseases Needlestick Injuries Occupational Exposure Occupational Health Personal Protective Equipment Risk Assessment Risk Factors Safety Safety Management Surveys And Questionnaires Workplace

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• Keywords:
  Accident-statistics Author Keywords: Needlestick Bloodborne-pathogens Blood Exposure Emergency-responders Exposure-levels Exposure-methods Health-care-personnel Needlestick-injuries Occupational-exposure Occupational-health Occupational Exposure Paramedic Paramedical-services Personal-protection Prehospital Questionnaires Risk Risk-analysis Risk-factors Safety Safety-education Safety-engineering Safety-measures Safety-personnel Safety-practices Statistical-analysis Survey Work-analysis Work-environment Work-organization Work-practices Worker-motivation Workplace-studies

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  53
• Issue:
  9
• NIOSHTIC Number:
  nn:20036813
• Citation:
  Am J Ind Med 2010 Spr; 53(9):866-874
• Contact Point Address:
  Jack K. Leiss, PhD, Epidemiology Research Program, Cedar Grove Institute for Sustainable Communities, 6919 Lee Street, Mebane, NC 27302
• Email:
  jackl@mcmoss.org
• Federal Fiscal Year:
  2010
• Performing Organization:
  Analytical Sciences, Inc., Durham, North Carolina
• Peer Reviewed:
  True
• Start Date:
  20000930
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20040331
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1253c5ed060a2a4da2dc8dbbebcc1a2fcdae50d0af23a2eab729350aba2aa2cefcc37ce9bebe069b23efaa299a9e760995a90ebc2dddc6e67b82e9fd35514f2e
• Download URL:
  https://stacks.cdc.gov/view/cdc/188075/cdc_188075_DS1.pdf
• File Type:
  [PDF - 117.42 KB ]