Prevalence of Safer Needle Devices and Factors Associated with Their Adoption: Results of a National Hospital Survey

Details

• Personal Author:
  Gershon RR ; Marks EL ; Maxfield A ; Sinclair, Raymond C. ; Thompson DR
• Description:
  In this study, we collected and analyzed the first data available on the extent of the adoption of safer needle devices (engineered sharps injury protections [ESIPs]) by U.S. hospitals and on the degree to which selected factors influence the use of this technology. We gathered data via a telephone survey of a random sample of 494 U.S. hospitals from November 1999 through February 2000. Although 83% of the sample reported some ESIP adoption, adoption was inconsistent across types of devices. All of the appropriate units in 52% of the facilities had adopted needleless intravenous delivery systems, but the hospitals used other types of ESIPs less often. A respondent's perception that the cost of ESIPs would not be a problem for the hospital was the best predictor of adoption of ESIPs in the facility, explaining 8% of the variance. Other predictors of adoption included the size of the hospital and the presence or absence of state legislative activity on the needlestick issue. Smaller hospitals may require special encouragement and assistance from outside sources to adopt expensive risk-reduction innovations such as ESIPs. Although use of ESIPs is the mandated and preferred way to protect workers from needlesticks, complete adoption of this technology will depend on the support of the social systems in which it is used and the people who use it. [Description provided by NIOSH]
• Subjects:
  Accident Prevention Accidents Engineering Health Personnel Needlestick Injuries Occupational Health Risk Assessment Risk Factors Safety Safety Management
• Keywords:
  Accident-prevention Engineering-controls Health-care-personnel Injury-prevention Needlestick-injuries Risk-analysis Risk-factors Safety-measures Safety-monitoring Safety-research Sampling

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• ISSN:
  0033-3549
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; New York ; Ohio ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  EID - Education and Information Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  340-349
• Volume:
  117
• Issue:
  4
• NIOSHTIC Number:
  nn:20022592
• Citation:
  Public Health Rep 2002 Jul-Aug; 117(4):340-349
• Contact Point Address:
  Raymond C. Sinclair, PhD, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, Cincinnati, OH 45226
• Email:
  rsinclair@cdc.gov
• Federal Fiscal Year:
  2002
• NORA Priority Area:
  Research Tools and Approaches: Intervention Effectiveness Research
• Peer Reviewed:
  True
• Source Full Name:
  Public Health Reports
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:67d370cb12784c79173100a268d3410ebff297f7700b0df569269c830a0c79517edbb53dce25cbe6e56d7cc00d0ba6cc395360271cdfd8b51a4b283c006f9772
• Download URL:
  https://stacks.cdc.gov/view/cdc/199320/cdc_199320_DS1.pdf
• File Type:
  [PDF - 93.94 KB ]