Sharp-Instrument Injuries and Use of Clinical Services

Details

• Personal Author:
  Feldstein A ; Gullion CM ; Maupomé G ; Meenan RT ; Perrin NA
• Description:
  The original study plan was to use detailed health records to explore links between sharp-instrument injuries (SII) and exposure to blood and body fluids (BBFE) among health-care workers (HCWs), and HCWs personal use of clinical services, but study investigators were unable to obtain access to any information identifying affected HCWs and thus were unable to query the electronic medical record for utilization and health-care related costs of the affected employees; therefore, the first primary aim of the study as proposed could not be accomplished, and the second was only partly feasible. Study investigators did obtain a de-identified copy of the Employee Health Service database containing reports of BBFE/SII incidents in 1997-2003. The study was suspended by the Institutional Review Board for several months over issues related to the process of obtaining access to the EHS database. The new PI was able to obtain IRB approval to reopen the study, but it was still not possible to obtain access to identifying information. The analyses presented here are summaries of the information contained in the incident record obtained from EHS, using the aggregate full-time equivalents (FTEs) for incident year and the job class reported by injured HCW's as the denominator for rate estimates. The reporting format was changed in 2000, leading to substantial missing data (as much as 95%) for various items in the database; we used only complete reports (k = 1469 incidents) in the analyses. Numbers and features of the incident reports were tabled by year, job class, and other features. The incidence density of BBFE/SII incidents (ln FTEs as offset) were modeled in Poisson regression as a function of year and job class, with significant effects for both predictors. The most striking contrast was that physicians had a rate 10 times that of nurses for SII/BBFE incidents. We also found a significant linear decline over years in the rate of SII/BBFE incidents (p=.0021). [Description provided by NIOSH]
• Subjects:
  Blood Blood-Borne Pathogens Body Fluids Health Personnel Hematologic Diseases Occupational Health Safety
• Keywords:
  Bloodborne Pathogens Body Fluids Health Care Personnel Health Care Workers Injuries Medical Records Nurses Physicians Sharps
• Series:
  Grant Final Reports
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Final Grant Report
• Place as Subject:
  California ; Indiana ; Oregon ; OSHA Region 10 ; OSHA Region 5 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OEP - Office of Extramural Programs
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-17
• NIOSHTIC Number:
  nn:20060012
• NTIS Accession Number:
  PB2021-100194
• Citation:
  Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, R03-OH-007512, 2009 Nov; :1-17
• Contact Point Address:
  Gerardo Maupomé, PhD, Oral Health Research Institute, Department of Preventive and Community Dentistry Indiana University/Purdue University at Indianapolis School of Dentistry, 415 Lansing Street, Indianapolis, IN 46202-2876
• Email:
  gmaupome@iupui.edu
• Federal Fiscal Year:
  2010
• NORA Priority Area:
  Research Tools and Approaches: Health Services Research
• Performing Organization:
  Kaiser Foundation Research Institute, Oakland, California
• Peer Reviewed:
  False
• Start Date:
  20050930
• Source Full Name:
  National Institute for Occupational Safety and Health
• End Date:
  20050929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:dc63f80c6dbf7a2caae3e00f01a79ed489e7c7ae0d7724698d7cd1872f7e204912ed9988cfa7b45efeeb3530ab4d230cc1d565f3cd68e6c893ce47f2fbb58ca6
• Download URL:
  https://stacks.cdc.gov/view/cdc/218990/cdc_218990_DS1.pdf
• File Type:
  [PDF - 156.52 KB ]