The Experts below are selected from a list of 3813 Experts worldwide ranked by ideXlab platform

James Cone - One of the best experts on this subject based on the ideXlab platform.

  • Sharps related injuries in california healthcare facilities pilot study results from the Sharps Injury surveillance registry
    Infection Control and Hospital Epidemiology, 2003
    Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James Cone
    Abstract:

    BACKGROUND AND OBJECTIVES: In 1998, the California Department of Health Services invited all healthcare facilities in California (n = 2,532) to participate in a statewide, voluntary Sharps Injury surveillance project. The objectives were to determine whether a low-cost Sharps registry could be established and maintained, and to evaluate the circumstances surrounding Sharps injuries in California. RESULTS: Approximately 450 facilities responded and reported a total of 1,940 Sharps-related injuries from January 1998 through January 2000. Injuries occurred in a variety of healthcare workers (80 different job titles). Nurses sustained the highest number of injuries (n = 658). In hospital settings (n = 1,780), approximately 20% of the injuries were associated with drawing venous blood, injections, or assisting with a procedure such as suturing. As expected, injuries were caused by tasks conventionally related to specific job classifications. The overall results approximate those reported by the Centers for Disease Control and Prevention's National Surveillance System for Health Care Workers and the University of Virginia's Exposure Prevention Information Network. CONCLUSION: These data further support findings from previous studies documenting the complex and persistent nature of Sharps-related injuries in healthcare workers. In the future, mandated reporting using standardized forms and consistent application of decision rules would facilitate a more thorough analysis of Injury events.

  • Sharps Injury recordkeeping activities and safety product use in california health care facilities pilot study results from the Sharps Injury control program
    American Journal of Infection Control, 2002
    Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James Cone
    Abstract:

    Abstract Background: In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced Sharps devices. Results: A total of 1274 facilities responded to the survey from January 1999 through August 1999 (response rate=50%). Sharps-related injuries were recorded for multiple departments on various forms in diverse manners. Only 66% of hospitals, 37% of home health agencies, and 33% of skilled nursing facilities reported Sharps injuries on a mandated Sharps Injury log. More than 70% of facilities stated that they used some type of safety device or needleless system, but this figure varied by type of device and facility type. Eighty-four percent of general acute care hospitals, 28% of home health agencies and skilled nursing facilities each had evaluated at least 1 safety-enhanced device. Almost 90% of all facilities expressed a need for educational materials on topics such as device selection and evaluation. Conclusions: Standardization of surveillance and recordkeeping activities does not exist across facility types. Standards and regulations demand complex recordkeeping activities. Increased funding for distribution of educational materials and on-site training should accompany changes in mandated reporting activities when appropriate. Increased testing and evaluation of devices across facility types are necessary to ensure that safety-enhanced devices are protective of health care workers and patients. (Am J Infect Control 2002;30:269-76.)

Kefyalew Dagne Gizachew - One of the best experts on this subject based on the ideXlab platform.

  • Occupational exposure to Sharps Injury among healthcare providers in Ethiopia regional hospitals
    Annals of occupational and environmental medicine, 2017
    Co-Authors: Nigussie Tadesse Sharew, Getaneh Baye Mulu, Tesfa Dejenie Habtewold, Kefyalew Dagne Gizachew
    Abstract:

    Abstract Background Sharps Injury is a penetrating stab wound from a needle, scalpel, or another sharp object that may result in exposure to blood or other body fluids. According to World Health Organization pooled estimate, the annual incidence of Sharps Injury in Africa was ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The aim of the study was to investigate Sharps Injury prevalence and associated risk factors. Methods Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia. Proportionate stratified sampling was used to select HCP. Sharps Injury during the last 12 months was an outcome variable whereas demographic characteristics, behavioral attributes, and job environment characteristics were independent variables. Data was collected from April to May 2016 using self-administered questionnaire; which was adapted from World Health Organization best practices for injections and related procedures toolkit. Bivariate and multivariate logistic regression analysis was carried out to identify Sharps Injury associated risk factors. Epi Info version 3.5.1 software package was used for data coding and entry whereas Statistical Package for Social Sciences (SPSS) version 20 software package was used for analysis. Results In total, 195 HCP participated with a response rate of 97.5%. The prevalence of Sharps Injury was 32.8%. Following adjustment for covariates, lack of in-service job training and previous exposure to Sharps Injury were statistically significant risk factors for Sharps Injury. HCP who had no in-service job training were 4.7 times more likely sustained Sharps Injury compared with those who had in-service job training ( p p -value = 0.002, OR = 3.7, 95% CI = 1.62–8.27). Conclusions This study revealed 32.8% or at least three out of ten HCP exposed to Sharps Injury. This was found statistically significant among HCP who had no in-service job training and who had previous exposure to Sharps Injury. Thus, training HCP perhaps increase their skill and curiosity to reduce exposure to Sharps Injury.

  • Occupational exposure to Sharps Injury among healthcare providers in Ethiopia regional hospitals
    Annals of Occupational and Environmental Medicine, 2017
    Co-Authors: Nigussie Tadesse Sharew, Getaneh Baye Mulu, Tesfa Dejenie Habtewold, Kefyalew Dagne Gizachew
    Abstract:

    Background Sharps Injury is a penetrating stab wound from a needle, scalpel, or another sharp object that may result in exposure to blood or other body fluids. According to World Health Organization pooled estimate, the annual incidence of Sharps Injury in Africa was ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The aim of the study was to investigate Sharps Injury prevalence and associated risk factors. Methods Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia. Proportionate stratified sampling was used to select HCP. Sharps Injury during the last 12 months was an outcome variable whereas demographic characteristics, behavioral attributes, and job environment characteristics were independent variables. Data was collected from April to May 2016 using self-administered questionnaire; which was adapted from World Health Organization best practices for injections and related procedures toolkit. Bivariate and multivariate logistic regression analysis was carried out to identify Sharps Injury associated risk factors. Epi Info version 3.5.1 software package was used for data coding and entry whereas Statistical Package for Social Sciences (SPSS) version 20 software package was used for analysis. Results In total, 195 HCP participated with a response rate of 97.5%. The prevalence of Sharps Injury was 32.8%. Following adjustment for covariates, lack of in-service job training and previous exposure to Sharps Injury were statistically significant risk factors for Sharps Injury. HCP who had no in-service job training were 4.7 times more likely sustained Sharps Injury compared with those who had in-service job training ( p  

Marion Gillen - One of the best experts on this subject based on the ideXlab platform.

  • Sharps related injuries in california healthcare facilities pilot study results from the Sharps Injury surveillance registry
    Infection Control and Hospital Epidemiology, 2003
    Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James Cone
    Abstract:

    BACKGROUND AND OBJECTIVES: In 1998, the California Department of Health Services invited all healthcare facilities in California (n = 2,532) to participate in a statewide, voluntary Sharps Injury surveillance project. The objectives were to determine whether a low-cost Sharps registry could be established and maintained, and to evaluate the circumstances surrounding Sharps injuries in California. RESULTS: Approximately 450 facilities responded and reported a total of 1,940 Sharps-related injuries from January 1998 through January 2000. Injuries occurred in a variety of healthcare workers (80 different job titles). Nurses sustained the highest number of injuries (n = 658). In hospital settings (n = 1,780), approximately 20% of the injuries were associated with drawing venous blood, injections, or assisting with a procedure such as suturing. As expected, injuries were caused by tasks conventionally related to specific job classifications. The overall results approximate those reported by the Centers for Disease Control and Prevention's National Surveillance System for Health Care Workers and the University of Virginia's Exposure Prevention Information Network. CONCLUSION: These data further support findings from previous studies documenting the complex and persistent nature of Sharps-related injuries in healthcare workers. In the future, mandated reporting using standardized forms and consistent application of decision rules would facilitate a more thorough analysis of Injury events.

  • Sharps Injury recordkeeping activities and safety product use in california health care facilities pilot study results from the Sharps Injury control program
    American Journal of Infection Control, 2002
    Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James Cone
    Abstract:

    Abstract Background: In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced Sharps devices. Results: A total of 1274 facilities responded to the survey from January 1999 through August 1999 (response rate=50%). Sharps-related injuries were recorded for multiple departments on various forms in diverse manners. Only 66% of hospitals, 37% of home health agencies, and 33% of skilled nursing facilities reported Sharps injuries on a mandated Sharps Injury log. More than 70% of facilities stated that they used some type of safety device or needleless system, but this figure varied by type of device and facility type. Eighty-four percent of general acute care hospitals, 28% of home health agencies and skilled nursing facilities each had evaluated at least 1 safety-enhanced device. Almost 90% of all facilities expressed a need for educational materials on topics such as device selection and evaluation. Conclusions: Standardization of surveillance and recordkeeping activities does not exist across facility types. Standards and regulations demand complex recordkeeping activities. Increased funding for distribution of educational materials and on-site training should accompany changes in mandated reporting activities when appropriate. Increased testing and evaluation of devices across facility types are necessary to ensure that safety-enhanced devices are protective of health care workers and patients. (Am J Infect Control 2002;30:269-76.)

C. Odd - One of the best experts on this subject based on the ideXlab platform.

  • on behalf of the British Occupational Hygiene Society doi:10.1093/annhyg/men010 Sharps Injuries in Healthcare Waste Handlers
    2015
    Co-Authors: J. I. Blenkharn, C. Odd
    Abstract:

    Clinical waste disposal carries with it a risk of serious and possibly life-threatening infection. Combining confidential questionnaires and structured interviews with discrete observation, the attitudes and approach to safe handling of bulk clinical wastes by staff in a specialist waste treatment facility were assessed. With particular attention to glove use and hand hygiene, ob-servations were supplemented by review of group-wide accident and incident records, with emphasis on Sharps injuries and related blood and bloodstained body fluid exposures. Deficiencies in glove selection and use, and in hand hygiene, were noted despite extensive and on-going training and supervision of waste handlers. Though ballistic puncture-resistant gloves protect against Sharps Injury, these were uncomfortable in use and were sometimes re-jected by waste handlers who preferred thin-walled nitrile gloves that were more comfortable in use though provide no resistance to penetrating Injury. Among the waste handlers working for a single specialist waste disposal company, Sharps injuries (n 5 40) occurred at a rate of approximately 1 per 29 000 man hours. Injuries were caused by hypodermic needles from im-properly closed or overfilled Sharps boxes (n 5 6) or from Sharps incorrectly discarded into thin-walled plastic sacks intended only for soft wastes (n 5 34). Most injuries occurred t

  • Sharps Injuries in Healthcare Waste Handlers
    The Annals of occupational hygiene, 2008
    Co-Authors: J. I. Blenkharn, C. Odd
    Abstract:

    Clinical waste disposal carries with it a risk of serious and possibly life-threatening infection. Combining confidential questionnaires and structured interviews with discrete observation, the attitudes and approach to safe handling of bulk clinical wastes by staff in a specialist waste treatment facility were assessed. With particular attention to glove use and hand hygiene, observations were supplemented by review of group-wide accident and incident records, with emphasis on Sharps injuries and related blood and bloodstained body fluid exposures. Deficiencies in glove selection and use, and in hand hygiene, were noted despite extensive and on-going training and supervision of waste handlers. Though ballistic puncture-resistant gloves protect against Sharps Injury, these were uncomfortable in use and were sometimes rejected by waste handlers who preferred thin-walled nitrile gloves that were more comfortable in use though provide no resistance to penetrating Injury. Among the waste handlers working for a single specialist waste disposal company, Sharps injuries (n = 40) occurred at a rate of approximately 1 per 29 000 man hours. Injuries were caused by hypodermic needles from improperly closed or overfilled Sharps boxes (n = 6) or from Sharps incorrectly discarded into thin-walled plastic sacks intended only for soft wastes (n = 34). Most injuries occurred to the fingers or hands. No seroconversions occurred, though two individuals suffered anxiety/ stress disorder necessitating prolonged leave of absence with professional counselling and support. Glove use and hand hygiene must feature prominently in the on-going training of waste handlers. Though ballistic gloves afford protection against Sharps Injury, the initial segregation and safe disposal of clinical wastes by healthcare professionals must provide the primary control measure. Despite robust and unambiguous legislation and good practice guidelines, serious errors by healthcare staff that result in the disposal of hypodermic needles and other Sharps to thin-walled plastic waste sacks places waste handlers at risk of bloodborne virus infection. Further improvement in the standards of waste segregation and disposal by healthcare professionals are still required to protect ancillary and support staff and waste handlers working in the disposal sector.

Nigussie Tadesse Sharew - One of the best experts on this subject based on the ideXlab platform.

  • Occupational exposure to Sharps Injury among healthcare providers in Ethiopia regional hospitals
    Annals of occupational and environmental medicine, 2017
    Co-Authors: Nigussie Tadesse Sharew, Getaneh Baye Mulu, Tesfa Dejenie Habtewold, Kefyalew Dagne Gizachew
    Abstract:

    Abstract Background Sharps Injury is a penetrating stab wound from a needle, scalpel, or another sharp object that may result in exposure to blood or other body fluids. According to World Health Organization pooled estimate, the annual incidence of Sharps Injury in Africa was ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The aim of the study was to investigate Sharps Injury prevalence and associated risk factors. Methods Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia. Proportionate stratified sampling was used to select HCP. Sharps Injury during the last 12 months was an outcome variable whereas demographic characteristics, behavioral attributes, and job environment characteristics were independent variables. Data was collected from April to May 2016 using self-administered questionnaire; which was adapted from World Health Organization best practices for injections and related procedures toolkit. Bivariate and multivariate logistic regression analysis was carried out to identify Sharps Injury associated risk factors. Epi Info version 3.5.1 software package was used for data coding and entry whereas Statistical Package for Social Sciences (SPSS) version 20 software package was used for analysis. Results In total, 195 HCP participated with a response rate of 97.5%. The prevalence of Sharps Injury was 32.8%. Following adjustment for covariates, lack of in-service job training and previous exposure to Sharps Injury were statistically significant risk factors for Sharps Injury. HCP who had no in-service job training were 4.7 times more likely sustained Sharps Injury compared with those who had in-service job training ( p p -value = 0.002, OR = 3.7, 95% CI = 1.62–8.27). Conclusions This study revealed 32.8% or at least three out of ten HCP exposed to Sharps Injury. This was found statistically significant among HCP who had no in-service job training and who had previous exposure to Sharps Injury. Thus, training HCP perhaps increase their skill and curiosity to reduce exposure to Sharps Injury.

  • Occupational exposure to Sharps Injury among healthcare providers in Ethiopia regional hospitals
    Annals of Occupational and Environmental Medicine, 2017
    Co-Authors: Nigussie Tadesse Sharew, Getaneh Baye Mulu, Tesfa Dejenie Habtewold, Kefyalew Dagne Gizachew
    Abstract:

    Background Sharps Injury is a penetrating stab wound from a needle, scalpel, or another sharp object that may result in exposure to blood or other body fluids. According to World Health Organization pooled estimate, the annual incidence of Sharps Injury in Africa was ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The aim of the study was to investigate Sharps Injury prevalence and associated risk factors. Methods Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia. Proportionate stratified sampling was used to select HCP. Sharps Injury during the last 12 months was an outcome variable whereas demographic characteristics, behavioral attributes, and job environment characteristics were independent variables. Data was collected from April to May 2016 using self-administered questionnaire; which was adapted from World Health Organization best practices for injections and related procedures toolkit. Bivariate and multivariate logistic regression analysis was carried out to identify Sharps Injury associated risk factors. Epi Info version 3.5.1 software package was used for data coding and entry whereas Statistical Package for Social Sciences (SPSS) version 20 software package was used for analysis. Results In total, 195 HCP participated with a response rate of 97.5%. The prevalence of Sharps Injury was 32.8%. Following adjustment for covariates, lack of in-service job training and previous exposure to Sharps Injury were statistically significant risk factors for Sharps Injury. HCP who had no in-service job training were 4.7 times more likely sustained Sharps Injury compared with those who had in-service job training ( p