s.stoyantschova, h.k.hartl needlestick injuries in austrian hospitals needlestick injuries in...
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S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
12th International Conference on Health Promoting Hospitals, Moscow12th International Conference on Health Promoting Hospitals, Moscow26th – 2826th – 28thth May 2004 May 2004
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Objectives of Survey
High risk to healthcare staff, according to
epidemiological setting
Under-reporting of injuries
Consequences for injured person
Administrative obligations
Under-estimation of risk of infection
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Objectives of Survey
Growing rates of NSI among healthcare
professionals
Lack of comparable rates,incomplete or non-existant
statistics of NSI
Speculations/ Estimations of unreported events
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Objectives of Survey
Evaluation of ...
Occurance rates
Risk of exposure
Reasons of injuries
Reported rates
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Objective of Survey
Risk assessment
Comparison with existing data
Possibilities of prevention
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Methods of Survey
Anonymous, standardized questionaire for Health
Care Workers (HCW)
Questions in mutual cooperation with doctors,
nurses, hygiene department, occupational health department, safety
department, unions
Evaluation at one statistical department
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Procedure of Survey
Personal letter with enclosed anonymous
questionaire
Simple questions in multiple choice form
Double-sided A4 format with 19 questions
Automated scanning process and evaluation of
results
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Methods of Survey
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Boxes for questionaires in form of sharps
collectors
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Outcome of Survey
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
54 59
8796 103
132143 147
210
243
0
50
100
150
200
250
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
NSI in one hospital 1993 to 2002
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Participation in survey
121
316
98
42
39
578
22
152
39
15
18
247
396
813
311
76
47
1567
64
220
75
11
13
400
517
1129
409
118
86
372
114
26
3186
2145
647
0 500 1000 1500 2000
MDs
Nurses
Techn. Assisstants
Others
Administration
Total
TOTAL recieved
TOTAL sent
SURGICAL
SURGICAL
MEDICAL
MEDICAL
Surgical 25,5%Medical 42,7%Total 30,2%
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Occurance
29%
8%
10%8%
4%1%
5%6%
6%
0%
23%
During disposal Container associated
Recapping Retracting needle from patientPreparing infusion Handling accident
Cut StitchingUnexpected movement Undisposed items
Others
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Occurance
53
18
75
223
2715
48 172823 14
38
3 5167
50
2
117 120
8 1832
9
3652
267
22
5872
495
0
50
100
150
200
250
300
350
400
450
500
Nurse MD Total (25%)
During disposal
Container associated
Recapping
Retracting needle from patient
Preparing infusion
Handling accident
Cut
Stitching
Unexpected movement
Undisposed items
Others
Total
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Injury
41%
53%
6%
mild moderate severe
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Reported
36,4% 36,4% 27,3%
30,9% 47,1% 22,1%
29,7% 50,5% 19,8%
0,0% 25,0% 50,0% 75,0% 100,0%
MDs
Nurses
Total
yes no some
20,5% 56,4% 23,1%
22,5% 61,8% 15,7%
24,2% 59,7% 16,1%
0,0% 25,0% 50,0% 75,0% 100,0%
MDs
Nurses
Total
Medical
Surgical
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Summary
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Reporting ~25-30%
Recapping ~10%
HepB vacc. >90%
Fear of infection >50%
High occurance at disposal ~30%
S.Stoyantschova, H.K.Hartl
Needlestick Injuries
in Austrian Hospitals
Needlestick Injuries
in Austrian Hospitals
Conclusions of Survey
Multi-Center Survey at Hospitals and Palliative Care Units in Austria
Rise awareness
Risk reduction
Prevention strategies
Safety products
Working Place Safety Act?!
S.Stoyantschova, H.K.Hartl
Thank you for your
attention!