S.Stoyantschova, H.K.Hartl Needlestick Injuries in Austrian Hospitals Needlestick Injuries in...

S.Stoyantschova, H.K.Hartl

Needlestick Injuries

in Austrian Hospitals



Multi-Center Survey at Hospitals and Palliative Care Units in Austria


12th International Conference on Health Promoting Hospitals, Moscow12th International Conference on Health Promoting Hospitals, Moscow26th – 2826th – 28thth May 2004 May 2004








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







Growing rates of NSI among healthcare

professionals

Lack of comparable rates,incomplete or non-existant

statistics of NSI

Speculations/ Estimations of unreported events








Evaluation of ...

Occurance rates

Risk of exposure

Reasons of injuries

Reported rates







Objective of Survey

Risk assessment

Comparison with existing data

Possibilities of prevention







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







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







Methods of Survey


Boxes for questionaires in form of sharps

collectors






Outcome of Survey




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



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%



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



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



Injury

41%

53%

6%

mild moderate severe



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






Summary


Reporting ~25-30%

Recapping ~10%

HepB vacc. >90%

Fear of infection >50%

High occurance at disposal ~30%






Conclusions of Survey


Rise awareness

Risk reduction

Prevention strategies

Safety products

Working Place Safety Act?!


Thank you for your

attention!

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