scholarly journals Prevalence and Reporting of Needle Stick Injuries: A Survey of Surgery Team Members in Kermanshah University of Medical Sciences in 2012

2015 ◽  
Vol 8 (3) ◽  
pp. 245 ◽  
Author(s):  
Alireza Khatony ◽  
Alireza Abdi ◽  
Faranak Jafari ◽  
Kamran Vafaei
Keyword(s):  
Working Hours ◽  
Surgical Instruments ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Team Members ◽  
Needle Stick ◽  
Number Of Patients ◽  
High Prevalence ◽  
Needle Stick Injuries ◽  
Safety Guidelines

<p><strong>BACKGROUND</strong><strong>: </strong>Surgeons are one of the groups, most highly exposed to the risk of needle stick injuries at work. The present study aims to determine the prevalence and reporting of needle stick injuries during the first 6 months of 2012, in faculty surgeons affiliated to the Kermanshah University of Medical Sciences.</p> <p><strong>METHODS</strong><strong>: </strong>In a cross-sectional descriptive-analytical survey, 29 surgeons were studied based on the census method. A reliable and valid questionnaire was used as a research instrument to collect the data. Data was analyzed using SPSS v.16 and based on descriptive and inferential statistics.</p> <p><strong>RESULTS</strong><strong>: </strong>Among 29 recruited surgeons, 5 (17.2%) had needle stick injuries during the 6 months, only one of whom had followed the established guidelines about reporting and following treatment. The most common instrument causing injury was the suture needle (60%). Significant differences were found in both groups of the injured and non-injured in term of gender (X<sup>2</sup>=5.612, P= 0.003), and number of patients (Z= 2.40, P=0.016) and daily working hours (Z=2.85, P=0.04).</p> <p><strong>CONCLUSIONS: </strong>In relation to the<strong> </strong>relatively high prevalence of needle stick injuries among the surgeons and their lack of reporting, it is suggested that the Safety Guidelines in the operating room are carefully observed. Moreover, safer and lower risk surgical Instruments should be used.</p>

scholarly journals Occupational Risk: Needle-Stick Injuries and Its Determinants Among the Healthcare Workers

2018 ◽  
Vol 5 (1) ◽  
pp. 45-48
Author(s):  
Madhusudan Ghimire ◽  
Achala Sharma ◽  
Anuj Poudel ◽  
Moushami Ghimire
Keyword(s):  
Health Care ◽  
Healthcare Workers ◽  
Health Workers ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Needle Stick ◽  
Delivery Services ◽  
Needle Stick Injuries

INTRODUCTION: Needle-stick injuries are common problems among the healthcare workers; it might impact significantly on workers' health and health care delivery services. Sometimes small pinch of infected needle or sharp instrument may lead to big threat in their life and it may go into mortal outcomes.OBJECTIVE: To explore prevalence of needle-stick injuries and its determinants among the healthcare workers in Banke, Pyuthan and Palpa district of Nepal.MATERIALS & METHODS: A cross-sectional study was undertaken in 2015 and that focused on needle-stick injuries and its determinants. Data were collected by using an unstructured pre tested questionnaire from 359 healthcare workers. SPSS-21 windows process was used to analyze the information. RESULTS: Three hundred fifty-nine health care workers: Doctors (23.70%), Allied health workers (37.60%), Nurses (31.80%), and Laboratory staffs (7.00%) were involved in the study. The mean age of health workers was 32.75 ± 10.478 years. 37.60% of total healthcare workers had needle stick injuries.CONCLUSION: The prevalence of needle-stick injuries was associated strongly with age of healthcare workers, depression, social problems and alcohol consumer and, practice of sleepJournal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page : 45-48

scholarly journals Knowledge about blood-borne pathogens and the prevalence of needle stick injuries among medical students in Serbia

2017 ◽  
Vol 56 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Vuk Marusic ◽  
Ljiljana Markovic-Denic ◽  
Olivera Djuric ◽  
Dragana Protic ◽  
Emilija Dubljanin-Raspopovic
Keyword(s):  
Medical Students ◽  
Hepatitis B ◽  
Disease Transmission ◽  
Cross Sectional Study ◽  
Hepatitis B Vaccination ◽  
Cross Sectional ◽  
Needle Stick ◽  
Sharp Object ◽  
Needle Stick Injuries ◽  
Needle Sticks

AbstractIntroductionMedical students are mainly exposed to needle stick and sharp object injuries in the course of their clinical activities during studying. They are at high risk due to their undeveloped skills, restricted clinical experience, lack of knowledge and risk perception. The objectives of this study were to determine the prevalence of needle stick injuries of the fourth and final year medical students, and to estimate their knowledge about blood-borne pathogens disease transmission and standard precautions.MethodsThis cross-sectional study was conducted at the Faculty of Medicine, in February 2014. The students were invited to self-administer a questionnaire of 26 closed questions prepared for this study.ResultsThe questionnaire was filled in and returned by 637 students. The prevalence of needle sticks and sharp object injuries was 29.5%. Needle stick injuries were the most common type of accidents, more frequent among the fourth compared to the sixth year students (p=0.002). The majority of accidents occurred in patient rooms (53%) and the emergency department (15%). 54% of participants reported an accident to the responsible person. Students without accidents had a significantly better perception of risk (3.79 vs. 3.35; p<0.05). Out of the total participating students, only 16.6% (106/637) received all three doses of Hepatitis B vaccination, while 16.2% were partially vaccinated.ConclusionsThere is a need for additional theoretical and practical education of our students on blood exposure via accidents, raising the awareness of the necessity of hepatitis B vaccination, and introducing the unique/comprehensive procedure for accident reporting for students and healthcare workers in the entire country.

scholarly journals Gambaran Kualitas Hidup pada Pasien Diabetik Retinopati Berdasarkan Tingkat Keparahan Visus

2020 ◽  
Vol 10 (2) ◽  
pp. 105
Author(s):  
Novita Dhewi Ikakusumawati ◽  
Dewi Magistasari ◽  
Novena Adi Yuhara ◽  
Tri Murti Andayani ◽  
Supanji Supanji ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Visual Acuity ◽  
Diabetic Retinopathy ◽  
Utility Score ◽  
Microvascular Complications ◽  
Cross Sectional ◽  
Number Of Patients ◽  
High Prevalence ◽  
Anxiety Depression

Diabetic retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM) which incidence increases with the high prevalence of DM. The presence of these complications will affect quality of life, especially vision-related. The purpose of this study was to determine the quality of life in RD patients assessed using the VFQ-25 and EQ-5D questionnaires, and to determine the of quality of life based on the visual acuity (VA) severity. This study was an observational study in outpatient with diabetic retinopathy during October 2018 – Januari 2019 period, in RSUP dr. Sardjito and RS Mata Dr. YAP, Yogyakarta. The design of this study was cross sectional which observed quality of life and vision. Quality of life was measured by specific for vision instrument (NEI-VFQ-25)  and  generic instrument  (EQ-5D-5L). The number of patients in this study were 100 patients with an average age of 55 years, the most frequent type of RD was 84% proliferative RD. The average quality of life scores in RD patients measured using the VFQ-25 and EQ-5D utility questionnaires were 64.1 ± 16.2 and 0.61 ± 0.24, respectively. Based on VFQ-25, the most affected subscales were driving, dependence, and role difficulties subscale. Meanwhile, domains that have the most problems with the EQ-5D were pain / discomfort and anxiety / depression (78%). The total VFQ-25 score decreased with increasing visual severity, i.e. normal / mild (n = 19) 73.50 ± 15.08; moderate (n = 15) 68.14 ± 15.33; and severe (n = 66) 60.48 ± 15.64. The EQ-5D utility score showed a similar pattern, with scores of 0.66 ± 0.27 (normal / mild); 0.65 ± 0.22 (medium); and 0.59 ± 0.24 (severe); respectively. The higher severity of visual acuity so the quality of life become lower.

scholarly journals Prevalence of Needle Stick Injury among Surgeons

2021 ◽  
pp. 89-94
Author(s):  
Nasima Iqbal ◽  
Faiza Quraishi ◽  
Muhammad Aslam Bhatti ◽  
Faizah Mughal ◽  
Tayyaba Mumtaz ◽  
...  
Keyword(s):  
Reporting System ◽  
Medical Center ◽  
Working Hours ◽  
Work Load ◽  
Needle Stick Injury ◽  
Post Exposure Prophylaxis ◽  
Cross Sectional ◽  
Needle Stick ◽  
Post Exposure ◽  
Exposure Prophylaxis

Aim: To find out the prevalence of needle stick injury, its reporting system and the reasons behind it. Study design: Descriptive cross-sectional Place and duration of study: Study was conducted at Jinnah post-graduate medical center (JPMC) Karachi during the period of March to September 2019 Methodology: A self-designed, self-explanatory questionnaire was used, consisting of two parts, the first part was about demographic information while second part is for information related to needle stick injury like probable cause, frequency, response after injury, post-exposure prophylaxis and about reporting of the incident. Questionnaire was validated by calculating the Cronbach’s alpha which was 0.78. data was analyzed by using the Statistical Package for the Social Sciences (SPSS) version 20. Results: Majority of the study participants were female (67.2%) and about 50% were postgraduate students. Out of total 134 doctors about 64.2% of the doctors had needle stick injury during their career. Finding out the most probable cause of needle stick injury during the survey it was found out that increased work load and prolonged working hours were the main reasons. Majority of the cases occurred in emergency department (41.9%). About 95.5% of the doctors didn’t get any post-exposure prophylaxis. Majority of the participants (96.3%) did not report to any authority because of the lack of knowledge about the reporting policy, it was noted that about 38.8% were confused either the reporting system exist or not. Most of the injuries occur during the procedure of suturing followed by recapping syringes. Conclusion: It has been concluded that majority of the doctors had faced needle stick injury during their career and a very negligible number of them got any post-exposure prophylaxis. Majority of them did not report to any authority. So there is a need of implication of safety measures and reporting policies for early detection and treatment of infections after needle stick injury.

scholarly journals Investigating the compliance of COVID-19 protocols in the workplaces of Ardabil, Iran

Work ◽  
2021 ◽  
pp. 1-7
Author(s):  
Asghar Lotfollahzadeh ◽  
Leila Rastgoo ◽  
Islam Shirinzadeh ◽  
Seyedeh Melika Kharghani Moghadam ◽  
Hossein Ebrahimi
Keyword(s):  
Inverse Relationship ◽  
Prevention Programs ◽  
Health Centers ◽  
Personal Hygiene ◽  
Medical Sciences ◽  
Observation Level ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Current Outbreak

BACKGROUND: Workplaces are prone to the current outbreak- of COVID-19. Despite the production of the COVID-19 vaccine, due to some challenges in vaccinating all people worldwide, adherence to health protocols is still one of the ways to prevent infection. OBJECTIVE: This study was conducted with the purpose of investigating the compliance of COVID-19 protocols in the workplaces of Ardabil, Iran. METHODS: This was a cross-sectional research conducted on the workplaces affiliated to Ardabil University of Medical Sciences between August and September, 2020. A researcher-designed checklist was completed once in early August and once at the end of September for the workplaces. Accordingly, these workplaces were inspected for any compliance with the COVID-19 prevention protocols by health centers during August and September. In addition, the number of patients with COVID-19 was determined for each one of the workplaces. RESULTS: The results showed that the highest increase was related to screening (57.8%) and the lowest change was related to personal hygiene (1.3%). The rates of increase in performance for small workshops, offices and industries were 35.4%, 33.1%and 12.4%, respectively. Moreover, a linear and inverse relationship was found between the incidence of COVID-19 and the level of observance of the OVID-19 prevention protocols. CONCLUSIONS: Based on the results of this study, the inspection made by legal authorities led to the increased commitment of workplace managers to implement prevention programs, thereby increasing the observation level of these protocols in the workplace and reducing the incidence of COVID-19.

scholarly journals Work Related Musculoskeletal Disorders in Electrical, Telecommunication and Instrument Mechanics of Armed forces

2020 ◽  
Vol 10 (1) ◽  
pp. 18-27
Author(s):  
Dave Roli ◽  
Irani Ali ◽  
Vikram Neekhra
Keyword(s):  
Work Experience ◽  
Musculoskeletal Disorder ◽  
Working Hours ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Work Related ◽  
High Prevalence ◽  
Smoking Control ◽  
Work Related Musculoskeletal Disorder

Background: Modern defence system has a significant role of electrical, electronic and instrument technicians in armed forces. Despite their intensive role, little is known about work-related musculoskeletal disorder in these technicians. Objective: To investigate the prevalence of the work-related musculoskeletal disorder in defence personnel involved in electrical and electronic maintenance and repairs. Methods: A cross-sectional study was carried out for 3 years, in Electrical, telecom and instrument defence technicians (N = 164). Prevalence of work-related musculoskeletal disorder was assessed using the Nordic Musculoskeletal Questionnaire. Effect of age, working hours, work experience, Basal metabolic index and type of job on the prevalence of work-related musculoskeletal disorder was investigated using logistic regression analysis. Results: A total of 119 (72.56%) respondents reported work-related musculoskeletal disorder with 53.04% multiples & 19.51% single work-related musculoskeletal disorder. Simultaneous presence of neck, shoulder and upper back work-related musculoskeletal disorder were observed. Highest rate of work-related musculoskeletal disorder was in neck (44.44%), followed by shoulder (27.16%), ankle/ foot (14.81%), elbow/ forearm (12.96%), low back (11.72%) and wrist/ finger (9.87%). Neck (44%) related work-related musculoskeletal disorder were highest across all job crafts. Work experience (p = 0.012; OR = 0.87; 95% CI – 0.78- 0.97), working hours (p  = 0.031; OR= 1.73, 95% CI – 0.58-5.12) smoking (p = 0.00 ; OR = 5.3,  95 % CI = 4.3 – 8.48) and job crafts like electrician (p = 0.434; OR = 1.89, 95% CI = 1.08-3.31) and telecom mechanics (p = 0.026; OR = 1.26, 95% CI  =0.74 – 2.15) were significantly associated as risk factors of work-related musculoskeletal disorder. Conclusion: High prevalence of work-related musculoskeletal disorder was observed in electrical, telecommunication & instrument mechanics, with higher multiple work-related musculoskeletal disorder. Working hours, work experience, job craft and smoking were highly associated with a work-related musculoskeletal disorder. We suggest suitable ergonomic intervention and awareness program along with smoking control drive to reduce the risk of work-related musculoskeletal disorder.

PP38 Productivity Loss In Patients With Chronic Diseases: A Pooled Analysis

2019 ◽  
Vol 35 (S1) ◽  
pp. 44-44
Author(s):  
Omar Rashdan ◽  
Valentin Brodszky
Keyword(s):  
Productivity Loss ◽  
Indirect Costs ◽  
Working Hours ◽  
Female Gender ◽  
Pooled Analysis ◽  
Economic Evaluations ◽  
Cross Sectional ◽  
Female Population ◽  
Number Of Patients ◽  
Lost Productivity

IntroductionDue to the unprecedented increase in medicine prices in recent years, the socio-economic perspective started gaining importance in health economic evaluations. Productivity loss evaluations provide a long-term economic impact visualization for a more informed reimbursed medicine decisions.MethodsA pooled analysis of patient-level data from 11 cross-sectional, retrospective, cost-of-illness studies was performed. SPSS software was used for our statistical analysis. Analysis of variance (ANOVA) and correlation analysis were utilized to measure the effect of different variables on lost productivity hours. All costs were recalculated to account for the cumulative inflation till 2018.ResultsThe sample size of included studies ranged between 68 (Multiple Sclerosis) and 480 (Diabetes), and the total number of patients enrolled in the analysis was 1,881 of which 956 were female. A total of 6,795 hours were reported as missed working hours per year. Overall, the female population reported a mean of 689.5 lost productive hours compared to 324.7 in males (p < 0.001). This translated into higher indirect costs at EUR 2,748 and EUR 1,530 for females and males, respectively. Patients with a college degree or higher reported lower yearly lost productive hours and indirect costs (358.4 hours and EUR 1,749) (p < 0.001) compared to patients with lower education level (845.6 hours and EUR 3,534) (p < 0.001). The average indirect cost as a percentage of gross domestic product per capita was highest in Schizophrenia patients at 97.5 percent and lowest in Benign Prostatic Hyperplasia at 1.9 percent. In patients below 65 years of age, a weak positive correlation was observed between age and lost productive hours with a Pearson value of 0.1 (p < 0.001).ConclusionsFemale gender and older age resulted in higher productivity loss, and Schizophrenia was the disease with the highest indirect costs per patient per year.

scholarly journals Needle Stick Injuries among Health Care Workers in AL-Madinah AL-Munawara Governmental Hospitals in Saudi Arabia

2021 ◽  
Vol 13 (11) ◽  
pp. 35
Author(s):  
Omar Audah Albeladi ◽  
Sami saeed Almudaraa ◽  
Asma Awwad Alqusibri ◽  
Nader Moneer Alqerafi ◽  
Yazeed Saeed Alsenani ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Care Workers ◽  
Cross Sectional Study ◽  
Average Score ◽  
P Value ◽  
Cross Sectional ◽  
Needle Stick ◽  
Care Workers ◽  
Needle Stick Injuries

BACKGROUND: Needle stick injuries are a dangerous occupational hazard that threatens health care workers with serious consequences in many cases. Because of inadequate reporting of these incidents, the true magnitude of the problem is unknown. The study&rsquo;s aim was to investigate the epidemiology of needle stick injuries (NSIs) among health care workers in Al Madinah Al Munawara, Saudi Arabia. METHODS: A representative sample of health care workers (n=268) were randomly selected from emergency departments of three general hospitals in Al Madinah Al Munawara for a cross-sectional study, and 219 responded to a predesigned questionnaire reflecting exposure to NSI, reporting, post-exposure reactions, and knowledge about NSIs. RESULTS: Almost one third of the participating medical professionals 70 (32%) had been exposed to stick injury during work. One half of the needles (52.9%) were blood stained. Nurses are significantly more likely to have stick injury (38.6%) followed by physicians (30.4%) if compared to laboratory technicians (13.9%) at the p-value of less than 0.05. The main purposes during injuries were drawing blood sample 33 (47.1%), injection 31 (44.3%) and suturing 23 (32.9%). Almost all injured personnel (97.1%) cleaned the injury site immediately and thoroughly. Out of the injured personnel, 50 (71.4%) reported the incident to authorities. A significantly higher proportion of physicians (91.3%) achieved above average score if compared to both lab technicians (72.2%) and nurses (76.3%) at the p-value of less than 0.05. CONCLUSION: Occupational needle stick injuries are fairly common among health care workers at Al Madinah Al Munawara&rsquo;s governmental hospitals. In hospitals, deliberate efforts should be made to ensure adherence to safety guidelines governing needle stick injuries.

scholarly journals Needle Stick and Sharp Objects Injuries Infection Prevention and Control Guidelines among Health Care Students: Descriptive, Cross Sectional Study

2019 ◽  
Vol 4 (08) ◽  
Author(s):  
Dalia M. Mohsen ◽  
Rawhia Dogham ◽  
Asmaa Saber Ghaly
Keyword(s):  
Health Care ◽  
Infection Prevention ◽  
Infection Prevention And Control ◽  
Cross Sectional ◽  
Health Care Students ◽  
Needle Stick ◽  
Needle Stick Injuries ◽  
Knowledge And Practice ◽  
Infection Control Guidelines ◽  
And Control

Background: Percutaneous exposure to contaminated needle sticks and other sharps is a danger not only to health care workers but also to nursing and paramedical students that increases the morbidity and mortality from infections with blood borne pathogens. Knowledge concerning the general precautions is vital for the prevention of such accidents. This study aimed to describe the knowledge and practice of infection prevention and control guidelines among health care students regarding needle stick and sharp objects injuries. Methods: A descriptive, cross sectional research design was used. Health care students were selected using convenience sampling which included 90 students. Data was collected using a self-reporting structured online questionnaire and administered to a number of health care students including nursing and Clinical laboratory specialists. Results: It was found that about half (49%, 52%) of the students had fair knowledge and fair practice regarding needle stick injuries and infection control guidelines respectively. The majority of the students (76.7%) had positive attitudes towards Needle stick injuries and infection control guidelines. Conclusion: This study concluded that knowledge and practice of health care students about the risk associated with needle-stick and sharp objects injuries and use of preventive measures was fair. Special concerns should be given to the role of post exposure prophylaxis, the recapping of needles and the importance and mechanism of reporting NSIs. Standing operating procedures should be conveyed regarding needle-stick and sharp objects injuries in all the health facilities.

scholarly journals Identifying the Factors Affecting the Incidence of Medication Errors of Nurses in Teaching Hospitals of Shiraz University of Medical Sciences

2021 ◽  
Author(s):  
Ali Reza Yusefi ◽  
Parnian Nikmanesh ◽  
Zahra Kavosi ◽  
Ahmad Sadeghi
Keyword(s):  
Human Factors ◽  
Medication Errors ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Employment Relationship ◽  
Teaching Hospitals ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Heavy Workload

Background: Medication errors are one of the major causes of injury to patients while receiving medical care. This study aimed  to investigate the effective causes of medication errors in nurses in educational hospitals affiliated with Shiraz University of Medical Sciences. Methods: This descriptive-analytical and cross-sectional study was conducted in 2020 on 340 nurses from 10 educational  hospitals affiliated to Shiraz University of Medical Sciences. The data collection tool was a questionnaire. Data were analyzed using t-test, ANOVA and Pearson correlation coefficient were analyzed using SPSS23 software . Results: According to the results, human factors have been the most important factor in the occurrence of medication errors. The most important causes of medication errors with respect to human, managerial and environmental factors include fatigue due to overwork (3.13 ± 1.16), method of supervision (3.06 ± 0.98) ,and heavy workload (3.00 ± 1.19), respectively. There was a statistically significant relationship between human factors and  age (p = 0.024), gender (p = 0.013), employment relationship (p = 0.016), and marital status (p = 0.027), and between management factors and employment relationship (p = 0.034) and the number of patients under observation (p = 0.011). Conclusion: Considering the most important causes of medication errors, including fatigue due to overload, supervision methods, and heavy workload, using strategies to reduce fatigue due to workload, such as balancing nurses' work shifts and also holding workshops on supervision methods is recommended in order to improve the level of managerial competencies of nurses.

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