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Trends in needlestick injury incidence following regulatory change in Ontario, Canada (2004–2012)
An observational study Background: A number of jurisdictions have used regulation to promote the adoption of safety-engineered needles as a primary solution to reduce the risk of needlestick injuries among healthcare workers. Regulatory change has not been complemented by ongoing efforts to monitor needlestick injury trends which limits opportunities to evaluate the need for additional investment in this area. The objective of this study was to describe trends in the incidence of needlestick injuries in Ontario prior to and following the establishment of regulation to promote the adoption of safety...
Do active safety-needle devices cause spatter contamination?
Exposure to blood and body fluids is an occupational hazard in healthcare. Although the potential for blood-borne virus transmission through needlestick injury has been widely studied, the risk of this occurring through spatter contamination from safety-needle syringes is not well understood. This report examines this risk from three commonly used safety needles and suggests that this presents a new and significant hazard. Further work should be commissioned to quantify this hazard and determine which type of safety needle would minimize spatter contamination following syringe discharge and safety...
Devices for preventing percutaneous exposure injuries caused by needles in healthcare personnel
Needlestick injuries (NSIs) from devices used for blood collection or for injections expose healthcare workers to the risk of serious infections such as hepatitis or human immunodeficiency virus (HIV). Safety features such as shields or retractable needles can help prevent these injuries. We wanted to find out how effective these devices are. We searched for studies in multiple databases until January 2012 for randomised (RCTs) and non-randomised studies (NRS). Source: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD009740.pub2/abstract
Needlestick injury prevention
Lessons learned from acute-care hospitals in Ontario Needlestick injuries have been identified as an important modifiable risk factor associated with the transmission of blood-borne pathogens between patients and health-care workers. A number of jurisdictions, including the province of Ontario, turned to regulation to accelerate the adoption of safety-engineered needles (SENs) for the prevention of needlestick injuries. Yet surveillance data available in work-related emergency department and workers' compensation claims records demonstrates that needlestick injuries have not declined substantially...
Preventing needlestick injuries in Ontario’s acute care hospitals
Progress and ongoing challenges In 2007, Ontario introduced regulation to promote the adoption of safety-engineered needles for the prevention of needlestick injuries. However, needlestick injury declines in the province (2004-2011) have not been substantial. Ontario's regulatory standard, designed to allow for local flexibility in the selection and implementation of these safety devices, relies heavily on the actions and conditions of regulated workplaces. In this plenary, Andrea Chambers shares findings on how implementation at three acute care hospitals played out. Source : http://www.iwh...
An evaluation of the efficacy of safer sharps devices: Systematic review
Sharps-related injuries carry the risk of serious blood borne infection. A systematic review was undertaken to consider the evidence related to safer sharps devices and their impact on needlestick injury reduction within the healthcare sector. The quality and quantity of evidence was limited. Despite this, there was sufficient published evidence to consider the use of safer sharps devices to reduce the incidence of sharps injuries amongst UK healthcare workers. Studies showed that when educational programmes were implemented alongside a safer sharps device, lower rates of sharps injuries were sustained...
Reduction in percutaneous injuries was concomitant with a steep market shift from conventional to safety-engineered devices
This study was to determine whether «The Needlestick Safety and Prevention Act (NSPA)» (USA) has had an effect on the rate of percutaneous injuries among hospital employees. We used a historical, prospective design, with the use of a multihospital sharps-injury database maintained by the International Healthcare Worker Safety Center at the University of Virginia. Since 1993, a group of U.S. hospitals voluntarily contributed sharps-injury surveillance data. We selected the period from 1995 through 2005, which included 23,908 injuries that occurred in 85 hospitals in 10 states. The significant...
L’utilisation d'aiguilles émoussées réduit le risque qu'ont les chirurgiens de contracter des maladies infectieuses
Cette revue de la littérature, effectuée dans plusieurs bases de données médicales (jusqu'à mai 2011), vise à évaluer l'effet préventif des aiguilles émoussées, par rapport aux aiguilles pointues, sur les blessures par piqûre d'aiguille chez le personnel chirurgical. Nous avons trouvé 10 ECR (essai contrôlé randomisé) recouvrant 2961 opérations dans lesquelles des aiguilles émoussées ont été comparées à des aiguilles pointues. En moyenne...
Résistance des gants de protection contre les piqûres d’aiguille
En réponse à une demande formulée par deux associations sectorielles paritaires et trois milieux de travail représentants les policiers, les agents de la paix en services correctionnels et les cols bleus, l'Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST) a mis au point une méthode d'essai pour déterminer la résistance des gants de protection contre les piqûres causées par les aiguilles médicales. L'absence de méthodes d'essai normalisées rendait...
La main au travail (Risques - Prévention - Réparation)
En raison de la multiplicité de ses fonctions, la main se trouve très fréquemment en situation dangereuse. Les risques découlant de l'activité professionnelle peuvent être classés selon la nature du travail en trois catégories : - les risques mécaniques - les risques thermiques et électriques, - les risques chimiques. Bien souvent, ces risques se manifestent lors d'opérations de manipulation, de préhension, levage, transport de charges. Les causes des accidents et des maladies professionnelles de la main...

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