Reducing needlestick injuries through safety-engineered devices

Results of a Japanese multi-centre study

Haruhisa Fukuda, N. Yamanaka

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Quantitative information on the effectiveness of safety-engineered devices (SEDs) is needed to support decisions regarding their implementation. Aim: To elucidate the effects of SED use in winged steel needles, intravenous (IV) catheter stylets and suture needles on needlestick injury (NSI) incidence rates in Japan. Methods: Japan EPINet survey data and device utilization data for conventional devices and SEDs were collected from 26 participating hospitals between 1 April 2009 and 31 March 2014. The NSI incidence rate for every 100,000 devices was calculated according to hospital, year and SED use for winged steel needles, IV catheter stylets and suture needles. Weighted means and 95% confidence intervals (CI) were used to calculate overall NSI incidence rates. Findings: In total, there were 236 NSIs for winged steel needles, 152 NSIs for IV catheter stylets and 180 NSIs for suture needles. The weighted NSI incidence rates per 100,000 devices for SEDs and non-SEDs were as follows: winged steel needles, 2.10 (95% CI 1.66-2.54) and 14.95 (95% CI 2.46-27.43), respectively; IV catheter stylets, 0.95 (95% CI 0.60-1.29) and 6.39 (95% CI 3.56-9.23), respectively; and suture needles, 1.47 (95% CI -1.14-4.09) and 16.50 (95% CI 4.15-28.86), respectively. All devices showed a significant reduction in the NSI incidence rate with SED use (< 0.001 for winged steel needles, P = 0.035 for IV catheter stylets and P = 0.044 for suture needles). Conclusion: SED use substantially reduces the incidence of NSIs, and is therefore recommended as a means to prevent occupational infections in healthcare workers and improve healthcare safety.

Original languageEnglish
Pages (from-to)147-153
Number of pages7
JournalJournal of Hospital Infection
Volume92
Issue number2
DOIs
Publication statusPublished - Feb 1 2016

Fingerprint

Protective Devices
Needlestick Injuries
Needles
Steel
Confidence Intervals
Sutures
Equipment Safety
Catheters
Incidence
Equipment and Supplies
Japan
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Reducing needlestick injuries through safety-engineered devices : Results of a Japanese multi-centre study. / Fukuda, Haruhisa; Yamanaka, N.

In: Journal of Hospital Infection, Vol. 92, No. 2, 01.02.2016, p. 147-153.

Research output: Contribution to journalArticle

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abstract = "Background: Quantitative information on the effectiveness of safety-engineered devices (SEDs) is needed to support decisions regarding their implementation. Aim: To elucidate the effects of SED use in winged steel needles, intravenous (IV) catheter stylets and suture needles on needlestick injury (NSI) incidence rates in Japan. Methods: Japan EPINet survey data and device utilization data for conventional devices and SEDs were collected from 26 participating hospitals between 1 April 2009 and 31 March 2014. The NSI incidence rate for every 100,000 devices was calculated according to hospital, year and SED use for winged steel needles, IV catheter stylets and suture needles. Weighted means and 95{\%} confidence intervals (CI) were used to calculate overall NSI incidence rates. Findings: In total, there were 236 NSIs for winged steel needles, 152 NSIs for IV catheter stylets and 180 NSIs for suture needles. The weighted NSI incidence rates per 100,000 devices for SEDs and non-SEDs were as follows: winged steel needles, 2.10 (95{\%} CI 1.66-2.54) and 14.95 (95{\%} CI 2.46-27.43), respectively; IV catheter stylets, 0.95 (95{\%} CI 0.60-1.29) and 6.39 (95{\%} CI 3.56-9.23), respectively; and suture needles, 1.47 (95{\%} CI -1.14-4.09) and 16.50 (95{\%} CI 4.15-28.86), respectively. All devices showed a significant reduction in the NSI incidence rate with SED use (< 0.001 for winged steel needles, P = 0.035 for IV catheter stylets and P = 0.044 for suture needles). Conclusion: SED use substantially reduces the incidence of NSIs, and is therefore recommended as a means to prevent occupational infections in healthcare workers and improve healthcare safety.",
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