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Médecine du travail du personnel hospitalier

Conventional and sharp safety devices in 6 hospitals in British Columbia, Canada

Auteur Bernadette Stringer
Auteur George Astrakianakis
Auteur Ted Haines
Auteur Ken Kamsteeg
Auteur Quinn Danyluk
Auteur Tanya Tang
Auteur Fariba Kaboli
Auteur Rita Ciconte
Résumé BACKGROUND Reengineered sharp safety devices have been recommended to reduce occupational percutaneous injury risk in health care facilities. We conducted this study just over 1 year after passage of legislation requiring the use of sharp safety medical devices to assess the frequency of safety and conventional sharp device use and whether safety features were being activated to cover sharp points after safety devices were used and before disposal. METHODS Approximately equal numbers of sharps disposal containers from various wards in 6 nonprofit adult and pediatric British Columbia hospitals were audited by paired research assistants, wearing protective clothing. RESULTS In the 699 audited sharps containers, 7% (1,690/25,910) of all devices were conventional devices, specifically 2% (96/4,702) of all phlebotomy devices, 7% (1,240/17,705) of all syringes, and 10% (354/3,503) of all intravenous catheters. In addition, 94% (4,344/4,602) of all safety phlebotomy devices, 95% (2,955/3,119) of all safety intravenous devices, and 80% (13,050/16,420) of all safety syringes had been activated before disposal. CONCLUSION More than 1 year after legislation was passed mandating the use of sharp safety devices in British Columbia hospitals, the risk from sharps remains excessive because of the ongoing use of conventional sharp devices and nonactivation of safety devices.
Publication American Journal of Infection Control
Volume 39
Numéro 9
Pages 738-745
Date Nov 2011

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