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Médecine du travail du personnel hospitalier

Barriers to the Adoption of Safety-Engineered Needles Following a Regulatory Standard: Lessons Learned from Three Acute Care Hospitals

Auteur        Andrea Chambers
Auteur        Cameron A. Mustard
Auteur        D. Linn Holness
Auteur        Kathryn Nichol
Auteur        F. Curtis Breslin
Volume        11
Numéro        1
Pages        90-101
Publication        Healthcare Policy = Politiques De Santé
ISSN        1715-6572
Date        Aug 2015
Résumé        BACKGROUND: A number of jurisdictions have introduced regulation to accelerate the adoption of safety-engineered needles (SENs). This study examined the transition to SENs in three acute care hospitals prior to and following the implementation of a regulatory standard in Ontario. This paper focuses on the ongoing barriers to the prevention of needlestick injuries among healthcare workers. METHODS: Information from document review and 30 informant interviews were used to prepare three case studies detailing each organization’s implementation activities and outcomes. RESULTS: All three hospitals responded to the regulatory requirements with integrity and needlestick injuries declined. However, needlestick injuries continued to occur during the activation of safety devices, during procedures and during instrument disposal. The study documented substantial barriers to further progress in needlestick injury prevention. CONCLUSIONS: Healthcare organizations should focus on understanding their site-specific challenges that contribute to ongoing injury risk to better understand issues related to product limitations, practice constraints and the work environment.

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