12th International Conference on Health Promoting Hospitals, Moscow
26th – 28th May 2004
Needlestick
Injuries
in Austrian
Hospitals
Multi-Center Survey at Hospitals and
Palliative Care Units in Austria
S.Stoyantschova, H.K.Hartl
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Objectives of Survey
Needlestick
Injuries
in Austrian
Hospitals
High risk to healthcare
staff, according to
epidemiological setting
Under-reporting of injuries
Consequences for injured
person
Administrative obligations
Under-estimation of risk of
infection
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Objectives of Survey
Needlestick
Injuries
in Austrian
Hospitals
Growing rates of NSI
among healthcare
professionals
Lack of comparable rates,
incomplete or non-existant
statistics of NSI
Speculations/ Estimations
of unreported events
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Objectives of Survey
Needlestick
Injuries
in Austrian
Hospitals
Evaluation of ...
Occurance rates
Risk of exposure
Reasons of injuries
Reported rates
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Objective of Survey
Needlestick
Injuries
in Austrian
Hospitals
Risk assessment
Comparison with existing
data
Possibilities of prevention
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Methods of Survey
Needlestick
Injuries
in Austrian
Hospitals
Anonymous, standardized
questionaire for Health
Care Workers (HCW)
Questions in mutual
cooperation with doctors,
nurses, hygiene
department, occupational
health department, safety
department, unions
Evaluation at one
statistical department
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Procedure of Survey
Needlestick
Injuries
in Austrian
Hospitals
Personal letter with
enclosed anonymous
questionaire
Simple questions in
multiple choice form
Double-sided A4 format
with 19 questions
Automated scanning
process and evaluation of
results
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Methods of Survey
Needlestick
Injuries
in Austrian
Hospitals
Boxes for
questionaires in
form of sharps
collectors
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Needlestick
Injuries
in Austrian
Hospitals
S.Stoyantschova, H.K.Hartl
Outcome of Survey
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
NSI in one hospital
1993 to 2002
250
243
210
200
150
132
100
87
54
96
143
147
103
59
50
0
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Participation in survey
647
400
T o t al
1567
2145
247
578
86
31
Surgical 25,5%
Medical 42,7%
13
A d minist r at io n
47
18
39
26
Total 30,2%
118
11
Ot her s
76
15
42
114
409
75
T echn. A ssisst ant s
TOTAL recieved
311
39
98
TOTAL sent
372
SURGICAL
1129
220
N ur ses
813
SURGICAL
152
316
MEDICAL
86
517
64
M Ds
MEDICAL
396
22
121
0
500
S.Stoyantschova, H.K.Hartl
1000
1500
2000
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Occurance
6%
6%
5%
29%
1%
4%
0%
23%
8%
8%
During disposal
Recapping
Preparing infusion
Cut
Unexpected movement
Others
S.Stoyantschova, H.K.Hartl
10%
Container associated
Retracting needle from patient
Handling accident
Stitching
Undisposed items
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Occurance
500
495
During disposal
450
Container associated
Recapping
400
Retracting needle from patient
Preparing infusion
350
Handling accident
300
Cut
267
Stitching
250
Unexpected movement
200
Undisposed items
Others
150
Total
120
117
100
75
72
53
50
2215 23
8
3 7 2
8 9
18
50
3 4
1714
5
36
18
58
38
272228
16
0
Nurse
S.Stoyantschova, H.K.Hartl
MD
Total (25%)
52
32
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Injury
6%
41%
53%
mild
S.Stoyantschova, H.K.Hartl
moderate
severe
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Reported
Total
29,7%
50,5%
Nurses
30,9%
47,1%
MDs
0,0%
50,0%
Surgical
S.Stoyantschova, H.K.Hartl
Medical
22,1%
36,4%
36,4%
25,0%
19,8%
yes
27,3%
75,0%
no
some
100,0%
Total
24,2%
59,7%
16,1%
Nurses
22,5%
61,8%
15,7%
MDs
20,5%
0,0%
56,4%
25,0%
50,0%
23,1%
75,0%
100,0%
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Summary
Needlestick
Injuries
in Austrian
Hospitals
Reporting ~25-30%
Recapping ~10%
HepB vacc. >90%
Fear of infection >50%
High occurance at
disposal ~30%
S.Stoyantschova, H.K.Hartl
Multi-Center Survey at Hospitals
and Palliative Care Units in Austria
Conclusions of Survey
Needlestick
Injuries
in Austrian
Hospitals
Rise awareness
Risk reduction
Prevention strategies
Safety products
Working Place Safety Act?!
S.Stoyantschova, H.K.Hartl
Thank you
for your
attention!
S.Stoyantschova, H.K.Hartl