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Systematic View on Needlestick Injuries

Systematic View on Needlestick Injuries
Author: Jolly Pradhan
Publisher:
Total Pages: 90
Release: 2017
Genre:
ISBN:
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Each year, 385,000 needlesticks and other sharps-related injuries are sustained by hospital-based healthcare workers in U.S. (CDC, 2015). Out of the overall sharps injuries, approximately 67% are caused by needlestick devices ("CDC: Stop Sticks, Sharps Injuries," 2013). Numerous pathogens can be transmitted through needlestick injuries, but the three most common pathogens are Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus. There are processes in place to reduce needlestick injuries such as work-practice control, engineering control, personal protective clothing and equipment, employee training, etc., but they have not eliminated needlestick injuries. The purpose of this thesis is to investigate the systematic causes of needlestick injuries in Massachusetts hospitals. System thinking process is used to define the needlestick system, interaction between stakeholders and see how injuries affect the needlestick system. System Dynamics model is also used to illustrate the pathway of the root causes of needlestick injuries. By using system thinking, current literature, stakeholder interviews, and knowledge from shadowing at one of the reputable hospitals in Boston, a systematic solution is proposed. The proposed solution addresses the root causes of needlestick injuries: professional pressure, high patient load/long hours, and patient-centric safety culture. The proposed solution also includes methods to address underreporting. Professional pressure and high patient load is addressed by creating programs that focus on improving self-care and reducing level of fatigue for the healthcare workers. In order to change the patient-centric safety culture, to patients and healthcare workers focused safety culture, the current prevention methods are reiterated. Furthermore, programs to create awareness of needlestick injuries, which forces doctors and nurses to consciously think about needlestick injury safety is proposed. An example is given of sharps injury prevention in surgeon's "time-out" checklist, similar to what is used at the Boston hospital. Finally, to address underreporting, programs to provide quick and easy reporting process are proposed for the healthcare workers. An important complement to the reporting system is a safety culture, where the healthcare workers do not feel fear of reporting due to repercussion on their jobs. A holistic solution is needed for a complex problem such as needlestick injuries. Only with a systematic solution that focuses on all of the root causes of needlestick injuries can they truly be reduced to a negligible amount.

Preventing HIV Transmission

Preventing HIV Transmission
Author: National Research Council and Institute of Medicine
Publisher: National Academies Press
Total Pages: 352
Release: 1995-09-14
Genre: Medical
ISBN: 0309176212
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This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.

WHO Best Practices for Injections and Related Procedures Toolkit

WHO Best Practices for Injections and Related Procedures Toolkit
Author:
Publisher:
Total Pages: 55
Release: 2010
Genre:
ISBN: 9789241599252
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The new WHO guidelines provide recommended steps for safe phlebotomy and reiterate accepted principles for drawing, collecting blood and transporting blood to laboratories/blood banks. The main areas covered by the toolkit are: 1. bloodborne pathogens transmitted through unsafe injection practices;2. relevant elements of standard precautions and associated barrier protection;3. best injection and related infection prevention and control practices;4. occupational risk factors and their management.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961
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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Resident Duty Hours

Resident Duty Hours
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 427
Release: 2009-04-27
Genre: Medical
ISBN: 0309131529
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Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century

A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 319
Release: 2018-04-27
Genre: Medical
ISBN: 0309462991
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The workplace is where 156 million working adults in the United States spend many waking hours, and it has a profound influence on health and well-being. Although some occupations and work-related activities are more hazardous than others and face higher rates of injuries, illness, disease, and fatalities, workers in all occupations face some form of work-related safety and health concerns. Understanding those risks to prevent injury, illness, or even fatal incidents is an important function of society. Occupational safety and health (OSH) surveillance provides the data and analyses needed to understand the relationships between work and injuries and illnesses in order to improve worker safety and health and prevent work-related injuries and illnesses. Information about the circumstances in which workers are injured or made ill on the job and how these patterns change over time is essential to develop effective prevention programs and target future research. The nation needs a robust OSH surveillance system to provide this critical information for informing policy development, guiding educational and regulatory activities, developing safer technologies, and enabling research and prevention strategies that serves and protects all workers. A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century provides a comprehensive assessment of the state of OSH surveillance. This report is intended to be useful to federal and state agencies that have an interest in occupational safety and health, but may also be of interest broadly to employers, labor unions and other worker advocacy organizations, the workers' compensation insurance industry, as well as state epidemiologists, academic researchers, and the broader public health community. The recommendations address the strengths and weaknesses of the envisioned system relative to the status quo and both short- and long-term actions and strategies needed to bring about a progressive evolution of the current system.

WHO Guidelines on Drawing Blood

WHO Guidelines on Drawing Blood
Author: Neelam Dhingra
Publisher:
Total Pages: 109
Release: 2010
Genre:
ISBN: 9789241599221
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Phlebotomy uses large, hollow needles to remove blood specimens for lab testing or blood donation. Each step in the process carries risks - both for patients and health workers. Patients may be bruised. Health workers may receive needle-stick injuries. Both can become infected with bloodborne organisms such as hepatitis B, HIV, syphilis or malaria. Moreover, each step affects the quality of the specimen and the diagnosis. A contaminated specimen will produce a misdiagnosis. Clerical errors can prove fatal. The new WHO guidelines provide recommended steps for safe phlebotomy and reiterate accepted principles for drawing, collecting blood and transporting blood to laboratories/blood banks.