Marc Nicolai Busche1,2,3, Jennifer Maren Klein4, Bernd Kröger4, Jan Siewe4,5,6, Herbert Faber7, Jutta Müßler8, Stefan Reuter7, Leonard Bastian4, Peter Maria Vogt9. 1. Department für Plastische und Ästhetische Chirurgie, Verbrennungschirurgie, Klinikum Leverkusen, Am Gesundheitspark 11, 51375, Leverkusen, Deutschland. marcbusche@web.de. 2. Klinik für Orthopädie, Unfall‑, Hand- und Wiederherstellungschirurgie, Klinikum Leverkusen, Leverkusen, Deutschland. marcbusche@web.de. 3. Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland. marcbusche@web.de. 4. Klinik für Orthopädie, Unfall‑, Hand- und Wiederherstellungschirurgie, Klinikum Leverkusen, Leverkusen, Deutschland. 5. Department für Wirbelsäulenchirurgie, Klinikum Leverkusen, Leverkusen, Deutschland. 6. Medizinische Fakultät, Universität zu Köln, Köln, Deutschland. 7. Medizinische Klinik 4 (Allgemeine Innere Medizin/Infektiologie/Pneumologie/Osteologie), Klinikum Leverkusen, Leverkusen, Deutschland. 8. Betriebsärztlicher Dienst, Klinikum Leverkusen, Leverkusen, Deutschland. 9. Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland.
Abstract
BACKGROUND: Needlestick injuries (NSI) are potentially infectious injuries from sharp or pointed medical instruments and through contact with blood on mucous membranes or nonintact skin. Although the European Union (EU) Council directive 2010/32/EU on the prevention of NSI was implemented in EU countries in 2013, information on the effectiveness of the measures is limited. OBJECTIVE: The aim of this study was to evaluate the effectiveness of a safety concept according to the EU Council Directive 2010/32/EU on prevention of NSI. MATERIAL AND METHODS: In 2016 the NSI safety concept at a large regional hospital was improved according to 2010/32/EU, specifically by an update of blood screening profiles and standard operating procedures (SOP), better dissemination of information to employees and complete conversion to safety cannulas and scalpels. The medical records of all NSIs from 2015-2017 were retrospectively anonymized and evaluated and a cost analysis was performed. RESULTS: The number of NSIs in 2017 was significantly reduced by 48.4% as compared to 2016 and NSIs with scalpels were completely prevented. The proportion of employees with NSIs who were adequately immunized against hepatitis B was significantly increased to 84.1% in 2017. Furthermore, identification of the index patient was significantly increased to 82.5% in 2017. The cost of avoiding NSIs increased by a total of 24.1% in 2017 as compared to 2015 before introduction of the safety concept. CONCLUSION: Implementation of the EU Council directive 2010/32/EU, resulted in an almost 50% reduction in NSIs over 1 year, including the complete prevention of NSIs due to scalpels. In addition, the anamnestic presence of immunization against hepatitis B and index patient identification were significantly increased.
BACKGROUND:Needlestick injuries (NSI) are potentially infectious injuries from sharp or pointed medical instruments and through contact with blood on mucous membranes or nonintact skin. Although the European Union (EU) Council directive 2010/32/EU on the prevention of NSI was implemented in EU countries in 2013, information on the effectiveness of the measures is limited. OBJECTIVE: The aim of this study was to evaluate the effectiveness of a safety concept according to the EU Council Directive 2010/32/EU on prevention of NSI. MATERIAL AND METHODS: In 2016 the NSI safety concept at a large regional hospital was improved according to 2010/32/EU, specifically by an update of blood screening profiles and standard operating procedures (SOP), better dissemination of information to employees and complete conversion to safety cannulas and scalpels. The medical records of all NSIs from 2015-2017 were retrospectively anonymized and evaluated and a cost analysis was performed. RESULTS: The number of NSIs in 2017 was significantly reduced by 48.4% as compared to 2016 and NSIs with scalpels were completely prevented. The proportion of employees with NSIs who were adequately immunized against hepatitis B was significantly increased to 84.1% in 2017. Furthermore, identification of the index patient was significantly increased to 82.5% in 2017. The cost of avoiding NSIs increased by a total of 24.1% in 2017 as compared to 2015 before introduction of the safety concept. CONCLUSION: Implementation of the EU Council directive 2010/32/EU, resulted in an almost 50% reduction in NSIs over 1 year, including the complete prevention of NSIs due to scalpels. In addition, the anamnestic presence of immunization against hepatitis B and index patient identification were significantly increased.
Entities:
Keywords:
EU Council directive 2010/32/EU; Needlestick injury; Safety cannula; Safety scalpel; Scalpel injury
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