Advertisement

Sharps injury reduction using Sharpsmart™—a reusable sharps management system

      Abstract

      Sharps containers are associated with 11–13% of total sharps injuries (SI) yet have received little attention as a means of SI reduction. A newly developed reusable sharps containment system (Sharpsmart™) was trialed in eight hospitals in three countries. The system was associated with an 86.8% reduction of container-related SI (CRSI) (P=0.012), a 25.7% reduction in non-CRSI (P=0.003), and a 32.6% reduction in total SI (P=0.002) compared with historical data. The study concludes that the Sharpsmart system is an effective engineered control in reducing SI.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hospital Infection
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • May D.
        Royal College of Nursing Sharps Injury Campaign.
        2000/2001 Surveillance Results. Royal College of Nursing, London2001
      1. Estimated Annual Number of U.S. Occupational percutaneous injuries and mucocutaneous exposures to blood or at-risk biological substances. International Health Care Worker Safety Centre, University of Virginia Health Sciences Center. Adv Expo Prev 1998; 4: 3.

        • Perry J.
        • Parker G.
        • Jagger J.
        EPINet Report: 2001 percutaneous injury rates.
        Adv Expo Prev. 2003; 6: 32-36
        • Perry J.
        Exposure prevention and surveillance in Australia.
        Adv Expo Prev. 1998; 3: 53-5660
      2. Canadian Needlestick Surveillance Network. Summary Report on Health Care Workers exposed to blood/body fluids: results from April 2000 to March 2001. The Health Care Acquired Infections Division, Health Canada; Ottawa.

      3. Occupational Safety: selected cost and benefit implications of needlestick prevention devices for hospitals. GAO-01-60R. Reply to Request from Senator Pete Stark. US General Accounting Office, Nov 2000; Washington.

        • Kent K.
        What does it cost to live with HIV?.
        Can Med Assoc J. 1998; 158: 14
      4. Needlestick Injuries: Sharpen Your Awareness. Report of the Short Life Working Group on needlestick injuries in the NHS Scotland; 2001. NHS Scotland. The Stationery Office Bookshop, Edinburgh.

        • Perry J.
        Yale to pay $12.2 million in largest ever award in needlestick case.
        Adv Expo Prev. 1998; 3: 26
        • Gershon R.R.M.
        • Pearse L.
        • Grimes M.
        • Flanagan P.A.
        • Vlahov D.
        The impact of multifocused interventions on sharps injury rates at an acute care hospital.
        Infect Control Hosp Epidemiol. 1999; 20: 806-811
        • Haiduven D.J.
        • DeMaio T.M.
        • Stevens D.A.
        A five year study of needlestick injuries: significant reduction associated with communication, education, and convenient placement of sharps containers.
        Infect Control Hosp Epidemiol. 1992; 13: 265-271
      5. Preventing needlestick injuries in health care settings. NIOSH, Centers for Disease Control, US Department of Health and Human Services Publication No. 2000-108, November 1999. Centers for Disease Control, Atlanta.

      6. Tarantola A. Accidental blood exposure surveillance data in France: an update. CCLIN Paris-Nord ABE Network and the GERES. Frontline Conference, 2001; London.

        • Hanrahan A.
        • Reutter L.
        A critical review of the literature on sharps injuries: epidemiology, management of exposures and prevention.
        J Adv Nursing. 1997; 25: 144-154
        • Beekmann S.E.
        • Vlahov D.
        • Koziol D.E.
        • McShalley E.D.
        • Schmitt J.M.
        • Henderson D.K.
        Temporal association between implementation of universal precautions and a sustained, progressive decrease in percutaneous exposures to blood.
        Clin Infect Dis. 1994; 18: 562-569
        • Bryce E.A.
        • Ford J.
        • Chase L.
        • Taylor C.
        • Scharf S.
        Sharps injuries: defining prevention priorities.
        Am J Infect Control. 1999; 27: 447-452
      7. Puro V. Prevention of occupational blood borne virus transmission in Europe—surveillance in Europe. Studio Italiano Rischio Occupazionale da HIV (SIROH). National Institute for Infectious Diseases, Rome. Frontline Conference, 2001; London.

        • Jagger J.
        Reducing occupational exposure to bloodborne pathogens: where do we stand a decade later?.
        Infect Control Hosp Epidemiol. 1996; 17: 573-575
      8. Occupational exposures to bloodborne pathogens. Uniform Needlestick and Sharp Object Injury Report 1996, 65 Hospitals. Adv Expo Prev 1997; 3: 15.

        • Skolnick R.
        • LaRocca J.
        • Barba D.
        • Paicius L.
        Evaluation and implementation of a needless intravenous system: making needlesticks a needless problem.
        Am J Infect Control. 1993; 21: 39-41
        • Owens-Schwab E.
        • Fraser V.J.
        Needleless and needle protection devices: a second look at efficacy and selection.
        Infect Control Hosp Epidemiol. 1993; 14: 657-660
        • Pournaras S.
        • Tsakris A.
        • Mandraveli K.
        • Faitatzidou A.
        • Douboyas J.
        • Tourkantonis A.
        Reported needlestick and sharp injuries among health care workers in a Greek general hospital.
        Occup Med. 1999; 49: 423-426
      9. Sharps injury control program, Jan 2002. Department of Health Services, California.

        • Edmond M.
        • Khakoo R.
        • McTaggart B.
        • Solomon R.
        Effect of bedside needle disposal units on needle recapping frequency and needlestick injury.
        Infect Control Hosp Epidemiol. 1988; 9: 114-116
        • Krasinski K.
        • LaCouture R.
        • Holzman R.S.
        Effect of changing needles disposal systems on needle puncture injuries.
        Infect Control. 1987; 8: 59-62
        • Ribner B.S.
        • Landry M.N.
        • Gholson G.L.
        • Linden L.A.
        Impact of a rigid, puncture resistant container system upon needlestick injuries.
        Infect Control. 1987; 8: 63-66
        • Linnemann C.C.
        • Cannon C.
        • DeRonde M.
        • Lamphear B.
        Effect of educational programs, rigid sharps containers, and universal precautions on reported needlestick injuries in healthcare workers.
        Infect Control Hosp Epidemiol. 1991; 12: 214-219
        • Sellick J.A.
        • Hazamy P.A.
        • Mylotte J.M.
        Influence of an educational program and mechanical opening needles disposal boxes on occupational needlestick injuries.
        Infect Control Hosp Epidemiol. 1991; 12: 725-731
        • Jagger J.
        • Bentley M.B.
        EPINet Report: disposal-related sharp object injuries.
        Adv Expo Prev. 1995; 1: 1-26711
        • Weltman A.C.
        • Short L.J.
        • Mendelson M.H.
        • Lilienfeld D.E.
        • Rodriguez M.
        Disposal-related sharps injuries at a New York City teaching hospital.
        Infect Control Hosp Epidemiol. 1995; 16: 268-274
        • McCormick R.D.
        • Meisch M.G.
        • Ircink F.G.
        • Maki D.G.
        Epidemiology of hospital sharps injuries: a 14 year prospective study in the Pre-AIDS and AIDS Eras.
        Am J Med. 1991; 91: 301S-307S
      10. NIOSH. Selecting, evaluating, and using sharps disposal containers. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Diseases Control and Prevention, National Institutes for occupational Safety and Health, DHHS (NIOSH) Publication No. 97-111.

        • Beekmann S.E.
        • Vaughn T.E.
        • McCoy K.D.
        • et al.
        Hospital bloodborne pathogens programs: program characteristics and blood and body fluid exposure rates.
        Infect Control Hosp Epidemiol. 2001; 22: 73-82
        • Haiduven D.J.
        • Phillips E.S.
        • Clemons K.V.
        • Stevens D.A.
        Percutaneous injury analysis: consistent categorization, effective reduction methods, future strategies.
        Infect Control Hosp Epidemiol. 1995; 16: 582-589
        • Richard V.S.
        • Kenneth J.
        • Ramaprabha P.
        • Kirupakaran H.
        • Chandry G.M.
        Impact of introduction of sharps containers and of education programmes on the pattern of needle stick injuries in a tertiary care centre in India.
        J Hosp Infect. 2001; 47: 163-165
        • Jagger J.
        • Hunt E.H.
        • Brand-Elnaggar J.
        • Pearson R.
        Rates of needle-stick injury caused by various devices in a university hospital.
        N Eng J Med. 1988; 319: 284-288
        • Wugofski L.
        Needlestick prevention devices: a pointed discussion.
        Infect Control Hosp Epidemiol. 1992; 13: 295-298
      11. Working Well: A Call to Employers. A summary of the RCN Working well Survey into the wellbeing and working lives of nurses, 2002. Publication No. 001 595. Royal College of Nursing, London.

      12. CDC's Seven Healthcare Safety Challenges. Issues in Healthcare Settings. Division of Healthcare Quality Promotion. Centers for Disease Control, Atlanta.