The Snowman: A model of injuries and near-misses for the prevention of sharps injuries.
The Snowman: A model of injuries and near-misses for the prevention of sharps injuries.
复制标题
雪人：预防锐器伤害的伤害和未遂事故模型。
DOI：
10.1002/ajim.20871
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发表时间：
2010
影响因子：
3.5
通讯作者：
Davis,Letitia
中科院分区：
文献类型：
--
作者：
Kim,Hyun;Kriebel,David;Quinn,MargaretM;Davis,Letitia
锐器损伤(SI)和其他血液/体液暴露(BBFE)给家庭保健(HHC)工作人员带来了血液传播的病原体风险。虽然SI和BBFE在HHC中非常频繁，足以成为严重的公共卫生问题，但即使是中等规模的调查也可能不足以确定风险因素。方法通过对HHC护士(n = 787)和护理助理(n = 2 82)的调查，收集了过去一年中SI、BBFE和险些发生次数的数据。问题集中在导致SI、BBFE和险些命中的情况上。结果SI、BBFE事件及其未遂事件具有相似的风险因素频率，提示它们可能具有共同的因果路径。有关事件和险些失手的综合数据证实了我们的假设，即兼职和临时HHC助手比全职人员风险更高。结论结合受伤和险些失手的分析在危险因素调查中可能有用。上午好。J.Ind.地中海医院。2010年，53：1119-1127。©2010 Wiley-Liss公司。
BackgroundSharps injuries (SI) and other blood/body fluid exposures (BBFE) present bloodborne pathogen risks for home healthcare (HHC) workers. While SI and BBFE are sufficiently frequent in HHC to be serious public health concerns, even moderately large surveys can still have insufficient power to identify risk factors. In this study, a new conceptual model for using near‐misses for SI and BBFE was developed and its utility in statistical analyses of SI and BBFE risk factors was evaluated.MethodsA survey of HHC nurses (n = 787) and aides (n = 282) gathered data on the numbers of SI, BBFE, and near‐misses in the past year. Questions focused on the circumstances leading up to the SI, BBFE, and near‐misses. After evaluating the hypothesis that near‐misses and events lie along the same causal pathway, we combined these outcomes to estimate their association with an important risk factor: employment status.ResultsThere were similar frequencies of risk factors for the events SI, BBFE, and their near‐misses, suggesting that they may share common causal pathways. Combined data on events and near‐misses confirmed our hypothesis that part‐time and temporary HHC aides were at higher risk than full‐timers.ConclusionsAnalyses combining injuries and near‐misses may be useful in risk factor investigations. Am. J. Ind. Med. 53:1119–1127, 2010. © 2010 Wiley‐Liss, Inc.