Sharps Injuries and Blood Exposure in Homes Health Care

描述：本研究的目的是评估大量家庭卫生保健工作者暴露于血液和利器损伤的风险，方法是：估计暴露于血液和经皮损伤的发生率；识别和评估与这些暴露有关的风险因素；评估医疗安全设备的可用性和使用情况。这项拟议的研究将由一个多学科团队与3个大型家庭保健机构和2个保健工会合作进行。伙伴机构和工会提供了马萨诸塞州东部大部分的家庭保健服务。

DESCRIPTION: The objective of the proposed study is to evaluate the risks of exposure to blood and sharps injury a large in population of home health care workers by: estimating the incidence of exposures to blood and percutaneous injuries; identifying and evaluating risk factors associated with these exposures; and assessing the availability and use of medical safety devices. The proposed study will be conducted by a multidisciplinary team working with 3 large home health care agencies and 2 health care labor unions. The partner agencies and unions deliver most of the home health care in eastern Massachusetts. This 4-year study is divided into 5 specific aims. In aim 1, a surveillance system for blood exposure and sharps injuries (exposure/injury) will be established in the 3 partner home care agencies. Two years of surveillance data will be gathered. In Aim 2, surveys will be conducted of home health care workers (HHCW) to gather data on exposure/injury, under-reporting, and availability and use of medical safety devices. A first, longer survey will be conducted in year 1, while a second, shorter survey will be conducted in years 3 and 4, after the surveillance system has been functioning for at least 1 year. Aim 3 will use qualitative research methods to identify institutional barriers and incentives to exposure/injury reporting and the availability and use of medical safety devices. Aim 4 consists of the quantitative analytic methods for studying the data gathered in the surveillance and risk factor surveys. Aim 5 describes methods for communication of the findings and the development of training to the partner agencies/unions as well as dissemination of the study results to the broader home health care industry and the scientific community. This work will assist home health care agencies, unions, professional organizations, and government agencies by providing information that can aid in reducing blood exposure and sharps injury.