Sharps Injuries and Blood Exposure in Homes Health Care

在……里面 家庭保健工作者的人口：估计接触血液和 这项拟议研究的目的是评估接触大量血液和锐器伤的风险。 经皮损伤；识别和评估与这些暴露有关的风险因素；以及评估 医疗安全设备的可获得性和使用。拟议的研究将由多个 与3家大型家庭保健机构和2个保健工会合作的纪律团队。这个 合作机构和工会提供了马萨诸塞州东部的大部分家庭保健服务。 这项为期4年的研究分为5个具体目标。在目标1中，建立了血液暴露监测系统和 尖锐伤害(暴露/伤害)将在3个合作伙伴家庭护理机构建立。两年来 监控数据将被收集起来。在目标2中，将对家庭保健工作者(HHCW)进行调查 收集有关暴露/伤害、漏报以及医疗安全设备的可获得性和使用情况的数据。第一， 较长的调查将在第一年进行，第二次较短的调查将在第三年和第四年进行， 在监控系统运行至少一年之后。目标3将使用定性研究 确定暴露/伤害报告的体制障碍和激励措施的方法，以及 使用医疗安全设备。目标4包括用于研究数据的定量分析方法 在监测和风险因素调查中收集的。目标5描述了与 向伙伴机构/工会提供培训的结果和发展，以及研究报告的传播 这一成果将推广到更广泛的家庭保健行业和科学界。这项工作对家里有帮助。 医疗保健机构、工会、专业组织和政府机构通过提供信息 这有助于减少血液接触和锐利伤害。

in population of home health care workers by: estimating the incidence of exposures to blood and IThe objective of the proposed study is to evaluate the risks of exposure to blood and sharps injury a large 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 multi- disciplinary 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.