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Physicians report most sharps injuries among health care workers, data shows

male doctor
Photo: kupicoo/iStockphoto

League City, TX — Physicians have surpassed nurses as the occupational group with the highest percentage of reported sharps injuries, recent data from the International Safety Center shows.

Researchers analyzed 2016 surveillance data from hospitals that voluntarily participate in ISC’s Exposure Prevention Information Network, a service that tracks occupational exposures in the health care industry. They found that 34.2 percent of workers who reported sharps injuries were physicians, compared with 33.4 percent who were nurses. In 2015, nurses comprised 37.8 percent of such injuries, compared with 29.2 percent for physicians.

According to ISC, 2016 marked the first time that physicians experienced the highest percentage of sharps injuries since EPINet launched in the mid-1980s. NIOSH defines a sharps injury as “a penetrating stab wound from a needle, scalpel, or other sharp object that may result in exposure to blood or other body fluids.”

Other findings:

  • The ratio of sharps injuries per average daily census for all workers increased to 33.7 per 100 in 2016 from 31.7 in 2015.
  • The ratio of blood and body fluid exposures per average daily census for all workers increased to 12.9 per 100 in 2016 from 11.4 in 2015. About half of these exposures occurred in patient or exam rooms, while nearly 7 in 10 involved exposure to the eyes.

Researchers associated the rise in sharps injuries with three primary causes: failure to use a safer medical device; failure to activate safety mechanisms when devices with sharps injury protections are used; and unsafe work practices during multi-step processes, such as passing instruments by hand during surgery.

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Only 30.2 percent of workers who suffered sharps injuries reported using a device equipped with a safety mechanism, with a majority failing to activate the safety feature.

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Joe Holakovsky
January 30, 2019
This is a terrible statistics and one that is totally unacceptable. I worked as a safety professional at a level I trauma center in the suburbs of Chicago and was extremely active in JCAHO accreditation. Additionally, I was an officer on the fire department (retired after 30 plus year career) and could never understand how the medical professionals working in a controlled environment (excluding ER) could be so careless with sharps. While working as a firefighter/EMT , then officer assigned to an ALS engine/ladder truck I can only remember a couple needle sticks in what I describe as uncontrolled environment compared to those working in a hospital setting. I truly believe this is true carelessness for whatever lame excuse (lack of training) hospital personnel can muster up. In the fire service, we responded to all type of emergencies in all types of weather conditions and it was EXTREMELY RARE that EMS personnel was stuck or exposed to bodily fluids (1 that I remember). Someone truly needs to take responsibility for this lack luster hospital environment carelessness. Maybe its the same lackluster compliancy that leads to so many medical mistakes and patients over dosing on prescribed medications. It all starts with the individual, their ethics, and taking responsibility for their actions, but it is still a medical crises that administrators and JCAHO needs to address.