Sharps injury (SI) rates in small, rural hospitals vs. large, urban hospitals

Results of a statewide survey

S. E. Beekmann, S. Yagla, K. Mccoy, Bradley Doebbeling

Research output: Contribution to journalArticle

Abstract

We surveyed infection control practitioners in all Iowa hospitals and the largest chronic care facilities (N = 135) in 1996-97 to identify organizational and management characteristics that are associated with low SI rates. Respondents (N = 89,66%) reported on workforce characteristics (including employee numbers and employee FTEs), surrogate denominator data (i.e., CBCs and surgical procedures performed; needles purchased) and SI recorded over the previous year. SI rates were calculated by occupation and by hospital size (200 beds). An average of 57 SI per 1,000 employees was reported. SI rates were lower than the mean for nursing assistants (30/1,000 NAs), housekeepers (39/1,000 housekeepers) and MDs (48/1,000 MDs). SI rates were highest for RNs and LPNs (62/1,000 RNs/LPNs), lab technicians (99/1,000 lab techs), and patient-care technicians/EMTs (122/1,000 pt-care technicians). Hospitals with £200 beds (N = 61) had an overall SI rate of 63/1,000 employees, while >200 bed hospitals (N = 13) had 45/1,000 employees. When SI rates were compared in small versus large hospitals, rates were higher in larger hospitals only among patient-care technicians and nursing assistants. All other occupations reported higher SI rates in small hospitals. We conclude that smaller, more rural hospitals in Iowa have higher reported SI rates than larger, more urban institutions. These findings are consistent across most occupations. Further study is needed to determine if differences reflect program factors or alternate approaches to surveillance, case-finding, or reporting.

Original languageEnglish (US)
Pages (from-to)472
Number of pages1
JournalClinical Infectious Diseases
Volume25
Issue number2
StatePublished - 1997
Externally publishedYes

Fingerprint

Needlestick Injuries
Rural Hospitals
Urban Hospitals
Occupations
Patient Care
Infection Control Practitioners
Nursing
Hospital Bed Capacity
Surveys and Questionnaires
Needles

ASJC Scopus subject areas

  • Immunology

Cite this

Sharps injury (SI) rates in small, rural hospitals vs. large, urban hospitals : Results of a statewide survey. / Beekmann, S. E.; Yagla, S.; Mccoy, K.; Doebbeling, Bradley.

In: Clinical Infectious Diseases, Vol. 25, No. 2, 1997, p. 472.

Research output: Contribution to journalArticle

@article{cbc9d830e2624feaa7042336ee59335a,
title = "Sharps injury (SI) rates in small, rural hospitals vs. large, urban hospitals: Results of a statewide survey",
abstract = "We surveyed infection control practitioners in all Iowa hospitals and the largest chronic care facilities (N = 135) in 1996-97 to identify organizational and management characteristics that are associated with low SI rates. Respondents (N = 89,66{\%}) reported on workforce characteristics (including employee numbers and employee FTEs), surrogate denominator data (i.e., CBCs and surgical procedures performed; needles purchased) and SI recorded over the previous year. SI rates were calculated by occupation and by hospital size (200 beds). An average of 57 SI per 1,000 employees was reported. SI rates were lower than the mean for nursing assistants (30/1,000 NAs), housekeepers (39/1,000 housekeepers) and MDs (48/1,000 MDs). SI rates were highest for RNs and LPNs (62/1,000 RNs/LPNs), lab technicians (99/1,000 lab techs), and patient-care technicians/EMTs (122/1,000 pt-care technicians). Hospitals with £200 beds (N = 61) had an overall SI rate of 63/1,000 employees, while >200 bed hospitals (N = 13) had 45/1,000 employees. When SI rates were compared in small versus large hospitals, rates were higher in larger hospitals only among patient-care technicians and nursing assistants. All other occupations reported higher SI rates in small hospitals. We conclude that smaller, more rural hospitals in Iowa have higher reported SI rates than larger, more urban institutions. These findings are consistent across most occupations. Further study is needed to determine if differences reflect program factors or alternate approaches to surveillance, case-finding, or reporting.",
author = "Beekmann, {S. E.} and S. Yagla and K. Mccoy and Bradley Doebbeling",
year = "1997",
language = "English (US)",
volume = "25",
pages = "472",
journal = "Clinical Infectious Diseases",
issn = "1058-4838",
publisher = "Oxford University Press",
number = "2",

}

TY - JOUR

T1 - Sharps injury (SI) rates in small, rural hospitals vs. large, urban hospitals

T2 - Results of a statewide survey

AU - Beekmann, S. E.

AU - Yagla, S.

AU - Mccoy, K.

AU - Doebbeling, Bradley

PY - 1997

Y1 - 1997

N2 - We surveyed infection control practitioners in all Iowa hospitals and the largest chronic care facilities (N = 135) in 1996-97 to identify organizational and management characteristics that are associated with low SI rates. Respondents (N = 89,66%) reported on workforce characteristics (including employee numbers and employee FTEs), surrogate denominator data (i.e., CBCs and surgical procedures performed; needles purchased) and SI recorded over the previous year. SI rates were calculated by occupation and by hospital size (200 beds). An average of 57 SI per 1,000 employees was reported. SI rates were lower than the mean for nursing assistants (30/1,000 NAs), housekeepers (39/1,000 housekeepers) and MDs (48/1,000 MDs). SI rates were highest for RNs and LPNs (62/1,000 RNs/LPNs), lab technicians (99/1,000 lab techs), and patient-care technicians/EMTs (122/1,000 pt-care technicians). Hospitals with £200 beds (N = 61) had an overall SI rate of 63/1,000 employees, while >200 bed hospitals (N = 13) had 45/1,000 employees. When SI rates were compared in small versus large hospitals, rates were higher in larger hospitals only among patient-care technicians and nursing assistants. All other occupations reported higher SI rates in small hospitals. We conclude that smaller, more rural hospitals in Iowa have higher reported SI rates than larger, more urban institutions. These findings are consistent across most occupations. Further study is needed to determine if differences reflect program factors or alternate approaches to surveillance, case-finding, or reporting.

AB - We surveyed infection control practitioners in all Iowa hospitals and the largest chronic care facilities (N = 135) in 1996-97 to identify organizational and management characteristics that are associated with low SI rates. Respondents (N = 89,66%) reported on workforce characteristics (including employee numbers and employee FTEs), surrogate denominator data (i.e., CBCs and surgical procedures performed; needles purchased) and SI recorded over the previous year. SI rates were calculated by occupation and by hospital size (200 beds). An average of 57 SI per 1,000 employees was reported. SI rates were lower than the mean for nursing assistants (30/1,000 NAs), housekeepers (39/1,000 housekeepers) and MDs (48/1,000 MDs). SI rates were highest for RNs and LPNs (62/1,000 RNs/LPNs), lab technicians (99/1,000 lab techs), and patient-care technicians/EMTs (122/1,000 pt-care technicians). Hospitals with £200 beds (N = 61) had an overall SI rate of 63/1,000 employees, while >200 bed hospitals (N = 13) had 45/1,000 employees. When SI rates were compared in small versus large hospitals, rates were higher in larger hospitals only among patient-care technicians and nursing assistants. All other occupations reported higher SI rates in small hospitals. We conclude that smaller, more rural hospitals in Iowa have higher reported SI rates than larger, more urban institutions. These findings are consistent across most occupations. Further study is needed to determine if differences reflect program factors or alternate approaches to surveillance, case-finding, or reporting.

UR - http://www.scopus.com/inward/record.url?scp=33748139811&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748139811&partnerID=8YFLogxK

M3 - Article

VL - 25

SP - 472

JO - Clinical Infectious Diseases

JF - Clinical Infectious Diseases

SN - 1058-4838

IS - 2

ER -