Efficacy and cost-effectiveness of a needleless intravenous access system.
BACKGROUND
Needlestick injury has been identified as a major cause of exposure to blood and body fluids. The heparin-lock intermittent intravenous procedure was implicated in the largest number of needlestick-related exposures (26%) at this 1100-bed tertiary care hospital, and replacement of this system was imperative. Cost concerns, however, necessitated that replacement products not increase overall hospital costs.


METHODS
A needleless intravenous access system (Interlink i.v. Access System; Baxter Healthcare Corp., Parenterals Division, Deerfield, Ill.) was introduced. Effectiveness and cost-benefit of this system were analyzed by comparing needlestick injuries and their associated costs, as well as costs of relevant products and procedures, for the year before introduction of the new product with those for 1 year after implementation of the new system.


RESULTS
During the study period, the needleless access system was 78.7% effective in reducing intravenous line-related needlestick injuries. There was an overall reduction of 43.4% in total needlestick injuries from all procedures and events. The incremental cost to this hospital ranged from a 5.3% additional cost to a 5.7% savings, without even considering the less quantifiable benefits associated with avoidance of needlestick injury, time saved by using this product, and decreased infection rate.


CONCLUSIONS
When used as intended, this system was extremely effective in reducing intravenous line-related needlestick injuries, and the system does pay for itself.
Yassi
A
A
Department of Occupational and Environmental Medicine, Health Sciences Center, Winnipeg, Manitoba, Canada.
McGill
M L
ML
Khokhar
J B
JB
D003362:Cost-Benefit Analysis; D005069:Evaluation Studies as Topic; D006746:Hospital Bed Capacity, 500 and over; D006801:Humans; D017053:Infection Control / Q000379:methods; D007262:Infusions, Intravenous / Q000191:economics / Q000295:instrumentation*; D008350:Manitoba / Q000453:epidemiology; D017744:Medical Waste Disposal / Q000191:economics; D016602:Needlestick Injuries / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control*; D016273:Occupational Exposure / Q000191:economics / Q000706:statistics & numerical data*; D010564:Personnel, Hospital
D017744:Medical Waste Disposal