title: Prevention of needle-stick injuries in healthcare facilities: a meta-analysis.
abstract: OBJECTIVE To estimate the summary effectiveness of different needle-stick injury (NSI)-prevention interventions. DESIGN We conducted a meta-analysis of English-language articles evaluating methods for reducing needle stick, sharp, or percutaneous injuries published from 2002 to 2012 identified using PubMed and Medline EBSCO databases. Data were extracted using a standardized instrument. Random effects models were used to estimate the summary effectiveness of 3 interventions: training alone, safety-engineered devices (SEDs) alone, and the combination of training and SEDs. SETTING Healthcare facilities, mainly hospitals PARTICIPANTS Healthcare workers including physicians, midwives, and nurses RESULTS From an initial pool of 250 potentially relevant studies, 17 studies met our inclusion criteria. Six eligible studies evaluated the effectiveness of training interventions, and the summary effect of the training intervention was 0.66 (95% CI, 0.50-0.89). The summary effect across the 5 studies that assessed the efficacy of SEDs was 0.51 (95% CI, 0.40-0.64). A total of 8 studies evaluated the effectiveness of training plus SEDs, with a summary effect of 0.38 (95% CI, 0.28-0.50). CONCLUSION Training combined with SEDs can substantially reduce the risk of NSIs.
authors.affiliation: 1Department of Epidemiology,School of Public Health University of Indonesia,Depok,West Java,Indonesia.
authors.forename: Lukman H
authors.initials: LH
authors.lastname: Tarigan
authors.affiliation: 2Department of Work Environment,College of Health Sciences University of Massachusetts Lowell,Lowell,Massachusetts,USA.
authors.forename: Manuel
authors.initials: M
authors.lastname: Cifuentes
authors.affiliation: 2Department of Work Environment,College of Health Sciences University of Massachusetts Lowell,Lowell,Massachusetts,USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Quinn
authors.affiliation: 2Department of Work Environment,College of Health Sciences University of Massachusetts Lowell,Lowell,Massachusetts,USA.
authors.forename: David
authors.initials: D
authors.lastname: Kriebel
mesh_terms: D006268:Health Facilities; D006282:Health Personnel; D006801:Humans; D007318:Inservice Training; D016602:Needlestick Injuries / Q000517:prevention & control*; D060051:Occupational Injuries / Q000517:prevention & control*; D011482:Protective Devices