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Effectiveness and Cost-Effectiveness of a Management Approach to Prevent Needlestick Injuries Among Healthcare Workers Employed in an Emergency Department in Italy

Effectiveness and Cost-Effectiveness of a Management Approach to Prevent Needlestick Injuries Among Healthcare Workers Employed in an Emergency Department in Italy


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Gabriele d’Ettorre, Vincenza Pellicani, and Mariarita Greco
 
Healthcare workers (HCWs) employed in emergency departments (EDs) frequently face the risk of needlestick injuries (NSIs). Although the use of safetyengineered devices by HCWs trained in their use is an effective strategy to prevent NSIs, organizational features within the context area of the work may contribute to decrease the risk of NSIs. We compared NSI occurrence among nurses employed in a hospital ED in two 3-year periods, after and before organizational interventions, respectively. Finally the economic cost of NSIs occurrence was calculated. The aims of this study were: (1) to investigate the effectiveness of organizational level interventions in minimizing the occurrence of NSIs among the nurses employed in a hospital ED; and (2) to quantify the impact of such interventions on the safety budget. The study showed the effectiveness of organizational level interventions in protecting HCWs exposed to NSI hazards in the ED.