Building an Operating Room (OR) Community: A Collaborative Approach to Reducing the Incidence of Sharps Injuries

2.50
Hdl Handle:
http://hdl.handle.net/10755/163183
Category:
Abstract
Type:
Presentation
Title:
Building an Operating Room (OR) Community: A Collaborative Approach to Reducing the Incidence of Sharps Injuries
Author(s):
Swallow, Anne D.; Burns, Lillian
Author Details:
Anne D. Swallow, RN, MSN, Greenwich Hospital, Greenwich, Connecticut, USA, email: anns@greenhosp.org; Lillian Burns, MT, MPH, CIC
Abstract:
Purpose: To determine the effectiveness of a collaborative team approach on reducing sharps injuries in the operating room. Theoretical Framework: Lewin's theory of Planned Change provided the framework. A major concept of the model is group dynamics which emphasizes the importance of shaping group behavior rather than that of individuals. The Centers for Disease Control and Prevention's National Institute for Occupational Safety and Health (NIOSH) estimated 600,000 to 800,000 occupational needle sticks occur in healthcare workers each year. These blood borne pathogen (BBP) exposures pose a risk to the healthcare workers for the acquisition of hepatitis B, hepatitis C, and HIV. BBP exposures increased sharply (61%) in the OR staff at Greenwich Hospital, a community hospital during the 2nd quarter of FY2005. Methods (Design, Sample, Setting, Measures, Analysis): A descriptive study examined the incidence of sharps injuries among OR personnel after educational interventions. The sample consisted of 134 OR personnel. A pre-intervention survey was conducted to determine current practice and knowledge related to sharps injuries. A collaborative team developed several interventions: a self-learning e-module, poster display of hands-free technique, monthly team meetings to provide feedback, and introducing sharps safety as a monthly agenda item at OR staff meetings. Descriptive statistics were used. Results: Chi square analysis revealed a 52% reduction in sharps injuries among OR personnel post-intervention in the 3rd quarter of FY 2005 (p= 0.01). Actual reduction in the number of sharps injuries was clinically significant. We exceeded our expectations in creating a culture of safety in a high risk OR environment using Lewin's framework. Cost savings associated with the reduction in OR sharps injuries post-intervention was $14,000.00. Conclusions and Implications: Risk reduction strategies and safe practices among OR personnel can create a culture of safety and sustained organizational change.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBuilding an Operating Room (OR) Community: A Collaborative Approach to Reducing the Incidence of Sharps Injuriesen_GB
dc.contributor.authorSwallow, Anne D.en_US
dc.contributor.authorBurns, Lillianen_US
dc.author.detailsAnne D. Swallow, RN, MSN, Greenwich Hospital, Greenwich, Connecticut, USA, email: anns@greenhosp.org; Lillian Burns, MT, MPH, CICen_US
dc.identifier.urihttp://hdl.handle.net/10755/163183-
dc.description.abstractPurpose: To determine the effectiveness of a collaborative team approach on reducing sharps injuries in the operating room. Theoretical Framework: Lewin's theory of Planned Change provided the framework. A major concept of the model is group dynamics which emphasizes the importance of shaping group behavior rather than that of individuals. The Centers for Disease Control and Prevention's National Institute for Occupational Safety and Health (NIOSH) estimated 600,000 to 800,000 occupational needle sticks occur in healthcare workers each year. These blood borne pathogen (BBP) exposures pose a risk to the healthcare workers for the acquisition of hepatitis B, hepatitis C, and HIV. BBP exposures increased sharply (61%) in the OR staff at Greenwich Hospital, a community hospital during the 2nd quarter of FY2005. Methods (Design, Sample, Setting, Measures, Analysis): A descriptive study examined the incidence of sharps injuries among OR personnel after educational interventions. The sample consisted of 134 OR personnel. A pre-intervention survey was conducted to determine current practice and knowledge related to sharps injuries. A collaborative team developed several interventions: a self-learning e-module, poster display of hands-free technique, monthly team meetings to provide feedback, and introducing sharps safety as a monthly agenda item at OR staff meetings. Descriptive statistics were used. Results: Chi square analysis revealed a 52% reduction in sharps injuries among OR personnel post-intervention in the 3rd quarter of FY 2005 (p= 0.01). Actual reduction in the number of sharps injuries was clinically significant. We exceeded our expectations in creating a culture of safety in a high risk OR environment using Lewin's framework. Cost savings associated with the reduction in OR sharps injuries post-intervention was $14,000.00. Conclusions and Implications: Risk reduction strategies and safe practices among OR personnel can create a culture of safety and sustained organizational change.en_GB
dc.date.available2011-10-27T11:02:52Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:02:52Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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