Evidence map›Paper›PMID 26571471›Full record

ArticleHealthcare policy = Politiques de sante2015

Barriers to the Adoption of Safety-Engineered Needles Following a Regulatory Standard: Lessons Learned from Three Acute Care Hospitals.

Andrea Chambers, Cameron A Mustard, D Linn Holness, Kathryn Nichol, F Curtis Breslin

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrea ChambersDoctoral Student, Institute for Work and Health Toronto, ON.
Cameron A MustardPresident and Senior Scientist, Institute for Work and Health Professor, Dalla Lana School of Public Health, University of Toronto Toronto, ON.
D Linn HolnessProfessor, Dalla Lana School of Public Health Director, Department of Medicine, University of Toronto Chief Physician, St. Michael's Hospital, Toronto, ON.
Kathryn NicholDirector of Nursing, University Health Network, Assistant Professor, Dalla Lana School of Public Health, University of Toronto Toronto, ON.
F Curtis BreslinScientist, Institute for Work and Health, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA number of jurisdictions have introduced regulation to accelerate the adoption of safety-engineered needles (SENs). This study examined the transition to SENs in three acute care hospitals prior to and following the implementation of a regulatory standard in Ontario. This paper focuses on the ongoing barriers to the prevention of needlestick injuries among healthcare workers.

methodsInformation from document review and 30 informant interviews were used to prepare three case studies detailing each organization's implementation activities and outcomes.

resultsAll three hospitals responded to the regulatory requirements with integrity and needlestick injuries declined. However, needlestick injuries continued to occur during the activation of safety devices, during procedures and during instrument disposal. The study documented substantial barriers to further progress in needlestick injury prevention.

conclusionsHealthcare organizations should focus on understanding their site-specific challenges that contribute to ongoing injury risk to better understand issues related to product limitations, practice constraints and the work environment.

Indexed as

Accidents, OccupationalAttitude of Health PersonnelEquipment and Supplies, HospitalEquipment DesignHealth Plan ImplementationHospitals, CommunityHospitals, TeachingHumansInterviews as TopicNeedlesNeedlestick InjuriesOccupational HealthOntarioOrganizational Case StudiesPersonnel, HospitalQualitative Research

Identifiers

PMID26571471
PMCPMC4748368

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.