Evidence map›Paper›PMID 40598144›Full record

ArticleBMC nursing2025

Needle stick injuries among emergency medical services personnel: a systematic review and meta-analysis.

Ali Sahebi, Somayeh Tahernejad, Ehsan Rezaei, Fatemeh Shahmahmoudi, Sogand Pirhadi, Azadeh Tahernejad

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

6 authors.

Ali SahebiNon-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Somayeh TahernejadHealth in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Ehsan RezaeiStudent Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Fatemeh ShahmahmoudiStudent Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Sogand PirhadiStudent Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
Azadeh TahernejadHealth in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. tahernezhadazade@gmail.com.ORCID http://orcid.org/0000-0001-6342-815X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEMS personnel, including nurses working in prehospital care, are frontline responders in various emergencies and disaster scenarios. Due to their direct involvement in high-risk procedures such as injections and IV access under dynamic conditions, they are especially vulnerable to NSIs-a major occupational hazard with serious health implications. This study aimed to conduct a systematic review and meta-analysis to examine the prevalence of NSIs among EMS personnel and highlight its significance for nursing practice, education, and safety policy.

methodThis study was conducted based on the PRISMA guidelines, and its protocol was registered in PROSPERO under the code CRD42024615515. The searches were performed without time restrictions until the end of October 2024 across databases including PubMed, Scopus, and Web of Science. Manual searches were also performed via Google Scholar to ensure comprehensiveness. A random-effects model was used for the meta-analysis, and the I² index was employed to assess heterogeneity among studies. Data were analyzed using STATA software (version 15).

resultDuring the initial search of the information sources, 239 articles were identified from the reviewed databases. After screening, study selection, and quality assessment, 15 studies were ultimately included in the meta-analysis, with 17,547 EMS personnel being analyzed. According to the meta-analysis results, the overall prevalence of NSIs among emergency medical services personnel was reported to be 24.21% (95% CI: 17.31-31.10, I

conclusionGiven the relatively high prevalence of NSIs among EMS personnel and the presence of specific risk factors associated with NSIs in EMS tasks compared to other professions, it is recommended to prioritize targeted training, regular evaluations, and ergonomic interventions to reduce the incidence of NSIs in EMS staff. Key occupational risk factors identified include shift work, high stress levels, fatigue, and exposure to unfamiliar environments. Educational programs, safety-engineered devices, and adherence to infection control protocols were among the most effective interventions noted. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Blood exposureEmergenciesEmergency medical personnelEmergency medical servicesNeedle stickPrevention

Identifiers

PMID40598144
PMCPMC12211645

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.