Evidence map›Paper›PMID 40634984›Full record

ReviewBMC medical education2025

A competency-based framework for preventing blood-borne pathogen occupational exposures in medical students: literature review and Delphi study.

Pingping Wang, Minhong Cai, Yu Lv, Qian Xiang

Abstract readReview
In one paragraph

Review in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Pingping Wang *Healthcare-Associated Infection Control Center, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32 West Section 2, 1st Ring Road, Chengdu, 610072, China.
Minhong Cai *Healthcare-Associated Infection Control Center, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32 West Section 2, 1st Ring Road, Chengdu, 610072, China.
Yu LvPublic Health Department, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32 West Section 2, 1st Ring Road, Chengdu, 610072, China. 29381636@qq.com.
Qian XiangHealthcare-Associated Infection Control Center, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, 32 West Section 2, 1st Ring Road, Chengdu, 610072, China. 3all@163.com.

Funding

National Natural Science Foundation of China 21976046
6 · The paper itself

Abstract

backgroundBlood-borne pathogen occupational exposures pose significant hazard to medical students during clinical internships, with needlestick injuries being the primary transmission vector for blood-borne pathogens (hepatitis B virus, hepatitis C virus, human immunodeficiency virus). Current prevention guidelines lack tailored frameworks for this vulnerable population.

methodsA two-phase method was conducted: literature review and Delphi method. Phase one conducted a literature review across PubMed, Web of Science, Embase, and Cochrane Library (2000–2024). Data were extracted to form an initial framework. During phase two, a modified Delphi method was employed with a multidisciplinary expert panel across two rounds to refine the initial framework developed from the literature review. Consensus thresholds required ≥ 70% agreement on 5-point Likert scale.

resultsThe literature review initially identified 1,477 records, with 200 articles retained after search and selection process. During the modified Delphi process, a multidisciplinary panel of 25 experts (71.4% initial response rate; 65.7% retention) iteratively refined prevention strategies. The finalized framework comprises 13 actionable elements, stratified across prevention tiers: primary prevention (7 items), secondary prevention (4 items), and tertiary prevention (2 items).

conclusionThis study provides the first competency-based framework for medical students to prevent blood-borne pathogen occupational exposures during clinical internships. The framework, informed by evidence-based strategies in conjunction with expert consensus, is a significant step forward in ensuring the occupational safety of medical students.

Indexed as

Blood-Borne InfectionsBlood-Borne PathogensClinical CompetenceInfectious Disease Transmission, Patient-to-ProfessionalOccupational ExposureStudents, MedicalDelphi TechniqueHumansNeedlestick InjuriesBlood-borne pathogenClinical internshipsDelphi methodMedical studentsOccupational exposurePrevention framework

Identifiers

PMID40634984
PMCPMC12243342

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.