[MCOH-EH] [EXTERNAL] Re: Blood and body fluid exposures

[Vaughn, Andrew I., M.D., M.P.H.]

The AOHP published the latest version of their sharps injury survey in November of 2017; collection of data for the next study has recently ended.
The most recent report is based on data from 181 hospitals - large and small - in 34 states.  Given that the best rate would be one that used "all opportunities for a sharps injury to occur", differences service mix make for significant differences in baseline risk which makes all surveys, including OHSN data difficult to apply with a high degree of confidence.  But still, as long as one is cognizant of potential biases, there's value to be had.

Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015: A national survey of sharps injuries and mucocutaneous blood exposures among health care workers in US hospitals
Grimmond T, <https://www.sciencedirect.com/science/article/pii/S0196655317307708#!> Good <https://www.sciencedirect.com/science/article/pii/S0196655317307708#!> L
American Journal of Infection Control<https://www.sciencedirect.com/science/journal/01966553>
Volume 45, Issue 11<https://www.sciencedirect.com/science/journal/01966553/45/11>, 1 November 2017, Pages 1218-1223

https://doi.org/10.1016/j.ajic.2017.05.023
https://www.sciencedirect.com/science/article/pii/S0196655317307708


Andrew I S Vaughn, MD, MPH | Medical Director, Rochester Occupational Health Services | Medical Director, Occupational & Environmental Safety, Mayo Clinic Rochester
Mayo Clinic | 200 First Street SW | Rochester, MN 55905 | www.mayoclinic.org<http://www.mayoclinic.org/>


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie D., M.D. via MCOH-EH
Sent: Tuesday, May 15, 2018 12:41 PM
To: MCOH/EH
Cc: Swift, Melanie D., M.D.
Subject: [EXTERNAL] Re: [MCOH-EH] Blood and body fluid exposures

Tim,  you can do ongoing benchmarking by participating in the OHSN (https://www.cdc.gov/niosh/topics/ohsn/default.html)or Epinet. (https://internationalsafetycenter.org/exposure-reports/)That's really the only way to compare apples to apples, so to speak.
Melanie

Sent from my iPhone

On May 15, 2018, at 12:17 PM, Timothy Herrick <herrickt at ohsu.edu<mailto:herrickt at ohsu.edu>> wrote:
There may be some more official data somewhere, but for comparability  and for talking with management, we'd love to have an idea of roughly how other institutions are faring in terms of BBFE's. [of course we realize that differing institutions may have different experiences with how well the BBFE's are disclosed, but we'll have to take what we can get. ]      it would be great if the info was given as number of  bbfe's over a certain time period, with the bedcount of the hospital for comparability's sake.

For example, in our hospital of 522 beds had 144 BBFE's in the last six months.         [About six were double exposures]

Tim Herrick md
Oregon Health and Sciences university
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