Sharps Injuries and Blood Exposure in Homes Health Care

家庭医疗保健中的锐器伤害和血液接触

• 批准号: 6848126
• 负责人: MARGARET M QUINN
• 金额: $ 49.81万
• 依托单位: UNIVERSITY OF MASSACHUSETTS LOWELL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6848126
• 关键词: AIDS; HIV infections; behavioral /social science research tag; blood; body fluids; caregivers; clinical research; communicable disease transmission; cooperative study; data collection methodology /evaluation; disease /disorder proneness /risk; health surveys; hepatitis A; hepatitis B; hepatitis C; home health care; human subject; hypodermic needle; injury; interdisciplinary collaboration; interview; longitudinal human study; occupational hazard; occupational health /safety; questionnaires; safety equipment; statistics /biometry

DESCRIPTION: The objective of the proposed study is to evaluate the risks of exposure to blood and sharps injury a large in population of home health care workers by: estimating the incidence of exposures to blood and percutaneous injuries; identifying and evaluating risk factors associated with these exposures; and assessing the availability and use of medical safety devices. The proposed study will be conducted by a multidisciplinary team working with 3 large home health care agencies and 2 health care labor unions. The partner agencies and unions deliver most of the home health care in eastern Massachusetts. This 4-year study is divided into 5 specific aims. In aim 1, a surveillance system for blood exposure and sharps injuries (exposure/injury) will be established in the 3 partner home care agencies. Two years of surveillance data will be gathered. In Aim 2, surveys will be conducted of home health care workers (HHCW) to gather data on exposure/injury, under-reporting, and availability and use of medical safety devices. A first, longer survey will be conducted in year 1, while a second, shorter survey will be conducted in years 3 and 4, after the surveillance system has been functioning for at least 1 year. Aim 3 will use qualitative research methods to identify institutional barriers and incentives to exposure/injury reporting and the availability and use of medical safety devices. Aim 4 consists of the quantitative analytic methods for studying the data gathered in the surveillance and risk factor surveys. Aim 5 describes methods for communication of the findings and the development of training to the partner agencies/unions as well as dissemination of the study results to the broader home health care industry and the scientific community. This work will assist home health care agencies, unions, professional organizations, and government agencies by providing information that can aid in reducing blood exposure and sharps injury.

描述：拟议的研究的目的是评估暴露于血液和尖锐损伤的风险，通过：估计暴露于血液和经皮伤害的发生率；识别和评估与这些暴露有关的风险因素；并评估医疗安全设备的可用性和使用。拟议的研究将由一个多学科团队与3个大型家庭医疗保健机构和2个医疗保健工会一起进行。合作伙伴机构和工会在马萨诸塞州东部提供大部分家庭保健。 这项为期4年的研究分为5个具体目标。在AIM 1中，将在3个合作伙伴家庭护理机构中建立一个用于血液暴露和尖锐伤害（暴露/伤害）的监视系统。将收集两年的监视数据。在AIM 2中，将对家庭医疗保健工作者（HHCW）进行调查，以收集有关暴露/伤害，报告以及医疗安全设备的可用性和使用的数据。第1年将进行第一次，更长的调查，而在监视系统运行至少1年之后，将在第3和4年进行第二次调查。 AIM 3将使用定性研究方法来识别机构障碍和暴露/伤害报告以及医疗安全设备的使用和使用。 AIM 4包括用于研究监视和危险因素监视中收集的数据的定量分析方法。 AIM 5描述了调查结果交流和开发伙伴机构/工会的培训的方法，以及将研究结果传播给更广泛的家庭保健行业和科学界。这项工作将通过提供可以帮助减少血液暴露和急剧伤害的信息来帮助家庭卫生保健机构，工会，专业组织和政府机构。