International Journal of Research Foundation of Hospital and Healthcare Administration

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VOLUME 7 , ISSUE 2 ( July-December, 2019 ) > List of Articles

Original Article

Reduction in Needle Stick Injury Rate among the Healthcare Workers in a Tertiary Care Hospital

Neha Dang

Keywords : Biomedical waste, Healthcare workers, Needle stick injury, Occupational hazards

Citation Information : Dang N. Reduction in Needle Stick Injury Rate among the Healthcare Workers in a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2019; 7 (2):58-62.

DOI: 10.5005/jp-journals-10035-1110

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Needle stick injuries (NSIs) are a commonly encountered underreported occupational hazard faced by healthcare workers (HCWs). Aim: The aim of the study was to determine the causes of the NSI and reduce the NSI rate among all HCWs (doctors, nurses, technicians, general duty assistants/housekeeping staff) at a tertiary care hospital. Objectives: • To determine the rate of NSI among various categories of HCWs at a tertiary care hospital. • To study the causal factors and circumstances for NSIs. • To implement corrective actions and prevent these through improvement in training, usage of safety devices, and providing a safe environment. • To reduce the NSI rate per healthcare worker per year. • To reduce the NSI rate below the set benchmark of the hospital, i.e., one NSI per 1,000 in-patient days. Materials and methods: The causes for NSI were identified by collating the data from January 2016 to May 2017 and the Pareto analysis was used to find out the main factors leading to NSI. Continuous and scheduled training for nurses, doctors, phlebotomists, housekeeping staff, and general duty assistants (GDAs) on waste segregation [biomedical waste (BMW) management], handling of sharps/sharps container, and PPE usage was provided and the same was monitored by the infection control nurse and quality team during rounds. The NSI rates were presented to the clinical department heads and awareness was created among doctors to segregate the waste. Needles with safety device were made available for the nursing team for sample collection. The corrective action was implemented in the month of June 2017 and data for 3 months, i.e., June, July, and August 2017, were continuously monitored. Results: In the study, the main reasons for NSI were improper segregation of sharps in trained HCWs (38.46%), unavoidable accidents (30.77%), and improper handling of sharps (11.54%), followed by untrained person (6.41%), recapping of the needle (5.13%), and the safety device not being used at the time of sample collection (3.85%). After training and awareness of HCWs and promoting use of safety devices, data were collected and analyzed. Needle stick injury per HCW per year was reduced to 0.03 (June 2017–October 2017) from 0.05 (Jan 2016–May2017). Similarly, there was reduction in the NSI rate per thousand patient days to 0.63 (June 2017–Oct 2017) from 1.19 (Jan 2016–May2017). Conclusion: Needle stick injuries can be reduced by identifying the causative factors and implementing corrective measures like use of a safety device for sample collection, creating awareness about segregation of waste, and handling of sharps among all the HCWs including doctors.

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  1. Centre for Disease Control and Prevention (CDC) (2017) Healthcare Workers. The National Institute for Occupational Safety and Health (NIOSH).
  2. Centers for Disease Control and Prevention (CDC) (2013). Stop Sticks Campaign. The National Institute for Occupational Safety and Health (NIOSH).
  3. Healthcare wide hazards: needle stick/sharps injuries. Occupational Safety & Health Administration. ( Accessed March 9, 2016).
  4. Alonso A. Cementing sharps safety in the European Union: The importance of complying with the 2010 EU council directive on sharps injury prevention. J Nurs Care 2014;3(03):1–2. DOI: 10.4172/2167-1168.1000169.
  5. Needlestick Safety and Prevention Act of 2000. PL 106.430. ( Accessed December 4, 2015).
  6. Centers for Disease Control and Prevention: Stop stick campaign- NIOSH. ( Accessed on 27th March 2015).
  7. Rodrigues C. Needle stick injuries & the health care worker – the time to act is now. Indian J Med Res 2010;131:384–386.
  8. Jayanth ST, Kirupakaran H, Brahmadatan KN, et al. Needle stick injuries in a tertiary care hospital. Indian J Med Microbiol 2009;27(1): 44–47.
  9. Azadi A, Anoosheh M, Delpisheh A. Frequency and barriers of underreported needlestick injuries amongst Iranian nurses, a questionnaire survey. J Clin Nursing 2011;20(3-4):488–493. DOI: 10.1111/j.1365-2702.2010.03252.x.
  10. Jahangiri M, Rostamabadi A, Hoboubi N, et al. Needle stick injuries and their related safety measures among nurses in a university hospital, Shiraz, Iran. Saf Health Work 2016;7(1):72–77. DOI: 10.1016/
  11. Oh HS, Yoon Chang SW, Choi JS, et al. Costs of post exposure management of occupational sharps injuries in health care workers in the Republic of Korea. Am J Infect Control 2013;41(1):61–65. DOI: 10.1016/j.ajic.2012.01.030.
  12. Yang L, Mullan B. Reducing needle stick injuries in healthcare occupations: an integrative review of the literature. ISRN Nurs 2011. DOI: 10.5402/2011/315432, Article ID 315432.
  13. Rice BD, Tomkins SE, Ncube FM. Sharp truth: health care workers remain at risk of blood borne infection. Occup Med (Lond) 2015;65(3):210–214. DOI: 10.1093/occmed/kqu206.
  14. Sharps injuries: Global burden of disease from sharps injuries to health-care workers. Geneva: World Health Organization; 2003. (WHO Environmental Burden of Disease Series, No. 3).
  15. Talaat M, Kandeel A, El-Shoubary W, et al. Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among health care workers in Egypt. Am J Infect Control 2003;31(8):469–474. DOI: 10.1016/j.ajic.2003.03.003.
  16. Study of Prevalence and Response to Needle Stick Injuries among Health Care Workers in a Tertiary Care Hospital in Delhi, India. (Rahul Sharma, SK Rasania, Anita Verma and Saudan Singh).
  17. Gita N, Rao NP. Needle stick injuries in a tertiary care hospital in India: observations from a clinical audit. Int J Res Med Sci 2017;5(7): 2938–2942. DOI: 10.18203/2320-6012.ijrms20172593.
  18. Gholami A, Borji A, Lotfabadi P, et al. Risk Factors of needlestick and sharps injuries among healthcare workers. Int J Hospital Res 2013;2(1):31–38.
  19. Lal P, Singh MM, Malhotra R, et al. Perception of risk and potential occupational exposure to HIV/AIDS among medical interns in Delhi. J Commun Dis 2007;39(2):95–99.
  20. Baburao B, Syam Sundar J. Study of prevalence and response to needle stick injuries among healthcare workers in a tertiary care hospital in Hyderabad, India.
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