Abstract of Dissertation

Keyword : Needle Stick Injury; Cost of Quality; Healthcare Services; Health Care Workers

Objective : More than 30 years after the advent of HIV/AIDS, healthcare workers are still lacking in awareness, education and training about the threat of blood borne pathogen exposure from needle sticks and other sharps-related injuries. Percutaneous injuries, caused by needle sticks and other sharps, are a serious concern for all health care workers (HCWs) and pose a significant risk of occupational transmission of blood borne pathogens. Needle stick injuries (NSI) are wounds caused by sharps such as hypodermic needles, blood collection needles, IV cannulas or needles used to connect parts of IV delivery systems. Return to ICU once the patient is shifted to the ward is another major concern for the hospital’s brand name. It gives direct impact on patient perspective while hospital suffers indirectly with it. It effects the trustworthiness of the hospital as patients then carry a negative impact. The cost of quality is a financial measure of the quality performance of an organization. It is essentially a measure of lack of quality and can be termed as cost of bad quality. With this view point the study was conducted to analyse the impact on cost with respect to quality measures, i.e. the needle stick injury and the cases reported within a day for return to ICU.

Methodology : It was descriptive study, conducted on previously complied data from Max super specialty hospital(MSSH) and schedules were administered with MSSH staff to analyse the reasons and impact on cost due to inadequacy in quality measures.

Findings : There was a significant increase in cost associated with needle stick injury, i.e. with 1% increases in the incidence of NSI the cost rose up to 2 lakhs, the return cases to ICU decreased significantly but the percentage of return within the time span of 0-24 hours was nearly same, i.e. 58% in year 2014 and 61% in year 2015. Survey outcome showed that most of the staff members was partially aware about the needle stick injuries and measures taken for its prevention. They were partially aware about the disease that could result from needle stick injuries. They were not able to attend all the training sessions that were organized to improvise their skills.

Recommendations : The needle stick injury was not an alarming issue but steps should be taken to reduce the same whereas further cost associated studies can be done on return to ICU cases within 7 days or a time period of 0-24 hrs for better outcomes. Both the measures directly and indirectly impact the hospital brand name as well hold impact on cost associated for the management of the same.