Student Dissertation

Agency : Needle Stick Injuries; Healthcare Quality Tool; NSI

Objective : : Following were the objectives of the study: • To compile and analyze the data of NSI for 03 years (2014 to 2016) • To find out the main reasons contributing towards NSI by using quality tool • To perform cost analysis for needle stick injury • The study was designed as a descriptive study to analyze the incidence of needle stick injuries from the year 2014- 2016. The data was analyzed using Microsoft excel in terms of location, staff profile, reasons for needle stick injury and whether the source of NSI was known or not.

Background : Globally three million healthcare workers were exposed to blood-borne pathogens annually and the irony was that up to seventy-five percentage (40-75 %) of needle stick injuries (NSI) were not reported (WHO, 2002) Nurses were the major victims to suffer from needle stick injuries. Injuries with the used sharp or needles were terribly distressing. The effective and evidence based preventive measures of NSIs can assure the occupational safety of nurses as well as other health care workers. Columbia Asia Hospitals invests lot of time and efforts on patient and staff safety. The Mission statement for Columbia Asia Hospitals clearly reflects that “To deliver the best clinical outcomes in the most efficient effective and caring environment”. There has been an increase in the incidence of needle stick injuries. Hence, Columbia Asia hospital at Palam Vihar decided to undertake this quality project in understanding the safety of health care providers in terms of “Needle Stick Injuries”.

Methodology : Study Design: Descriptive study Setting: Columbia Asia Hospital, Palam Vihar, Gurgaon Duration of study: 13February – 13 May 2017 Sample: All the forms filled by staff reporting Needle Stick Injury from 2014-2017 were analyzed to study the factors responsible for needle stick injury Data Collection Procedure: Secondary data was used in the study. The reporting form filled by the affected staff were studied.

Findings : The needle stick injuries show an increase in 2016.The inpatient department was the most affected with more than 30% of the total cases. The staff nurse comprises 77% of the staff affected by needle stick injury. The major reason for needle stick injury was recapping, followed by suturing, and then the insulin administration. In 2016, the number of needle stick injury with unknown source has increased reflecting a breach in the sharps disposal management. The Financial loss of approximately RS 100,000 per year incurred due to needle stick injury.