National Evaluation of Needlestick Events and Reporting Among Surgical Residents

Anthony D. Yang*, Christopher M. Quinn, D. Brock Hewitt, Jeanette W. Chung, Teresa R. Zembower, Andrew Jones, Jo Buyske, David B. Hoyt, Thomas J. Nasca, Karl Y. Bilimoria

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background: Needlestick injuries pose significant health hazards; however, the nationwide frequency of needlesticks and reporting practices among surgical residents are unknown. The objectives of this study were to examine the rate and circumstances of self-reported needlestick events in US surgery residents, assess factors associated with needlestick injuries, evaluate reporting practices, and identify reporting barriers. Study Design: A survey administered after the American Board of Surgery In-Training Examination (January 2017) asked surgical residents how many times they experienced a needlestick during the last 6 months, circumstances of the most recent event, and reporting practices and barriers. Factors associated with needlestick events were examined using multivariable hierarchical regression models. Results: Among 7,395 resident survey respondents from all 260 US general surgery residency programs (99.3% response rate), 27.7% (n = 2,051) noted experiencing a needlestick event in the last 6 months. Most events occurred in the operating room (77.5%) and involved residents sticking themselves (76.2%), mostly with solid needles (84.7%). Self-reported factors underlying needlestick events included residents' own carelessness (48.8%) and feeling rushed (31.3%). Resident-level factors associated with self-reported needlestick events included senior residents (PGY5 29.9% vs PGY1 22.4%; odds ratio 1.66; 95% CI 1.41 to 1.96), female sex (31.9% vs male 25.2%; odds ratio 1.31; 95% CI 1.18 to 1.46), or frequently working more than 80 hours per week (odds ratio 1.42; 95% CI 1.20 to 1.68). More than one-fourth (28.7%) of residents did not report the needlestick event to employee health. Conclusions: In this comprehensive national survey of surgical residents, needlesticks occurred frequently. Many needlestick events were not reported and numerous reporting barriers exist. These findings offer guidance in identifying opportunities to reduce needlesticks and encourage reporting of these potentially preventable injuries among trainees.

Original languageEnglish (US)
Pages (from-to)609-620
Number of pages12
JournalJournal of the American College of Surgeons
Volume229
Issue number6
DOIs
StatePublished - Dec 2019

Fingerprint

Needlestick Injuries
Odds Ratio
Occupational Health
Operating Rooms
Internship and Residency
Needles

ASJC Scopus subject areas

  • Surgery

Cite this

Yang, Anthony D. ; Quinn, Christopher M. ; Hewitt, D. Brock ; Chung, Jeanette W. ; Zembower, Teresa R. ; Jones, Andrew ; Buyske, Jo ; Hoyt, David B. ; Nasca, Thomas J. ; Bilimoria, Karl Y. / National Evaluation of Needlestick Events and Reporting Among Surgical Residents. In: Journal of the American College of Surgeons. 2019 ; Vol. 229, No. 6. pp. 609-620.
@article{1f14395e532d44be911f658b33150878,
title = "National Evaluation of Needlestick Events and Reporting Among Surgical Residents",
abstract = "Background: Needlestick injuries pose significant health hazards; however, the nationwide frequency of needlesticks and reporting practices among surgical residents are unknown. The objectives of this study were to examine the rate and circumstances of self-reported needlestick events in US surgery residents, assess factors associated with needlestick injuries, evaluate reporting practices, and identify reporting barriers. Study Design: A survey administered after the American Board of Surgery In-Training Examination (January 2017) asked surgical residents how many times they experienced a needlestick during the last 6 months, circumstances of the most recent event, and reporting practices and barriers. Factors associated with needlestick events were examined using multivariable hierarchical regression models. Results: Among 7,395 resident survey respondents from all 260 US general surgery residency programs (99.3{\%} response rate), 27.7{\%} (n = 2,051) noted experiencing a needlestick event in the last 6 months. Most events occurred in the operating room (77.5{\%}) and involved residents sticking themselves (76.2{\%}), mostly with solid needles (84.7{\%}). Self-reported factors underlying needlestick events included residents' own carelessness (48.8{\%}) and feeling rushed (31.3{\%}). Resident-level factors associated with self-reported needlestick events included senior residents (PGY5 29.9{\%} vs PGY1 22.4{\%}; odds ratio 1.66; 95{\%} CI 1.41 to 1.96), female sex (31.9{\%} vs male 25.2{\%}; odds ratio 1.31; 95{\%} CI 1.18 to 1.46), or frequently working more than 80 hours per week (odds ratio 1.42; 95{\%} CI 1.20 to 1.68). More than one-fourth (28.7{\%}) of residents did not report the needlestick event to employee health. Conclusions: In this comprehensive national survey of surgical residents, needlesticks occurred frequently. Many needlestick events were not reported and numerous reporting barriers exist. These findings offer guidance in identifying opportunities to reduce needlesticks and encourage reporting of these potentially preventable injuries among trainees.",
author = "Yang, {Anthony D.} and Quinn, {Christopher M.} and Hewitt, {D. Brock} and Chung, {Jeanette W.} and Zembower, {Teresa R.} and Andrew Jones and Jo Buyske and Hoyt, {David B.} and Nasca, {Thomas J.} and Bilimoria, {Karl Y.}",
year = "2019",
month = "12",
doi = "10.1016/j.jamcollsurg.2019.09.001",
language = "English (US)",
volume = "229",
pages = "609--620",
journal = "Journal of the American College of Surgeons",
issn = "1072-7515",
publisher = "Elsevier Inc.",
number = "6",

}

National Evaluation of Needlestick Events and Reporting Among Surgical Residents. / Yang, Anthony D.; Quinn, Christopher M.; Hewitt, D. Brock; Chung, Jeanette W.; Zembower, Teresa R.; Jones, Andrew; Buyske, Jo; Hoyt, David B.; Nasca, Thomas J.; Bilimoria, Karl Y.

In: Journal of the American College of Surgeons, Vol. 229, No. 6, 12.2019, p. 609-620.

Research output: Contribution to journalArticle

TY - JOUR

T1 - National Evaluation of Needlestick Events and Reporting Among Surgical Residents

AU - Yang, Anthony D.

AU - Quinn, Christopher M.

AU - Hewitt, D. Brock

AU - Chung, Jeanette W.

AU - Zembower, Teresa R.

AU - Jones, Andrew

AU - Buyske, Jo

AU - Hoyt, David B.

AU - Nasca, Thomas J.

AU - Bilimoria, Karl Y.

PY - 2019/12

Y1 - 2019/12

N2 - Background: Needlestick injuries pose significant health hazards; however, the nationwide frequency of needlesticks and reporting practices among surgical residents are unknown. The objectives of this study were to examine the rate and circumstances of self-reported needlestick events in US surgery residents, assess factors associated with needlestick injuries, evaluate reporting practices, and identify reporting barriers. Study Design: A survey administered after the American Board of Surgery In-Training Examination (January 2017) asked surgical residents how many times they experienced a needlestick during the last 6 months, circumstances of the most recent event, and reporting practices and barriers. Factors associated with needlestick events were examined using multivariable hierarchical regression models. Results: Among 7,395 resident survey respondents from all 260 US general surgery residency programs (99.3% response rate), 27.7% (n = 2,051) noted experiencing a needlestick event in the last 6 months. Most events occurred in the operating room (77.5%) and involved residents sticking themselves (76.2%), mostly with solid needles (84.7%). Self-reported factors underlying needlestick events included residents' own carelessness (48.8%) and feeling rushed (31.3%). Resident-level factors associated with self-reported needlestick events included senior residents (PGY5 29.9% vs PGY1 22.4%; odds ratio 1.66; 95% CI 1.41 to 1.96), female sex (31.9% vs male 25.2%; odds ratio 1.31; 95% CI 1.18 to 1.46), or frequently working more than 80 hours per week (odds ratio 1.42; 95% CI 1.20 to 1.68). More than one-fourth (28.7%) of residents did not report the needlestick event to employee health. Conclusions: In this comprehensive national survey of surgical residents, needlesticks occurred frequently. Many needlestick events were not reported and numerous reporting barriers exist. These findings offer guidance in identifying opportunities to reduce needlesticks and encourage reporting of these potentially preventable injuries among trainees.

AB - Background: Needlestick injuries pose significant health hazards; however, the nationwide frequency of needlesticks and reporting practices among surgical residents are unknown. The objectives of this study were to examine the rate and circumstances of self-reported needlestick events in US surgery residents, assess factors associated with needlestick injuries, evaluate reporting practices, and identify reporting barriers. Study Design: A survey administered after the American Board of Surgery In-Training Examination (January 2017) asked surgical residents how many times they experienced a needlestick during the last 6 months, circumstances of the most recent event, and reporting practices and barriers. Factors associated with needlestick events were examined using multivariable hierarchical regression models. Results: Among 7,395 resident survey respondents from all 260 US general surgery residency programs (99.3% response rate), 27.7% (n = 2,051) noted experiencing a needlestick event in the last 6 months. Most events occurred in the operating room (77.5%) and involved residents sticking themselves (76.2%), mostly with solid needles (84.7%). Self-reported factors underlying needlestick events included residents' own carelessness (48.8%) and feeling rushed (31.3%). Resident-level factors associated with self-reported needlestick events included senior residents (PGY5 29.9% vs PGY1 22.4%; odds ratio 1.66; 95% CI 1.41 to 1.96), female sex (31.9% vs male 25.2%; odds ratio 1.31; 95% CI 1.18 to 1.46), or frequently working more than 80 hours per week (odds ratio 1.42; 95% CI 1.20 to 1.68). More than one-fourth (28.7%) of residents did not report the needlestick event to employee health. Conclusions: In this comprehensive national survey of surgical residents, needlesticks occurred frequently. Many needlestick events were not reported and numerous reporting barriers exist. These findings offer guidance in identifying opportunities to reduce needlesticks and encourage reporting of these potentially preventable injuries among trainees.

UR - http://www.scopus.com/inward/record.url?scp=85074508510&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074508510&partnerID=8YFLogxK

U2 - 10.1016/j.jamcollsurg.2019.09.001

DO - 10.1016/j.jamcollsurg.2019.09.001

M3 - Article

C2 - 31541698

AN - SCOPUS:85074508510

VL - 229

SP - 609

EP - 620

JO - Journal of the American College of Surgeons

JF - Journal of the American College of Surgeons

SN - 1072-7515

IS - 6

ER -