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Identification of Risk Factors For Body Substance Exposures. Data at a Multi-Site Hospital System. Copyright 2000 by Elizabeth Aton. Body Substance Exposure Risk Factors. Elizabeth Aton M.S. Victoria Fraser M.D. Washington University School of Medicine (Saint Louis, MO).

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identification of risk factors for body substance exposures

Identification of Risk Factors For Body Substance Exposures

Data at a Multi-Site Hospital System

Copyright2000 by Elizabeth Aton

body substance exposure risk factors
Body Substance Exposure Risk Factors
  • Elizabeth Aton M.S.
  • Victoria Fraser M.D.
  • Washington University School of Medicine (Saint Louis, MO)
slide4
Barnes-Jewish Hospital
  • Teaching hospital
  • U.S. Top Ten
  • Urban setting
slide5
Christian Hospitals
  • Suburban setting
slide9
Large Hospitals = 4.6 Employees/Licensed Bed (Range 4.3--4.8)
  • Smaller Hospitals = 4.5 Employees/Licensed Bed (Range 2.2--7.2)
bse section of oh database expanded in 1996
BSE Section of OH Database Expanded in 1996
  • Other BJC Sites
  • “Phase-In” Challenges
bse database caveats
BSE Database Caveats
  • Under-reporting of BSEs by employees
  • Differing levels of facility with coding and database entry
  • OHN concerns
large hospital data set
Large Hospital Data Set
  • 1st six calendar quarters of database collection
  • 1,127 BSEs
  • Cumulative Quarterly Rate = 6.07 BSEs/100 worker years
bse exposure risk factors unsafe condition
BSE Exposure Risk Factors--Unsafe Condition?
  • 50.9% coded as  1 unsafe condition
  • Most common (19.1%) unsafe condition was sharp in improper place
  • 8.2% were agitated patient
  • 5.3% were equipment failure
bse exposure risk factors unsafe action
BSE Exposure Risk Factors--Unsafe Action?
  • 80.5% coded as  1 unsafe action
  • Most common (36.8%) unsafe action was inattention to surroundings or activity
  • 20.1% were placement of sharp in improper place
  • 12.2% were failure to use, or use of inappropriate PPE
bse exposure assessment interpretations
BSE Exposure AssessmentInterpretations
  • Larger hospitals in the BJC System may have BSE risks different from smaller hospitals
  • There is little difference in BSE rates among larger BJC hospitals during this study period
bse exposure assessment interpretations1
BSE Exposure AssessmentInterpretations
  • Continuing study of the data is indicated, to assess success of intervention strategies
  • Impediments to under-reporting must be managed
  • Impediments to data collection must be managed
bse exposure assessment next actions
BSE Exposure AssessmentNext Actions
  • Secure OHN collaboration
  • Database aggregation modifications to be done by consensus
  • Further stratification of data, for root cause analysis
  • Adding cost-center productive hours, to create true rate-based indicators