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Prevention of needle-stick injury by the scooping-resheathing method

โœ Scribed by Paul Froom; Estela Kristal-Boneh; Samuel Melamed; Avi Shalom; Joseph Ribak


Book ID
101239837
Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
73 KB
Volume
34
Category
Article
ISSN
0271-3586

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โœฆ Synopsis


Background:

The objective of this study was to determine the effects of teaching the scooping-resheathing method on the incidence of needle-stick injuries in medical students.

Methods:

Before starting their first clerkship, 81 medical students were given a 15-min lecture on the high incidence and dangers of needle-stick injuries and a demonstration of the scooping-resheathing method. the number of needle-stick injuries that occurred during the 3-month clerkship was compared with the number reported by 86 medical students who had completed their first clerkship 1 year previously and had not been given such instruction.

Results:

Compared with controls, the study group had a 3.8-fold lower risk of needle-stick injury (95% confidence interval, 2.0-7.4, p < 0.0001) and a 8.3-fold lower risk of multiple needle-stick injuries (95% confidence interval, 2.0-35.0, p < 0.001). those in the study group, who consistently used the scooping method had a much lower risk of injury than those who did not (1 of 36 [2.8%] vs. 8 of 45 [17.4%], p = 0.039).

Conclusions:

We conclude that a lecture recommending the scooping-resheathing method is effective in reducing the risk of needle-stick injuries in medical students during their first rotation. because this is the first time that an intervention not requiring change in equipment has been successful, further studies are warranted to substantiate our findings and for extrapolation to other medical personnel in other cultural settings.


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