Assessing Needle-Stick Injury Risks in Healthcare Settings Using the Healthcare Failure Mode and Effect Analysis (HFMEA) Tool.

Q2 Medicine

Hospital Topics Pub Date : 2025-07-25 DOI:10.1080/00185868.2025.2536283

Rasika Joshi, Neha Ahire, Parag Rishipathak

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引用次数: 0

Abstract

Introduction: Healthcare workers (HCWs) are exposed to needle stick injuries (NSIs), putting them at risk of contracting diseases such as Hepatitis B (HB) and AIDS. This study aims to identify and assess the risk of injuries caused by needles and sharps among healthcare personnel in a tertiary care hospital in Pune, by application of healthcare failure mode and effect analysis (HFMEA) tool.

Aim and objectives: The study aims to assessing NSI risks in healthcare environments using the HFMEA tool.

Objectives: To identify the determinants of NSI using HFMEA as tool.To suggest necessary recommendations based on risk severity of failure modes.

Methods: The study utilizes retrospective data from the incidence reports of the hospital. A total of 25 incidence reported were included in the study during the period January 2022-March 2023. The collected data from incidence reports were analyzed using the HFMEA tool was used to identify failure modes for NSIs and assess risk priority numbers (RPNs) and understand severity.

Findings and analysis: Total 11 failure modes scored high scored RPN. Failure mode with RPN more than 200 was selected for intervention to prevent NSIs. Reasons for NS injuries were found to be recapping, not discarding sharp immediately after procedure, transferring sharp from one person to another and casual attitudes.

Conclusion: HFMEA as a tool is effective and can be used to prevent NSI. Continuous education and training programs on the safe handling of needles would help prevent NSIs in the hospitals.

查看原文本刊更多论文

使用医疗保健失败模式和效果分析（HFMEA）工具评估医疗保健环境中的针刺伤害风险。

卫生保健工作者（HCWs）暴露于针头刺伤（nsi），使他们面临感染乙型肝炎（HB）和艾滋病等疾病的风险。本研究旨在通过应用医疗失效模式和效果分析（HFMEA）工具，识别和评估浦那一家三级护理医院医护人员因针头和利器造成的伤害风险。目的和目的：本研究旨在使用HFMEA工具评估医疗环境中的自伤风险。目的：以HFMEA为工具确定自伤的决定因素。根据故障模式的风险严重程度提出必要的建议。方法：本研究采用该医院发病率报告的回顾性资料。在2022年1月至2023年3月期间，共有25例报告的发病率纳入了研究。从发生率报告中收集的数据使用HFMEA工具进行分析，用于识别nsi的失效模式，评估风险优先级数（rpn）并了解严重程度。结果与分析：共有11种失效模式的RPN得分较高。选择RPN大于200的失效模式进行干预，预防nsi。NS损伤的原因被发现是重盖，手术后没有立即丢弃利器，将利器从一个人转移到另一个人以及随意的态度。结论：HFMEA作为一种工具是有效的，可以用来预防自伤。关于安全处理针头的持续教育和培训计划将有助于预防医院的nsi。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hospital Topics Medicine-Medicine (all)

CiteScore

1.90

自引率

0.00%

发文量

期刊介绍： Hospital Topics is the longest continuously published healthcare journal in the United States. Since 1922, Hospital Topics has provided healthcare professionals with research they can apply to improve the quality of access, management, and delivery of healthcare. Dedicated to those who bring healthcare to the public, Hospital Topics spans the whole spectrum of healthcare issues including, but not limited to information systems, fatigue management, medication errors, nursing compensation, midwifery, job satisfaction among managers, team building, and bringing primary care to rural areas. Through articles on theory, applied research, and practice, Hospital Topics addresses the central concerns of today"s healthcare professional and leader.