Description

Sharps injury occur in surgeons and surgical residents, but getting the person to report the injury can be a difficult challenge. Makary et al identified factors associated with why a surgical resident may not report a needlestick injury. The authors are from Johns Hopkins University in Baltimore and Georgetown University in Washington, D.C..


 

Reasons given for not reporting the injury:

(1) The length of time involved (did not have the time).

(2) The resident did not perceive a reason to report it (what's the difference?)

(3) The resident did not want to know the results.

(4) The resident was concerned about possible stigma if reported (or having the event recorded in the training record).

 

Risk factors:

(1) male gender

(2) one of the following:

(2a) injury not observed by someone else

(2b) injury observed AND not told to report

(3) patient not considered to be high risk

(4) injury occurred in the operating room

 

Additional reasons that may affect decision:

(1) reporting inconvenient or office closed

(2) unfamiliar with reporting protocol

(3) exposure considered trivial (scratch, other)

(4) history of failing to report previous injuries

 


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