{"title":"实施安全电子形式的血源性病原体暴露报告与增加报告在医护人员：一项准实验研究。","authors":"Erin Bammann MD , Himgauri Nikrad MHI, BSN, RN, CIC , Deborah Aragon MSPH, CIC , Heather Young MD","doi":"10.1016/j.ajic.2025.03.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Bloodborne pathogen exposures (BBPEs) are an ongoing health hazard among health care employees and are often underreported. Prior studies have revealed that BBPEs may be underreported due to challenges related to the reporting process.</div></div><div><h3>Methods</h3><div>This quasi-experimental study was completed using data from the Denver Health and Hospital Authority. BBPE reporting was compared before and after the implementation of a self-reported secure electronic form (SELF) reporting system. The primary outcome was the number of monthly BBPE reports. The secondary outcomes were nurse triage line call volume and proportion of cases referred for urgent evaluation.</div></div><div><h3>Results</h3><div>The mean number of monthly BBPE reports increased by 9.5 (<em>P</em> = .001, 95% CI 6.23, 12.54), the mean number of monthly nurse triage line calls decreased from 7 to 23 (<em>P</em> < .001, 95% CI 14.39, 19.22), and referral for urgent evaluation decreased by 61.8% (<em>P</em> < .001, df = 1) between the preintervention and postintervention periods.</div></div><div><h3>Conclusions</h3><div>Implementing a SELF may help capture a greater number of BBPE reports in large health care systems compared with a nurse triage system alone. Additionally, SELFs allow for the acquisition of additional descriptive information about BBPEs and may help reduce unnecessary emergency department utilization.</div></div>","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":"53 8","pages":"Pages 869-874"},"PeriodicalIF":2.6000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Implementation of a secure electronic form for bloodborne pathogen exposure reporting associated with increased reports among healthcare workers: A quasi-experimental study\",\"authors\":\"Erin Bammann MD , Himgauri Nikrad MHI, BSN, RN, CIC , Deborah Aragon MSPH, CIC , Heather Young MD\",\"doi\":\"10.1016/j.ajic.2025.03.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Bloodborne pathogen exposures (BBPEs) are an ongoing health hazard among health care employees and are often underreported. Prior studies have revealed that BBPEs may be underreported due to challenges related to the reporting process.</div></div><div><h3>Methods</h3><div>This quasi-experimental study was completed using data from the Denver Health and Hospital Authority. BBPE reporting was compared before and after the implementation of a self-reported secure electronic form (SELF) reporting system. The primary outcome was the number of monthly BBPE reports. The secondary outcomes were nurse triage line call volume and proportion of cases referred for urgent evaluation.</div></div><div><h3>Results</h3><div>The mean number of monthly BBPE reports increased by 9.5 (<em>P</em> = .001, 95% CI 6.23, 12.54), the mean number of monthly nurse triage line calls decreased from 7 to 23 (<em>P</em> < .001, 95% CI 14.39, 19.22), and referral for urgent evaluation decreased by 61.8% (<em>P</em> < .001, df = 1) between the preintervention and postintervention periods.</div></div><div><h3>Conclusions</h3><div>Implementing a SELF may help capture a greater number of BBPE reports in large health care systems compared with a nurse triage system alone. 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引用次数: 0
摘要
背景：血源性病原体暴露（BBPEs）是医护人员中持续存在的健康危害，并且经常被低估。先前的研究表明，由于报告过程中的挑战，bbpe可能被低估了。方法：本准实验研究使用丹佛卫生和医院管理局（DHHA）的数据完成。比较实施自我报告安全电子表格（SELF）报告系统前后BBPE报告发生率。主要结果是每月BBPE报告的发生率。次要结果是护士分诊线呼叫量和转介进行紧急医疗保健评估的病例比例。结果：干预前和干预后，BBPE报告的平均数量每月增加9.5例（p = 0.001, 95% CI 6.23, 12.54），护士分类电话的平均数量从每月23例减少到7例（p < 0.001, 95% CI 14.39, 19.22），紧急医疗保健评估的转诊减少了61.8% （p < 0.001, df = 1）。结论：与单独的护士分诊系统相比，在大型医疗保健系统中实施SELF可能有助于捕获更多的BBPE报告。此外，self允许获取有关BBPE的额外描述性信息，这些信息可用于在规划层面上通知未来的BBPE预防。
Implementation of a secure electronic form for bloodborne pathogen exposure reporting associated with increased reports among healthcare workers: A quasi-experimental study
Background
Bloodborne pathogen exposures (BBPEs) are an ongoing health hazard among health care employees and are often underreported. Prior studies have revealed that BBPEs may be underreported due to challenges related to the reporting process.
Methods
This quasi-experimental study was completed using data from the Denver Health and Hospital Authority. BBPE reporting was compared before and after the implementation of a self-reported secure electronic form (SELF) reporting system. The primary outcome was the number of monthly BBPE reports. The secondary outcomes were nurse triage line call volume and proportion of cases referred for urgent evaluation.
Results
The mean number of monthly BBPE reports increased by 9.5 (P = .001, 95% CI 6.23, 12.54), the mean number of monthly nurse triage line calls decreased from 7 to 23 (P < .001, 95% CI 14.39, 19.22), and referral for urgent evaluation decreased by 61.8% (P < .001, df = 1) between the preintervention and postintervention periods.
Conclusions
Implementing a SELF may help capture a greater number of BBPE reports in large health care systems compared with a nurse triage system alone. Additionally, SELFs allow for the acquisition of additional descriptive information about BBPEs and may help reduce unnecessary emergency department utilization.
期刊介绍：
AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)
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