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Implementation of a secure electronic form for bloodborne pathogen exposure reporting associated with increased reports among healthcare workers: A quasi-experimental study - 11/07/25

Doi : 10.1016/j.ajic.2025.03.008 
Erin Bammann, MD a, , Himgauri Nikrad, MHI, BSN, RN, CIC b, Deborah Aragon, MSPH, CIC b, Heather Young, MD b, c
a Department of Occupational and Environmental Medicine, University of Colorado School of Medicine, Aurora, CO 
b Department of Patient Safety and Quality, Denver Health and Hospital Authority, Denver, CO 
c Department of Internal Medicine, University of Colorado School of Medicine, Aurora, CO 

Address correspondence to Erin Bammann, MD, Denver Health Medical Center, 660 Bannock St, MC 4000, Denver, CO 80204.Denver Health Medical Center660 Bannock St, MC 4000DenverCO80204

Resumen

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.

El texto completo de este artículo está disponible en PDF.

Highlights

A secure electronic form (SELF) is associated with increased bloodborne pathogen exposure (BBPE) reporting.
A SELF can be used to inform BBPE prevention.
A SELF can decrease the number of phone calls to a nurse triage line.
A SELF may be a beneficial adjunct to a nurse triage line for BBPE reporting.

El texto completo de este artículo está disponible en PDF.

Key Words : BBPE, Needlestick, Health care workers, Hospital workers, Sharps, Injury


Esquema


 Conflicts of interest: None to report.
 Funding/support: This publication was supported by the Mountain and Plains Education and Research Center, Grant T42OH009229, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services.


© 2025  Association for Professionals in Infection Control and Epidemiology, Inc.. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 53 - N° 8

P. 869-874 - août 2025 Regresar al número
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