EXPO-S.T.O.P Exposure Benchmark Research Update 2017C004. Terry Grimmond FASM, BAgrSc, GrDpAdEd and Linda Good, PhD, RN, COHN-S

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1 EXPO-S.T.O.P 2016 Exposure Benchmark Research Update 2017C004 Terry Grimmond FASM, BAgrSc, GrDpAdEd and Linda Good, PhD, RN, COHN-S AOHP National Conference, Denver, Colorado Sept 9 th 2017

2 Disclosure: In accordance with the policies on disclosure of the Accreditation Council for the American Nurses Credentialing Center s Commission on Accreditation (ANCC), the American Academy of Family Physicians (AAFP), The Commission for Case Manager Certification (CCMC), all planner and presenters for this conference have been asked and are expected to identify whether they do or do not have any real or apparent conflict(s) of interest or other relationships related to the content of their presentations(s). Conflicts of Interest A conflict of interest occurs when an individual has an opportunity to affect educational content about health-care products or services of a commercial company with which he/she has a financial, professionals, or personal relationship. DISCLAIMER Association of Occupational Health Professionals in Healthcare (AOHP) acknowledges the operational requirements of credentialing organizations. The sponsors of continuing education activities and the presenter(s) at these activities disclose significant relationships with commercial companies whose products or services are discussed in educational presentations. Disclosure of a relationship is not intended to suggest or condone bias in any presentation, but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. All presenters have completed a Faculty Disclosure Form to AOHP. Presenter(s) will deliver a disclosure statement indicating if they have any commercial affiliation to the audience. The information presented at this conference represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the Association of Occupational Professionals in Healthcare (AOHP). Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with accreditation/regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information. Association of Occupational Health Professionals in Healthcare is an accredited provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

3 Learning Objectives 1. Identify historic trends in bloodborne pathogen exposure incidence 2. Present 2016 EXPO-S.T.O.P.* Results *Exposure Survey of Trends in Occupational Practice 3. Discuss future direction in exposure prevention

4 Why EXPO-S.T.O.P. Survey? Exposures continue Provide a nationwide database AOHP EXPO-STOP national survey commenced to raise awareness EXPO-STOP EXPO-STOP EXPO-STOP 2013 & EXPO-STOP (1) Grimmond T & Good L. Journal of the Association of Occupational Health Professionals in Healthcare (Fall Issue) 2013;33(4):31-36 (2) Grimmond T & Good L. Journal of the Association of Occupational Health Professionals in Healthcare (Spring Issue) 2015; 35(2): (3) Brown C, Dally M, Grimmond T & Good L. Journal of the Association of Occupational Health Professionals in Healthcare (Winter Issue) 2016; 36(1): (4) Good L & Grimmond T. Journal of the Association of Occupational Health Professional in Healthcare (Winter Issue) 2017; 37(1): (5) Grimmond T & Good L. American Journal of Infection Control (Accepted for publication) 2017

5 Learning Objectives 1. Identify historic trends in bloodborne pathogen exposure incidence 2. Present 2016 EXPO-S.T.O.P.* Results *Exposure Survey of Trends in Occupational Practice 3. Discuss examples of prevention Best Practices

6 Using Occ Beds gives Significant SI increase EPINet MassDPH SI Per EXPO-STOP ADC

7 Sharps Injury Rates per FTE SI per 100 FTE % %

8 EXPO-S.T.O.P Total Responses Nonhospitals Hospitals Hospital size range (ADC) Number US states

9 EXPO-STOP Sharps Injury Trends SI Rates in hospitals SI/100 Occupied Beds Non-teaching hospitals Teaching hospitals SI/100 FTE Nurse SI/100 Nurse FTE N/Av SI/100 Adjust Patient Days

10 EXPO-STOP Annual Trends: Who gets stuck? Nurse SI as % of Total SI Doctor SI as % of Total SI Surgery SI as % of Total SI N/Av 41.80% 41.50% 44.40% 45.60% 36.1% N/Av 35.50% 33.20% 34.50% 32.30% 33.1% 37.20% 43.90% 40.70% 43.00% 38.30% 37.6%

11 EXPO-STOP Annual Trends: Mucocutaneous MC/100 Occupied Beds Non-teaching hospitals Teaching hospitals MC/100 FTE MC/1000 Adj Patient Days

12 2016 EXPO-STOP SI rate SI per 100 FTE

13 Top 5 Exposure Safe Hospitals Teaching Santa Barbara CH CA National Jewish CO Excela Health PA Good Shepherd OR Children of Kings D. VA Non-Teaching Genesis Health NY John Muir Health CA Spartanburg RHS SC Calvary Hospital NY Sharp Health CA

14 Learning Objectives 1. Identify historic trends in bloodborne pathogen exposure incidence 2. Present 2015 EXPO-S.T.O.P.* Results 3. Discuss future direction in exposure prevention

15 Future Directions in Exposure Prevention. Decreasing number of survey Q s (more responses) Eliminating APD denominator Publishing results from non-hospital settings Partnering with others Keeping Exposures On the Radar Getting EXPO-STOP to more readers