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
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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
Why EXPO-S.T.O.P. Survey? Exposures continue Provide a nationwide database AOHP EXPO-STOP national survey commenced to raise awareness EXPO-STOP 2011 1 EXPO-STOP 2012 2 EXPO-STOP 2013 & 2014 3 EXPO-STOP 2015 4 (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): 52-57 (3) Brown C, Dally M, Grimmond T & Good L. Journal of the Association of Occupational Health Professionals in Healthcare (Winter Issue) 2016; 36(1): 37-42 (4) Good L & Grimmond T. Journal of the Association of Occupational Health Professional in Healthcare (Winter Issue) 2017; 37(1): 23-27 (5) Grimmond T & Good L. American Journal of Infection Control (Accepted for publication) 2017
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
Using Occ Beds gives Significant SI increase 2001 2015 40 EPINet MassDPH SI Per 100 30 20 22.2 EXPO-STOP 20.2 25.2 ADC 10 0 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
Sharps Injury Rates per FTE 5.0 4.4 SI per 100 FTE 4.0 3.0 2.0 2.7-38% 1.9 2.2 2.1-22% 1.0 0.0 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
EXPO-S.T.O.P 2011-2016 Total Responses Nonhospitals Hospitals Hospital size range (ADC) Number US states 2011 116 0 125 6-975 29 2012 125 14 157 5-985 32 2013 100 12 94 1-984 28 2014 100 12 94 1-984 28 2015 182 41 182 1-924 38 2016 159 11 160 1-898 38
EXPO-STOP Sharps Injury Trends SI Rates in hospitals 2011 2012 2014 2015 2016 SI/100 Occupied Beds 24.0 28.2 33.0 25.2 27.8 Non-teaching hospitals 17.8 22.5 24.0 17.5 17.3 Teaching hospitals 27.4 31.4 35.5 30.4 33.7 SI/100 FTE 1.9 2.2 2.8 2.1 2.6 Nurse SI/100 Nurse FTE N/Av 3.3 4.1 3.2 3.3 SI/100 Adjust Patient Days 0.53 0.43 0.46 0.36 0.47
EXPO-STOP Annual Trends: Who gets stuck? 2011 2012 2013 2014 2015 2016 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%
EXPO-STOP Annual Trends: Mucocutaneous 2011 2012 2013 2014 2015 2016 MC/100 Occupied Beds 9 10.1 12.9 12.3 10.5 10.7 Non-teaching hospitals 7.1 9.8 10.8 10.5 8.6 6.6 Teaching hospitals 10.1 10.5 13.5 12.8 11.7 13.0 MC/100 FTE 0.69 0.76 0.92 0.97 0.86 0.94 MC/1000 Adj Patient Days 0.2 0.15 0.22 0.21 0.14 0.15
2016 EXPO-STOP SI rate 5.0 4.4 4.0 SI per 100 FTE 3.0 2.0 2.7 1.9 2.2 2.1 2.6 1.0 0.0 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16
Top 5 Exposure Safe Hospitals - 2016 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
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
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