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The national study to prevent blood exposure in paramedics: exposure reporting.

Authors
Boal-WL; Leiss-JK; Sousa-S; Lyden-JT; Li-J; Jagger-J
Source
Am J Ind Med 2008 Mar; 51(3):213-222
NIOSHTIC No.
20033405
Abstract
Background: This survey was conducted to provide national incidence rates and risk factors for exposure to blood among paramedics. The present analysis assesses reporting of exposures to employers. Methods: A questionnaire was mailed in 2002-2003 to a national sample of paramedics selected using a two-stage design. Information on exposure reporting was obtained on the two most recent exposures for each of five routes of exposure. Results: Forty-nine percent of all exposures to blood and 72% of needlesticks were reported to employers. The main reason for under-reporting was not considering the exposure a "significant risk." Females reported significantly more total exposures than males. Reporting of needlesticks was significantly less common among respondents who believed most needlesticks were due to circumstances under the worker's control. Reporting was non-significantly more common among workers who believed reporting exposures helps management prevent future exposures. Reporting may have been positively associated with workplace safety culture. Conclusions: This survey indicates there is need to improve the reporting of blood exposures by paramedics to their employers, and more work is needed to understand the reasons for under-reporting. Gender, safety culture, perception of risk, and other personal attitudes may all affect reporting behavior.
Keywords
Health-care-personnel; Demographic-characteristics; Occupational-exposure; Occupational-health; Questionnaires; Paramedical-services; Exposure-levels; Emergency-responders; Bloodborne-pathogens; Needlestick-injuries; Workplace-monitoring; Workplace-studies; Work-environment; Work-operations; Work-practices; Risk-factors; Surveillance-programs
Contact
WL Boal, NIOSH, Div Surveillance Hazard Evaluat & Field Studi, Surveillance Branch, 4676 Columbia Pkway,R-17, Cincinnati, OH 45226
CODEN
AJIMD8
Publication Date
20080301
Document Type
Journal Article
Email Address
wboal@cdc.gov
Funding Type
Cooperative Agreement
Fiscal Year
2008
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U01-OH-004266
Issue of Publication
3
ISSN
0271-3586
NIOSH Division
DSHEFS
Source Name
American Journal of Industrial Medicine
State
OH; NC
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