Outcomes of the revised bloodborne pathogens standard in California.
NIOSH 2003 Sep; :1-10
Occupational exposure to bloodborne pathogens (BBP) is a major concern among healthcare workers and employers. In 1999, California made sweeping changes to its BBP standard specifically requiring employers to use safer sharps devices. Multiple outcomes related to this standard were evaluated including: 1) level of compliance with the standard; 2) nurses' perception of safety climate; 3) needlestick injury rates over time; and 4) an assessment of the costs of maintaining a BBP program. This study indicates that the implementation of the BBP standard in California seems to have had an effect on the rate of sharps injury in healthcare facilities when analyzed used multiple denominators. Most facilities appear to demonstrate a high degree of compliance with the major elements of the standard, but need to be more attentive to all aspects of the standard. Most nursing staff reported a high degree of satisfaction with the safety climate in their facilities, but these results must be interpreted cautiously due to the low response rate per facility and the cross-sectional nature of the data. Further analysis on the rate of injuries over time will be conducted through continued funding through the Centers for Disease Control and Prevention to the California Department of Health Services.
Bloodborne-pathogens; Health-care-personnel; Health-care-facilities; Infection-control; Infectious-diseases; Viral-diseases; Viral-infections; Standards; Nurses; Nursing
Marion Gillen, University of California, San Francisco, School of Nursing, Department of Community Health Systems, 2 Koret Way, Box 0608, San Francisco, CA 94143-0608
Final Grant Report
National Institute for Occupational Safety and Health
Department of Community Health Systems, School of Nursing, University of California San Francisco