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Needle-Stick Injuries in Ophthalmic Practice
Abdulrahman Alfarhan1, Samar Al-Swailem2,3, Mohannad Alobaid4
1Fellowship and Residency Training Program, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Risk Management and Healthcare Policy
|August 29, 2023
Summary
Needle-stick injuries (NSI) are a risk in eye care, with most incidents occurring in operating rooms. Continuous staff education and policy updates are crucial for preventing sharp injuries in ophthalmic practice.
Area of Science:
- Ophthalmology
- Occupational Health & Safety
Background:
- Needle-stick injuries (NSI) pose a significant risk for transmitting blood-borne infections.
- Ophthalmic practice's microsurgical nature increases the likelihood of sharp injuries among healthcare professionals.
Purpose of the Study:
- To determine the epidemiological characteristics of needle-stick injuries in a tertiary eye center.
- To assess the effectiveness of existing safety policies in preventing sharp injuries within the ophthalmic setting.
Main Methods:
- A retrospective cross-sectional study analyzed sharp injury incidents reported between 2013 and 2021 at King Khalid Eye Specialist Hospital (KKESH).
- Data collected included injury mechanisms, context, location, and type of prick.
- An institution-based survey of ophthalmic staff was also conducted.
Main Results:
- A total of 201 sharp injury incidents were reported over 9 years.
- Physicians accounted for 46.8% of injuries, followed by nurses (40.8%) and ophthalmic technicians (7%).
- Operating and treatment rooms were the most common locations for incidents (60.7%).
Conclusions:
- Sharp injuries in ophthalmic settings are frequently sustained by staff in operating rooms.
- Continuous staff education on handling sharp instruments is vital.
- Encouraging anonymous reporting and regularly updating safety guidelines are essential for reducing sharp injuries.

