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A Model-Based Product Evaluation Protocol for Comparison of Safety-Engineered Protection Mechanisms of Winged Blood Collection Needles

Published online by Cambridge University Press:  12 February 2016

C. Haupt ,
J. Spaeth ,
T. Ahne ,
U. Goebel  and
D. Steinmann
C. Haupt
Affiliation:
Occupational Medical Service, University Medical Center Freiburg, Freiburg, Germany
J. Spaeth
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Freiburg, Freiburg, Germany
T. Ahne
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Freiburg, Freiburg, Germany
U. Goebel
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Freiburg, Freiburg, Germany
D. Steinmann*
Affiliation:
Occupational Medical Service, University Medical Center Freiburg, Freiburg, Germany
*
Address correspondence to Daniel Steinmann, MD, Occupational Medical Service, University Medical Center Freiburg, Berliner Allee 6, D-79110 Freiburg, Germany ([email protected]).
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Abstract

OBJECTIVE

To evaluate differences in product characteristics and user preferences of safety-engineered protection mechanisms of winged blood collection needles.

DESIGN

Randomized model-based simulation study.

SETTING

University medical center.

PARTICIPANTS

A total of 33 third-year medical students.

METHODS

Venipuncture was performed using winged blood collection needles with 4 different safety mechanisms: (a) Venofix Safety, (b) BD Vacutainer Push Button, (c) Safety-Multifly, and (d) Surshield Surflo. Each needle type was used in 3 consecutive tries: there was an uninstructed first handling, then instructions were given according to the operating manual; subsequently, a first trial and second trial were conducted. Study end points included successful activation, activation time, single-handed activation, correct activation, possible risk of needlestick injury, possibility of deactivation, and preferred safety mechanism.

RESULTS

The overall successful activation rate during the second trial was equal for all 4 devices (94%–100%). Median activation time was (a) 7 s, (b) 2 s, (c) 9 s, and (d) 7 s. Single-handed activation during the second trial was (a) 18%, (b) 82%, (c) 15%, and (d) 45%. Correct activation during the second trial was (a) 3%, (b) 64%, (c) 15%, and (d) 39%. Possible risk of needlestick injury during the second trial was highest with (d). Possibility of deactivation was (a) 0%, (b) 12%, (c) 9%, and (d) 18%. Individual preferences for each system were (a) 11, (b) 17, (c) 5, and (d) 0. The main reason for preference was the comprehensive safety mechanism.

CONCLUSION

Significant differences exist between safety mechanisms of winged blood collection needles.

Infect Control Hosp Epidemiol 2016;37:505–511

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 5 , May 2016 , pp. 505 - 511
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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