20.500.12556/DiRROS-29092 The effectiveness of intervention to reduce blood-borne pathogen exposure incidents in healthcare workers in the largest clinical setting in Slovenia Učinkovitost intervencij za zmanjševanje izpostavljenosti s krvjo prenosljivh patogenov pri zdravstvenih delavcih v največji klinični ustanovi v Sloveniji Aim: Aimed at evaluating the effectiveness of intensified organised training programmes introduced in 2016 and 2017 for raising awareness of the problem of blood-borne incidents (BBIs), the objective was to analyse the incidence of reported BBIs (RBBI) over a 15-year period in different groups of healthcare workers (HCWs) employed at the University Medical Centre in Ljubljana (UMCL). Methods: All UMCL incidents that occurred and were reported from 1 January 2008 to 31 December 2022 were included in the study. The entire period was divided into two observation periods, 2008-2017 and 2017-2022. For testing a linear trend, whenever applicable a piecewise/segmented linear regression was applied, with the year 2017 as a break-point. Results: In the 2008–2017 period, the trend of annual incidence risk was mostly on the increase. The increase was statistically significant in medical doctors (MDs) and dental medicine doctors (DMDs) (p<0.001) as well as in other occupational groups (p=0.015). In the 2017-2022 period, the decrease was statistically significant in females (p=0.011), in MDs and DMDs (p=0.007), in nurses (p=0.021) and in HCWs in the Surgery Division (p=0.023). Conclusion: The results of the present study suggest that measures introduced in the UMCL were partially effective. The findings could serve as a basis for the development of improved programmes for better prevention, reporting and reducing the consequences of blood-borne pathogen exposure incidents among HCWs not only in Slovenia, but also worldwide. Namen: Z namenom ovrednotenja učinkovitosti programov organiziranega usposabljanja za ozaveščanje o problemu incidentov s krvjo prenosljivimi patogeni, izvedenih v letih 2016 in 2017, je bil cilj analizirati pojavnost prijavljenih incidentov v 15-letnem obdobju pri različnih skupinah zdravstvenih delavcev (ZD), zaposlenih v Univerzitetnem kliničnem centru Ljubljana (UKCL). Metode: V študijo so bili vključeni vsi incidenti v UKCL, ki so se zgodili in bili prijavljeni od 1. januarja 2008 do 31. decembra 2022. Celotno obdobje je bilo razdeljeno na dve opazovani obdobji, in sicer 2008–2017 in 2017–2022. Za testiranje linearnega trenda je bila, kjer je to bilo možno, uporabljena segmentirana linearna regresija z letom 2017 kot mejno točko. Rezultati: V obdobju 2008–2017 je trend letnega pojavnega tveganja incidentov večinoma naraščal. Povečevanje tveganja je bilo statistično značilno v skupini zdravnikov in zobozdravnikov (p < 0,001) in v mešani skupini zdravstvenih delavcev (p = 0,015). V obdobju 2017–2022 je bilo zmanjševanje trenda statistično značilno pri ženskah (p = 0,011), v skupini zdravnikov in zobozdravnikov (p = 0,007), v skupini medicinskih sester (p = 0,021) in pri ZD na kirurškem oddelku (p = 0,023). Zaključek: Rezultati te študije kažejo, da so bili ukrepi, uvedeni v UKCL, v nekaterih skupinah ZD učinkoviti. Ugotovitve bi lahko služile kot osnova za razvoj izboljšanih programov za boljše preprečevanje, poročanje in zmanjševanje posledic izpostavljenosti s krvjo prenosljivim patogenom med ZD tako v UKCL kot tudi v drugih podobnih ustanovah v Sloveniji in izven nje occupational incidents sharps large clinical setting nezgode pri delu ostri predmeti velike zdravstvene ustanove true false true Angleški jezik Slovenski jezik Neznano 2026-04-20 14:43:25 2026-04-20 14:43:26 2026-04-21 04:15:27 0000-00-00 00:00:00 2025 0 0 Besedilo v angl.; str. 73-84 št. 2 Letn. 64 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 614 0351-0026 10.2478/sjph-2025-0010 228163075 RAZ_Sestan_Nevenka_2025.pdf RAZ_Sestan_Nevenka_2025.pdf 1 F5964B54044DD7EDDC2D7D9A92E5F5BE 32188aa61801ba82015b5ffc28608427d36152d574fd35a87c68c34d664062ea a196fad6-3cb6-11f1-92e1-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=43461 https://sciendo.com/article/10.2478/sjph-2025-0010 1 88df208a-3cb6-11f1-92e1-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=43460 Univerzitetni klinični center Ljubljana 0 0 0