Organizational safety culture/climate and worker compliance with hazardous drug guidelines: lessons from the blood-borne pathogen experience.
J Occup Environ Med. 2005 Jul;47(7):740-9.
Organizational safety culture/climate and worker compliance with hazardous drug guidelines: lessons from the blood-borne pathogen experience.
‘McDiarmid MA, Condon M.
Occupational Health Program, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. mmcdiarm@medicine.umaryland.edu’
BACKGROUND: The health risks posed to health care workers (HCW) handling antineoplastic and other hazardous drugs (HDs) are well established. However, despite nearly 20 years of professional practice standards, compliance with safe handling procedures is poor. METHOD: We present documentation of undercompliance with recommended safety procedures for HDs. Then, we examine a similar problem, HCW compliance with blood-borne pathogen universal precautions (UP) and its partial solution tied to the strength of a facility’s safety culture. Lessons learned here may be applicable to the HD issue. RESULTS: It is proposed that analyzing a facility’s safety culture may enlarge our understanding of the barriers contributing to HD under-compliance and suggest strategies to improve it. CONCLUSION: The Safety Culture paradigm offers many targets for intervention to enhance and promote worker compliance with safe HD handling practices thus mitigating internal exposure.
MeSH Terms: – Blood-Borne Pathogens* – Health Personnel* – Humans – Occupational Diseases/etiology – Occupational Diseases/prevention & control* – Practice Guidelines – Protective Clothing/utilization* – Safety/standards* – United States – United States O
Publication Types: Review
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