Aim How an appropriate safety syringe was chosen, how the change-over to it
was achieved and what outcome measures were used to measure the effectiven
ess of this change.
Introduction One third of all reported sharps injuries in dental practice a
re due to the use of non disposable dental syringes with most injuries bein
g sustained during removal and disposal of the disposable needle from the n
on-disposable syringe.
Method After evaluation of all available disposable safety syringes they we
re introduced into a dental school after appropriate education of all staff
and students. Risk management provided data on all reported needle-stick i
njuries in the dental school and a control unit using non disposable syring
es for a period of two years.
Results Avoidable needle stick injuries reduced from an average of 11.8 to
0 injuries per 1,000,000 hours worked per year as compared to a control uni
t who reduced their frequency from 26 to 20 injuries per 1,000,000 hours wo
rked. The cost of safety syringes is comparable to non-disposable syringes
but the reduction in cost of management of needle stick injuries including
the psychological effects are significant.
Conclusion Education plays a vitally important role in the effective implem
entation of the change to safety syringes which is advocated for all dentis
ts.