Compliance with universal precautions among physicians

Andrej Michalsen, George L. Delclos, Sarah A. Felknor, Anthony L. Davidson, Philip C. Johnson, Donald Vesley, Lawrence R. Murphy, Gabor D. Kelen, Robyn Gershon

Research output: Contribution to journalArticle

Abstract

This should characterized and assessed self-reported levels of compliance with universal precautions (UP) among hospital-based physicians, and determined significant factors associated with both compliance and noncompliance. The physicians (n = 322) were a subgroup of a larger study population of hospital-based health care workers recruited from three geographically distinct locations (n = 1746), and were surveyed using a detailed confidential questionnaire that assessed personal, work-related, and organizational factors. Compliance with UP was measured through 11 items that examined how often physicians followed specific recommended work practices. Compliance was found to vary among the 11 items: they were high for certain activities (eg, glove use, 94%; disposal of sharps, 92%) and low for others (eg, wearing protective clothing, 55%; not recapping needles, 56%). Compliance with all items was low (31% to 38%). Stepwise logistic regression revealed that noncompliant physicians were likely to be age 37 or older, to report high work stress, and to perceive a conflict of interest between providing patient care and protecting themselves. Compliant physicians were more likely to be knowledgeable and to have been trained in universal precautions, to perceive protective measures as being effective, and to perceive an organizational commitment to safety.

Original languageEnglish (US)
Pages (from-to)130-137
Number of pages8
JournalJournal of Occupational and Environmental Medicine
Volume39
Issue number2
DOIs
StatePublished - Feb 1 1997

Fingerprint

Universal Precautions
Physicians
Compliance
Protective Clothing
Conflict of Interest
Needles
Patient Care
Logistic Models
Delivery of Health Care
Safety
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Michalsen, A., Delclos, G. L., Felknor, S. A., Davidson, A. L., Johnson, P. C., Vesley, D., ... Gershon, R. (1997). Compliance with universal precautions among physicians. Journal of Occupational and Environmental Medicine, 39(2), 130-137. https://doi.org/10.1097/00043764-199702000-00010

Compliance with universal precautions among physicians. / Michalsen, Andrej; Delclos, George L.; Felknor, Sarah A.; Davidson, Anthony L.; Johnson, Philip C.; Vesley, Donald; Murphy, Lawrence R.; Kelen, Gabor D.; Gershon, Robyn.

In: Journal of Occupational and Environmental Medicine, Vol. 39, No. 2, 01.02.1997, p. 130-137.

Research output: Contribution to journalArticle

Michalsen, A, Delclos, GL, Felknor, SA, Davidson, AL, Johnson, PC, Vesley, D, Murphy, LR, Kelen, GD & Gershon, R 1997, 'Compliance with universal precautions among physicians', Journal of Occupational and Environmental Medicine, vol. 39, no. 2, pp. 130-137. https://doi.org/10.1097/00043764-199702000-00010
Michalsen A, Delclos GL, Felknor SA, Davidson AL, Johnson PC, Vesley D et al. Compliance with universal precautions among physicians. Journal of Occupational and Environmental Medicine. 1997 Feb 1;39(2):130-137. https://doi.org/10.1097/00043764-199702000-00010
Michalsen, Andrej ; Delclos, George L. ; Felknor, Sarah A. ; Davidson, Anthony L. ; Johnson, Philip C. ; Vesley, Donald ; Murphy, Lawrence R. ; Kelen, Gabor D. ; Gershon, Robyn. / Compliance with universal precautions among physicians. In: Journal of Occupational and Environmental Medicine. 1997 ; Vol. 39, No. 2. pp. 130-137.
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