P-171 Evaluation of Needle Safety Contest Program to Reduce Needle Stick Injury in a Private Hospital, Indonesia

Introduction Needle Stick Injury (NSI) is still a safety issue for all health workers. Our responsibility to be able to work in a safer environment. This study aims to evaluate the Needle Safety Contest program in reducing NSI. Methods This study is an evaluation program that used mixed methods. Quantitative data is the number of NSI compared to four months before and after the contest. Qualitative will deepen the causative problem, using Focus Group Discussion (FGD). Results Outcome Needle Safety Contest program was a 50% reduction or improvement in NSI prevalence per population at risk, from 1.6% to 0.8%, during the four months preceding and four months after the contest. Discussion There was a 50% decrease in NSI prevalence after the contest period. From the FGD, the causative NSI are recapping insulin needles; careless when suturing wounds, preparing blood sample, infusing patients, and injecting drugs into patients; misplaced needle or put needle not properly; modifying needles not suitable for the use; lack procedure of suture care; perform actions not according to clinical authority; less senior supervision, especially when doing invasive procedure. Conclusion Needle Safety Contest program succeeded in reducing the NSI prevalence in the post-contest period. NSI causative factors are recapping insulin needles, usually among shift workers and new staff; careless actions when doing invasive procedures; needles that are not suitable for the use; lack procedure of suture care; needles used not ideal with the process; less senior supervision.