{"id":"https://openalex.org/W2332883468","doi":null,"title":"The Integration of Safety Engineered Needles in Acute Care Hospitals: Opportunities and Challenges of Regulated Change","display_name":"The Integration of Safety Engineered Needles in Acute Care Hospitals: Opportunities and Challenges of Regulated Change","publication_year":2014,"publication_date":"2014-06-01","ids":{"openalex":"https://openalex.org/W2332883468","mag":"2332883468"},"language":"en","primary_location":{"id":"pmh:oai:utoronto.scholaris.ca:1807/69043","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/69043","pdf_url":"https://utoronto.scholaris.ca/bitstreams/1eb531b2-06c1-40ea-a76d-349241a0f665/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://utoronto.scholaris.ca/bitstreams/1eb531b2-06c1-40ea-a76d-349241a0f665/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004869832","display_name":"Andrea Chambers","orcid":"https://orcid.org/0000-0002-5289-6377","observed_orcids":["https://orcid.org/0000-0002-5289-6377"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Andrea Chambers","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-5289-6377","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5004869832"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9603999853134155,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.9603999853134155,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.01510000042617321,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.006899999920278788,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/needlestick-injuries","display_name":"needlestick injuries","score":1.0},{"id":"https://openalex.org/keywords/blood-borne-transmission","display_name":"blood-borne transmission","score":0.7739999890327454},{"id":"https://openalex.org/keywords/occupational-safety","display_name":"occupational safety","score":0.5989999771118164},{"id":"https://openalex.org/keywords/regulatory-change","display_name":"regulatory change","score":0.5410000085830688},{"id":"https://openalex.org/keywords/organizational-change","display_name":"organizational change","score":0.6389999985694885},{"id":"https://openalex.org/keywords/acute-care-hospitals","display_name":"acute care hospitals","score":0.703000009059906},{"id":"https://openalex.org/keywords/emergency-department","display_name":"emergency department","score":0.6899999976158142},{"id":"https://openalex.org/keywords/employee-compliance","display_name":"employee compliance","score":0.7609999775886536},{"id":"https://openalex.org/keywords/frontline-workers","display_name":"frontline workers","score":0.5590000152587891}],"concepts":[{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.4214550852775574},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4121052026748657},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.36785444617271423},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3315478265285492},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.24705684185028076},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.18552342057228088},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:utoronto.scholaris.ca:1807/69043","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/69043","pdf_url":"https://utoronto.scholaris.ca/bitstreams/1eb531b2-06c1-40ea-a76d-349241a0f665/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"mag:2332883468","doi":null,"is_oa":false,"landing_page_url":"https://tspace.library.utoronto.ca/handle/1807/69043","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:utoronto.scholaris.ca:1807/69043","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/69043","pdf_url":"https://utoronto.scholaris.ca/bitstreams/1eb531b2-06c1-40ea-a76d-349241a0f665/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2332883468.pdf","grobid_xml":"https://content.openalex.org/works/W2332883468.grobid-xml"},"referenced_works_count":116,"referenced_works":["https://openalex.org/W4371184","https://openalex.org/W54877550","https://openalex.org/W72417591","https://openalex.org/W81685006","https://openalex.org/W193279780","https://openalex.org/W267125625","https://openalex.org/W1526421749","https://openalex.org/W1555608807","https://openalex.org/W1556808170","https://openalex.org/W1590154464","https://openalex.org/W1716161898","https://openalex.org/W1757586515","https://openalex.org/W1924229228","https://openalex.org/W1965930324","https://openalex.org/W1970956887","https://openalex.org/W1972482311","https://openalex.org/W1972577727","https://openalex.org/W1972699272","https://openalex.org/W1975631800","https://openalex.org/W1976994883","https://openalex.org/W1979290264","https://openalex.org/W1980211269","https://openalex.org/W1982064106","https://openalex.org/W1982883495","https://openalex.org/W1983840076","https://openalex.org/W1985734207","https://openalex.org/W1986247476","https://openalex.org/W1988216677","https://openalex.org/W1989577244","https://openalex.org/W1990159830","https://openalex.org/W1990513740","https://openalex.org/W1992115493","https://openalex.org/W1992390340","https://openalex.org/W1993418651","https://openalex.org/W1995458025","https://openalex.org/W1998079917","https://openalex.org/W2000411557","https://openalex.org/W2001549869","https://openalex.org/W2003768612","https://openalex.org/W2003900448","https://openalex.org/W2005970367","https://openalex.org/W2011732458","https://openalex.org/W2014189561","https://openalex.org/W2020155291","https://openalex.org/W2021023566","https://openalex.org/W2025282668","https://openalex.org/W2026682045","https://openalex.org/W2028218963","https://openalex.org/W2028585187","https://openalex.org/W2028954902","https://openalex.org/W2031594235","https://openalex.org/W2032382473","https://openalex.org/W2040014718","https://openalex.org/W2043126511","https://openalex.org/W2046918438","https://openalex.org/W2047400426","https://openalex.org/W2047547657","https://openalex.org/W2051734683","https://openalex.org/W2051917704","https://openalex.org/W2054131048","https://openalex.org/W2054437996","https://openalex.org/W2055212920","https://openalex.org/W2055823198","https://openalex.org/W2058078822","https://openalex.org/W2059862578","https://openalex.org/W2063867224","https://openalex.org/W2067337616","https://openalex.org/W2070323045","https://openalex.org/W2071130123","https://openalex.org/W2072841257","https://openalex.org/W2076201892","https://openalex.org/W2081753990","https://openalex.org/W2083927624","https://openalex.org/W2085686631","https://openalex.org/W2085965888","https://openalex.org/W2087631690","https://openalex.org/W2091980929","https://openalex.org/W2098026786","https://openalex.org/W2100877102","https://openalex.org/W2101234667","https://openalex.org/W2102916105","https://openalex.org/W2105246013","https://openalex.org/W2105403790","https://openalex.org/W2105489923","https://openalex.org/W2109299328","https://openalex.org/W2114668945","https://openalex.org/W2125544939","https://openalex.org/W2130033479","https://openalex.org/W2132240010","https://openalex.org/W2133806028","https://openalex.org/W2137187783","https://openalex.org/W2138653284","https://openalex.org/W2140209656","https://openalex.org/W2145688328","https://openalex.org/W2146993258","https://openalex.org/W2150446530","https://openalex.org/W2151001673","https://openalex.org/W2152150569","https://openalex.org/W2156151681","https://openalex.org/W2167023676","https://openalex.org/W2170135023","https://openalex.org/W2261053110","https://openalex.org/W2318610690","https://openalex.org/W2320661912","https://openalex.org/W2396663256","https://openalex.org/W2422969850","https://openalex.org/W2430463646","https://openalex.org/W2480577983","https://openalex.org/W2560685630","https://openalex.org/W2777803356","https://openalex.org/W2900656925","https://openalex.org/W2944089211","https://openalex.org/W3084686683","https://openalex.org/W3089299025","https://openalex.org/W3095535999","https://openalex.org/W4242883546"],"related_works":["https://openalex.org/W2198791440","https://openalex.org/W1991800393","https://openalex.org/W3202188911","https://openalex.org/W2801093090","https://openalex.org/W7099942557","https://openalex.org/W3044709227","https://openalex.org/W2912699200","https://openalex.org/W4396778070","https://openalex.org/W2051734683","https://openalex.org/W2900471803"],"abstract_inverted_index":{"Needlestick":[0],"injuries":[1,55,209],"have":[2,66,137],"been":[3,138,149],"identified":[4],"as":[5,205,232,270],"an":[6],"important":[7],"modifiable":[8],"risk":[9],"factor":[10],"associated":[11,197],"with":[12,110,125,198],"the":[13,28,37,44,90,113,122,143,151,157,164,176,183,194,199,218,228,236],"transmission":[14],"of":[15,25,30,39,46,92,130,145,220,230,235,277],"bloodborne":[16],"pathogens":[17],"between":[18,182],"patients":[19],"and":[20,62,76,105,133,156,190,193,223,227,248,261,263],"healthcare":[21,185],"workers.":[22],"A":[23],"number":[24,276],"jurisdictions,":[26],"including":[27],"province":[29],"Ontario,":[31],"turned":[32],"to":[33,35,88,121,140,173,202,206,211,273,279,283],"regulation":[34],"accelerate":[36],"adoption":[38],"safety-engineered":[40],"needles":[41],"(SENs)":[42],"for":[43,154],"prevention":[45,281],"needlestick":[47,54,208,287],"injuries.":[48,288],"Available":[49],"surveillance":[50],"data":[51],"demonstrates":[52],"that":[53,147,160],"captured":[56],"in":[57,70,94,99,142,254],"work-related":[58],"emergency":[59],"department":[60],"records":[61],"workers\u2019":[63],"compensation":[64],"claims":[65],"not":[67],"declined":[68],"substantially":[69],"Ontario.":[71,100],"Drawing":[72],"on":[73,188],"organizational":[74],"change":[75],"implementation":[77,91,158,166],"science":[78],"theory,":[79],"a":[80,180,233,251,275],"qualitative":[81],"instrumental":[82],"case":[83],"study":[84],"design":[85],"was":[86,128,179],"used":[87],"examine":[89],"SENs":[93,146],"three":[95,114,118],"acute":[96],"care":[97,192],"hospitals":[98,119],"Program":[101],"documents":[102],"were":[103,107,161,213],"reviewed":[104],"interviews":[106],"carried":[108],"out":[109],"staff":[111,221],"across":[112],"hospitals.":[115],"While":[116,239],"all":[117],"responded":[120],"regulatory":[123],"requirements":[124],"integrity,":[126],"there":[127,271],"evidence":[129],"inconsistent":[131],"processes":[132],"outcomes,":[134],"which":[135],"may":[136,266],"due":[139],"variation":[141],"types":[144],"had":[148],"integrated,":[150],"organization\u2019s":[152],"readiness":[153],"change,":[155],"practices":[159],"adopted.":[162],"During":[163],"initial":[165,200],"phase":[167],"some":[168],"front-line":[169,259],"workers":[170,186,260],"developed":[171],"strategies":[172],"avoid":[174],"using":[175],"SENs.":[177,203],"There":[178],"conflict":[181],"values":[184],"placed":[187],"performance":[189],"patient":[191],"learning":[195],"curve":[196],"transition":[201],"Explanations":[204],"why":[207],"continue":[210],"occur":[212],"organized":[214],"under":[215],"two":[216],"themes:":[217],"importance":[219],"compliance":[222],"\"being":[224],"more":[225],"careful\"":[226],"inevitability":[229],"injury":[231,256],"consequence":[234],"work":[237],"environment.":[238],"further":[240,284],"progress":[241],"will":[242],"be":[243,274],"challenged":[244],"by":[245],"competing":[246],"health":[247,262],"safety":[249,264],"priorities,":[250],"renewed":[252],"interested":[253],"this":[255],"issue":[257],"among":[258],"professionals":[265],"produce":[267],"better":[268],"outcomes":[269],"appear":[272],"opportunities":[278],"advance":[280],"efforts":[282],"reduce":[285],"ongoing":[286]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}