Quarterly Magazine For Nurses

Needlestick Injuries Are Still Happening But Are Preventable

The statistics are alarming: approximately 385,000 needlestick injuries¹ (NSI) occur annually in the United States alone—that’s about 1,050 injuries every day. Despite advances in medical technology and safety protocols, healthcare professionals continue to face major health risks from these preventable injuries.

Nurses are particularly vulnerable. A study showed that nurses account for over 52% of reported needlestick injuries, followed by cleaning staff (22.3%), physicians (18.5%), and technicians (6.9%). These injuries most frequently occur in high-pressure environments such as operating rooms (21.9%), inpatient care settings (17.6%), and emergency rooms (16.7%).²

44.5% of healthcare workers experience NSIs annually⁸

1,050 injuries every day

385,000+ injuries/year in the US

The Needlestick Safety and Prevention Act: Progress and Limitations

In November 2000, the Needlestick Safety and Prevention Act was signed into law, requiring OSHA to revise its Bloodborne Pathogens Standard. This landmark legislation mandated:

  • The use of safer engineered devices and needleless systems

  • Annual review of exposure control plans and consideration of new safety technologies

  • Input from frontline healthcare workers on device selection

  • Maintenance of a sharps injury log³

Despite some early successes, the problem persists. While it was believed that sharps injuries would be virtually eliminated within five years of the bill’s passage, current data shows injuries trending only slightly lower than in 2001, with approximately 2.4 injuries occurring per 100 full-time equivalent staff.⁴

Why Needlestick Injuries Continue to Occur

Activation Issues

Many safety-engineered devices require extra steps that often bring clinicians’ fingers close to the needle⁵ and/or results in exposure to the contaminated sharp

Design Flaws

Some "safety" devices are difficult to use, or poorly designed, leading to improper use or non-use and continued risk of injury⁵

Disposal Risks

Safety devices with shields or sheaths may not keep contaminated sharps securely enclosed throughout disposal and can lead to downstream injuries, putting cleaning staff and others at risk

Underreporting

Nearly half of all needlestick injuries go unreported⁶, limiting opportunities for prevention and improvement in safety practices

Real Safety in Healthcare Starts Here

The evidence is clear: despite regulatory efforts, needlestick injuries remain a serious threat to healthcare workers. But you don’t have to accept this risk as an inevitable part of healthcare delivery.

We’ve prepared a customizable email you can send directly to your facility’s administration to make it easier for you to advocate for safer devices. Use it to highlight your concerns and recommend truly effective safety products as a safer, smarter solution.

References

  1. Sharps Safety Program resources. (2024, April 3). Infection Control. https://www.cdc.gov/infection-control/hcp/sharps-safety/index.html
  2. Mohamud, R. Y. H., Mohamed, N. A., Doğan, A., Hilowle, F. M., Isse, S. A., Hassan, M. Y., & Hilowle, I. A. (2023). Needlestick and Sharps Injuries Among Healthcare Workers at a Tertiary Care Hospital: A Retrospective Single-Center Study. Risk management and healthcare policy16, 2281–2289. https://doi.org/10.2147/RMHP.S434315
  3. Preventing needlesticks and sharps injuries: Reflecting on the 20th anniversary of the Needlestick Safety and Prevention Act | Blogs | CDC. (2024, November 25). https://blogs.cdc.gov/niosh-science-blog/2020/12/11/sharps-injuries/
  4. usefulgroup. (2025, April 11). The cost of a needlestick injury. Daniels Health. https://www.danielshealth.com/knowledge-center/cost-needlestick-injury
  5. Chambers, A., Mustard, C. A., Holness, D. L., Nichol, K., & Breslin, F. C. (2015). Barriers to the Adoption of Safety-Engineered Needles Following a Regulatory Standard: Lessons Learned from Three Acute Care Hospitals. Healthcare policy = Politiques de sante11(1), 90–101.
  6. Yun, J., Umemoto, K., Wang, W., & Vyas, D. (2023). National Survey of Sharps Injuries Incidence Amongst Healthcare Workers in the United States. International journal of general medicine16, 1193–1204. https://doi.org/10.2147/IJGM.S404418
  7. Goris S, et al. Reducing Needlestick Injuries from Active Safety Devices: A Passive Safety-Engineered Device Trial. Association of Occupational Health Professionals in Healthcare. Spring 2014.
    https://d2ghdaxqb194v2.cloudfront.net/577/165816.pdf
  8. Bouya, S., Balouchi, A., Rafiemanesh, H., Amirshahi, M., Dastres, M., Moghadam, M. P., Behnamfar, N., Shyeback, M., Badakhsh, M., Allahyari, J., Al Mawali, A., Ebadi, A., Dezhkam, A., & Daley, K. A. (2020). Global Prevalence and Device Related Causes of Needle Stick Injuries among Health Care Workers: A Systematic Review and Meta-Analysis. Annals of global health86(1), 35. https://doi.org/10.5334/aogh.2698