{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:48:05Z","timestamp":1789055285533,"version":"build-2803163510"},"reference-count":51,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2025,11,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare workers (HCWs) face substantial occupational hazards imposing significant physical, psychological and economic burdens on individuals and health systems. Despite extensive research, the reported prevalence of occupational injuries varies across professional groups and regions. This systematic review and meta-analysis aimed to estimate the prevalence of occupational injuries among HCWs in T\u00fcrkiye\u2014based on self-reported outcomes over study-specified recall periods\u2014and inform preventive strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered in PROSPERO. We searched MEDLINE (PubMed), Web of Science, ProQuest, EBSCOhost and TR Dizin using a standardised strategy. Eligible studies were cross-sectional of HCWs aged \u226518 years working in T\u00fcrkiye. Titles\/Abstracts and full texts were screened in duplicate, with independent, duplicate data extraction and reconciliation of discrepancies. Study quality was appraised using the Joanna Briggs Institute Checklist. Data from 19 studies (n=6301) were pooled using random-effects meta-analysis using R software. Heterogeneity and publication bias were assessed using I\n                      <jats:sup>2<\/jats:sup>\n                      statistics, Egger\u2019s test and the trim-and-fill method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The pooled prevalence of occupational injuries was 43.3% (95% CI 33.9% to 52.8%, I\n                      <jats:sup>2<\/jats:sup>\n                      =99.1%, p&lt;0.001). Most used face-to-face surveys and included diverse HCW groups. Study-level occupational injury prevalence ranged from 7.1% to 87.3%. After correcting for publication bias, the pooled prevalence remained unchanged at 43.3%. Sharp object injuries and contact with contaminated fluids were the most frequent causes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Occupational injuries remain alarmingly high among HCWs in T\u00fcrkiye. These findings call for the implementation and strengthening of prevention strategies, including improved safety training, workplace safety protocols and policy reforms. Emphasising high-risk groups such as nurses and dentists is crucial for effective interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42024565953.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/ip-2025-045924","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T18:20:31Z","timestamp":1764786031000},"page":"ip-2025-045924","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Occupational accidents among healthcare workers in T\u00fcrkiye: a systematic review and meta-analysis"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3383-7830","authenticated-orcid":false,"given":"Meryem Merve","family":"\u00d6ren \u00c7elik","sequence":"first","affiliation":[{"name":"Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emine \u015eeyma","family":"Karaketir","sequence":"additional","affiliation":[{"name":"Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi","family":"Canbaz","sequence":"additional","affiliation":[{"name":"Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcls\u00fcm Nurhan","family":"\u0130nce","sequence":"additional","affiliation":[{"name":"Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"2025120310202372000_ip-2025-045924v1.1","unstructured":"ILO . A Call for Safer and Healthier Working Environments; ILO Geneva; 2023."},{"key":"2025120310202372000_ip-2025-045924v1.2","doi-asserted-by":"crossref","first-page":"1505331","DOI":"10.3389\/fpubh.2024.1505331","article-title":"Occupational injuries among healthcare workers: a nationwide study in Turkey","volume":"12","author":"Medeni","year":"2024","journal-title":"Front Public Health"},{"key":"2025120310202372000_ip-2025-045924v1.3","unstructured":"OECD . Health at a glance 2023: OECD indicators. Paris OECD Publishing; 2023."},{"key":"2025120310202372000_ip-2025-045924v1.4","doi-asserted-by":"crossref","first-page":"95","DOI":"10.54996\/anatolianjem.1465121","article-title":"Emergency Department Overcrowding in T\u00fcrkiye","volume":"7","author":"B\u00fct\u00fcn","year":"2024","journal-title":"Anatolian Journal of Emergency Medicine"},{"key":"2025120310202372000_ip-2025-045924v1.5","doi-asserted-by":"crossref","first-page":"122","DOI":"10.36519\/kd.2024.4780","article-title":"Evaluation of Risky Contact with Blood and Body Fluids in Healthcare Workers in the Last 10 Years: A University Hospital Experience","volume":"37","author":"Azak","year":"2024","journal-title":"Klimik Derg"},{"key":"2025120310202372000_ip-2025-045924v1.6","unstructured":"Sosyal G\u00fcvenlik Kurumu . \u0130statistik. 2025. Available: https:\/\/www.sgk.gov.tr\/Istatistik\/Yillik\/fcd5e59b-6af9-4d90-a451-ee7500eb1cb4?utm"},{"key":"2025120310202372000_ip-2025-045924v1.7","doi-asserted-by":"crossref","first-page":"551","DOI":"10.54304\/SHYD.2024.91129","article-title":"Statistical Analysis of Occupational Accidents Occurring in the Health Sector in T\u00fcrkiye: Retrospective Cohort Study","volume":"11","author":"A\u011far","year":"2024","journal-title":"SHYD"},{"key":"2025120310202372000_ip-2025-045924v1.8","unstructured":"The grand national assembly of turkey, i\u0307\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi kanunu [occupational health and safety law]. Law no: 6331. Resm\u00ee gazete. Official Gazette: Turkey; 2012."},{"key":"2025120310202372000_ip-2025-045924v1.9","unstructured":"Z\u0130Le M . MAK\u0130NELERDE siki\u015fma ve d\u00fc\u015fme \u015fekli\u0307nde ger\u00e7ekle\u015fmi\u0307\u015f \u00f6l\u00fcml\u00fc i\u0307\u015f kazalarin anali\u0307zi\u0307. Bart\u0131n \u00dcniversitesi; 2018."},{"key":"2025120310202372000_ip-2025-045924v1.10","first-page":"23333928231192834","article-title":"Occupational-Related Injuries and Associated Risk Factors Among Healthcare Workers Working in Developing Countries: A Systematic Review","volume":"10","author":"Debelu","year":"2023","journal-title":"Health Serv Res Manag Epidemiol"},{"key":"2025120310202372000_ip-2025-045924v1.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2021.105906"},{"key":"2025120310202372000_ip-2025-045924v1.12","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000054"},{"key":"2025120310202372000_ip-2025-045924v1.13","doi-asserted-by":"crossref","DOI":"10.1017\/S0950268823001875","article-title":"COVID-19 vaccine hesitancy in Turkey: A systematic review and meta-analysis","volume":"151","author":"Gulle","year":"2023","journal-title":"Epidemiol Infect"},{"key":"2025120310202372000_ip-2025-045924v1.14","unstructured":"ILO Monitor . COVID-19 and the world of work. updated estimates and analysis. 2020."},{"key":"2025120310202372000_ip-2025-045924v1.15","unstructured":"World Health Organization . Caring for those who care: national programmes for occupational health for health workers: policy brief, in caring for those who care: national programmes for occupational health for health workers: policy brief. 2020."},{"key":"2025120310202372000_ip-2025-045924v1.16","unstructured":"ILO . Improving employment and working conditions in health services: report for discussion at the tripartite meeting on improving employment and working conditions in health services. Geneva: International Labour Office, 2017:24\u20138."},{"key":"2025120310202372000_ip-2025-045924v1.17","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-020-03341-y","article-title":"Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19\u2009years of studies","volume":"21","author":"Kasa","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"2025120310202372000_ip-2025-045924v1.18","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.19.020919"},{"key":"2025120310202372000_ip-2025-045924v1.19","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2019-105849"},{"key":"2025120310202372000_ip-2025-045924v1.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2020.05.026"},{"key":"2025120310202372000_ip-2025-045924v1.21","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.ijid.2021.01.013","article-title":"COVID-19 and healthcare workers: A systematic review and meta-analysis","volume":"104","author":"Gholami","year":"2021","journal-title":"Int J Infect Dis"},{"key":"2025120310202372000_ip-2025-045924v1.22","unstructured":"Republic of T\u00fcrkiye Ministry of Health . Health statistics yearbook.2024. Available: https:\/\/www.saglik.gov.tr\/TR-84930\/saglik-istatistikleri-yilliklari.html"},{"key":"2025120310202372000_ip-2025-045924v1.23","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1093\/ije\/dyy208","article-title":"Global prevalence of percutaneous injuries among healthcare workers: a systematic review and meta-analysis","volume":"47","author":"Auta","year":"2018","journal-title":"Int J Epidemiol"},{"key":"2025120310202372000_ip-2025-045924v1.24","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1002\/nur.20240","article-title":"National incidence of percutaneous injury in Taiwan healthcare workers","volume":"31","author":"Shiao","year":"2008","journal-title":"Research in Nursing & Health"},{"key":"2025120310202372000_ip-2025-045924v1.25","first-page":"61","article-title":"The management of needlestick injuries","volume":"110","author":"Himmelreich","year":"2013","journal-title":"Dtsch Arztebl Int"},{"key":"2025120310202372000_ip-2025-045924v1.26","doi-asserted-by":"crossref","first-page":"233","DOI":"10.26719\/emhj.22.031","article-title":"Global, regional and national incidence and causes of needlestick injuries: a systematic review and meta-analysis","volume":"28","author":"Hosseinipalangi","year":"2022","journal-title":"East Mediterr Health J"},{"key":"2025120310202372000_ip-2025-045924v1.27","doi-asserted-by":"crossref","DOI":"10.5334\/aogh.2698","article-title":"Global Prevalence and Device Related Causes of Needle Stick Injuries among Health Care Workers: A Systematic Review and Meta-Analysis","volume":"86","author":"Bouya","year":"2020","journal-title":"Ann Glob Health"},{"key":"2025120310202372000_ip-2025-045924v1.28","doi-asserted-by":"crossref","DOI":"10.1002\/1348-9585.12179","article-title":"Prevalence of occupational exposure to needle-stick injury and associated factors among healthcare workers of developing countries: Systematic review","volume":"62","author":"Mengistu","year":"2020","journal-title":"J Occup Health"},{"key":"2025120310202372000_ip-2025-045924v1.29","doi-asserted-by":"crossref","DOI":"10.5334\/aogh.2434","article-title":"Occupational Hazards among Healthcare Workers in Africa: A Systematic Review","volume":"85","author":"Mossburg","year":"2019","journal-title":"Ann Glob Health"},{"key":"2025120310202372000_ip-2025-045924v1.30","doi-asserted-by":"crossref","DOI":"10.1155\/2021\/9019534","article-title":"Worldwide Prevalence of Occupational Exposure to Needle Stick Injury among Healthcare Workers: A Systematic Review and Meta-Analysis","volume":"2021","author":"Mengistu","year":"2021","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"2025120310202372000_ip-2025-045924v1.31","unstructured":"Occupational Safety Health Administration . Facts about hospital worker safety. Occupational Safety and Health Administration; 2013."},{"key":"2025120310202372000_ip-2025-045924v1.32","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12050"},{"key":"2025120310202372000_ip-2025-045924v1.33","article-title":"Comparison of Health Complaints, Occupational Risks, and Occupational Health Practices of Healthcare Workers According to Professions and Departments in the Hospital","volume":"16","author":"Tasking\u00fcl","year":"2024","journal-title":"Cureus"},{"key":"2025120310202372000_ip-2025-045924v1.34","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1186\/s12913-023-09356-0","article-title":"The effect of the hospital working environment on the work limitation of the employees in Turkey: a multivariable analysis","volume":"23","author":"Kili\u00e7","year":"2023","journal-title":"BMC Health Serv Res"},{"key":"2025120310202372000_ip-2025-045924v1.35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.04041.x"},{"key":"2025120310202372000_ip-2025-045924v1.36","doi-asserted-by":"crossref","DOI":"10.1590\/s1980-220x2018049703524","article-title":"Factors affecting the occupational accident rates among nurses","volume":"53","author":"\u00c7elikkalp","year":"2019","journal-title":"Rev Esc Enferm USP"},{"key":"2025120310202372000_ip-2025-045924v1.37","unstructured":"P\u0131\u00e7ak\u00e7\u0131efe M , et al . Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131nda sosyodemografik \u00f6zelliklerin, \u00e7al\u0131\u015fma ko\u015fullar\u0131n\u0131n ve g\u00fcnd\u00fcz a\u015f\u0131r\u0131 uykululuk halinin kesici-delici alet yaralanmalar\u0131na etkisi. Nobel Medicus Journal 2024;20."},{"key":"2025120310202372000_ip-2025-045924v1.38","unstructured":"C\u0131l\u0131z N . Sa\u011fl\u0131k \u00c7al\u0131\u015fanlar\u0131nda K\u0131zam\u0131k, K\u0131zam\u0131k\u00e7\u0131k, Kabakulak, Su\u00e7i\u00e7e\u011fi, Difteri, Tetanos ve Hepatit B Seroprevalans\u0131. Klimik Journal\/Klimik Dergisi 2013;25."},{"key":"2025120310202372000_ip-2025-045924v1.39","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1111\/j.1365-2702.2008.02523.x","article-title":"Occupational exposure to blood and body fluids among Turkish nursing students during clinical practice training: frequency of needlestick\/sharp injuries and hepatitis B immunisation","volume":"18","author":"Talas","year":"2009","journal-title":"J Clin Nurs"},{"key":"2025120310202372000_ip-2025-045924v1.40","first-page":"678","article-title":"An evaluation and comparison of needlestick and sharps injuries to students in different healthcare sciences departments","volume":"9","author":"Kayis","year":"2019","journal-title":"Ann Med Health Sci Res"},{"key":"2025120310202372000_ip-2025-045924v1.41","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/j.1440-172X.2011.01920.x","article-title":"Needlestick and sharps injuries among Turkish nursing students: A cross\u2010sectional study","volume":"17","author":"Irmak","year":"2011","journal-title":"Int J of Nursing Practice"},{"key":"2025120310202372000_ip-2025-045924v1.42","doi-asserted-by":"crossref","first-page":"12","DOI":"10.52142\/omujecm.39.1.3","article-title":"The prevalence of occupational accidents and diseases among 112 emergency medical workers and factors affecting it","volume":"39","author":"Tuncer Kara","year":"2022","journal-title":"JECM"},{"key":"2025120310202372000_ip-2025-045924v1.43","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/j.1875-595X.2008.tb00349.x","article-title":"Risk perception of occupational hazards among dental health care workers in a dental hospital in Turkey","volume":"58","author":"Ocek","year":"2008","journal-title":"Int Dent J"},{"key":"2025120310202372000_ip-2025-045924v1.44","first-page":"41","article-title":"Bir E\u011fitim ve Ara\u015ft\u0131rma Hastanesi \u00c7al\u0131\u015fan Sa\u011fl\u0131\u011f\u0131 Biriminde De\u011ferlendirilen Personelin Genel Sa\u011fl\u0131k Durumunun, Yak\u0131nmalar\u0131n\u0131n ve S\u0131k G\u00f6r\u00fclen Hastal\u0131klar\u0131n\u0131n \u0130ncelenmesi","volume":"10","author":"Pekdemi\u0307r","year":"2020","journal-title":"Sakarya Medical Journal"},{"key":"2025120310202372000_ip-2025-045924v1.45","doi-asserted-by":"crossref","first-page":"99","DOI":"10.31832\/smj.381197","article-title":"Bir \u00dcniversite Hastanesinin Yo\u011fun Bak\u0131m \u00dcnitesi Hem\u015firelerinde Ya\u015fam Kalitesi, \u0130\u015f Kazalar\u0131 ve Vardiyal\u0131 \u00c7al\u0131\u015fman\u0131n Etkileri","volume":"8","author":"Ata Y\u00fcz\u00fcg\u00fcll\u00fc","year":"2018","journal-title":"Sakarya Medical Journal"},{"key":"2025120310202372000_ip-2025-045924v1.46","doi-asserted-by":"crossref","first-page":"393","DOI":"10.18229\/kocatepetip.729837","article-title":"D\u0130\u015e HEK\u0130MLER\u0130N\u0130N \u0130\u015eLE \u0130LG\u0130L\u0130 HASTALIKLARA YAKLA\u015eIMLARI VE K\u0130\u015e\u0130SEL KORUYUCU DONANIM KULLANIMLARININ DE\u011eERLEND\u0130R\u0130LMES\u0130","volume":"22","author":"Tuncer Kara","year":"2021","journal-title":"Kocatepe T\u0131p Dergisi"},{"key":"2025120310202372000_ip-2025-045924v1.47","doi-asserted-by":"crossref","first-page":"236","DOI":"10.19161\/etd.990599","article-title":"Di\u015f Hekimli\u011fi Fak\u00fcltesi \u00f6\u011frencilerinin g\u00fcvenli kesici-delici alet kullan\u0131m\u0131na y\u00f6nelik bilgi d\u00fczeyleri ve tutumlar\u0131","volume":"60","author":"Demi\u0307rba\u015f","year":"2021","journal-title":"Ege T\u0131p Dergisi"},{"key":"2025120310202372000_ip-2025-045924v1.48","first-page":"49","article-title":"Hem\u015firelik ve Ebelik \u00d6\u011frencilerinin Klinik Uygulama E\u011fitimleri S\u0131ras\u0131nda Mesleki Delici-Kesici Yaralanmalar ve Hepatit B A\u015f\u0131l\u0131 Olma Durumlar\u0131","volume":"17","author":"Talas","year":"2015","journal-title":"Hem\u015firelikte Ara\u015ft\u0131rma Geli\u015ftirme Dergisi"},{"key":"2025120310202372000_ip-2025-045924v1.49","doi-asserted-by":"crossref","first-page":"306","DOI":"10.5336\/nurses.2015-47498","article-title":"Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n i\u015f g\u00fcvenli\u011fi: Devlet hastanesi \u00f6rne\u011fi","volume":"8","author":"Karaer","year":"2016","journal-title":"Turkiye Klinikleri Journal of Nursing Sciences"},{"key":"2025120310202372000_ip-2025-045924v1.50","doi-asserted-by":"crossref","first-page":"37","DOI":"10.37989\/gumussagbil.1275398","article-title":"The Relationship Between Occupational Health and Safety Awareness of Health Workers and Work Efficiency","volume":"13","author":"G\u00fcnayd\u0131n","year":"2024","journal-title":"G\u00fcm\u00fc\u015fhane \u00dcniversitesi Sa\u011fl\u0131k Bilimleri Dergisi"},{"key":"2025120310202372000_ip-2025-045924v1.51","doi-asserted-by":"crossref","first-page":"221","DOI":"10.18229\/kocatepetip.888954","article-title":"TIP FAK\u00dcLTES\u0130 \u00d6\u011eRENC\u0130LER\u0130 VE ARA\u015eTIRMA G\u00d6REVL\u0130S\u0130 DOKTORLARIN \u0130\u015e SA\u011eLI\u011eI VE G\u00dcVENL\u0130\u011e\u0130 B\u0130LG\u0130, TUTUM, DAVRANI\u015eLARININ \u0130NCELENMES\u0130","volume":"24","author":"\u0130ki\u0131\u015f\u0131k","year":"2023","journal-title":"Kocatepe T\u0131p Dergisi"}],"container-title":["Injury Prevention"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/ip-2025-045924","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T18:20:36Z","timestamp":1764786036000},"score":1,"resource":{"primary":{"URL":"https:\/\/injuryprevention.bmj.com\/lookup\/doi\/10.1136\/ip-2025-045924"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,3]]},"references-count":51,"alternative-id":["10.1136\/ip-2025-045924"],"URL":"https:\/\/doi.org\/10.1136\/ip-2025-045924","relation":{},"ISSN":["1353-8047","1475-5785"],"issn-type":[{"value":"1353-8047","type":"print"},{"value":"1475-5785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,3]]}}}