{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T09:40:16Z","timestamp":1716457216833},"reference-count":16,"publisher":"BMJ","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2010,3,4]]},"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Hospital surveillance systems have been established to monitor occupational blood exposures. We compare short-term monitoring with long-term monitoring of data analysis over 11\u2005years and 21 institutions to identify variations in the number of reported exposures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Short-term monitoring examines the current number of exposures compared to their average over previous years. Long-term monitoring detects trends over several years by various exposure characteristics (place, staff, procedure, etc) through estimating rates of change and using the best linear unbiased predictors (BLUPs) to prevent artefactual trends due to the many categories for each characteristic. Graphical representations of estimated rates help detect change and differences in rates of change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Annual monitoring allowed detection of significant changes in the number of reported exposures. Long-term monitoring identified moderate trends over time. The BLUP corrected the estimate of each specific annual rate of change and allowed all other rates to reduce the random variability around the mean change for more specificity. League tables showed significant increases or decreases compared to no change. League tables for two-by-two comparisons allowed reliable comparisons between estimates of the rates of change, although with spurious ranking. Funnel plots enabled quick detection of changes in trends within specified confidence intervals. Long-term trends agreed with the dominant type of annual changes over the 11\u2005years but were not as sensitive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The two methods have different uses. Both are helpful for assessing short-term sudden and long-term minor changes in number of exposures, possibly reflecting the success or otherwise of introducing specific safety devices or guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1136\/oem.2010.055699","type":"journal-article","created":{"date-parts":[[2010,8,27]],"date-time":"2010-08-27T00:31:48Z","timestamp":1282869108000},"page":"785-791","source":"Crossref","is-referenced-by-count":2,"title":["Fast and specific detection of moderate long-term changes in occupational blood exposures"],"prefix":"10.1136","volume":"67","author":[{"given":"Isabelle","family":"Chaillol","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9","family":"Ecochard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Agn\u00e8s","family":"Denis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Iwaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phrem","family":"Khoueiry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Bergeret","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,8,25]]},"reference":[{"key":"2024052300335369000_67.11.785.1","unstructured":"Lot F . Surveillance des contaminations professionnelles par le VIH, le VHC et le VHB chez le personnel de sant\u00e9 - Situation au 31 d\u00e9cembre 2007. http:\/\/pmb.santenpdc.org\/doc_num.php?explnum_id=4207."},{"key":"2024052300335369000_67.11.785.2","doi-asserted-by":"publisher","DOI":"10.1086\/502178"},{"key":"2024052300335369000_67.11.785.3","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.74.8.804"},{"key":"2024052300335369000_67.11.785.4","unstructured":"Circulaire DGS\/DH num\u00e9ro 98\/249 du 20 avril 1998 relative \u00e0 la pr\u00e9vention de la transmission d'agents infectieux v\u00e9hicul\u00e9s par le sang ou les liquides biologiques lors des soins dans les \u00e9tablissements de sant\u00e9. Bulletin Officiel du Minist\u00e8re de l'Emploi et de la Solidarit\u00e9 num\u00e9ro 98\/19, page 153, texte num\u00e9ro 1227."},{"key":"2024052300335369000_67.11.785.5","first-page":"213","volume":"15","author":"Denis","year":"2007","journal-title":"Hygi\u00e8nes"},{"key":"2024052300335369000_67.11.785.6","first-page":"94","article-title":"Spotting variations in task-linked blood exposures","volume":"22","author":"Denis","year":"2007","journal-title":"Can J Infect Control"},{"key":"2024052300335369000_67.11.785.7","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000052961.59271.9d"},{"key":"2024052300335369000_67.11.785.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(03)00028-3"},{"key":"2024052300335369000_67.11.785.9","doi-asserted-by":"publisher","DOI":"10.2307\/2983325"},{"key":"2024052300335369000_67.11.785.10","doi-asserted-by":"publisher","DOI":"10.2307\/2983411"},{"key":"2024052300335369000_67.11.785.11","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1970"},{"key":"2024052300335369000_67.11.785.12","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-3-2"},{"key":"2024052300335369000_67.11.785.13","doi-asserted-by":"crossref","unstructured":"Wallenstein S Naus J . Scan statistics for temporal surveillance for biologic terrorism. MMWR Morb Mortal Wkly Rep 2004;(53 Suppl):74\u20138.","DOI":"10.1037\/e307182005-015"},{"key":"2024052300335369000_67.11.785.14","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyl162"},{"key":"2024052300335369000_67.11.785.15","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-5-4"},{"key":"2024052300335369000_67.11.785.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jspi.2003.07.014"}],"container-title":["Occupational and Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/oem.2010.055699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T09:20:32Z","timestamp":1716456032000},"score":1,"resource":{"primary":{"URL":"https:\/\/oem.bmj.com\/lookup\/doi\/10.1136\/oem.2010.055699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,8,25]]},"references-count":16,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2010,10,19]]},"published-print":{"date-parts":[[2010,11]]}},"alternative-id":["10.1136\/oem.2010.055699"],"URL":"https:\/\/doi.org\/10.1136\/oem.2010.055699","relation":{},"ISSN":["1351-0711","1470-7926"],"issn-type":[{"value":"1351-0711","type":"print"},{"value":"1470-7926","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,8,25]]}}}