Table 1. Open in new tab Overview of our...

Table 1.

Overview of our ‘stat’ workflow

Domain	Pre-intervention	Post-intervention
NSI reporting process	Occupational Health during business hours; Emergency Department otherwise
Source patient orders^a	Individual orders^a entered by providers, including multiple options for HIV testing	A unified NSI order set with all needed orders included (including the correct HIV ELISA assay)
Source patient order priorities	Routine priority (the institutional default for all orders)	‘Stat’ flag as the default for all orders within the NSI order set
Source patient phlebotomy	Drawn and analysed chronologically in a first-in-first-out queue along with other lab orders	Prioritized request to be handled ‘stat’ as emergent lab orders
Source patient bloodwork lab testing and result
Decision to prescribe HIV PEP empirically	Based on risk assessment and shared decision-making with the exposed HCW

Domain	Pre-intervention	Post-intervention
NSI reporting process	Occupational Health during business hours; Emergency Department otherwise
Source patient orders^a	Individual orders^a entered by providers, including multiple options for HIV testing	A unified NSI order set with all needed orders included (including the correct HIV ELISA assay)
Source patient order priorities	Routine priority (the institutional default for all orders)	‘Stat’ flag as the default for all orders within the NSI order set
Source patient phlebotomy	Drawn and analysed chronologically in a first-in-first-out queue along with other lab orders	Prioritized request to be handled ‘stat’ as emergent lab orders
Source patient bloodwork lab testing and result
Decision to prescribe HIV PEP empirically	Based on risk assessment and shared decision-making with the exposed HCW

ELISA, enzyme-linked immunosorbent assay; HCW, healthcare worker; HIV, human immunodeficiency virus; NSI, needlestick injury.

^aIncluding HIV serology testing and also recommended testing for the hepatitis B and hepatitis C viruses.