The Italian National Surveillance System for Occupational Injuries: Conceptual Framework and Fatal Outcomes, 2002-2016.
The Italian National Surveillance System for Occupational Injuries: Conceptual Framework and Fatal Outcomes, 2002-2016.
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意大利国家的职业伤害监视系统：概念框架和致命结果，2002- 2016年。
DOI：
10.3390/ijerph17207631
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发表时间：
2020-10-20
影响因子：
--
通讯作者：
Mastrangelo G
中科院分区：
文献类型：
--
作者：
Campo G;Cegolon L;De Merich D;Fedeli U;Pellicci M;Heymann WC;Pavanello S;Guglielmi A;Mastrangelo G
背景资料：自2002年以来，意大利建立了一个全国工伤数据库，根据一个名为Infor. Mo的模型，收集有关受伤人员、其工作任务、工作场所和造成事故动态的风险因素的信息。研究方法：对意大利2002年至2016年（15年）发生的职业致命伤害（不包括与工作有关的致命交通伤害）进行了描述性研究。结果如下：在4 874名受害者中，所有受害者都是男性，主要是51岁以上（43.2%），主要是自营职业者（27.8%）或非标准合同工人（25%）。大约18.4%和17.3%的致命事件分别发生在属于建筑业和农业的微型企业。确定了各种国籍（除意大利外还有59个国家）。总的来说，18.9%的致命工伤是由于某种形式的危险能量-机械，热，电或化学-通常存在于工作场所。工人从高处坠落福尔斯（33.5%），重物从高处砸到工人（16.7%）和车辆离开其路线和倾覆（15.9%）是本研究中造成职业性致命伤害比例最高的事件（从2002年到2016年）和初始试点阶段，重点是2002-2004年，两个时间段之间的致死性事件分布相似。在4874起死亡事件中确定的9386个风险因素中，受伤者的活动占43.3%。较不常见的风险因素与工作设备（20.2%），工作环境（14.9%），第三方活动（9.8%），个人防护设备/服装（8.0%）和材料（3.7%）有关。即使事故是由两个或两个以上的风险因素造成的，伤者的活动仍然是最相关的促成因素。讨论：职业致命伤害主要发生在危险工作场所的小型公司（最多9名雇员）。在本研究中，占所有公司68%（2888/4249）的小公司通常拥有较少的资源来保持与不断发展的工作健康和安全法规的同步;此外，这些公司往往不太遵守工作健康和安全法规，因为它们不太可能受到职业警戒服务的检查。观点：意大利正在采用的一种办法是依靠经济奖励来促进安全和健康的工作场所。通过中断时间序列分析比较干预前和干预后的工伤率，可以发现干预是否会产生显著大于潜在长期趋势的影响。
Background: A national database of work-related injuries has been established in Italy since 2002, collecting information on the injured person, his/her work tasks, the workplace and the risk factors contributing to incident dynamics, according to a model called Infor.Mo. Methods: A descriptive study of occupational fatal injuries, excluding work-related fatal traffic injuries, that occurred in Italy from 2002 to 2016 (15 years) was performed. Results: Among 4874 victims involved, all were males, mainly >51 years of age (43.2%), predominantly self-employed (27.8%) or workers with non-standard contracts (25%). About 18.4% and 17.3% of fatal events occurred in micro-enterprises belonging to, respectively, construction and agriculture. A wide range of nationalities (59 countries in addition to Italy) was identified. Overall, 18.9% of work-related fatal injuries were due to some form of hazardous energy—mechanical, thermal, electrical or chemical—that was normally present in the workplace. Workers’ falls from height (33.5%), heavy loads falling on workers from height (16.7%) and vehicles exiting their route and overturning (15.9%) were the events causing the greatest proportion of occupational fatal injuries in the present study (from 2002 to 2016) and in the initial pilot phase, focused on years 2002–2004, with a similar distribution of fatal events between the two time periods. The activity of the injured person made up 43.3% of 9386 risk factors identified in 4874 fatalities. Less common risk factors were related to work equipment (20.2%), work environment (14.9%), third–party activity (9.8%), personal protective equipment/clothing (8.0%) and materials (3.7%). The activity of the injured person remained the most relevant contributing factor even when the incident was caused by two or more risk factors. Discussion: Occupational fatal injuries occurred mainly in small size firms (up to nine employees) in hazardous workplaces. Small companies, which account for 68% (2888/4249) of all firms in the present study, generally have fewer resources to remain current with the continuously evolving health and safety at work regulations; moreover, these firms tend to be less compliant with health and safety at work regulations since they are less likely to be inspected by occupational vigilance services. Perspectives: An approach being introduced in Italy relies on the use of economic incentives to promote safe and healthy workplaces. The comparison of pre-intervention and post-intervention rates of work-related injuries by means of interrupted time series analyses could detect whether the intervention will have an effect significantly greater than the underlying secular trend.
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影响因子：
3
作者：
Bhattacherjee, A;Chau, N;Mur, JM
通讯作者：
Mur, JM
DOI：
10.1007/s00420-003-0460-7
发表时间：
2004-01-01
影响因子：
3
作者：
Chau, N;Gauchard, GC;Mur, JM
通讯作者：
Mur, JM
DOI：
10.1016/0376-6349(78)90004-4
发表时间：
1978-01-01
期刊：
JOURNAL OF OCCUPATIONAL ACCIDENTS
影响因子：
--
作者：
ANDERSSON, R;JOHANSSON, B;SVANSTROM, L
通讯作者：
SVANSTROM, L
DOI：
10.1590/s1414-32832006000100013
发表时间：
2006-06-01
期刊：
Interface - Comunicação, Saúde, Educação
影响因子：
--
作者：
Almeida, Ildeberto Muniz de
通讯作者：
Almeida, Ildeberto Muniz de
影响因子：
2
作者：
Hasle, P;Limborg, HJ
通讯作者：
Limborg, HJ