Occupational injuries among nurses and aides in a hospital setting
Occupational injuries among nurses and aides in a hospital setting
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DOI：
10.1002/ajim.21018
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发表时间：
2012-02-01
影响因子：
3.5
通讯作者：
Sorensen, Glorian
中科院分区：
文献类型：
--
作者：
Boden, Leslie I.;Sembajwe, Grace;Sorensen, Glorian
背景：急诊医院的医护人员受伤的风险很高。最近的研究已经量化了风险，并证明助手的风险高于护士。然而，没有详细的研究到目前为止，使用OSHA伤害的定义，让更好的可比性跨study.Methods我们链接的记录，从人力资源和职业健康服务数据库在两个大的学术医院的护士（n = 5,991）和助手（n 1,543）在病人的护理单位。粗率，率比，和置信区间计算伤害涉及没有离开工作的日子，那些涉及至少1天离开work.Results助理每100全职等效工人（FTE）受伤率大大高于护士受伤涉及离开工作的日子（11.3比7.2）和那些涉及没有离开工作的日子（9.9比5.7）。背部受伤是最常见的几天后（DA）受伤，而锐器伤是最常见的几天后（NDA）受伤。儿科/新生儿病房和非住院病房的受伤率最低。手术室和浮池有高DA伤害率的两个职业，和降压单位有高利率的护士。NDA损伤是最高的手术室的护士和aiders.Conclusions这项研究支持的重要性，继续强调防止背部和锐器损伤，减少风险所面临的助手在医院设置。统一的伤害定义和工作时间措施可以帮助基准安全性能和重点预防工作。Am. J. Ind. Med. 55：117-126，2012. (C)2011 Wiley Periodicals，Inc.
Background Patient care workers in acute care hospitals are at high risk of injury. Recent studies have quantified risks and demonstrated a higher risk for aides than for nurses. However, no detailed studies to date have used OSHA injury definitions to allow for better comparability across studies.Methods We linked records from human resources and occupational health services databases at two large academic hospitals for nurses (n = 5,991) and aides (n 1,543) in patient care units. Crude rates, rate ratios, and confidence intervals were calculated for injuries involving no days away and those involving at least 1 day away from work.Results Aides have substantially higher injury rates per 100 full-time equivalent workers (FTEs) than nurses for both injuries involving days away from work (11.3 vs. 7.2) and those involving no days away (9.9 vs. 5.7). Back injuries were the most common days away (DA) injuries, while sharps injuries were the most common no days away (NDA) injuries. Pediatric/neonatal units and non-inpatient units had the lowest injury rates. Operating rooms and the float pool had high DA injury rates for both occupations, and stepdown units had high rates for nurses. NDA injuries were highest in the operating room for both nurses and aides.Conclusions This study supports the importance of a continuing emphasis on preventing back and sharps injuries and reducing risks faced by aides in the hospital setting. Uniform injury definitions and work time measures can help benchmark safety performance and focus prevention efforts. Am. J. Ind. Med. 55: 117-126, 2012. (C) 2011 Wiley Periodicals, Inc.