Surveillance of work-related amputations in Michigan using multiple data sources: results for 2006-2012.
Surveillance of work-related amputations in Michigan using multiple data sources: results for 2006-2012.
复制标题
使用多个数据源对密歇根州与工作相关的截肢情况进行监测：2006 年至 2012 年的结果。
DOI：
10.1136/oemed-2014-102335
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发表时间：
2015
影响因子：
4.9
通讯作者：
Rosenman,KennethD
中科院分区：
文献类型：
--
作者：
Largo,ThomasW;Rosenman,KennethD
截肢是一个雇员可以承受的最严重的伤害之一，并可能导致失去工作时间和永久性的限制，限制未来的活动。一个多数据源系统已经被证明可以识别出两倍于只依赖雇主报告的急性创伤死亡人数。这项研究表明了一个多数据源的方法为非致命性的职业伤害的价值。MethodsData被抽象从医疗记录的病人治疗工作相关的截肢在密歇根州的医院和急诊科，并与工人的赔偿索赔数据。密歇根州职业安全与健康管理局进行了安全检查选定cases.ResultsFrom 2006年至2012年，4140密歇根州居民有一个与工作有关的截肢。相比之下，劳动统计局（BLS）进行的职业伤害和疾病调查估计，在此期间有1770起案件。在7年期间，与工作有关的截肢率下降了26%。男性因工作而截肢的比率是女性的六倍多。与工作有关的截肢率最高的行业是木材产品制造业和造纸业。电锯和压力机是受伤的主要原因。由于该系统的转介，进行了173次安全检查。这些检查确定了1566违规行为和评估$652 755在penalty.ConclusionsThe系统是相当简单的维护，确定了超过两倍的情况下，无论是劳工统计局或工人的赔偿单，并启动检查高风险的工地是有用的。
ObjectivesAn amputation is one of the most serious injuries an employee can sustain and may result in lost time from work and permanent limitations that restrict future activity. A multidata source system has been shown to identify twice as many acute traumatic fatalities as one relying only on employer reporting. This study demonstrates the value of a multidata source approach for non-fatal occupational injuries.MethodsData were abstracted from medical records of patients treated for work-related amputations at Michigan hospitals and emergency departments and were linked to workers’ compensation claims data. Safety inspections were conducted by the Michigan Occupational Safety and Health Administration for selected cases.ResultsFrom 2006 through 2012, 4140 Michigan residents had a work-related amputation. In contrast, the Survey of Occupational Injury and Illness conducted by the Bureau of Labor Statistics (BLS) estimated that there were 1770 cases during this period. During the 7-year period, work-related amputation rates decreased by 26%. The work-related amputation rate for men was more than six times that for women. Industries with the highest work-related amputation rates were Wood Product Manufacturing and Paper Manufacturing. Power saws and presses were the leading causes of injury. One hundred and seventy-three safety inspections were conducted as a result of referrals from the system. These inspections identified 1566 violations and assessed $652 755 in penalties.ConclusionsThe system was fairly simple to maintain, identified more than twice as many cases than either BLS or workers’ compensation alone, and was useful for initiating inspection of high-risk worksites.