Enhancing the detection of injuries and near-misses among patient care staff in a large pediatric hospital.
Enhancing the detection of injuries and near-misses among patient care staff in a large pediatric hospital.
复制标题
加强大型儿科医院患者护理人员中受伤和近乎失误的检测。
DOI：
10.5271/sjweh.3739
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发表时间：
2018-07-01
期刊：
影响因子：
--
通讯作者：
Daraiseh NM
中科院分区：
文献类型：
--
作者：
Macaluso M;Summerville LA;Tabangin ME;Daraiseh NM
与其他行业相比，医疗保健行业是非致命职业伤害/疾病发生率最高的行业之一。有证据表明这些比率被低估，凸显了改进伤害监测的必要性。本研究旨在证明将主动数据收集集成到被动伤害监测系统中以改善医疗机构中伤害检测的可行性。儿科医疗保健提供者使用数字录音机 (DVR) 前瞻性地记录了两周内轮班期间发生的事件。然后，这种基于样本的主动伤害监测被整合到一个机构监测系统（ISS）中，该系统以员工报告发起的被动数据收集为中心。 2014 年 2 月至 2015 年 7 月期间，每两周使用 DVR 报告的伤害频率是根据国际空间站通常报告预期的频率的 40.7 倍。心理伤害（例如压力、冲突）和未遂事件的发生率分别为每 1000 天 16.1 起 [95% 置信区间 (CI) 14.1–18.3] 和每 1000 天 35.6 起 (95% CI 32.7–38.8)。最后，68% (95% CI 65-72%) 的参与者更喜欢使用 DVR 作为现有 ISS 的替代或补充。这项研究表明，通过将基于语音记录的主动数据收集集成到被动伤害监测系统中，改善医疗机构的伤害监测是可行的。加强监测提供了更丰富的信息，可以指导制定有效的伤害预防策略。
Compared to other industries, healthcare has one of the highest rates of non-fatal occupational injury/illness. Evidence indicates these rates are underestimated, highlighting the need for improved injury surveillance. This study aims to demonstrate the feasibility of integrating active data collection in a passive injury surveillance system to improve detection of injuries in a healthcare establishment. Using digital voice recorders (DVR), pediatric healthcare providers prospectively recorded events throughout their shift for two weeks. This sample-based active injury surveillance was then integrated into an institutional surveillance system (ISS) centered on passive data collection initiated by employee reports. Injuries reported using DVR during two-week intervals from February 2014 to July 2015 were 40.7 times more frequent than what would be expected on the basis of the usual ISS reports. Psychological injuries (eg, stress, conflict) and near-misses were captured at a rate of 16.1 per 1000 days [95% confidence interval (CI) 14.1–18.3] and 35.6 per 1000 days (95% CI 32.7–38.8), respectively. Finally, 68% (95% CI 65–72%) of participants preferred using DVR either as an alternative or complement to the existing ISS. This study showed that it is feasible to improve injury surveillance in a healthcare establishment by integrating active data collection based on voice recording within a passive injury surveillance system. Enhanced surveillance provides richer information that can guide the development of effective injury prevention strategies.
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影响因子：
4.2
作者：
Huang, Yu-Lin;Moon, Jinhee;Segal, Jodi B.
通讯作者：
Segal, Jodi B.
影响因子：
3.5
作者：
Boden, Leslie I.;Sembajwe, Grace;Sorensen, Glorian
通讯作者：
Sorensen, Glorian
影响因子：
3.5
作者：
Benavides, FG;Delclos, GL;Benach, J
通讯作者：
Benach, J
影响因子：
1.4
作者：
Blegen, MA;Vaughn, T;Armstrong, G
通讯作者：
Armstrong, G
影响因子：
5.4
作者：
Kessels-Habraken, Marieke;Van der Schaaf, Tjerk;Rutte, Christel
通讯作者：
Rutte, Christel