TRAINING AND MEDICAL SURVEILLANCE UNDER THE ETO STANDARD

ETO 标准下的培训和医疗监督

• 批准号: 3431276
• 负责人: ANTHONY D LAMONTAGNE
• 金额: $ 1.73万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-08-01 至 1995-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3431276
• 关键词: antiseptic sterilization; education evaluation /planning; ethylenes; health care personnel education; health education; hospitals; interview; occupational hazard; occupational health /safety; oxides; questionnaires; training

The general aim of this study is to critically evaluate the implementation of the training and medical surveillance (MS) provisions of the Occupational Safety and Health Administration's (OSHA) 1984 Ethylene Oxide (EtO) Standard in the hospital setting. The broader goal of this research is to identify strengths and weaknesses of training and MS implementation in substance-specific OSHA standards in order to provide for more effective practice, enforcement strategies, and policy-making in these areas. The study will begin with extensive descriptive data gathering on EtO training and MS implementation patterns as well as levels of compliance with training and MS requirements. Implementation and compliance patterns will be related to organizational and workforce characteristics to identify determinants which are most closely correlated with desirable patterns of training and MS. Our estimates of compliance with EtO standard training and MS provisions will be compared to OSHA Integrated Management Information System inspection data in order to judge the utility of this database for the study of training and MS implementation and compliance. The following three specific hypotheses, derived directly from the implementation strategies of exposure monitoring-driven substance-specific health standards will be tested: (1) Exceedance of trigger exposure levels is positively associated with implementation of EtO training, and (2) exceedance of trigger exposure levels is positively associated with implementation of EtO medical surveillance. Two EtO exposure levels are specified to trigger training and MS requirements: the Action Level of 0.5 ppm Time-weighted Average (TWA) and the Excursion Limit of 5 ppm TWA per 15 period. We are asking to what extent employers are in compliance with these requirements and to what extent exposure monitoring specifically guides employers in the implementation of EtO training and MS. Hypothesis (3): The implementation of training is positively associated with the implementation of medical surveillance. As stated in current OSHA policy, part of the intent of training is to make workers aware of their rights under a standard, which in turn is presumed to make workers more likely to exercise those rights. We will test for an association which would be consistent with a such a causal relationship between training and MS. In addition to the presence or absence of training, we will also relate training frequency, quantity, and type to MS implementation, allowing some inferences about relative training effectiveness. To achieve the specific aims, our approach integrates theory and principles from occupational health, health education, and the social sciences with survey research methodology.

本研究的总体目的是批判性地评价 执行培训和医疗监督规定 职业安全与健康管理局（OSHA）1984年 医院环境中的环氧乙烷（EtO）标准。 更广泛的目标 这项研究的目的是确定培训的长处和短处， 在物质特定的OSHA标准中实施MS， 提供更有效的做法、执行战略， 这些领域的政策制定。 这项研究将开始广泛的 EtO培训和MS实施模式的描述性数据收集 以及符合培训和MS要求的水平。 实施和合规模式将与组织 和劳动力特征，以确定最重要的决定因素， 与理想的培训模式和MS密切相关。 EtO标准培训和MS规定的合规性估计将 与OSHA综合管理信息系统检查进行比较 数据，以判断该数据库的研究效用， 培训以及MS的实施和遵守。 以下三个具体的假设，直接来自 风险监测驱动的实施战略 将测试特定物质的健康标准：（1）超过 触发暴露水平与实施 EtO培训，以及（2）触发暴露水平的显著性 与EtO医疗监督的实施相关。 两次环氧乙烷 指定暴露水平以触发培训和MS要求： 行动水平0.5 ppm时间加权平均值（TWA）和偏离 每15个周期的TWA限值为5 ppm。 我们要问的是雇主在多大程度上 是否符合这些要求以及暴露程度 监督专门指导雇主实施环氧乙烷 假设（3）：培训的实施是 这与医疗监督的实施密切相关。 正如现行OSHA政策所述，培训的部分目的是 使工人了解他们在标准下的权利，这反过来又是 这使得工人更有可能行使这些权利。 我们将 检验与此类因果关系一致的关联 培训和MS之间的关系。除了存在或 如果没有培训，我们也会将培训频率，数量， 和类型到MS实现，允许一些关于相对 培训效果。 为了实现具体目标，我们的方法 整合了职业健康、健康 教育和社会科学与调查研究方法。