SURVEILLANCE METHODS FOR HEALTH CARE AND RELATED WORKERS

医疗保健及相关工作人员的监测方法

• 批准号: 6259528
• 负责人: JOHN M DEMENT
• 金额: $ 26.95万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6259528
• 关键词: data collection methodology /evaluation; health care personnel; health care service; health services research tag; human subject; occupational health /safety

DESCRIPTION: NIOSH has identified health care workers (HCW) as a special population at high risk of occupational disease and injury. The Bureau of Labor Statistics estimates that there are over eight million workers employed in US health care industries. Health care workers are involved in very diverse functions and duties that may expose them to many hazards such as toxic chemicals, infectious agents (e.g., blood borne and body substance exposures to bacteria, viruses, fungi, and parasites), latex, ergonomic hazards, workplace violence, work related stress, and physical agents. Relatively little injury and disease surveillance data exists for health care workers. The major objective of this research is to develop a comprehensive system for health, injury, and hazard surveillance of health care workers. This will be accomplished through the combination of population-based and case-based data. A job-exposure matrix will be developed for hazard surveillance and for estimation of individual exposures through linkage with each worker's job history. The surveillance system will use analytical tools for cohort data to study the incidence and causes of work related injuries and health conditions, the identification of high risk populations, and appropriate prevention measures. These data will be supplemented by the use of case-based data, allowing more detailed follow-up of a group of 'sentinel health events' of concern for health care workers. Specific conditions to be addressed by case-based surveillance will include patient lifting and handling injuries, other noninfectious occupational injuries, latex allergy, occupational asthma, and work-related stress. The system will be implemented for 5 years of surveillance of a cohort of over 10,000 health care workers employed by Duke University Health systems (DUHS), which includes Duke University Medical Center, a large teaching hospital, and Durham Regional Hospital, a community based hospital. Other components of DUHS include 20 clinics located in 8 N.C. counties, triangle Hospice, and the Duke Infusion Center. While we will evaluate the utility of the system in this setting, the goal of the project is to define elements and performance characteristics of a model surveillance system which could be used in other health care institutions. Results of the case-based surveillance effort also will have broad application to health care workers.

描述：NIOSH已确定卫生保健工作者（HCW）作为一个特殊的 职业病和职业伤害高危人群。劳动局 据统计，美国有800多万工人受雇于 医疗保健行业。卫生保健工作者参与了各种各样的 可能使他们面临许多危险的职能和职责， 化学品、传染性病原体（例如，血液和身体物质暴露 细菌、病毒、真菌和寄生虫）、乳胶、人体工程学危害、工作场所 暴力、工作压力和身体因素。相对较小的伤害 和疾病监测数据存在的卫生保健工作者。 本研究的主要目标是开发一个全面的系统， 卫生保健工作者的健康、伤害和危险监测。这将是 通过结合基于人口和基于案例的数据来实现。一 将为危险监测和 通过与每个工人的工作联系来估计个人接触 历史监测系统将使用队列数据分析工具， 研究工伤和健康状况的发生率和原因， 确定高危人群，并采取适当的预防措施 措施这些数据将通过使用基于案例的数据加以补充， 允许更详细地跟踪一组“哨兵健康事件”， 关心医护人员。具体条件由 基于病例的监测将包括患者搬运和处理损伤， 其他非传染性职业伤害，乳胶过敏，职业性哮喘， 和工作压力该制度将实施5年， 对杜克大学雇用的10，000多名卫生保健工作者的队列进行监测 大学卫生系统（DUHS），其中包括杜克大学医学 中心，一个大型教学医院，和达勒姆地区医院，一个社区 基于医院DUHS的其他组成部分包括位于北卡罗来纳州8个州的20个诊所。 县，三角收容所，和杜克输液中心。虽然我们将 评估该系统在此设置中的效用，该项目的目标是 定义模型监督的要素和性能特征 该系统可用于其他医疗机构。结果 以病例为基础的监测工作也将广泛应用于卫生保健 工人