Just-In-Time Methods For Understanding Near-misses, Injuries & Risk Factors

了解未遂事故和伤害的即时方法

• 批准号: 8740678
• 负责人: Nancy M. Daraiseh
• 金额: $ 23.02万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8740678
• 关键词: Just; Time; Methods; Understanding; Near

DESCRIPTION (provided by applicant): This study directly responds to NIOSH PAR 12-252 which specifically requests proposals that enhance our understanding of risks and conditions associated with occupational diseases and injuries and add to scientific knowledge by examining a population whose health and safety is seldom investigated. Results from this study will provide information necessary for designing new institutional surveillance systems and interventions to prevent adverse occupational health outcomes among pediatric healthcare providers (PHCPs). Healthcare personnel routinely encounter health and safety hazards with consequences that affect the employee (through turnover, job satisfaction, performance and overall health), the patient (through poorer quality of care and safety), and the organization (through lost work-time, compensation claims, job replacement/training and poor perception of organizational commitment to health/safety). Accurate data on risk factors, the incidence of near- misses and injuries, and their time trends are essential for developing interventions to reduce the burden of work-related adverse health outcomes. However, research has shown that injury under-reporting in healthcare is common due to time constraints, reluctance to report, symptom self-management, peer pressure not to report, frustration with workers' compensation procedures, a sense of 'normalcy' of being injured and fear of reprisal. To facilitate accurate and timely injury reporting, surveillance systems need to be supported by clear practice policies encouraging injury reporting and near-misses, that if ignored may lead to harm for both staff and patients. The importance of near-misses has long been integrated in the surveillance systems of other high-risk industries such as aviation, nuclear facilities and the military because each occurrence contributes to an understanding of potential failure patterns that may be antecedents of more severe injuries. The study's objectives are to: determine the frequency and type of near-misses and injuries among PHCPs and assess the feasibility of using a real-time data collection method as the basis for active injury surveillance in healthcare organizations. A secondary objective is to assess the relationship of individual and work factors with these events. The objectives will be achieved by the following specific aims: 1) Determine the number of near-misses and injuries experienced by PHCPs working in a freestanding pediatric hospital; 2) Compare voice recording and conventional data collection; 3) Evaluate the feasibility of an active surveillance system based on voice recording; and 4) Evaluate the association of individual and work factors on near-misses and injuries. Randomly selected PHCPs will record near-misses and injuries on voice recorders for a total of 1,000 two-week periods. Injuries reported through institutional surveillance will be compared to voice-recorded reports to determine the prevalence of under-reported injuries. Surveys and focus groups will be used to assess reporting preference and feasibility. Surveys at baseline and study completion will measure individual and work factors and their associations with injuries and near-misses.

描述（由申请人提供）：本研究直接响应NIOSH PAR 12-252，该研究特别要求提出建议，加强我们对与职业病和伤害相关的风险和条件的理解，并通过检查很少调查健康和安全的人群来增加科学知识。本研究的结果将为设计新的机构监测系统和干预措施提供必要的信息，以防止儿科医疗保健提供者（phcp）的不良职业健康结果。医疗保健人员经常遇到健康和安全危害，其后果影响到员工（通过人员流动、工作满意度、绩效和整体健康）、患者（通过较差的护理和安全质量）和组织（通过损失的工作时间、索赔、工作替换/培训以及对组织对健康/安全承诺的不良认识）。关于危险因素、险些受伤和受伤发生率及其时间趋势的准确数据对于制定干预措施以减轻与工作有关的不良健康后果负担至关重要。然而，研究表明，由于时间限制、不愿报告、症状自我管理、不报告的同伴压力、对工人赔偿程序的失望、受伤的“正常”感和害怕报复，医疗保健部门的伤害漏报现象很普遍。以方便准确及

项目成果

The psychosocial work environment, musculoskeletal disorders and their functional consequences among pediatric healthcare providers.

小儿医疗保健提供者中的社会心理工作环境，肌肉骨骼疾病及其功能后果。

• DOI: 10.1016/j.annepidem.2021.02.015
• 发表时间: 2021-06
• 期刊: Annals of epidemiology
• 影响因子: 5.6
• 作者: Macaluso F;Macaluso M;Daraiseh NM
• 通讯作者: Daraiseh NM

Enhancing the detection of injuries and near-misses among patient care staff in a large pediatric hospital.

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
• 发表时间: 2018-07-01
• 期刊: Scandinavian journal of work, environment & health
• 作者: Macaluso M;Summerville LA;Tabangin ME;Daraiseh NM
• 通讯作者: Daraiseh NM