A Comprehensive Surveillance of Occ Injury in Maryland

描述(由申请人提供)：本研究的长期目标是提供必要的信息，以减少职业伤害造成的死亡和残疾。虽然人们对与工作有关的死亡了解很多，但对需要在急诊科(ED)治疗或入院的非致命伤害的流行病学知之甚少。这项研究旨在开发一个全州范围内的职业伤害综合监测模型。马里兰州现有的数据来源将被链接起来，以创建一个特定于事故的数据库，该数据库允许按人口、行业和职业估计职业伤害发生率。此外，还将对报告的可靠性进行验证研究。这项研究有以下六个具体目标：(1)基于现有数据来源的联系，开发一个全州范围内的职业伤害监测模型系统，这些数据来源包括急诊记录、出院记录、法医记录、死亡证明、救护车运行表、警察事故报告、创伤登记记录和紧急医疗服务通信日志。这将是一次基于2001年、2002年和2003年数据的被动、回溯性监测。(2)根据急症患者、住院患者和已故工人的抽样图表回顾，对现有数据来源报告的与工作相关的情况进行验证研究，以确定患者的性质和职业以及受伤情况。此外，还将计算与工作相关的假阳性和假阴性比率。(3)通过对创伤患者进行积极、前瞻性的调查，包括2003年、2004年和2005年由创伤护士进行的深入访谈和筛查，收集深入的信息，以确定受伤情况。从这些来源获得的数据将与来自外部来源的信息进行佐证。(4)确定2003年可用于确定工伤的现有来源的长处和短处，这是唯一可以获得被动和主动监测数据的年份。(5)利用从这项监测中获得的知识，为建立一个长期、可持续的职业伤害监测系统提出建议。(6)根据受伤风险较高的工人群体，确定马里兰州内预防伤害的优先领域。

DESCRIPTION (provided by applicant): The long-term objective of this research is to provide the information necessary to reduce death and disability from occupational injury. While much is known about work-related fatalities, little is known about the epidemiology of non-fatal injuries requiring treatment in an emergency department (ED) or admission to a hospital. This study seeks to develop a model for comprehensive statewide surveillance of occupational injuries. Available sources of data in Maryland will be linked to create an incident-specific database, which allows estimation of the incidence of occupational injury by population, by industry, and by occupation. In addition, validation studies of the reliability of reporting will be conducted. The study has the following six specific aims: (1) To develop a model system for statewide surveillance of occupational injuries, based on the linkage of available sources of data, including ED records, hospital discharge records, medical examiners records, death certificates, ambulance run sheets, police crash reports, trauma registry records, and emergency medical services communication logs. This will be a passive, retrospective surveillance based on data from 2001, 2002, and 2003. (2) To conduct a validation study of the reporting of work relatedness by available data sources based on sampled chart reviews of ED patients, inpatients, and deceased workers, in order to determine the nature and occupation of the patient and circumstances of the injury. In addition, false- positive and false- negative rates for work relatedness will be computed. (3) To collect in-depth information to identify injury circumstances through an active, prospective investigation of trauma patients, including in-depth interviews and screening by trauma nurses during 2003, 2004, and 2005. Data obtained from these sources will be corroborated with information from external sources. (4) To determine the strengths and weaknesses of available sources for identifying work-related injuries for 2003, the only year for which both passive and active surveillance data will be available. (5) To use knowledge resulting from this surveillance to make recommendations for a long-term, sustainable surveillance system for occupational injuries. (6) To identify priority areas for injury prevention within the state of Maryland, based on groups of workers at high risk of injury.