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

Details

• Alternative Title:
  Scand J Work Environ Health
• Personal Author:
  Macaluso, Maurizio ; Summerville, Lauren A ; Tabangin, Meredith E ; Daraiseh, Nancy M
• Description:
  Objective
  
  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.
  
  Methods
  
  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.
  
  Results
  
  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.
  
  Conclusions
  
  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.
  
  
• Subjects:
  Accidents, Occupational Active Surveillance Adult Article Data Collection Female Grounded Theory Health Personnel Hospitals, Pediatric Humans Injury Detection Male Near Miss, Healthcare Occupational Injuries Occupational Injury Pediatrics Surveillance Young Adult

  More +
• Source:
  Scand J Work Environ Health. 44(4):377-384
• Pubmed ID:
  29777614
• Pubmed Central ID:
  PMC8060781
• Document Type:
  Journal Article
• Funding:
  R21 OH010035/OH/NIOSH CDC HHS/United States
• Volume:
  44
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:89ee67fcc2295fa6f59de1a5cc68626ba4180550afdeab6dd0bfe4af2436bfba
• Download URL:
  https://stacks.cdc.gov/view/cdc/105466/cdc_105466_DS1.pdf
• File Type:
  [PDF - 99.07 KB ]