Estimation of agricultural and logging injury incidence in Maine using electronic administrative data sets

Details

• Personal Author:
  Horsman M ; Jenkins PL ; Krupa NL ; Scott EE
• Description:
  Agriculture and forestry rank among industries with the highest rates of occupational fatality and injury. Establishing a nonfatal injury surveillance system is a top priority in the National Occupational Research Agenda. Recently, new sources of data such as Pre-Hospital Care Reports (PCRs) and hospitalization data have transitioned to electronic databases. Using narrative free text and location codes from Maine PCRs, along with International Classification of Diseases (ICD)-9 External Cause of Injury Codes (E-codes) in Maine hospital data, researchers are designing a surveillance system to track farm and forestry injury that utilizes electronic match-merging of the two data sources. For 2008, PCR records produced a total of 104 true agricultural cases. Of these, 66 (63%) were identified from the keyword/visual inspection process alone, 25 (24%) were identified by the farm checkbox only, and the remaining 13 (13%) by both methods. For the 150 unique injury events found in hospitalization data, 146 had the initial episode of care documented in only one of the three hospital files. The emergency department (ED) file had the largest number of these (123/146 = 84.2%), followed by the outpatient file (12/146 = 8.2%) and the inpatient file (11/146 = 7.5%). Of the 250 unique agricultural injuries identified (100 PCR only + 146 hospital only + 4 from both), 66 (26%) would not have been identified without free text review of PCR narrative. The false-positive rate (97.14%) keyword searches underscores that without visual inspection, it is not an effective strategy. Both sources of data (PCR and hospital data) need to be used in a continued surveillance system. [Description provided by NIOSH]
• Subjects:
  Agriculture Epidemiology Forestry Morbidity Occupational Health Safety
• Keywords:
  Agricultural Industry Author Keywords: Agriculture Electronic Databases Forestry Forestry Workers Injury Surveillance Logging Workers Morbidity Rates Surveillance Programs Traumatic Injuries
• ISSN:
  1059-924X
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Maine ; New York ; OSHA Region 1 ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  195-204
• Volume:
  20
• Issue:
  2
• NIOSHTIC Number:
  nn:20046120
• Citation:
  J Agromedicine 2015 Apr; 20(2):195-204
• Contact Point Address:
  Erika E. Scott, Northeast Center for Occupational Health, One Atwell Road, Cooperstown, NY 13326
• Email:
  erika.scott@bassett.org
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  Mary Imogene Bassett Hospital, Cooperstown, New York
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  Journal of Agromedicine
• End Date:
  20270831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:404470759b5e566b85bcb8d46605bfd9bd69fa5d7413c0619307dcafc9496ae0bc148861ace1fde1728017ca8838400817e032816c99ddd383c9862b820bb45f
• Download URL:
  https://stacks.cdc.gov/view/cdc/201263/cdc_201263_DS1.pdf
• File Type:
  [PDF - 246.97 KB ]