Establishing a Surveillance System for Traumatic Agricultural and Forestry Injury in the Northeast US

Details

• Personal Author:
  Horsman M ; Jenkins P ; Krupa N ; Scott E
• Description:
  Objectives: Agriculture and Forestry rank among industries with the highest rates of occupational fatality and injury. Establishing a non-fatal injury surveillance system is a top priority in the National Occupational Research Agenda. Recently, new sources of data such as Pre-Hospital Care Reports (PCR) and hospitalization data have transitioned to electronic databases. Methods: Using narrative free text and location codes from PCRs, along with ICD-9 External Cause of Injury Codes (ECODES) in hospital data from Maine, researchers are designing a surveillance system to track farm and forestry injury. Results: 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 check-box only, and the remaining 13 (13%) by both methods. For the 148 unique injury events found in hospitalization data, 144 (97.3%) had the initial episode of care documented in only one of the three hospital files. The ED file had the largest number of these (119/144=82.6%), followed by the outpatient file (15/144=10.4%), and the inpatient file (10/144=7.0%). Of the 248 unique agricultural injuries identified (100 PCR only + 144 hospital only + 4 from both), 66 (27%) would not have been identified without free text review of PCR narrative. Conclusions: The false positive rate (99.65%) 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. A similar process is being tested with data from New Hampshire. [Description provided by NIOSH]
• Subjects:
  Agriculture Forestry Occupational Health Safety Software
• Keywords:
  Agricultural Industry Agricultural Safety Computer Software Data Processing Electronic Health Records Injuries Surveillance Programs
• Publisher:
  Canadian Centre for Health and Safety in Agriculture
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Abstract or Summary
• Place as Subject:
  Maine ; New Hampshire ; 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:
  56
• NIOSHTIC Number:
  nn:20053086
• Citation:
  Proceedings of the 7th International Symposium: Safety & Health in Agricultural & Rural Populations: Global Perspectives (SHARP), October 19-22, 2014, Saskatoon, SK, Canada. Saskatoon, SK, Canada: Canadian Centre for Health and Safety in Agriculture, 2014 Oct; :56
• 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:
  Proceedings of the 7th International Symposium: Safety & Health in Agricultural & Rural Populations: Global Perspectives (SHARP), October 19-22, 2014, Saskatoon, SK, Canada
• End Date:
  20270831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:64d8d172b88cbebe996e15b68c3c00490ee5f75150e63d8dc2849a57d38df51baa840aa7686fa44af53677f18c30938e866d7d6e6b22c14d925c37033caa3537
• Download URL:
  https://stacks.cdc.gov/view/cdc/215930/cdc_215930_DS1.pdf
• File Type:
  [PDF - 364.16 KB ]