Abstract:
BACKGROUND:The rate of lost-time sprains and strains in private nursing homes is over three times the national average, and for back injuries, almost four times the national average. The Ohio Bureau of Workers' Compensation (BWC) has sponsored interventions that were preferentially promoted to nursing homes in 2000-2001, including training, consultation, and grants up to $40,000 for equipment purchases. METHODS:This study evaluated the impact of BWC interventions on back injury claim rates using BWC data on claims, interventions, and employer payroll for all Ohio nursing homes during 1995-2004 using Poisson regression. A subset of nursing homes was analyzed with more detailed data that allowed estimation of the impact of staffing levels and resident acuity on claim rates. Costs of interventions were compared to the associated savings in claim costs. RESULTS:A $500 equipment purchase per nursing home worker was associated with a 21% reduction in back injury rate. Assuming an equipment life of 10 years, this translates to an estimated $768 reduction in claim costs per worker, a present value of $495 with a 5% discount rate applied. Results for training courses were equivocal. Only those receiving below-median hours had a significant 19% reduction in claim rates. Injury rates did not generally decline with consultation independent of equipment purchases, although possible confounding, misclassification, and bias due to non-random management participation clouds interpretation. In nursing homes with available data, resident acuity was modestly associated with back injury risk, and the injury rate increased with resident-to-staff ratio (acting through three terms: RR = 1.50 for each additional resident per staff member; for the ratio alone, RR = 1.32, 95% CI = 1.18-1.48). In these NHs, an expenditure of $908 per resident care worker (equivalent to $500 per employee in the other model) was also associated with a 21% reduction in injury rate. However, with a resident-to-staff ratio greater than 2.0, the same expenditure was associated with a $1,643 reduction in back claim costs over 10 years per employee, a present value of $1,062 with 5% discount rate. CONCLUSIONS:Expenditures for ergonomic equipment in nursing homes by the Ohio BWC were associated with fewer worker injuries and reductions in claim costs that were similar in magnitude to expenditures. Un-estimated benefits and costs also need to be considered in assessing full health and financial impacts.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Park RM,Bushnell PT,Bailer AJ,Collins JW,Stayner LTdoi
10.1002/ajim.20731subject
Has Abstractpub_date
2009-09-01 00:00:00pages
683-97issue
9eissn
0271-3586issn
1097-0274journal_volume
52pub_type
杂志文章abstract::A joint study on effects of formaldehyde exposure in industrial populations by the National Cancer Institute and the Formaldehyde Institute, Inc. (Blair et al. [1986]: J Natl Cancer Inst 76: 1071-1084; Blair and Stewart [1989]: J Occup Med 31: 881, Blair et al. [1990]: Am J Ind Med 17:683-700) reported no significant ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700250413
更新日期:1994-04-01 00:00:00
abstract::This report presents a mortality study among the 17,344 members of the Construction Workers' Health Insurance Society of Mie Prefecture in Japan. The study period was between 1973 and 1993. During this period, 480 members died. Age-specific mortality rates of Mie Prefecture were used as comparison standards. Significa...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199707)32:1<35::aid-ajim5>
更新日期:1997-07-01 00:00:00
abstract::An association between bladder cancer and employment as an artistic painter was found in two study populations. A proportionate mortality analysis of death certificates of professional artists indicated a greater than twofold excess for bladder cancer mortality among painters. This association was further investigated...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700090311
更新日期:1986-01-01 00:00:00
abstract::Ethylene oxide was tested in environmental air and in the alveolar air of 10 workers employed in a hospital sterilizer unit at hourly intervals during the work shift. Alveolar ethylene oxide concentrations (Ca) were correlated with environmental concentration (Ci) in all the workers studied (r = 0.89-0.99). The ratio ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700080109
更新日期:1985-01-01 00:00:00
abstract::In this article the material collected for a case-control study is analyzed in order to evaluate the existence of relationships between organic solvent exposure and the entitlement to disability benefits due to neuropsychiatric disorders. Questionnaires were used to collect information on 252 cases receiving compensat...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700160610
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:The occupational lung cancer risk in manufacturing and repair of shoes was studied by pooling of two major case-control studies from Germany. METHODS:Some 4184 incident hospital-based cases of primary lung cancer and 4253 population controls, matched for sex, age, and region of residence were intensively in...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(200006)37:6<575::aid-ajim1
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:Assess the national prevalence of current workplace exposure to potential skin hazards, secondhand smoke (SHS), and outdoor work among various industry and occupation groups. Also, assess the national prevalence of chronic workplace exposure to vapors, gas, dust, and fumes (VGDF) among these groups. METHODS:...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22089
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Exposure to chemicals in polluted soil was studied during the remediation of four polluted sites. They are sawmill areas contaminated with chlorophenols and polychlorinated dibenzo-p-dioxins and furanes (PCDD/F), wood impregnating plants contaminated with polycyclic aromatic hydrocarbons (PAH) from creosote ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.1031
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Biomass cooking fuel is the main source of indoor air pollution in the majority of households in the developing world. Sri Lanka is an island of about 20 million population with urban, rural, and estate population of 14.6%, 80.0%, and 5.4%, respectively. This study describes biomass fuel use for cooking in S...
journal_title:American journal of industrial medicine
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doi:10.1002/ajim.21023
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:The etiology of Parkinson's disease (PD) is considered to have a strong environmental component, but relatively few studies have investigated the potential association between occupation and the disease. METHODS:In a population-based case-control study, we collected comprehensive occupational histories from...
journal_title:American journal of industrial medicine
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doi:10.1002/ajim.1055
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:Work-related musculoskeletal disorders (WMSD) among construction workers remain high. Participatory ergonomics (PE) interventions that engage workers and employers in reducing work injury risks have shown mixed results. METHODS:Eight-six workers from seven contractors participated in a PE program. A logic m...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22586
更新日期:2016-06-01 00:00:00
abstract::In order to estimate rates and identify risk factors for assaults on employees of a state psychiatric hospital, we examined workers' compensation claims, hospital-recorded incident reports, and data collected in a survey of ward staff. Results revealed 13.8 workers' compensation claims due to assault per 100 employees...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199701)31:1<92::aid-ajim14
更新日期:1997-01-01 00:00:00
abstract::Cohort mortality and nested case-control studies were conducted involving 2,901 men employed 1 year or more between 1940 and 1986 at any of four California facilities of a major chemical company. Employees experienced fewer deaths from each of the major causes than were expected based on U.S., California, and local co...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700220107
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:Many authorities are concerned about the rising use and the potential overuse of opioid pain medications. A study of opioid prevalence and dosage in Ohio's workers' compensation (WC) system was conducted, with comparisons made to opioid use in other WC and non-WC settings. METHODS:Systematic literature revi...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.21021
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Workers in poultry processing and pork meatpacking have high rates of acute injuries and chronic disease among. The presence of zoonotic pathogens in these workplaces may interact with injury. METHODS:We investigated incidence of worker injuries, lacerations, and infections reported by 10 companies from 200...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22325
更新日期:2014-06-01 00:00:00
abstract::The objectives of this study were 1) to summarize in a clinically meaningful way information on occupational risk factors for carpal tunnel syndrome (CTS), and 2) to test a questionnaire on risk factors that could be used by physicians with their patients. For the two objectives, a systematic literature review was per...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/(sici)1097-0274(199803)33:3<224::aid-ajim3
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:Workers in foundry and pottery are exposed to a mixture of chemicals and silica, which is suspected to cause genetic alterations. METHODS:To investigate the potential hazard associated with the occupational exposure to silica, DNA damage in the peripheral lymphocytes of 30 foundry and 22 pottery workers wer...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10222
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:Latino residential construction workers experience high rates of occupational fatality and injury. Work safety climate is an especially important consideration for improving the safety of these immigrant workers. This analysis describes work safety climate among Latino residential construction workers, delin...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22058
更新日期:2012-08-01 00:00:00
abstract::Surveillance of pregnancy loss as a way to detect hazardous exposures is attractive in principle. However, there are no established methods for monitoring pregnancy loss in humans. Surveillance is difficult because most loss occurs within the first 12 weeks of gestation, when pregnancy may not be documented or even re...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Pain and fatigue are commonly associated with work-related upper extremity disorders. Occasionally these symptoms persist beyond a reasonable healing period. One potential explanation for prolonged symptom expression is the concurrent development of a stress-mediated illness or CMI (Chronic Multi-Symptom Ill...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.10068
更新日期:2002-05-01 00:00:00
abstract::Long-term exposure to lead is known to cause a variety of neurotoxic manifestations, including symptoms of depression. Dimercaptosuccinic acid (DMSA), a recently approved oral chelating agent, can diminish the body burden of lead, but few cases of documented clinical improvement following treatment have been reported....
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700240606
更新日期:1993-12-01 00:00:00
abstract:BACKGROUND:No previous studies investigated the interaction of effort-reward imbalance (ERI) and overcommitment on blood pressure. Our aim was to investigate associations of ERI and overcommitment (and their interaction) with blood pressure and hypertension within a Chinese population. METHODS:Seven hundred thirty-fou...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22254
更新日期:2013-12-01 00:00:00
abstract::Lifetime industrial and occupational histories of women with a medically-confirmed diagnosis of infertility (n = 281) were compared to a group of postpartum women (n = 216) for risks of infertility. Controlling for age of first pregnancy or self-report of infertility, date of outcome, cigarette use, and employment in ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199704)31:4<445::aid-ajim1
更新日期:1997-04-01 00:00:00
abstract::The mortality profile of female nurses and teachers in British Columbia (BC) was examined using age-standardized proportional mortality ratios (PMRs) calculated for the period 1950-1984. Lowered overall mortality among nurses was seen for degenerative heart disease and for cerebrovascular accidents. Significantly elev...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700260111
更新日期:1994-07-01 00:00:00
abstract::The occupational injury experience of the U.S. and Australian construction industries for 1988-1991 was compared to identify similarities and differences in risk and to share information vital for planning strategies for prevention. There were 4,158 deaths in the U.S. and 264 in the Australian construction industries....
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0274(199608)30:2<202::AID-AJIM1
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND:This study investigated the relationship between weekly working hours and the occurrence of cerebro-cardiovascular diseases using a case-crossover study design. METHODS:We investigated average working hours during the 7 days before the onset of illness (hazard period) and average weekly working hours betwee...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22688
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:We investigated how night shift duration and sleep problems were jointly associated with disabling low back pain (LBP) among workers in different occupations. METHODS:An online-survey was conducted regarding work schedules, disabling LBP, sleep problems, and other relevant factors in 5,008 workers who were ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22493
更新日期:2015-12-01 00:00:00
abstract::A one-year prospective survey was conducted to study the incidence of and potential risk factors for farm-related injuries in Eastern Ontario. One hundred and seventeen dairy and beef farms were surveyed using a personal interview. Information was collected on demographic characteristics of the farm owners, workers, a...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700210503
更新日期:1992-01-01 00:00:00
abstract::An analysis of reported birth record variables by parental occupation suggests that certain birth outcomes may identify toxic or carcinogenic occupational exposures of the parents. Fathers coded to an asbestos and insulation worker rubric sired fewer plural births, and more stillbirths than expected. A number of other...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700160214
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Lead stabilizers (e.g., lead sulfate, lead stearate) are common additives in plastics used in electrical devices. In 1997, three plastics compounders at one California company were severely lead-poisoned. METHODS:The poisonings were investigated by interviewing the workers, employer, and treating physician ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20123
更新日期:2005-02-01 00:00:00