Preventing disability from occupational musculoskeletal injuries in an urban, acute and tertiary care hospital: Results from a Prevention and Early Active Return-to-work Safely program

被引:22
作者
Davis, PM [1 ]
Badii, M [1 ]
Yassi, A [1 ]
机构
[1] Occupat Hlth & Safety Agcy Healthcare, Canada Res Chair, Vancouver, BC V6H 3X5, Canada
关键词
D O I
10.1097/01.jom.0000147207.83079.04
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: Healthcare workers are at high risk for musculoskeletal injuries. A program was developed to decrease the incidence of musculoskeletal injuries and the duration Of associated time loss. Methods: A program combining primary Prevention and on-site early intervention was implemented at a large, urban hospital. Incidence rates were compared using Poisson regression. Cox regression was used to analyze the time to return to regular duties. Results: Although there was no reduction in incidence, the program was effective in returning injured employees to work more promptly fir registered nurses and health science Professionals (therapists, technicians), although not for facility support staff. Conclusions: Overall savings in lime loss and compensation payments were realized. However, better integration of prevention and follow-up efforts are needed, and greater attention to the sociopolitical environment is required to improve outcomes for facility support staff.
引用
收藏
页码:1253 / 1262
页数:10
相关论文
共 24 条
[1]   Management of return-to-work programs for workers with musculoskeletal disorders: a qualitative study in three Canadian provinces [J].
Baril, R ;
Clarke, J ;
Friesen, M ;
Stock, S ;
Cole, D .
SOCIAL SCIENCE & MEDICINE, 2003, 57 (11) :2101-2114
[2]   Ten years' experience using an integrated workers' compensation management system to control workers' compensation costs [J].
Bernacki, EJ ;
Tsai, SP .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2003, 45 (05) :508-516
[3]   Musculoskeletal outcomes in multiple body regions and work effects among nurses: the effects of stressful and stimulating working conditions [J].
Daraiseh, N ;
Genaidy, AM ;
Karwowski, W ;
Davis, LS ;
Stambough, J ;
Huston, RL .
ERGONOMICS, 2003, 46 (12) :1178-1199
[4]   HEALTH-EFFECTS OF ANTICIPATION OF JOB CHANGE AND NONEMPLOYMENT - LONGITUDINAL DATA FROM THE WHITEHALL-II STUDY [J].
FERRIE, JE ;
SHIPLEY, MJ ;
MARMOT, MG ;
STANSFELD, S ;
SMITH, GD .
BRITISH MEDICAL JOURNAL, 1995, 311 (7015) :1264-1269
[5]  
Frank J, 1998, CAN MED ASSOC J, V158, P1625
[6]  
FRANK J, 2003, IWH AD HOC WORKING G
[7]   Disability resulting from occupational low back pain .2. What do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins [J].
Frank, JW ;
Brooker, AS ;
DeMaio, SE ;
Kerr, MS ;
Maetzel, A ;
Shannon, HS ;
Sullivan, TJ ;
Norman, RW ;
Wells, RP .
SPINE, 1996, 21 (24) :2918-2929
[8]   Disability resulting from occupational low back pain - What do we know about primary prevention? A review of the scientific evidence on prevention before disability begins [J].
Frank, JW ;
Kerr, MS ;
Brooker, AS ;
DeMaio, SE ;
Maetzel, A ;
Shannon, HS ;
Sullivan, TJ ;
Norman, RW ;
Wells, RP .
SPINE, 1996, 21 (24) :2908-2917
[9]  
Friesen Margaret N., 2001, Work, V17, P11
[10]   Determinants of duration of disability and return-to-work after work-related injury and illness: Challenges for future research [J].
Krause, N ;
Frank, JW ;
Dasinger, LK ;
Sullivan, TJ ;
Sinclair, SJ .
AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 2001, 40 (04) :464-484