Use of statewide electronic emergency department data for occupational injury surveillance: a feasibility study in Massachusetts
| Autor: | H. Holly Hackman, Phillip R. Hunt, V. V. Ozonoff, Loreta McKeown, Letitia Davis |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Adolescent Occupational injury Poison control Sensitivity and Specificity Occupational safety and health Young Adult Chart Injury prevention Medicine Humans Aged business.industry Data Collection Gold standard Public Health Environmental and Occupational Health Human factors and ergonomics Emergency department Middle Aged medicine.disease Occupational Injuries Massachusetts Population Surveillance Feasibility Studies Workers' Compensation Female Medical emergency business Emergency Service Hospital |
| Zdroj: | American journal of industrial medicine. 55(4) |
| ISSN: | 1097-0274 |
| Popis: | BACKGROUND: Statewide datasets of emergency department (ED) visits may be useful for occupational injury surveillance. Using data from 12 hospitals, we evaluated two indicators of work-relatedness in reported ED data and the availability of employment information in medical charts. METHODS: Workers' compensation as payer and/or "yes" in an injury-at-work field were used to define probable work-related (PWR) injury visits in the Massachusetts ED dataset. Charts were reviewed for a sample of 1,002 PWR and 250 probable nonwork-related (PNWR) cases. RESULTS: Using chart information as the gold standard, indicators of work-relatedness had a sensitivity of 82%, specificity of 97%, and predictive value positive of 86%. Employer name was in charts for 89% of PWR and 42% of PNWR cases. Occupation was available for 34% of PWR cases. CONCLUSION: Electronic ED data are useful for state surveillance of occupational injuries. Improvements in attribution of work-relatedness and collection of available employer identifiers and occupational information would enhance its usefulness. The performance of indicators of work-relatedness in ED datasets should be examined in different states. Am. J. Ind. Med. © 2011 Wiley Periodicals, Inc. Language: en |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text