Noise and Occupational Medicine
| Autor: | Michael J. Hodgson, Andrew L Phillips, Ryan Cooney, Zachary Harris, Daphne Myrtil |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Occupational Medicine medicine.medical_specialty Hearing loss United States Occupational Safety and Health Administration Occupational disease Masking (Electronic Health Record) Occupational safety and health Occupational medicine Documentation Occupational Exposure Surveys and Questionnaires otorhinolaryngologic diseases medicine Humans Practice Patterns Physicians' Noise pollution Public Health Environmental and Occupational Health Middle Aged medicine.disease United States Noise Hearing Loss Noise-Induced Family medicine Noise Occupational Female medicine.symptom Psychology National Institute for Occupational Safety and Health U.S |
| Zdroj: | Journal of Occupational & Environmental Medicine. 61:1019-1029 |
| ISSN: | 1076-2752 |
| Popis: | Noise-induced hearing loss (NIHL) represents the second most common occupational disease in the United States. Although the Occupational Safety and Health Administration (OSHA) has promulgated an occupational noise exposure standard and associated recordkeeping requirements, OSHA inspections increasingly document practices that violate both the noise standard and recordkeeping regulation. This article describes five deviations from good clinical practices masking the true societal costs of NIHL, leading to missed prevention opportunities, and creating burdens for individuals and society. These include attributing NIHL to nonoccupational sources, exculpating the workplace because of audiogram patterns without careful documentation, ignoring symptoms or physical examination findings, and simply denying work-relatedness, leading to employers inappropriately lining out cases from the OSHA 300 log. The practices identified by OSHA suggest that many individuals are not following widely recognized and accepted practices when administering hearing conservation programs. |
| Databáze: | OpenAIRE |
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