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弥合知识差距:一种用于监测不列颠哥伦比亚省医疗保健人员健康状况的创新监测系统。

Bridging the knowledge gap: an innovative surveillance system to monitor the health of British Columbia's healthcare workforce.

作者信息

Gilligan Tony, Alamgir Hasanat

机构信息

Information Systems, Occupational Health and Safety Agency for Healthcare, Vancouver, BC.

出版信息

Can J Public Health. 2008 Nov-Dec;99(6):478-82. doi: 10.1007/BF03403780.

Abstract

OBJECTIVE

Healthcare workers are exposed to a variety of work-related hazards including biological, chemical, physical, ergonomic, psychological hazards; and workplace violence. The Occupational Health and Safety Agency for Healthcare in British Columbia (OHSAH), in conjunction with British Columbia (BC) health regions, developed and implemented a comprehensive surveillance system that tracks occupational exposures and stressors as well as injuries and illnesses among a defined population of healthcare workers.

INTERVENTION

Workplace Health Indicator Tracking and Evaluation (WHITE) is a secure operational database, used for data entry and transaction reporting. It has five modules: Incident Investigation, Case Management, Employee Health, Health and Safety, and Early Intervention/Return to Work.

OUTCOMES

Since the WHITE database was first introduced into BC in 2004, it has tracked the health of 84,318 healthcare workers (120,244 jobs), representing 35,927 recorded incidents, resulting in 18,322 workers' compensation claims. Currently, four of BC's six healthcare regions are tracking and analyzing incidents and the health of healthcare workers using WHITE, providing OHSAH and healthcare stakeholders with comparative performance indicators on workplace health and safety. A number of scientific manuscripts have also been published in peer-reviewed journals.

CONCLUSION

The WHITE database has been very useful for descriptive epidemiological studies, monitoring health risk factors, benchmarking, and evaluating interventions.

摘要

目的

医护人员面临各种与工作相关的危害,包括生物、化学、物理、工效学、心理危害以及工作场所暴力。不列颠哥伦比亚省医疗保健职业健康与安全局(OHSAH)与不列颠哥伦比亚省(BC)各健康区域合作,开发并实施了一个综合监测系统,该系统跟踪特定医护人员群体中的职业暴露、压力源以及伤害和疾病情况。

干预措施

工作场所健康指标跟踪与评估(WHITE)是一个安全的运营数据库,用于数据录入和交易报告。它有五个模块:事件调查、病例管理、员工健康、健康与安全以及早期干预/重返工作岗位。

结果

自2004年WHITE数据库首次引入BC省以来,它已跟踪了84318名医护人员(120244个工作岗位)的健康状况,记录了35927起事件,导致18322起工人赔偿申请。目前,BC省六个医疗保健区域中的四个正在使用WHITE跟踪和分析事件以及医护人员的健康状况,为OHSAH和医疗保健利益相关者提供有关工作场所健康与安全的比较绩效指标。一些科学手稿也已在同行评审期刊上发表。

结论

WHITE数据库对于描述性流行病学研究、监测健康风险因素、设定基准以及评估干预措施非常有用。

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