Vanderbilt Division of Trauma & Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Vanderbilt Division of Trauma & Surgical Critical Care, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
J Surg Res. 2014 Jun 15;189(2):207-212.e6. doi: 10.1016/j.jss.2014.03.013. Epub 2014 Mar 13.
The aim of this study was to determine the risk of occupational musculoskeletal injury during a surgeon's career and the effects of these injuries for patients, providers, and institutions. We hypothesized that surgeons have occupational injuries, which affect work performance.
Electronic RedCAP surveys on workplace injury were distributed statewide via e-mail to the members of the Tennessee chapter of the American College of Surgeons. Descriptive statistics were used to analyze survey data.
A total of 260 of 793 surveys (33%) were returned. Forty percent of surgeons sustained ≥ 1 injuries in the workplace. Although 50% of injured surgeons received medical care for their most recent injuries, only 20% of these injuries were reported to their institution. Twenty-two percent of injured surgeons missed work and 35% performed fewer operations while they were recovering from their injury. Fifty-three percent of injured surgeons reported that pain from their injury had a minimal or moderate effect on their performance in the operating room.
Surgeons appear to be at moderate risk for occupation-related injuries. The low rate of institutional reporting for these injuries is concerning, as this is a required step to access institutional support once injured. Surgeon injury results in lost productivity due to missed workdays and may impact the quality of surgical care because of performance issues while recovering from injury.
本研究旨在确定外科医生职业生涯中职业性肌肉骨骼损伤的风险，以及这些损伤对患者、医务人员和医疗机构的影响。我们假设外科医生存在职业性损伤，这会影响工作表现。
通过电子邮件向美国外科医师学院田纳西州分会的成员在全州范围内分发了关于工作场所损伤的电子 RedCAP 调查。使用描述性统计来分析调查数据。
共收回了 793 份调查中的 260 份（33%）。40%的外科医生在工作场所遭受了≥1 次损伤。尽管 50%的受伤外科医生因最近的损伤接受了医疗护理，但只有 20%的损伤报告给了他们的机构。22%的受伤外科医生因伤缺勤，35%的外科医生在从伤中恢复期间操作的手术较少。53%的受伤外科医生报告称，他们的损伤引起的疼痛对他们在手术室中的表现有轻微或中度影响。
外科医生似乎存在与职业相关的损伤的中度风险。这些损伤的机构报告率较低令人担忧，因为这是受伤后获得机构支持的必要步骤。外科医生的损伤导致因缺勤而导致生产力下降，并且可能由于在从损伤中恢复时的表现问题而影响手术护理的质量。
