充分利用时间：在急诊科收集患者行业和职业数据。
Time Well Spent: Patient Industry and Occupation Data Collection in Emergency Departments.
机构信息
Dornsife School of Public Health at Drexel University (Dr Taylor, Ms Widman, Ms McGuire); Philadelphia Department of Public Health (Ms James); Department of Emergency Medicine, University of Pennsylvania (Dr Green-McKenzie); Drexel University College of Medicine (Dr Harris), Philadelphia, Pennsylvania.
出版信息
J Occup Environ Med. 2017 Aug;59(8):742-745. doi: 10.1097/JOM.0000000000001088.
OBJECTIVE
No comprehensive national system tracking work-related diseases and injuries exists in the United States. Industry and occupation (I/O) are the missing data elements that would make existing healthcare data useful for occupational health. The authors previously petitioned the National Uniform Billing Committee (NUBC) to adopt I/O standards for states to consider during their healthcare data rulemaking processes.
METHODS
The NUBC asked for a pilot study to ascertain the potential burden. The time and cost to ask I/O questions in two hospital emergency departments was evaluated.
RESULTS
Asking four I/O questions required 48 seconds on average and cost between $520 and $623 per Registrar per year. The annual cost for the two hospitals to gather I/O on every patient was $4160 and $15,000.
CONCLUSIONS
We conclude no undue burden compared with the estimated $250 billion cost of occupational illnesses and injuries.
目的
美国尚未建立全面的国家体系来跟踪与工作相关的疾病和伤害。行业和职业（I/O）是缺失的数据元素，如果将其纳入现有医疗保健数据中，将有助于职业健康。作者之前曾请求国家统一计费委员会（NUBC）采用 I/O 标准，供各州在制定医疗保健数据规则时参考。
方法
NUBC 要求进行试点研究以确定潜在负担。评估了在两家医院急诊部门询问 I/O 问题的时间和成本。
结果
平均每个登记员询问四个 I/O 问题需要 48 秒，每年的成本为每位登记员 520 美元至 623 美元。两家医院每年为每位患者收集 I/O 数据的成本分别为 4160 美元和 15000 美元。
结论
与估计的 2500 亿美元职业疾病和伤害成本相比，我们认为不存在过度负担。
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