Arbury Sheila, Collins Natasha R, Magtahas Janette, Holmes Mikki, Hodgson Michael J
Office of Occupational Medicine and Nursing, Directorate of Technical Support and Emergency Management (Arbury, Hodgson), the Directorate of Enforcement Programs, Occupational Safety and Health Administration (Holmes); Federal Bureau of Prisons, Department of Justice (Collins); and West Los Angeles Medical Center (Magtahas).
J Occup Environ Med. 2022 Apr 1;64(4):e211-e216. doi: 10.1097/JOM.0000000000002482. Epub 2022 Jan 11.
To examine violence inspections at the Occupational Safety and Health Administration (OSHA).
The authors examined all inspections that involved violence against workers begun by January 1, 2019. They conducted semi-structured interviews with compliance officers who had conducted inspections on a sample of facilities that received General Duty Clause (GDC) citations (n = 22) or Hazard Alert Letters (HALs) (n = 22).
By January 1, 2019, OSHA initiated 726 "violence" inspections, with 502 (69.1%) in healthcare. In healthcare, 45 (11.1%) resulted in GDC citations and 241 (67.7%) in HALs. GDC facilities received statistically significantly lower scores in 5 of 6 domains examined through semi-structured interviews than HAL facilities. Both groups of facilities had poorly designed recordkeeping systems.
Health care facilities continue to generate worker complaints with poorly designed violence prevention programs.
审查职业安全与健康管理局(OSHA)的暴力检查情况。
作者审查了截至2019年1月1日开始的所有涉及针对工人暴力行为的检查。他们对合规官员进行了半结构化访谈,这些官员对收到一般责任条款(GDC)引用(n = 22)或危险警报信(HALs)(n = 22)的设施样本进行了检查。
截至2019年1月1日,OSHA启动了726次“暴力”检查,其中502次(69.1%)在医疗保健领域。在医疗保健领域,45次(11.1%)导致GDC引用,241次(67.7%)导致HALs。通过半结构化访谈在6个检查领域中的5个领域,GDC设施的得分在统计学上显著低于HAL设施。两组设施的记录保存系统设计都很差。
医疗保健设施因设计不佳的暴力预防计划继续引发工人投诉。