Mitchell L. Doucette is with the Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Sarah J. Surber is with the Department of Public Health, Wayne State University, Detroit, MI. Maria T. Bulzacchelli is with the Undergraduate Public Health Studies Program, Johns Hopkins University, Baltimore, MD. Brooke C. Dal Santo is a master of science in public health student with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health. Cassandra K. Crifasi is with the Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health.
Am J Public Health. 2022 Nov;112(11):1668-1675. doi: 10.2105/AJPH.2022.307029.
To examine the impact of the California Occupational Safety and Health Administration's (Cal/OSHA's) 2017 workplace violence (WPV) prevention in health care safety standard on nonfatal violent injuries among health care workers (HCWs). We accessed estimated counts of WPV from the survey of occupational injuries and illness from 2011 to 2019 specific to HCWs. We used the Current Population Survey estimates of HCWs to create rates per 10 000. We conducted a longitudinal panel analysis and a comparative interrupted time-series analysis to examine the change in incidence and in rates associated with California's new standard. Adoption of the 2017 safety standard led to an additional 3.48 reported WPV injuries per 10 000 HCWs in California, or an additional 473 injuries. Sensitivity analyses suggest other injuries did not change in the same period. It appears that the Cal/OSHA standard increased reporting of WPV injuries among HCWs in the first year of its adoption compared with the United States. Mandating reporting of all WPV incidents in the health care setting may be a means to ensure a more complete understanding of this public health problem. (. 2022;112(11):1668-1675. https://doi.org/10.2105/AJPH.2022.307029).
为了研究 2017 年加利福尼亚州职业安全与健康管理局(Cal/OSHA)的工作场所暴力(WPV)预防卫生保健安全标准对卫生保健工作者(HCWs)非致命性暴力伤害的影响。我们从 2011 年至 2019 年特定于 HCWs 的职业伤害和疾病调查中获取了 WPV 的估计数量。我们使用 HCWs 的当前人口调查估计数来计算每 10000 人报告的发生率。我们进行了纵向面板分析和比较中断时间序列分析,以研究与加利福尼亚州新标准相关的发病率和发生率的变化。2017 年安全标准的采用导致加利福尼亚州每 10000 名 HCWs 额外报告了 3.48 例 WPV 伤害,或额外报告了 473 例伤害。敏感性分析表明,在此期间其他伤害没有变化。与美国相比,Cal/OSHA 标准似乎在其采用的第一年增加了 HCWs 报告的 WPV 伤害数量。在卫生保健环境中强制报告所有 WPV 事件可能是确保更全面了解这一公共卫生问题的一种手段。(2022 年;112(11):1668-1675. https://doi.org/10.2105/AJPH.2022.307029)。