Liddle Mark, Nicholls Gillian, Leigh David, Kinder Jennifer, Curran Alison, Zand Michael
HSE Science and Research Centre, Health and Safety Executive, Buxton, UK.
HSE Science and Research Centre, Health and Safety Executive, Buxton, UK
Inj Prev. 2024 Jul 23. doi: 10.1136/ip-2023-045210.
Workplace injuries due to a slip, trip or fall on the level (STF) are often reported together, making the potential impact of targeted interventions, such as slip-resistant footwear, difficult to assess. The objective of this research was to review workplace non-fatal injuries reported as STFs under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 to determine what proportion of staff STF injuries reported by the National Health Service (NHS) in Great Britain were caused specifically by a slip.
The free text descriptions of all 1004 STF injuries reported by NHS staff in summer 2018 and winter 2018/2019 were independently reviewed by two researchers to determine whether a slip was the primary cause or not. Where agreement could not be reached or the cause was unclear, an STF specialist reviewed the reports to establish the likely cause. The kappa statistic was used to measure inter-reviewer agreement, and the χ test was used to compare proportions across seasons.
The reviewers agreed on the initiating event, slip or non-slip, for 917 (91.3%) of the incidents. The kappa statistic was 0.842 (95% CI 0.785 to 0.898) indicating strong agreement between reviewers. In total, 431 or 42.9% (95% CI 39.8% to 46.1%) of the STF incidents were slips. This percentage was greater in winter compared with summer (49.0% and 36.0%, respectively, p<0.001).
The high proportion of slips among reported STF injuries implies that an effective intervention targeting workplace slips in the NHS could have a substantial impact on the number of injuries reported.
因在同一平面滑倒、绊倒或摔倒（STF）导致的工作场所伤害通常被一起报告，这使得诸如防滑鞋等针对性干预措施的潜在影响难以评估。本研究的目的是回顾根据2013年《伤害、疾病和危险事件报告规例》报告为STF的工作场所非致命伤害，以确定英国国家医疗服务体系（NHS）报告的员工STF伤害中具体由滑倒导致的比例。
两名研究人员独立审查了NHS工作人员在2018年夏季和2018/2019年冬季报告的所有1004起STF伤害的自由文本描述，以确定滑倒是否为主要原因。在无法达成一致或原因不明的情况下，由一名STF专家审查报告以确定可能的原因。kappa统计量用于衡量审查者之间的一致性，χ检验用于比较不同季节的比例。
审查者对917起（91.3%）事件的起始事件（滑倒或未滑倒）达成了一致。kappa统计量为0.842（95%CI 0.785至0.898），表明审查者之间有很强的一致性。总共有431起或42.9%（95%CI 39.8%至46.1%）的STF事件是滑倒。与夏季相比，冬季这一比例更高（分别为49.0%和36.0%，p<0.）。
报告的STF伤害中滑倒比例很高，这意味着针对NHS工作场所滑倒的有效干预措施可能会对报告的伤害数量产生重大影响。
