Rutstein D D, Mullan R J, Frazier T M, Halperin W E, Melius J M, Sestito J P
Am J Public Health. 1983 Sep;73(9):1054-62. doi: 10.2105/ajph.73.9.1054.
A Sentinel Health Event (SHE) is a preventable disease, disability, or untimely death whose occurrence serves as a warning signal that the quality of preventive and/or therapeutic medical care may need to be improved. A SHE (Occupational) is a disease, disability, or untimely death which is occupationally related and whose occurrence may: 1) provide the impetus for epidemiologic or industrial hygiene studies; or 2) serve as a warning signal that materials substitution, engineering control, personal protection, or medical care may be required. The present SHE(O) list encompasses 50 disease conditions that are linked to the workplace. Only those conditions are included for which objective documentation of an associated agent, industry, and occupation exists in the scientific literature. The list will serve as a framework for developing a national system for occupational health surveillance that may be applied at the state and local level, and as a guide for practicing physicians caring for patients with occupational illnesses. We expect to update the list periodically to accommodate new occupational disease events which meet the criteria for inclusion.
哨兵健康事件（SHE）是一种可预防的疾病、残疾或过早死亡，其发生作为一个警示信号，表明预防和/或治疗性医疗保健的质量可能需要改进。职业性哨兵健康事件（SHE（职业））是一种与职业相关的疾病、残疾或过早死亡，其发生可能：1）为流行病学或工业卫生研究提供动力；或2）作为一个警示信号，表明可能需要进行材料替代、工程控制、个人防护或医疗护理。目前的职业性哨兵健康事件（SHE（职业））清单包含50种与工作场所相关的疾病情况。仅纳入那些在科学文献中有相关因素、行业和职业的客观记录的情况。该清单将作为一个框架，用于建立一个可在州和地方层面应用的国家职业健康监测系统，并作为执业医生照顾职业疾病患者的指南。我们期望定期更新该清单，以纳入符合纳入标准的新的职业病事件。
