Abstract：
Occupational safety and health (OSH) surveillance systems track work-related fatalities, injuries and illnesses as well as the presence of workplace hazards and exposures to inform prevention efforts. Periodic evaluation is critical to the improvement of these systems to meet the demand for more timely, complete, accurate and efficient data processing and analysis. Despite the existence of general guidance for public health surveillance evaluation, no tailored guidance exists for evaluating OSH surveillance systems to date. This study utilized the Delphi technique to collect consensus among experts in the United States on surveillance elements (components, attributes and measures) to inform the development of a tailored evaluation framework.
A Delphi study approach with three survey rounds invited an expert panel to rate and comment on potential OSH surveillance evaluation framework elements, resulting in an optimal list of elements through the panel\'s consensus. Additionally, experts completed a review of OSH surveillance systems they worked with and answered questions regarding the development of an evaluation framework. Descriptive statistics of the ratings were compiled for the Delphi process. Major themes from experts\' comments were further identified using content analysis to inform contextual information underlying their choices.
Fifty-four potential experts across the United States were contacted to participate in the Delphi study. Ten experts began the first survey round with eight then seven experts continuing in the subsequent rounds, respectively. A total of 64 surveillance components, 31 attributes, and 116 example measures were selected into the final list through panel consensus, with 134 (63.5%) reaching high consensus. Major themes regarding current OSH surveillance focused on resources and feasibility, data collection, flexibility, and the inter-relatedness among elements.
A Delphi process identified tailored OSH surveillance elements and major themes regarding OSH surveillance. The identified elements can serve as a preliminary guide for evaluating OSH surveillance systems. A more detailed evaluation framework is under development to incorporate these elements into a standard yet flexible approach to OSH surveillance evaluation.
A Delphi study approach with three survey rounds invited an expert panel to rate and comment on potential OSH surveillance evaluation framework elements, resulting in an optimal list of elements through the panel\'s consensus. Additionally, experts completed a review of OSH surveillance systems they worked with and answered questions regarding the development of an evaluation framework. Descriptive statistics of the ratings were compiled for the Delphi process. Major themes from experts\' comments were further identified using content analysis to inform contextual information underlying their choices.
Fifty-four potential experts across the United States were contacted to participate in the Delphi study. Ten experts began the first survey round with eight then seven experts continuing in the subsequent rounds, respectively. A total of 64 surveillance components, 31 attributes, and 116 example measures were selected into the final list through panel consensus, with 134 (63.5%) reaching high consensus. Major themes regarding current OSH surveillance focused on resources and feasibility, data collection, flexibility, and the inter-relatedness among elements.
A Delphi process identified tailored OSH surveillance elements and major themes regarding OSH surveillance. The identified elements can serve as a preliminary guide for evaluating OSH surveillance systems. A more detailed evaluation framework is under development to incorporate these elements into a standard yet flexible approach to OSH surveillance evaluation.
摘要：
职业安全与健康（OSH）监测系统跟踪与工作有关的死亡人数，伤害和疾病以及工作场所危险和暴露的存在，以告知预防工作。定期评估对于改善这些系统以满足更及时的需求至关重要，完成,准确、高效的数据处理和分析。尽管存在公共卫生监测评估的一般指南，迄今为止,还没有针对OSH监测系统的评估提供量身定制的指导.本研究利用Delphi技术收集了美国专家对监测要素的共识(组成部分，属性和度量)为制定量身定制的评估框架提供信息。
Delphi研究方法包括三轮调查，邀请专家小组对潜在的OSH监测评估框架要素进行评分和评论。通过小组的共识产生最佳的元素列表。此外,专家们完成了对与其合作的职业健康安全监测系统的审查，并回答了有关制定评估框架的问题。为德尔菲过程编制了评级的描述性统计数据。使用内容分析进一步确定了专家评论的主要主题，以告知其选择背后的上下文信息。
我们联系了美国各地的54名潜在专家参加了Delphi研究。十名专家开始了第一轮调查，八名专家随后七名专家继续进行后续调查，分别。总共64个监视组件，31个属性，并通过小组共识将116项示例措施选入最终清单，134人（63.5%）达成高度共识。当前职业健康安全监测的主要主题集中在资源和可行性，数据收集，灵活性,以及元素之间的相互关联性。
Delphi流程确定了量身定制的OSH监视要素和有关OSH监视的主要主题。确定的要素可以作为评估OSH监测系统的初步指南。正在开发一个更详细的评估框架，以将这些要素纳入职业健康安全监测评估的标准而灵活的方法中。
Delphi研究方法包括三轮调查，邀请专家小组对潜在的OSH监测评估框架要素进行评分和评论。通过小组的共识产生最佳的元素列表。此外,专家们完成了对与其合作的职业健康安全监测系统的审查，并回答了有关制定评估框架的问题。为德尔菲过程编制了评级的描述性统计数据。使用内容分析进一步确定了专家评论的主要主题，以告知其选择背后的上下文信息。
我们联系了美国各地的54名潜在专家参加了Delphi研究。十名专家开始了第一轮调查，八名专家随后七名专家继续进行后续调查，分别。总共64个监视组件，31个属性，并通过小组共识将116项示例措施选入最终清单，134人（63.5%）达成高度共识。当前职业健康安全监测的主要主题集中在资源和可行性，数据收集，灵活性,以及元素之间的相互关联性。
Delphi流程确定了量身定制的OSH监视要素和有关OSH监视的主要主题。确定的要素可以作为评估OSH监测系统的初步指南。正在开发一个更详细的评估框架，以将这些要素纳入职业健康安全监测评估的标准而灵活的方法中。
