occupational accidents

职业事故
  • 文章类型: Journal Article
    背景:预防职业事故是一项重大的全球挑战,员工安全实践在预防事故中起着至关重要的作用。尽管感知的组织支持(POS)与安全实践有关,目前没有足够的证据支持POS和职业事故之间的关系。我们调查了POS与职业事故和未遂事件之间的关系,这些事故和未遂事件可能导致次年日本各行业工人之间的事故。
    方法:这项前瞻性队列研究于2022年3月至2023年3月使用问卷调查进行。总的来说,对完成随访调查并符合我们纳入标准的9916名参与者进行了分析。后续调查向参与者询问了基线评估后一年中发生的职业事故和未遂事件。使用“感知组织支持调查”的八项版本在基线上对POS进行了评估。使用按行业嵌套的多水平逻辑回归分析来估计POS与职业事故和未遂事件之间关系的赔率(OR)。
    结果:中度者自我报告职业事故的OR值明显更高(OR=1.41,95%置信区间[CI]:1.10-1.82),低(OR=1.49,95CI:1.18-1.89),和极低组(OR=2.03,95CI:1.61-2.56)POS与极高组比较。中度患者自我报告的近错过事件的OR也显着较高(OR=1.21,95CI:1.03-1.43),低(OR=1.20,95CI:1.03-1.40),且极低组(OR=1.56,95CI:1.34-1.82)比极高组。
    结论:我们的研究结果表明,较低的POS与第二年职业事故和未遂事件的较高发生率有关。组织应考虑加强员工的POS,以减少职业事故和未遂事件。
    结论:为了提高员工的POS,组织应解决已确定的POS的前身(例如,公平,主管支持,奖励,良好的工作条件,和人力资源实践)。
    BACKGROUND: Preventing occupational accidents is a major global challenge, and employee safety practices play a crucial role in accident prevention. Although perceived organizational support (POS) is related to safety practices, there is currently insufficient evidence supporting a relationship between POS and occupational accidents. We investigated the relationships between POS and both occupational accidents and near-miss events that can lead to accidents in the following year among workers in various industries in Japan.
    METHODS: This prospective cohort study was conducted from March 2022 to March 2023 using a questionnaire survey. In total, 9916 participants who completed the follow-up survey and met our inclusion criteria were analyzed. The follow-up survey asked participants about both occupational accidents and near-miss events experienced in the year following the baseline assessment. POS was evaluated at baseline using the eight-item version of the Survey of Perceived Organizational Support. Odds ratios (ORs) for the relationships between POS and occupational accidents and near-miss events were estimated using multilevel logistic regression analyses nested by industries.
    RESULTS: The ORs for self-reported occupational accidents were significantly higher for the moderate (OR = 1.41, 95% confidence interval [CI]: 1.10-1.82), low (OR = 1.49, 95%CI: 1.18-1.89), and very low (OR = 2.03, 95%CI: 1.61-2.56) POS groups compared with the very high group. The ORs for self-reported near-miss events were also significantly higher for the moderate (OR = 1.21, 95%CI: 1.03-1.43), low (OR = 1.20, 95%CI: 1.03-1.40), and very low (OR = 1.56, 95%CI: 1.34-1.82) groups than the very high group.
    CONCLUSIONS: Our findings suggest lower POS is related to a higher occurrence of occupational accidents and near-miss events in the following year. Organizations should consider enhancing employees\' POS to reduce occupational accidents and near-miss events.
    CONCLUSIONS: To enhance employees\' POS, organizations should address identified antecedents of POS (e.g., fairness, supervisor support, rewards, favorable job conditions, and human resource practices).
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  • 文章类型: Journal Article
    职业伤害分析对于制定预防策略至关重要。然而,很少有研究从性别角度评估农民工的严重职业伤害。因此,使用一种新的分析方法,这项研究是为了确定与农民工致命性职业伤害相关的性别特征;这些因素之间的相互作用,也进行了分析。此外,我们比较了使用SHapley加法扩张(SHAP)和逻辑回归(LR)的可解释人工智能(XAI)的效用,并讨论了有关其使用的警告。
    我们分析了2007年1月1日至2018年9月30日韩国农民工(n=67,576)职业伤害的国家统计数据。我们应用了极端梯度增强模型,并开发了SHAP和LR模型进行比较。
    我们发现农民工在致命职业伤害方面存在明显的性别差异,同一职业的男性比女性有更高的死亡风险。这些性别差异表明,有必要对农民工进行针对性别的职业伤害预防干预措施,以降低死亡率。职业仅是女性农民工死亡的重要预测指标,护理工作的死亡风险最高。如果不按性别进行详细的针对特定工作的分析,就无法确定女工的职业死亡风险。本研究中确定的SHAP的主要优点是自动识别和分析相互作用,确定每个特征的相对贡献的能力,和高的整体性能。使用SHAP时的主要警告是不能建立因果关系。
    按性别分层的详细工作分析,以及考虑到移民工人性别的干预措施,有必要降低职业死亡率。XAI方法应被视为流行病学研究的补充分析方法,因为它克服了传统统计分析的局限性。
    UNASSIGNED: Analysis of occupational injuries is essential for developing preventive strategies. However, few studies have evaluated severe occupational injuries in migrant workers from the perspective of gender. Therefore, using a new analytical method, this study was performed to identify gender-specific characteristics associated with fatal occupational injuries among migrant workers; the interactions between these factors, were also analyzed. In addition, we compared the utility of explainable artificial intelligence (XAI) using SHapley Additive exPlanations (SHAP) with logistic regression (LR) and discuss caveats regarding its use.
    UNASSIGNED: We analyzed national statistics for occupational injuries among migrant workers (n = 67,576) in South Korea between January 1, 2007, and September 30, 2018. We applied an extreme gradient boosting model and developed SHAP and LR models for comparison.
    UNASSIGNED: We found clear gender differences in fatal occupational injuries among migrant workers, with males in the same occupation having a higher risk of death than females. These gender differences suggest the need for gender-specific occupational injury prevention interventions for migrant workers to reduce the mortality rate. Occupation was a significant predictor of death among female migrant workers only, with care jobs having the highest fatality risk. The occupational fatality risk of female workers would not have been identified without the performance of detailed job-specific analyses stratified by gender. The major advantages of SHAP identified in the present study were the automatic identification and analysis of interactions, ability to determine the relative contributions of each feature, and high overall performance. The major caveat when using SHAP is that causality cannot be established.
    UNASSIGNED: Detailed job-specific analyses stratified by gender, and interventions considering the gender of migrant workers, are necessary to reduce occupational fatality rates. The XAI approach should be considered as a complementary analytical method for epidemiological studies, as it overcomes the limitations of traditional statistical analyses.
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  • 文章类型: Journal Article
    背景:道路交通事故是与工作有关的死亡的主要类型,但是与工作相关的旅行对整体交通安全的影响几乎没有研究。
    目的:本研究的主要目的是评估驾驶员在工作相关和个人旅程之间的相对道路事故风险。
    方法:对来自VOIESUR项目的法国7,051起道路交通事故样本进行了负责任/非负责任的病例对照研究。Logistic回归根据与工作相关的旅行和个人旅行确定赔率比,并确定了责任的风险因素,特定于两个子组。
    结果:与个人旅行中的驾驶员相比,值班或通勤回家的驾驶员对事故的责任要小得多:OR分别=0.75[0.63;0.89]和0.65[0.53;0.80]。通勤与下班相比,责任明显更频繁:OR=1.38[1.06;1.78]。在值班司机中,专业客运司机的责任风险最低(OR=0.25[0.11;0.58]),而临时或工作/学习合同和专业轻型货车驾驶员的风险最高(分别为OR=11.64[2.15;62.94]和OR=29.83[5.19;171.38])。在酒精影响下驾驶时,通勤回家的责任风险高于个人旅行。
    结论:与其他驾驶员相比,值班驾驶员对事故的责任风险较低。然而,临时或工作/学习合同的值班司机,他们通常不受具体规定的约束,显示出更高的风险,并应成为职业风险预防特别关注的主题。
    UNASSIGNED: Road accidents are the leading type of work-related fatalities, but the impact of work-related travel on overall traffic safety has been scarcely studied.
    UNASSIGNED: The main objective of the present study was to assess drivers\' relative road accident risk between work-related and personal journeys.
    UNASSIGNED: A responsible/non-responsible case-control study was performed on a sample of 7,051 road accidents in France from the VOIESUR project. Logistic regression determined odds-ratios according to work-related versus personal travel, and identified risk factors for responsibility, specific to each of the two sub-groups.
    UNASSIGNED: Drivers traveling on duty or commuting home were significantly less often responsible for accidents than drivers on personal journeys: OR = 0.75 [0.63; 0.89] and 0.65 [0.53; 0.80] respectively. Responsibility was significantly more frequent in commuting to versus from work: OR = 1.38 [1.06; 1.78]. Among on-duty drivers, professional passenger-transport drivers had the lowest risk of responsibility (OR = 0.25 [0.11; 0.58]), while those on temporary or work/study contracts and professional light goods vehicle drivers had the highest risk (OR = 11.64 [2.15; 62.94] and OR = 29.83 [5.19; 171.38] respectively). When driving under the influence of alcohol, risk of responsibility was higher in commuting home than in personal journeys.
    UNASSIGNED: On-duty drivers showed lower risk of responsibility for an accident than other drivers. However, on-duty drivers on temporary or work/study contracts, who are usually not subject to specific regulations, showed higher risk, and should be the subject of particular attention regarding occupational risk prevention.
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  • 文章类型: Journal Article
    背景:有限的研究和研究证明了案例管理对残疾人的有用性,帮助残疾员工通过医疗职业恢复尊严,和不发达国家的心理康复\‘重返工作岗位(RTW)计划。
    方法:这种定性案例研究设计涉及半结构化访谈,以案例经理为主要数据源,由BPJSKetenagakerjaan的次要数据补充。数据分析利用QDAMinerLite和Python与ArcGIS集成进行描述性可视化。
    结果:BPJSKetenagakerjaan的RTW计划已经采用了ILO的基本建议,它创造了两个中心主题:对RTW框架至关重要的内部方面和影响RTW实践的外部变量。关键主题产生六个主要部分需要进一步讨论:个人技能,个人素养,提供者,指导方针,当局,和利益相关者的支持。
    结论:重返工作计划使公司受益,以及实施职业发展服务或与非政府组织的伙伴关系,可确保无法返回其前任雇主工作的残疾雇员仍在全球经济中。
    Limited research and studies prove the usefulness of case management for persons with disabilities, which helps disabled employees recover their dignity through medical vocational, and psychological rehabilitation in underdeveloped countries\' Return To Work (RTW) programs.
    This qualitative case study design involved semi structured interviews with case managers as the primary data source, supplemented by secondary data from BPJS Ketenagakerjaan. Data analysis utilized QDA Miner Lite and Python with ArcGIS integration for descriptive visualization.
    The RTW program of BPJS Ketenagakerjaan has already adopted ILO\'s fundamental suggestion, which creates two central themes: internal aspects that are essential to the RTW framework and external variables that impact RTW practice. The key themes produce six main pieces to discuss further: personal skill, personal literacy, providers, guidelines, authorities, and stakeholder support.
    Return to Work Program benefits companies, and the implementation of a career development service or a partnership with non-governmental organizations guarantees that disabled employees who cannot return to work with their former employers are still in the global economy.
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  • 文章类型: Journal Article
    手部创伤在年轻男性中很常见,其并发症会对他们的职业和经济活动产生负面影响。另一方面,大多数手部受伤与工伤事故有关,因此需要采取预防措施。临床注册的目标是协助流行病学调查,质量改进的预防措施。
    本文介绍了实施上肢创伤注册表的第一阶段。该阶段包括记录患者的人口统计数据。设计了问卷。内容包括患者的特征,最小数据集检查表中的损伤模式和既往病史。该问卷由全科医生在急诊室填写。2个月的数据是以纸质方式收集的,然后对问题和障碍进行评估和纠正。在此期间,设计了基于Web的软件。然后使用基于网络的软件运行注册表另外4个月。
    从6.11.2019到5.3.2020,1675名患者被记录在注册表中。对记录数据的随机检查表明,记录的准确性约为95.5%。大多数缺失的数据与相关的伤害和工作经验有关。某些伤害机制似乎与伊朗社区有关,因此值得特别注意预防活动。
    在专门的注册人员和整形外科院系的监督下,上肢创伤数据的准确记录是可能的。伤害的模式是显着的,可用于调查和预防政策制定。
    UNASSIGNED: Hand traumas are common in young men and their complications can have negative effects on their occupation and economic activities. On the other hand, most of the hand injuries are related to occupation accidents and thus necessitates preventive measures. The goal of a clinical registry is assisting epidemiologic surveys, quality improvement preventions.
    UNASSIGNED: This article explains the first phase of implementing a registry for upper extremity trauma. This phase includes recording of demographic data of patients. A questionnaire was designed. Contents include patients\' characteristics, pattern of injury and past medical history in a minimal data set checklist. This questionnaire was filled in the emergency room by general practitioners. For 2 months the data were collected in paper based manner, then problems and obstacles were evaluated and corrected. During this period a web based software was designed. The registry was then ran for another 4 months using web based software.
    UNASSIGNED: From 6.11.2019 to 5.3.2020, 1675 patients were recorded in the registry. Random check of recorded data suggests that accuracy of records was about 95.5%. Most of the missing data was related to associated injuries and job experience. Some mechanisms of injury seems to be related to Iran community and thus warrants special attention for preventive activities.
    UNASSIGNED: With a special registry personnel and supervision of plastic surgery faculties, an accurate record of data of upper extremity trauma is possible. The patterns of injury were remarkable and can be used for investigations and policy making for prevention.
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  • 文章类型: Journal Article
    中国有大量的加油站,与成千上万的工人联系在一起。有大量的在线文献记录了这些工人面临的各种职业健康风险。然而,这些文献有许多缺陷需要解决,它没有提出管理这些风险的措施。这项研究努力填补这一空白,通过全面风险管理和绩效分析,提高加油站职工的职业健康水平。为此,合理数量的可靠数据,即,208份填写完整的问卷,通过当前的统计例程进行分析,viz.,模糊层次分析法(AHP)和重要性绩效分析(IPA)。这些方法被用来分层组织身体风险管理的主要因素和子因素,化学品风险管理,生物风险管理,根据生理风险管理和心理风险管理的重要性,并筛选出优先改进的风险管理战略。研究结果表明,化学风险和生物风险应对方案的性能最低,需要优先改进。此外,这项研究认为,我们可以通过适当的风险管理策略来保护加油站工人的职业健康。它还阐述了影响,局限性和未来的研究方向。
    China has a large number of gas stations, with which thousands of workers are associated. There is abundant online literature documenting the various occupational health risks these workers face. However, this literature has many flaws to address, and it falls short of suggesting measures to manage these risks. This study strives to fill that gap, and aims to improve the occupational health of gas station workers through comprehensive risk management and performance analysis. To this end, a reasonable volume of reliable data, i.e., 208 completed questionnaires, were analyzed through current statistical routines, viz., fuzzy Analytical Hierarchy Process (AHP) and Importance Performance Analysis (IPA). These methods were employed to hierarchically organize the main factors and sub-factors of physical risk management, chemical risk management, biological risk management, physiological risk management and psychological risk management according to their appraised importance, and screen out the risk management stratagem for priority improvement. Research findings reveal that chemical risk and biological risk response schemes have the lowest performance, and need to be prioritized for improvement. Furthermore, this study argues that we can safeguard the occupational health of gas station workers through appropriate risk management strategies. It also elaborates on implications, limitations and future research directions.
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  • 文章类型: Journal Article
    The purpose of this study was to examine nurse staffing in comprehensive nursing care units in Korea and examine the corresponding nurse outcomes, including intent to leave, job satisfaction, and occupational injuries. A total of 356 nurses working in comprehensive nursing care units at eight small-medium sized Korean hospitals participated in this cross-sectional study. In the day, evening, and night shifts, nurse staffing ranged from 9.00 to 24.82, 9.04 to 24.26, and 9.02 to 25.80, respectively. The nurse staffing on each shift did not have a significant impact on nurses\' intent to leave, job satisfaction, and occupational injuries. However, workload had a strong relationship with intent to leave and job satisfaction. Voluntary overtime was related to occupational injuries. These findings demonstrate that workload is an important factor for intent to leave and job satisfaction among nurses working in comprehensive nursing care units. Improvements of the work environment, as well as rearrangement of nurse workload to account for patient acuity and nursing needs, are required for the future expansion of comprehensive nursing care services.
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  • 文章类型: Journal Article
    Temporal patterns in occupational safety and health can shed light on the efficiency of safety measures companies adopt and identify when workers are prone to occupational accidents. We analyzed these patterns to identify the effects of factors such as the share of salvage logging, experience, age, daytime, weekday, and more on the number of occupational accidents at Forests of the Slovak Republic (FSR). We analyzed a database of 2963 occupational accidents and 443 occupational illnesses suffered by FSR employees and contractors. We then analyzed a subset of said database, containing 401 accident records coded according to European Statistics at Work manual. We used regression and correlation analyses and generalized linear models to test the relationship between the accident frequency and volume of harvested timber and volume of salvage logging. We used logistic regression, chi2 tests, and Cramér\'s V statistic to test when accidents occur within shifts, weeks, and months. We found the volume of harvested timber significantly affects the frequency of severe and fatal accidents of contractors (R 0.81; p < 0.05), whereas, for employees, the relationship was insignificant. Over time, the number of accidents and incidence rate decreased, and inexperienced or older workers were the most prone to accidents.
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    文章类型: Journal Article
    BACKGROUND: The present study aimed to investigate the characteristics of occupational accidents and frequency and severity of work related accidents in the construction industry among Iranian insured workers during the years 20072011.
    METHODS: The Iranian Social Security Organization (ISSO) accident database containing 21,864 cases between the years 2007-2011 was applied in this study. In the next step, Total Accident Rate (TRA), Total Severity Index (TSI), and Risk Factor (RF) were defined. The core of this work is devoted to analyzing the data from different perspectives such as age of workers, occupation and construction phase, day of the week, time of the day, seasonal analysis, regional considerations, type of accident, and body parts affected.
    RESULTS: Workers between 15-19 years old (TAR=13.4%) are almost six times more exposed to risk of accident than the average of all ages (TAR=2.51%). Laborers and structural workers (TAR=66.6%) and those working at heights (TAR=47.2%) experience more accidents than other groups of workers. Moreover, older workers over 65 years old (TSI=1.97%> average TSI=1.60%), work supervisors (TSI=12.20% >average TSI=9.09%), and night shift workers (TSI=1.89% >average TSI=1.47%) are more prone to severe accidents.
    CONCLUSIONS: It is recommended that laborers, young workers, weekend and night shift workers be supervised more carefully in the workplace. Use of Personal Protective Equipment (PPE) should be compulsory in working environments, and special attention should be undertaken to people working outdoors and at heights. It is also suggested that policymakers pay more attention to the improvement of safety conditions in deprived and cold western regions.
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  • 文章类型: Journal Article
    Sleep problems are a well-known risk factor for work injuries, but less is known about which vulnerable populations are most at risk. The aims of this study were to investigate the association between sleep quality and the risk of work injury and to identify factors that may modify the association. A case-control study including 180 cases and 551 controls was conducted at the University Hospital in Basel, Switzerland, from 1 December 2009 to 30 June 2011. Data on work injuries and sleep quality were collected. Adjusted odds ratios and 95% confidence intervals of the association between sleep quality and work injury were estimated in multivariable logistic regression analyses and were stratified by hypothesized effect modifiers (age, gender, job risk, shift work, sleep duration and working hours). Poor sleep quality was associated significantly with work injury of any type (P < 0.05) and with being caught in particular (P < 0.05). The association between poor sleep quality and work injury was significantly higher for workers older than 30 years (odds ratio>30 1.30 versus odds ratio≤30 0.91, P < 0.01), sleeping 7 h or less per night (odds ratio≤7 1.17 versus odds ratio>7 0.79, P < 0.05) and working 50 h or more per week (odds ratio≥50 1.79 versus odd ratio<50 1.10, P < 0.01). Work injury risk increased with increasing severity of sleep problems (P < 0.05). Prior work injury frequency increased with decreasing sleep quality (P < 0.05). Older age, short sleep duration and long working hours may enhance the risk of work injuries associated with sleep quality.
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