Accidents, Occupational

事故,职业
  • 文章类型: Journal Article
    在单一付款人医疗保健系统中,工作场所正义与非致命职业事故之间的关系很少被探索。随着各国努力实现和维持全民健康覆盖,医护人员的职业安全和健康需要更多的关注。我们使用了对随机抽样的台湾工人进行的全国调查的数据。一百四十八名男性和567名女性,对715名年龄在20至65岁之间的医护人员进行了分析。工作场所规模由4个子部分组成,包括分配正义,人际正义,信息正义,和程序正义,并在每个维度上分为低组和高组。Logistic回归模型研究了工作场所公正与医护人员自我评估的职业事故之间的关系。医护人员自我评估的职业事故发生率为15.54%,男女为11.64%,分别。在调整了诸如社会人口统计学变量之类的变量之后,体力劳动要求,轮班工作状态,工作合同,和心理工作要求,回归分析表明,分配正义较低的卫生员工,人际正义,信息正义,在男性和女性中,程序正义与自我评估的职业事故显着相关。将研究扩展到包括不同国家的医疗保健系统可以增强研究结果的普遍性。为政策制定者和医疗保健管理人员提供具体建议,以改善工作场所的公正性并减少职业事故。
    The relationship between workplace justice and nonfatal occupational accidents in a single-payer healthcare system has rarely been explored. As countries strive to achieve and sustain universal health coverage, healthcare workers\' occupational safety and health require greater concerns. We used the data from a national survey conducted on randomly sampled Taiwanese workers. One hundred forty eight males and 567 females, with a total of 715 healthcare workers aged 20 to 65, were analyzed. The workplace scale consisted of 4 subcomponents, including distributive justice, interpersonal justice, information justice, and procedural justice, and was dichotomized into low and high groups in each dimension. Logistic regression models examined the relationship between workplace justice and self-evaluated occupational accidents among healthcare employees. The prevalence of self-evaluated occupational accidents in healthcare employees was 15.54% and 11.64% for men and women, respectively. After adjusting variables such as sociodemographic variables, physical job demands, shift work status, work contract, and psychological job demands, regression analyses indicated that health employees with lower distributive justice, interpersonal justice, information justice, and procedural justice were significantly associated with self-evaluated occupational accidents both in males and females. Expanding the study to include healthcare systems in different countries could enhance the generalizability of the findings. Offering specific recommendations for policymakers and healthcare administrators to improve workplace justice and reduce occupational accidents.
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  • 文章类型: Case Reports
    工作场所安全是一个全球性的公共卫生问题。重建事故可能非常复杂,尤其是当事件发生时没有直接证人或现场被改变。在这些情况下,必须采取适当的调查方案,以确保动态的正确重建。
    一名男子被发现昏迷不醒,从大约2米的高度坠落,那里有一个小屋,里面有一条生产水泥的原材料传送带。在该带的路径的末端发现了刮刀。进行了尸检,并检查了现场的刮刀,并将其与受害者的受伤情况进行了比较。验尸后,调查人员返回现场,收集了在机舱内发现的痕迹。在收集痕迹的最后,调查人员通过打开传送带并在机舱内放置与现场发现的相同尺寸和特征的刮刀来模拟事件的动态。
    尸检显示颌面部外伤,面部多处瘀伤,上食性牙齿严重骨折。因此,这种创伤与从2米的简单坠落不相容。研究人员创建了一个实验模型,该模型证明了当与刮刀接触时,胶带的能量回弹非常高。这种重建使得有可能使用法医和调查人员收集的数据进行单一报告,这是有效和详尽的,允许管理局获得证据,以继续调查工人和雇主的责任。
    UNASSIGNED: Workplace safety is a global public health issue. Re-constructing an accident can prove extremely complicated, especially when the event occurs without direct witnesses or when the scene is altered. In these cases, it is essential to adopt proper investigation pro-tocols in order to ensure the correct reconstruction of the dynamics.
    UNASSIGNED: A man was found unconscious on the ground, having fallen from a height of approximately 2 meters, where there was a cabin in which a conveyor belt of raw materials for the production of cement ran. At the end of the path of this belt a scraper was found. An autopsy was carried out and the scraper present at the scene was examined and compared with the injuries on the victim. After the autopsy, the investigators returned to the scene and collected the traces found in the cabin. At the end of collecting the traces, the investigators simulated the dynamics of the event by turning on the conveyor belt and placing a scraper of the same dimensions and characteristics as the one found at the scene inside the cabin.
    UNASSIGNED: The autopsy showed a maxillofacial trauma with multiple bruises on the face and a serious fracture of the epistropheus tooth. This trauma was therefore incompatible with a simple fall from 2 meters. The investigators created an experimental model that demonstrated a very high energy rebound of the tape when placed in contact with the scraper. This reconstruction made it possible to carry out a single report with the data collected by the medical examiner and the investigators, which was effective and exhaustive, allowing the Authority to be provided with the evidence to continue the investigations about the responsibilities of the worker and the employer.
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  • 文章类型: Case Reports
    结论:我们介绍了四例因各种工业职业暴露于有害物质而导致的眼表和附件附件损伤。这些伤害是由于工作时没有保护眼睛的设备而发生的。强调防护眼具无可辩驳的重要性是本文的目的,因为减轻此类不幸事件至关重要。
    CONCLUSIONS: We present four cases of ocular surface and adnexal appendage injuries resulting from exposure to hazardous materials in various industrial occupations. These injuries occurred due to the absence of protective eye equipment while working. Emphasizing the irrefutable importance of protective eye gear is the aim of this article as it is crucial to mitigate such unfortunate incidents.
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  • 文章类型: Journal Article
    确保这个国家工人的安全和健康,他们受雇于数以百万计的工作场所,这些工作场所带来了令人眼花缭乱的危险,令人生畏。每一天,工人因工伤或职业病致残或死亡。因此,政府机构必须使用一切可用的手段,以确保旨在使工人在其工作场所安全和健康的法律在实现这一目标方面最大限度地有效。本文通过战略执法的角度来应对这一挑战。它研究了联邦和州当局如何设计互动,以确保在这个领域保护工人,并专注于阻止违规行为的工具-许多未被工人安全机构识别或未充分利用-可用于利用有限的资源,这些资源不可避免地限制了机构的影响力。即将出版的第二部分将,除其他外,展示了一些值得注意的州和地方举措,这些举措超过了联邦标准。
    Ensuring the safety and health of workers in this country, who are employed at millions of workplaces that present a dizzying array of hazards, is daunting. Every day, workers are maimed or die from workplace injuries or occupational illnesses. Hence, government agencies must use all available means to ensure the laws intended to keep workers safe and healthy in their workplaces are maximally effective in accomplishing that purpose. This paper addresses this challenge through the lens of strategic enforcement. It examines how federal and state authority are designed to interact to ensure worker protection in this space, and focuses on what tools for deterring violations - many unrecognized or underutilized by worker safety agencies - are available to leverage the limited resources that inevitably constrain the agencies\' reach. The forthcoming Part II will, among other things, showcase a number of noteworthy state and local initiatives that exceed the federal standard.
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  • 文章类型: English Abstract
    在现代海上航行条件下,保护船员的生命对他们的健康和生活质量起着关键作用。实践证明,船东低估了职业伤害的真实统计数据,因为国际和国家立法对其管理和调查船舶事故的程序没有足够的规定。此外,船东执行现有标准的方法也有不同程度的责任,这使得防止此类事件的措施被不合理地低估了。这种情况导致船舶上的职业伤害增加,并允许船东或保险公司避免在一个人死亡的情况下向受伤的水手或其家人支付适当的款项。确定船员死亡或受伤原因的“迟来的”医学专家的复杂性也使得很难获得对由于职业创伤导致的水手残疾或死亡的认可的积极结果。以上所有描述证明了所述研究课题的重要性和现实性。本文详细研究了规范保护水手的劳动和生命以及医疗保健的规范性法案。也被认为是原因,船舶职业创伤的因素和类型。结合海事实践,分析了事故统计和调查程序。研究了医学专业知识的问题,并确定了主要的问题。提出了解决方案的建议。
    In modern conditions of maritime navigation, protection of lives of crew members plays key role for their health and quality of life. The practice testifies that shipowners underestimate real statistics of occupational injuries, since procedure for its management and investigation of accidents on ships are not sufficiently regulated in international and national legislation. Besides, approaches of shipowners to implementation of existing standards also have different levels of responsibility that leaves measures preventing such incidents unreasonably underestimated. This situation results in increasing of occupational injuries on ships and allows shipowners or insurance companies to avoid proper payments to injured sailor or his family members in case of one\'s death. The complexity of implementation of \"belated\" medical expertise to determine cause of death or injury of crew member also makes it difficult to obtain positive result of recognition of disability or death of sailor as result of occupational traumatism. All the described above testifies importance and actuality of stated research topic. The article examines in detail normative acts regulating protection of labor and life and medical care of sailors. Also are considered causes, factors and types of occupational traumatism on ships. The accident statistics and procedure of their investigation are analyzed in relation to maritime practice. The issues of medical expertise are studied and main problematic issues are identified. The recommendations for their solution are formulated.
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  • 文章类型: English Abstract
    这是对一项研究成果的总结,出生于多个意大利机构之间的合作,由意大利工人赔偿管理局(Inail)于2024年3月发布:关于海事工人的第二份报告。海上作业人员的活动和危险因素。为了传播内容,这项工作提供了该行业安全和健康的全球概览:对该行业的事故进行了分析(其中还包括事件报告表格上的一些评论),通过MalProf系统检查工人的风险感知并监测职业病,由Inail研究部门和当地卫生当局管理。最后,一项深入研究致力于在船上接触石棉。
    This is a summary of the results of a research work, born from a collaboration between multiple Italian bodies and published by the Italian Workers\' Compensation Authority (Inail) in March 2024: Second report on maritime workers. Activities and risk factors of sea workers.To disseminate the contents, the work offers a global overview of safety and health in the sector: with an analysis of accidents in the sector (which also involves some remarks on the event reporting form), workers\' risk perception is examined and occupational diseases monitored through the MalProf system, managed by the Inail Research Sector and the local health authorities. Finally, an in-depth study is dedicated to exposure to asbestos on ships.
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  • 文章类型: Meta-Analysis
    职业事故,尽管不断更新安全,仍然是职业和法医领域的祸害,构成,除其他外,诉讼的主体很大一部分。人口数据可以帮助了解缺乏健康监测应用的领域。这项荟萃分析旨在分析来自工作事故研究的数据,重点关注事故发生地区与是否使用个人安全设备之间的相关性,关于现行的不同条例。对于数据的选择,根据PRISMA指南进行了系统审查,主要目标是确定特定地理区域的职业事故趋势,在对预防方面的关注方面有所不同。我们强调的数据显示,关于事故的类型,低收入国家和工业化国家之间的巨大差异(根据人类发展指数分层),对是否使用单独的安全装置完全漠不关心,揭示了这一点,尽管工作安全领域的规范不断发展,即使在今天,有关法规实际应用的调查数据,在工作事故中,被低估了,很少研究。
    Occupational accidents, despite continuous safety updates, are still a scourge in the occupational and forensic spheres, constituting, among other things, the subject of a large share of litigation. Demographic data can help to understand the areas where the application of health surveillance is lacking. This meta-analysis sets out to analyse data from studies on accidents at work, focusing on the correlation between the areas in which accidents occur and whether or not personal safety equipment is used, in relation to the different regulations in force. For the selection of the data, a systematic review was carried out according to the PRISMA guidelines, with the primary objective of identifying the trend of occupational accidents in specific geographical areas, which differ in terms of the attention paid to preventive aspects. The data we highlighted showed, regarding the type of accident, substantial differences between low-income countries and industrialised countries (stratified according to the Human Development Index) and, an overall indifference as to whether or not individual safety devices were used, revealing that, despite the continuous normative evolution in the field of safety at work, even today, the investigative data on the actual application of the regulations, during accidents at work, is underestimated and little researched.
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  • 文章类型: Journal Article
    背景:在密闭水域,船只有很高的着陆风险,联系人,沉没和险些失踪。在这样的水域,海上交通密集,水道狭窄,深度有限,潮汐和水流不断变化。
    方法:从2009年至2019年,在塞纳河河口调查了75起事故。研究了天气条件和感知的疲劳。2020年5月至6月,114名海员,34名飞行员和80名机长,答复了一份调查问卷,重点是使用试点便携式设备(PPU)和电子海图显示信息系统(ECDIS)。
    结果:75起事故相当于每年平均6.8±3.2起事故。环境是最常见的事故(35%,n=26)其次是与码头的接触事故(25%,n=19),操纵时在船只或拖船之间(8%,n=6)或航行时(1%,n=1)。没有船只损失,也没有船员死亡。在恶劣的天气条件下,事故比正常情况下多76%(4.4±2.5事故/10,000运动与2.5±1.9事故/10,000运动,p<0.03)。几乎所有的事故(96%)都与人为判断失误(81%)有关,或疏忽(53%),或两者(39)。感觉疲劳可能是6起事故的原因。只有3起事故与机械原因有关。通过问卷调查,69%的飞行员抱怨在掌握设备和软件方面存在困难。他们在导航时被影响注意力的警报分散了注意力。他们要求在模拟器上训练。关于船长,83%的人对ECDIS设备感到满意,但只有20%的人能够正确配置ECDIS。
    结论:在塞纳河河口,在11年的研究中发生了75起事故。危险因素是恶劣的天气条件和人为错误。PPU和ECDIS被认为是预防事故的有用工具。然而,飞行员和机长要求对他们的使用进行更彻底的培训。
    BACKGROUND: In confined waters, ships run a high risk of groundings, contact, sinkings and near misses. In such waters the maritime traffic is dense, the waterway is narrow, the depth is limited, and tides and currents are constantly changing.
    METHODS: From 2009-2019, 75 accidents were investigated in the estuary of the Seine. Weather conditions and perceived fatigue were studied. From May to June 2020, 114 seafarers, 34 pilots and 80 captains, responded to a questionnaire focusing on the use of Pilot Portable Units (PPU) and Electronic Chart Display Information Systems (ECDIS).
    RESULTS: The 75 accidents corresponded to an average of 6.8 ± 3.2 accidents per year. Groundings were the most frequent accidents (35%, n = 26) followed by contact accidents with the quayside (25%, n = 19), between ships or tugs while manoeuvring (8%, n = 6) or while sailing (1%, n = 1). There was no loss of vessels nor fatalities of crew members. In poor weather conditions, there were 76% more accidents than in normal conditions (4.4 ± 2.5 accidents/10,000 movements versus 2.5 ± 1.9 accidents/10,000 movements, p < 0.03). Almost all the accidents (96%) were related to human errors of judgment (81%), or negligence (53%), or both (39). Perceived fatigue was probably in cause in 6 accidents. Only 3 accidents were related to mechanical causes. Through the questionnaires, 69% of the pilots complained of difficulties in mastering the devices and software. They felt distracted by alarms which affected their attention while navigating. They requested training on a simulator. Concerning ship captains, 83% felt comfortable with ECDIS devices yet only 20% were able to configure the ECDIS correctly.
    CONCLUSIONS: In the Seine estuary, 75 accidents occurred within the 11 year-study. Risk factors were poor weather conditions and human error. PPU and ECDIS were considered as useful tools in the prevention of accidents. However, pilots and captains requested more thorough training in their use.
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  • 文章类型: Journal Article
    背景:农业是一个危险的行业,但农业伤害的频率和严重程度没有得到很好的记录,因为对自营职业农民的非致命性伤害被排除在国家监测之外。这项研究的目的是提供美国农业的新伤害率和成本估算。
    方法:伤害数据来自2018年至2020年的农场和牧场健康与安全调查。7195个农场/牧场经营者的反应包括受伤频率,医疗费用,和丢失的工作时间数据。这些伤害率和成本数据被用来估计国家伤害成本的自营农民使用农业经营者统计普查,使用劳工统计局(BLS)非致命伤害计数的雇佣农业工人的伤害成本,和致命伤害费用使用BLS致命伤害计数。
    结果:自雇农民和牧场主的受伤率为每100名操作员15.25人受伤,每100名全职同等操作员(FTE)11.9人“可记录”受伤。非致命伤害的平均费用为:医疗费用为10,878美元,4735美元的工作时间损失,每个受伤案件总计15,613美元。全国农业伤害总费用估算为每年113.1亿美元;比使用1992年数据的早期基准高出11.3%;两者都在2024年3月。2019年,成本负担占美国国民农场总收入的2.1%,占农场净收入的13.4%。
    结论:伤害对农场和牧场经营者造成重大经济损失,他们的家庭成员,工人,和社会。应加大预防力度,以减少农业伤害的频率和成本。
    BACKGROUND: Agriculture is a hazardous industry but the frequency and severity of agricultural injuries are not well documented as nonfatal injuries to self-employed farmers are excluded from national surveillance. The aim of this study was to provide new injury rate and cost estimates in US agriculture.
    METHODS: Injury data were obtained from 2018 to 2020 Farm and Ranch Health and Safety Surveys. Responses from 7,195 farm/ranch operators included injury frequency, medical expense, and lost work time data. These injury rate and cost data were used to estimate national injury costs for self-employed farmers using Census of Agriculture operator count, injury costs for hired agricultural workers using Bureau of Labor Statistics (BLS) nonfatal injury count, and fatal injury costs using BLS count of fatal injuries.
    RESULTS: The injury rate for self-employed farmers and ranchers was 15.25 injuries per 100 operators or 11.9 \"recordable\" injuries per 100 full time equivalent operators (FTE). Average costs for nonfatal injuries were: $10,878 for medical care, $4735 for lost work time, and $15,613 in total per injury case. The total national agricultural injury cost estimate was $11.31 billion per year; 11.3% higher than the earlier benchmark using 1992 data; both in March 2024 dollars. The cost burden was 2.1% of the US national gross farm income and 13.4% of the net farm income in 2019.
    CONCLUSIONS: Injuries result in significant economic losses to farm and ranch operators, their family members, workers, and society. Preventive efforts should be scaled up to reduce the frequency and costs of agricultural injuries.
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  • 文章类型: Journal Article
    目的:分析巴西社会保障机构发布和授予的工作场所事故前期福利国家指标的时间趋势和幅度。
    方法:使用2008年至2019年社会保障的次要数据。通过Prais-Winsten广义线性回归估计指标的趋势和百分比变化。
    结果:在此期间,巴西社会保障为工作场所事故发放了9,220,372项先前的福利,耗资约84亿雷亚尔,约占支付的所有福利净值的2.0%。工作场所事故的前期收益类别均未显示出增加的趋势。为工作场所事故而授予和发放的福利差异最大的是临时残疾福利(B91),年百分比变化为-54.00%和-29.29%,分别。
    结论:在2008年至2019年期间,巴西与工作场所事故相关的一系列国家福利指标中,观察到幅度有所下降,总体呈下降趋势。
    OBJECTIVE: To analyze the temporal trend and magnitude of national indicators of previdenciary benefits for workplace accidents issued and granted by the Social Security of Brazil.
    METHODS: Secondary data from Social Security from 2008 to 2019 were used. The trend and percentage variation of the indicators were estimated through Prais-Winsten generalized linear regression.
    RESULTS: A total of 9,220,372 previdenciary benefits for workplace accidents were issued by the Social Security of Brazil in the period, costing approximately R$ 8.4 billion and representing about 2.0% of the net value of all benefits paid. None of the categories of previdenciary benefits for workplace accidents showed an increasing trend. The highest variation in the benefits granted and issued for workplace accidents occurred in temporary disability benefit (B91), with an annual percentage variation of -54.00% and -29.29%, respectively.
    CONCLUSIONS: A reduction in magnitude and an overall decreasing trend were observed in the historical series of national indicators of benefits granted and benefits issued related to workplace accidents in Brazil from 2008 to 2019.
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