Subject(s)
Case Management/organization & administration , Occupational Health Nursing/organization & administration , Occupational Health Services/organization & administration , Stress, Psychological/prevention & control , Humans , Referral and Consultation/organization & administration , Stress, Psychological/complicationsSubject(s)
Case Management/organization & administration , Needs Assessment/organization & administration , Occupational Health Services/organization & administration , Outsourced Services/organization & administration , Competitive Bidding , Cost-Benefit Analysis , Humans , Risk Management , TravelSubject(s)
Health Promotion/methods , Occupational Health Nursing/methods , Patient Care Management/methods , Health Promotion/organization & administration , Humans , Models, Organizational , Occupational Health Nursing/organization & administration , Patient Care Management/organization & administrationSubject(s)
Case Management/organization & administration , Cooperative Behavior , Insurance, Health, Reimbursement/economics , Interprofessional Relations , Occupational Health Nursing/organization & administration , Certification , Conflict, Psychological , Curriculum , Decision Making, Organizational , Dissent and Disputes , Humans , Insurance Coverage , Negotiating/methods , Negotiating/psychology , Nurse's Role/psychology , Occupational Health Nursing/education , Practice Guidelines as Topic , Societies, Nursing/organization & administration , United StatesSubject(s)
Case Management/organization & administration , Health Benefit Plans, Employee/organization & administration , Nurse's Role , Occupational Health Nursing/organization & administration , Professional Autonomy , Continuity of Patient Care/organization & administration , Health Care Rationing/organization & administration , Humans , Insurance Coverage/organization & administration , Patient Advocacy , Patient Care Team/organization & administration , Patient Compliance/psychology , Social SupportSubject(s)
Case Management/organization & administration , Occupational Health Nursing/organization & administration , Referral and Consultation/organization & administration , Communication , Continuity of Patient Care , Correspondence as Topic , Humans , Interprofessional Relations , Judgment , Needs Assessment , Nursing Assessment , Patient SelectionABSTRACT
The Central Arkansas Veterans Healthcare System (CAVHS) spends $1 million annually on occupational illnesses and injuries. To address the problem of injuries among hospital employees, a retrospective case-control study was conducted to examine select risk factors for work-related injuries (WRI) among CAVHS employees. Study methods included a review of employee health charts and computer and manual databases from 1997 to 2002 (N = 2,050). The researchers found that WRI increased with age; WRI occurred more often in women than in men; WRI was greater among maintenance and custodial staff compared to direct caregivers, and less among clerical staff; WRI occurred less often in part-time than full-time staff; and WRI increased with increasing body mass index. Developing standards, guidelines, and policies for preplacement screening, preventive measures, training, and education may help to minimize WRI and associated costs.
Subject(s)
Accidents, Occupational/statistics & numerical data , Personnel, Hospital/statistics & numerical data , United States Department of Veterans Affairs/statistics & numerical data , Wounds and Injuries/epidemiology , Adult , Arkansas/epidemiology , Case-Control Studies , Female , Humans , Male , Middle Aged , Risk Factors , United States/epidemiologyABSTRACT
Data for this study were collected via retrospective chart review. The study shows the variables associated with work related injury (WRI) in Central Arkansas Veterans Healthcare System medical center employees from 1998 to 2000 in terms of age, gender, employment type, employment status, shift length, body mass index (BMI), workers' compensation claims prior to current employment, employee health and wellness activity attendance, lost time claims, medical/loss of productivity costs. Notable characteristics of injured employees included advancing age, female gender, long working hours, increased BMI, history of prior back and upper extremity injuries, no health and wellness activity attendance, and lost time with injury. Back and shoulder strain, falling accidents, and repetitive motion injuries were the most severe and costly injuries. Further study of medical center employees is warranted to determine risk factors for WRI and develop appropriate protective interventions and safety promotion strategies.
