Prioritizing occupational injury prevention in the construction industry: Injury severity or absence?

Kines, Pete; Spangenberg, Søren; Dyreborg, Johnny

doi:10.1016/j.jsr.2006.09.002

Cited by 36 publications

(20 citation statements)

References 18 publications

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“…As suggested by Ruser [1999] this finding may be due to increasing financial and legal incentives that encourage employers to improve the safety of workplaces, create more restricted work positions and employ newer methods of injury follow-up such as managed care. Or, it may have been that we did not have enough cases, and thus power, to find differences between specific types of injury and its association with lost work time as seen in recent studies [Baldwin and Butler, 2006;Kines et al, 2007]. Our future work will benefit from the use of data from additional plants and years.…”

Section: Discussionmentioning

confidence: 93%

Use of employer administrative databases to identify systematic causes of injury in aluminum manufacturing

Pollack

Agnew

Slade

et al. 2007

American J Industrial Med

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Employer administrative files are a useful source of data, as they permit the exploration of risk factors and potential confounders that are not included in many population-based surveys. The ability to link employer administrative files with injury surveillance data is a valuable analysis strategy for comprehensively studying workplace injuries, identifying salient risk factors, and targeting workforce populations disproportionately affected.

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Section: Discussionmentioning

confidence: 93%

Use of employer administrative databases to identify systematic causes of injury in aluminum manufacturing

Pollack

Agnew

Slade

et al. 2007

American J Industrial Med

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“…Occupational injuries were defined as cases of injuries, traumas and poisonings occurring in the workplace, while performing work-related tasks out of the work environment, or commuting to/back from work, which corresponds to the legal Brazilian definition. Occupational injury severity was estimated using the AIS and ISS, categorized on five levels: mild (1-3), moderate (4)(5)(6)(7)(8), serious (9-15), severe (16-24) and critical (25-75).…”

Section: Methodsmentioning

confidence: 99%

“…Based on AIS data, the ISS is calculated using the sum of squares of the three highest scores, which correspond to the three most severely, injured anatomical regions. ISS scoring varies from 1 to 75, and the index is categorized as mild (1)(2)(3), moderate (4)(5)(6)(7)(8), serious (9-15), severe (16-24), and critical (25-75). 14 There are few studies on the severity of occupational injuries using standardized scales, none of which was carried out in Brazil.…”

Section: 4cdmentioning

confidence: 99%

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Gravidade dos acidentes de trabalho atendidos em serviços de emergência

Santana

Xavier

Moura³

et al. 2009

Rev. Saúde Pública

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OBJETIVO: Estimar o nível de gravidade de acidentes de trabalho e fatores associados. MÉTODOS: Estudo longitudinal realizado em Salvador, BA, conduzido com todos os 406 casos de acidentes de trabalho atendidos em duas unidades de emergência de hospitais públicos, entre junho e agosto de 2005. Os participantes foram identificados durante a admissão no serviço de emergência e entrevistados mensalmente em suas residências, até o retorno ao trabalho ou finalização do tratamento. A gravidade foi definida com a Abbreviated Injury Scale utilizada para calcular escores do Injury Severity Score. Foram estimadas a letalidade e a mortalidade hospitalar, permanência e internação na unidade de terapia intensiva (UTI). Variáveis descritoras foram sexo, idade, ramo de atividade econômica e ocupação. Empregaram-se proporções, razões de proporções e intervalos de confiança para a inferência estatística e média e teste t de Student para variáveis normais contínuas. RESULTADOS: A maior parte dos 406 casos foi de gravidade leve (39,4%) e moderada (38,7%), seguida pelos de nível sério (17,2%), severo (3,2%) e crítico (1,5%). A letalidade global foi 0,7% e 5,0% entre os que ficaram internados (14,8%), enquanto a média de hospitalização foi 3,2 dias (DP=2,8). Três casos (0,7%) necessitaram UTI (média= 8,4 dias, DP=1,2). A maior parte dos casos graves ocorreu entre os homens e os que tinham mais que 37 anos de idade. Acidentes com trabalhadores de transporte (RP=2,20; IC 90%: 1,06;4,58) e comércio (RP=1,85 IC 90%: 1,14;3,00) foram mais graves do que o do grupo referente. A proporção de acidentes graves foi 54% maior entre os de trajeto em comparação com os típicos. No total foram 325 dias de hospitalização e 34 dias de permanência em UTI. CONCLUSÕES: Foi elevada a gravidade de acidentes de trabalho, especialmente os ocorridos com trabalhadores do ramo de transporte e comércio, repercutindo nos serviços de emergência e ocupação de leitos hospitalares e UTI.

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“…Injury prevention is any activity to prevent or reduce the severity of bodily injuries. This takes place at primary, secondary and tertiary prevention levels ( Kines et al , 2007 ). The effects of an injury can be eliminated or reduced either by preventing them occurring (primary prevention), by reducing the initial effects through quick and effective medical and social care (secondary prevention), as well as various return to work schemes (tertiary prevention).…”

Section: Injury Risk Model For Large Construction Projectsmentioning

confidence: 99%

An injury risk model for large construction projects

Spangenberg

2009

Risk Manag

Self Cite

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A risk management model for prevention of occupational injuries at large construction projects is presented. The model combines the engineering CDIO-phase model (conceive, design, implement or construct, operate) with a socio-cultural approach to safety management. The risk management model is targeting clients / owners of the projects. In this study the model is used for categorization of existing injury prevention measures (personal, structural or cultural change) at large construction projects in Denmark, and for evaluation of the effect. The majority of the injury prevention measures were implemented during the construction phase and belonged to the category structural change (for example, safety walk-rounds and safety audits). The study showed that injury prevention may be improved at future projects by implementing more measures influencing norms and culture at the construction site (for example, the pioneer client concept), and thus increase the diversity of injury prevention measures. Many injury incidents originate from the design phase. Future safety research should focus more on developing injury prevention measures for this phase.

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Prioritizing occupational injury prevention in the construction industry: Injury severity or absence?

Cited by 36 publications

References 18 publications

Use of employer administrative databases to identify systematic causes of injury in aluminum manufacturing

Use of employer administrative databases to identify systematic causes of injury in aluminum manufacturing

Gravidade dos acidentes de trabalho atendidos em serviços de emergência

An injury risk model for large construction projects

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