Employee Absenteeism Based on Occupational Health Visits in an Urban Tertiary Care Canadian Hospital

2008 ◽  
Vol 25 (6) ◽  
pp. 565-575 ◽  
Author(s):  
Tara L. Donovan ◽  
Kieran M. Moore ◽  
Elizabeth G. VanDenKerkhof
2003 ◽  
Vol 24 (8) ◽  
pp. 626-628 ◽  
Author(s):  
Gonzalo Bearman ◽  
Linda Fuentes ◽  
Jaclyn Van Lieu Vorenkamp ◽  
Lewis M. Drusin

AbstractSixty-four percent of medical residents unimmunized by the Occupational Health Service were immunized elsewhere. Those unvaccinated lacked time to comply. An immune staff is critical to prevent transmission to high-risk patients and limit absenteeism. The hospital is implementing a program to deliver medical care to the house staff.


Author(s):  
Pradumna Pathak ◽  
Raktim Borgohain

Background: Health care sector is clearly a high-risk sector for acquiring occupational hazards and have given rise to a debate on the need for a specific approach in order to improve the protection of the health and safety of hospital personnel. Many health care professionals in hospitals are exposed to significant occupational health hazards and consequently are at high risk of work-related diseases. This study aims to assess the knowledge, attitude, practice of medical students on occupational hazards faced by health care professionals.Methods: A cross-sectional study involving 235 undergraduate medical students was conducted using a semi-structured questionnaire.Results: All the respondents stated that they were aware of occupational hazard in their profession. 60% responded that biological hazards have maximum chance to occur at their working environment. 66.8% feared that occupational hazard can hamper their performance and 63.4% were of the view that animal simulation methods/manikins can minimize the risk of occupational hazard. 72.8% stated that clinical wards are the most likely place for occupational hazard and air-borne infection is the commonest source. Most respondents (97.4%) would like this topic to be included in the Undergraduate curriculum and 98.3% respondents were willing to attend a training programme about occupational health and safety.Conclusions: Hospital should provide personal protective equipment’s and look after adequate waste disposal systems to prevent the occurrence of health hazards in hospitals.


1998 ◽  
Vol 37 (02) ◽  
pp. 125-129 ◽  
Author(s):  
A. Yassi

AbstractWith rapid change in health care requiring greater emphasis on productivity and quality management, occupational health hazards in hospitals have been receiving increasing recognition, now not only focusing on controlling infection, but also on chemical, physical, mechanical as well as psychosocial hazards. Reducing costly time loss from musculoskeletal injuries is a particular imperative. The Department of Occupational and Environmental Medicine at Winnipeg's Health Sciences Centre, developed databases to help priorize, monitor and improve occupational health programs for its 6,000 employees. Risk assessment/risk management models were adopted to identify hazards, quantify risks and priorize intervention. Using the databases permitted the targeting of groups requiring immunization, resulting in increased coverage. New safety products were introduced and found to be cost-beneficial. A return-to-work post-injury program was particularly cost-beneficial. Over the five years following the implementation of occupational health programs, workers' compensation assessment reductions resulted in savings of more than half-a-million dollars annually. The databases were invaluable in affecting these changes.


2003 ◽  
Vol 24 (11) ◽  
pp. 821-824 ◽  
Author(s):  
Bryan J. Marsh ◽  
Joshua San Vicente ◽  
C. Fordham von Reyn

AbstractObjective:To define the utility of 10- to 14-mm reactions to a Mycobacterium tuberculosis purified protein derivative (PPD) skin test for healthcare workers (HCWs).Design:Blinded dual skin testing, using PPD and M. avium sensitin, of HCWs at a single medical center who had a 10-to 14-mm reaction to PPD when tested by personnel from the Occupational Health Department as part of routine annual screening.Setting:A single tertiary-care academic medical center.Participants:Employees of the medical center who underwent routine annual PPD screening and were identified by the Occupational Health Department as having a reaction of 10 to 14 mm to PPD.Results:Nineteen employees were identified as candidates and 11 underwent dual skin testing. Only 4 (36%) had repeat results for PPD in the 10- to 14-mm range, whether read by Occupational Health Department personnel or study investigators. For only 5 (45%) of the subjects did the Occupational Health Department personnel and study investigators concur (± 3 mm) on the size of the PPD reaction. Two of the 4 subjects with reactions of 10 to 14 mm as measured by the study investigators were M. avium sensitin dominant, 1 was PPD dominant, and 1 was nondominant.Conclusion:A reaction of 10 to 14 mm to PPD should not be used as an indication for the treatment of latent tuberculosis (TB) infection in healthy HCWs born in the United States with no known exposure to TB.


1996 ◽  
Vol 30 (4) ◽  
pp. 337-342 ◽  
Author(s):  
Suzanne C Malfair ◽  
Luciana Frighetto ◽  
Donna M Nickoloff ◽  
Shelagh M Martinusen ◽  
Peter J Jewesson

OBJECTIVE: To characterize cefuroxime and cefuroxime axetil use under the influence of a parenteral-to-oral (iv—po) stepdown program. DESIGN: Open single-center retrospective review. SETTING: Tertiary care teaching and referral Canadian hospital with 1100 beds. PATIENTS: a random sample of 78 patients receiving cefuroxime was compared with a random sample of 50 patients receiving iv—po cefuroxime stepdown. RESULTS: During the first 6 months following formulary introduction, 1535 patients received cefuroxime. Stepdown to any oral antibiotic occurred in 22% of patients. Cefuroxime axetil was used as the stepdown agent in 64% of these cases. In a comparison of nonstepdown courses with stepdown courses, some differences were apparent. Nonstepdown treatment courses were primarily prophylactic, whereas stepdown courses were typically initiated as primary therapy for the 10-day management of respiratory tract infections (p < 0.001). Conversion to oral therapy typically occurred on day 5 of parenteral therapy and continued for 5 days. Stepdown was considered possible in 46% of treatment courses in which this process did not happen. When stepdown did occur, it was considered timely in 64% of cases, unnecessarily delayed in 32%, and premature in 4% of treatment courses. Stepdown did not appear to be associated with a negative impact on patient outcome. Mean ± SD cost of drug therapy per day was less for the stepdown group (US $15.78 ± $5.97) than the nonstepdown group (US $25.47 ± $7.87; p < 0.001). CONCLUSIONS: As a result of this study we intend to maintain cefuroxime and cefuroxime axetil on the formulary and continue to judiciously promote the timely conversion to oral therapy.


2006 ◽  
Vol 26 (11) ◽  
pp. 1578-1586 ◽  
Author(s):  
Leslie Jo Samoy ◽  
Peter J Zed ◽  
Kerry Wilbur ◽  
Robert M Balen ◽  
Riyad B Abu-Laban ◽  
...  

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