scholarly journals The Role of the Unitary Prevention Delegates in the Participative Management of Occupational Risk Prevention and Its Impact on Occupational Accidents in the Spanish Working Environment

2020 ◽  
Vol 17 (16) ◽  
pp. 5678
Author(s):  
Raúl Payá Castiblanque
Keyword(s):  
Safety Management ◽  
Positive Impact ◽  
Health And Safety ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Occupational Accidents ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Management Indicators ◽  
The Impact

The aim of this research was to study the impact of the unitary prevention delegates (UPDs) on the Spanish working environment. To this end, a cross-sectional study was carried out using microdata from the National Survey on Health and Safety Management in Companies (ENGE-2009) with a sample of 5147 work centres. To measure the relationship between the presence of UPD in workplaces with preventive management indicators and damage to health, individual and multiple logistic regression models were carried out, calculating the crude (cOR) and adjusted (aOR) odds ratios by sociodemographic covariates, with their corresponding 95% confidence intervals (95% CI). Ambivalent results were obtained. On the one hand, a positive impact of the UPDs was found, in the management of prevention showing a higher probability of prevention plans being carried out (aOR = 3.97; 95% CI: 3.26–4.83), risk assessments (aOR = 5.96; 95% CI: 4.44–8.01) and preventive actions were planned (aOR = 3.01; 95% CI: 2.55–3.56), as well as 1.56 times less likely to register minor occupational accidents (aOR = 0.64; 95% CI: 0.53–0.76). On the other hand, the presence of the UPDs did not promote the activation of a participatory culture and did not reduce the probability of suffering serious and fatal accidents at work. In conclusion, UPDs need to activate workers’ participation to improve results.

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes

VASA ◽  
2019 ◽  
Vol 48 (3) ◽  
pp. 262-269 ◽  
Author(s):  
Christian-Alexander Behrendt ◽  
Tilo Kölbel ◽  
Thea Schwaneberg ◽  
Holger Diener ◽  
Ralf Hohnhold ◽  
...  
Keyword(s):  
Multidisciplinary Team ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Invasive Treatment ◽  
Cross Sectional ◽  
Hospital Outcomes ◽  
Vascular Intervention ◽  
Medical Specialties ◽  
Team Decision ◽  
The Impact

Abstract. Background: Worldwide prevalence of peripheral artery disease (PAD) is increasing and peripheral vascular intervention (PVI) has become the primary invasive treatment. There is evidence that multidisciplinary team decision-making (MTD) has an impact on in-hospital outcomes. This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. Methods: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. Results: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p < 0.001). The proportion of MTD decreased over the study period (30.9 % until 2009 vs. 16.6 % from 2010, p < 0.001) while rates of critical limb-threatening ischemia (34.5 % vs. 42.1 %), patients´ age (70 vs. 72 years), PVI below-the-knee (BTK) (13.2 % vs. 22.4 %), and rates of severe TASC C/D lesions BTK (43.2 % vs. 54.2 %) increased (all p < 0.001). Utilization of MTD was different between medical specialties with lowest frequency in procedures performed by internists when compared to other medical specialties (7.1 % vs. 25.7 %, p < 0.001). Conclusions: MTD prior to PVI is associated with technical success of the procedure. Nonetheless, rates of MTD prior to PVI are decreasing during the study period. Future studies should address the impact of multidisciplinary vascular teams on long-term outcomes.

scholarly journals Does Employee Care Trigger Innovation Under a Healthy and Safe Working Environment? Evidence from the Pharmaceutical Industry in China

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 194
Author(s):  
Minghui Yang ◽  
Qian Lin ◽  
Petra Maresova
Keyword(s):  
Safety Management ◽  
Positive Impact ◽  
Health And Safety ◽  
Working Environment ◽  
Firm Innovation ◽  
Corporate Managers ◽  
Pharmaceutical Firms ◽  
Corporate Ability ◽  
Safe Working

Sustainability of the workforce becomes a crucial issue, of which responsible care for employees can increase job satisfaction and human capital that impact corporate ability to absorb and generate new knowledge. Firms are obligated to provide a healthy and safe working environment for their employees, but it may in turn hinder innovation due to rigid and structured institutional regulations. Drawing on data of 308 China’s pharmaceutical firms from 2010 to 2017, we investigated whether employee care can trigger innovation under corporate adoption of the occupational health and safety management system (OHSMS). Our results suggest that both employee care and OHSMS adoption have a positive impact on innovation. Moreover, the positive relationship between employee care and innovation was more pronounced in firms that had adopted the OHSMS certification. These findings are valuable to policymakers and corporate managers in emerging economies through corroborating the important role of workforce sustainability in facilitating firm innovation.

Do Hospitals with a Higher Level of Maternal Care Designation Have Better Maternal Outcomes?

2018 ◽  
Vol 36 (06) ◽  
pp. 653-658 ◽  
Author(s):  
Sindhu Srinivas ◽  
Katy Kozhimannil ◽  
Peiyin Hung ◽  
Laura Attanasio ◽  
Judy Jou ◽  
...  
Keyword(s):  
High Risk ◽  
Maternal Care ◽  
Maternal Morbidity ◽  
Cross Sectional Study ◽  
Severe Maternal Morbidity ◽  
Maternal Outcomes ◽  
Cross Sectional ◽  
Discharge Data ◽  
Logistic Regression Models ◽  
The Impact

Background A recent document by the American Congress of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine introduced the concept of uniform levels of maternal care (LMCs). Objective We assessed LMC across hospitals and measured their association with maternal morbidity, focusing on women with high-risk conditions. Study Design We collected data from hospitals from May to November 2015 and linked survey responses to Statewide Inpatient Databases (SID) hospital discharge data in a retrospective cross-sectional study of 247,383 births admitted to 236 hospitals. Generalized logistic regression models were used to examine the associations between hospitals' LMC and the risk of severe maternal morbidity. Stratified analyses were conducted among women with high-risk conditions. Results High-risk pregnancies were more likely to be managed in hospitals with higher LMC (p < 0.001). Women with cardiac conditions had lower odds of maternal morbidity when delivered in level I compared with level IV units (adjusted odds ratio: 0.29; 95% confidence interval: 0.08–0.99; p = 0.049). There were no other significant associations between the LMC and severe maternal morbidity. Conclusion A higher proportion of high-risk pregnancies were managed within level IV units, although there was no overall evidence that these births had superior outcomes. Further prospective evaluation of LMC designation with patient outcomes is necessary to determine the impact of regionalization on maternal outcomes.

scholarly journals The Global Impact of COVID-19 on Craniomaxillofacial Surgeons

2020 ◽  
Vol 13 (3) ◽  
pp. 157-167 ◽  
Author(s):  
Justin van der Tas ◽  
Thomas Dodson ◽  
Daniel Buchbinder ◽  
Stefano Fusetti ◽  
Michael Grant ◽  
...  
Keyword(s):  
Virus Disease ◽  
Statistical Significance ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Geographic Region ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Long Term Impact ◽  
The Impact

Study Design: The COrona VIrus Disease-19 (COVID-19) pandemic has disrupted craniomaxillofacial (CMF) surgeons practice worldwide. We implemented a cross-sectional study and enrolled a sample of CMF surgeons who completed a survey. Objective: To measure the impact that COVID-19 has had on CMF surgeons by (1) identifying variations that may exist by geographic region and specialty and (2) measuring access to adequate personal protective equipment (PPE) and identify factors associated with limited access to adequate PPE. Methods: Primary outcome variable was availability of adequate PPE for health-care workers (HCWs) in the front line and surgeons. Descriptive and analytic statistics were computed. Level of statistical significance was set at P < .05. Binary logistic regression models were created to identify variables associated with PPE status (adequate or inadequate). Results: Most of the respondents felt that hospitals did not provide adequate PPE to the HCWs (57.3%) with significant regional differences ( P = .04). Most adequate PPE was available to surgeons in North America with the least offered in Africa. Differences in PPE adequacy per region ( P < .001) and per country ( P < .001) were significant. In Africa and South America, regions reporting previous virus outbreaks, the differences in access to adequate PPE evaporated compared to Europe ( P = .18 and P = .15, respectively). Conclusion: The impact of COVID-19 among CMF surgeons is global and adversely affects both clinical practice and personal lives of CMF surgeons. Future surveys should capture what the mid- and long-term impact of the COVID-19 crisis will look like.

scholarly journals The impact of diabetes on multiple avoidable admissions: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Joana Seringa ◽  
Ana Patrícia Marques ◽  
Bruno Moita ◽  
Cátia Gaspar ◽  
João Filipe Raposo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Age Groups ◽  
Health Care Expenditures ◽  
Cross Sectional Study ◽  
Health Concern ◽  
Diabetes Diagnosis ◽  
Cross Sectional ◽  
Younger Adults ◽  
Logistic Regression Models ◽  
The Impact

Abstract Background Multiple admissions for ambulatory care sensitive conditions (ACSC) are responsible for an important proportion of health care expenditures. Diabetes is one of the conditions consensually classified as an ACSC being considered a major public health concern. The aim of this study was to analyse the impact of diabetes on the occurrence of multiple admissions for ACSC. Methods We analysed inpatient data of all public Portuguese NHS hospitals from 2013 to 2015 on multiple admissions for ACSC among adults aged 18 or older. Multiple ACSC users were identified if they had two or more admissions for any ACSC during the period of analysis. Two logistic regression models were computed. A baseline model where a logistic regression was performed to assess the association between multiple admissions and the presence of diabetes, adjusting for age and sex. A full model to test if diabetes had no constant association with multiple admissions by any ACSC across age groups. Results Among 301,334 ACSC admissions, 144,209 (47.9%) were classified as multiple admissions and from those, 59,436 had diabetes diagnosis, which corresponded to 23,692 patients. Patients with diabetes were 1.49 times (p < 0,001) more likely to be admitted multiple times for any ACSC than patients without diabetes. Younger adults with diabetes (18–39 years old) were more likely to become multiple users. Conclusion Diabetes increases the risk of multiple admissions for ACSC, especially in younger adults. Diabetes presence is associated with a higher resource utilization, which highlights the need for the implementation of adequate management of chronic diseases policies.

scholarly journals ANALISIS KECELAKAAN KERJA PADA PEKERJA PENGELASAN DI CV. CAHAYA TIGA PUTRI

2018 ◽  
Vol 3 (1) ◽  
pp. 66
Author(s):  
Dwi Marina Rizka Pisceliya ◽  
Sri Mindayani
Keyword(s):  
Sampling Technique ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Occupational Accidents ◽  
Process Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Accident ◽  
Work Accidents ◽  
Unsafe Condition

A work accident is an undesirable adverse event against a human, damaging property or disadvantage to the process. Data from the ILO in 2013 says that one worker die every 15 seconds due to workplace accidents. This study aims to analyze accidents in welding workers in CV. Cahaya Tiga Putri Kelurahan Sungai Sapih Kecamatan Kuranji Padang in 2017. The research design used was cross-sectional study. This research was conducted at CV. Cahaya Tiga Putri Padang located at Jalan Lolongkaran Sungai Sapih Padang in December to July 2017. The population of this research were welding workers. Samples were taken using total sampling technique, as many as 32 people. Data were analyzed univariat and bivariate with chi-square test. The result of the research shows that 46,9% of respondents have work accident, 53,1% of respondents have unsafe behavior, 53,1% of respondent have unsafe condition, 56,3% respondent have bad knowledge. From the statistical test results known there was a relationship between unsafe acts with work accidents, there was a relationship between unsafe conditions with work accidents and there was a relationship between knowledge with accidents. To reduce the number of occupational accidents, it is expected that workers should always working with using personal protective equipment (PPE), create a safe working environment and for the owner in order to improve worker knowledge by providing training and promotion of occupational health and safetty such as counseling about PPE.Key words : Work Accident, Unsafe Action, Unsafe Condition, Knowledge

scholarly journals Occupational health and safety characteristics of agricultural workers in Adana, Turkey: a cross-sectional study

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4952 ◽  
Author(s):  
Ramazan Azim Okyay ◽  
Ferdi Tanır ◽  
Pelin Mutlu Ağaoğlu
Keyword(s):  
Occupational Health ◽  
Social Security ◽  
Health And Safety ◽  
Occupational Health And Safety ◽  
Cross Sectional Study ◽  
Agricultural Workers ◽  
Occupational Accidents ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean

Background Among agricultural workers, especially in the seasonal migratory ones, housing and hygiene related issues, occupational accidents, low levels of education, poverty and absence of social security problems emerge as significant public health problems. This study aims to compare migrant-seasonal workers (MSWs) and resident agricultural workers (RAWs) in terms of socio-demographic characteristics and occupational health and safety in Adana, one of Turkey’s most important agricultural cities. Methods This cross-sectional study was conducted on RAWs and MSWs, aged 15–65, operating in the province of Adana. The calculated sample sizes for both MSWs and RAWs were distributed using stratified simple random sampling to five districts of Adana. Results The mean age of the 798 participating agricultural workers was 34.6 ± 14.2. Of the RAWs, 78.8% and of the MSWs 57.0% were male; 5.8% of RAWs and 32.8% of MSWs were illiterate. The mean number of people in the households of the participating workers was 5.1 for RAWs and 6.6 for MSWs. Of the RAWs, 20.5% were not covered by any social security scheme while this percentage was 35.1% in MSWs. RAWs worked 9.9 h a day while MSWs worked 10.9 h a day. Of the agricultural workers, 12.9% had injuries caused by occupational accidents. Discussion Agricultural workers, who are a large part of Turkey’s economically active population, do not have healthy and safe working conditions. New regulations in the fields of social security, record keeping, monitoring, supervision, education and occupational health have been implemented recently to solve these problems. Despite the recent improvements there are still some problematic issues in the auditing of the necessary practices.

scholarly journals Do Community Free-Medication Service Policy Improve Patient Medication Adherence? A Cross-Sectional Study of Patients With Severe Mental Disorders in Beijing Community

2021 ◽  
Vol 9 ◽  
Author(s):  
Junli Zhu ◽  
Qingzhi Huang ◽  
Wei Lu ◽  
Yun Chen ◽  
Bin Li ◽  
...  
Keyword(s):  
Mental Health ◽  
Medication Adherence ◽  
Mental Health Problems ◽  
Positive Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Patient Medication ◽  
Multi Stage ◽  
Service Policy ◽  
The Impact

Background: Nowadays, mental health problems have become a major concern affecting economic and social development, with severe mental health disorders being the top priority. In 2013, Beijing began to implement the Community Free-Medication Service policy (CFMS). This article aims to evaluate the effect of the policy on medication adherence.Methods: In this study, multi-stage sampling was used to select representative patients as samples. Some of the baseline data were obtained by consulting the archives, and information about patient medication adherence measured by Brooks Medication Adherence Scale was obtained through face-to-face interviews. Logistic regression was used to examine the impact of the policy.Results: Policy participation had a significant positive impact on medication adherence (OR = 1.557). The effect of policy participation on medication adherence in the Medication-only mode and Subsidy-only mode were highly significant, but it was not significant in the Mixed mode.Conclusion: This study found that the CFMS in Beijing as an intervention is effective in improving the medication adherence of community patients. However, the impact of the policy is not consistent among service modes. Reinforcement magnitude and frequency should be considered when designing reinforcement interventions.

scholarly journals Magnitude and Characteristics of Occupational injury in Kombolcha textile factory, North East Ethiopia

2014 ◽  
Vol 3 (2) ◽  
pp. 25-29 ◽  
Author(s):  
Serkalem S Yessuf ◽  
Haimanot Gebrehiwot Moges ◽  
Ansha N Ahmed
Keyword(s):  
Textile Industry ◽  
Occupational Injury ◽  
Health And Safety ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
North East ◽  
High Prevalence ◽  
Textile Factory ◽  
Safety Procedures

Background: Working environment is one of the factors which can determine public health conditions as many workers spend a large portion of their time at work.Objective: The aim of this study was to assess the magnitude and characteristics of occupational injury among workers in Kombolcha textile factory, North East Ethiopia.Methods: Institution based cross-sectional study design was conducted from April1-15, 2013 among 455 randomly selected workers after stratification by working departments. A structured questionnaire based interview, review of records of injury report and walk through survey using work environment observation checklist were used to support the self-reported information. Descriptive statistics were used for analysis using SPSS version 20.Results: The overall occupational injury prevalence rate was 36.9%. Puncture, abrasion/laceration, fracture, cut and back pain were the most common types of injury. Most of the sources of injury were due to machinery, lifting heavy objects, splinters, fall and hand tools.Conclusion: The magnitude of occupational injury at Kombolcha textile industry showed a high prevalence that indicates the need to work on integrated injury prevention by mainstreaming occupational health and safety procedures in all working  departments of the factory. DOI: http://dx.doi.org/10.3126/ijosh.v3i2.8381 

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