Work

Use of statewide electronic emergency department data for occupational injury surveillance: A feasibility study in massachusetts

Year: 2011

Type: article

Abstract: BACKGROUND: Statewide datasets of emergency department (ED) visits may be useful for occupational injury surveillance. Using data from 12 hospitals, we evaluated two indicators of work-relatedness in reported ED data and the availability of employment information in medical charts. METHODS: Workers' compensation as payer and/or "yes" in an injury-at-work field were used to define probable work-related (PWR) injury visits in the Massachusetts ED dataset. Charts were reviewed for a sample of 1,002 PWR and 250 probable nonwork-related (PNWR) cases. RESULTS: Using chart information as the gold standard, indicators of work-relatedness had a sensitivity of 82%, specificity of 97%, and predictive value positive of 86%. Employer name was in charts for 89% of PWR and 42% of PNWR cases. Occupation was available for 34% of PWR cases. CONCLUSION: Electronic ED data are useful for state surveillance of occupational injuries. Improvements in attribution of work-relatedness and collection of available employer identifiers and occupational information would enhance its usefulness. The performance of indicators of work-relatedness in ED datasets should be examined in different states.

Source: American Journal of Industrial Medicine

DOI: 10.1002/ajim.21035

Authors: Letitia K. Davis, Phillip R. Hunt, H. Holly Hackman, Loreta N. McKeown, Victoria V. Ozonoff

Institution: Massachusetts Department of Public Health

Language: English

Topic: Occupational Health and Safety in Workplaces

Subfield: Occupational Therapy

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: bronze

Funder: National Institute for Occupational Safety and Health