Document Detail


Use of statewide electronic emergency department data for occupational injury surveillance: A feasibility study in massachusetts.
MedLine Citation:
PMID:  22125024     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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. Am. J. Ind. Med. © 2011 Wiley Periodicals, Inc.
Authors:
Letitia K Davis; Phillip R Hunt; H Holly Hackman; Loreta N McKeown; Victoria V Ozonoff
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-28
Journal Detail:
Title:  American journal of industrial medicine     Volume:  -     ISSN:  1097-0274     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8101110     Medline TA:  Am J Ind Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley Periodicals, Inc.
Affiliation:
Massachusetts Department of Public Health, Occupational Health Surveillance Program, Boston, Massachusetts. letitia.davis@state.ma.us.
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