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Médecine du travail du personnel hospitalier

Occupational Traumatic Injuries Among Workers in Health Care Facilities

Morbidity and Mortality Weekly Report (MMWR)
April 24, 2015 / 64(15);405-410
Ahmed E. Gomaa, MD1, Loren C. Tapp, MD1, Sara E. Luckhaupt, MD1, Kelly Vanoli1, Raymond Francis Sarmiento, MD1,2, William M. Raudabaugh1, Susan Nowlin1, Susan M. Sprigg, MPH1 (Author affiliations at end of text)
1Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health; 2Public Health Informatics Fellowship Program, Division of Scientific Education and Professional Development, Center for Surveillance, Epidemiology and Laboratory Services, CDC (Corresponding author: Ahmed Gomaa,, 513-841-4337).
In 2013, one in five reported nonfatal occupational injuries occurred among workers in the health care and social assistance industry, the highest number of such injuries reported for all private industries (1). In 2011, U.S. health care personnel experienced seven times the national rate of musculoskeletal disorders compared with all other private sector workers (2). To reduce the number of preventable injuries among health care personnel, CDC’s National Institute for Occupational Safety and Health (NIOSH), with collaborating partners, created the Occupational Health Safety Network (OHSN) to collect detailed injury data to help target prevention efforts. OHSN, a free, voluntary surveillance system for health care facilities, enables prompt and secure tracking of occupational injuries by type, occupation, location, and risk factors. This report describes OHSN and reports on current findings for three types of injuries. A total of 112 U.S. facilities reported 10,680 OSHA-recordable* patient handling and movement (4,674 injuries); slips, trips, and falls (3,972 injuries); and workplace violence (2,034 injuries) injuries occurring from January 1, 2012–September 30, 2014. Incidence rates for patient handling; slips, trips, and falls; and workplace violence were 11.3, 9.6, and 4.9 incidents per 10,000 worker-months,† respectively. Nurse assistants and nurses had the highest injury rates of all occupations examined. Focused interventions could mitigate some injuries. Data analyzed through OHSN identify where resources, such as lifting equipment and training, can be directed to potentially reduce patient handling injuries. Using OHSN can guide institutional and national interventions to protect health care personnel from common, disabling, preventable injuries.

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