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Use of statewide electronic emergency department data for occupational injury surveillance: a feasibility study in Massachusetts.

Authors
Davis-LK; Hunt-PR; Hackman-HH; McKeown-LN; Ozonoff-VV
Source
Am J Ind Med 2012 Apr; 55(4):344-352
NIOSHTIC No.
20040494
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.
Keywords
Epidemiology; Surveillance-programs; Injuries; Information-systems; Emergency-treatment; Health-care-facilities; Data-processing; Computers; Electronic-devices; Qualitative-analysis; Author Keywords: occupational injury; surveillance; emergency department data
Contact
Letitia K. Davis, ScD, EdM, Massachusetts Department of Public Health, 250 Washington St., Sixth Floor, Boston, MA 02108
CODEN
AJIMD8
Publication Date
20120401
Document Type
Journal Article
Email Address
letitia.davis@state.ma.us
Funding Amount
375885
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-004262; B03282012
Issue of Publication
4
ISSN
0271-3586
Priority Area
Research Tools and Approaches: Surveillance Research Methods
Source Name
American Journal of Industrial Medicine
State
MA
Performing Organization
Massachusetts State Department of Public Health
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