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Referring cases of work-related amputations to Michigan OSHA: is it worth the effort?

Largo-T; Rosenman-K; Reilly-MJ
CSTE Annual Conference Abstracts June 24-28, 2007, Atlantic City, New Jersey. Atlanta, GA, Council of State and Territorial Epidemiologists, 2007 Jun; :2222
Learning Objectives: 1. Learn about Michigan's work-related amputation reporting system. 2. Learn the challenges involved in identifying and referring work-related amputations to a state OSHA program. 3. Learn how to quantitatively evaluate efficiency. Background: Since 2002, Michigan State University (MSU) staff have reviewed medical records of hospital-treated amputation patients and referred serious cases occurring in specific industries to the Michigan Occupational Safety and Health Administration (MIOSHA) for investigation. The effectiveness of this referral system was evaluated. Methods Medical records of amputation cases were reviewed to determine if the following criteria were met: a) serious amputation; b) occurred at a MIOSHA in-scope industry. Referrals were tracked through final disposition. The number of cases that MIOSHA would otherwise have been unaware of were quantified. Results: In 2003, hospitals reported 2000 amputation cases. Sixty-two were subsequently referred to MIOSHA for investigation of amputation hazards. Of these referrals, MIOSHA had already performed an inspection in nineteen and did not investigate in seven. In twenty-two, MIOSHA performed an inspection based solely on the referral system and found violations. Conclusions: We will discuss the usefulness and limitations of an amputation surveillance system in identifying facilities that need workplace interventions.
Traumatic-injuries; Injuries; Workers; Work-environment; Work-areas; Medical-care; Medical-treatment; Risk-factors; Hazards; Physiological-effects; Physiological-function; Surveillance-programs; Extremities
Thomas Largo, MPH, Michigan Department of Community Health, 201 Townsend, PO Box 30195, Lansing, Michigan 48909
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CSTE Annual Conference Abstracts June 24-28, 2007, Atlantic City, New Jersey
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Michigan State University