Guidelines for medical screening in the workplace.
Matte TD; Fine L; Meinhardt TJ; Baker EL
Occup Med: State of the Art Rev 1990 Sep; 5(3):439-456
The general principles of conducting medical examinations to detect adverse health effects of workplace exposures and thereby prevent occupational disease or slow its progression were reviewed. These medical examinations were not exposure specific, but rather are applicable to all medical programs. Much of the discussion is most relevant to screening for effects of chemical hazards, but many of the principles apply also to biological hazards and physical hazards as well. Specific topics addressed included: the purposes of workplace examinations (screening of individual workers, establishing work relatedness of previously diagnosed conditions, surveillance of groups of workers, and supplemental exposure monitoring); designing and implementing medical testing programs (assessment of hazards, potential end organ toxicities for each exposure, characteristics of screening tests, baseline examinations, periodic examinations, exit examinations, interpretation of and action based on individual test results, interpretation and action based on group test results); and administrative aspects of screening programs (voluntary and informed consent, information employers should provide to the examining physician, maintenance of medical records, maintenance of other records, confidentiality, and quality assurance).
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