Francesca Valent1, Marika Mariuz2, Giulia Liva3, Fabrizio Bellomo4, Daniela De Corti5, Stefania Degan6, Alberto Ferrazzano7, Silvio Brusaferro8. 1. Regional Health Directorate, Friuli Venezia Giulia Region, Udine, Italy (Epidemiologic Service). francesca.valent@regione.fvg.it. 2. University Hospital of Udine, Udine, Italy (Unit of Hygiene and Clinical Epidemiology). marika.mariuz@uniud.it. 3. University Hospital of Udine, Udine, Italy (Unit of Hygiene and Clinical Epidemiology). liva.giulia@aoud.sanita.fvg.it. 4. University Hospital of Udine, Udine, Italy (Accreditation, Clinical Risk Management and Performance Assessment Unit). bellomo.fabrizio@aoud.sanita.fvg.it. 5. University Hospital of Udine, Udine, Italy (Accreditation, Clinical Risk Management and Performance Assessment Unit). decorti.daniela@aoud.sanita.fvg.it. 6. University Hospital of Udine, Udine, Italy (Accreditation, Clinical Risk Management and Performance Assessment Unit). degan.stefania@aoud.sanita.fvg.it. 7. University Hospital of Udine, Udine, Italy (Accreditation, Clinical Risk Management and Performance Assessment Unit). alberto.ferrazzano@uniud.it. 8. University of Udine, Udine, Italy (Department of Medical and Biological Sciences). brusaferro.silvio@aoud.sanita.fvg.it.
Abstract
OBJECTIVES: Transient exposure with acute effect has been shown to affect the risk of occupational injuries in various industrial settings and at the healthcare workplace. The objective of this study has been to identify transient exposures related to occupational injury risk in an Italian teaching hospital. MATERIAL AND METHODS: A case-crossover study was conducted among the employees of the University Hospital of Udine who reported an occupational injury, commuting accident, or incident involving biological risk in a 15-month period in the years 2013 and 2014. The matched-pair interval approach was used to assess the role of acute sleep deprivation whereas the usual frequency approach was used for other 13 transient exposures. RESULTS: Sleep hours were not associated with the risk of injuries whereas a significant risk increase was associated with fatigue, rush, distraction, emergency situations, teaching to or being taught by someone, non-compliant patients, bloody operative/work field, excess noise, complex procedures, and anger. CONCLUSIONS: We identified transient exposures that increased the risk of occupational injuries in an Italian teaching hospital, providing indications for interventions to increase workers' safety at the healthcare workplace. Int J Occup Med Environ Health 2016;29(6):1001-1009. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.
OBJECTIVES: Transient exposure with acute effect has been shown to affect the risk of occupational injuries in various industrial settings and at the healthcare workplace. The objective of this study has been to identify transient exposures related to occupational injury risk in an Italian teaching hospital. MATERIAL AND METHODS: A case-crossover study was conducted among the employees of the University Hospital of Udine who reported an occupational injury, commuting accident, or incident involving biological risk in a 15-month period in the years 2013 and 2014. The matched-pair interval approach was used to assess the role of acute sleep deprivation whereas the usual frequency approach was used for other 13 transient exposures. RESULTS: Sleep hours were not associated with the risk of injuries whereas a significant risk increase was associated with fatigue, rush, distraction, emergency situations, teaching to or being taught by someone, non-compliant patients, bloody operative/work field, excess noise, complex procedures, and anger. CONCLUSIONS: We identified transient exposures that increased the risk of occupational injuries in an Italian teaching hospital, providing indications for interventions to increase workers' safety at the healthcare workplace. Int J Occup Med Environ Health 2016;29(6):1001-1009. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.