Workers’ compensation claims among private skilled nursing facilities, Ohio, 2001–2012

Source avec lien : American Journal of Industrial Medicine, (Prépublication), 16 octobre 2020. 10.1002/ajim.23193

Les établissements de soins de longue durée ont l’un des taux les plus élevés d’accidents du travail et de maladies professionnelles parmi toutes les industries. La compréhension des détails entourant les accidents et les expositions qui occasionnent des lésions indemnisées peut aider à mieux aligner les efforts de prévention, comme l’intégration de politiques de déplacement sécuritaire des patients et des appareils de levage, l’amélioration des pratiques d’entretien ménager et la formation des employés dans ces établissements afin de prévenir les blessures et de réduire les dépenses connexes. Cette étude quantifie la charge des accidents du travail et des maladies professionnelles dans ce secteur en utilisant les données d’un système d’indemnisation des travailleurs d’un seul État, de 2001 à 2012. Le surmenage et les réactions corporelles, ainsi que les chutes et glissades ont représenté 85 % des 10 793 demandes d’indemnisation pour perte de temps de travail.

Introduction Skilled nursing facilities have one of the highest rates of occupational injury and illness among all industries. This study quantifies the burden of occupational injury and illness in this industry using data from a single state-based workers’ compensation (WC) system. Methods Ohio Bureau of Workers’ Compensation claims from 2001 to 2012 were analyzed among privately owned, state-insured skilled nursing facilities and are presented as claim counts and rates per 100 full-time equivalents (FTE). Worker, employer, incident, and injury characteristics were examined among all claims and by medical-only (medical care expenses and/or less than eight days away from work) and lost-time (eight days or more away from work) claim types. Results There were 56,442 claims in this population of Ohio skilled nursing facilities from 2001 to 2012. Overexertion and bodily reaction, slips, trips, and falls, and contact with objects and equipment accounted for the majority of all WC claims (89%). Overexertion and bodily reaction, and slips, trips, and falls comprised 85% of the 10,793 lost-time claims. The highest injury event/exposure rates for all claims were for overexertion and bodily reaction (3.7 per 100 FTE for all claims), followed by slip, trips, and falls (2.1), and contact with objects and equipment (1.9). Conclusion Understanding the details surrounding injury events and exposures resulting in WC claims can help better align prevention efforts, such as incorporation of safe patient handling policies and lifting aids, improvement in housekeeping practices, and employee training within skilled nursing facilities to prevent worker injury and mitigate related expenses.

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