Analysis of the causes of occupational injuries in the medical field as a basis for its prevention
Introduction. Harmful and dangerous working conditions in health care, among other things, often force health workers to look for work in other institutions and industries, to migrate to other countries, as well as negatively affect their productivity and pose a threat to patient safety.
The purpose of the study is to analyze the causes of injuries in health care.
Materials and methods. The causes of occupational injuries in the domestic medical sphere were investigated in the work with the help of bibliosemantic and mathematical methods, the method of system analysis.
Results. The causes of occupational injuries in health care in the period from 2006 to 2018 are analyzed in detail. It was found that mainly occupational injuries with serious consequences in health care occur due to organizational nature - 59%, in second place for psychophysiological reasons - 37.8% and in third place for technical reasons - 3.2%. At the same time, the causes of industrial injuries with fatal consequences in the medical field had a fundamentally different distribution: clearly dominated by causes of psychophysiological nature - 78.2%, in second place - organizational reasons - 20.6% and in third place - technical reasons - 1 , 2%.
Conclusions. In the period from 2006 to 2018, organizational causes prevailed among the causes of occupational injuries in the domestic medical sphere, and among the causes of fatal injuries - psychophysiological causes. A significant proportion of victims of occupational injuries in health care for organizational and technical reasons are related to the operation, maintenance and technical condition of transport activities. High levels of occupational injuries, including fatalities, due to unsatisfactory physical condition or health status of health care workers, their low mental health stability, and the wrongful acts of others are a cause for concern.
Key words: health care, medical workers, causes of occupational injuries.
Employer-reported workplace injuries and illnesses – 2018. (2019). Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, in cooperation with participating state agencies. URL: https://www.bls.gov/news.release/pdf/osh.pdf (Mode of Access: 19.07.2020).
Zanyatost v oblasti zdravoohraneniya i ekonomicheskiy rost. Zapiska Generalnogo sekretarya. Semdesyat vtoraya sessiya Generalnoy Assamblei OON. 2017. A/72/378. URL: https://undocs.org/pdf?symbol=ru/A/72/378.pdf (Mode of Access : 19.07.2020).
Globalnyie deystviya po obespecheniyu bezopasnosti patsientov. Rezolyutsiya 72 Vsemirnoy Assamblei zdravoohraneniya. WHA72.6. 2019. 8 p. URL: https://apps.who.int/gb/ebwha/¬pdf_files/WHA72/A7 2_R6-ru.pdf Mode of Access: 26.07.2020).
Tokyo Declaration on Patient Safety / Third Global Ministerial Summit on Patient Safety, 14 April 2018, Tokyo, Japan. 2 p. URL : https://www.mhlw.go.jp/file/06-Seisakujouhou10800000-Iseikyoku/0000204005.pdf (Mode of Access: 2.06.2020).
Jeddah Declaration on Patient Safety. 2019. URL: https://www.bundesgesundheitsministerium.de/fileadmin/Dateien/3_Downloads/P/Patientensicherheit/PSS_2019/Jeddah-Declaration_GER.pdf (Mode of Access: 26.07.2020).
Travmatizm na virobnitstvi v Ukrayini u 2017 rotsi. (2018). Statistichniy zbirnik. Derzhavna sluzhba statistiki Ukrayini. Kiyiv. URL: http://www.ukrstat.gov.ua/druk /publicat/kat_u/2018/zb/05/zb_tv_2017.pdf (Mode of Access : 19.07.2020).
Mitina, N.B., Babenko, O.Yu., Vorobyova, I.O., Malinovska, N.V. (2018). Doslidzhennya stanu travmatizmu ta rivnya profesiynoyi zahvoryuvanosti na promislovih ob’ektah ukrayini. Stroitelstvo, materialovedenie, mashinostroenie. Seriya: Bezopasnost zhiznedeyatelnosti. V. 105. 139-147.
Virobnichiy travmatizm v ukrayini za 2019 rik. (2020). Derzhavna sluzhbi Ukrayini z pitan pratsi. URL: https://www.sop.com.ua/news/2424-virobnichiy-travmatizm-v-ukrani-za-2019-rk?from=-PW_Click_desktop_podsek&token=224767b0-bcaa-11a0-cd7d2d011b84b213&ttl=7776000&ustp=W (Mode of Access : 19.07.2020).
Human resources for health in the WHO European Region. (2005).WHO Regional Office for Europe. URL: https://www.euro.who.int/-_data/assets/pdf_file/000%207/91474/E88365.pdf (Mode of Access : 19.07.2020).
Serdyuk, A.M., Yavorovskiy, O.P., Skaletskiy, Yu.M. et al. (2017). Virobnichiy travmatizm v medichniy galuzi: stan i tendentsiyi. Zhurnal natsionalnoyi akademiyi medichnih nauk Ukrayiny. 3-4. 47 – 54.
Wu, A.W., Shapiro, J, Harrison, R, Scott, S.D., Connors, C., et al. (2017). The Impact of Adverse Events on Clinicians: What's in a Name? J Patient Saf. 4. URL : https://www.ncbi.nlm.nih.gov/pubmed¬/29112025 (Mode of Access : 19.07.2020).
Stewart, K., Lawton, R., Harrison, R. (2015). Supporting “second victims” is a system-wide responsibility. British Medical Journal; 350: h2341.
Yavorovskiy, O.P., Shkurba, A.V., Skaletskiy, Yu.M., Bruhno, R.P., Harchuk, L.V. et al. (2020). Gigiena i ohorona pratsi medichnogo personalu v umovah podolannya pandemiyi COVID-19 (pershe povidomlennya). Dovkillya ta zdorov’ya. 3. (Article in Press).
Selyavin Dmitro. (2017). Chobotari bez chobit. Ohorona pratsi. 10. 20 – 22.
Copyright (c) 2020 Ukrainian Journal of Military Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.