Evaluation of a Statewide Emergency Department Injury Surveillance System for Occupational Injury Surveillance

摘要

Many states are developing statewide data bases of emergency department records that can potentially provide useful information about occupational injuries. In September, 2001 MDPH received funding under NIOSH Grant R01 OH04262 to evaluate the feasibility of using electronic medical records from the Massachusetts Emergency Department Injury Surveillance System (EDISS), a stratified sample of Massachusetts hospital emergency departments, to characterize the magnitude and distribution of occupational injuries treated in EDs in Massachusetts and to identify potential gaps in the traditional occupational injury data systems, The study aims were: (1) To estimate the sensitivity, specificity, and predictive value of two indicators of work-related injury in EDISS, independently and in combination, (2) To assess the extent to which information about employer, industry and occupation were included in the medical charts and/or the electronic systems of participating hospitals, (3) To estimate the accuracy of E-codes for work-related injuries, (4) To evaluate the feasibility of using two alternative coding protocols (Short lCECI and NEISS) for work-re1ated injuries, and (5) To compare summary data on work-related injuries from EDISS and findings from the Massachusetts Survey of Occupational Injuries and IlInesses to identify potential biases in findings based on these alterative data sources. This is the final Progress Report for this project.