Injury control and safety promotion最新文献_第10页

The Jamaican Injury Surveillance System: lessons learnt. 牙买加伤害监测系统:吸取的教训。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.263.13684

Deanna Ashley, Yvette Holder

引用次数: 5

Injuries in Jamaica. 牙买加的受伤情况。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.217.13678

Yvette Holder

引用次数: 1

Cumulative Table Of Contents 累计目录

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.6.4.240.7532

引用次数: 0

Comparative evaluation of different modes of a national accident and emergency department-based injury surveillance system: Jamaican experience. 基于事故和急诊部门的国家伤害监测系统的不同模式的比较评价:牙买加的经验。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.235.13683

Sharon Arscott-Mills, Yvette Holder, Georgiana Gordon

{"title":"Comparative evaluation of different modes of a national accident and emergency department-based injury surveillance system: Jamaican experience.","authors":"Sharon Arscott-Mills, Yvette Holder, Georgiana Gordon","doi":"10.1076/icsp.9.4.235.13683","DOIUrl":"https://doi.org/10.1076/icsp.9.4.235.13683","url":null,"abstract":"The objective was to conduct a comparative evaluation of two injury surveillance systems in operation in the Accident and Emergency departments of public hospitals in Jamaica. The evaluation was conducted at 12 hospitals across Jamaica offering varying levels of service delivery. It was designed in three phases: (1) a retrospective review of surveillance system data; (2) prospective process evaluation; (3) system environment evaluation. These data were analysed to determine the sensitivity and specificity of the manual Accident & Emergency Statistical Report (A&ESR) versus the computer-based Patient administration system/Jamaica injury surveillance system (PAS/JISS), and to determine an injury registration rate. Results showed a variation from 8% to 27% in injury registration rates at the hospitals reviewed. The sensitivity of the computer-based PAS ranged from 29.7% to 97.1% while the sensitivity of the manual system ranged from 22.1% to 100%. The computer-based system generally detected a greater percentage of injuries. Problems were identified with missing data fields in the computer-based system, while problems of recording and transcription were identified in the manually-based system. Recommendations were made to improve data quality in both data collection systems. Although shortcomings were identified with the A&ESR, the system is performing the function for which it was designed, that of tracking A&E workload. The PAS/JISS is more user-friendly and a truer reflection of the injury situation.","PeriodicalId":84914,"journal":{"name":"Injury control and safety promotion","volume":"9 4","pages":"235-9"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1076/icsp.9.4.235.13683","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22269605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Implementing a hospital-based violence-related injury surveillance system--a background to the Jamaican experience. 实施以医院为基础的与暴力有关的伤害监测系统——牙买加经验的背景。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.241.13681

Elizabeth Ward, Tonji Durant, Martie Thompson, Georgiana Gordon, Wayne Mitchell, Deanna Ashley

{"title":"Implementing a hospital-based violence-related injury surveillance system--a background to the Jamaican experience.","authors":"Elizabeth Ward, Tonji Durant, Martie Thompson, Georgiana Gordon, Wayne Mitchell, Deanna Ashley","doi":"10.1076/icsp.9.4.241.13681","DOIUrl":"https://doi.org/10.1076/icsp.9.4.241.13681","url":null,"abstract":"Violence, a leading cause of injuries and death, is recognized as a major public health problem. In 1996, injuries were the second leading cause of hospitalizations in Jamaica. The estimated annual cost of in-patient care for injuries was 11.6 million US dollars. To develop strategies to reduce the impact of violence-related injuries on Jamaican health care resources, the Ministry of Health, Division of Health Promotion and Protection (MOH/DHPP) in collaboration with the Centers for Disease Control and Prevention and the Tropical Metabolic Research Institute, University of the West Indies Mona, designed and implemented a violence-related injury surveillance system (VRISS) at Kingston Public Hospital (KPH). In 1998, the VRISS, based on the International Classification of External Cause of Injury (ICECI), was implemented in the accident and emergency (A&E) department of Jamaica's tertiary care hospital, KPH. VRISS collects demographic, method and circumstance of injury, victim-perpetrator relationship and patient's discharge status data. From 8/1/98 to 7/31/99, data on 6,107 injuries were collected. Injuries occurred primarily among males aged 25-44 years. Most injuries (54%; 3171) were caused by use of a sharp object. Nearly half (49%; 2992) were perpetrated by acquaintances. The majority, 70% (4,252), were the result of a fight or argument and 17% were admitted to the hospital. The VRISS utilized A&E department data to characterize violence-related injuries in Jamaica, a resource-limited environment. These data will be used to guide intervention development to reduce violence-related injuries in Jamaica.","PeriodicalId":84914,"journal":{"name":"Injury control and safety promotion","volume":"9 4","pages":"241-7"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1076/icsp.9.4.241.13681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22269606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Surveillance of interpersonal violence in Kingston, Jamaica: an evaluation. 牙买加金斯敦人际暴力的监控:一项评估。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.249.13676

La Mar Hasbrouck, Tonji Durant, Elizabeth Ward, Georgiana Gordon

{"title":"Surveillance of interpersonal violence in Kingston, Jamaica: an evaluation.","authors":"La Mar Hasbrouck, Tonji Durant, Elizabeth Ward, Georgiana Gordon","doi":"10.1076/icsp.9.4.249.13676","DOIUrl":"https://doi.org/10.1076/icsp.9.4.249.13676","url":null,"abstract":"Injuries are among the leading causes of death in Jamaica. Homicide rates have been sharply increasing since 1991. In 1997, the rate of homicide (45/100,000) in Jamaica was over five times the US rate in 1997 (7.9/100,000). In response to this problem and the alarming increase in non-fatal assaultive injuries, the Jamaican Ministry of Health together with the CDC established a Violence-Related Injury Surveillance System (VRISS) using patient registration data from Kingston Public Hospital. The VRISS was evaluated for usefulness, and for system attributes: system acceptability, simplicity, flexibility, sensitivity, and predictive value positive (PVP). System-identified cases were compared with clinical records and data from direct patient interviews. The surveillance system was flexible, acceptable to clinical staff and Ministry officials, and moderately sensitive, detecting 62% to 69% of violent injuries identified from clinical records and a patient survey. The system's predictive value positive was high, with 86% of potential cases confirmed as actual cases. Although adequate, system sensitivity was reduced by incomplete or no registration of patients during periods of staff shortage. In conclusion, despite some logistic shortcomings, the system appeared promising for collecting limited information on non-fatal interpersonal violent injuries. With modification and expansion, the system may be capable of collecting unintentional-injury data also.","PeriodicalId":84914,"journal":{"name":"Injury control and safety promotion","volume":"9 4","pages":"249-53"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1076/icsp.9.4.249.13676","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22268259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

The establishment of a Jamaican all-injury surveillance system. 建立牙买加所有伤害监测系统。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.219.13677

Elizabeth Ward, Sharon Arscott-Mills, Georgiana Gordon, Deanna Ashley, Trevor McCartney

{"title":"The establishment of a Jamaican all-injury surveillance system.","authors":"Elizabeth Ward, Sharon Arscott-Mills, Georgiana Gordon, Deanna Ashley, Trevor McCartney","doi":"10.1076/icsp.9.4.219.13677","DOIUrl":"https://doi.org/10.1076/icsp.9.4.219.13677","url":null,"abstract":"The impact of injuries on the Jamaican health care system is a growing problem. Based on the successful implementation of a Violence-Related Injury Surveillance System (VRISS) in the Accident and Emergency (A&E) department of the Kingston Public Hospital (KPH), Ministry of Health (MOH) officials decided to expand the system to the Jamaica Injury Surveillance System (JISS), allowing for the surveillance of both intentional and unintentional injuries. A working group designed the expanded injury surveillance system based on the International Classification of External Causes of Injury. The expanded system allowed for the collection of data on all injuries seen in the A&E departments by adding four injury projects to the computerized A&E registration process. These were (1) unintentional injury, (2) violence-related injury, (3) suicide attempt (also known as intentional self-harm) and (4) motor vehicle-related injuries. The expanded JISS was implemented at the KPH and four additional hospitals across the island. The geographic distribution of these hospitals provided a reflection of rural and urban, highland and coastal communities and their distinctive injury profiles. Data collected at registration were printed on trauma sheets and reviewed by medical staff before being incorporated into the patient's record. Monthly reports detailing demographics and summary statistics were generated and made available at the local and national level. By monitoring the national injury profile, the JISS provides data to support needed policy changes to minimize the impact of injuries on the health services and on the health of the population.","PeriodicalId":84914,"journal":{"name":"Injury control and safety promotion","volume":"9 4","pages":"219-25"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1076/icsp.9.4.219.13677","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22269603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

A profile of injuries in Jamaica. 牙买加受伤情况简介。

Injury control and safety promotion Pub Date : 2002-12-01 DOI: 10.1076/icsp.9.4.227.13674

Sharon Arscott-Mills, Georgiana Gordon, Archie McDonald, Yvette Holder, Elizabeth Ward

{"title":"A profile of injuries in Jamaica.","authors":"Sharon Arscott-Mills, Georgiana Gordon, Archie McDonald, Yvette Holder, Elizabeth Ward","doi":"10.1076/icsp.9.4.227.13674","DOIUrl":"https://doi.org/10.1076/icsp.9.4.227.13674","url":null,"abstract":"This study analyses 6 months of data from three hospitals participating in the computerized emergency room-based Jamaica Injury Surveillance System (JISS) since 1999. The categories of injuries tracked were unintentional, violence-related and motor vehicle-related. The resultant data showed that injuries comprised 17% (12,179) of all Accident and Emergency (A&E) department registrations for the period. The highest percentage of injuries were violence-related (51%, 6,380), followed by unintentional injuries (33%, 4,030) and motor vehicle-related (15%, 1,769). Injury profiles varied by institution with the majority of Cornwall Regional Hospital's and Kingston Public Hospital's injuries being intentional while that of May Pen Hospital was unintentional. The data also demonstrate that young males are at highest risk for all types of injuries as well as for the more severe injuries requiring hospital admission. The risk factor data provided through the JISS will inform and guide private and public sector efforts to address the problem of injuries in Jamaica.","PeriodicalId":84914,"journal":{"name":"Injury control and safety promotion","volume":"9 4","pages":"227-34"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1076/icsp.9.4.227.13674","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22269604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Assessing risks--challenges posed by the European general product safety directive. 评估风险——欧洲通用产品安全指令带来的挑战。

Injury control and safety promotion Pub Date : 2002-09-01 DOI: 10.1076/icsp.9.3.151.8706

Dirk van Aken

{"title":"Assessing risks--challenges posed by the European general product safety directive.","authors":"Dirk van Aken","doi":"10.1076/icsp.9.3.151.8706","DOIUrl":"https://doi.org/10.1076/icsp.9.3.151.8706","url":null,"abstract":"The concept of risk appears in a prominent way in the recently revised European Directive on General Product Safety (GPSD). Risk assessment is therefore an important tool for the success of the Directive; the question is how risk assessment should be carried out in a systematic manner in order to meet the aims of the Directive. In this paper, the references in the GPSD concerning the concept of risk are reviewed and compared with reported problems in European risk assessment. Existing guidelines for risk assessment are examined in order to determine what factors determine the consistency of the outcome. This leads to recommendations for a process that could be followed in order to make risk assessment successful in the context of the GPSD. On the basis of existing guidelines for risk assessment, criteria are formulated with which methods of risk assessment should comply. A stepwise process is proposed in order to develop a common method of risk assessment that can be applied in Europe to support the GPSD. The requirements for risk management in the new GPSD are rather abstract and lack specification, both for producers and for enforcement authorities. The Directive further refers to the need to develop non-binding guidelines in due course. Sources of different outcomes of the risk assessment process are outlined in this paper as well as possibilities to achieve a more consistent basis for decision, more uniformity and transparency. These are essential conditions if one wishes to avoid both undue trade barriers and unsafe products on the market. A leading role for the European Commission seems necessary to make sure that the intentions of the GPSD are accomplished.","PeriodicalId":84914,"journal":{"name":"Injury control and safety promotion","volume":"9 3","pages":"151-6"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1076/icsp.9.3.151.8706","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22137066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Risks in product use: observations compared to accident statistics. 产品使用中的风险:与事故统计相比的观察结果。

Injury control and safety promotion Pub Date : 2002-09-01 DOI: 10.1076/icsp.9.3.185.8715

Freija van Duijne, Heimrich Kanis, Bill Green

引用次数: 5