Maria Starchook-Moore MD, MPH, Ashley Nadeau MD, MPH, Dominik Dabrowski MD, MPH, John Briggs DO, MPH, LaDonna Kool LPN, Mezzie Belt RMA, Ralph Bovard MD, MPH, Paul Anderson MD, MPH, Hyun Kim ScD, MSc, Andre Montoya-Barthelemy MD, MPH, Zeke J. McKinney MD, MHI, MPH
{"title":"对美国交通部 (DOT) 商业驾驶员体检表的质量进行回顾性审查。","authors":"Maria Starchook-Moore MD, MPH, Ashley Nadeau MD, MPH, Dominik Dabrowski MD, MPH, John Briggs DO, MPH, LaDonna Kool LPN, Mezzie Belt RMA, Ralph Bovard MD, MPH, Paul Anderson MD, MPH, Hyun Kim ScD, MSc, Andre Montoya-Barthelemy MD, MPH, Zeke J. McKinney MD, MHI, MPH","doi":"10.1002/ajim.23661","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study aimed to evaluate the quality of completion among both drivers and medical examiners in filling out Commercial Driver's (CD) Medical Examination Report Forms.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This was a cross-sectional retrospective study of abstracted data from the year 2019. CD Medical Examination Report Forms, collected from a single nationally-based employer and initially reviewed by corporate medical directors, were evaluated by the study team for completeness of documentation provided by both drivers and medical examiners (MEs). Relevant findings included unanswered questions, inconsistency between responses, and lack of necessary elaboration for positive responses.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Among 1603 examinations, MEs completed the Medical Examination Report Form incompletely or incorrectly in 30% of examinations (<i>n</i> = 484). Drivers inconsistently filled out their health history with elaborations 38.7% of the time. Most commonly, they failed to elaborate on positive health history responses in 28.7% of examinations, but other types of errors were noted as well.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>A considerable proportion of drivers or examiners (<i>n</i> = 890, 55%) failed to adequately or correctly complete CD Medical Examination Report forms.</p>\n </section>\n </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":"67 12","pages":"1057-1065"},"PeriodicalIF":2.7000,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.23661","citationCount":"0","resultStr":"{\"title\":\"Retrospective quality review of Department of Transportation (DOT) commercial drivers medical examination forms\",\"authors\":\"Maria Starchook-Moore MD, MPH, Ashley Nadeau MD, MPH, Dominik Dabrowski MD, MPH, John Briggs DO, MPH, LaDonna Kool LPN, Mezzie Belt RMA, Ralph Bovard MD, MPH, Paul Anderson MD, MPH, Hyun Kim ScD, MSc, Andre Montoya-Barthelemy MD, MPH, Zeke J. McKinney MD, MHI, MPH\",\"doi\":\"10.1002/ajim.23661\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study aimed to evaluate the quality of completion among both drivers and medical examiners in filling out Commercial Driver's (CD) Medical Examination Report Forms.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This was a cross-sectional retrospective study of abstracted data from the year 2019. CD Medical Examination Report Forms, collected from a single nationally-based employer and initially reviewed by corporate medical directors, were evaluated by the study team for completeness of documentation provided by both drivers and medical examiners (MEs). Relevant findings included unanswered questions, inconsistency between responses, and lack of necessary elaboration for positive responses.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Among 1603 examinations, MEs completed the Medical Examination Report Form incompletely or incorrectly in 30% of examinations (<i>n</i> = 484). Drivers inconsistently filled out their health history with elaborations 38.7% of the time. Most commonly, they failed to elaborate on positive health history responses in 28.7% of examinations, but other types of errors were noted as well.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>A considerable proportion of drivers or examiners (<i>n</i> = 890, 55%) failed to adequately or correctly complete CD Medical Examination Report forms.</p>\\n </section>\\n </div>\",\"PeriodicalId\":7873,\"journal\":{\"name\":\"American journal of industrial medicine\",\"volume\":\"67 12\",\"pages\":\"1057-1065\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-10-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajim.23661\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of industrial medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/ajim.23661\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of industrial medicine","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/ajim.23661","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Retrospective quality review of Department of Transportation (DOT) commercial drivers medical examination forms
Objective
This study aimed to evaluate the quality of completion among both drivers and medical examiners in filling out Commercial Driver's (CD) Medical Examination Report Forms.
Methods
This was a cross-sectional retrospective study of abstracted data from the year 2019. CD Medical Examination Report Forms, collected from a single nationally-based employer and initially reviewed by corporate medical directors, were evaluated by the study team for completeness of documentation provided by both drivers and medical examiners (MEs). Relevant findings included unanswered questions, inconsistency between responses, and lack of necessary elaboration for positive responses.
Results
Among 1603 examinations, MEs completed the Medical Examination Report Form incompletely or incorrectly in 30% of examinations (n = 484). Drivers inconsistently filled out their health history with elaborations 38.7% of the time. Most commonly, they failed to elaborate on positive health history responses in 28.7% of examinations, but other types of errors were noted as well.
Conclusions
A considerable proportion of drivers or examiners (n = 890, 55%) failed to adequately or correctly complete CD Medical Examination Report forms.
期刊介绍：
American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.
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