In this comprehensive study of health workers taking care of patients who are prone to challengin... more In this comprehensive study of health workers taking care of patients who are prone to challenging and aggressive behavior, injury rates for workers who had received PART (Professional Assault Response Training) as recommended by OSHA and other agencies were compared with those who received no training. Surprisingly, those with training had a higher number of reported injuries and a per capita worker's compensation payout double that received by those without training. The possible reasons for these results are analyzed, along with their implications for those responsible for supporting healthcare workers at risk for violence. The author concludes that training in itself may not be an adequate prevention strategy, but may need to be implemented by other approaches.
A death certificate-based surveillance system was used to identify 2144 work-related motor vehicl... more A death certificate-based surveillance system was used to identify 2144 work-related motor vehicle fatalities among civilian workers in the United States construction industry over the years 1980-92. Construction workers were twice as likely to be killed by a motor vehicle as the average worker, with an annual crude mortality rate of 2.3/100,000 workers. Injury prevention efforts in construction have had limited effect on motor vehicle-related deaths, with death rates falling by only 11% during the 13-year period, compared with 43% for falls, 54% for electrocutions and 48% for machinery. In all industries combined, motor vehicle fatality rates dropped by 47%. The largest proportion of motor vehicle deaths (40%) occurred among pedestrians, with construction accounting for more than one-fourth of all pedestrian deaths. A minimum of 54 (6%) of these pedestrian fatalities were flaggers or surveyors. Flaggers accounted for half the 34 pedestrian fatalities among women, compared with only 3% among men. Along with previous studies and recent trends in the amount and type of road construction, these results underscore the need for better traffic control management in construction work areas to reduce pedestrian fatalities. As the second leading cause of traumatic death in construction, with an annual average share of 15% of the total deaths, exceeded only by falls, prevention of work-related motor vehicle research should become a greater priority in the construction industry.
Approximately 2700 manual handling injuries recorded among disability services workers in an Aust... more Approximately 2700 manual handling injuries recorded among disability services workers in an Australian state government agency between 1997 and 2000 were analysed to identify high-risk groups and leading causes to be targeted for prevention. Client support, including assisting clients into and out of bed and holding clients during epileptic seizures, had the highest cause-specific injury rate per 100 full-time equivalents (12.2, 95% confidence interval (CI) 6.2-20.2). Women had significantly higher rates than men, an average of 29.8 (95% CI 19.9-41.7) compared with 16.6 (95% CI 9.5-25.7). Gender (being female) and low job classification significantly increased the odds of an injury resulting in time off work. Only gender significantly predicted the likelihood of high compensation payments. Together with the surveillance data, responses to the questionnaire survey of 120 workers indicate a need for effective ergonomics intervention.
Journal of Occupational and Environmental Medicine, Sep 1, 1997
Over 3700 occupational fatalities among all US construction laborers 16 years of age and older du... more Over 3700 occupational fatalities among all US construction laborers 16 years of age and older during 1980-1992 were analyzed from death certificates to identify differences in mortality rates, higher risk groups, and leading causes of death to be targeted for prevention and monitored over time. Female laborers had an average fatality rate (17.4 deaths/100,000 workers) similar to that for all male construction workers (17.3 deaths/100,000 workers), and ten times higher than for all female construction workers. On average, nonwhite laborers had 27% greater mortality than white laborers. Women were at a higher risk (10.8 deaths/100,000 workers) for motor vehicle injury than were men (6.1 deaths/100,000 workers). The smallest percentage annual decline in cause-specific mortality rates was from motor vehicle for construction laborers (0.1%) and all construction workers (1.4%). Environmental-related fatality rates for laborers rose an average of 0.8% annually. The average years of potential life lost (to age 65) ranged from 27.4 years from explosion to 34.3 years from electrocution. Prevention measures aimed at addressing the highest risk areas, along with research needs, are discussed. With over a quarter of construction fatalities occurring among laborers, occupational injury research on laborers should become a priority.
This paper analyses variations in heart failure (HF) hospitalisation rates by community socioecon... more This paper analyses variations in heart failure (HF) hospitalisation rates by community socioeconomic status (SES) in Victoria, from 1 July 2011 to 30 June 2014. The data was taken from the Victorian Admitted Episodes Dataset, the Australian Bureau of Statistics' Estimated Resident Population and Index of Relative Socioeconomic Disadvantage and the Victorian Population Health Survey. There were over 38,000 HF hospitalisations over the period. The age-standardised HF rates per 10,000 population varied inversely (r =-0.362, p<.01) with SES across 79 Local Government Areas (LGA). The coefficient of variation for HF hospitalisation rates was 0.35 and 0.14 for all admissions, indicating that HF hospitalisations have a greater variation by LGA. Communities with high HF rates also had high rates of current smokers (r = 0.24), chronic obstructive pulmonary disease (r = 0.57), renal failure (r = 0.54), diabetes (r = 0.24), musculoskeletal malignant neoplasms (r = 0.35) and Disability Support Pension recipients (r = 0.38). The average 30-day HF readmission rate was 25.5%, the second highest of all admission categories. The HF readmission rates also varied inversely (r =-0.38, p<.01) with SES. Investigating variations in HF by SES may uncover modifiable pathways. Given the high readmission rates, comorbidities and population ageing, there is a case for improving health outcomes for HF patients.
This report examined the association between renal failure admissions (RFA) to public and private... more This report examined the association between renal failure admissions (RFA) to public and private hospitals between 1 July 2011 and 30 June 2014 and socioeconomic disadvantage (SED) across 79 Local Government Areas (LGA) in Victoria. RFA rates were age-standardised using the direct method to the 2012 Victorian population. This is a procedure for correcting differences in population age structures by applying a common set of age-specific rates from a reference population to the population whose rates are to be adjusted. The numerator data (admissions) was from the Victorian Admitted Episodes Dataset (www.health. vic.gov.au/hdss/vaed; accessed 9-13 February 2015) and the denominator data was from the Australian Bureau of Statistics (ABS) Estimated Resident Population (www.abs.gov.au/abs@. nsf/Lookup/1367.0; accessed 19 February 2015). The ABS Index of Relative Socioeconomic Disadvantage (www.abs.gov.au/ ausstats/[email protected]/Lookup/2033.0.55.001; accessed 19 February 2015) was used for SED. Over the 3-year period, there were 14 473 RFAs, an average rate of 9.6 per 10 000 population (95% confidence interval (CI) 7.67-11.47). The mean length of stay was 7.3 days. Most (85%) patients were aged 50 years. Ninety-nine (0.68%) were under Journal compilation Ó AHHA 2016 www.publish.csiro.au/journals/ahr CSIRO PUBLISHING
International journal of psychiatry research, Apr 30, 2021
This paper outlines the findings of a rapid literature review of the use and effectiveness of tel... more This paper outlines the findings of a rapid literature review of the use and effectiveness of telehealth in autism spectrum disorders, to help redesign systems that can meet the expected increase in demand for disability services for children with the condition. Telehealth may present a feasible and reliable approach to the assessment of language for children with autism. Parents can use Applied Behaviour Analysis procedures to successfully treat autism spectrum disordersassociated behaviour problems. Telehealth decreases the need to miss school or work, and limits transportation requirement for families. The evidence suggests that a broader range of cognitive tests and wider range of clinical populations is essential. When planning both assessment and intervention via telehealth, it is vital to consider and acknowledge individual differences among the children.
This paper outlines the findings of a rapid literature review of the use and effectiveness of tel... more This paper outlines the findings of a rapid literature review of the use and effectiveness of telehealth in autism spectrum disorders, to help redesign systems that can meet the expected increase in demand for disability services for children with the condition. Telehealth may present a feasible and reliable approach to the assessment of language for children with autism. Parents can use Applied Behaviour Analysis procedures to successfully treat autism spectrum disordersassociated behaviour problems. Telehealth decreases the need to miss school or work, and limits transportation requirement for families. The evidence suggests that a broader range of cognitive tests and wider range of clinical populations is essential. When planning both assessment and intervention via telehealth, it is vital to consider and acknowledge individual differences among the children.
Objective The aim of the present study was to determine the clinical and epidemiological characte... more Objective The aim of the present study was to determine the clinical and epidemiological characteristics of patients with sepsis admitted to hospitals in Victoria, Australia, during the period 2004–14. The data include incidence, severity and mortality. Methods In all, 44 222 sepsis hospitalisations were identified between 2004–05 and 2013–14 from the Victorian Admitted Episodes Dataset. The dataset contains clinical and demographic information on all admissions to acute public and private hospitals. Using the International Classification of Diseases (10th Revision) Australian Modification codes, incidence rates, severity of disease and mortality were calculated. Results Sepsis hospitalisation rates per 10 000 population increased significantly (P < 0.01) over the period, from 6.9 (95% confidence interval (CI) 5.6–7.8) to 10.0 (95% CI 9.1–11.1), an annual growth rate of 3.8%. The age-standardised in-hospital death rates per 100 000 population grew significantly (P < 0.01) from...
This paper analyses variations in heart failure (HF) hospitalisation rates by community socioecon... more This paper analyses variations in heart failure (HF) hospitalisation rates by community socioeconomic status (SES) in Victoria,from 1 July 2011 to 30 June 2014. The data was taken from the Victorian Admitted Episodes Dataset, the Australian Bureauof Statistics’ Estimated Resident Population and Index of Relative Socioeconomic Disadvantage and the Victorian PopulationHealth Survey. There were over 38,000 HF hospitalisations over the period. The age-standardised HF rates per 10,000 populationvaried inversely (r = -0.362, p<.01) with SES across 79 Local Government Areas (LGA). The coefficient of variation for HFhospitalisation rates was 0.35 and 0.14 for all admissions, indicating that HF hospitalisations have a greater variation by LGA.Communities with high HF rates also had high rates of current smokers (r = 0.24), chronic obstructive pulmonary disease (r= 0.57), renal failure (r = 0.54), diabetes (r = 0.24), musculoskeletal malignant neoplasms (r = 0.35) and Disability SupportPen...
Journal of healthcare protection management : publication of the International Association for Hospital Security, 2002
The author presents the findings of a study that attempted to analyze the frequency, trend, and p... more The author presents the findings of a study that attempted to analyze the frequency, trend, and pattern of workplace assaults among community care workers who provide care for severely emotionally and behaviorally disturbed children in a state government agency in Australia between 1997 and 2000. He identifies the high risk groups and discusses activities for prevention opportunities.
Australian health review : a publication of the Australian Hospital Association, Jan 21, 2015
This report examined the association between renal failure admissions (RFA) to public and private... more This report examined the association between renal failure admissions (RFA) to public and private hospitals between 1 July 2011 and 30 June 2014 and socioeconomic disadvantage (SED) across 79 Local Government Areas (LGA) in Victoria. RFA rates were age-standardised using the direct method to the 2012 Victorian population. This is a procedure for correcting differences in population age structures by applying a common set of age-specific rates from a reference population to the population whose rates are to be adjusted. The numerator data (admissions) was from the Victorian Admitted Episodes Dataset (www.health. vic.gov.au/hdss/vaed; accessed 9-13 February 2015) and the denominator data was from the Australian Bureau of Statistics (ABS) Estimated Resident Population (www.abs.gov.au/abs@. nsf/Lookup/1367.0; accessed 19 February 2015). The ABS Index of Relative Socioeconomic Disadvantage (www.abs.gov.au/ ausstats/[email protected]/Lookup/2033.0.55.001; accessed 19 February 2015) was used for SED. Over the 3-year period, there were 14 473 RFAs, an average rate of 9.6 per 10 000 population (95% confidence interval (CI) 7.67-11.47). The mean length of stay was 7.3 days. Most (85%) patients were aged 50 years. Ninety-nine (0.68%) were under Journal compilation Ó AHHA 2016 www.publish.csiro.au/journals/ahr CSIRO PUBLISHING
The paper describes factors associated with 2,605 hospital admissions for musculoskeletal maligna... more The paper describes factors associated with 2,605 hospital admissions for musculoskeletal malignant neoplasms (MMN) over oneyear. The rates per 10,000 population increased significantly (t=5.3, p<.01) with age, with men (4.5 per 10,000 population, 95% CI 4.1-5.0) at greater risk than women (3.3 per 10,000 population, 95% CI 2.8-3.7). The 30-day readmission rate was 19%, thethird highest of all admission categories. The average length of stay was significantly (t=4.5, p<.01) shorter in the metropolitanarea (8.2 days) than in rural communities (10.8 days). The age-standardised rates varied inversely (r=-0.28) with socioeconomicstatus. Communities with high MMN admission rates had high rates of heart failure admissions (r=0.35), alcohol consumption(r=0.34) and receiving Disability Support Pension (r=0.32). There was a significant (t=13.8, p<.001) monthly variability inMMN hospitalisation rates. As a leading cause of hospital readmission and disability, the condition requires c...
Journal of healthcare protection management : publication of the International Association for Hospital Security, 2002
In this comprehensive study of health workers taking care of patients who are prone to challengin... more In this comprehensive study of health workers taking care of patients who are prone to challenging and aggressive behavior, injury rates for workers who had received PART (Professional Assault Response Training) as recommended by OSHA and other agencies were compared with those who received no training. Surprisingly, those with training had a higher number of reported injuries and a per capita worker's compensation payout double that received by those without training. The possible reasons for these results are analyzed, along with their implications for those responsible for supporting healthcare workers at risk for violence. The author concludes that training in itself may not be an adequate prevention strategy, but may need to be implemented by other approaches.
In this comprehensive study of health workers taking care of patients who are prone to challengin... more In this comprehensive study of health workers taking care of patients who are prone to challenging and aggressive behavior, injury rates for workers who had received PART (Professional Assault Response Training) as recommended by OSHA and other agencies were compared with those who received no training. Surprisingly, those with training had a higher number of reported injuries and a per capita worker's compensation payout double that received by those without training. The possible reasons for these results are analyzed, along with their implications for those responsible for supporting healthcare workers at risk for violence. The author concludes that training in itself may not be an adequate prevention strategy, but may need to be implemented by other approaches.
A death certificate-based surveillance system was used to identify 2144 work-related motor vehicl... more A death certificate-based surveillance system was used to identify 2144 work-related motor vehicle fatalities among civilian workers in the United States construction industry over the years 1980-92. Construction workers were twice as likely to be killed by a motor vehicle as the average worker, with an annual crude mortality rate of 2.3/100,000 workers. Injury prevention efforts in construction have had limited effect on motor vehicle-related deaths, with death rates falling by only 11% during the 13-year period, compared with 43% for falls, 54% for electrocutions and 48% for machinery. In all industries combined, motor vehicle fatality rates dropped by 47%. The largest proportion of motor vehicle deaths (40%) occurred among pedestrians, with construction accounting for more than one-fourth of all pedestrian deaths. A minimum of 54 (6%) of these pedestrian fatalities were flaggers or surveyors. Flaggers accounted for half the 34 pedestrian fatalities among women, compared with only 3% among men. Along with previous studies and recent trends in the amount and type of road construction, these results underscore the need for better traffic control management in construction work areas to reduce pedestrian fatalities. As the second leading cause of traumatic death in construction, with an annual average share of 15% of the total deaths, exceeded only by falls, prevention of work-related motor vehicle research should become a greater priority in the construction industry.
Approximately 2700 manual handling injuries recorded among disability services workers in an Aust... more Approximately 2700 manual handling injuries recorded among disability services workers in an Australian state government agency between 1997 and 2000 were analysed to identify high-risk groups and leading causes to be targeted for prevention. Client support, including assisting clients into and out of bed and holding clients during epileptic seizures, had the highest cause-specific injury rate per 100 full-time equivalents (12.2, 95% confidence interval (CI) 6.2-20.2). Women had significantly higher rates than men, an average of 29.8 (95% CI 19.9-41.7) compared with 16.6 (95% CI 9.5-25.7). Gender (being female) and low job classification significantly increased the odds of an injury resulting in time off work. Only gender significantly predicted the likelihood of high compensation payments. Together with the surveillance data, responses to the questionnaire survey of 120 workers indicate a need for effective ergonomics intervention.
Journal of Occupational and Environmental Medicine, Sep 1, 1997
Over 3700 occupational fatalities among all US construction laborers 16 years of age and older du... more Over 3700 occupational fatalities among all US construction laborers 16 years of age and older during 1980-1992 were analyzed from death certificates to identify differences in mortality rates, higher risk groups, and leading causes of death to be targeted for prevention and monitored over time. Female laborers had an average fatality rate (17.4 deaths/100,000 workers) similar to that for all male construction workers (17.3 deaths/100,000 workers), and ten times higher than for all female construction workers. On average, nonwhite laborers had 27% greater mortality than white laborers. Women were at a higher risk (10.8 deaths/100,000 workers) for motor vehicle injury than were men (6.1 deaths/100,000 workers). The smallest percentage annual decline in cause-specific mortality rates was from motor vehicle for construction laborers (0.1%) and all construction workers (1.4%). Environmental-related fatality rates for laborers rose an average of 0.8% annually. The average years of potential life lost (to age 65) ranged from 27.4 years from explosion to 34.3 years from electrocution. Prevention measures aimed at addressing the highest risk areas, along with research needs, are discussed. With over a quarter of construction fatalities occurring among laborers, occupational injury research on laborers should become a priority.
This paper analyses variations in heart failure (HF) hospitalisation rates by community socioecon... more This paper analyses variations in heart failure (HF) hospitalisation rates by community socioeconomic status (SES) in Victoria, from 1 July 2011 to 30 June 2014. The data was taken from the Victorian Admitted Episodes Dataset, the Australian Bureau of Statistics' Estimated Resident Population and Index of Relative Socioeconomic Disadvantage and the Victorian Population Health Survey. There were over 38,000 HF hospitalisations over the period. The age-standardised HF rates per 10,000 population varied inversely (r =-0.362, p<.01) with SES across 79 Local Government Areas (LGA). The coefficient of variation for HF hospitalisation rates was 0.35 and 0.14 for all admissions, indicating that HF hospitalisations have a greater variation by LGA. Communities with high HF rates also had high rates of current smokers (r = 0.24), chronic obstructive pulmonary disease (r = 0.57), renal failure (r = 0.54), diabetes (r = 0.24), musculoskeletal malignant neoplasms (r = 0.35) and Disability Support Pension recipients (r = 0.38). The average 30-day HF readmission rate was 25.5%, the second highest of all admission categories. The HF readmission rates also varied inversely (r =-0.38, p<.01) with SES. Investigating variations in HF by SES may uncover modifiable pathways. Given the high readmission rates, comorbidities and population ageing, there is a case for improving health outcomes for HF patients.
This report examined the association between renal failure admissions (RFA) to public and private... more This report examined the association between renal failure admissions (RFA) to public and private hospitals between 1 July 2011 and 30 June 2014 and socioeconomic disadvantage (SED) across 79 Local Government Areas (LGA) in Victoria. RFA rates were age-standardised using the direct method to the 2012 Victorian population. This is a procedure for correcting differences in population age structures by applying a common set of age-specific rates from a reference population to the population whose rates are to be adjusted. The numerator data (admissions) was from the Victorian Admitted Episodes Dataset (www.health. vic.gov.au/hdss/vaed; accessed 9-13 February 2015) and the denominator data was from the Australian Bureau of Statistics (ABS) Estimated Resident Population (www.abs.gov.au/abs@. nsf/Lookup/1367.0; accessed 19 February 2015). The ABS Index of Relative Socioeconomic Disadvantage (www.abs.gov.au/ ausstats/[email protected]/Lookup/2033.0.55.001; accessed 19 February 2015) was used for SED. Over the 3-year period, there were 14 473 RFAs, an average rate of 9.6 per 10 000 population (95% confidence interval (CI) 7.67-11.47). The mean length of stay was 7.3 days. Most (85%) patients were aged 50 years. Ninety-nine (0.68%) were under Journal compilation Ó AHHA 2016 www.publish.csiro.au/journals/ahr CSIRO PUBLISHING
International journal of psychiatry research, Apr 30, 2021
This paper outlines the findings of a rapid literature review of the use and effectiveness of tel... more This paper outlines the findings of a rapid literature review of the use and effectiveness of telehealth in autism spectrum disorders, to help redesign systems that can meet the expected increase in demand for disability services for children with the condition. Telehealth may present a feasible and reliable approach to the assessment of language for children with autism. Parents can use Applied Behaviour Analysis procedures to successfully treat autism spectrum disordersassociated behaviour problems. Telehealth decreases the need to miss school or work, and limits transportation requirement for families. The evidence suggests that a broader range of cognitive tests and wider range of clinical populations is essential. When planning both assessment and intervention via telehealth, it is vital to consider and acknowledge individual differences among the children.
This paper outlines the findings of a rapid literature review of the use and effectiveness of tel... more This paper outlines the findings of a rapid literature review of the use and effectiveness of telehealth in autism spectrum disorders, to help redesign systems that can meet the expected increase in demand for disability services for children with the condition. Telehealth may present a feasible and reliable approach to the assessment of language for children with autism. Parents can use Applied Behaviour Analysis procedures to successfully treat autism spectrum disordersassociated behaviour problems. Telehealth decreases the need to miss school or work, and limits transportation requirement for families. The evidence suggests that a broader range of cognitive tests and wider range of clinical populations is essential. When planning both assessment and intervention via telehealth, it is vital to consider and acknowledge individual differences among the children.
Objective The aim of the present study was to determine the clinical and epidemiological characte... more Objective The aim of the present study was to determine the clinical and epidemiological characteristics of patients with sepsis admitted to hospitals in Victoria, Australia, during the period 2004–14. The data include incidence, severity and mortality. Methods In all, 44 222 sepsis hospitalisations were identified between 2004–05 and 2013–14 from the Victorian Admitted Episodes Dataset. The dataset contains clinical and demographic information on all admissions to acute public and private hospitals. Using the International Classification of Diseases (10th Revision) Australian Modification codes, incidence rates, severity of disease and mortality were calculated. Results Sepsis hospitalisation rates per 10 000 population increased significantly (P < 0.01) over the period, from 6.9 (95% confidence interval (CI) 5.6–7.8) to 10.0 (95% CI 9.1–11.1), an annual growth rate of 3.8%. The age-standardised in-hospital death rates per 100 000 population grew significantly (P < 0.01) from...
This paper analyses variations in heart failure (HF) hospitalisation rates by community socioecon... more This paper analyses variations in heart failure (HF) hospitalisation rates by community socioeconomic status (SES) in Victoria,from 1 July 2011 to 30 June 2014. The data was taken from the Victorian Admitted Episodes Dataset, the Australian Bureauof Statistics’ Estimated Resident Population and Index of Relative Socioeconomic Disadvantage and the Victorian PopulationHealth Survey. There were over 38,000 HF hospitalisations over the period. The age-standardised HF rates per 10,000 populationvaried inversely (r = -0.362, p<.01) with SES across 79 Local Government Areas (LGA). The coefficient of variation for HFhospitalisation rates was 0.35 and 0.14 for all admissions, indicating that HF hospitalisations have a greater variation by LGA.Communities with high HF rates also had high rates of current smokers (r = 0.24), chronic obstructive pulmonary disease (r= 0.57), renal failure (r = 0.54), diabetes (r = 0.24), musculoskeletal malignant neoplasms (r = 0.35) and Disability SupportPen...
Journal of healthcare protection management : publication of the International Association for Hospital Security, 2002
The author presents the findings of a study that attempted to analyze the frequency, trend, and p... more The author presents the findings of a study that attempted to analyze the frequency, trend, and pattern of workplace assaults among community care workers who provide care for severely emotionally and behaviorally disturbed children in a state government agency in Australia between 1997 and 2000. He identifies the high risk groups and discusses activities for prevention opportunities.
Australian health review : a publication of the Australian Hospital Association, Jan 21, 2015
This report examined the association between renal failure admissions (RFA) to public and private... more This report examined the association between renal failure admissions (RFA) to public and private hospitals between 1 July 2011 and 30 June 2014 and socioeconomic disadvantage (SED) across 79 Local Government Areas (LGA) in Victoria. RFA rates were age-standardised using the direct method to the 2012 Victorian population. This is a procedure for correcting differences in population age structures by applying a common set of age-specific rates from a reference population to the population whose rates are to be adjusted. The numerator data (admissions) was from the Victorian Admitted Episodes Dataset (www.health. vic.gov.au/hdss/vaed; accessed 9-13 February 2015) and the denominator data was from the Australian Bureau of Statistics (ABS) Estimated Resident Population (www.abs.gov.au/abs@. nsf/Lookup/1367.0; accessed 19 February 2015). The ABS Index of Relative Socioeconomic Disadvantage (www.abs.gov.au/ ausstats/[email protected]/Lookup/2033.0.55.001; accessed 19 February 2015) was used for SED. Over the 3-year period, there were 14 473 RFAs, an average rate of 9.6 per 10 000 population (95% confidence interval (CI) 7.67-11.47). The mean length of stay was 7.3 days. Most (85%) patients were aged 50 years. Ninety-nine (0.68%) were under Journal compilation Ó AHHA 2016 www.publish.csiro.au/journals/ahr CSIRO PUBLISHING
The paper describes factors associated with 2,605 hospital admissions for musculoskeletal maligna... more The paper describes factors associated with 2,605 hospital admissions for musculoskeletal malignant neoplasms (MMN) over oneyear. The rates per 10,000 population increased significantly (t=5.3, p<.01) with age, with men (4.5 per 10,000 population, 95% CI 4.1-5.0) at greater risk than women (3.3 per 10,000 population, 95% CI 2.8-3.7). The 30-day readmission rate was 19%, thethird highest of all admission categories. The average length of stay was significantly (t=4.5, p<.01) shorter in the metropolitanarea (8.2 days) than in rural communities (10.8 days). The age-standardised rates varied inversely (r=-0.28) with socioeconomicstatus. Communities with high MMN admission rates had high rates of heart failure admissions (r=0.35), alcohol consumption(r=0.34) and receiving Disability Support Pension (r=0.32). There was a significant (t=13.8, p<.001) monthly variability inMMN hospitalisation rates. As a leading cause of hospital readmission and disability, the condition requires c...
Journal of healthcare protection management : publication of the International Association for Hospital Security, 2002
In this comprehensive study of health workers taking care of patients who are prone to challengin... more In this comprehensive study of health workers taking care of patients who are prone to challenging and aggressive behavior, injury rates for workers who had received PART (Professional Assault Response Training) as recommended by OSHA and other agencies were compared with those who received no training. Surprisingly, those with training had a higher number of reported injuries and a per capita worker's compensation payout double that received by those without training. The possible reasons for these results are analyzed, along with their implications for those responsible for supporting healthcare workers at risk for violence. The author concludes that training in itself may not be an adequate prevention strategy, but may need to be implemented by other approaches.
Uploads
Papers by Timothy Ore