Redesigning a Sentinel Surveillance System for Collecting and Disseminating Near Real-Time Agricultural Injury Reports: System Usability Study.

BACKGROUND: Injury data and reports provide valuable information for both public and private organizations to guide programming, policy, and prevention, but in the increasingly complex and dangerous industry of US agriculture, the injury surveillance needed to produce this data is lacking. To address the gap, AgInjuryNews was established in 2015. The system includes fatal and nonfatal injury cases derived from publicly available reports, including occupational and nonoccupational injuries, occurring in the agricultural, forestry, and fishing (AFF) industry. OBJECTIVE: The study aimed to develop a stakeholder-engaged redesign of the interactive, up-to-date, and publicly available dataset of US AFF injury and fatality reports. METHODS: Instructor-led heuristic evaluations within a 15-student undergraduate course, data from 8 student participants of laboratory-based usability testing and 2016 and 2017 AgInjuryNews-registered user surveys, coupled with input from the National Steering Committee informed the development priorities for 2018. An interdisciplinary team employed an agile methodology of 2-week sprints developing in ASP.NET and Structured Query Language to deliver an intuitive frontend and a flexible, yet structured, backend, including a case report input form for capturing more than 50 data points on each injury report. RESULTS: AgInjuryNews produced 17,714 page views from 43 countries in 2018 captured via Google Analytics, whereas 623 injury reports were coded and loaded, totaling more than 31,000 data points. Newly designed features include customizable email alerts, an interactive map, and expanded search and filter options. User groups such as the Bureau of Labor Statistics and the Agricultural Safety and Health Council of America have endorsed the system within their networks. News media have cited or referenced the system in national outlets such as the New York Times, Politico, and the Washington Post. CONCLUSIONS: The new system's features, functions, and improved data granularity have sparked innovative lines of research and increased collaborative interest domestically and abroad. It is anticipated that this nontraditional sentinel surveillance system and its dataset will continue to serve many purposes for public and private agricultural safety and health stakeholders in the years to come. .

Using multiple coding schemes for classification and coding of agricultural injury.

BACKGROUND: Agricultural safety and health researchers have used a variety of classification and coding schemes to identify and categorize injury, illness, and disease associated with agricultural hazards. This paper demonstrates how the Farm and Agricultural Injury Classification (FAIC) and Occupational Injury and Illness Classification System (OIICS) coding schemes can be used in tandem for all agricultural injuries. METHODS: Specific cases from the AgInjuryNews.org database were selected to illustrate how the FAIC and OIICS codes can be applied to agricultural injury, and to illustrate limitations that still exist with each coding scheme. RESULTS: Using the FAIC and OIICS together provided a clearer picture of an injury incident by combining more explicit occupational and non-occupational exposures with incident type details in a single table. CONCLUSIONS: Both FAIC and OIICS coding schemes depend on sufficient information being available from injury reports. This paper concluded with suggestions for improving coding of agricultural injury.

Implementing a National Tractor Safety Program: Using "Whole System in a Room" to Mobilize Partners and Implement Solutions.

Fatalities due to tractor overturns have long plagued the U.S. farm community. Constituting 20% of agricultural fatalities, tractor overturns contribute significantly to high rates of fatal injuries. In the past, many efforts have been directed toward reducing tractor overturns, with one successful US-based program offering rebates to farmers who retrofit their tractors with rollover protective structures (ROPS). In an effort to expand the program, the National Tractor Safety Coalition was formed. This coalition hosted a "Whole System in the Room" workshop to bring 50 stakeholders together. During this workshop, participants worked together to identify a common vision for the future of tractor safety and ROPS programs and commit to action. At the close of the workshop, coalition members set out to begin work on 100 short- and long-term commitments to begin implementing a National ROPS Rebate Program.

Results from inspections of farmer-installed rollover protective structures.

This study sought to assess the feasibility of self-installing rollover protective structures (ROPS) and to identify any patterns of self-installation deficiencies in a sample of New York ROPS Retrofit Rebate Program participants. Inspection engineers looked for/at damage, rust, holes, deteriorated welding, location of attachment, axle housing, the presence of original plates/bolts, and adequate seatbelt installation. Results indicated that only 31% of farmers received correct parts and also installed these parts properly. Ten percent of self-installed tractors had installation problems so severe they were referred to a dealer for correction. Issues with seatbelts, torque, and unmarked or defective bolts in ROPS kits were also detected.