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1.
Toxicol Lett ; 322: 111-119, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-31981686

RESUMO

The increasing concern of possible adverse effects on human health derived from occupational engineered nanomaterials (ENMs) exposure is an issue addressed by entities related to provide guidelines and/or protocols for ENMs regulation. Here we analysed 17 entities from America, Europe and Asia, and some of these entities provide limits of exposure extrapolated from the non-nanosized counterparts of ENMs. The international landscape shows that recommendations are mostly made for metal oxide based ENMs and tonnage is one of the main criteria for ENMs registration, however, sub-nanometric ENMs are emerging and perhaps a novel category of ENMs will appear soon. We identify that besides the lack of epidemiological evidence of ENMs toxicity in humans and difficulties in analysing the toxicological data derived from experimental models, the lack of information on airborne concentrations of ENMs in occupational settings is an important limitation to improve the experimental designs. The development of regulations related to ENMs exposure would lead to provide safer work places for ENMs production without delaying the nanotechnology progress but will also help to protect the environment by taking opportune and correct measures for nanowaste, considering that this could be a great environmental problem in the coming future.


Assuntos
Nanoestruturas/efeitos adversos , Exposição Ocupacional/efeitos adversos , Saúde do Trabalhador , Animais , Relação Dose-Resposta a Droga , Guias como Assunto , Humanos , Nível de Efeito Adverso não Observado , Exposição Ocupacional/legislação & jurisprudência , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/normas , Saúde do Trabalhador/legislação & jurisprudência , Saúde do Trabalhador/normas , Formulação de Políticas , Medição de Risco , Fatores de Risco , Níveis Máximos Permitidos
2.
BMC Res Notes ; 12(1): 654, 2019 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-31604448

RESUMO

OBJECTIVE: Accidental occupational injuries to health care workers (HCWs) continue to have a significant problem in the healthcare system. Thus, the aim of this study was to assess prevalence of needle sticks and sharp injury and associated factors among health care workers working in Central Zone Tigray northern Ethiopia. RESULT: The prevalence of needle stick and sharp injury in the past 12 months preceding the study and entire job were 25.9% and 38.5% respectively. Nearly one-third (31%) of the injuries occurred in emergency unit and 122 (71.3%) of the materials caused injury were used on patients. Practice of needle recap, ever used cigarette in last 12 months, training, work hours > 40 per week, job dissatisfaction and work experience less than 5 years were found factors significantly associated with needle stick and sharp injury for health care workers. The magnitude of Needle stick and sharp injury is high in the study area. Policy makers should formulate strategies to improve the working condition for healthcare workers and increase their adherence to universal precautions.


Assuntos
Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Saúde do Trabalhador/estatística & dados numéricos , Traumatismos Ocupacionais/epidemiologia , Recursos Humanos em Hospital/estatística & dados numéricos , Adulto , Comorbidade , Etiópia/epidemiologia , Feminino , Infecções por HIV/epidemiologia , Humanos , Masculino , Saúde do Trabalhador/normas , Prevalência , Fatores de Risco , Precauções Universais/métodos , Precauções Universais/estatística & dados numéricos , Adulto Jovem
3.
Rev Lat Am Enfermagem ; 27: e3170, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596407

RESUMO

OBJECTIVE: to translate, adapt and test the psychometric properties of the Brazilian Nurse-Work Instability Scale. METHOD: this was a methodological study following the translation steps: synthesis, back-translation, specialist´s committee, semantics analysis, pretest, and psychometric tests. The committee was composed of 5 specialists. For the semantics analysis, 18 nursing workers evaluated the instrument and 30 pretested it. For the psychometric tests, the sample size was 214 nursing workers. The internal construct validity was analyzed by the Rasch model. Reliability was assessed using internal consistency, and concurrent validity with Pearson's correlation between the Nurse-Work Instability Scale, and the Work Ability Index, Job Stress Scale. RESULTS: a Nurse-Work Instability Scale in Brazilian Portuguese with 20 items showed an adequate reliability (0.831), stability (p <0.0001), and an expected correlation with Work Ability Index (r = -0.526; P<0.0001) and Job Stress Scale (r = 0.352; p <0.0001). CONCLUSION: the instrument is appropriated to detect work instability in Brazilian nursing workers with musculoskeletal disorders. Its application is fundamental to avoid long-term withdrawal from work by early identification of the work instability. Furthermore, the scale can assist the development of actions and strategies to prevent the abandonment of the profession of nursing workers affected by musculoskeletal disorders.


Assuntos
Emprego/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Saúde do Trabalhador/normas , Psicometria/métodos , Inquéritos e Questionários/normas , Carga de Trabalho/psicologia , Adulto , Brasil , Feminino , Humanos , Linguagem , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/organização & administração , Reprodutibilidade dos Testes , Traduções , Avaliação da Capacidade de Trabalho , Local de Trabalho/organização & administração
5.
Work ; 63(3): 405-413, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282451

RESUMO

BACKGROUND: Improving Occupational Health and Safety performance has become a challenge for industry, because investing in technology, equipment, or robust management systems has not been enough to prevent accidents in the workplace. With the expansion of commercial relations and the intensification of competitiveness in the global market, leadership is essential to prevention. OBJECTIVE: Evaluate leadership in occupational safety through a case study. METHODS: The leadership training methodology "The seven steps of leadership and worker involvement" was adapted and applied. Data collection was conducted through the application of diagnosis, training, and monitoring of the evolution of the leadership performance in the management of occupational safety via structured interviews, monitoring of accidents and statistical analysis of the data. RESULTS: Research has shown that assertive leadership behavior positively influences performance in the management of occupational safety and the results of this case study showed a reduction in accidents with injuries of more than 50%. CONCLUSIONS: Evidence shows that there is a correlation between safety leadership behavior and the reduction in the occurrence of accidents.


Assuntos
Liderança , Saúde do Trabalhador/normas , Gestão da Segurança/normas , Local de Trabalho/psicologia , Humanos , Gestão da Segurança/métodos , Local de Trabalho/normas
7.
Work ; 63(4): 635-642, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282454

RESUMO

OBJECTIVE: The purpose of this study was to examine the impact of applying six commonly-used and two proposed resting blood pressure (BP) cut-points to clear individuals for maximal exercise in non-clinical health, wellness, commercial fitness agencies and physically demanding occupation test sites. METHODS: Participants (n = 1670) completed the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and had their resting BP measured. Individuals with a BP >160/90 mmHg were further screened for contraindications to exercise using the ePARMed-X+ (www.eparmedx.com), all 1670 were cleared. There were no adverse events during or post exercise. RESULTS: The percentages of participants cleared for each BP cut-point were: <130/80 mmHg (85.3%), <140/90 mmHg (93.4%), <144/90 mmHg (94.6%), <144/94 mmHg (96.3%), <150/100 mmHg (98.6%), <160/90 mmHg (95.6%), <160/94 mmHg (97.8%) and <160/100 mmHg (99.5%). Individuals who would not have been cleared without further screening were significantly older, had a higher BMI, or had a lower maximal oxygen consumption. CONCLUSIONS: Conservative or lower resting BP cut-points currently applied to clear individuals for maximal exercise provide an unnecessary barrier. For individuals categorized as low-to- moderate risk by evidence-based screening tools such as the PAR-Q+ and ePARmed-X+, we recommend a resting BP cut-point of <160/94 mmHg to clear for maximal exercise until sufficient evidence is amassed to support the increase to <160/100 mmHg.


Assuntos
Determinação da Pressão Arterial/normas , Avaliação de Desempenho Profissional/normas , Exercício/fisiologia , Saúde do Trabalhador/normas , Exame Físico/normas , Adulto , Fatores Etários , Pressão Sanguínea/fisiologia , Índice de Massa Corporal , Avaliação de Desempenho Profissional/métodos , Feminino , Academias de Ginástica/normas , Humanos , Masculino , Consumo de Oxigênio/fisiologia , Exame Físico/métodos , Padrões de Referência , Descanso/fisiologia , Adulto Jovem
8.
Artigo em Inglês | MEDLINE | ID: mdl-31213038

RESUMO

This study intends to analyse the behaviour of epidemiological variables of workers in anoilindustry of Bahia, Brazil, before and after implementation of interdisciplinary practices in occupational health assessments between 2006 and 2015. This is a retrospective longitudinal study carried out in two time periods. Data were collected from the workers electronic medical record and time trends were analysed before (2006-2010) and after (2011-2015) the implementation of the interdisciplinary practices focusing on health promotion. The data were complementarily compared to a control group from the same industry.A statistically significant reduction for data on the number of smokers, periodontal disease and of days away from work was obtained. A significant increase in the number of physically active subjects wasalso observed. Whilenot statistically significant, a reduction in the number of workers with obesity and overweight, with caries and altered glycemia, was identified. Coronary risk and high blood pressure indicators have shown aggravation. It can be concluded that an interdisciplinary health approach during the annual occupational assessments, with action directed to the population needs, can be associated with the improvement of the health indicators assessed, contributing to increased worker productivity in the oil industry.


Assuntos
Saúde Global/normas , Guias como Assunto , Promoção da Saúde/normas , Saúde do Trabalhador/normas , Indústria de Petróleo e Gás/normas , Adulto , Brasil/epidemiologia , Feminino , Nível de Saúde , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
10.
JAMA Netw Open ; 2(6): e196201, 2019 06 05.
Artigo em Inglês | MEDLINE | ID: mdl-31225894

RESUMO

Importance: There is new emphasis on clinician trust in health care organizations but little empirical data about the association of trust with clinician satisfaction and retention. Objective: To examine organizational characteristics associated with trust. Design, Setting, and Participants: This prospective cohort study uses data collected from 2012 to 2014 from 34 primary care practices employing physicians (family medicine and general internal medicine) and advanced practice clinicians (nurse practitioners and physician assistants) in the upper Midwest and East Coast of the United States as part of the Healthy Work Place randomized clinical trial. Analyses were performed from 2015 to 2016. Main Outcomes and Measures: Clinician trust was measured using a 5-item scale, including belonging, loyalty, safety focus, sense of trust, and responsibility to clinicians in need (range, 1-4, with 1 indicating low and 4 indicating high; Cronbach α = 0.77). Other metrics included work control, work atmosphere (calm to chaotic), organizational culture (cohesiveness, emphases on quality and communication, and values alignment; range, 1-4, with 1 indicating low and 4 indicating high), and clinician stress (range, 1-5, with 1 indicating low and 5 indicating high), satisfaction (range, 1-5, with 1 indicating low and 4 indicating high), burnout (range, 1-5, with 1 indicating no burnout and 5 indicating very high feeling of burnout), and intention to leave (range, 1-5, with 1 indicating no intention to leave and 5 indicating definite intention to leave). Analyses included 2-level hierarchical modeling controlling for age, sex, specialty, and clinician type. Cohen d effect sizes (ESs) were considered small at 0.20, moderate at 0.50, and large at 0.80 or more. Results: The study included 165 clinicians (mean [SD] age, 47.3 [9.2] years; 86 [52.1%] women). Of these, 143 (87.7%) were physicians and 22 (13.3%) were advanced practice clinicians; 105 clinicians (63.6%) worked in family medicine, and 60 clinicians (36.4%) worked in internal medicine. Compared with clinicians with low levels of trust, clinicians who reported high levels of trust had higher mean (SD) scores for work control (2.49 [0.52] vs 2.18 [0.45]; P < .001), cohesiveness (3.11 [0.46] vs 2.51 [0.51]; P < .001), emphasis on quality vs productivity (3.12 [0.48] vs 2.58 [0.41]; P < .001), emphasis on communication (3.39 [0.41] vs 3.01 [0.44]; P < .001), and values alignment (2.61 [0.59] vs 2.12 [0.52]; P < .001). Men were more likely than women to express loyalty (ES, 0.35; 95% CI, 0.05-0.66; P = .02) and high trust (ES, 0.31; 95% CI, 0.01-0.62; P = .04). Compared with clinicians with low trust at baseline, clinicians with high trust at baseline had a higher mean (SD) satisfaction score (3.99 [0.08] vs 3.51 [0.07]; P < .001; ES, 0.70; 95% CI, 0.39-1.02). Compared with clinicians in whom trust declined or remained low, clinicians with improved or stable high trust reported higher mean (SD) satisfaction (4.01 [0.07] vs 3.43 [0.06]; P < .001; ES, 0.98; 95% CI, 0.66-1.31) and lower stress (3.21 [0.09] vs 3.53 [0.09]; P = .02; ES, -0.39; 95% CI, -0.70 to -0.08) scores and had approximately half the odds of intending to leave (odds ratio, 0.481; 95% CI, 0.241-0.957; P = .04). Conclusions and Relevance: Addressing low levels of trust by improving work control and emphasizing quality, cohesion, communication, and values may improve clinician satisfaction, stress, and retention.


Assuntos
Pessoal de Saúde/psicologia , Organizações/normas , Atenção Primária à Saúde/normas , Confiança , Local de Trabalho/normas , Instituições de Assistência Ambulatorial/normas , Instituições de Assistência Ambulatorial/estatística & dados numéricos , Comunicação , Eficiência Organizacional/estatística & dados numéricos , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Medicina Interna/estatística & dados numéricos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Profissionais de Enfermagem/estatística & dados numéricos , Saúde do Trabalhador/normas , Saúde do Trabalhador/estatística & dados numéricos , Estresse Ocupacional/etiologia , Cultura Organizacional , Organizações/estatística & dados numéricos , Lealdade ao Trabalho , Assistentes Médicos/estatística & dados numéricos , Médicos de Família/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Prática Profissional , Estudos Prospectivos , Responsabilidade Social , Estados Unidos , Carga de Trabalho/estatística & dados numéricos
11.
Biomed Res Int ; 2019: 2471418, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31236403

RESUMO

Although the safety production level at small scale enterprises is important for business success, critical safety interactions among the enterprises, its employees, the public, and the government have not been explained well in the literature. To address this gap, a bottom-up method of agent-based modeling is applied here that includes these key stakeholders. The study illustrates how employee protection-oriented safety proactivity behaviors, including whistleblowing and public exposure, can impact the safety production level at small scale enterprises, which are also watched by the public and regulated by the government. The results confirm that protection-oriented safety proactivity behaviors have a significant impact on the safety production levels at small enterprises through the interactions among multiple agents. The model results are validated using an employee questionnaire. The recommendation is for employees to encourage protection-oriented safety proactivity behaviors to improve safety production levels and for the public and the government to provide additional safety support.


Assuntos
Saúde do Trabalhador/normas , Segurança/normas , Análise de Sistemas , Comércio/normas , Humanos , Inquéritos e Questionários
12.
Artigo em Inglês | MEDLINE | ID: mdl-31185599

RESUMO

The aim of this paper is to analyze the reality of risk prevention in construction sector companies in Spain, from the perspective of training, management, and risk prevention, as well as the amount of resources that are allocated to those budget headings. An in-depth comparative review has been conducted, using the data obtained from two focus groups that were expressly created for the study, in conjunction with the Second European Survey of Enterprises on New and Emergent Risks (ESENER-2) and its Spanish counterpart (ESENER-2 Spain). The focus groups were formed with agents and entrepreneurs involved in the construction sector, from both the public and the private sector, in order to provide greater impartiality to the resulting data. The principal strategic indicators that served as a guideline for the moderators of the different focus groups were analyzed. The results obtained show great similarity between the data from the focus groups and the data from ESENER-2 and ESENER-2 Spain; which demonstrates the idiosyncrasies that surround this productive sector in the European setting, so badly treated by the economic crisis. All of these points highlight the imperative need to professionalize the construction sector, implementing a "risk prevention culture" among all of the agents involved in the constructive-preventive processes that surround construction activities.


Assuntos
Indústria da Construção , Liderança , Saúde do Trabalhador , Setor Privado , Profissionalismo , Acidentes de Trabalho/prevenção & controle , Grupos Focais , Fidelidade a Diretrizes , Humanos , Saúde do Trabalhador/normas , Espanha , Inquéritos e Questionários
13.
Future Microbiol ; 14: 21-25, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31210535

RESUMO

The assessment and management of biological risk has always been a primary goal toward which occupational medicine has focused its efforts, in particular in healthcare workplaces. Healthcare professionals represent a category of workers at high risk for infections, many of which are vaccine-preventable diseases. There are various reasons for vaccinating healthcare workers, including to prevent illness among them so as to reduce absenteeism, to ensure an effective health service to users and to reduce social costs. Recently, the issue of vaccinations has been the subject of many debates. Vaccination is not always appreciated by health operators, and the reasons for low vaccination coverage are several and heterogeneous. This paper focuses on current Italian law and vaccination policies, along with the international background, evaluating the effectiveness of current policies and the consequences on public health. Overall, preventing infectious diseases means reducing costs, cases and outbreaks, shows responsibility toward third parties, and improves general welfare.


Assuntos
Pessoal de Saúde , Política de Saúde , Vacinação/legislação & jurisprudência , Vacinação/normas , Política de Saúde/tendências , Humanos , Controle de Infecções/legislação & jurisprudência , Controle de Infecções/normas , Itália , Saúde do Trabalhador/legislação & jurisprudência , Saúde do Trabalhador/normas , Saúde Pública , Medição de Risco , Vacinação/estatística & dados numéricos , Vacinas/administração & dosagem
14.
Global Health ; 15(1): 39, 2019 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-31196092

RESUMO

BACKGROUND: Although various organizations working in developed countries established the standards and approaches used in occupational hygiene, occupational hygiene professional interests and needs continue to develop in a global context. There is thus an urgent need for expanded occupational hygiene models. For successful field implementation, these models should be based on several sets of criteria, including those related to international standards, various national requirements, and multidisciplinary approaches. This is particularly important for countries in which no occupational hygiene model has been developed. This study thus examined the consensus on occupational hygiene standards among stakeholders in Turkey regarding the development of a national model. A modified Delphi study was conducted among key occupational health experts in Turkey who could aid in the relevant implementation, policy-making, and educational processes for such a model. Participants were selected from various governmental institutions, non-governmental organizations, trade unions, universities, and occupational health practices. RESULTS: The first-round findings were obtained from open-ended questions. The results revealed several requirements, including the adoption of an international hygiene definition, the official recognition of professional and practical areas in Turkish occupational hygiene, hygienist training methods, priorities, and competent institutions. Second-round findings indicated a consensus rate of over 80% regarding the need for implementation standards, training and education standards, requirements and priorities, and competent institutions for professionals working in the field of occupational hygiene. A third-round and SWOT analysis was also conducted among the group to confirm the consensus issues. CONCLUSIONS: The search for solutions and developmental expectations increases when awareness of internationalization and the need for common global standards increase. This developmental process may provide the basis for an appropriate model in developing countries.


Assuntos
Consenso , Saúde Global/normas , Higiene/normas , Modelos Organizacionais , Saúde do Trabalhador/normas , Técnica Delfos , Humanos , Turquia
15.
BMC Health Serv Res ; 19(1): 435, 2019 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-31253161

RESUMO

BACKGROUND: Since the 2013 Rana Plaza incident in Bangladesh, the government of Bangladesh has been under pressure to improve health and safety conditions for workers in the ready-made garment industry. Its efforts have focused heavily on structural safety of the buildings but have largely ignored broader occupational health system issues. This qualitative study explores contextual factors and system challenges that create barriers for ensuring a healthy and safe workplace in the ready-made garment industry in Bangladesh. METHODS: Data were collected through key informant interviews (n = 14) with government officials from the Department of Inspection for Factories and Establishments (DIFE), factory employers, factory doctors and representatives from the Bangladesh Garment Manufacturers and Exporters Association (BGMEA). A thematic analysis was conducted using Atlas-ti v 5.2. RESULTS: A thematic analysis suggests that the capacity of the DIFE to provide adequate occupational health services remains a problem. There is a shortage of both appropriately trained staff and equipment to monitor occupational health and safety in factories and to gather useful data for evidence-based decision-making. Another barrier to effective occupational health and safety of workers is the lack of cooperation by employers in recording data on workers' health and safety problems. Finally, government officials have limited resources and power to enforce compliance with regulations. Such deficiencies threaten the health and safety of this important, largely female, working population. CONCLUSION: This case example focused on the valuable ready-made garment industry sector of Bangladesh's economy. It identifies the critical need for occupational health system strengthening. Specifically system capacity needs to be improved by both increasing human resources for in-factory hazards and health monitoring, regulatory inspection, enforcement, and improved training of government officials around monitoring and reporting.


Assuntos
Saúde do Trabalhador/legislação & jurisprudência , Saúde do Trabalhador/normas , Gestão da Segurança/legislação & jurisprudência , Indústria Têxtil/legislação & jurisprudência , Local de Trabalho/legislação & jurisprudência , Bangladesh , Humanos , Determinação de Necessidades de Cuidados de Saúde , Ocupações , Formulação de Políticas , Pesquisa Qualitativa , Gestão da Segurança/organização & administração , Indústria Têxtil/normas , Tolerância ao Trabalho Programado , Local de Trabalho/organização & administração , Local de Trabalho/normas
16.
Work ; 63(2): 309-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156204

RESUMO

As the population of individuals aged sixty-five and older continues to grow, the number of older individuals participating in the workforce rises alongside, with projections estimating as many as 72 million older workers by 2030. Due to this rapid increase in the number of older workers, new challenges to worker health and to health-related productivity will arise in the coming years. Occupational therapy practitioners are uniquely suited to address many of these challenges given their background in activity analysis, assessment and modification of job demands, health promotion and successful aging. However, there is need for continued research in this area to expand the role of the occupational therapy practitioner in prevention and return-to-work interventions focused on the older worker, and to advocate for the value occupational therapy practitioners can contribute to this field.


Assuntos
Promoção da Saúde/métodos , Terapeutas Ocupacionais/psicologia , Terapia Ocupacional/normas , Ferimentos e Lesões/prevenção & controle , Idoso , Feminino , Geriatria/métodos , Promoção da Saúde/normas , Humanos , Masculino , Saúde do Trabalhador/normas , Saúde do Trabalhador/estatística & dados numéricos , Terapeutas Ocupacionais/normas , Terapia Ocupacional/métodos , Papel Profissional/psicologia , Qualidade de Vida/psicologia , Retorno ao Trabalho/estatística & dados numéricos
17.
Arch. prev. riesgos labor. (Ed. impr.) ; 22(2): 81-83, abr.-jun. 2019.
Artigo em Espanhol | IBECS | ID: ibc-181180

RESUMO

En los campos específicos de la gestión de la prevención de riesgos laborales (PRL) y la responsabilidad social (RS) han surgido en los últimos meses importantes novedades con la aprobación de la norma ISO 45001:2018 sobre sistemas de gestión de la seguridad y salud laboral, así como con la publicación en materia de RS del ISO International Workshop Agreement-IWA 26:2017, sobre el uso de la norma ISO 26000:2010 para aquellas organizaciones que han implementado una o más normas ISO sobre sistemas de gestión. Todo ello define nuevos escenarios de normalización, siendo especialmente novedoso el escenario vinculado a la norma ISO 45001:2018 e IWA 26:2010, el cual presenta nuevas oportunidades a través de la integración de los marcos de gestión en materia de PRL y RSP


In the specific fields of occupational safety and health (OSH) and social responsibility (SR) management, important developments have emerged in recent months following the approval of ISO 45001:2018 on OSH management and the publication on SR of the ISO International Workshop Agreement-IWA 26: 2017 on the use of the ISO 26000:2010 standard for those organizations that have implemented one or more ISO standards on management systems. This creates new standardization scenarios, one of the most novel being the scenario linked to ISO 45001:2018 and IWA 26:2010, which presents new opportunities through the integration of management frameworks in OSH and SR


Assuntos
Riscos Ocupacionais , Programa de Prevenção de Riscos no Ambiente de Trabalho , Saúde do Trabalhador/normas , Responsabilidade Social , Organizações/organização & administração
18.
Int J Pharm Compd ; 23(3): 182-186, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31085785

RESUMO

United States Pharmacopeia Chapter <800>, concerned with the handling of hazardous drugs in healthcare settings, requires that any entity handling such drugs maintain a hazardous drug list. While this list must include any drug found on the latest NIOSH List of Antineoplastic and Other Hazardous Drugs in Healthcare Settings, entities are expected to include other drugs and substances of concern. This article provides guidance on the creation and maintenance of such a list.


Assuntos
Substâncias Perigosas , Exposição Ocupacional , Antineoplásicos/análise , Antineoplásicos/normas , Substâncias Perigosas/análise , Substâncias Perigosas/normas , Exposição Ocupacional/análise , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador/normas , Estados Unidos
19.
Work ; 63(1): 9-20, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31033475

RESUMO

BACKGROUND: Development of methodologies for making economic decisions on designing work environment studies is a theoretical challenge for researchers in occupational health sciences. There are well-defined tools available in the relevant literature for analysis of cost-efficiency associated with the assessment of an occupational exposure of interest. However, these analytical tools are not appropriate for holistic studies of the work environment as a multidimensional reality. OBJECTIVE: This article introduces an appropriate methodology for designing cross-sectional comprehensive studies of the work environment, in order to optimize the production of information on the psychosocial, ergonomic, and physical dimensions of the work environment in regular studies. METHODS: The employment of a translog cost-utility function is suggested as a suitable way to provide cost-minimized designs for regular studies which are aimed at providing or developing multidimensional information systems of the work environment. RESULTS: The translog cost-utility function is not subject to predetermined restrictions, but has a flexibility property allowing it to be transformed to any specification that is adaptable to the specific work environmental characteristics and research requirements. CONCLUSION: The translog cost-utility function is an appropriate econometric model for optimizing the production of multidimensional information on occupational exposures in regular cross-sectional workplace studies.


Assuntos
Gestão da Informação/métodos , Local de Trabalho/normas , Análise Custo-Benefício , Emprego , Humanos , Gestão da Informação/normas , Sistemas de Informação/tendências , Conceitos Matemáticos , Modelos Econômicos , Saúde do Trabalhador/normas , Local de Trabalho/psicologia
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