SAMPLE ABC Hospital Injury Data Review Summary/Report All Incidents/Injuries and Work Place Violence (WPV) related only. Contents

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1 OAHHS Worker Safety Initiative SAMPLE ABC Hospital Injury Data Review Summary/Report All Incidents/Injuries and Work Place Violence (WPV) only Contents Data Summary and Graphs for All Incidents and Injuries... 3 Benchmarking... 4 ABC Hospital Incident Rate... 4 All Recordable Injuries/Illness as compared to Federal and State Rates for Hospitals Graphs... 4 All Incidents/Injuries: Cases and Lost Work Day Cases by year: Incident Rates... 4 All Incidents/Injuries by Location of Event and Source of Injury... 5 Data Summary and Graphs for Workplace Violence Related Incidents and Injuries Only... 7 Comparison of the proportion/magnitude of Injuries as a subset of all incidents and injuries reported Work Place Violence Incidents/Injuries by Source and Location of Event... 8 The data included in this sample report is provided in Tool 2a. Version 1: Tracking and analyzing incident and injury data There are many ways to present injury data and trends. The information provided in this tool was used to determine baseline data for measurement of the WSI project activities/interventions and the scope of the target issue (e.g., WPV injuries), within a project facility that is, the what, where, how many, how & cost. WSI facilities reported that this Tool was extremely useful in helping to educate leadership and employees about the need for a WPV prevention program and when reviewing overall safety issues at each facility. 2b. 1

2 Definitions Definition of Non-Recordable Injuries/Illness i.e. injuries requiring first aid only (called incidents in this report) Using a non-prescription medication at nonprescription strength (for medications available in both prescription and nonprescription form, a recommendation by a physician or other licensed health care professional to use a non-prescription medication at prescription strength is considered medical treatment for recordkeeping purposes) Administering tetanus immunizations (other immunizations, such as Hepatitis B vaccine or rabies vaccine, are considered medical treatment) Cleaning, flushing or soaking wounds on the surface of the skin Using wound coverings such as bandages, Band-AidsTM, gauze pads, etc.; or using butterfly bandages or Steri-StripsTM (other wound closing devices such as sutures, staples, etc., are considered medical treatment) Using hot or cold therapy Using any non-rigid means of support, such as elastic bandages, wraps, non-rigid back belts, etc. (devices with rigid stays or other systems designed to immobilize parts of the body are considered medical treatment for recordkeeping purposes) Using temporary immobilization devices while transporting an accident victim (e.g., splints, slings, neck collars, back boards, etc.) Drilling of a fingernail or toenail to relieve pressure, or draining fluid from a blister Using eye patches Removing foreign bodies from the eye using only irrigation or a cotton swab Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs or other simple means Using finger guards Using massages (physical therapy or chiropractic treatment are considered medical treatment for recordkeeping purposes) Drinking fluids for relief of heat stress Definition of Recordable Injuries/Illness i.e. injuries/illness recorded on the 300 log Covered employers must record all work- fatalities. Covered employers must record all work- injuries and illnesses that result in days away from work, restricted work or transfer to another job, loss of consciousness or medical treatment beyond first aid (see 's definition of first aid below). In addition, employers must record significant work- injuries or illnesses diagnoses by a physician or other licensed health care professional, even if it does not result in death, days away from work, restricted work or job transfer, medical treatment beyond first aid, or loss of consciousness. Injuries include cases such as, but not limited to, a cut, fracture, sprain, or amputation. Illnesses include both acute and chronic illnesses, such as, but not limited to, a skin disease (i.e. contact dermatitis), respiratory disorder (i.e. occupational asthma, pneumoconiosis), or poisoning (i.e. lead poisoning, solvent intoxication). 's definition of work- injuries, illnesses and fatalities are those in which an event or exposure in the work environment either caused or contributed to the condition. In addition, if an event or exposure in the work environment significantly aggravated a pre-existing injury or illness, this is also considered work-. Source: Work Place Violence Related Incidents and Injuries are defined as events that occur where there a threat of or an actual act of occurs against an employee. Violence can range from threats and verbal abuse to physical assaults and homicide. Note: This is a broader definition that is required by Oregon for recoding events on the Health Care Assault Log Calculation for Incident rates etc. # Injuries (or other target data e.g. sum of works com costs) x 200,000/# hours worked by employees (i.e. productive hours) Source: BLS 2b. 2

3 Data Summary and Graphs for All Incidents and Injuries The table below shows of injury and incident data for calendar years cumulatively: For all reported incidents; recordable injuries/illness; Injuries with days away from work and restricted duty days; Incident and DART rates and worker s compensation costs Note: Calculating the average rate per year allows you to predict future injury and costs For the calendar years cumulatively: Total Count Average/ Year All Injuries and Incidents nonrecordabl e incidents i.e. first aid, near miss Recordabl e Injuries and Illnesses Total count & Average count per year Recordabl e Cases with Lost Work days (LWDs) Lost Work Days Average days away from work per lost work day case (Severity Rate) Recordabl e Cases with Restricted Work Days (RWDs) only Restricted Work Days Injury Rates i.e. the # of Recordable cases per 100 Full Time Equivalent Employees Injuries (FTE)* (average rate per year) Inciden t Rates Injurie s per 100 FTE DART rate (Days Away/Restri cted or Job Transfer Rate i.e., the # of LWDs & RWDs cases - whichever is most severe) per 100 FTE Cost of medical care and days away from work (average cost per year) Source: Workers Compensation Data Costs: All Injuries/Ill ness Total Paid (to date) No Reserves are included Average cost Injuries/Il lness Costs: Dollars Reserved For payment of open claims (to date) $325,260 $5,421 $84, N/A N/A N/A $36,140 N/A $16,838 2b. 3

4 Incident Rate = # Recordable Cases x200000/productive Hours Workplace Violence Toolkit Tool 2b Benchmarking ABC Hospital Incident Rate All Recordable Injuries/Illness as compared to Federal and State Rates for Hospitals 2015 Source: Bureau of Labor Statistics (BLS). Note: BLS data is reported 2 years behind correct year so we can only benchmark to 2015 at this time Private Industry/ NAICS code Total recordable cases 2015 Rate per 100 Full Time Equivalent Employees Injuries (FTE) Cases with days away from work & restricted 2015 Rate per 100 Full Time Equivalent Employees Injuries (FTE) National Rate Oregon ABC Hospital National Rate Oregon ABC Hospital Hospitals Note: Currently, there is no Federal or State benchmarking data for injuries Graphs All Incidents/Injuries: Cases and Lost Work Day Cases by year: Incident Rates ABC Hospital Incident Rate and Lost Time Case Rate Per 100 FTEs All Recordable Injuries Incident Rates all recordables per 100 FTE LWD Case Rate all recordables per 100 FTE 2b. 4

5 All Incidents/Injuries by Location of Event and Source of Injury Injuries & Incidents Ranked by Location of Event b. 5

6 $160,000 $140,000 $120,000 $100,000 $80,000 $60,000 $40,000 $20,000 $0 No. of Injuries & Incidents Ranked by Source of Injury and Total Costs paid to date. $53, $145, $44,253 $1,702 $51,597 $1, $0 $1,008 $881 $ $ $10,350 $9,450 $0 $0 $4, Count of Year Sum of Total paid to date $ Injuries & Incidents by Source /Year BFE Chemical Exposure Dust or Object or Fluid in Eye MVA NS Overexertion -general PH Struck by or Caught between objects or materials Unknown Contact with Temperature Extremes - Hot Objects or Substance CTD Disease exposure MH Sharps STF WPV BFE Body Fluid Exposure CTD Cumulative Trauma Disorder/Repetitive Motion Injury MH Material Handling e.g,. pushing, pulling, carrying equipment or object or handling of object in some other way that requires physical exertion MVA Motor Vehicle Accident/Incident NS Needlestick PH Patient Handling STF Slips, Trips, Falls WPV Workplace Violence 2b. 6

7 Data Summary and Graphs for Workplace Violence Related Incidents and Injuries Only Total Count Average/ Year For the calendar years cumulatively: Violence Related injuries as a subset of all injuries (above) nonrecordable incidents i.e. first aid, near miss, on HCA log only Recordable Injuries and Illnesses Total count of injuries & Average count per year g Recordable Cases with Lost Work days (LWDs) Lost Work Days Average days away from work per lost work day WPV case (Severity Rate) Recordable Cases with Restricted Work Days (RWDs) only Restricted Work Days Injury Rates i.e., the # of Recordable cases per 100 Full Time Equivalent Employees Injuries (FTE)* (average rate per year) Incident Rates Injuries per 100 FTE DART rate (Days Away/Restricted or Job Transfer Rate i.e., the # of LWDs & RWDs cases - whichever is most severe) per 100 FTE Cost of medical care and days away from work (average cost per year) for injuries Source: Workers Compensation Data Costs: Average Costs: cost Injuries dollars Total Injuries reserved Paid (to for date) No payment Reserves of open are claims included (to date) $53,258 $2803 $47, N/A 0 80 N/A N/A $17,753 N/A $15,933 Comparison of the proportion/magnitude of Injuries as a subset of all incidents and injuries reported % of Recordable injuries that are to vs. all 23.3% recordable injuries % of all Lost Work Day (LWD) cases that are injuries vs. all recordable LWD cases 2.7% % # LWDs and Restricted Work Days (RWDs) that are to vs. all recordable Injuries 1.3% % of costs (total paid to date) that are to injuries vs. costs for all Claims/Injuries 1.6 % 2b. 7

8 Work Place Violence Incidents/Injuries by Source and Location of Event Note the Patient is the assailant in all cases - add a table or graph here for assailant type as needed Data from Code Grey reports if they include events that are not recorded already on the 300/HCE log, could be added to the following graphs Workplace Violence Related Incidents by Assailant Action Number of Injuries, Percentage Source: HCA, 300 logs PS - pushing, shoving, 1, 4% Verbal, 12, 50% HK - hitting, kicking, beating, 6, 25% B - biting, 2, 9% PS - pushing, shoving HK - hitting, kicking, beating B - biting TR - throwing objects GR - grabbing, pinching, scratching Verbal GR - grabbing, pinching, scratching, 2, 8% TR - throwing objects, 1, 4% 2b. 8

9 Workplace Violence Related Injuries Ranked by Location of Event and Sum of Total Paid $2,848 $23,293 $26,830 $287 $30, $25, $20, $15, $10, $5, Emergency Dept. Medical Surgical Unit Security Clinic - Specify Transportation Same Day Surgery Laboratory Intensive Care Unit Mental or Behavioral Health Short Stay $0.00 Count of RECORDABLE = YES; Non Recordable = NO Sum of Total paid to date $ If no cost is noted on the graph above, then there were no workers comp costs associated with the event 2b. 9