Category: Healthcare

危機発生時の疲労管理:看護師、管理者、および他の医療従事者に向けた指針

危機発生時、重症患者の搬入の増加、業務上のストレスの増加、超過勤務の必要性の増加を含め、かつてない困難な業務負荷の中にあっても、医療従事者(例:看護師、専門看護師、医師、准看護師)は医療行為を継続します。こういった業務負荷は既に厳しい勤務環境(すなわち、12時間シフト、夜勤)と合わさり、しっかりと回復するためのシフト中の通常の休憩時間やシフト間の休日など、十分な休憩・休日の確保を難しくしています。これらの業務上の因子のすべて(すなわち、身体的、心理的、および/または精神的負荷)が睡眠不足と重なることで疲労に繋がります1-3。 Read More >

Posted on by Beverly M. Hittle (PhD, RN)、Imelda S. Wong(PhD), Claire C. Caruso(PhD, RN、FAAN)

NIOSH Ventilated Headboard Provides Solution to Patient Isolation During an Epidemic

To protect healthcare workers, other patients, and visitors from exposure to airborne infectious diseases, patients in hospital settings sometimes need to be placed in airborne infection isolation rooms (AIIRs). AIIRs contain specific engineered features to isolate and more-quickly remove potentially infectious patient aerosols so that they do not infect others. Isolation rooms are expensive, costing Read More >

Posted on by Kenneth R. Mead Ph.D., PE17 Comments

Respiratory Protection During Outbreaks: Respirators versus Surgical Masks

Consistent use of respirators improves protection against respiratory illness Consistent use of personal protective equipment (PPE) is an important part of the strategy to protect healthcare professionals from inhaling infectious particles, preventing the spread of respiratory infection between healthcare professionals and patients. Two types of devices are most commonly used in the healthcare setting: N95 Read More >

Posted on by Christopher Coffey, Ph.D; Maryann M. D’Alessandro, PhD; and Jaclyn Krah Cichowicz, MA

Managing Fatigue During Times of Crisis: Guidance for Nurses, Managers, and Other Healthcare Workers

At times of crisis, healthcare workers (e.g., nurses, advanced practice nurses, physicians, nursing assistants, etc.) continue to provide care, despite ever challenging work demands, including higher influx of critically ill patients, increased work stress, and a frequent need for overtime. These work demands can compound already challenging work schedules (i.e. 12-hour shifts, night shifts), making Read More >

Posted on by Beverly M. Hittle, PhD, RN, Imelda S. Wong, PhD and Claire C. Caruso, PhD, RN, FAAN7 Comments

Manejo de la fatiga en tiempos de crisis: Directrices para enfermeros, administradores y otros trabajadores de atención médica

En tiempos de crisis, los trabajadores de atención médica (por ejemplo, enfermeros, enfermeros especialistas, médicos, auxiliares de enfermería, etc.) siguen brindando atención, a pesar de exigencias laborales constantemente arduas, como mayor afluencia de enfermos críticos, mayor estrés laboral y la necesidad frecuente de horas extras. Estas exigencias pueden complicar jornadas laborales ya complejas (es decir, Read More >

Posted on by Beverly M. Hittle, PhD, RN, Imelda S. Wong, PhD y Claire C. Caruso, PhD, RN, FAANLeave a comment

Proper N95 Respirator Use for Respiratory Protection Preparedness

When outbreaks of infectious disease occur, we rely on healthcare professionals to care for those affected, putting themselves at increased risk of exposure to the pathogen causing the disease. While engineering and administrative controls should be the first considerations to protect these workers from this exposure, facilities should also ensure that at-risk employees are prepared Read More >

Posted on by Maryann M. D’Alessandro, PhD, and Jaclyn Krah Cichowicz, MA

Year of the Nurse

The World Health Organization has designated 2020 the Year of the Nurse and the Midwife. Nurses play a critical role in our healthcare system and in the lives of the  patients they care for. The very act of caring for and serving others can place nurses at risk for many workplaces injuries and illnesses including Read More >

Posted on by LCDR Megan Casey, RN, BSN, MPH5 Comments

Drug Overdose in the Workplace and the Role of Opioids

The drug overdose epidemic continues to afflict our country. Nationally, there were more than 70,000 drug overdose deaths in 2017 [i] involving opioids (such as fentanyl, heroin and hydrocodone), stimulants (such as cocaine and methamphetamine), and alcohol.[ii] Nearly 70% of these deaths involved an opioid.[ii] Recent data show that drug overdoses at work are increasing. Read More >

Posted on by Dawn Castillo, MPH; Michael Fiore, MS; Emily Sparer-Fine, ScD; Hope M. Tiesman, PhD; Steve Wurzelbacher, PhD5 Comments

Can Pregnant Workers Receive and Administer Flu Vaccines? Yes!

Every flu season, NIOSH gets questions from pregnant workers about the flu and flu vaccines. Here are the answers to some of your most frequently asked questions, including getting the flu shot at work and administering flu shots to patients.   Can I get a flu shot if I’m pregnant? Yes. CDC and the American Read More >

Posted on by Candice Johnson, PhD,;Christina Lawson, PhD; Carissa Rocheleau, PhD; and CAPT Amy Parker Fiebelkorn, MSN, MPHLeave a comment

Work Arrangement and Access to and Use of Healthcare Services

Workers Memorial Day is observed annually on April 28 to recognize workers who suffered or died because of exposures to hazards at work. The April 27, 2018, CDC Morbidity and Mortality Weekly Report (MMWR) contributed to the Worker Memorial Day remembrance with an article on fatalities in the fishing industry and a QuickStats, highlighted in Read More >

Posted on by Regina Pana-Cryan, PhD; Roger R. Rosa, PhD; and Abay Asfaw, PhD3 Comments

Healthcare Personnel Working with Flu-like Illness

Most of the United States is experiencing widespread and intense influenza activity. Indicators used to track influenza-like-activity are higher than what was seen during the peak of the 2014-2015 season, the most recent season characterized as being of “high” severity. A NIOSH study recently published in the American Journal of Infection Control found that more Read More >

Posted on by Sophia Chiu, MD, MPH4 Comments

Flu Virus Generated in Coughs and Exhalations

It’s flu season. The National Institute for Occupational Safety and Health (NIOSH) conducts research on protecting health care providers and other workers from infectious diseases including influenza.   A significant portion of our research deals with understanding how the influenza virus is transmitted. Influenza is known to be transmitted through respiratory secretions containing the virus. Airborne Read More >

Posted on by William G. Lindsley, PhD3 Comments

N95 Day 2017: When to think Beyond the N95 FFR

Buckle your seat belts! Put on your high-speed safety gear! We’re about to blast off on a journey to explore the N95 respirator … and beyond. It’s N95 Day, and that means we are focusing on respiratory protection, and invite you to do the same. We’ll make it easy. NIOSH and our N95 Day partners Read More >

Posted on by Margaret Sietsema, PhD, and Jaclyn Krah Cichowicz, MA 9 Comments

Understanding respiratory protection options in Healthcare: The Overlooked Elastomeric

In the healthcare industry, the importance of respiratory protection is often overlooked. Choosing the correct respirator for the exposure level and work task is a critical component of a respiratory protection program.  Most healthcare workers are aware of the N95 respirator but may not be aware that the re-formable, reusable elastomeric respirators are a viable option Read More >

Posted on by Michael Bach PhD, RN22 Comments

Ambulance Crash Test Methods

Ambulance crashes are a major safety concern for workers and patients. The National Highway Traffic Safety Administration reviewed data from 45 special crash investigations from 2001-2015, and found that 84% of EMS workers were not wearing a seat belt in the patient compartment.1 For EMS workers, wearing a seat belt can be at odds with Read More >

Posted on by Jim Green and Sydney Webb, PhD 2 Comments

The Occupational Health Safety Network: Empowering and Optimizing Prevention Decision-Making

What if hospitals were able to further benefit from the data they collect to meet OSHA regulatory and Joint Commission accreditation requirements? What if your data could be used to hone in on trends and patterns in your hospital, highlight the specific area of risk, and provide the opportunity to implement tailored prevention strategies and Read More >

Posted on by Ahmed Gomaa, MD, ScD, MSPH5 Comments

Nonstandard Work Arrangements

Who is looking out for workers in nonstandard work arrangements? As the prevalence of nonstandard work arrangements (such as temporary agency, contract, and “gig” arrangements) rises, so do concerns about workplace safety and health among this workforce. A recent article, “Nonstandard work arrangements and worker health and safety” published in the American Journal of Industrial Read More >

Posted on by John Howard, MD17 Comments

Using Occupation and Industry Information to Better Serve Your Patient Population

Conditions in the places where people live, learn, work, and play affect a wide range of health risks and outcomes. On average, American workers spend close to half their waking hours at work. As a result, work can have significant impacts on health. As electronic health records (EHRs) are replacing paper medical records in most Read More >

Posted on by Debbie Hoyer, MPH, Nicole Edwards, MS, Christina Socias-Morales, DrPH4 Comments

Help Set the Research Agenda for the Healthcare and Social Assistance Sector

NIOSH wants to hear from you on how to improve workplace health and safety in the Healthcare and Social Assistance industry sector. Your insights will be used to inform the National Occupational Research Agenda (NORA). NORA is a partnership program to stimulate innovative research and improved workplace practices in occupational safety and health.  Since 1996, Read More >

Posted on by LT Megan Casey, RN, BSN, MPH21 Comments

Are Hospital Cleaning Staff at Risk When Using a One-step Cleaner?

  Workers’ health and safety is an important consideration when choosing cleaning and disinfectant products. In health care settings, disinfection products help minimize healthcare-acquired infections.  In January 2015, the National Institute for Occupational Health (NIOSH), received a request to conduct a health hazard evaluation at a Pennsylvania hospital using a new surface cleaning product consisting Read More >

Posted on by Brie M. Hawley, PhD38 Comments