welding related occupational eye injuries: a narrative analysis
Abstract objective: in order to determine the activity and environment near welding-related occupational eye damage, a hybrid narrative coding method was developed, which came from two mature classification systems, used to classify and damage activities, the initiation process of objects and/or substances, the mechanism, and the use of protective glasses from narrative text data reported for each injury. Method: collect workers\' compensation requirements regularly within one year (2000) Analysis from a large insurance company in the United States. The index term search algorithm for the occupation, accident and injury description fields identified 2209 potential welding-related eye injury claims. Following a detailed review of these claims, 1353 welders and 822 non-welders The welder was analyzed. Results: During the 2000,177 injury period (68. 4%) From ultraviolet (49. 1% welders and 79. 0% for non-welders), and 22. 6% from particles or small solids. Non- Welders such as pipes- Fitters, workers and assistants often walk past welders, causing flash burns in their eyes. The use or non- Use of personal protective equipment (PPE)( Safety goggles, masks, helmets, for example) It was only mentioned in 14 years. Rider and 17 for 7%. 8% of non- This is a very important area of intervention. Welding activities have a great impact on other workers and the perimeter of the work should be considered dangerous. For example, the area may be 100 square feet (10 by 10)or greater; However, the limited nature of some welding work may affect this distance. It is clear that workers near welding activities will benefit from training in the proper use of PPE as most work-related eye injuries can be prevented. There are several limitations to this study. Workers\' claims for compensation may underestimate the occurrence of injuries, including eye injuries. In addition, in our study, the severity of most eye injuries is small, and these data may not represent the severity of weld-related eye injuries treated in hospital emergency rooms. Narrative analysis methods are also limited by the integrity and consistency of available text data. In addition, the sensitivity may be better than the opposite sex. That is, when keywords are found in the narrative, they may indicate a real contribution to the event/injury. It is not known if there are words truncated, forgotten, lost or abbreviated by the person who reported or recorded the claim. Therefore, narrative analysis may underestimate the severity of these factors/situations that cause eye injuries. Another limitation of this study is the method of classification of injury types. The current study uses a wide range of properties of the damage category, not ICD- 9 or other diagnostic code for similar classified damage. For example, in our coding system, \"Flash of Welder \") The combustion of hot slag can be confused and coded as combustion. However, the use of ICD reported with Islam et al- 9 coding, 1 ranking foreign objects from two data sources (ICD-9; 930–930. 9) Burn as the main type of compensable injury and a similar proportion (ICD-9; 940–940. 9)are reported ( About 5%). The advantages of this study include a relatively large number of cases analyzed, including 1353 welders and 822 non-welderswelders ( Larger sample size than other published studies) Different research groups from multiple industries. These results should be able to better represent the insured working population. Eye injuries are considered to be largely preventable, especially if adequate eye protection is used and proper machine protection is placed in obvious danger. A detailed review of preventive strategies is beyond the scope of this article; However, common and effective methods to prevent injuries during welding have been published. 21 they recommend to develop a well-communicated eye safety policy for employees to provide protective glasses for workers free of charge ( Meet with ANSI z87. 1-1989) , Regular visual screening, and spot check the use of personal protective equipment in the presence of danger. Since many welding-related eye injuries are caused by foreign bodies, we highlight the danger associated with propulsion particles in welding and grinding activities through engineering control and improved tool design. Eye injuries as a key part of the main body make up 5% of all workers claimed by a large insurance company in the United States. The most common damage to the eyes associated with welding is foreign matter or burn. Frequent work activities at the time of injury include welding, grinding, cleaning, brushing teeth or observing welders. The damage narrative provides valuable data to describe the situation of welding-related and other injuries. Workers performing welding tasks or working near welders should be trained to identify potential hazards and to effectively use appropriate safety equipment to prevent eye injuries. Developing preventive strategies to reduce welding-related eye injuries requires detailed knowledge of the injury situation, as provided in our study. The fact that welders continue to experience UV exposure Burns, for example, suggests a better implementation of known strategies such as UV shielding. More research is needed to identify important barriers to the use of known prevention strategies ( For example, the use of PPE) And identify transient risk factors associated with potentially modifiable workers, working environment and working equipment associated with eye injuries. 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