Determinants of the provision of ethylene oxide medical surveillance in Massachusetts hospitals

LaMontagne, Anthony D., Rudd, Rima E., Mangione, Thomas W. and Kelsey, Karl T. 1996, Determinants of the provision of ethylene oxide medical surveillance in Massachusetts hospitals, Occupational and environmental medicine, vol. 38, no. 2, pp. 155-168, doi: 10.1097/00043764-199602000-00013.

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Title Determinants of the provision of ethylene oxide medical surveillance in Massachusetts hospitals
Author(s) LaMontagne, Anthony D.ORCID iD for LaMontagne, Anthony D.
Rudd, Rima E.
Mangione, Thomas W.
Kelsey, Karl T.
Journal name Occupational and environmental medicine
Volume number 38
Issue number 2
Start page 155
End page 168
Total pages 13
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 1996
ISSN 1351-0711
Summary An in-depth survey of ethylene oxide (EtO) health and safety was conducted in Massachusetts hospitals (n = 92) to investigate the determinants of the provision of medical surveillance for EtO exposure. We have evaluated the relationships between provision of EtO medical surveillance and (1) activating OSHA-specified triggers for providing EtO medical surveillance, (2) worker training on EtO health and safety, and (3) various public policy, organizational, group, and individual characteristics. Among the Occupational Safety and Health Administration's (OSHA) five specified triggers for provision of EtO medical surveillance, only accidental worker exposures were related to provision of surveillance (RR = 2.56, P < 0.001). Exceeding the Action Level for 30 or more days, one of OSHA's EtO triggers that is also used in a number of other standards, was not related to provision of surveillance (RR = 0.84, P = 0.714). Reports of coverage of EtO medical surveillance issues in worker training were also correlated with the provision of EtO medical surveillance (RR = 3.68, P < 0.001), supporting OSHA's premise that worker training plays an important role in medical surveillance implementation. The presence of detailed written EtO medical surveillance policies was positively related to the provision of EtO medical surveillance (RR = 1.81, P < 0.001). The relationships between these potential determinants and provision of medical surveillance were also validated in multivariate analyses. Implications for improvement of OSHA medical surveillance implementation through revised trigger schemes, improved worker training efforts, and other measures are discussed. Findings are relevant to the future development of medical surveillance and exposure monitoring policies and practices in both substance-specific and generic contexts.
Language eng
DOI 10.1097/00043764-199602000-00013
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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