use of hospital emergency department data to detect

USE OF HOSPITAL EMERGENCY DEPARTMENT DATA TO
DETECT DANGEROUS POWER TOOLS INVOLVED IN
INJURIES IN LUXEMBOURG
Dritan Bejko1,Saverio Stranges1 ,Nathalie de Rekeneire2 ,Sophie Couffignal1 ,Patrick Ficerai3
1 Luxembourg
Institute of Health, Luxembourg; 2Ministry of Health, Luxembourg, 3Institut Luxembourgeois de la
Normalisation, de l'Accréditation, de la Sécurité et qualité des produits et services(ILNAS), Luxembourg
Introduction
•
Description:
– Injuries involving power tools reported in Europe and USA1.
– European wide Joint Action (JA 2014 & JA2015 ) of market surveillance to:
• Detect dangerous power tools on the marketplace
• Take appropriate action to protect consumers.
•
Objective
To detect power tool-related injuries using data form hospital’s Emergency
Departments (ED).
1 http://www.prosafe.org/index.php?option=com_content&view=article&id=187&Itemid=695
The European Injury Data Base Network
IDB Full Data Set
data collection at
one hospital
including product
related information.
+ Minimum
Data Set (MDS)
data collection in
three out of four
hospitals.
Narratives at both
MDS and FDS.
Methods
FDS
•
Cases selected if product involved from “Powered hand tool/equipment
(code 11.02xx)” category of the IDB-FDS Data Dictionary.
MDS
•
Narratives of 36 964 cases searched for names commonly used for power
tools (SPSS syntax).
• All selected cases reviewed
and false positives eliminated.
SCIE CIRCULAIRE
DISQUE A TRONÇONNER LE METAL FOREUSE
FLEX =
or
TONDEUSE
MEULE
FLEX
TRONÇONNEUSE
TRONCONNEUSE
TRANÇONNEUSE
SCIE SUR TABLE
MARTEAU PIQUEUR
MARTOPIQUEUR
WINKELSCHLEIFER
MOTORSÄGE
FRÄSE
RASENMÄHER
MACHINE A COUPER HAIES
MEULEUSE
APPAREIL PR COUPER LE BOIS
SCIE CIRCULAIRE
FRAISE
PERCEUSE
CAROTTEUSE
DISQUEUSE
TAILLE HAIE
KREISSÄGE
TISCHSÄGE
BETONMISCHER
DRUCKLUFTHAMMER
PERFOREUSE
OERCEUSE
FORAGE
MÈCHE À BÉTON
SCIE ÉLECTRIQUE
MOTOSCIE
TRENNSCHEIBE
WINKELSCHNEIDER
KETTENSÄGE
SPALTER
HECKENSCHERE
BOHRMASCHINE
SCHLAGBOHRER
Results
271 injuries involving power
tools in three hospitals in 2015
29(10.7%) hospitalized
370 = Estimated number of
injuries involving power tools in
all hospitals in 2015
Results
Powered hand tool/equipment
(IDB-FDS code in data dictionary)
FDS
MDS
Total N (%)
2
Drill (11.0201)
10
55
65 (24%)
Chainsaw (11.0205)
3
21
24 (9%)
Other power saw; circular
saw, jigsaw (11.0210)
30
45
75 (28%)
Welder, welding
equipment (11.0215)
2
14
16 (6%)
4
53
57 (21%)
7
9
16 (6%)
5
9
14 (5%)
4
65
0
206
4 (1.3%)
271 (100%)
1
3
Grinder, buffer, polisher,
sander (11.0225)
Powered garden tool: leaf
shredder, hedge trimmer
(11.0230)
Powered push lawnmower
(11.0235)
Other
Total
Table 2: Overview of results
Discussion
Detailed anonymous information sent to the national market surveillance
authority (ILNAS).
•
The burden of injuries from power tools underestimated by 25% in 2015
− non-participation in the surveillance system of one out of four hospitals.
•
Limitations of data mining methods:
− non-exhaustive list of keywords
− or misspellings in the narratives.
•
Death certificate information to be used for fatalities (not in ED).
Conclusion
•
The ED based injury surveillance system is a useful instrument to identify
the type of products involved in injuries.
•
Combining information from FDS and MDS:
− is cost/effective
− improves exhaustivity.
•
Deeper investigations from the market surveillance authority required to
identify brand and producer related information not available in hospital
files.