Lavoro organizzato e salute in un laboratorio di analisi cliniche

This contribution presents the main results of a research aimed at interpreting the relationships between organized work and workers' health in a clinical analysis laboratory. The analysis has been carried out in the biomedical laboratory of the Desio hospital, by adopting the Method of Organizational Congruencies. All units operating within the laboratory were studied in detail by means of MOC. The analysis allowed to identify, for each technical action, the typical elements of organizational constraint, and to suggest different organizational choices. It was also possible to plan detailed biomedical analysis to assess operators’ distress and to prearrange specific measures of primary and secondary prevention

Eventi Sentinella stress lavoro correlati in ambito ospedaliero e loro monitoraggio nel decennio 2001 – 2010

This survey was aimed at showing the relationship between some working organizational indicators - work-related stress "sentinel events" such as sick leaves and work accident - and some sociodemographic (gender, age) and organizational (homogeneous tasks, departmental areas) parameters. In the decade 2001-2010 a progressive decrease of the absenteeism and work accident rates was evidenced. The absenteeism rate was inversely related to job-qualification and it was higher among female workers. The highest requests of medical visits by auxiliary personnel showed a lower adaptation to job content, looked upon as lowrewarding in this homogeneous task. © PI-ME. Pavia 2011

La valutazione del rischio stress lavoro correlato in una cooperativa di assistenza domiciliare [Work-related stress risk assessment in a home care agency]

The workload, the quality of professional relationships and emotional involvement have a significant impact on distress and burnout in health care-workers; this impact has an hight variability among the different environments and different care facilities (hospital, erderly nursing homes, home care). The risk assessment of work-related stress performed in 2010 in a homecare agency highlighted organizational problems related to the content / context of work and risk factors for health and safety. High turn-over is evidenced as critical among the "sentinel events". The level of job-strain was moderate, even if some critical issues were evidenced especially in the group of physiotherapists; nurses were configured as a homogeneous group with a low level of job-strain. In informative meetings the workers identified the discomfort related to the time for transferring patients from their homes in a high-traffic metropolitan area was identified as the most critical aspect. © PI-ME, Pavia 2012

Indagine su un campione di studi odontoiatrici: valutazione dei rischi e misure preventive e protettive attuabili [A survey on destal offices: Risk assessment and practicable preventive and protective measures]

The survey was aimed at developing a method and providing valuable tools to be used for risk assessment in dental practices and for the implementation of preventive and protective measures. For these purposes general (inspection card for the definition of risk level for health and safety) and specific tools (check-lists) were used. In each dental office chemical and physical hazards (noise and hand-arm vibration) were assessed. Adequate levels of security were achieved, even if workers' training was evidenced as a critical element. In the 90% of cases, rooms for specific use were available and suitable according the law. The risk of work-related stress was acceptable in almost all the analyzed dental offices. Chemical and specific physical hazards appeared to be below the action level. Biological risk doesn't seem to be a critical element, even though its control could be further improved. © PI-ME, Pavia 2012

Copertura vaccinale anti-epatite B e dose di rinforzo: risultati di uno studio su una popolazione universitaria

This study assessed the immunisation status against hepatitis B in healthcare students and residents, before their hospital internship, as suggested by the "National Immunization Prevention Plan 2012-2014". The concentration of antibodies against hepatitis B was measured in 2,491 subjects (70.90% women), born between 1980 and 1993 and visited between January Ist 2000 and July 15th 2012. Personal and serologic data were collected for each subjects. Individuals with antibody less than 10 mlU/mL (327,13.3%) were given a booster dose and re-tested 2 months later. The multivariate logistic regression evidenced that immunization is influenced by the gender, the age at first vaccination, the time elapsed between first vaccination and antibody measurement. This study confirms the importance of measuring the concentration of antibodies against hepatitis B among healthcare students, even if they have previously been vaccinated, according to the "National Immunization Prevention Plan 2012-2014". © PI-ME, Pavia 2012