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Firefighter fitness-for-duty medical screening: A peer review quality improvement pilot.

机译:消防员适合体检的医疗检查:同行评审质量改进试点。

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摘要

Despite the overwhelming evidence that sudden cardiac death is the most frequent cause of firefighter fatalities, many fire departments do not have a program to measure or maintain basic firefighter fitness and health. This project evaluated and compared medical screening outcomes of four industrial fire brigades within a multinational oil and gas corporation and introduced a quality improvement plan. The goal of this project was to apply the evidence and measure outcomes to determine the most effective way to ensure that firefighters in a corporate setting are healthy. This was accomplished by utilizing established guidelines in developing an educational program followed by monthly indicators looking for improvement in quality and increased rate of recommendations for restricted duty. The results of this project were mixed but did show an initial rate increase of 1.4% of restrictions placed by clinicians providing screening exams, and the overall quality of the exams showed significant improvement by the third month. However, there was insufficient time to see if these improvements were sustainable. Recommendations for future study are to continue the pilot quality improvement peer review process for another six months and incorporate an annual physical fitness evaluation pilot that would include endurance, strength and flexibility assessments as recommended by the 2008 joint taskforce for the International Association of Firefighters (IAFF) and International Association of Fire Chiefs joint Labor Management Wellness-Fitness Initiative and National Fire Protection Association Standards (NFPA 1582).
机译:尽管有大量证据表明猝死是造成消防员死亡的最常见原因,但许多消防部门仍未制定测量或维持消防员基本健康状况的计划。该项目评估并比较了一家跨国油气公司内四个工业消防队的医疗检查结果,并提出了质量改进计划。该项目的目的是运用证据并评估结果,以确定确保企业环境中的消防员健康的最有效方法。这是通过在制定教育计划时利用既定的指导方针,然后是每月指标来寻求质量的提高和限制性职务推荐率的提高来实现的。该项目的结果好坏参半,但确实显示,提供筛选检查的临床医生所设置的限制的初始比率提高了1.4%,并且到第三个月,检查的总体质量显着提高。但是,没有足够的时间来查看这些改进是否可持续。未来研究的建议是将质量改进同行评审试验再进行六个月,并纳入年度身体健康评估试验,其中应包括国际消防员协会(IAFF)2008年联合工作组的建议进行的耐力,力量和柔韧性评估)和国际消防队长联合会联合劳工管理健康与健身倡议和国家消防协会标准(NFPA 1582)。

著录项

  • 作者

    Rochefort, Julie.;

  • 作者单位

    University of Nevada, Las Vegas.;

  • 授予单位 University of Nevada, Las Vegas.;
  • 学科 Health Sciences Occupational Health and Safety.;Health Sciences Nursing.
  • 学位 D.N.P.
  • 年度 2013
  • 页码 58 p.
  • 总页数 58
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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