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Occupational Injuries in the US Nursing Homes
1Department of Health Management and Policy, University of Iowa, Iowa City, IA.
Medical Care
|March 28, 2024
Summary
Nearly all nursing homes report worker injuries annually, impacting well-being and productivity. Key factors like staffing and ownership influence injury rates, necessitating targeted prevention strategies.
Area of Science:
- Occupational health and safety
- Healthcare management
- Nursing home administration
Background:
- Workplace injuries in nursing homes negatively impact staff well-being and contribute to staffing issues.
- Understanding injury trends and organizational factors is crucial for effective injury prevention in this sector.
Purpose of the Study:
- To analyze injury trends in U.S. nursing homes from 2016-2019.
- To identify organizational characteristics associated with these workplace injuries.
Main Methods:
- Utilized national Occupational Safety and Health Administration (OSHA) injury data (2016-2019).
- Integrated nursing home data from Nursing Home Compare.
- Analyzed injury rates, including those with days away from work (DART), using multivariable regressions.
Main Results:
- Approximately 93% of nursing homes reported at least one occupational injury yearly.
- In 2019, nursing homes averaged 4.1 DART injuries per 100 full-time employees.
- Increased DART rates correlated with larger facility size, higher occupancy, more RN staffing, and chain ownership. For-profit status and higher star ratings were linked to lower DART rates.
Conclusions:
- A significant percentage of nursing homes experience occupational injuries, affecting staff, productivity, and care quality.
- Injury prevention policies should address common injury types in nursing homes.
- OSHA monitoring of high-incidence facilities is recommended.
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