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Article ; Online: Workplace Health & Safety

Pompeii, Lisa

2019 Volume 68, Issue 1, Page(s) 5

MeSH term(s)	Internet ; Occupational Health ; Periodicals as Topic ; Publishing
Language	English
Publishing date	2019-12-10
Publishing country	United States
Document type	Editorial
ZDB-ID	2649181-3
ISSN	2165-0969 ; 2165-0799
ISSN (online)	2165-0969
ISSN	2165-0799
DOI	10.1177/2165079919892628
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Article ; Online: Defining the Full Spectrum of Pediatric Firearm Injury and Death in the United States: It is Even Worse Than We Think.

Naik-Mathuria, Bindi J / Cain, Cary M / Alore, Elizabeth A / Chen, Liang / Pompeii, Lisa A

Annals of surgery

2023 Volume 278, Issue 1, Page(s) 10–16

Abstract: Objective: To characterize the full spectrum of pediatric firearm injury in the United States by describing fatal and nonfatal injury data epidemiology, vulnerable populations, and temporal trends.: Background: Firearm injury is the leading cause of ... ...

Abstract	Objective: To characterize the full spectrum of pediatric firearm injury in the United States by describing fatal and nonfatal injury data epidemiology, vulnerable populations, and temporal trends. Background: Firearm injury is the leading cause of death in children and adolescents in the United States. Nonfatal injury is critical to fully define the problem, yet accurate data at the national level are lacking. Methods: A cross-sectional study combining national firearm injury data from the Centers for Disease Control (fatal) and the National Trauma Data Bank (nonfatal) between 2008 and 2019 for ages 0 to 17 years. Data were analyzed using descriptive and χ 2 comparisons and linear regression. Results: Approximately 5000 children and adolescents are injured or killed by firearms each year. Nonfatal injuries are twice as common as fatal injuries. Assault accounts for the majority of injuries and deaths (67%), unintentional 15%, and self-harm 14%. Black youth suffer disproportionally higher injuries overall (crude rate: 49.43/million vs White, non-Hispanic: 15.76/million), but self-harm is highest in White youth. Children <12 years are most affected by nonfatal unintentional injuries, 12 to 14 years by suicide, and 15 to 17 years by assault. Nonfatal unintentional and assault injuries, homicides, and suicides have all increased significantly ( P < 0.05). Conclusions: This study adds critical and contemporary data regarding the full spectrum and recent trends of pediatric firearm injury in the United States and identifies vulnerable populations to inform injury prevention intervention and policy. Reliable national surveillance for nonfatal pediatric firearm injury is vital to accurately define and tackle this growing public health crisis.
MeSH term(s)	Adolescent ; Child ; Humans ; United States/epidemiology ; Firearms ; Suicide ; Cross-Sectional Studies ; Wounds, Gunshot/epidemiology ; Population Surveillance
Language	English
Publishing date	2023-02-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	340-2
ISSN	1528-1140 ; 0003-4932
ISSN (online)	1528-1140
ISSN	0003-4932
DOI	10.1097/SLA.0000000000005833
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Article ; Online: Reusable Elastomeric Respirators in HealthCare.

Pompeii, Lisa / Hines, Stella E

Workplace health & safety

2021 Volume 69, Issue 6, Page(s) 291–292

Language	English
Publishing date	2021-05-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	2649181-3
ISSN	2165-0969 ; 2165-0799
ISSN (online)	2165-0969
ISSN	2165-0799
DOI	10.1177/21650799211013796
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Article ; Online: Progress on Occupational Health Research and Practice Among Health Care Workers.

McPhaul, Kathleen M / Pompeii, Lisa A

Workplace health & safety

2020 Volume 68, Issue 7, Page(s) 308–309

MeSH term(s)	COVID-19/prevention & control ; Health Personnel ; Humans ; Occupational Diseases/epidemiology ; Occupational Diseases/prevention & control ; Occupational Health Nursing ; Occupational Injuries/epidemiology ; Occupational Injuries/prevention & control ; Safety
Keywords	covid19
Language	English
Publishing date	2020-06-15
Publishing country	United States
Document type	Editorial ; Introductory Journal Article
ZDB-ID	2649181-3
ISSN	2165-0969 ; 2165-0799
ISSN (online)	2165-0969
ISSN	2165-0799
DOI	10.1177/2165079920933180
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Article ; Online: Natural language processing of clinical notes enables early inborn error of immunity risk ascertainment.

Roberts, Kirk / Chin, Aaron T / Loewy, Klaus / Pompeii, Lisa / Shin, Harold / Rider, Nicholas L

The journal of allergy and clinical immunology. Global

2024 Volume 3, Issue 2, Page(s) 100224

Abstract: Background: There are now approximately 450 discrete inborn errors of immunity (IEI) described; however, diagnostic rates remain suboptimal. Use of structured health record data has proven useful for patient detection but may be augmented by natural ... ...

Abstract	Background: There are now approximately 450 discrete inborn errors of immunity (IEI) described; however, diagnostic rates remain suboptimal. Use of structured health record data has proven useful for patient detection but may be augmented by natural language processing (NLP). Here we present a machine learning model that can distinguish patients from controls significantly in advance of ultimate diagnosis date. Objective: We sought to create an NLP machine learning algorithm that could identify IEI patients early during the disease course and shorten the diagnostic odyssey. Methods: Our approach involved extracting a large corpus of IEI patient clinical-note text from a major referral center's electronic health record (EHR) system and a matched control corpus for comparison. We built text classifiers with simple machine learning methods and trained them on progressively longer time epochs before date of diagnosis. Results: The top performing NLP algorithm effectively distinguished cases from controls robustly 36 months before ultimate clinical diagnosis (area under precision recall curve > 0.95). Corpus analysis demonstrated that statistically enriched, IEI-relevant terms were evident 24+ months before diagnosis, validating that clinical notes can provide a signal for early prediction of IEI. Conclusion: Mining EHR notes with NLP holds promise for improving early IEI patient detection.
Language	English
Publishing date	2024-02-02
Publishing country	United States
Document type	Journal Article
ISSN	2772-8293
ISSN (online)	2772-8293
DOI	10.1016/j.jacig.2024.100224
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Article ; Online: Socioeconomic disparities based on shooting intent in pediatric firearm injury.

Cain, Cary M / Oluyomi, Abiodun O / Levine, Ned / Pompeii, Lisa / Rosales, Omar / Naik-Mathuria, Bindi

The journal of trauma and acute care surgery

2024

Abstract: Background: Pediatric firearm injury is often associated with socioeconomically disadvantaged neighborhoods. Most studies only include fatal injuries and do not differentiate by shooting intent. We hypothesized that differences in neighborhood ... ...

Abstract	Background: Pediatric firearm injury is often associated with socioeconomically disadvantaged neighborhoods. Most studies only include fatal injuries and do not differentiate by shooting intent. We hypothesized that differences in neighborhood socioeconomic disadvantage would be observed among shooting intents of fatal and nonfatal cases. Methods: A linked integrated database of pediatric fatal and nonfatal firearm injuries was developed from trauma center and medical examiner records in Harris County, Texas (2018-2020). Geospatial analysis was utilized to map victim residence locations, stratified by shooting intent. Area Deprivation Index (ADI), a composite measure of neighborhood socioeconomic disadvantage at the census tract level was linked to shooting intent. Differences in high ADI (more deprived) versus low ADI among the shooting intents were assessed. Unadjusted and adjusted regression models assessed differences in ADI scores across shooting intent, adjusted models controlled for age, gender, and race/ethnicity. Results: Of 324 pediatric firearm injuries, 28% were fatal; 77% were classified as interpersonal violence, 15% unintentional, and 8% self-harm. Differences were noted among shooting intent across the ADI quartiles; with increases in ADI score, the odds of interpersonal violence injuries compared to self-harm injuries significantly increased by 5%; however, when adjusting for individual-level variables of age, gender, and race and ethnicity, no significant differences in ADI were noted. Conclusions: Our results suggest that children living in disadvantaged neighborhoods are more likely to be affected by interpersonal firearm violence compared to self-harm; however, when differences in race/ethnicity are considered, the differences attributable to neighborhood-level disadvantage disappeared. Resources should be dedicated to improving structural aspects of neighborhood disadvantage, which disproportionately impact racial/ethnic minoritized populations. Furthermore, firearm self-harm injuries occurred among children living in the less disadvantaged neighborhoods. Understanding the associations among individual and neighborhood-level factors are important for developing streamlined injury prevention interventions by shooting intent. Level of evidence: Level IVStudy TypePrognostic/Epidemiological.
Language	English
Publishing date	2024-01-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2651070-4
ISSN	2163-0763 ; 2163-0755
ISSN (online)	2163-0763
ISSN	2163-0755
DOI	10.1097/TA.0000000000004269
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Article ; Online: Health Care Workers' Comfort Ratings for Elastomeric Half Mask Respirators Versus N95

Pompeii, Lisa / Rios, Janelle / Kraft, Colleen S / Kasbaum, Marie / Benavides, Elisa / Patlovich, Scott J / Ostrosky-Zeichner, Luis / Hornbeck, Adam / McClain, Caitlin / Fernando, Rohan D / Sietsema, Margaret / Lane, Morgan

Workplace health & safety

2024 , Page(s) 21650799241238755

Abstract: Background: Reusable elastomeric half-mask respirators (EHMR) are an alternative to address shortages of disposable respirators. While respirator discomfort has been noted as a barrier to adherence to wearing an N95 filtering facepiece respirator (FFR) ... ...

Abstract	Background: Reusable elastomeric half-mask respirators (EHMR) are an alternative to address shortages of disposable respirators. While respirator discomfort has been noted as a barrier to adherence to wearing an N95 filtering facepiece respirator (FFR) among health care personnel (HCP), few have examined EHMR comfort while providing patient care, which was the purpose of this study. Method: Among a cohort of 183 HCP, we prospectively examined how HCP rated EHMR tolerability using the Respirator Comfort, Wearing Experience, and Function Instrument (R-COMFI) questionnaire at Study Week 2 and Week 10. At the completion of the study (Week-12), HCP compared EHMR comfort with their prior N95 FFR use. Overall R-COMFI scores and three subscales (comfort, wear experience, and function) were examined as well as individual item scores. Findings: The HCP reported an improved overall R-COMFI score (lower score more favorable, 30.0 vs. 28.7/47, respectively) from Week 2 to Week 10. Many individual item scores improved or remained low over this period, except difficulty communicating with patients and coworkers. The overall R-COMFI scores for the EHMR were more favorable than for the N95 FFR (33.7 vs. 37.4, respectively), with a large proportion of workers indicating their perception that EHMR fit better, provided better protection, and they preferred to wear it in pandemic conditions compared with the N95 FFR. Conclusion/application to practice: Findings suggest that the EHMR is a feasible respiratory protection device with respect to tolerance. EHMRs can be considered as a possible alternative to the N95 FFR in the health care setting. Future work is needed in the EHMR design to improve communication.
Language	English
Publishing date	2024-04-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	2649181-3
ISSN	2165-0969 ; 2165-0799
ISSN (online)	2165-0969
ISSN	2165-0799
DOI	10.1177/21650799241238755
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Article ; Online: Provider experiences with daily use of elastomeric half-mask respirators in health care.

Lane, Morgan / Pompeii, Lisa / Rios, Janelle / Benavides, Elisa / Kasbaum, Marie / Patlovich, Scott / Ostrosky-Zeichner, Luis / Hornbeck, Adam / McClain, Caitlin / Fernando, Rohan / Sietsema, Margaret / Kraft, Colleen

American journal of infection control

2024

Abstract: Background: During public health emergencies, demand for N95 filtering facepiece respirators (N95 FFRs) can outpace supply. Elastomeric half-mask respirators (EHMRs) are a potential alternative that are reusable and provide the same or higher levels of ... ...

Abstract	Background: During public health emergencies, demand for N95 filtering facepiece respirators (N95 FFRs) can outpace supply. Elastomeric half-mask respirators (EHMRs) are a potential alternative that are reusable and provide the same or higher levels of protection. This study sought to examine the practical aspects of EHMR use among health care personnel (HCP). Methods: Between September and December 2021, 183 HCPs at 2 tertiary referral centers participated in this 3-month EHMR deployment, wearing the EHMR whenever respiratory protection was required according to hospital protocols (ie, when an N95 FFR would typically be worn) and responding to surveys about their experience. Results: Participants wore EHMRs typically 1 to 3 hours per shift, reported disinfecting the respirator after 85% of the removals, and reported high confidence in using the EHMR following the study. EHMRs caused minimal interference with patient care tasks, though they did inhibit communication. Discussion: HCP who had not previously worn an EHMR were able to wear it as an alternative to an N95 FFR without much-reported interference with their job tasks and with high disinfection compliance. Conclusions: This study highlights the feasibility of the deployment of EHMRs during a public health emergency when an alternative respirator option is necessary.
Language	English
Publishing date	2024-01-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	392362-9
ISSN	1527-3296 ; 0196-6553
ISSN (online)	1527-3296
ISSN	0196-6553
DOI	10.1016/j.ajic.2024.01.015
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Article ; Online: Uninvestigated fatal workplace injuries in the United States.

Boggess, Bethany / Pompeii, Lisa

American journal of industrial medicine

2020 Volume 63, Issue 11, Page(s) 1029–1037

Abstract: Background: Approximately 5000 people are killed by an injury at work every year, but the U.S. Occupational Safety and Health Administration (OSHA) only investigates 25%-35% of these deaths. The aim of this study was to identify industry, geographic, ... ...

Abstract	Background: Approximately 5000 people are killed by an injury at work every year, but the U.S. Occupational Safety and Health Administration (OSHA) only investigates 25%-35% of these deaths. The aim of this study was to identify industry, geographic, and worker demographic disparities in the proportion of fatal workplace injuries that are investigated by OSHA. Methods: This cross-sectional analysis drew from 2 years of public data (2014-2015) from the Census of Fatal Occupational Injuries and investigation data from OSHA. Differences by worker age and sex, geographic region, industry, and State Plan- versus Federal Plan-state were examined. Results: Nationally, OSHA investigated about one in four (27.5%) of the 9657 fatal workplace injuries that occurred. Higher odds of uninvestigated fatalities were observed for female workers compared to male workers (odds ratio, 2.35; 95% confidence interval, 1.89, 2.93), for workers over age 65 compared to those aged 18-24 (3.05; 2.44, 3.82), for worker deaths occurring in State Plan states compared to Federal Plan states (1.64; 1.49, 1.79), among other differences. Conclusions: Although some of the disparities could be explained by OSHA jurisdiction restrictions, other areas of potential reform were identified, such as investigating a greater number of workplace violence deaths and increasing focus in industries with a low proportion of investigations but a high number of fatalities, such as transportation and warehousing. Consideration should be given to adapt policies, expand OSHA jurisdiction, and to increase OSHA resources for conducting both fatality investigations and proactive investigations that can identify and abate hazards before a worker is injured.
MeSH term(s)	Accidents, Occupational/statistics & numerical data ; Adolescent ; Adult ; Aged ; Cross-Sectional Studies ; Female ; Humans ; Industry/statistics & numerical data ; Male ; Middle Aged ; Occupational Health/statistics & numerical data ; Occupational Injuries/mortality ; Population Surveillance ; United States/epidemiology ; United States Occupational Safety and Health Administration/statistics & numerical data ; Workplace/statistics & numerical data ; Young Adult
Language	English
Publishing date	2020-09-07
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	604538-8
ISSN	1097-0274 ; 0271-3586
ISSN (online)	1097-0274
ISSN	0271-3586
DOI	10.1002/ajim.23177
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Article ; Online: Security Personnel Practices and Policies in U.S. Hospitals: Findings From a National Survey.

Schoenfisch, Ashley L / Pompeii, Lisa A

Workplace health & safety

2016 Volume 64, Issue 11, Page(s) 531–542

Abstract: Concerns of violence in hospitals warrant examination of current hospital security practices. Cross-sectional survey data were collected from members of a health care security and safety association to examine the type of personnel serving as security in ...

Abstract	Concerns of violence in hospitals warrant examination of current hospital security practices. Cross-sectional survey data were collected from members of a health care security and safety association to examine the type of personnel serving as security in hospitals, their policies and practices related to training and weapon/restraint tool carrying/use, and the broader context in which security personnel work to maintain staff and patient safety, with an emphasis on workplace violence prevention and mitigation. Data pertaining to 340 hospitals suggest security personnel were typically non-sworn officers directly employed (72%) by hospitals. Available tools included handcuffs (96%), batons (56%), oleoresin capsicum products (e.g., pepper spray; 52%), hand guns (52%), conducted electrical weapons (e.g., TASERs®; 47%), and K9 units (12%). Current workplace violence prevention policy components, as well as recommendations to improve hospital security practices, aligned with Occupational Safety and Health Administration guidelines. Comprehensive efforts to address the safety and effectiveness of hospital security personnel should consider security personnel's relationships with other hospital work groups and hospitals' focus on patients' safety and satisfaction.
Language	English
Publishing date	2016-07-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2649181-3
ISSN	2165-0969 ; 2165-0799
ISSN (online)	2165-0969
ISSN	2165-0799
DOI	10.1177/2165079916653971
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