The full text on this page is automatically extracted from the file linked above and may contain errors and inconsistencies.
WORK INJURIES AN D WORK- INJURY RATES IN HOSPITALS Bulletin No 1219 UNITED STATES DEPARTMENT OF LABOR James P. Mitchell, Secretary BUREAU OF LABOR STATISTICS Ewar Ciagu* Commissioner WORK INJURIES AND WORK-INJURY RATES IN HOSPITALS Bulletin No. 1219 February 1958 UNITED STATES DEPARTMENT OF LABOR Jam es P. Mitchell, Secretary BU REAU O F LA BO R STA TISTICS Ew an C la gu e , Commissioner For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington 25, D.C. - Price 40 cents CONTENTS Page A b s t r a c t ....................... The industry record iv ........................................................................................... Scope and method o f survey C o v e r a g e .............................................................................. Nonrespondent c h e c k .................... .................................................. . . . . D e fin it io n s ....................................................................................................... D isabling i n ju r y ....................................................................................... F a t a lit y * ........................... Perm anent-total d is a b ilit y . ........................................................ Perm anent-partial d i s a b i l i t y ................................................. . Tem porary-total d i s a b i l i t y ................ . ....................................... Injury-frequen cy r a t e ................................... Average time charge per i n ju r y ............................................................ In ju ry -se v e rity r a t e ............................................................................... 1 2 3 3 3 b b h b I4. U 5 Comparisons by type o f h o s p i t a l .................................................................... 5 H ospital s iz e c o m p a r is o n s ................................... 7 Comparisons by type o f ownership ....................................................... 10 R egional, S tate, and m etropolitan comparisons . . . . . . . . . . . General h osp ita ls ........................................................................................... Mental h o s p i t a l s ........................................................................................... Tuberculosis h osp ita ls ............................................ . . . . . . . . . S pecial h osp ita ls . . ................................................................................... 13 13 18 20 21 Comparisons by operating departm ents................................................................. Plant operation and maintenanced i v i s i o n ............................................. P rofession al care d i v i s i o n ....................................................................... Adm inistrative d i v is io n ........................................... 22 2b 21 2b Kinds o f in ju r ie s experienced .............................................................. Trunk in ju rie s . . . . . ................................................................................. Arm, hand, and fin g er in ju rie s ................................ Leg, fo o t , and toe in ju rie s ............................................... Head i n ju r i e s .................................................................................................. 28 29 30 Occupational comparisons ............................................... 30 Appendix— S ta tis tic a l tables . . . . . . . . . . . ................................ Table 1 . - - W ork-injury rates in h o sp ita ls, by type and siz e o f h o s p ita l, 1953 ................................................................................. Table 2 .—W ork-injury rates in h osp ita ls, by type and s iz e o f h o sp ita l, 1953 ................................................................................. -i- 2? 35 3k 35 2b CONTENTS— Continued Tables— Continued Table Table Table Table Table Table Table Table Table Table Table Table Table Table Table Table Table Page 3»— Distribution of work-injury frequency rates in hospitals, by si2e of hospital, 1933 .................. * ......... 36 1*.— Distribution of hospitals, employees, injuries, and days charged in hospitals, by work-injury frequency rates, 1953 ................................................... 36 5.— -Work-injury rates in hosnitals, by type of ownership, 1953 ................................................... 37 6 .— Work-injury frequency rates in hosnitals, by geographic region, State, and type of hospital, 1953 .............. 39 7 •— Work-injury frequency rates in hosnitals, by metropolitan area and type of hospital, 1953 .............. . . . . • 1*0 8.— Work-injury rates in hospitals, by division and depart ment, 1953 .............................................. 1*2 9 .-Work-injury frequency rates in hospitals, by division and department and type of hospital, 1953 ............... 1*3 10.— Work injuries in hospitals, by nature of injury and extent of disability, 1953 11.— Work injuries in hosnitals, by nature of injury and type of hospital, 1953 12.— Work injuries in hospitals, by division and department and nature of injury, 1953 .............. . ............1*6 13.— Work injuries in hospitals, by part of body injured and nature of injury, 1953 ll*.— Work injuries in hospitals, by part of body injured and extent of disability, 1953 15.— Work injuries in hospitals, by part of body injured and type of hospital, 1953 16.— Work injuries in hospitals, by division and department and part of body injured, 1953 50 17.— Work injuries in hospitals, by occupation and type of hospital, 1953 . . . . . .............................. 51 18.— Work injuries in hospitals, by occupation and nature of injury, 1953 .......................................... 53 19.— Work injuries in hospitals, by occupation and part of body injured, 1953 ........................ « ..........55 Charts: 1 . — Work injuries in hospitals, by typeof hospital, 1953 . . . . . 2 . — Work-injury frequency rates in hospitals, by size of hospital, 6 1953 .......................................................... 8 3 . — Work-injury frequency rates in hospitals, by type and size of hospital, 1953 .................. 9 I4..— Work-injury frequency rates in hospitals, by type of ownership, 1953 ............................................................ n 5.— Work-injury frequency rates in hospitals, by level of government-ownership, 1953 ...................................... 12 i i - CONTENTS— Continued Charts— Continued Page 6. — Work-injury frequency rates in general and tuberculosis hospitals, by geographic region, 1 9 5 3 ........................ 7. — Work-injury frequency rates in mental and special hospitals, by geographic region, 1933 . . . . . . . . . ............ • 8 .— Work-injury frequency rates in general and tuberculosis hospitals, by State, 1953 ................................... 9 .— Work-injury frequency rates in mental and special hospitals, by State, 1953 ............................................... 10. — Work injuries in hospitals, by operating division, 1953 . . . 11. — Work-injury frequency rates in hospitals, by department, 1953 12. — Work-injury frequency rates in nursing departments of hospitals, by occupation, 1953 13 .— Work injuries in hospitals, by nature of injury, 1953 . . . . IJ4..— Work injuries in hospitals, by part of body injured, 1953 • • iii - 11+ 15 16 17 22 23 26 29 ABSTRACT Work injuries occurred in hospitals at the rate of 8*6 per million hours worked during 1953* Compared with the all-manufacturing average, this rate was low but it was considerably higher than some individual manufacturing industries such as explosives manufacturing, 3*6, and synthetic-fiber manu facturing 1.7. Injuries were most frequent in mental hospitals, 1£>.3 per million hours worked. Tuberculosis hospitals (11.7) end special hospitals (11.3) had rates about one-third greater than the industry average. For general hospitals, the frequency rate was 6.5. Government hospitals had higher frequency rates than nongovernment— city and county hospitals, generally having the highest. Among the nongovernment hospitals, injury-frequency rates were higher in general and special hospi tals operated by nonprofit organizations than in those operated by proprie tary owners, while the reverse was true for mental and tuberculosis hospitals. Of the 3 general operating divisions in hospitals, the plant operation and maintenance divisions had the highest average frequency rate while the administrative divisions had the lowest. The rate for the professional care divisions was approximately 13 percent better than the average for all hos pital activities. The farms and dairies, and transportation departments in the plant operation and maintenance division, the nursing departments in the professional care division, and the purchasing and issuing departments in the administrative division had the highest rates in their respective divisions. Strains, sprains, bruises, contusions, cuts, lacerations, and fractures accounted for more than four-fifths of all disabling work injuries. However, hospital workers suffered a large number of occupational diseases, tubercu losis alone accounting for 2.5 percent of all disabling injuries. Trunk injuries, mostly strains and sprains, were responsible for 35 percent of all hospital injuries. Nursing service attendants experienced more injuries than ary other occupational group of workers. Most of these were strains, sprains, bruises, and contusions. - iv - W o r k In ju ries a n d W o r k - In ju r y Rates in H ospitals THE INDUSTRY RECORD In 195U, the U# S# Department of Labor's Bureau of Labor Statistics undertook an extensive and detailed study of the work-injury experience of hospital employees, based upon records for the year 1953* Prior to this study, there were no national injury-rate data relating specifically to hos pital employees* There were, therefore, no figures available to permit time comparisons which would indicate trends in injury occurrence or determine whether or not 1953 was a typical year in respect to the injury experience of hospital workers• The 1*,680 hospitals participating in the survey had an average of 8*6 disabling work injuries per million employee hours worked during 1953 (table 1), 1 / In comparison with the experience of most other industries, this was not an unduly high injury-frequency rate# 2/ The all-manufacturing average (13#li), for example, was more than 50 percent higher# More specifically, the hospital rate was vastly better than the averages of 76*8 for logging and 53*1 for sawmill operations# But it was much higher than the average of 3*6 for the explosives manufacturing industry or the average of 1#7 for workers manu facturing synthetic fibers# In the field of institutional-type operations, it was better than the rate of 13.2 for hotels, but not as good as the rate of 7#!* for publicly operated colleges. As an average, the hospital injuryfrequency rate did not look very bad— nor did it look very good# It did indi cate that there was considerable room for improvement in the injury experience of hospital workers# *This report was prepared in the Division of Industrial Hazards, Bureau of Labor Statistics, U# S. Department of Labor by Prank S# McElroy and George R# McCormack# 1/ See scope and method of survey for definition of "disabling injury" and "^Frequency rate" 2/ Injury rates by industry 1953, BLS release Oct# 7, 195U. - 1 - - 2 - In respect to injury severity, the comparisons were generally favorable to the hospitals. Only 0.2 percent of the disabling injuries reported in the hospital survey resulted in death or permanent-total disability and only 3.5 percent resulted in permanent-partial disability. 3/ The corresponding ratios for all-manufacturing were 0.1» and 5*lf,respectively. For hotels, the averages were 0.3 and 1.2, and for publicly operated colleges they were 0.6 and 1.7. Broadly speaking, the proportion of hospital injuries resulting in death or permanent-total disability was lower than in most other classifi cations of employment. The proportion of hospital injuries resulting in permanent-partial disability was low in comparison with the experience of most industries in which machine operations are common, but was rather high for an activity in which machine operations are relatively uncommon. In terms of the usual injury-severity measures, the hospital reports showed an average time charge of 62 days per disabling injury and a severity rate of 0.5 days lost or charged in each 1,000 employee-hours worked by hospital employees, k / In broad terms, therefore, the record indicates that approximately 1 in every 57 full-time hospital employees experienced a disabling work injury during 1953* The average time charge of 62 days for each of these injuries represents an economic loss of about 1 day during the year for each full time employee* As indicated later, however, there were wide deviations from these general averages among hospitals of different types and sizes. SCOPE AND METHOD OF SURVEY Coverage In accordance with the provisions of the Standard Industrial Classification Manual, 5/ only establishments primarily engaged in providing hospital facili ties were included in the survey. Institutions such as sanatoria, rest homes, convalescent homes, and curative baths or spas in which medical or surgical services are not a main function were excluded. Both government and nongovernment hospitals were included. To insure comparability, military personnel attached to Federal hospitals were specifi cally excluded from the reports. With this exception, the reports covered the hours worked and the injury experience of all other workers employed by, or contributing their services directly to the reporting hospitals. 3/ See scope and method of survey for definitions of disabilities, average time charge, and severity rate. h / The standard average time charge per injury and the injury-severity rate computed in this special survey are not strictly comparable with corre sponding measures shown in the Bureau* s regular annual reports because of a refinement in the computations for the special survey. 5/ Standard Industrial Classification Manual, Nonmanufacturing Indus tries, U. S. Bureau of the Budget, 19^9, Vol. II (p. 119). - 3 - The c o n ta c t l i s t in c lu d e d a l l F e d e r a l h o s p ita ls an d a l l n o n fe d e r a l h o s p ita ls l i s t e d i n th e d ir e c t o r y is s u e (J u n e 1 9 5 3 ) o f th e J o u r n a l o f th e A m e ric a n H o s p ita l A s s o c ia tio n * The c o n ta c ts , t h e r e f o r e , in c lu d e d p r a c t i c a l l y 1 0 0 p e r c e n t o f th e a c c r e d ite d h o s p ita ls i n th e U n ite d S ta te s * The d a ta w e re c o lle c t e d b y m a il on a v o lu n ta r y r e p o r tin g b a s is * R e p lie s w e re r e c e iv e d fro m n e a r ly 5 ,5 0 0 h o s p it a ls , a p p ro x im a te ly 78 p e rc e n t o f th e t o t a l m a ilin g l i s t o f n e a r ly 7 ,0 0 0 * The r e p lie s y ie ld e d u s a b le r e p o r ts fro m U ,6 8 0 e s ta b lis h m e n ts r e p r e s e n tin g 6 7 p e r c e n t o f th e o r ig in a l c o n ta c t l i s t * The u s a b le r e p o r ts c o v e re d a t o t a l o f 1 ,6 8 8 m illio n em ployee -h o u rs w o rked b y f u l l - t i m e , p a r t - t im e , and v o lu n te e r w o rk e rs * In te rm s o f f u l l - t i m e w o rk e rs , t h e r e f o r e , th e r e p o r ts u s e d i n th e s u rv e y r e p r e s e n t a f u l l y e a r 's e x p e rie n c e f o r a p p ro x im a te ly 8 3 8 ,0 0 0 h o s p it a l w o rk e rs * N o n re s p o n d e n t C heck A t th e c o n c lu s io n o f th e b a s ic s u r v e y , a random sam ple o f th e n o n re s p o n d e n t e s ta b lis h m e n ts was s e le c te d f o r th e p u rp o s e o f m e a s u rin g th e p o s s ib le b ia s in tro d u c e d in t o th e s u rv e y r e s u lt s b y th e f a i l u r e o f th e n o n re s p o n d e n ts t o p a r t ic ip a t e * T h ro u g h in te n s iv e m a il s o lic it a t io n s and p e r s o n a l v i s i t s , r e p lie s w e re o b ta in e d fro m n e a r ly a l l e s ta b lis h m e n ts i n t h is c h e c k s a m p le * C om parison s b e tw e e n th e d a ta ta b u la te d fro m th e c h e c k sam ple an d th o s e o b ta in e d fro m th e m a in s u rv e y in d ic a te t h a t th e r a te s d e r iv e d fro m th e s u rv e y w o u ld n o t h a v e b e e n s ig n if ic a n t ly d i f f e r e n t i f a 1 0 0 -p e r c e n t re s p o n s e h ad b e e n o b ta in e d * D e f in it io n s The injury-rate comparisons presented in this report are based primarily on injury-frequency and severity rates compiled according to the definitions and procedures specified in the American Standard Method of Compiling Indus trial Injury Rates, as approved by the American Standards Association in 19U5* These standard rates have been supplemented by an additional measure of injury severity designated as the average time charge per disabling injury* Disabling Injury*— A disabling injury is any injury sustained by an em ployee in the course of and arising out of his employment which results in death, permanent-total disability, permanent-partial disability, or temporarytotal disability* The definitions 7/ of the several disability classifica tions as applied in this survey are as follows: 6J E f f e c t iv e J a n u a ry 1, 1955, th e a v e ra g e tim e c h a rg e p e r d is a b lin g i n ju r y i s a s ta n d a rd m easu re f o r in ju r y d a ta c o m p ile d f o r p e rio d s fo llo w in g t h a t d a te * S ee A m e ric a n S ta n d a rd M ethod o f R e c o rd in g and M e a s u rin g W o rk In ju r y E x p e rie n c e a p p ro v e d b y th e A m e ric a n S ta n d a rd s A s s o c ia tio n , D ecem ber 1 6 , 195U* 7 / S ee A m e ric a n S ta n d a rd M ethod o f C o m p ilin g In d u s t r ia l In ju r y R a te s a p p ro v e d b y th e A m e ric a n S ta n d a rd s A s s o c ia tio n , O c to b e r 1 1 , 1 9U 5* - U - (1) Fatality*-— A death resulting from a work injury is classified as a work fatality regardless of the time intervening between injury and death* (2) Permanent-Total Disability*— An injury other than death which permanently and totally incapacitates an employee from following any gainful occupation is classified as permanent-total disability* The loss, or com plete loss of use, of any of the following in one accident is considered permanent-total disability: (a) Both eyes; (b) 1 eye and 1 hand, or arm, or leg, or foot; (c) any 2 of the following not on the same limb: hand, arm, foot, or leg* (3) Permanent-Partial Disability .--The complete loss in one accident of any member or part of a member of the body, or any permanent impairment of functions of the body or part thereof to any degree less than permanent-total disability is classified as permanent-partial disability, regardless of any preexisting disability of the injured member or impaired body function. The following injuries are not classified as permanent-partial disabilities, but are classified as temporary-total or temporary-partial disabilities, or as medical treatment cases, depending upon the degree of disability during the healing period: (a) hernia, if it can be repaired; (b) loss of fingernails or toenails; (c) loss of teeth; (d) disfigurement; (e) strains or sprains not causing permanent limitation of motion; (f) fractures healing completely with out deformities or displacements. (U) Temporary-Total Disability•— Any injury not resulting in death or permanent impairment is classified as a temporary-total disability if the injured person, because of his injury, is unable to perform a regularly established job, open and available to him, during the entire time interval corresponding to the hours of his regular shift on any one or more days (including Sundays, days off, or plant shutdowns) subsequent to the date of injury* Injury-Frequency Rate.— The injury-frequency rate represents the average number of disabling work injuries occurring in each million employee-hours worked. It is computed according to the following formula: Number of disabling injuries Frequency rate - Average Time Charge Per Injury.— The relative severity of a temporary injury is measured by the number of calendar days during which the injured person is unable to work at any regularly established job open and available to him, excluding the day of injury and the day on which he returns to work. The relative severity of death and permanent impairment cases is determined by reference to a table of economic time charges included in the American Standard Method of Compiling Industrial Injury Rates. These time charges, - 5 - based upon an average work-life expectancy of 20 years for the entire working population, represent the average percentage of working ability lost as the result of specified impairments, expressed in unproductive days* The evaluation of tuberculosis cases constituted a special problem in this survey* A broad review of workmen's compensation cases involving tuber culosis, and extended consultation with medical and rehabilitation people indi cated that on recovery, tuberculosis patients generally were, to some degree, restricted as to the activities and occupations in which they might safely engage* Under the commonly accepted disability definitions this would con stitute permanent-partial disability* The American Standard Method of Measuring and Recording Work-Injury Experience, however, does not provide a specific time charge for this kind of disability, but rather leaves the time charge to be determined on the basis of medical evaluation in each case* Because of the obvious complications of attempting to obtain a separate evaluation of each case, however, it was necessary to adopt an average time charge for tuberculosis cases reported in this survey. A value of 1,200 days per case was established by averaging the awards made for tuberculosis cases in a number of workmen's compensation jurisdictions• The method of computa tion and the "determined" time charge were presented informally to the Zl6*l Committee on Interpretations of the American Standards Association for review and comment* The committee, without registering a formal decision, found no objection to this procedure* The average time charge per disabling injury is computed by adding the days lost for each temporary injury and the days charged according to the standard table for each death and permanent impairment and dividing the total by the number of disabling injuries* Injury-Severity Rate*— The injury-severity rate weights each disabling injury with its corresponding time loss or time charge and expresses the aggregate in terms of the average number of days lost or charged per 1,000 employe e-hours worked* It is computed according to the following formula: Severity rate = Total days lost or charged multiplied by 1,000 Number of employee-hours worked COMPARISONS BY TYPE OF HOSPITAL For basic comparison purposes, each reporting hospital was assigned to one of the four general classifications used and defined by the American Hospital Association— general, mental, tuberculosis, and special* For more detailed comparisons, the "special hospital" group was further broken down into seven subclassifications— geriatric; isolation and contagious diseases; cancer; orthopedic; eye, ear, nose, and throat; obstetric; and pediatric* - 6 - C h a rt 1. W o r k Injuries in Hospitals BY TYPE OF HOSPITAL, 1953 IN J U R Y S E V E R I T Y : A v e ra g e N u m b e r of D a y s L o s t or C h a r g e d P e r D is a b l in g In j u r y 150 I 100 I 50 i I IN J U R Y F R E Q U E N C Y : A v e r a g e N u m b e r of D i s a b l in g In ju rie s P e r M illio n H o u rs W o r k e d 0 0 I 5.0 10.0 15.0 1------------1--------- n -------------1 MENTAL HOSPITALS I I TUBERCULOSIS HOSPITALS SPECIAL HOSPITALS {/ ■> > > > > > > } > y \ / / / / / / / / / / /\ / / / / / / / / / / /\ {ii A { *3 AVERAGE A ll R e p o r t i n g H o s p it a l s GENERAL HOSPITALS I// // // // // // //////</' // // /////////>'// AVERAGE All R e p o r t i n g H o s p i t a l s UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS General hospitals constitute by far the largest of the several groups of hospitals* In the reporting sample, this classification included 77 per cent of the entire volume of institutions and 72 percent of the total employ ment (table 1)* The experience of general hospitals, therefore, carried a very heavy weight in the "all hospitals" averages* The average injury rates for the different types of hospitals varied widely* The highest level of injury occurrence among the four major groups was in the mental hospitals, 15>*3 disabling injuries per million employee hours worked* The lowest average, 6.5, was far tire general hospitals* The tuberculosis and special hospitals groups had average injury-frequency rates of 11*7 and 11*3, respectively* (See chart 1*) - 7 - The subclassifications of the specialty hospitals showed a somewhat wider range of Injury-frequency rates* The geriatric hospitals had the highest group average recorded, 15*9, and the pediatric hospitals had the lowest, 5.U. The full range for the subgroups of specialty hospitals was as follows: Geriatric-------------------- - — 15*9 Isolation and contagious diseases — 15.3 C a n c e r ------ ---------- — -------12*7 Orthopedic - - - - - - - - - - - - 9,2 Eye, ear, nose, and throat - - - - 8*6 Obstetric - ------------- 7,8 Pediatric - - - - - - - - - - - - - - 5.U The average severity of the injuries experienced was much higher in the tuberculosis hospitals than in any of the other classifications* This was a reflection of the relatively high volume of occupational tuberculosis cases reported by these institutions— 1 in every 9 of their disabling injuries was a tuberculosis case* For this group of hospitals,the average time charge per disabling injury was lit3 days and the standard severity rate was l*7o In sharp contrast, the average time charge per case for the general hospitals was 59 days; for mental hospitals, 5>1 days; and for special hos pitals, I4I days* The severity rates, similarly, was substantially lower than that of the tuberculosis hospitals— mental hospitals, 0,8} special hos pitals, 0*5} and general hospitals, 0,U, HOSPITAL SIZE COMPARISONS There was a striking relationship between hospital size, as measured by total employment, and the level of injury occurrence* Generally, the findings indicate that injury-frequency rates for hospitals tend to vary directly with the size of the hospitals (table 1 and chart 2)* A breakdown of the entire reporting sample into establishment size groups indicated that the smallest hospitals— those with less than 10 employees each— have the lowest incidence of work injuries* Their average injury-frequency rate was only 2*6* In each successively larger group, the average frequency rate rose progressively to a maximum of 13*5 for hospitals having between 1,000 and 2,i;99 employees. The hospitals with 2,500 or more employees had a slightly lower average, 12*U, but this reflected primarily the fact that this size group was composed almost exclusively of general hospitals. The relationship between the average days lost per temporary-total dis ability and establishment size was consistently the reverse of the frequencyrate relationship. - 8 - Chart 2. Work-Injury Frequency Rates in Hospitals BY SIZE OF HOSPITAL, 1953 Average Number of Disabling Injuries Per Million Hours Worked 14.0 12.0 10.0 6.0 6.0 4.0 2.0 0 Less Than 10 1019 20 49 Number of Employees UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS In regards to the relationship between injury frequency and establish ment size: In the general-hospital classification where the reporting sample was relatively large and the influence of individual establishments was mini mized, the frequency rates varied directly with employment size throughout the range* In this group, the average frequency rates varied from for establishments with less than 20 employees to 10*3 for those with 2,3>00 or more employees* In the mental and special hospital groups, the pattern was much the same, but with greater differences between the rates of the small and large institutions* For tuberculosis hospitals^ the pattern was less sharply defined, but in general, it displayed the same characteristics* 9 - Chart 3. Work-Injury Frequency Rates in Hospitals BY TYPE AND SIZE OF HOSPITAL, 1953 RATE 25.0 Mental Hospitals A V E R A G E N U M B E R OF DISABLING INJURIES P E R MILLION H O U R S WORKED 20.0 ------------ --------------------- 15.0 10.0 - AVERAGE All Mental Hospitals 5.0 LESS THAN 1019 2049 10 5099 100249 250499 N U M B E R OF E M P L O Y E E S 500999 1,000- 2,500 2,499 OR LESS THAN 50 MORE 5099 100 249 250499 500999 N U M B E R OF E M P L O Y E E S 1,000 OR MORE RATE RATC 30.0 Special Hospitals A V E R A G E N U M B E R OF DISABLING INJURIES P E R MILLION H O U R S 25.0 WORKED 20.0 AVERAGE 15.0 h 10.0 All Special Hospitals .--------------- © --------------- 100- 2 5 0 ~ 249 499 N U M B E R OF E M P L O Y E E S 5 0 0 - I,COO9 9 9 2,499 N U M B E R OF EM P L O Y E E S UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS This pattern is particularly interesting in that it deviates from the distribution of injury rates by plant size usually observed in industry. In industrial operations, the highest level of injury rates commonly is found in the middle-size establishments, roughly in the range between 100 and 500 em ployees. Frequency rates for the larger industrial establishments generally average lower than those of the medium-size plants, but not as low as those of the relatively small plants. - 10 - Group averages, however, tend to conceal wide variations in injury rates among individual establishments. Actually 55 percent (2,596) of all hospitals cooperating in the survey operated the entire year without a disabling injury (table 3). Most of these, of course, were small but together they accounted for 19 percent of all employees surveyed. Included in the group of zerofrequency-rate hospitals, was one with nearly 1,100 employees. In contrast, 35 hospitals had frequency rates in excess of 50, of which Again, most of these hospitals were small but one with an average employment of approximately 800 had a rate of 52 for the year. At the adverse end of the scale, 610 hospitals (13 percent of the reporting sample) employing 19 percent of all hospital workers accounted for 51 percent of the disabling injuries reported in the survey and 1*3 percent of the total time lost (table 1*). k had rates exceeding 100. COMPARISONS BY TYFE OF OWNERSHIP During its 195k meetings, the President's Conference on Occupational Safety adopted a recommendation of its Committee on Public Employee Safety that the Bureau of Labor Statistics expand its factfinding activities to include studies on accident occurrence among public employees. Accordingly, the data collected in this survey were tabulated by tvpe of ownership— governnent, nonprofit, and proprietary. Because of injury rate variations by type of hospital, the comparisons were made by tTrpe of hospital within the various classes of ownership. Generally, government hospitals, which are usually larger than nonprofit and proprietary hospitals, tended to have the most adverse injury-frequency rates. In all k types of hospitals— general, mental, tuberculosis, and special — frequency rates in government hospitals were substantially higher than in similar hospitals operated by nonprofit or proprietary organizations (table 5 and chart !*)• General and special hospitals, operated by nonprofit organizations, had higher frequency rates than similar hospitals operated by proprietary owners while the reverse was true for mental and tuberculosis hospitals. Injuries were, on an average, most severe in proprietary hospitals, although for men tal hospitals, the average time lost per disabling injury was greatest in the nonprofit group. Of the government hospitals, those operated by local governments— city and county— had the most adverse frequency rates in 3 of the 1* classes of hospitals (mental^ tuberculosis, and special); in general hospitals, Federal institutions had the highest rate (table 5 and chart 5). State hospitals had the lowest frequency rates in the general, tuberculosis^and special hospital groups. Among the mental hospitals, federally operated hospitals had the lowest rate. - 11 - A comparison between city-and county-operated hospitals indicated very little variation in injury-frequency rates except in special hospitals. For that group* the city rate of 20*6 was nearly 1*0 percent greater than the county rate* llj..9. In general hospitals* the rates were nearly identical* 8.3 in county hospitals and 8.2 in municipal hospitals. For tuberculosis hospitals* the respective rates were li*.6 and 13.7. A similar comparison for mental hospitals was not available. Among the government hospitals* injuries were* on an average* most severe in federally operated hospitals. In the general* mental* and special hospital groups* the average time lost per disabling injury was greater in Federal hospitals than in State or locally operated hospitals. In tubercu losis hospitals* the State average was about 10 percent higher than the Federal average. City-county hospitals had the most favorable averages in 3 of the 1+ classes of hospitals— mental* tuberculosis* and special. - 12 Among the nonprofit hospitals, the church-operated group had the lowest injury-frequency rate. For general hospitals, the church-operated rate was the church-affiliated rate, 5«5» and other (mostly incorporated non profit) institutions, 6.2. For special hospitals, the respective rates were 3.5, 1 »h» and 9»h» Sample limitations did not remit similar comparisons for mental and tuberculosis hospitals. The proprietary hospitals, usually, were small; corporation hospitals, the largest, averaged only 80 workers per establishment. Reflecting the tendency to low rates in small hospitals, frequency rates in proprietary hospitals were low. Of the 3 groups of proprietary hospitals— corporation, partnership, and individual— the corporation hospitals had the highest frequency rates. For proprietary general hospitals, the rates weret - 13 - corporation, 5*3j individual, h»3> and partnership, 1.9. Respective averages for mental hospitals were 11.2, 8.1, and 5.0. For special hospitals, the partnership rate, 9.2, exceeded the corporation rate, 6.0. Comparisons for tuberculosis hosnital3 were not available. REGIONAL, STATE, AND METROPOLITAN COMPARISONS The breakdown of injury rates by geographic areas showed a consistency of patterns for the different classes of hospitals. In each of the four major classifications--general, mental, tuberculosis, and special hospitals— the highest incidence of injuries occurred in the Pacific Coast region and the lowest occurred in either the West South Central or the East South Central. With relatively few exceptions, the States of the Pacific, Mountain, Middle Atlantic, and New England regions tended to have higher injuryfrequency rates than those of the central and southern regions. (See table 6 and charts 6 and 7.) The underlying reasons for these consistent patterns were not apparent from the data available in the survey. Their import as indicators of the areas in which intensified accident-prevention efforts are most needed, however, is clear. For this purpose, the variations in injury experience among the different States are probably more significant than the regional variations. General Hospitals Although the regional frequency rate for general hospitals was higher in the Pacific Region than in any other region, the highest of the State rates for this class of hospitals occurred in Rhode Island (U.1+). The California average (11.2), however, was only fractionally lower— hardly a significant difference. The Nevada average (10.8) was also in the high range. (See table 6, and charts 6 and 8.) The other States of the Pacific region, had rates considerably lower than that of California. The Oregon average of 8.7 was relatively high, but it was exceeded by the rates for Vermont (9.6), New York (9.0), Florida (9.3), and Arizona (8.9). The Washington average (6.9) was not significantly different from the national average for all general hospitals. In the New England region, all of the State rates except New Hampshire's were above the national average. In the Middle Atlantic region, the New Jersey and Pennsylvania rates were somewhat below the national average, but the New York experience pulled the regional average up to 7 .Uo Three States in the Mountain region— Wyoming, Montana, and New Mexico— had relatively lew average frequency rates. The rates for Nevada, Arizona, and Idaho, however, were relatively high. - Ill - Chart 6. Work-Injury Frequency Rates in General and Tuberculosis Hospitals By Geographic Region, 1953 GENERAL HOSPITALS B B S More than 5 0 % above average From 2 5 % to 5 0 % above average From 2 5 % below to 2 5 % above average From 2 5 % to 5 0 % below averoge (Tn iI More than 5 0 % below average TUBERCULOSIS HOSPITALS SS I More than 5 0 % above averoge From 2 5 % to 5 0 % above average From 2 5 % below to 2 5 % above average Eft3 From 2 5 % to 5 0 % below average IT* A More than 5 0 % below average UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR Sl'AllSTlCS T U B E R C U L O S I S HOSPITALS Average 11.7 F R E O U E N C Y RATE: Average number ot disabling injuries per million hours worked. 15 Chart 7. Work-Injury Frequency Rates in Mental and Special Hospitals By Geographic Region, 1953 MENTAL HOSPITALS NEW ENGLAND V' 18.0 & EAST NORTH CENTRAL ^ 4 ^ ea st south c e n t r a l , 7 '4- f WEST SOUTH CENTRAL SOUTH ATLANTIC l_ f> K ' ‘ K 8 S More than 50% above average From 25% to 50% above average It 1 1\From 25% below to 25% above average K X 2 From 25% to 50% below averoge MENTAL HOSPITALS Average 15.3 P ' - ' j -More than 50% below average SPECIAL HOSPITALS NEW ENGLAND V 10.8* MIDDLE ATLANTIC EAST NORTH CENTRAL EAST SOUTH CENTRAL^ SOUTH ATLANTIC BSSI More than 50% above average From 25% to 50% above overage It * II From 25% below to 25% above averoge OOP From 25% to 50% below average K * / j More than 50% below overage UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS FR E Q U E N C Y VRATE: Average number of disabling injuries per million hours worked 16 Chart 8. Work-Injury Frequency Rates in General and Tuberculosis Hospitals By State, ]953 GENERAL HOSPITALS M ore th an 5 0 % above average From 2 5 % to 5 0 % above average E3 From 2 5 % below to 2 5 % above average E 9 From 2 5 % to 5 0 % below averag e E J M ore th a n 5 0 % below a v e ra g e B B i M ore th an 5 0 % above average j^ l F rom 2 5 % to 5 0 % ab o v e o verag e E 3 From 2 5 % belo w to 2 5 % ab o v e a v e ra g e frSCl F ro m 2 5 % to 5 0 % below a v e ra g e M ore th a n 5 0 % below a v e ra g e UNUFD STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTIC* FREQ UENCY RATE: Average num ber o f d isabling injuries per m illion hours worked. 17 Chart 9. Work-Injury Frequency Rates in Mental and Special Hospitals By State, 1953 MENTAL HOSPITALS flS & l M o re than 5 0 % above a v e ra g e From 2 5 % to 5 0 % ab o v e a v e ra g e E3 F rom 2 5 % below to 2 5 % a b o v e a v e r a g e From 2 5 % to 5 0 % b elo w o v e r a g e ES M o re th a n 5 0 % below a v e ra g e M E N T A L H O S P IT A L S A v e ro g e 1 5 .3 SPECIAL HOSPITALS B m h M o re th a n 5 0 % ab o v e a v e r a g e F ro m 2 5 % to 5 0 % a b o v e a v e r a g e I*-*«*1 From 2 5 % b elo w to 2 5 % a b o v e a v e ra g e S 3 From 2 5 % to 5 0 % belo w a v e r a g e E T 3 M o re th a n 5 0 % b e lo w o v e ra g e UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS F R E Q U E N C Y R A T E -A v e ra g e n u m b e r o f d is a b lin g injuries per m illion hours w orked 18 - In the East North Central region, Wisconsin had the highest rate (8.7) and Indiana the lowest O a . 7 ) . The spread in the West North Central region was quite similar, from 8.1 in Minnesota to AuO in both Nebraska and South Dakota. In this region, only the Minnesota rate was above the national aver age for all general hospitals. In the South Atlantic region, the range of State frequency rates was rather wide. In the high range, Florida had a rate of 9 .3; the District of Colunibiaj7.0; and Virginia,6.7. In contrast, the Delaware rate was 3*2 and the North Carolina rate was 3*7. The South Carolina and West Virginia rates were only a shade higher at 3*8. The two low-rate regions, East South Central and West South Central, had remarkably similar injury experiences. The two regional frequency rates were identical, h»3» Each region had only 1 State with a rate of more than 5~Tennessee, 5.8* and Louisiana, 5.6— and each had 1 State with a rate of less than 3— Oklahoma, 2.3 and Alabama, 2.1}. For the purpose of more precisely locating the areas of high and low injury incidence, average frequency rates were computed for general hospitals in 113 metropolitan areas. 8/ (See table 7.) These area averages ranged from 16.9 for Miami, Fla. to-0.7 for Waco, Tex. In 15 of the areas, the average rates were 10.0 or higher— in lh they were 3*0 or lower. The higher area rates generally occurred in the more populous metropol itan areas and the low area averages generally occurred in the smaller metropolitan areas. Of the 15 highest rate metropolitan areas, IJ4. were in high-rate States and 10 of the 13 lowest rate areas were in low-rate States. Although sample-size limitations prohibited breakdowns of the State and metropolitan area data in terms of establishment size, there is some evidence that the variations in the State and area averages are closely related to the establishment size distribution. With only a few exceptions, the average employment per reporting unit was greater in the higiwate States and metro politan areas than in the States and areas where low injury-froquency rates prevailed. Mental Hospitals The r e g io n a l p a t t e r n o f in ju r y -fr e q u e n c y r a te s f o r m e n ta l h o s p ita ls w as much th e same as t h a t f o r th e g e n e r a l h o s p it a ls . The h ig h e s t o f th e r e g io n a l a v e ra g e r a te s w as 2U.5 f o r th e P a c if ic r e g io n , fo llo w e d b y 22.8 f o r th e M o u n ta in r e g io n , 21.U f o r th e M id d le A t la n t ic r e g io n , 18.0 f o r th e New E ngland 8/ Each of the metropolitan area rates represents the combined exper ience of at least 3 hospitals. - 19 - region, 9.7 for the West North Central region, 9*3 for the East North Central region, 8.9 for the South Atlantic region, 7 J+ for the East South Central region, and 7.1 for the West South Central region. (See table 6 and chart ?.) In the more significant State breakdown, the range of frequency rates was even wider— from 31«J+ in Colorado to 0Jj. in Oklahoma. Because of sample limitations, however, it was impossible to compute averages for 15 States and the District of Columbia. (See table 6 and chart 9.) The high average for the Pacific region reflected primarily the experi ence of the California mental hospitals, 26.5. The Oregon average, 13.6, was substantially lower, in fact somewhat better than the national average for all mental hospitals. The Washington average of I4..8 was in the lowrange, ranking about eighth among the 33 States for which averages were computed. Colorado was the only State in the Mountain region for which a separate average could be comoutad. The average for the region, however, was consid erably lower than that of Colorado. In the Middle Atlantic region, the New York average was high, 25.5* the New Jersey rate, 17.0, was somewhat above the national average? and the Pennsylvania rate, 11.7* was a little below the national average. In the New England region, Connecticut ( 27 . 2 ) and Massachusetts ( 20. 2 ) had high averages while those of Maine (6.9) and Rhode Island (ii.S) were relatively lovr. Among the 5 States of the West North Central region for which separate rates were computed, only Minnesota (16.2) had a rate higher than the na tional average for all mental hospitals. The Kansas (9.5) and Iowa (8.5) rates were in the middle range while the Missouri (Ij..5) and Nebraska (I4..0 ) averages were in the low range. In the East North Central region, all of the States had frequency rates oelow the national average. The Illinois average of 13.0 was highest in the region and the Wisconsin average of 7.1 was the lowest. Florida, the high-rate State (lU.U) in the South Atlantic region, had an average just a little below the national average, followed by Georgia with a rate of 11.5* The Maryland average (9.6) and those of Virginia (8.U) and forth Carolina (5.9) were relatively low, but the West Virginia mental hos pitals had the best record in the region. The West Virginia rate of 0.5 was sffectively, if not mathematically, a tie with that of Oklahoma for the position of lowest in the Nation. Of the 3 State averages computed in the East South Central region, the llabama rate of 13.U was high. The Tennessee rate, U.3* and the Kentucky rate, J>.2 were both low. - 20 - In the West South Central region, Oklahoma had the lowest of all the State frequency rates for mental hospitals, O.ij.. (Oklahoma and West Virginia were the only States with rates of less than 1.0 for any class of hospitals.) In the same region, Texas had an average rate of 5.2 and Louisiana a rate of 10 . 6 . Metropolitan area average frequency rates in mental hospitals could be computed for only 13 areas. (See table 7.) These comparisons, therefore, are less significant than those for general hospitals. Within the group, the area frequency-rate averages ranged from 25.3 for the New YorkNortheastern New Jersey area to 2.3 for the Cleveland, Ohio area. In Ohio, the low rate for Cleveland was offset by a relatively high rate of 19.6 for the Columbus area. Similarly in California, a high average of 2U.8 for the Los Angeles area was balanced by a relatively low average of luk for the San Francisco area. Tuberculosis Hospitals As in the other hospital classifications, the highest of the regional frequency rates for tuberculosis hospitals fell in the Pacific region (19-3)• (See table 6 and chart 6.) The average rates for the Middle Atlantic (15.0), West North Central (12.7), and Mountain (12,l) regions were all relatively high. The East North Central region's average (10.1) was somewhat below the national average for all tuberculosis hospitals, but still should be con sidered as fairly high for hospital operations. The average rates of the other four regions fell into a rather narrow range. In the New England region, the average was 7.7? in the West South Central, 7»ki in the East South Central, 6.I4; and in the low-rate South Atlantic region, 6.0. Among the 23 States for which State frequency rates for tuberculosis hospitals were computed, the California average (20.9) was highest and the Pennsylvania average (5.0) was lowest. (See table 6 and chart 8.) The rates for Minnesota, New York, New Jersey, Washington, and Arizona were all in the high range, above 15. The range between 10 and 15 included Ohio, Indiana, and Wisconsin. In the range below 10 disabling injuries per million employee-hours worked, 7 States had averages between 7.5 and 10. These included Missouri, Massachusetts, Michigan, Colorado, Connecticut, Virginia, and Illinois. The low-rate group, with average frequency rates of 5 to 7.5, included, in addi tion to Pennsylvania, North Carolina, Tennessee, Texas, Kentucky, Florida, and Maryland. For the more detailed metropolitan area comparisons, average frequency rates were computed for tuberculosis hospitals in and adjacent to 12* cities (table 7). The highest of these metropolitan area rates was 23.9 for Los Angeles, Calif., and the lowest was k*9 for the Baltimore, Md. area. The New York-Northeastern New Jersey and Seattle, Wash.j areas had identical high - 21 - averages of 21.1. Similarly, the area rates for St. Louis, Mo. and San Francisco-Oakland, Calif, were identical at the high level of 18*6. In the median range, the area averages were: Boston, Mass., 11.1} Madison, Wise., 10.lj Detroit, Mich., 10.0; and Asheville, N. C., 9.9. The lo w ra n g e o f m e tr o p o lita n a re a r a te s in c lu d e d , i n a d d itio n t o B a ltim o r e : D e n v e r, 8.8; C h ic a g o , 6.7; P itts b u r g h , 6.3; an d P h ila d e lp h ia , 5»1» Special Hospitals The regional breakdown of injury frequency in the special hospital group followed the same general pattern that prevailed in the other hospital classi fications. (See table 6 and chart 7.) Regionally, the Pacific had the high est average rate, 17.2; followed by the Middle Atlantic, li+.2; Mountain, li*.l; and New England, 10.8, regions. The averages for the West North Central (8.1 ), the South Atlantic (7.1;), and the East North Central (6.2)regions were in the midrange. The lowest averages were for the West South Central (5*9) and the East South Central (1;.8) regions. Only a limited number of State frequency rates could be computed for the special hospital group— 16 States and the District of Columbia. The range of these averages, however, was strikingly wide— from 19.U in California to 1*9 in Tennessee. The high-rate (over 11.0 ) States included California, New York, Connecticut, Colorado, Massachusetts, and Minnesota. The median-rate (3*0 to 11.0) group included the District of Columbia, Michigan, Missouri, Pennsylvania, Ohio, Illinois, and Maryland. In the low-rate range (1.9 to U.9) were Wisconsin, Texas, New Jersey, and Tennessee* COMPARISONS BY OPERATING DEPARTMENTS The fundamental need for a safety program and the general areas in which that program should be concentrated can be readily established by broad com parisons such as were presented in the preceding sections of this report* The effective planning of a safety program, however, requires more specific details pointing out the particular operating activities in which the incidence of Injuries is high and which, therefore, are most in need of at tention. To provide this type of information, the survey data were classified into the three more or less standard hospital operating divisions— profession sional care, administrative, and plant operation and maintenance. The data for each of these divisions were then broken d own further into as many specific activity classifications as possible. (See charts 10 and 11 and tables 8 and 9.) From the first breakdown, it was evident that the primary emphasis of a hospital safety program might well be directed to the plant operation and maintenance division. About 30 percent of the total reported employment was in this division, but these employees experienced I4J4 percent of the reported injuries. The overall frequency rate for plant operation and maintenance - 22 - Chart 10. W ork Injuries in Hospitals BY OPERATING DIVISION, 1953 IN J U R Y S E V E R I T Y : Average N um ber of D ays Lost or C ha rge d P er D is a b lin g In jury I N J U R Y F R E Q U E N C Y : A v e ra g e N u m b e r of D i s a b l in g i n j u r i e s P e r M i ll io n Hours W ork e d Plant Operation and Maintenance Division Professional Care Division Administrative Division © AVERAGE All H o s p i t a l s AVERAGE A ll H o s p i t a l s UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS a c t i v i t i e s teas 1 2 .7 * s u b s t a n t ia lly h ig h e r th a n th e 7 * 6 a v e ra g e f o r th e p r o fe s s io n a l c a re d iv is io n o r th e 2 .U a v e ra g e f o r th e a d m in is tr a tiv e d iv is io n . T h is g e n e ra l in t e r d iv is io n a l r e la t io n s h ip p r e v a ile d id t h in e a c h o f th e v a r io u s ty p e —o f - h o s p it a l c la s s if ic a t io n s * P la n t O p e ra tio n and M a in te n a n c e D iv is io n Only two departments in this division had frequency rates of less than 10__housekeeping, 8.5* and laundry* 6*8. These hardly merit being called low rates, but they were in sharp contrast to the rates of 26.6 for farm and dairy activities, 2U.0 for transportation operations, and 19.1 for the large group of maintenance workers. Obviously* safety needs to be emphasized in these three operating departments. The farm and dairy workers were nearly all employees of mental hospitals and their unfavorable experience contrib uted substantially to the high average frequency rate for that class of hospitals. Chart 11. Work-Injury Frequency Rates in Hospitals By Department, 1953 PROFESSIONAL CARE DIVISION PLANT OPERATION AND MAINTENANCE DIVISION Average Number of Disabling Injuries Per Million Hours Worked DEPARTM ENTS Average Num ber of D isabling Injuries Per Million Hours Worked DEPARTM ENTS 2.0 T N ursing S ervice D e p a rtm e n ts Farm s, D airies Physical T h e ra p y D e p a rtm e n ts Tran sp o rta tio n O cc u pational T h e ra p y D e p a rtm e n ts M ain te n an ce C linical L a b o ra to rie s Power C e n tra l Supply S ections Food S ervice and P rep aratio n D en tal D ep a rtm e n ts P la n t P ro tec tio n Pharm acy D epartm ents Housekeeping M iscellaneous L au n d ry Radiology D ep artm ents M iscellaneous 4.0 Purchasing and Issuing S pecial S e rv ic e s O utpatien t D ep a rtm e n ts A d m in is tra tiv e and C le ric a l Nursing Education D ep a rtm e n ts M is c e lla n e o u s M edical L ib ra ry D ep artm ents V o lu n te e r S e rv ic e s S e c tio n 10.0 12.0 r 14.0 r 16.0 l&O 20.0 22J0 2 4 0 -t- I ADMINISTRATIVE DIVISION Electrocardiography and Electroencephalography D e p a rtm e n ts UNITED STATES DEPARTMENT OF LABOR 8.0 Division Average DEPARTM ENTS M ed ical R ecords D ep a rtm e n ts BUREAU OF LABOR STATISTICS -r I I I Social S e rv ic e D e p a rtm e n ts A nesthesiology D ep a rtm e n ts 6.0 • • • • • • • r*i 3 Division Average i 2 6 .0 26.0 30 .0 T Relatively few of the hospitals indicated that they had a power depart ment, but the average frequency rate of those which were reported (16.5) indicates that this activity also deserves more attention from a safety viewpoint. The significance of the relatively high injury-frequency rate (13.U) in the food service and preparation departments is accentuated by the large number of employees in these departments. The rate calls for particular attention here and the volume of exposure— that is number of employees en gaged in these departments— assures that successful accident prevention efforts in these departments would yield s\ibstantial improvement in the overall hospital injury record. Professional Care Division I n th e p r o fe s s io n a l c a re d iv is io n , th e fo c u s o f s a f e t y a c t i v i t i e s s h o u ld b e on th e n u rs in g s e r v ic e . The a v e ra g e in ju r y -fr e q u e n c y r a t e f o r n u rs in g s e r v ic e s was 9 . 1 , c o n s id e r a b ly h ig h e r th a n th e r a t e f o r a n y o f th e o th e r p r o fe s s io n a l a c t i v i t i e s . The f a c t t h a t t h is s e r v ic e c o m p ris e s th e la r g e s t g ro u p o f h o s p it a l w o rk e rs e m p h a s ize s th e d e s i r a b il i t y o f c o n c e n tr a tin g a c c id e n t-p r e v e n tio n e f f o r t s i n t h is a c t i v i t y . W ith in th e n u rs in g s e r v ic e , o rim a ry a t t e n t io n s h o u ld b e g iv e n t o th e s a fe ty o f a tte n d a n ts . T h is g ro u p o f w o rk e rs had an in ju r y -fr e q u e n c y r a t e o f 1 9 .1 , m ore th a n d o u b le th e r a t e f o r a n y o th e r g ro u p o f n u rs in g s e r v ic e e m p lo y e e s * The em p h asis on s a fe ty f o r a tte n d a n ts , h o w e v e r, s h o u ld n o t le a d t o n e g le c t o f th e r e g is te r e d n u rs e s , n u rs e a id e s , o r d e r lie s , and p r a c t ic a l n u rs e s . A l l o f th e l a t t e r g ro u p s o f n u rs in g s e r v ic e w o rk e rs h a d a r e l a t i v e l y u n fa v o ra b le in ju r y r e c o r d . The re c o rd a ls o in d ic a te s a need f o r p a r t ic u la r a t t e n t io n to s a fe ty i n th e o c c u p a tio n a l and p h y s ic a l th e ra p y d e p a rtm e n ts . A d m in is tr a tiv e D iv is io n The h ig h e s t o f th e g e n e r a lly fa v o r a b le d e p a rtm e n ta l in ju r y r a te s in th e a d m in is tr a tiv e d iv is io n was t h a t o f th e p u rc h a s in g and is s u in g d e p a rtm e n ts , 5.7. D e s p ite th e f a c t t h a t t h is i s n o t a n e x c e p t io n a lly h ig h r a t e , i t is an in d ic a t io n o f th e a c t i v i t i e s w it h in t h is d iv is io n m ost i n n eed o f a c c id e n tp r e v e n tio n a t t e n t io n . KINDS OF IN JU R IE S EXPERIENCED The b a s ic p u rp o s e o f a n a c c id e n t-p r e v e n tio n p ro g ram is t o a v o id o c c u r re n c e s w h ic h r e s u lt i n i n j u r i e s . A lth o u g h an a n a ly s is o f in ju r ie s w i l l seld o m in d ic a te th e means o f p r e v e n tin g th o s e o c c u rre n c e s , i t c a n s e rv e a d i r e c t " in ju r y p r e v e n tio n " fu n c tio n b y e s ta b lis h in g th e fra m e w o rk f o r th e m ore p e r t i n e n t a n a ly s is o f a c c id e n t c a u s e s . The p r e s e n t s u rv e y d id n o t a tte m p t t o c o v e r th e c au ses o f h o s p it a l a c c id e n ts , b u t t h is in ju r y a n a ly s is may s u g g e s t a p p ro a c h e s i n f u t u r e s tu d ie s o f w o rk a c c id e n ts in h o s p it a ls . - 25 Chart 12. Work-Injury Frequency Rates in Nursing Departments of Hospitals BY OCCUPATION, 1953 O C C U P A T IO N 0 20 4.0 6.0 8.0 10.0 A v e ra g e N um ber o f Disabling In ju ries P er M illio n H ours W orked 12.0 14.0 16.0 18.0 20.0 1 ---------------1-----------------1---------------- 1-----------------1-------- j-------1---------------- 1----------------- 1---------------- 1-----------------1----------------- 1 ATTENDANTS PRACTICAL NURSES NURSES AIDES ORDERLIES V L. a A/ _i|I REGISTERED NURSES 4. A ^ ' Vl STUDENT NURSES ///// ///// ///// ///// DEPARTM ENT AVERAGE UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS Strains, sprains, bruises, contusions, cuts, lacerations, and fractures accounted for more than four-fifths of all disabling work injuries in hos pitals. Thus, the pattern of work injuries in hospitals is, in general, similar to the pattern which exists in other industries. There are, however some noteworthy differences. Strains and sprains, hernias, and fractures are usually indicative of heavy manual handling activities. Yet, special studies made by the Bureau in 12 other industries 9/ showed only 1 industry, ware housing and storage, with a greater proportion of strains and sprains than 9/ Water supply utilities, warehousing and storage, pulpwood logging, carpentering, plumbing, and the manufacturing industries: paperboard con tainers, paper and pulp, clay construction products, fertilizer, textile dyeing and finishing, breweries, and slaughtering and meat packing. - 26 Chart 13. W ork Injuries in Hospitals BY NATURE OF INJURY, 1953 IN J U R Y S E V E R IT Y : A v e ra g e N u m b e r o f D ays L o st o r C h a rg e d P e r D is a b lin g In ju ry NATURE OF IN J U R Y IN J U R Y F R E Q U E N C Y : P e rc e n t o f A ll D isabling In ju rie s 10.0 2 0 .0 30.0 35.0 Strains, Sprains Bruises and Contusions Cuts, Lacerations Fractures Occupational Diseases Burns, Scalds Hernias Irritations Due to Foreign Body in Eyes Amputations, Enucleations Other UNJJED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS hospital workers, and* in that instance, the difference was insignificant: hospitals, 33»h percent, and warehousing and storage, 33.8 percent. Hos pital workers suffered more hernias, relatively, than pulpwood loggers, carpenters, brewers, slaughterers and meat packers, fertilizer mixers, and paperboard container manufacturing workers. They also had a greater propor tion of fractures than employees in the water supply utility, fertilizer, plumbing, textile dyeing and finishing, and slaughtering and meat packing industries. - 27 - Hospital workers experienced more burns and scalds than workers in 10 of the other 12 industries surveyed and suffered a much greater proportion of work-connected diseases than employees in any of the other 12 industries* Tuberculosis accounted for a relatively large number of injuries in the disease group, 2.5 percent of all disabling injuries* Because of the sever ity of tuberculosis and its frequency among hospital workers, occupational diseases, which were responsible for only 8.0 percent of all hospital injuries, accounted for 57 percent of the total time lost. (See chart 15 and tables 10, 11, 12, and 15.) Strains and sprains were the most frequent of all injuries in general, tuberculosis, and special hospitals idth bruises and contusions second in importance. In mental hospitals, bruises and contusions were slightly more frequent than strains and sprains, due to personal attacks on workers by patients. Occupational diseases were most common in tuberculosis hospitals where tuberculosis constituted more than 9 percent of all injuries reported. Workers in tuberculosis hospitals also experienced proportionately more fractures than workers in other hospitals} hernias were most common among general and tuberculosis hospital workers. Moire than 59 percent of the injuries occurring in professional care activities were strains or sprains} they were especially frequent in physical therapy (57 percent of all disabling injuries), radiology (1+5 percent), and nursing (1+0 percent). Bruises and contusions were also most common in the professional care division (28 percent of all injuries), especially in medical records (1+2 percent), occupational therapy (57 percent), and nursing (29 percent). Nearly all departments reported some cases of tuberculosis but tuber culosis was relatively most frequent in the clinical laboratory departments (11.5 percent of all injuries). In that group of departments, more than 25 percent of all disabling work injuries were occupational diseases. Fractures were proportionately most common in the administrative and plant operation and maintenance division. In the administrative and clerical departments, 21 percent of all disabling injuries were fractures* Hernias were most common in the plant operation and maintenance division, especially in the power, maintenance, and plant protection departments where they exceeded 5 percent of all disabling injuries. Strains and sprains were chiefly trunk injuries, specifically back injuries. Bruises and contusions were usually leg, foot, or toe injuries although bruised arms, hands, fingers, and trunks were common. Cuts and lacerations were mostly hand, arm, or finger injuries. Trunk injuries, accounting for 55 percent of all disabling injuries were, in general, quite severe. (See chart li+ and tables 15> ll+, 15> and 16.) Ten of the 25 reported fatalities, 2 of the 5 permanent-total disabil ities, and approximately 70 percent of all permanent-partial disabilities - 28 - were trunk injuries* As a result, they accounted for two-thirds of the total time lost due to work injuries in hospitals5 on an average, each trunk injury resulted in 117 days disability, nearly double the average for all types of injuries, 62 days* Back injuries were the most common trunk injuries (1? percent of all disabling injuries)? 88 percent of them were strains or sprains* Generally, injuries involving the back weye not severe, although they were responsible for 2 of the f> reported permanent-total disabilities* The ratio of back injuries was highest in the general hospitals, 21 percent of all injuries* Departmentally, the medical library, anesthesiology, electrocardiography, the physical therapy, radiology, transportation, purchasing and issuing, central supply, and nursing employees all had high proportions of such injuries. In the nursing departments, back injuries accounted for 39 percent of all inju ries to orderlies and 29 percent to nurse aides (table 19)* Six percent of all hospital injuries affected the chest* About UU per cent of these were occupational diseases, most of them being tuberculosis cases* As a result, chest injuries were, on an average, very severe account ing for half of all lost time in hospitals and averaging 527 days lost per disability* They were most common in tuberculosis hospitals (12 percent of all disabling injuries) and in the clinical laboratory, medical records, and radiology departments* Injuries to the abdomen (5 percent of all injuries) were mostly hernias although other strains, bruises, and contusions accounted for many of these disabilities. Departments in which abdominal injuries formed a significant proportion of all injuries included purchasing and issuing, power, clinical laboratories, transportation, and plant protection* About 28 percent of the disabling work injuries in hospitals were arm, handj and finger injuries. Band injuries were most frequent (11*5 percent of all injuries) but arm injuries were the most severe (26 days lost or charged per case). Many of the finger injuries resulted in permanent disability but the number of minor temporarily disabling finger injuries held their average disability to favorable levels (22 days)* Among the hand injuries, cuts and lacerations were most common (26 percent) but there were many burns and scalds (18 percent), bruises and con tusions (18 percent), fractures (lit percent), and strains and sprains (13 percent). About 10 percent of the hand injuries were occupational diseases, chiefly dermatoses* Hand injuries were prominent in the food preparation and service, laundry, clinical laboratories, and housekeeping departments. Finger injuries were primarily cuts and lacerations (51 percent) with bruises and contusions second in importance (19 percent). Of the 83 amputa tions included in the survey, 79 involved 1 or more fingers. Finger injuries were prominent in the clinical laboratory, food service and preparation, laundry, and maintenance departments. - 29 - Chart 14. W ork Injuries in Hospitals BY P A R T O F B O D Y INJURED, 1953 P ercen t of All Disabling Injuries 10 15 20 25 1 ----------------------------- 1----------------------------- i---------------------------- 1 Eye-2 .6 % Head, except e y e - 6 . 3 % B a c k - 1 8 .7 % 1 Trunk,except b a c k - 1 6.2 tyo r. A r m -5 .8 % i Hand or f in g e r - 2 2 .0 % 77777T7777T777T77777I < j ? j / r / s / s / s / is/,;/‘/ / s A Le g-9 .9 % o°0°o ° 0°o°0 • i 0 0° c 1/ .V *V« _ OO - OO ft 0 0 _ o _ 0 0 ^ o . • o• « « j > o. » . oo3 Foot or to e -1 4 % Body, g e n e r a l-4 .5 % UNITED STATES DEPARTMENT OF LABOR BUREAU OF LABOR STATISTICS About half of the arm Injuries were bruises or fractures, the injuries being about equally divided between the two groups. Arm injuries were relatively most common in the central supply, laundry, and transportation departments* Leg, foot, and toe injuries accounted for 2U percent of all disabling work injuries in hospitals. Foot injuries (11.5 percent) slightly out numbered leg injuries (9.9 percent)j toe injuries were relatively unimpor tant (2.5 percent). None of the injuries in this group resulted in death, - 30 and permanent disabilities were infrequent. disability was quite low* Consequently, their average Three kinds of injuries accounted for nearly 90 percent of all foot injuries: strains and sprains (US percent), bruises and contusions (23 percent), and fractures (li|. percent). Foot injuries were proportionately most common in the pharmacy, administration and clerical, plant protection, and power departments* Leg injuries were primarily bruises and contusions (1*7 percent), strains and sprains (30 percent), and fractures (9 percent). They were relatively most common in the purchasing and issuing, medical records, plant protection, and the farm and dairy departments. Nearly all of the toe injuries were either fractures (52 percent), or bruises and contusions (I4I percent)* Head injuries accounted for less than 9 percent of the disabling inju ries in hospitals but included among them were h of the 23 reported fatalities and 2 of the 5 reported permanent-total disabilities. On the other hand, permanent-partial disabilities were relatively infrequent* As a result, the average disability tended to be favorable, 51 days lost per injury. Head injuries were usually bruises and contusions (US percent) or cuts and lacerations (18 percent). There were, however, a substantial number of eye irritations due to foreign bodies and fractures* Among the latter group were 12 skull fractures* Head injuries were prominent in the physical therapy, occupational therapy, pharmacy, and medical records departments. Many of the head injuries in the pharmacy and physical therapy departments involved an eye. OCCUPATIONAL COMPARISONS Because only a few hospitals were able to supply employment or hours worked data in occupational detail, it was impossible to compute comparable rates of injury occurrence for the various hospital occupations* However, the case records for the reported injuries did show the occupational clas sifications of the injured persons. From these data, it was possible to prepare tabulations showing the distribution of injuries among the various hospital occupations and the kind-of-injury and part-of-body-affected patterns for the different occupations. (See tables 16, 18, and 19.) Highlights of these tabulations follow* In the general hospitals, the nurse aides and registered nurses expe rienced more injuries than occurred in any other occupational group. These two occupations alone had nearly 29 percent of the total number of injuries reported in general hospitals* Kitchen helpers had the third largest volume of injuries in the general hospitals, followed by maids and nursing service attendants* - 31 - In the mental hospitals, well over half of all the reoorted injuries were experienced by nursing service attendants. Kitchen helpers, ranking second in number of injuries, had about 6 percent of the total, and regis tered nurses, in third place, about 5 percent. In tuberculosis hospitals, kitchen helpers led all other occupations in injury volume, followed bv nursing service attendants and registered nurses. In the special hospitals, the nursing service attendants were first in injury volume, but were closely followed by the nurse aides and the kitchen helpers. Strains and sprains were prominent in the records for all of the 67 listed occupations. In 1*2 occupations, they constituted the leading variety of injury. In terms of absolute numbers, strains and sprains were most heavily concentrated in the occupations of nursing service attendants, nurse aides, registered nurses, kitchen helpers, maids, porters, practical nurses, orderlies, handymen, and cooks. In 3 occupations, orderlies, physical therapists, and auto mechanics, over half the reported injuries were sprains or strains. In 2l* others, including registered nurses, practical nurses, and nurse aides, more than a third of the injuries were strains or sprains. Injuries of this kind generally reflect overexertion, particularly in lifting. Similarly significant of overexertion, there were 1 or more hernias reported in 1*9 of the 67 occupations. Numerically, hernias bulked largest among the nursing service attendants, porters, handymen, kitchen helpers, and registered nurses. Proportionately, hernias constituted over 7 percent of all injuries reported for ambulance attendants, chauffeurs, plasterers, porters, and stationary engineers. In 1? other occupations, including handymen, maintenance men, orderlies, and laundry workers, over 5 percent of the injuries were hernias. Of the more serious injuries, amputations or enucleations were reported in 29 different occupations. Carpenters and carpenter helpers had the largest share of these, but the number also ran relatively high among nurs ing service attendants, cooks, registered nurses, and stationary engineers. More than 10 percent of all the reported injuries were fractures— a relatively high proportion in comparison with most industries. These inju ries occurred in all but 1* of the 67 listed occupations. In terms of numbers, fractures were most prevalent among the nursing service attendants, registered nurses, kitchen helpers, nurse aides, maids, cooks, and porters. Proportionately, however, the telephone operators led all others in this field— 1 in every 3 of their injuries was a fracture. The executive house keepers and food service supervisors were close with 1 fracture in every 1* of their injuries. - 32 - The occupational disease problem in hospitals is highlighted not only by the number of cases— 8 percent of all reportable injuries— but also by the wide dispersion of these cases among the various hospital ocdurations. Some cases of occupational disease were reported in 56 of the 67 listed occupations. Numerically, the greatest volume occurred among the nursing service attendants, registered nurses, nurse aides, kitchen helpers, maids, laboratory technicians, practical nurses, porters, physicians or interns, student nurses, and handymen. A fairly large number of cases were also reported among cooks, dishwashers, orderlies, painters, stationary engineers, and laundry workers. Proportionately, the record of the laboratory techni cians was noteworthy— 1 in every 5 °f their reportable injuries was an occupational disease. In 5 other occupations— anesthesiologists, student nurses, physicians and interns, telephone operators, and wall washers— at least 1 in 5 of the reported injuries was an occupational disease. In most industries, hand and finger injuries predominate. In the hospital experience, however, trunk injuries far outnumbered injuries to the upper extremities. Back injuries alone outnumbered the combined total of hand and finger injuries in 50 of the 67 listed occupations, including the nursing service attendants, nurse aides, practical nurses, registered nurses, orderlies, and porters. Hand and finger injuries were proportionately most prominent in the experience of carpenters, cooks, dishwashers, kitchen helpers, laboratory technicians, maids, meat cutters, pressers, seamstresses, tray girls, and laundry workers. Office workers and dietitians had a high proportion of leg and foot injuries. Head injuries ranked high in the experience of administrators, electricians, elevator operators, and floor clerks. APPENDIX— STATISTICAL TABLES The injury-frequency rate is the average number of disabling work injuries for each million employeehours worked* A disabling work injury is any in jury which (a) results in death or any degree of permanent physical impairment, or (b) makes the injured worker unable to perform the duties of any regularly established job, which is open and avail able to him, throughout the hours corresponding to his regular shift on any 1 or more days after the day of injury (including Sundays,days off,or plant shutdowns)• The severity rate is the average number of days lost for each 1,000 employee-hours worked* The computations of days lost include standard time charge for fatalities and permanent disabilities as listed in the American Standard Method of Com piling Industrial Injury Rates, approved by the American Standards Association, 19h$» - 34- Table 1 .—Work-injury rates in hospitals, by type and size of hospital, 1953 Frequency rates 1of— Number of estab lish ments Type and sise of hospital All reporting hospitalst Total Number of em ployees Em ployeehours worked (thou sands) All disa bling inju ries . . . U,680 837,552 1,688,11*6 8.6 General hospitals: Total 2 / ................ Less than 10 employees ................... 10 to 19 employees........................... 20 to 1*9 employees....................... ... 50 to 99 employees ........................... 100 to 2l*9 enployees....................... 230 to 1*99 employees....................... 500 to 999 employees ....................... 1,000 to 2,1*99 employees ................ 2,300 employees and over • • • . • 3,617 599,51*9 1,116 6,662 31,3Ul 1*2,805 99,102 139,1*82 162,11*9 79,126 18,663 1,193,607 2,1*02 11*,132 66,1*60 90,989 200,981 273,286 319,620 151,970 36,1*96 6.5 2.5 2.5 l*.l 1*.5 5.3 6,2 7.1* 8.1* 10.3 Mental hospitals: Total ....................... Less than 30 employees . . . . . . 50 to 99 employees ....................... ... 100 to 21*9 employees................... ... 250 to 1*99 employees....................... 300 to 999 employees • • • • • • • 1,000 employees and over • • • . « 358 89 3U 52 72 77 3k U*l*,339 2,589 8,109 26,686 56,597 1*8,052 301*,206 5,370 5,287 17,962 56,833 119,51*9 99,205 15.3 6.3 8.1 7.6 8.7 15 J* 21.0 Tuberculosis hospitals: Total . . . . Less than 20 employees • • • • • • 20 to 1*9 employees . . . • • . • • 50 to 99 employees • • • • • • • • 100 to 2l*9 employees ....................... 250 to 1*99 employees • • • • • • • 500 to 999 employees................... ... 1,000 to 2,1*99 employees ................ 3114. 1*1 78 67 67 W* Hi 3 1*8,11*5 1*81* 2,631* 1*,670 11,1*11* 15,307 9,005 1*,631 96,973 1,0&* 5,577 9,766 23,61*9 30,859 17,357 8,701 11.7 7.5 9.1 7 J* 9.0 12.6 16.1* 13.8 Special hospitals: Total 2 / • • . . • Less than 20 employees 20 to 1*9 employees • » . • • • • • 30 to 99 employees ....................... ... 100 to 21*9 employees 391 98 110 68 65 29 17 3 1*5,519 1,11*1 3,631 1*,665 10,001* 10,373 10,11*6 i*,189 93,360 2,390 7,519 9,715 20,621* 20,826 20,601 8,831* 11.3 2.9 9.3 6.7 8.6 9*5 13.1* 25.5 500 to 999 employees ....................• 1,000 to 2,1*99 employees ................ 1/ 5/ 161* 1*51* 990 596 607 390 238 59 6 2,306 Deaths and perma nenttotal disa b ili ties Perma nentpartial disa b ili ties Temporarytotal disa b ili ties Average number of days lost or charged per— Disa bling injury Tempo rarytotal disa bility Sever ity rate (1/) 0.3 8.3 62 16 0.5 (If) .2 — .1 .1 .1 .1 .2 .2 4* .5 6.3 2.5 2.1* i*.o lull 5.2 6.0 7.2 8.0 9.6 59 11* 72 99 21* 1*0 51* 60 61 155 17 11* 1*0 21 21 22 ie 16 15 11* •1* (If) 72 .1* .1 .2 .3 4* .5 1.6 11*. 8 6.1 8.1 7.3 8.3 15.0 20.1* 51 17 23 80 58 56 1*3 15 17 23 31 20 16 11 .8 .1 .2 .6 .5 .9 .9 1.2 — .9 .6 1.1* 1.3 1.5 1.0 10.5 7.5 8.2 ' 6.8 | 7.6 11.2 it*.9 12,8 11*3 33 92 121* 189 170 107 102 20 33 32 26 21* 18 13 1.7 .2 .8 •9 1.7 2.2 1.8 14* .2 — .3 11.1 2.9 9.0 6.6 84* 9.3 13.2 25.2 ia 16 20 1*1* 37 59 26 28 H* 16 17 23 18 12 12 9 — (1/) (if) (V ) (If) ’ .2 (If) — .1 — (1 /) (1 / ) — — — .1 __ — (1 /) — - —. — — (1 /) — Less than 0,05. Includes data not shown separately because of insufficient information to classify* Severity .5 .2 — .2 J* .1* .6 .1 .2 .2 .2 .3 i 16 .5 (If) .2 .3 .3 •6 .3 .7 - 35 - Table 2 .—.Work-injury rates in hospitals, by type and size of hospitals, 1953 Frequency rates of— Type of hospital and size of hospital Total ...........................• Humber of estab lish ments Number of em ployees Em ployeehours worked (thou sands) All disa bling inju ries Deaths and perma nenttotal disa b ili ties Perma nentpartial disab ilities Severity Tempo rarytotal disa b ili ties Average number of days lost or charged per Disa bling injury Tempo rarytotal disa bility Sever ity rate 1*,680 837,552 1,688,11*6 8.6 < !/) 0.3 8.3 62 16 0.5 3,617 358 311* 391 599,51*9 H*l*,339 1*8,11*5 1*5,519 1,193,607 301*,206 96,973 93,360 6.5 15.3 11.7 11.3 (1/) an an 0.2 .5 1.2 .2 6.3 ll*.8 10.5 11.1 59 51 H*3 Ul 17 15 20 H* 0.1* •8 1.7 .5 216 562 1,1*1*7 8,237 39,631 3,092 17,518 81*, 305 2.6 3.2 5.0 37 50 80 37 29 22 .1 .2 TYPE OP HOSPITAL General hospitals . . . Mental hospitals • . • Tuberculosis hospitals* Special hospitals • • . < J/> SIZE OP HOSPITAL Less than 10 employees. 10 to 19 employees . * 20 to 1*9 employees • • i,a *6 — — •1 (i/) •2 2.6 3.1 1*«8 —- .1 .3 .3 5.0 5.7 7.0 38 63 71 22 22 18 .1* 50 to 99 employees . • 100 to 21*9 employees. * 250 to 1*99 employees* • 767 791 535 51*,729 128,629 191,81*8 115,758 263,216 381,801* 5.1 6.0 7.3 500 to 999 employees. • 1,000 to 2,1*99 employees 2,900 employees and o w • 3U6 96 7 237,897 133,170 21,1*91 1*77,125 262,087 1*3,118 10.0 13.5 12.1* (i/) a/) .i .3 .5 .5 9.7 13.0 11.8 59 50 123 16 12 H* .7 1.5 U nclassified............... 112 20,1*73 1*0,121 7.3 ( i /) .2 7.1 1*9 13 .1* 1/ Less than 0.05 (i/) it/) .2 •1* .5 •6 -36- Table 3.—Distribution of work-injury frequency rates in hosnitals, by size of hospital, 1953 Number of hospitals with employment of— Total number of hospitals 1 to 9 to 19 to 1*9 2*,680 216 562 l , 2t*6 0 .............................. 1 .............................. 2 ............................... 2,596 2*2* 105 208 — 517 960 3 ............................... 2* ............................... —— 128 .— — — _ __ Work-injury frequency rate Total ....................... 10 12*7 132 115 10 to U * 15 to 1 9 20 tor 2U 25 to 2 9 30 to 39 2*59 21*3 — — — — 111 107 ................ ................ ................ ................ ................ — — — — lh l 70 89 2*0 to Z4.9 • • • • • 50 to 7 2 * ............... 75 to 9 9 ............... 100 and over . . . 100 500 1,000 to 2l*9 to 2*99 to 999 to 2,2*99 767 791 535 32*6 98 285 — 37 52* 63 81 28 32* 2*9 37 16 12* 26 20 16 1 2 6 37 31 32 33 31 32 35 18 26 28 9 7 5 87 2*9 28 110 7 6 3 1 1 1 1 — 1*62 . . 126 5 .............................. 6 ............................... 7 ............................... 8 ............................... 9 ....................... ... . 50 to 99 20 ___ ___ ,T—, — 1 2 8 5 13 12 1 5 1 1 32* 22 7 2* 5 6 2 2 6 32 35 26 27 21 96 58 2*8 15 33 12* 8 2 1 59 2*6 22 13 12 5 —N. 1 ---- 12 250 22 38 15 2 22 30 18 20 65 33 12 10 13 2 1 3 3 2 3 28 11 6 2,500 Un clas sified 7 112 and over ___ —— — — — 5 — 3 6 2 3 — — — 3 3 1 1 2 1 12* 6 2* 2 3 6 — ~— 3 — — — — — m*m 66 — — — -— Table 2*.—Distribution of hospitals, employees, injuries, and days charged in hospitals, by work-injury frequency rates, 1953 Hospitals Work-injury frequency rates Cumulative timber 25 20 15 10 to to to to 29 2i* 19 12* . . . . 8 « « . . « « • . • • . . . 0• . . . . 7 . . . . . . 6 . . . . . . 5 • ••••• 2* • • • • • • 3 2 1 • ••••• •••••• «« »*• « 0 .................... 1/ Number Number Percent Cumulative Number Number Percent Number 33 67 156 0.1 .2 .7 1.2* 3.3 52* 325 1,607 7,938 22*,638 52* 379 1,986 9,922* 3U,562 (1/) (I /) 0.2 1.2 l*.l 15 55 176 681 1,707 15 70 £*6 927 2,632* 0.1 .5 1.7 6.2* 18.0 177 1,530 7,178 18,759 70 12*1 22*3 2*59 107 226 367 610 1,069 1,176 2*. 8 7.8 13.0 22.8 25.1 li*,900 5.9 10.1 18.9 36.7 2*0.7 812 1,522* 2,2*20 3,1*90 601 3,2*2*6 2*,970 7,390 10,880 11,2*81 23.6 73,82*7 12*9,2*98 33,571 2*9,2*62 82*,322 158,169 307,667 32*1,238 111 115 132 12*7 128 1,287 1,2*02 1,532* 1,681 1,809 35.9 38.7 31,039 2*3,915 2*6,558 62*, 567 1*1,22*8 372,277 2*16,192 2*62,750 527,317 568,565 2*2*J* 2*9.7 55.3 63.0 67.9 2*93 607 52*9 635 331 126 105 2*2* 2,596 1,935 2,02*0 2,082* 2*,680 2*1.3 2*3.6 2*2*. 5 100.0 2*3,369 2*7,252* 21,779 156,585 611,932* 659,188 680,967 837,552 73.1 78.7 81.3 100.0 256 193 2*8 — 2* 7 22 32* 89 Less than 0,05. Percent Days lost or charged Cumulative Cumulative Number Number 100 and over 75 to 99 . . 50 to 72* « • 2*0 to 2*9 • • 30 to 39 . . Injuries Btaployees 2* 11 27.5 30.0 32.8 32*,860 Percent 61,71a 177 1,707 8,885 27,62*2* 89,385 <!/> 0.2 1.0 3.1 9.9 31*.1 50.6 7l*.6 78.7 35,271 102,503 163,123 21*2,037 58,792* 121*,656 227,159 390,282 632,519 691,113 13.9 25.3 2*3J* 70.3 76,9 11,971* 12,581 13,130 13,765 12*,096 82.1 86.2 90.0 92*.3 96.6 22*,967 38,316 32,291 2*9,901* 22,971 716,080 752*,396 786,687 836,591 859,562 79.6 83.9 87.5 93.0 95.6 H*, 352 12*,52*5 12*,593 U*,593 98.3 99.7 100.0 100.0 19,222 19,32*2* 1,115 878,781* 896,128 899,22*3 899,22*3 97.7 99.9 100.0 100.0 Table 5*— Work-injury rates in hospitals, by type of ownership, 1953 Frequency rates of— Type of ownership All reporting hospitals: Total ................... Number Number of of estab em lish ments ployees U,680 Em ployeehours worked (thou sands)!/ All disa bling inju ries Deaths and perma nenttotal disa bili ties 1,688,11*6 8.6 (2 /) Government hospitals: Total . 1,558 385,020 General hospitals ....... 1,007 187,606 Mental hospitals ....... 230 133,518 Tuberculosis hospitals . . 2U1 1*1*, 260 80 Special hospitals ....... 19,616 781*, 1*75 371*, 177 281,351 88,71*8 1*0,198 11.9 8.1* 15.9 12.1 15.2 (2 /) Federal hospitals: Total . General hospitals . . . Mental hospitals . . . . Tuberculosis hospitals . Special hospitals . . . 31*1* 136,627 86,886 275 38 36,739 11,21*0 27 1,762 U 261*, 1*61* 168,091* 71,1*93 21,351 3,526 11.1 9.8 13.1 13.8 12.2 State hospitals: Total . . General hospitals . . . Mental hospitals . . . . Tuberculosis hospitals . Special hospitals . . . 31*6 136,1*31 86 21*,159 9l*,9l*l* 171 59 11,361* 30 5,961* 291,226 1*8,292 205,758 21*, 1*99 12,678 13.9 5.U 16.8 7.5 11.0 City and county hospitals: Total ............... General hospitals . . . Mental hospitals . . . . Tuberculosis hospitals . Special hospitals . . . 833 109,132 73,980 613 21 1,835 21,1*27 153 1*6 11,890 223,150 152,619 i*,101 1*2,1*36 23,991* 10 .3 7.8 17.8 11*.0 17.9 2,830 2,561 5,631* 5,172 8.3 8.3 Hospital-district hospitals: Total 3/ .............................. General hospitals . . . 35 33 See footnotes at end of table* 837,552 W) m m ( ? /) (2 /) (V) (?/> an 73 (2 /) — (2 /) (V) — (2 /) -— — — — . . . Severity Perma Tempo nentrarypartial total disa disa bili bili ties ties Average number of days lost or charged per— Disa bling injury Tempo rarytotal disa bility Sever ity rate 0.3 8.3 62 16 0.5 .5 .1* •5 1.3 .3 11.1* 8.0 15.U 10.8 H*.9 71 81 1*9 11*7 1*1* 15 15 11* 19 12 .8 •7 .8 1.8 .7 •7 .5 .7 1.8 .3 10.1* 9.3 12.1* 12.0 11.6 95 87 77 182 180 11* H* 11* 11* 13 1.0 .9 1.0 2.5 2.2 .1* .3 .1* .9 .2 13.5 5.1 16.1* 6.6 10.8 50 70 1*1 198 1*1 15 H* 15 25 17 .7 .1* •7 1.5 •5 .5 .3 .2 1.3 .3 9.8 7.5 17.6 12.7 17.6 77 77 32 115 32 17 18 16 20 11 .8 .6 .6 1.6 .6 .2 .2 8.1 8.1 21* 23 21* 23 .2 .2 — 38 — Table 5•-"Work-injury rates in hospitals, by type o f ownership, 1953—Continued Frequency rates o f— Number of e stablis h ments Type o f ownership Nonprofit hospitals: Total . General hospitals ................ Mental hospitals ................ Tuberculosis hospitals . . Special hospitals ............... Number of em ployees Em ployeehours worked ( thou sands)!/ A ll disa bling inju ries 2,060 358,755 1,759 367,361 5,687 39 U8 3,239 22,U68 21k 791,109 I 726,359 ! H ,7 k l ; 6,893 1*6,116 5-9 5-7 5-9 7.3 8.7 Church-operated hospitals: Total 3 / ............................... General hospitals . . . Special hospitals . . . 259 227 28 52,389 50,266 2,00k 103,8k3 99,558 3,952 , k.k k.k 3.5 Church-affiliated hospitals : Total 3/ .............................. General hospitals . . • Mental nospitals . . . . Special hospitals . . . U62 108,513 Uii 10k,122 12 1,852 28 2,11*5 209,955 : 200,832 3,68k k ,6 ll 5-5 5-5 2.k 7.k 1,339 1,118 25 38 158 237,853 213,013 3,737 2,78k 18,319 k77,311 k25,970 7,858 5,930 37,553 6.k 6.2 7.k 6.9 9-k Proprietary hospitals: Total 1,062 General hospitals ............... 851 Mental hospitals ................ 89 Tuberculosis hospitals . . 25 Special hospitals . . . . • 97 53,777 kk,582 5,13k 626 3,k35 112,562 93,070 11,113 1,332 7,Ok7 5.1* k.7 10.1 8.3 6.5 Other: Total ....................... General hospitals . . . Mental hospitals . . . . Tuberculosis hospitals . Special hospitals . . . Deaths and perma nentto ta l disa b ili ties (2 /) (V) Tl — (2 /) Tempo rarytotal disa b ili ties 0.1 .1 .3 .3 .2 5.8 5.6 5.5 7.0 8.5 k3 k2 125 52 35 18 18 19 25 15 0.3 .2 .7 .k .3 .2 .2 .3 k.2 k.2 3.2 kl k2 21 19 19 20 .2 .2 .1 .1 .1 5.k 5.k 2.k 7.k 37 37 57 21 20 20 57 21 .2 .2 .1 .2 .1 .1 .3 .3 .2 6.3 6.1 7.0 6.6 9.2 k6 kk 139 61 37 17 17 13 28 15 .3 .3 1.0 .k .k .1 .1 .2 1.5 .3 5.3 k.6 9.8 6.8 6.2 68 60 85 (U/) 57 2k 2k 31 (k /) 16 .k .3 >9 1\9 .1 .1 k.7 k.2 8.1 5.k 27 31 (V) (V) 25 29 (k /) .1 .1 .2 .1 5.8 5.2 11.0 5.5 59 57 35 88 25 23 3k 16 .3 .3 .k .5 2.7 1.7 k.O 9.2 226 170 1,213 16 18 16 (k /) .7 .3 6.0 .2 — — (2 /) W) — — — — (2 /) m 71 — (2 /) (2 /) 71 — — • . . . • . . . • . . . 3U8 281 25 33 7,608 5,95k 969 617 15,973 12,k20 2,102 1,30k k.8 k.3 8.1 5*k __ Corporation: Total 3/ General hospitals- • Mental hospitals . . Special hospitals . • . . . • . . . U86 385 53 3U 38,957 32,698 3,693 2,128 81,319 68,0k0 8,005 k,330 5.9' 5.3 11.2 6.0 (2 /) — — .1 .1 .2 .5 Partnership: Total 3 / General hospitals . Mental hospitals . . Special hospitals . . . . . . . • . 228 185 11 30 7,212 5,930 k72 690 15,270 12,609 1,006 l,k !3 3.0 1.9 5.0 9.2 .1 — 1.0 .2 .2 — Individual: Total 3/ General hospitals Mental hospitals . Special hospitals 1/ 2/ 3/ k/ — — — — — (V) Average number of days lo s t or charged per— Perma nentpartial disa b ili ties — (V) Severity Because o f rounding, sums o f individual items do not necessarily equal totals. Less than 0.05. Includes data not shown separately because o f sample lim itations, Not computed because o f sample lim itations. Disa bling injury (V) Tempo rarytota l disa b ilit y m Sever it y rate 4 -39- Table 6 .--•Work-injury frequency rates in hospitals, 1 / by geographic region, State, and type of hospital, 1953 Geographic region and State All reporting hosnitalss Average: all hospitals Injury-frequency rates in— General hospitals Mental hospitals Tuberculosis hospitals Special hospitals Total . • 0 8.6 6.5 15.3 11.7 11.3 New England r e g io n ............................... Connecticut .................................. . M a in e............... ................................. Massachusetts................... • • • . New Hanpshire................... • • • • Rhode Island ...................................... Vermont . • • • • • • • • • • • • 10.0 9.8 7.U 11.1 5.U 8.3 9.5 8.2 7.0 8.0 8.7 5.8 11.U 9.6 18.0 27.2 6.8 20.2 U.8 — 7.7 8.2 — 9.6 —— — 10.8 15.0 — 11 .U ... — — Middle Atlantic region ....................... New Jersey . . . • ....................... .... New York Pennsylvania • .................................. 11.5 8.3 lU .9 6.8 7.U 6.0 9.0 5.7 21.U 17.0 25.5 11.7 15.0 17.2 18.6 5.0 1U.2 2.6 17.6 East North Central region................ • Illin ois • . . .................................. In d ian a.................................. ... Michigan . . . . . ........................... Ohio..................................................... Wisconsin • • • • • • • • • • • • 6.5 7.1 5.U 6.1 5.8 8.5 5.6 6.1 U.7 U.8 U.9 8.7 9.3 13.0 7.3 10.0 7.2 7.1 10.1 7.6 11.5 8.8 1U.0 10.1 6.2 5.0 — 9.7 5.3 U.8 West North Central region • • • • • • IOWa . 0 0 . 0 . « . . * . . • • « Kansas ....................... . . . . . . . Minnesota....................... • • • • • Missouri......................................... Nebraska.............................. ... • • . North Dakota ............................... • • South Dakota • • • • • ................... 6.6 5.9 5.U 10.1 5.U 3.8 6.3 6.U 5.6 5.2 U.3 8.1 5.1 U.o 5.7 U.o 9.7 8.5 9.5 16.2 U.5 U.o — 12.7 — — 18.8 9.7 — -— — 8.1 ' — — 11.1 7.7 — — —— South Atlantic region • • • • • • • « Delaware > • • • • • • ................... District of Columbia • • • • • • • Florida • G eorgia................... Maryland • ............... • • • « • • • North Carolina • • • • • » • • • . South Carolina . . • • • • • • » • Virginia............................................. West Virginia . . . ....................... 6.1 3.7 7.6 9.9 5Ji 6.1 U.3 5.0 7.2 3.3 5.3 3.2 7.0 9.3 U.o U.8 3.7 3.8 6.7 3.8 8.8 6.0 — — — iU .il 11.5 9.6 5.0 — 8 ch 0.5 7.U —— 10.7 — — 5.0 — East South Central region • • • • • . Alabama e o . . . . . . . . . . o Kentucky • « ................ • • • • • « Mississippi • .............................. • Tennessee.................................. ... 5.1 5.5 U.2 U.5 5.5 U.3 2.U 3.8 U.6 5.8 13 .U 5.2 — U.3 West South Central region • • • • • • Arkansas ............................ . . . • Louisiana • • • • • • • • • • • • Oklahoma ................... • • . • • • « Texas • • • • • • • • ................ • U.8 7.7 6.5 2.U U.U U.3 U.8 5.6 2.3 U.2 10.6 0.U 5.2 Mountain region • • • • • • • • • • • Arizona • • < • . • • • • • • • 0 Colorado . . • • • • • • • • • . « I d a h o ................................................. Montana.............................. ... • • . Nevada # • • • • • • • • • • • • • New Mexico • • • . • • • • • • • • Utah ................................................................ Wyoming . . . .......................................... 10.7 1U.6 13.8 8Jt 6.3 10.8 5.6 10.1 6.6 6.9 8.9 6.9 8.U 5.0 10.8 5.2 7.0 U©e 22.8 — 31 .U Pacific r e g io n ........................... .... California • • • • • • • • • • • . Oregon ........................................................... Washington....................... 13.7 15.8 9.9 10.3 2U.5 26.5 13.6 U.8 1/ 8 .2 11.2 8.7 6.9 — 7M 7ol — — — — — — — 5.8 — 5.3 7.3 «... 7.7 — 7JU — — 6.U — 6.6 — 7.0 U.8 — — — 1.9 7M —— 5.9 — — 6.6 3.6 12.1 15.9 8,3 — lU .l — lU .o — — — — —— — 19.5 20.9 17.2 19.U — — — — — —- 16.5 — Data from -which these rates -were computed are available on request to the Bureau of Labor Statistics, — 40 — Table 7*—Work-injury frequency rates in hospitals, 1 / by Metropolitan area and type of hospital, 1953 Injury-frequency rates in— Metropolitan area All reporting hospitals: Total ............................... Average: all hos pitals Injury-frequency rates in— General hos pitals Mental hos pitals Tuber culosis hos pitals 8.6 6.5 15.3 11.7 Akron, Ohio ................... Albany-Schenectady-Troy, N. T................................... Albuquerque, N. M. • • • Altoona, Pa, • • • • • • Amarillo, Tex, • • • • , 6.3 5.5 — _ — — — — Asheville, N. C................ Atlanta, 0a, ................... Augusta, Ga, • • • • • • Austin, Tex, . . . . . . Baltimore, Md. . . . . . 8.7 6.3 9. 5 7. 3 5.U 5.7 5 .5 3.9 6.1* — l*.o Average: all hos pitals Metropolitan area 7.0 7.0 — 5. 2 U.0 8.U U.5 — — —— — — — — —- Huntington, W. Va.Ashland, Ky................... Indianapolis, Ind. • • Jacksonville, Fla. • • Johnstown, Pa. . . . . Kalamasoo, Mich, . . . 3.0 7.2 7.U 3. 6 U.2 2.5 6.U 7.3 U.O 1.5 — — — — — — — — — — Kansas City, Mo. . . . Knoxville, Tenn. . . . Lancaster, Pa. • • . • Lawrence, Mass. • • • • Lexington, Ky................. U.5 U.O 3.9 5.2 5.6 U.2 U.5 3.6 6.1 — —-— — — U.8 ——— — — Lima, Ohio • . . . • • Lincoln, Neb. • . . • « Little Rock-North Little Rock, Ark. . . Lorain-Elyrla, Ohio • . Los Angeles, Calif. • • U. 6 5.7 — 6.5 —— — —— —- 11.7 1.2 15.9 8.7 1.3 11.8 -— — 2U.8 -— —— 23.9 U.o 8.3 8.9 5.U 8.9 U.5 8.8 8.6 5.U 10 .U — — — — — — — 10.1 — —- 17.3 11.5 16.9 12.1 — — — 12 J* 3.6 5.1 10 .U 1.0 5a 25.2 — — — — — 5.3 11.7 5.U 12.0 _ —- _ — 6.5 5.9 — — 2.0 8.3 — 8.U — — — — 1U.5 9a 25.8 21.1 7.8 .6 — • 7.8 1.9 — -— Otaaha, Neb....................... Peoria, 111. . . . . . Philadelphia, Pa. . . . Phoenix, Aria. • • • • Pittsburgh, Pa................ 3.9 10.9 5.7 18.3 8.8 3.7 — 5.6 10 JU — — 7.2 — 23.5 — — 5.1 — 6.3 U.U U.9 U.o 9.8 2.9 11.3 6.1 U.l —. 3.0 8.9 6.2 ___ — — 21.5 — — — — 11.1 —— Buffalo, N. Y.................... Canton, Ohio ................... Charleston, W. Va. . . . Charlotte, N. C............... Chattanooga, Tenn. • . • 10.3 2.3 2.8 2.9 2.8 5.8 1.7 2.5 3.2 2.7 — — — — — — —— — Chicago, 111. • Cincinnati, Ohio Cleveland, Ohio Columbia, S. C. Columbus, Ohio • • •. • • • . • . . . . . . . . . • •• 7.5 U.8 6.7 6. 1 12.3 6.8 5.2 6.1 3a 8.2 17 J* — 2.3 1946 6.7 — — — —- Corpus Christi, Tex. • • Dallas, Tex....................... Davenport, Iowa-Rook Island-Mollne, 111. • . 6.0 6.1* _ 6.7 — - — U.2 U .9 6.7 UJU — 6.8 — —— — — — — Milwaukee, Wis. • • • . Minneapolis-St. Paul, Minn. . ....................... Mobile, Ala..................... Montgomery, Ala. . . . Denver, Colo................. .... Des Moines, Iona • • • • Detroit, Mich.................... Duluth, Mirm.-Superior, m s ..................................... 10.3 5.5 6.1 8.7 _ __ — — 8.8 — 10.0 Nashville, Tenn. • . . New Bedford, Mass. • • New Britain-B ri st ol, 8.U 5.6 8.2 5.9 — — — SI Paso, Tex. ................ Erie, Pa. . . . . . . . Evansville, Ind................ Pall River, Mass. . . . Flint, Mich....................... U.2 U.8 .6 10.1* 5JU U .2 11.8 5.1 — — — — — __—— — —- Ft. Wayne, Ind................. Ft. Worth, Tex................. Fresno, Calif. • • • • • Grand Rapids, Mich. • • Greensboro-Highpoint, N. C................................... 7.2 3.7 1*.9 3.1 7.0 3.3 5.2 3.9 — — — — — — — — 2.8 — Decatur, 111. • • « • •• • • • . . . • • • • . See footnote at end of table. 5JU 5.3 Tuber culosis hos pitals U. 9 U.o 9.1 U.3 — ___ ___ 5.9 Baton Rouge, La. • Binghamton, H. T. Birmingham, Ala. • Boston, Mass. Bridgeport, Conn. Mental hos pitals Greenville, S. C. • • • Hamilton-Middletown, Ohio • • • • • • • • • Harrisburg, Pa. • • • • Hartford, Conn............... Houston, Tex............... ... ___ 6.6 ___ 2. 3 U.l 9.9 — ___ General hos pitals Louisville, Ky............... Madison, Wis. ................ Manchester, N. H. • • • Memphis, Tenn. . • • • — — New Haven, Conn. . . . New Orleans, La. . . . New York-Northeastern New Jersey . . . • • • Norf olk-Portsmouth Oklahoma City, Ckla. 6.3 — 41 — Table 7 .—Work-injury frequency rates In hospitals, 1 / by metropolitan area and type of hospital, 1953—Continued Inj ury-frequency rates in— Metropolitan area Pittsfield, Mas.................. Portland, Maine • • • • • Portland, Ore. • • . • • Providence, R. I . . . . . Pueblo, C o lo .................... Average: all hos pitals 11.2 2*.7 9.9 8.2 32.6 Inj ury-frequency rates in— Tuber culosis hos pitals General hosDitals Mental hos pitals 11.3 6.5 9.0 10.2 ... _ _ —. —8.2 — ___ — — Racine, Wis. • • • • • • Raleigh, N. C. . . . . . Reading, Pa. , ................ Richmond, Va. • ................ Roanoke, Va......................... 11.1 6.1 7.9 8.8 12.0 — — — 9.0 — — — — — Rochester, N. Y.................. Saginaw, Mich..................... St. Joseph, Mo................... St. Louis, Mo. . . . o . Salt Lake City, Utah . . 12,2* i*.l 5.3 5. 6 8.9 8.3 — — U.5 8.1 — — —— — San Antonio, Tex................ San Bernardino-Riveav side-Ontario, Calif. . . San Diego, Calif............... San Francisco-Oakland, Calif. . . . . ................ San Jose, Calif................. 6.9 — — — 23.5 9.8 13.0 10.0 — — — 10.2* 19.2* 16 . 2* Savannah, Ga................... • Scranton, Pa....................... Seattle, Wash. .......................... Shreveport, La. • . • • • Sioux F&ll8| S« D# • • • 3.1 6.2 11.1 2*.6 5.8 3.1 5.8 9.2* 2*.7 5.8 South Bend, Ind* . . . ♦ Spokane, Wash. . . . . . Springfield, 111.......................... Springfield, Mo.................. Springfield-Holyoke, Mass. • • • • • • . . . 5.2* 7.0 3.3 5.9 3.7 9.8 — — — 6.1 — — 11.5 6.0 — — 1/ 9.9 2*.2* — — — — — — — — — — 18.6 — 18,6 — Average: all hos pitals Metropolitan area Stamford-Norwalk, Conn. • Stockton, Calif................. Syracuse, N. Y. • . • 0 • Tacoma, Wash....................... Tampa-St. Petersburg Fla...................................... 11.5 23.0 General hos pitals 11.2 — Tubeiv culosis hos pitals _ n — — — 11.9 7.6 3.1 — — — 11.1 12.8 — — Toledo, Ohio .................... Topeka, Kane. . ................ Trenton, N . J . . . . . . Tulsa, Okie......................... Utica-Roms, N. Y............... 5.0 7 .2 1.2* 1.3 17.3 i*.2 2.1 1.5 1.3 7 .6 — — .— ___ — — — — .__ — Waco, Tex. Washington, D. C................ Waterbury, Conn. . . . . Waterloo, Iowa • • • • • Wheeling, W. Va.Steubenville, Ohio . . . U.3 9.5 8.1 3.2* .7 7.7 — 3.2* ___ — — — — — — — 5.5 5.6 — — 3.8 1.7 3.9 3.6 ___ — — -— 6.8 2*.2 12.1 5.2 3.6 9.2 — — — — — — 2*.6 2*. 2 — — Wichita, Kans..................... Wichita Falls, Tex. • • • Wilkes-Barre-Hazleton, Pa.................................... ... Wilmington, Del. . . . . Worcester, Mass. • • • • — — 21.1 — — — — Youngstown, Ohio . . . . — r'n , — Data from which these rates were computed are available on request to the Bureau of Labor Statistics, Mental hos pitals -42- Table 8. —Work-injury rates in hospitals, by division and department, 1953 Severity Frequency rates of— Division and department All reporting hospitals: Number of units re port ing Total ^/« § / 1*,680 Number of em ployees Em ployeehours woxiced (thou sands) All disa bling inju ries Deaths and perma nenttotal disa b ili ties Perma nentpartial disa b ili ties Temporarytotal disa b ili ties Average number of days lost or charged per— Disa bling injury Tempo rarytotal disa b ility Severity rata 837,552 l,6 8 8 ,lb 6 8.6 <2/> 0.3 8.3 62 16 0 .5 <2/> .3 •b .2 .5 .5 7.3 1.7 3.3 b .o 2.8 71 198 .5 .b .2 21b 327 17 12 19 19 13 .3 — .2 .1 1.6 .9 1.8 1.2 210 1 112 79 12 1 8 16 <2/> .3 .5 .2 .3 •b .2 8.8 18.6 7.3 7 .5 7.8 6.5 2.1 63 bb b7 20 b6 8b 122 16 13 18 20 13 20 18 .6 .8 .3 .1 •b .6 .3 .b .1 .1 .1 .1 — 5.7 1.6 2.7 6 .5 2*b 2.5 70 277 6b 38 99 13 21 21 12 18 3b 13 •b .5 .2 .3 .2 <2/) .3 .2 .3 .2 50 60 3b 52 7b 16 16 15 17 19 .6 1.6 .5 •b .5 Professional care division: Total 1 / .............................................. Anesthesiology ............................... Central supply ............................... Clinical laboratories ................ Dental ....................... • • • • • • 31,579 1,918 1,798 5,<467 837 507,bb6 b,800 8,026 22,51*9 2,902 1,009,188 9,71*9 16,1*57 1*5,1*62 5,739 7 .6 2.1 3.5 b.5 3.3 Electrocardiography and electroencephalography . • • • Medical library • • * • • • • • Medical records ........................... Nursing education ....................... 1,193 769 2,732 l,li| 2 1,576 1,173 11,816 7,237 3,136 2,337 23,706 lb ,5 b l 1 .9 .9 2.0 1.3 — -— Nursing service: Total 1/ . . . Attendants ............................... Nurse aides ............................... Orderlies * ............................... Practical nurses ................... Registered nurses • • • • • * Student nurses • • • • • • • 7,329 381 783 273 2b3 bob 1,06b 38b,572 56,063 23,590 2,310 b,72b 8,b35 60,270 762,263 119,b06 b7,5bb b,819 9,806 17,7bb 100,569 9.1 19.1 7.5 7.5 8.1 6.9 2.3 (3 /) (y ) Occupational therapy ................... Outpatient ........................... ... Pharmacy . . . ............................... Physical therapy ....................... * Radiology • • • • • * • • • • • Social servioe ................ • • • • 8b9 1,319 1,791 1,198 2,683 9714 5,323 8,502 b,019 b,b35 11,231 b,b58 10,792 16,79b 8,151 8,782 22,6b7 8,886 6.1 1.8 2.8 6.6 2.5 2.5 Plant operations and maintenance division: Total 1 / ................ ... . Farm, dairy • • • • * ................ Food service and preparation • « Housekeeping • Laundry...................................... ... 16,18b. 165 b,W*2 b,226 2,975 2b5,790 2,b22 102,995 60,b29 27,bl0 507,638 5,375 211,b36 126,518 56,b68 12.7 26.6 13 .b 8.5 6.8 (3 /) (%/) .3 12.b 26.2 13.1 8.3 6 .5 3,927 lib lb9 13b b7,3U 1,270 l,8 b 5 1,089 96,873 2,627 b,067 2,252 19.1 10.3 16.5 2b.O .1 — — — .8 — — .9 18.2 10.3 16.5 23.1 69 8 17 bO 17 8 17 18 1.3 .1 7,376 b,b08 1,916 255 762 77,b21 59,260 8,299 1,916 6,910 157,0b3 120,08b 16,728 b,lbO lb ,070 2.b 2.1 5.7 3.b .b .1 .1 2.3 2.0 5.b 69 79 56 15 lb 17 19 15 15 lb .2 .2 Maintenance....................... .... Plant protection • • • • • • • • Power » • « . . . * ................... Transportation................... ... Administrative division: Total l / . Administration and clerical * . Purchasing and issuing • • • • • Special services ........................... Volunteer servloes . . . . . . . 1/ 5/ J/ — (2/) — __ — ___ —— .1 — — — ~ <2/> .2 — — — — — .3 — — Includes data not shown separately beoause of insufficient information to classify. Number of hospitals* Less than 0*05* 3M .b 65 1.0 1.1 A .2 .1 .3 1.0 .3 •1 <2/> - 43 - Table 9• -Work-injury frequency rates in hospitals, 1 / by division and department and type of hospital, 1953 Work-injury frequency rates in-Division and department Average: a ll hospitals General hospitals Mental hospitals Tuberculosis hospitals Special hospitals A ll reporting hospitals: Total .................................................................. 8.6 6.5 15.3 11.7 11.3 Professional care division: Total . . • Anesthesiology ......................................... Central supply ......................................... Clinical laboratories ............................. Dental .......................................................... 7 .6 2.1 3.5 U.5 3.3 5.2 1.9 3.U U.2 3.3 15.a 9.6 10.3 Electrocardiography and electroencepha lo g ra p h y ..................................... .... Medical lib r a r y ..................................... .... Medical records ......................................... Nursing education . . . . ..................... 1.5 .9 2.0 1. 3 1.9 1.1 2.1 1. 1 Nursing service: Total ......................... Attendants .............................................. Nurse aides ......................................... Orderlies ............................................. Practical nurses ................................. 9 .1 19.1 7.5 7.5 8.1 6 .2 12.7 7.2 7.2 7.U 17.2 20.3 6.5 Registered nurses ............................. Student nurses ..................................... 6.9 2.3 2.1 2.1 Occupational therapy ............................. Outpatient ................................................. Pharmacy ...................................................... Physical therapy ..................................... Radiology ...................................................... Social service ......................................... 6 .1 1.8 2.8 6 .6 2.5 2.5 3.8 1.9 1.6 5.7 2.U 2.2 8.0 — Plant operations and maintenance division: Total ..................... . . . . . Farm, d a ir y .................................................. Food service and preparation . . . . Housekeeping .............................................. Laundry .......................................................... 12.7 26.6 13. U 8.5 6.8 — — — — — 1.0 a. o — — 2.6 3.1 — — 12.5 19.6 9.0 5.8 11.2 ia .8 13.3 — 5.o i s .a a .5 11.6 2.3 10.9 1.2 _ a. 7 13.7 19.2 15.5 15.a 20.8 8.8 16.8 10.2 5.8 16.0 13.1 9.3 23.8 20.6 — — 20.2 — — Administrative division: Total . . . . Administration and clerica l ................. Purchasing and issuing ......................... Special services ..................................... Volunteer services ................................. 2 .h 2.1 2.0 5.6 11.8 10.7 — 11.2 7.9 6 .1 16.9 5.2 13.3 2U.2 1/ — 1.9 2.a 1.7 6.6 3.7 2.2 19.1 10.3 16.5 2U.0 .a — — 1.0 — — 2.3 1.6 Maintenance . . . . . . . . ................. Plant protection . ................................. Power.......................................................... . Transportation ......................................... 2.1 5.7 3.U — 6.0 6 .0 a.o .a •a 2 9 .8 9 .a i a .o 1 9 .a 20.1 3.2 2.7 6 .0 7.8 .3 1.9 — io . a 5.3 5.6 — — 2.9 2.3 6.5 3.1 2.8 5.8 2.0 — Data from which these rates were computed are available on request to the Bureau of Labor Statistics. — 44 - Table 10.—Work injuries in hospitals, by nature of injury and extent of d isa b ility , 1953 Number of injuries Days lost or charged Resulting in-Total Nature of injury Number Death and perma nenttotal Per cent 1/ disabil ity 2/ Perma nentpartial disa b ility Tempor arytotal disa b ility 518 Average number of days charged per— Disabling injury Tempo rarytotal disa b ility Number Per cent V 11,017 899,213 100.0 62 16 l — 3,531 891 23,176 67,161 19,026 2.7 7.8 2.2 279 19 21 ___ 10 10 18 35 — 1,662 1,119 362 20,972 118,613 18,100 2.1 13.7 2.1 12 80 50 92 35 50 26 A ll reporting hospitals: Total .......................................................... Hi, 593 100.0 Amputations, enucleations ................. Bruises, contusions ............................. Burns, scalds . . . ............................. 81 3 ,5 U 899 .6 2 5 .2 Cuts, lacerations . ............................. Fractures .................................................. Hernias ...................................................... 1,680 1,190 362 12.0 10.6 2.6 ___ (3) 6 Occupational diseases: Total . . . Infective and parasitic diseases: Total ............................. Tuberculosis ................................. Diseases attributable to viruses O t h e r ......................... . . . . 1,119 8.0 (1) 11 311 761 193,061 57.2 111 H 8 6 2 338 338 158 — 131 21 159,733 111,600 17,376 757 53.1 51.3 2.0 .1 912 1281 128 32 U1 1,793 .2 U2 H 291 215 16 7,581 6,852 732 .9 .8 .1 26 28 15 25 27 15 5 l 2.5 1.0 .2 13 .3 ___ 2 — — — 3 1 * 2 2.1 1.8 .3 Diseases of bones and organs of movement: Total ............................. Synovitis, bursitis, tenosynovitis ............................. Other .............................................. Ill-defined conditions ................. Other ...................................................... 87 .6 19 38 77 111 .3 .3 .5 Eye irritations resulting from foreign bodies ..................................... Strains, sprains ..................................... Other .......................................................... 113 1,699 62 l/' 2/ ( i) 81 ’ 5 501 311 136 2k 291 216 18 . . — 6 .1 Diseases of the nervous system . Diseases of skin and cellular tissues: Total ............................. Dermatitis ..................................... Other .............................................. Unclassified; insufficient data (5) 28 511 1 (1) — — 1 — — .8 .8 3 3 .U .1 — — 1 1 2 — — 1 1 23 — — l k — 10 32 85 8,066 .9 93 21 19 36 77 112 1,162 6,901 1,687 11,201 .1 .8 .2 1.6 21 182 22 125 21 18 22 20 112 1,676 61 2,131 93,197 6,195 .3 10.8 .8 22 20 105 6 16 8 536 36,105 — Percents are based on classified cases only. Figures in parentheses indicate number of permanent-total d isa b ilities included. 39 — — — Table 1 1 .—Work injuries in hospitals, by nature of injury and type of hospital, 1953 Nature of injury Total number of injuries Type of hospital General hospitals Mental hospitals Number Per cent 1 / 1U.593 100.0 7,753 100.0 Amputations, enucleations ............................. Bruises, contusions ..................................... • Burns, scalds ...................................................... 81* 3 ,5U1 899 .6 25.2 6.1* 1*7 1,603 606 .6 21.5 8 .1 21* 1,1*1*8 156 Cuts, lacerations • ......................................... Fractures .............................................................. Hernias .................................................................. 1,680 1,1*90 362 12.0 10.6 2.6 911* 780 217 12.2 1 0 .5 Occupational diseases: Total ..................... Infective and parasitic diseases: T o t a l.............................................................. Tuberculosis ......................................... Diseases attributable to viruses • Other .......................................................... 1,119 8.0 571 3.7 2.5 1.0 .2 225 11*3 69 13 Total ...................................................................... 501* 31*U 136 21* Number Per cent 1J Number Tuberculosis hospitals Per cent 1 / 1*,61*1* 100.0 Number Per cent 1 / Special hospitals Number Per cent 1 / 1,137 100.0 1,05? 100.0 .5 32.1* 3.5 7 230 63 .6 21.2 5.8 6 260 72 .6 25.6 7 .1 2.9 1*70 1*85 91* 10.5 10.8 2.1 157 131 31 H*. 1* 12.1 2.9 139 91* 20 13.7 9.3 2.0 7.7 336 7.5 157 11*. 1* 55 5.1* 3 .1 2.0 .9 .2 150 92 1*7 11 3.3 2.1 1.0 .2 102 102 9.3 9 .3 — — 27 7 20 2.6 .7 1.9 — — — — Diseases of the nervous system . . . . Diseases of skin and cellular tissues: Total .............................................................. Dermatitis .............................................. Other .......................................................... 1*3 .3 20 .3 18 •1* 3 .3 2 .2 291* 21*6 1*8 2.1 1.8 .3 171* 11*1 33 2.3 1.9 .1* 62 53 9 1.1* 1.2 .2 1*2 37 5 3.9 3.1* .5 16 15 l 1.6 1.5 .1 Diseases of bones and organs of movement: Total ..................................... Synovitis, b ursitis, tenosynovitis Other.......................................................... Ill-defined conditions ............................. Other ............................................................. 87 1*9 38 77 111* .6 .3 .3 •5 .8 62 36 26 37 53 .8 .5 .3 .5 .7 17 9 8 39 50 •1* .2 .2 .9 1.1 3 1 2 .3 .1 .2 .5 .3 .2 .1 •1* Eye irritations resulting from foreign bodies .................................................................. Strains, sprains ............................................. O ther............................. ........................................ 113 1*,699 62 .8 33.1* .1* 1*7 2,635 1*1 .6 35.1* .5 1*7 1,1*15 10 1.0 31*. 7 .6 Unclassified; insufficient data ................. 51*1* 1/ Percents are based on classified cases only. — 290 — 159 1.0 31.5 .2 — 7 .6 5 3 2 1 1* 9 297 5 .8 27.3 .5 10 352 6 — — 50 — 1*5 — ~ 4 b ~ Table 12.—Work Injuries in h ospitals, bv d ivision and department and nature o f Injury, 1953 Nature o f injury D ivision and departaent Total 1 / .................................. Total number of in ju rie s Amputa tio n s, enuc lea tion s Bruises, contu sions Burns, scalds Cuts, la ce iv ations Frac tures Her nias Occupa tion a l d is eases ir r i ta tion s Strains and sprains Other Un cla s s ifie d 14,595 81* 3,54i 899 1,680 1,1)90 362 1,119 113 4,699 62 544 P rofessional care d ivision s Total 1 / ............................... Anesthesiology • • • • • Central supply • • • • • C lin ica l laboratories • • Dental ............................... 7,684 XU 29 188 18 18 — 2,077 2 1 11* 1 195 — 2 21* 1 617 1 3 1*8 6 670 3 1* 11 1 123 1 1 1* — 71*0 2 7 1*3 2 26 __ — 2 — 2,891* 5 9 21* 5 35 289 H* — *2 1* 2 E lectrocardiography and electroencephalography « Medical lib ra ry ................ Medical records ................ Horsing education • • • • 6 2 U7 13 — — — — ——— — 1 — — — 3 2 — — 3 3 1 —. 1 — 1 — — —— 1 2 13 3 1 — — — — —— 2 — Nursing service ............... Occupational therapy • * Outpatient • ................... Pharmacy • ....................... Physical therapy • • • • 7,01*9 65 13 22 56 — — 1,966 23 2 6 10 16 1 — — 2 2 520 8 2 5 1* 611 8 1* — 2 22 1 — — 2,726 15 5 5 30 19 — — 1 — 269 3 — — R a d iology................... ... • S ocial service • . • • • 61 15 7 5 1 5 1 10 27 5 -1in — — 1 Flsnt operations and mainte nance d ivision s Total 1 / • Pern, d a ir y ....................... Food service and preparet i o n .................................. Housekeeping ................ • Laundry • • • • • • • • • Maintenance ................... . Plant p rotection . . . . Power . . . ....................... Transportation • . . . • Adm inistrative d iv ision : ............................... Adm inistration and c l e r i c a l ....................... ... Purchasing and issu ing • Special services • • • • Volunteer servloes . . . 1/ ___ — 17 1 — T — 2 .19 3 — 107 1 5 2 631 5 — — — 1 3 3 8 1 ___ 3 2 —* 1 — 3 6,1*85 171 61* 2 1,361* 27 695 3 1,031* 25 71*5 27 228 5 31*9 7 80 3 1,662 60 26 2 238 10 2,739 1 , 21*2 382 16 6 10*7 66 539 16 1 55 1*1* 262 167 37 55 37 16 123 79 20 5 9 3 572 299 91* 593 370 87 11 ——. 2 96 1*8 19 1,1*38 82 310 262 19 57 28 80 219 95 27 11 1*0 26 17 1*6 1 11 9 5 167 9 80 3 lot* 27 — 8 1 13 5 3 52 7 6 — 392 1 96 Total 1/ 6 28 71 10 29 7 131* 15 13 56 1 72 21 3 3 23 5 1 5 1 1 89 1*1 1* 273 102 16 1 — •— 38 3 3 2 1 ... n 3 1 1* 6 1 —— Includes fig u res not shown separately because o f in su fficie n t inform ation to classify* — 1* — 5 — — M. 1*01 30 78 1*0 — 2 — 1 9 JU 1 — 7 — _ 2 -4 7 - Table 1 3 .—Work in ju rie s in h osp ita ls, bv part o f body injured and nature o f in ju rv , 1953 Nature o f in ju ry Part o f body Injured Total number of in ju rie s Amputa tio n s, enuc lea tion s B ruises, contu sions Burns, scalds Cuts, la cer ations Frac tures Her nias Occupa tion a l d is eases ly e ir r i ta tion s Strains and sprains 1,680 1.1*90 362 1,119 113 lt.699 62 56 _ -. — — 113 113 — li2 3 — 39 3*4 30 12 9*4 1*0 1 53 67 35 2 30 1* 1 139 U* 82 10 17 13 3 ................... U*,595 8U 3 ,9 .1 899 Heads T o t a l ........................... B ye(s) .................................. Brain or skull . ................ O t h e r .................................. 1,291 381 93 817 1 1 585 82 73 1*30 80 33 Trunks Total • ....................... Chest (lu n g s), rib s • • • B ade...................................... A b d oa en .............................. H ip(s) or p e lv is ................ Shoulder • • • • • • • • • O t h e r .................................. 5,099 8U7 2,698 759 333 392 30 Upper extranitie s t Total • • Ara(s) ................................... Hand(s) ............................... F inger(s) ........................... 14,036 838 1,671 1,527 Loser extrem ities* Total • , I * « (« ) • ............................... Foot (fe e t) • • • • • • • Toe(s) ................................... 3,1*66 l,ii38 1,883 365 _„ Body, general ........................... 659 U nclassified; in su fficie n t data ...................................... ... 82 T otal • • • • • • — — __ hi 219 1*1* 5 170 hh — 362 — — 80 —1 79 770 216 283 271 516 155 297 61* 1,229 72 1|21 736 626 21h 232 180 -— 3 2 1,203 61*8 1409 lii6 153 56 96 1 179 87 80 12 51*7 127 233 187 2ta 112 18 8 3 6 — — 1 — —— 35 18 3 h 5 5 29 2 5 13 5 2 2 250 117 39 — 72 22 73U 223 157 121 135 85 13 — — —362 — 5U2 371 26 118 6 15 6 230 36 163 31 — — 10 1 — „, T — -T- r — — _ — __ 2,96U 101 2,386 130 92 2U9 6 Other “ — 1 1 1 " Un cla s s ifie d 9* — 1*0*4 123 212 69 10 2 14 14 171 20 58 95 60 I48 11 1 — — 1,200 1*07 783 10 5 2 3 116 61 1*8 7 — 172 — 72 9 25 — 21 — 17 r — 26 48 - - Table ll* .—TTork in ju ries in h ospitals, by part o f body injured and extent o f d is a b ilit y 1953 Number o f In ju ries Average number o f days charged per— Days lo s t or charged Resulting in Total Part o f bo^y injured Death and penaanentto ta l d is a b ilit rS / Permanentp a rtia ld lsa b ilit y Tempo raryto ta l disa b ilit y 518 1k Nuaber Per cent Total .................................. • • li*,593 100,0 Head! T o t a l ........................... B re(s) ................................... Brain or sku ll • ................ O t h e r ....................... ... 1,291 381 93 817 8.9 2.6 .6 5.7 u 5 Trunk: Total ....................... .... Chest (lu n gs), rib s • • • B ade...................................... Abdomen • • • • • • • • • fflLp(s) or p elv is ................ Shoulder . ....................... .... O t h e r .................................. 5,059 8U7 2,696 759 333 392 30 3U.9 5.8 18.7 5.2 2.3 2.7 .2 (2 ) 12 8 (2 ) 2 2 35U 327 20 1 5 1 Upper extrem ities: Total • • A r e (s )............................ • Hnnd(s) • • • « • • • • • F inger(s) ........................... 2:,036 838 1,671 1,527 27.8 5.8 11.5 10.5 — -r-- Loser extrem ities: Total • • L eg(s) .................................. Foot (fe e t) • • • • • • • T oe(s) • • • • • • • • • • 3,U66 1,2:38 1,663 365 23.9 9 .9 11.5 2.5 Body, general • • • • • • • • 659 U.5 U nclassified) in su fficie n t d a t a ............... ... ...................... 82 (5 ) 28 (2 ) 6 9 — 2 (1) (l) —— — — — — MM — (1) 8 2 — 129 8 18 103 Tempo raryto ta l disa b ilit y Per cent 1 / U»,0li7 899,2U3 100.0 62 16 1,271 372 91 808 65,1M 12:,887 12:,028 36,2:99 7.U 1.7 1.6 U .l 51 39 151 1:5 10 7 22 9 U,693 512 2,676 756 328 391 30 590,706 20:6,775 79,011 39,251: 17,1^ : 8,210 332 66.7 50.6 8 .9 22 12 19 1.9 .9 <2/> 117 527 29 52 51 21 11 3,907 830 92,720: 22,107 36,20:3 3U,19U 10.5 2.5 2 :.l 3.9 23 26 22 22 13 18 13 10 k* 5k 31 19 11 17 10 5 2 1.U28 1,658 363 72,062 la , 936 25,805 U,321 8.1 U.7 2.9 .5 21 29 16 12 15 19 13 11 k 6U7 6U,U51 7.3 96 19 80 13,866 ■■ 1 / Percents are based on c la s s ifie d cases only* 7 / Figures in parentheses indicate the number o f perm anent-total d is a b ilitie s included, / Less than 0 .0 5 . 2 Disabling in ju ry Number 49 Table 15.—Work in ju ries in h osp ita ls, by part o f body injured and type o f h osp ita l, 1953 Part o f body injured T o ta l...................................... Total number of in ju ries Number Per cent 1 / Type o f hospital Oeneral hospitals Number Mental hospitals Per cent 1/ Number Tuberculosis hospitals Per cent 1 / Special hospitals Number Per cent 1 / Ntanber Per cent 1/ lii,5S9 100.0 7,753 100.0 1*,61*1* 100.0 1,137 100.0 1,059 100.0 Heads Total ....................... ®ye(s) ............................... Brain or skull • • • . • Other . ........................... 1,291 381 93 817 8.9 2.6 .6 5.7 571 171 51* 31*6 7.1* 2.2 .7 1*.5 538 11*6 28 361* 11.6 3.2 .6 7.8 91* 1*1 6 1*7 8.3 3.6 .5 1*.2 88 23 5 60 8.1* 2.2 .5 5.7 Trunks Total ....................... Chest (lungs^ rib s • • • B ack ................................... Abdomen . ....................... H ip(s) or p elv is • • • • Shoulder ........................... O t h e r ............................... 5,059 8U7 2,698 759 333 392 30 3U.9 5.8 18.7 5.2 2.3 2.7 .2 2,71*7 361 1,638 362 167 206 13 35.7 i*.7 21.2 1*.7 2.2 2.7 .2 1,572 300 735 300 100 126 11 33.9 6.5 15.8 6.5 2.2 2.7 .2 1*09 137 ll*6 52 39 32 3 36.2 12.1 13.0 1*.6 3.1* 2.8 .3 331 1*9 179 1*5 27 28 3 31.5 1*.7 16.9 U.3 2.6 2.7 .3 Upper extrem ities: Total • Arn(s) .............................. Hand(s) ........................... F inger(s) . . . . . . . U,036 838 1,671 1,527 27.8 5.8 11.5 10.5 2,216 1*52 968 796 28.8 5.9 12.6 10.3 1,161* 269 1*1*7 1*1*8 25.2 5.8 9.7 9.7 311 57 118 136 27.5 5.0 10.1* 12.1 31*5 60 138 11*7 32.9 5.7 13.1 li* .l Lower extrem ities: Total • • ........................... Foot (fe e t) .................... Toe(s) . ........................... 3,1*66 1,1:38 1,663 365 23.9 9.9 11.5 2.5 1,836 712 906 218 23.8 9.2 11.8 2.8 1,111* 519 502 93 2U.1 11.3 10.8 2.0 265 101* 133 28 23 J* 9.2 11.7 2.5 251 105 122 26 23.9 9.8 11.6 2.5 Body, general • • • • • • • 659 1*.5 332 U.3 21*0 5.2 52 1*.6 35 3.3 U nclassified; in su fficie n t data • • • • • • ................ 82 9 —-* l/ — Percents are based on c la s s ifie d cases only* 51 — 16 6 — Table 16«—Work In ju ries in h osp ita ls, by d ivision and department and part of body in ju red , 1953 Pert o f body injured D ivision and department Total 1 / ....................... ... Total number of in ju rie s 1 / Trunk Upper extrem ities Lower extrem ities Head To ta l 1 / Chest Back Abdo men To ta l y Arm Hand Finger Tot a ll/ 1,671 1,527 3,1*66 Foot Body, gen eral 1,1.58 1 ,6 « 659 766 1 — H* 81*5 572 — 3 if* lit, 595 1,291 5,059 81,7 2,696 759 1*,036 838 P rofessional care d ivision s Total 1 / ........................... Anesthesiology • • • • Central supply • • • • C lin ica l lab ora tories • Dental ....................... • 7,681. lU 29 188 18 755 —~ 1 21 2 3 ,oia 9 12 51* 7 521* 3 2 23 1 1,701 5 7 13 3 1*17 1 2 15 1 1,721 3 9 67 7 375 1 3 10 — 71*0 - —• 3 25 2 606 2 3 32 5 1,71*6 2 1* 31 2 Electrocardiography and electroencephalography • • • • • • • • Medical lib ra ry • • • • Medical records • • • • Nursing education • • • 6 2 1*7 13 2 — 6 1 1* 2 12 1* 1 —» 5 2 2 2 5 2 1 — — 3 1 —— 2 1 13 3 — 7 2 —— 6 1 Nursing service • • • • Occupational therapy • Outpatient • * • • • • Pharmacy • • • • • • • Physical therapy • • • 7,01*9 65 13 22 56 680 10 1 3 10 2,801 18 1* 6 30 1*59 1* 681* 6 2 1* 51*8 1* 1 1 1 1,621* 18 3 7 7 719 8 2 2 1* 781 9 1 1* 3 61 15 3 1* 3 6 5 Radiology • • • • • • • S ocial service • . • . 1 9 3 1* 1 379 2 1 1 1,591 6 1 3 23 1 1 1,572 13 5 1* 7 31*0 3 1* 1 2 31 2 6 —~ 22 — 2 — 10 1* 2 3 7 — 1 1 13 5 — — 1* 15 2 — — 7 2 327 6 — 2 1 3 — Plant operations and maintenance d iv isio n : Total 1 / ........................... Pam , dairy • • • • • • Food service and preparation . . . . . . . Housekeeping • • • • • Laundry • • • • • • • • 6,1*85 171 1*95 H* 1,871* 60 297 6 925 35 321* 7 2,232 1*1* 1*1*0 10 893 16 899 18 1,587 1*5 615 21* 758 16 271* 8 2,739 1,21*2 382 136 109 21 655 386 lot* 109 57 12 315 201 52 97 53 20 1,161 369 158 220 71* 37 1*76 160 61* 1*65 135 57 657 322 87 21*7 128 1*0 335 151* 30 120 51 11 Maintenance • • • • • • Plant p rotection • • • Power . . . .................... Transportation . . . . 1,1*38 82 310 101* 165 5 33 ll 1*77 31 109 1*8 82 5 18 7 233 H* 1*5 27 100 6 33 8 388 15 70 20 72 138 6 25 6 178 9 29 1* 339 25 83 25 131 12 25 7 H*7 13 1*7 H* 63 6 15 — 392 1*1 135 21* 66 17 75 23 33 19 127 51* 58 12 273 32 81* 16 37 5 55 22 22 11 89 36 1*7 11 102 16 1 7 2 1*6 5 —— 7 1 26 3 11 1 13 6 1 1 1* 6 1 8 —— ** 35 3 — 17 1 Adm inistrative d iv isio n : Total 1 / ........................... Adm inistration and c le r ic a l ....................... Purchasing and issuing • • • • • • • Special services • • • Volunteer services • « 1/ — 16 10 — Includes data not shown separately because o f in s u fficie n t space and/or in su fficie n t inform ation to cla ssify . 10 1 — 1 — - 51 - Table 17.— Work in ju rie s in h osp itals, by occupation and type o f h ospital, 1953 Type o f hosnital General hospitals Occupation Mental hospitals ftb ercu losis hospitals Special hospitals Number of in ju ries Number o f days lo s t or charged Number of in ju ries Number o f days lo s t or charged Number of in ju ries Number o f days lo s t or charged Number of in ju ries Number o f days lo s t or charged 7,753 U57.653 U,61*l* 2Jl*,635 1,137 163,01*8 1,059 1*3,907 Administrator ................... . Ambulance attendant • • • • Ambulance d river ................ A nesthesiologist ................ Attendant, nursing service . . . . . . . . . 11 10 19 13 988 2t*u 265 2,1*97 3 52 2 3 ___ H* ___ 5 1 1 28 — 2 180 iiio 36,1*06 2,560 101,805 135 26,239 222 1*»868 Auto mechanic . « • • • • • Baker and helper • • • • . Barber, beautician . . . . Carpenter and helper • • • Chauffeur, N. E« C................ 9 16 1 80 17 6,085 1*06 11 U.901 6,1*11* 11 11* 10 69 a 63 1,376 1,297 !*,866 1,576 2 3 5 15 13 9 532 711 1 16 1* __ . — 1 179 105 C h e f ...................................... Clerk, general o ffic e « • • C lerk-typist ................... • C o o k ...................................... Cook's helper • • • • • • • 18 81 27 332 13 191 U,390 1,14*5 15,357 163 5 163 6 ,.,r2,1*91* 72 2,651 160 1 6 1 1*9 5 50 1,239 12 3,133 51 1 1* 1 33 1* 7 61* 3 839 1*6 D ie titia n ............................... Dishwasher • • • • • • • • E lectricia n and helper • • Elevator operator • • • • • Executive housekeeper • . • 33 107 39 3l* 57 913 3,235 1,881* 6,515 2,162 6 2 23 1 21* 57 50 1,582 17 326 6 8 9 1* 6 ill* 223 139 25 380 5 6 2 7 7 H* 1*5 59 87 1*2 Farm hand ............................... F ir e fig h te r ........................... Fireman, stationary b o ile r .............................. . F loor clerk • Food service supervisor • • 1 6 1 151 117 7 8,115 1,251* 9 1 203 7 18 — 150 ___ 56 30 9 911* 2,61*0 170 31 3 3 351* 2,01*7 1,212 2 9 2 2 170 23 35 Groundskeeper . • • • • • • Handyman • • • • • • • • • Kitchen helper • • • • • • Laboratory helper • • • • • Laboratory technician • • • 1*9 236 753 30 121 6,771* 9,1*59 19,099 2,081 21,185 33 106 281 3 1* 873 3,910 9 ,3 a 27 1,227 £8 5 28 91* — 5 1 , 2a 353 10,190 10 3U3 10,191 12,1*87 3,652 7,211 106 3 30 370 15,605 2,309 81 1*31 7 28 1*2 13 29 107 1,562 7,663 299 1*79 1* 1*0 25 1 5 13 2,372 1,552 3 87 55 5 1 3 65 1,605 1* 1 l*,2l*5 2 69 1*1 ia 1,2 32 12,809 3,511 27,986 2 1 107 55 88 1,9 53 3,263 1* 1 5 11 5 1*,800 1,200 1,305 1,291* 1*9 1* 1 20 5 2 13 5 221 60 7 T o ta l...................................... Laundry manager • • • • • « M a id ........................... ... • • Maintenance man, general • Mason and brick layer • • • Meat c u t t e r ....................... .... n* 1*78 _ __ 13 Medical lib ra ria n ................ Medical records librarian » Nurse a i d e ................... Nurse, p r a c t i c a l ................ Nurse, registered • • • • • 9 23 1,169 261 1,057 83,582 1 1 13 10 218 Nurse, student • • • • • • Occupational therapist . • Orderly Painter and helper • • • • Phanaacist • • • • • • • • 195 9 209 109 6 21,31*7 1,1*68 12,591* 9,606 37 1*3 27 5 1*8 — T 1,307 21*,126 3,291 1,521* 1*3 826 — — 1 —- a 2 2 17 - — — 2 11 -1— 807 3,100 5 a 1* 5 2 , 1*93 — 52— Table 17.—Work In ju ries in h osp itals, by occupation and type o f h ospitals, 1953—‘Continued Type o f hospital General hospitals Tuberculosis hospitals Mental hospitals Special hospitals Number o f days lo s t or charged Number of in ju ries Number o f days lo s t or charged 397 618 19*537 123 1*033 17,7li* 11 28 11 1*8 29 101 820 11*5 958 6,370 2 5 1 6 68 51* 2,1*82 1* 96 10,392 Presaer • ............................... Seamstress, ta ilo r • . • • • Sheet metal worker • . • • • Social service worker • • • Stationary engineer • • • • 1*2 38 3 1*,021 399 22 U*329 78 365 303 86 896 1 3 96 1* 12 13 6 37 ~1 18 7 112 -— 5 1,509 ___ 2 16 79 80 — 21* 1,032 Steam fitter and helper • • . Stenographer, secretary • • S to re k e e p e r........................... Stores clerk ....................... • Telephone operator • • • • • 10 26 36 19 19 161* 1,71*5 73? 8 9 8 2Sk 1,61*7 k k 1,235 2,1*61* 271 82 1,1*09 2 1* 3 3 2 7 2,1*13 1,213 11 20 1 3 5 9 2 37 6 19 228 57 Tray g ir l ............................... Truck d river * • • • • • • • W aitress, waiter • • • • • • Wall washer • • • • • • • • Washman, laundress ................ 82 25 120 9 173 1,1*22 763 1*376 21*5 13,336 r19 116 r6,297 1,1*95 k 1*7 373 1,775 60 1*,725 1* 1* 15 1* 21* 29 17 1*56 11*9 237 Watchnan .................................. X-ray technician • • • • • • Other ...................................... 1*5 39 122 U nclassified) in su fficie n t inform ation • • • • • • • • 55 Occupation Number of in ju ries Physical therapist ................ Physician, surgeon, intern • P lasterer and helper . . • • Pltaiber and helper . • • • • Porter « .................................. 2U 33 6 3k k 93 Ntmber of in ju ries Number o f days lo s t or charged Number of in ju ries 12 U ~ 53 3 k Number o f days lo s t or charged 178 27 __ 116 716 59 1,962 17 29 2 17 8,179 2,U93 8,103 25 1* 86 1,975 1,277 10,262 10 2 17 1,710 1,883 2,785 8 3 26 119 1,1*05 7,796 755 99 5,853 9 2,906 20 221 — _ — 53 — Table 18#—Work in ju ries in h osp itals, by occupation and nature o f in ju ry, 1953 Nature o f injury Trt+.*1 number Amputa of tio n s, enuc in ju lea rie s tions Occupation T otal • • • • • • • • Bruises, Burns, contu scalds sions Strains and sprains Other Un cla s s ifie d 3 ,5 ia 899 1,680 i,a 9 o 362 1,119 113 U,699 62 5aa 5 5 5 2 2 1 1 ... ___ — — ... ... 7 2 9 5 ... ... ___ ... —. ... C h e f........................... Clerk, general o ffic e C lerk-typist • • • • Cook • • • • • • • • Cook*s helper • • • • 20 lOU _Tr_ D ietitian ................... Dishwasher • • • • • E lectricia n and helper • • • • • • • Elevator operator • • Executive housekeeper 50 123 Farm hand................... F irefigh ter • • • • • Fireman, stationary • flo o r c le r k ................ Food service supervisor • • • • • 1U5 lli 117 37 — — 29 13 16 — 5 Groundskeeper • • • • Handyman.................... Kitchen helper . . . Laboratory helper • • laboratory technician 10U 1 U33 1,312 lil li li — lliO — Eye ir r i ta tions 81i 22 33 12 178 51 3U 577 28 73 U6 9li 1 a i a 3 7 1,118 32 2U5 306 ___ — — 15 — 5 1 3 1 3 6 1 — — 7 1 2 ... 1 1 25 601 178 18 67 — — 1 — 6 3 35 12 1 18 li — — — 52 1 5 5 1 5 5 a 9 90 li 151 7 116 6 12 20 7 lli a 22 15 2li 23 9 6 22 — —— — 2 5 2 1 17 11 22 2 2 2 — — 19 5 16 68 26^ 11 86 21 299 U 9 189 7 7 —rT. 2 1j5 89 9 30 U 32 1 1L6 3 32 li 2 10 • • 12 — 5 . • • • 27 — 1,358 367 — Nurse, student • • • Occupational therapist • • • • • Orderly « • • • • • • Fainter and helper. • Pharmacist • • • • • Occupa tion a l d is eases .irn ---- 3,327 . • • • Her nias 19 10 21 Hi Auto mechanic • • • • Baker and helper • • Barber, beautician • Carpenter and helper. Chauffeur, N. E. C. • Medical librarian M adical-recards librarian . . . Nurse aide • • • Nurse, p ra ctica l Nurse, registered Frac tures 1U,S93 Administrator • • • • Ambulance attendant • Ambulance d riv er. • • A nesthesiologist • • Attendant, nursing service • • • • • • laundry manager . . . M a id ........................... Maintenance man, general • • • • • • Mason and brick layer. Meat cu tter ................ Cuts, la cer ations lli — — 31 2 3 — a5 257 13 1,1 76 1 — 2 3 3 — 7 19 5 a ___ ... ... —. 7 —- 12 6 2 26 22 a i 9 2 ,— 20 i 3 9 5 53 1 18 2 1 16 3 8 ___ 1 17 a 16 10 6 2a i i i 27 2 Hi 7 —6 a — — 15 aa 132 ... 10 ... 3 — — — 7 aa 12 111 ... 6 122 ... 3 2 a — — ... — i i 2 5 — 2 13 1 ... 3 1 15 19 1 8 7 a 2 15 1 8 33 a 3 3 ... — — 3 5 5 3 1 3 6 1 -— 1 29 2 2 1 a a — 1 — 6 26 20 8 — —— 6 — 1 6 2 31 12 3 1 80 2 __ 2 ao — 21 1 a 1 2 9 — — 2 ... 2 29 5 130 283 a 1 6 a 10 50 3 2 22 10 11 172 —- 2 26 3 5 mnTlm 5 5a 1 — 7 9 — 7 i i 8 — a 2 a9 — 62 6 36 i — — 1 1 1 3 — 5 — 1 ... 5 8 — ... 3 2 12 328 17 1,1»8U 7 3a 3lil 39 21 108 83 3 72 92 — 55 11 158 5 20 32 207 2U6 1 iiO 18 39 11 a 50 2 77 — a 38 239 173 13 1 13 28 35 a 1 11 ... 2 7 136 53 — — — 6 — 8 6 — 2 96 3 15 16 2 3 — 16 15 8 19 — — 13 18 — ... 637 156 51il 5 a i 6 __ 1 — 59 15 5a 8 10 —- - 54 - Table 18*—Work In ju ries in h osp itals, by occupation and nature o f in ju ry , 1953—-Continued Occupation Physical th erap ist, • Physician, surgeon, intern ....................... P lasterer and helper. Plumber and helper. • Porter ....................... Tr«+J»T number Amputa tio n s, of in ju enuc rie s lea tion s h9 — Nature o f in ju ry B ruises, Burns, contu scalds sions Cuts, la cer ations 2 9 h Frac tures Her nias 2 Occupa tion a l d is eases 1 Eye ir r i ta tion s 2 3 , 6 17 28 1 10 7U 15 11 3 3 23 16 2 1 -— 16 5 18 2 1 2 3 h 2 l 3 11 11 6 6 2 2 1 3 8 7 -9 2 3 2 U 9 — 5 3 2 7 2 3 2 U Strains and sprains 2k 70 18 95 5U7 ___ —1 2 10 3 11 117 Prosser . . . . . . . Seamstress, t a ilo r . • Sheet metal worker. • S ocial serv ice worker Stationary engineer • 5o 57 16 13 167 1 1 —— — 7 Steam fitter and helper • • • • • • • Stenographer, secretary • • • • • Storekeeper • • • • • Stores clerk • . • • Telephone operator. • 21 — U2 52 35 27 __ 1 — — — Tray g ir l • • • • • • Truck d river • • • • W aitress, w aiter. • • Wall w asher................ Waslaoan, laundress. • 90 65 280 35 273 ,— — 2 — 2 22 1U 71* 2 68 15 2 38 —35 10 28 3 28 9 10 37 1 30 Watchman • • « • • * X-ray technician • • Other • • • • • • • • 88 U8 251 1 2 26 5 5U U — 12 U 3 28 9 9 31 5 — 3 8 20 3 79 U nclassified] insuf fic ie n t inform ation. 183 3 38 11 32 18 7 15 1 31* — U* — Hi 7 2 12 62 2 2 u U2 5 — 8 -— 2 1 3 — 25 15 — 15 26 2 6 31 — 1 1 12 2 8 5 16 5 5 1 8 18 7 25 165 —1 — 6 8 15 5 5 Ii5 — 2 __ — — — — 2 1 5 — 2 •Ml 1 2 — 1 — 6 18 — — — — — 2 — u 1* —- — 12 21 12 5 _. 1 1 — __ -— — — 1 1 u 22 20 77 3 59 28 — Other Un cla s s ifie d 22 — — 2 11 — 13 3 6 1 11 1 — — 2 22 Table 19.—Work in ju ries in h ospitals, by occupation and part o f body injured, 1953 Part o f body injured Total number of in ju Head ries 1 / To ta l 1 / Chest T o t a l.............................. lit,59? Administrator ............... Ambulance attendant • . Ambulance d river • . . A nesthesiologist . . . Attendant, nursing service . . . . . . . 19 10 21 ll* Occupation Back To ta l 1 / Arm Hand Finger To ta l 1 / Leg Foot Body, gen eral 1,527 3,1*66 1,1*38 1,663 659 3 2 1 -__ __ 1 2 ___ 1* _ 1 ___ —___ 770 367 355 11*9 __ 2 1 12 5 2 2 1 11 8 __ 1 — 6 — 5,059 81*7 2,698 759 1*,036 838 1,671 7 1* 11 8 .. , 2 2 3 5 7 5 M ||ir 1 1 _ 2 2 5 1* 1 2 2 1 1 —1 1 1*00 1,21*8 230 615 228 71*6 _ Auto m echanic................ Baker and helper . . . Barber, beautician . . Carpenter and helper • Chauffeur, N. E. C. • 22 33 12 178 51 2 1 1 23 2 11 10 2 38 28 2 1 8 3 15 17 C h e f .............................. Clerk, general o ffic e . C lerk-typist ............... C o o k .............................. Cook's h e lp e r ............... 20 1QU 3l* 577 28 2 10 1* 21* — 6 35 11 116 6 -- r 7 1 18 1 D ietitian ....................... Dishwasher ................... E lectricia n and helper E levator operator . Executive housekeeper . 50 123 73 1*6 2 7 12 8 9k k 10 27 15 9 25 Farm hand....................... F irefigh ter ................... Fireman, stationary . . F loor c l e r k ................... Food service supervisor 11*5 Hi 117 57 16 11 2 13 8 — Groundskeeper ............... Handyman ....................... Kitchen helper . . . . Laboratory helper . . . Laboratory technician . Id* 1*33 1,312 la li*0 Laundry manager . . . . M a id ............................... Maintenance man, gene r a l .............................. Mason and bricklayer . Meat cu tter ................... Lower extrem ities Abdo men 6 1* 1 1,291 3,327 Upper extrem ities Trunk 307 2 2 265 8 5 1 1 _— 8 3 1* 5 6 16 3 — 58 1 3 7 3 28 H* 1* 16 6 59 3 1 1* 1 22 2 5 18 3 250 15 1 7 1 63 6 2 7 1 87 5 2 1* 1 100 1* 3 39 15 na 7 12 6 56 3 2 21* 9 72 1* 1* 2 1 1*1* — 1* 1* 1 1* 5 10 9 1* 13 1 6 1 1 1 15 60 22 H* 29 1* 6 6 5 7 5 30 7 5 11* 6 21* 9 1* 8 20 20 16 12 31 8 11 6 5 15 12 8 7 1* H* 3 8 7 1 1* 1*6 5 38 10 7 1* 1 8 3 26 3 17 1* 5 7 10 l — 1*0 2 29 6 3 10 — 10 2 1 H* 2 7 3 1 16 — 12 1 1 1*3 5 29 11 6 21 — 10 2 17 5 17 6 1* 8 1*5 70 7 13 33 11*9 318 11 1*7 2 21* 55 1* 16 21 71* 11*8 3 H* 7 37 1*9 3 15 23 101* 563 18 1*3 3 23 92 6 3 12 51* 230 7 17 8 1*7 21a 5 23 30 119 513 3 23 H* 1*5 112 — 11 11 51 159 3 11 10 15 1*6 1 H* 25 601 1 111* 11* 153 1 27 7 71 2 10 1* 196 1 38 1 97 2 61 1* 178 2 81 2 81 2 29 178 18 67 16 3 5 61 7 11 10 1 2 30 5 6 11 3 2 53 2 ia 8 22 2 11 23 23 1*0 5 7 12 1* 1 21 1 3 7 1 2 k — 7 5 8 2 — 12 2 -i . 1* __ __ 2 1 1 1* 27 1,358 367 1,1*81* 1* 91 29 122 1* 582 11*9 593 2 66 15 101* 2 396 99 31*7 — 51 13 57 7 333 88 209 3 63 17 72 3 162 38 131 1 108 33 96 9 306 82 363 5 128 33 11*1* 1* 151* 1*0 186 3 la 18 87 Nurse, student . . . . Occupational therapist Orderly ........................... Painter and helper . • Pharmacist ................... 2l*6 38 239 173 13 21* 6 13 22 1 76 12 11*5 66 1* 23 1* 16 H* — 1*2 6 93 32 3 7 — 22 10 — 70 9 37 1*3 2 11 1 1* 9 1 25 1* 22 23 1 31* 1* 11 11 51 7 33 35 6 22 1* 16 15 2 25 3 12 15 3 21* 1* 8 6 ... k — Medical lib ra ria n . . . M edical-records lib r a r t a n .............................. Nurse aide ................... Nurse, p ra ctica l . . • Nurse, registered . . . See footnote at end o f ta b le. . — 1 8 ~ 6 H* 6 82 7 7 3 2 2 171* — — 56— Table 19 .—’ fork in ju ries in h ospitals, by occupation and part o f body injured, 1953—Continued Part o f body injured Occupation Total number of in ju ries 1 / Trunk Head To ta l 1 / Upper extrem ities Chest Back Abdo men To ta l 1 / Arm Hand Lower extrem ities Finger To ta l 1 / Leg Foot Physical therapist . . Physician, surgeon, intern ....................... P lasterer and helper . Plumber and helper . . Porter . . . ............... 1*9 9 21* 17 2 5 2 3 9 3 5 70 18 95 51*7 9 3 15 55 39 8 30 229 15 2 3 27 13 3 18 119 8 2 5 52 7 2 23 139 2 1* 1 7 59 1 1 8 55 8 5 20 107 1 2 7 32 6 2 8 1*9 Presser ....................... Seamstress, ta ilo r . • Sheet metal worker • . S ocial service worker Stationary engineer • 50 57 16 13 167 3 9 1* 2 17 8 5 5 3 61 1 2 3 3 3 16 7 2 8 16 _____ 7 11 1* 5 1*3 2 3 2 12 2 7 2 5 23 Steamfit t e r and helper Stenographer, secret a r y ........................... Storekeeper ............... Stores clerk ............... Telephone operator . . 21 1*2 52 55 27 1 1* 2 1* Tray g ir l ................... Truck driwer ............... W aitress, w aiter . . . Wall w a s h e r ............... Washman, laundress . . 90 65 280 15 273 Watchman....................... X-ray technician . . • Other ........................... U nclassified; in s u ffi cien t inform ation . • ____ — 8 25 8 1* _____ 16 32 27 2 3 39 3 1 6 H* 21 16 8 5 2 1 3 6 13 10 1 B, „ 5 1* 8 9 8 9 1* 8 16 1 15 17 22 83 5 73 1* 2 15 — 8 9 11* UU l 37 3 1* 5 1 17 36 H* 97 6 107 88 1*8 251 5 1 15 32 27 97 9 5 20 10 18 50 7 3 11 183 13 56 19 20 8 3 1* _____ 8 — 1 _____ 27 — Body, gen eral 1 6 — 7 12 M, , 5 1 15 — 19 1 1* 1 7 3 2 2 1 2 5 5 7 1* 3 3 2 16 17 9 5 8 11 1* 3 7 2 1* 2 1* 3 25 1 27 21* 6 1*3 2 W* 8 5 29 3 36 30 20 71* 2 68 8 6 33 ___ 31 20 11 35 2 25 3 1 8 1 9 19 6 57 1 1 12 8 1* 19 10 1 26 27 11 72 15 3 30 12 1* 36 5 2 9 55 12 15 28 1*1 19 16 8 3 5 — _____ — _____ — 1 / Includes data not shown separately. ☆ U. S. GOVERNMENT PRINTING OFFICE : 1958 O - 458249 7 1 3 1 — 1 REPORTS ON WORK INJURIES ANI ACCIDENT CAUSES Annual Reports or Work I n ju r ie s : A c o lle c tio n o f basic w ork-injury data fo r each year, presenting n atio n al average injury-frequency and se v e r ity rates fo r each of the major in d u stries in the United S ta tes* Individual e s ta b lis h ments may evaluate th e ir own inju ry records by comparison with these d ata. B u lle tin 11 L 1137 1098 6 Work In ju rie s in the United S tates Work In ju rie s in the United S tates Work In ju rie s in the United S tates Price During 1952 ..................... 3C cents* During 1951 • • , • • 25 cen ts* During1 9 5 C ......................... 25 cen ts* In ju rie s and Accident Causes: Intensive stu d ies o f the frequency and s e v e r ity o f work in ju r ie s , the kinds o f in ju r ie s , types o f a c cid e n ts, and/or causes o f accidents in sele c te d major in d u str ie s: B u lle tin 1190 117h 1139 Price Woodworking Circular-Saw A c c i d e n t s ............................................. U5 In ju rie s and Accident Causes in WarehousingOperations. . U0 In ju rie s and Accident Causes in the Manufacture of ................................ 35 Paperboard C o n ta in e r s ............................ 1110 In ju rie s and Accident Causes in Carpentry Operations. . • 35 1079 In ju rie s and Accident Causes in Pluinbing Operations • • • 25 1036 In ju ries and Accident Causes in the Manufacture o f Pulp and Paper .......................................................................... ........................... 30 1023 In ju rie s and Accident Causes in the Manufacture o f Clay Construction Products ........................................................................... 30 962 In ju rie s and Accident Causes in T e x tile Dyeing and F i n i s h i n g .......................................... .... ......................................... .... . . U$ 88b In ju rie s and Accident Causes in the Brewing Industry. , . 15 855 In ju rie s and Accident Causes in the Slaugntering and Meatpacking Industry, 1 9 U 3 .............................................................15 S p e cia l S eries No, 5 In ju rie s to Crewmen on Inland Waterways , • • 20 BLS Report No. 28 In ju ry Rate V ariations in the B oilersh op Products Industry, 1951 • • • • • ............................. ** BLS Report No. 62 Injury Rates in the Fluid-M ilk Industry, 1952. • * * BLS Report No. 83 In ju rie s and Injury Rates in Water-Supply U t i l i t i e s , 1953 ................................................................. * * BIS Report No. 101 Work In ju rie s in the Canning and Preserving Industry, 1952 ..................................................................... ** BIS Report No.lOU In ju rie s and Injury Rates in the B ottled S o f t Drink Industry, 1 9 5 b .......................................... .... ** BIS Report N o.125 In ju rie s and Injury Rates in the Fabricated S tru ctu ral S te e l and Ornamental Metalwork Industry, 1 9 5 U ............................ ......... ................................* * cents* cen ts* cents* cen ts* cents* cen ts* cen ts* cen ts* cents* cents* cents* *For sa le by Superintendent o f Documents at prices in d ica te d . How to order p u b lic a tio n s: Address your order to the Superintendent o f Documents, Washington 25, D. C ., with remittance in check or money order. Currency sent at sen d er's r i s k . Postage stamps not a ccep tab le. Publications can be purchased a lso at the follow in g BIS Regional O ffic e s : 3b l Ninth A v e ., New York 1 , N. Y .; 105 W. Adams S t . , Chicago 3 , 111 630 Sansome S t . , San Francisco 1 1 , C a l i f . j 18 Oliver S t . , Boston 1 0 , M ass.; and 5C Seventh S t . , N. E . , A tla n ta 23, Ga. .5 **Free— address request to Bureau o f Labor S t a t i s t i c s , U. S . Department o f Labor, Washington 25, D. C.