@article{ref1,
title="Effectiveness of Health and Safety at Work Services (PSAL) in reducing occupational injuries in Lombardy Region.",
journal="La Medicina del lavoro",
year="2018",
author="Ruggiero, Nicole and Magna, Battista and Cornaggia, Nicoletta and Rosa, Anna Maria and Ferrero, Orazio and Mazzieri, Massimiliano and Consonni, Dario and Cantoni, Susanna",
volume="109",
number="2",
pages="110-124",
abstract="INTRODUCTION: In recent years, Italy has seen a reduction in workplace accidents due to several factors, including the controls carried out by the Health and Safety at Work Services (PSAL) of the Local Health Units (ATS). <br><br>OBJECTIVE: To verify the contribution of PSAL Services to injury reduction. In particular, to identify the existence of a difference between incidence rates of accidents in companies before and after inspections and possible variations in rates between inspected and non-inspected companies. <br><br>METHODS: We analyzed data of the activities carried out by the PSAL Services of the Lombardy Region in the system I.M.Pre.S@ (Computerization and Health Prevention Monitoring) in the period 2010-2015, together with data from the Regional Accident Database of the National Institute for Insurance against Accidents at Work (INAIL). The &quot;difference in difference&quot; (DID) method was used to evaluate the different effect on inspected and non-inspected industries. <br><br>RESULTS: Between the pre- and post-vigilance periods, inspected companies showed a greater reduction either of total injury rates (DID=-2.7 per 1000 worker-years; 90% confidence interval (CI): -4.1; -1.3) or of severe injury rates (DID=-1.1; 90% CI: -1.7; -0.5). These effects were visible in the majority of ATS and occupational sectors. <br><br>CONCLUSIONS: This study, made possible by a valid and efficient regional data tracking system, has shown the positive effect of the PSAL prevention actions on the frequency of both total and severe injuries.<p /> <p>Language: it</p>",
language="it",
issn="0025-7818",
doi="",
url="http://dx.doi.org/"
}