The proportion of medium sized manufacturing factories performing medical emergency preparedness and response according to United States Occupational Safety and Health Administration (U.S. OSHA) standards
Keywords:medical emergency condition, emergency preparedness and response, Occupational safety and health management
A medical emergency is a health condition with harmful effects on the body, which can be unpredictable and even life-threatening. Preparedness for medical emergencies is crucial, and planning for this is one of the roles of occupational safety and health management. However, Occupational safety and health legislation in Thailand does not cover medical emergency preparedness as thoroughly as the U.S. Occupational Safety and Health Administration (U.S. OSHA) standards. Medium-sized manufacturing factories are common throughout northeastern Thailand. The objective of this research was to survey medium-sized manufacturing factories in Khon Kaen and Nakhon Ratchasima provinces to determine the proportion that performs medical emergency preparedness and responses following the U.S. OSHA standards. This research was a descriptive study. The research tool was a questionnaire with two parts: (a) characteristics of the factory; and (b) medical emergency preparedness and response comprised of policy-making, procedure preparation, first responder training, and the audit system. The results showed that 2.6% (95% CI =0.6 – 4.0) of the factories were completely prepared to respond to a medical emergency according to U.S. OSHA standards. All factories adhered to international occupational safety and health standards, in addition to Thai legislation, including policies for medical emergency preparedness and response. This study found that having basic life support (BLS) training (following the American Heart Association guidelines) for all programs had the lowest proportion at 3.5% (95% CI =1.2-5.8), the supply of an automated external defibrillator (AED) 6.5% (95% CI =4.6-9.2), and a post-incident auditing system at 9.1% (95% CI=7.5-11.6). In conclusion, medium-sized manufacturing factories which performed complete medical emergency preparedness and response was a small proportion. This issue needs support for development according to U.S. OSHA standards.
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