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Papers by Silvano Santoro
Occupational Medicine, Nov 2, 2019
Background Storytelling is an effective information source when coupled with technical-scientific... more Background Storytelling is an effective information source when coupled with technical-scientific evidence. It can promote a structured relationship between evidence-based knowledge and field experience of workplace safety and prevention services (WSPS) inspectors. This is key to identifying the causes of workplace injuries and to set priorities for prevention strategies. Aims The main aim was to describe and report how story collection can be used for deriving validated indications for injury prevention. The specific objectives were to report the results of the creation and dissemination on the web of the story collection and the experience of setting up a community of practice (CoP) to develop preventive recommendations. Methods WSPS inspectors from local health boards in Piedmont (northwest Italy) were asked to write injury stories. They identified the key elements of their stories and developed a narrative of witness accounts to explore the critical issues identified during the investigation. In sessions with the CoP, the inspectors validated the indications for prevention elaborated in each story to reduce bias and standardize recommendations. Results Between 2012 and 2017, 60 WSPS inspectors wrote 53 injury stories which were collected and published on the institutional website. Twenty-two stories were selected for discussion during peer review sessions in the CoP and the indications for prevention were transformed as preventive solutions. Conclusions Occupational safety and health prevention can benefit from a narrative-based approach that provides a more comprehensive look at health and safety by facilitating knowledge improvement and sharing.
Medicina Del Lavoro, May 26, 2016
La Medicina del lavoro
Exposure to carcinogens is still widespread in working environments. For the purpose of defining ... more Exposure to carcinogens is still widespread in working environments. For the purpose of defining priority of interventions, it is necessary to estimate the number and the geographic distribution of workers potentially exposed to carcinogens. It could therefore be useful to test the use of tools and information sources already available in order to map the distribution of exposure to carcinogens. Formaldehyde is suggested as an example of an occupational carcinogen in this study. The study aimed at verifying and investigating the potential of 3 integrated databases: MATline, CAREX, and company databases resulting from occupational accident and disease claims (INAIL), in order to estimate the number of workers exposed to formaldehyde and map their distribution in the Piedmont Region. The list of manufacturing processes involving exposure to formaldehyde was sorted by MIATline; for each process the number of firms and employees were obtained from the INAIL archives. By applying the pre...
La Medicina del lavoro, Jun 28, 2017
Occupational Health and Safety (OSH) inspectors of the Health Units of Piedmont Region wrote 47 c... more Occupational Health and Safety (OSH) inspectors of the Health Units of Piedmont Region wrote 47 case histories based on data gathered from injury investigations as part of the project "From the injury investigation reports to case histories: creation of a collection of case histories on occupational injuries". Afterwards a Community of Practice (CoP) was initiated with the aim of sharing recommendations for prevention of occupational injuries. The aims of the article are: 1) to describe the implementation process of the CoP; 2) to evaluate the benefits of CoP regarding the improvement of professional practice of OSH inspectors. Two injury case histories were peer reviewed during each meeting of the CoP. A focus group was set up to evaluate benefits of CoP. Seven OSH inspectors participated in this focus group. Eight CoP meetings were organized and about 70 OSH inspectors participated. Fourteen stories were peer reviewed and eight were published on www.dors.it. Operators in...
Medicina Del Lavoro, 2016
Introduzione: Molti autori considerano la narrazione della dinamica infortunistica fondamentale p... more Introduzione: Molti autori considerano la narrazione della dinamica infortunistica fondamentale per l’analisi eziologica e l’identificazione di priorita e strategie di intervento, consentendo l’approfondimento di comportamenti complessi, attitudini e interazioni dei soggetti nella ricostruzione dei processi decisionali e del contesto in cui si e verificato l’infortunio. I racconti di situazioni realmente accadute costituiscono un metodo efficace per il passaggio delle conoscenze e un buon sistema per farle ricordare. Obiettivi: Obiettivo principale e descrivere l’esperienza di un sistema di raccolta di storie di infortunio, valorizzate da indicazioni per la prevenzione validate e sistematizzate, per migliorare la diffusione delle informazioni mediante un metodo di trasferimento delle evidenze basato sulla narrazione degli eventi infortunistici. Metodi: L’arruolamento degli operatori dei Servizi PreSAL delle ASL invitati a fornire le storie di infortunio e avvenuto mediante seminari ...
Annali dell'Istituto superiore di sanita, 2008
MATline is a tool that can be used to predict which industrial processes can be expected to invol... more MATline is a tool that can be used to predict which industrial processes can be expected to involve the use of a substance that is considered carcinogenic as documented in the literature. The database includes agents carrying risk phrases R45, R49 and R40 according to the method of classification adopted by the EU and/or agents in categories 1, 2A and 2B as classified by the International Agency for Research on Cancer (IARC). Each agent is associated with a list of industrial processes coded according to the tariff headings used by the National Institute of Insurance against Occupational Injuries and Diseases (Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro, INAIL). The main sources of information are the IARC Monographs and databases available through the National Library of Medicine's TOXNET portal. The matrix currently includes 600 carcinogenic agents, 23 classes of agents and some 7000 links between agents and industrial processes. MATline can be v...
Introduzione: La narrazione della dinamica infortunistica e fondamentale per l’analisi eziologica... more Introduzione: La narrazione della dinamica infortunistica e fondamentale per l’analisi eziologica e l’identificazione di strategie per gli interventi preventivi. L’obiettivo e stato sperimentare l’utilita di un sistema di raccolta di storie sulla capacita di comunicarle con un metodo di trasferimento delle evidenze basato sulla narrazione. Metodologia: Gli operatori dei SPreSAL sono stati arruolati mediante laboratori volti a individuare gli infortuni, adottare una scrittura efficace, identificare gli elementi chiave. Risultati: Hanno aderito 43 operatori SPreSAL. Sono state raccolte e pubblicate sul sito Dors 33 storie. Conclusione: La sperimentazione ha dimostrato come la narrazione permetta di interpretare gli infortuni dando un senso che consente di ampliare la visione dei fattori di rischio e migliorare le indicazioni per la prevenzione.
Epidemiologia e prevenzione, 2013
MATline, the job-exposure matrix for carcinogenic agents, is a data bank free accessible online. ... more MATline, the job-exposure matrix for carcinogenic agents, is a data bank free accessible online. It provides data as classification and toxicological properties of carcinogenic agents, and a list of industrial processes with potential exposure to each carcinogen agent, and an up-to-date estimation of the number of activities and workers related to the industrial process on Regional basis. It also lists the target organs for which a causal relationship with the agent has been established. MATline was recently updated with the new classifications introduced by Regulation EC No. 1272/2008 (CLP). The Authorisation List or the Restriction of the Registration, Evaluation, Authorization of Chemicals (REACh) regulation specifically mark chemicals. The matrix is helpful for professionals in the public health sector to identify in advance the potential sources of exposure, and prioritise intervention plans; for occupational physicians to help identifying causes of occupational cancer cases; f...
European Journal of Investigation in Health, Psychology and Education
Background: Workplace injuries in Italy still occur despite laws and safety norms. We need to und... more Background: Workplace injuries in Italy still occur despite laws and safety norms. We need to understand the causes rooted in the context and social conditions, and need to improve the practice of Occupational Safety and Health (OSH) inspectors of the Workplace Safety and Prevention Services (WSPS) of the Italian regional health boards. The aims of this study were to describe the setting up of a Community of Practice (CoP) for the production of best practices for injury prevention and to evaluate the motivation of OSH inspectors for participating in the CoP and the effects of CoP participation on their professional practice. Methods: Two workplace injury stories underwent peer review during each CoP meeting. We evaluated the CoP using a focus group and a questionnaire. Result: Between 2014 and 2021, the CoP met in 18 workshops. Over the 8-year period, the CoP grew from 20 to 150 participants. Overall, 30 stories underwent peer review and were published on the institutional website. ...
Per le sostanze classificate come cancerogeni certi e possibili per l’uomo dalla IARC è indicato ... more Per le sostanze classificate come cancerogeni certi e possibili per l’uomo dalla IARC è indicato l’organo bersaglio. Dalla scheda si può accedere alla lista delle specifiche attività lavorative, codificate utilizzando l'elenco delle voci di tariffa INAIL (l'Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro), in cui la sostanza può essere presente sia come materia prima e/o ausiliario sia come contaminante. Nella matrice sono presenti 26 classi di sostanze (es. “oli minerali”) e 718 sostanze ritenute cancerogene dalla IARC e/o dalla CE associate a 437 voci di tariffa INAIL.
Annali Dell Istituto Superiore Di Sanita, Feb 1, 2008
MATline is a tool that can be used to predict which industrial processes can be expected to invol... more MATline is a tool that can be used to predict which industrial processes can be expected to involve the use of a substance that is considered carcinogenic as documented in the literature. The database includes agents carrying risk phrases R45, R49 and R40 according to the method of classification adopted by the EU and/or agents in categories 1, 2A and 2B as classified by the International Agency for Research on Cancer (IARC). Each agent is associated with a list of industrial processes coded according to the tariff headings used by the National Institute of Insurance against Occupational Injuries and Diseases (Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro, INAIL). The main sources of information are the IARC Monographs and databases available through the National Library of Medicine's TOXNET portal. The matrix currently includes 600 carcinogenic agents, 23 classes of agents and some 7000 links between agents and industrial processes. MATline can be viewed on the www.dors.it website.
Occupational Medicine, Nov 2, 2019
Background Storytelling is an effective information source when coupled with technical-scientific... more Background Storytelling is an effective information source when coupled with technical-scientific evidence. It can promote a structured relationship between evidence-based knowledge and field experience of workplace safety and prevention services (WSPS) inspectors. This is key to identifying the causes of workplace injuries and to set priorities for prevention strategies. Aims The main aim was to describe and report how story collection can be used for deriving validated indications for injury prevention. The specific objectives were to report the results of the creation and dissemination on the web of the story collection and the experience of setting up a community of practice (CoP) to develop preventive recommendations. Methods WSPS inspectors from local health boards in Piedmont (northwest Italy) were asked to write injury stories. They identified the key elements of their stories and developed a narrative of witness accounts to explore the critical issues identified during the investigation. In sessions with the CoP, the inspectors validated the indications for prevention elaborated in each story to reduce bias and standardize recommendations. Results Between 2012 and 2017, 60 WSPS inspectors wrote 53 injury stories which were collected and published on the institutional website. Twenty-two stories were selected for discussion during peer review sessions in the CoP and the indications for prevention were transformed as preventive solutions. Conclusions Occupational safety and health prevention can benefit from a narrative-based approach that provides a more comprehensive look at health and safety by facilitating knowledge improvement and sharing.
Medicina Del Lavoro, May 26, 2016
La Medicina del lavoro
Exposure to carcinogens is still widespread in working environments. For the purpose of defining ... more Exposure to carcinogens is still widespread in working environments. For the purpose of defining priority of interventions, it is necessary to estimate the number and the geographic distribution of workers potentially exposed to carcinogens. It could therefore be useful to test the use of tools and information sources already available in order to map the distribution of exposure to carcinogens. Formaldehyde is suggested as an example of an occupational carcinogen in this study. The study aimed at verifying and investigating the potential of 3 integrated databases: MATline, CAREX, and company databases resulting from occupational accident and disease claims (INAIL), in order to estimate the number of workers exposed to formaldehyde and map their distribution in the Piedmont Region. The list of manufacturing processes involving exposure to formaldehyde was sorted by MIATline; for each process the number of firms and employees were obtained from the INAIL archives. By applying the pre...
La Medicina del lavoro, Jun 28, 2017
Occupational Health and Safety (OSH) inspectors of the Health Units of Piedmont Region wrote 47 c... more Occupational Health and Safety (OSH) inspectors of the Health Units of Piedmont Region wrote 47 case histories based on data gathered from injury investigations as part of the project "From the injury investigation reports to case histories: creation of a collection of case histories on occupational injuries". Afterwards a Community of Practice (CoP) was initiated with the aim of sharing recommendations for prevention of occupational injuries. The aims of the article are: 1) to describe the implementation process of the CoP; 2) to evaluate the benefits of CoP regarding the improvement of professional practice of OSH inspectors. Two injury case histories were peer reviewed during each meeting of the CoP. A focus group was set up to evaluate benefits of CoP. Seven OSH inspectors participated in this focus group. Eight CoP meetings were organized and about 70 OSH inspectors participated. Fourteen stories were peer reviewed and eight were published on www.dors.it. Operators in...
Medicina Del Lavoro, 2016
Introduzione: Molti autori considerano la narrazione della dinamica infortunistica fondamentale p... more Introduzione: Molti autori considerano la narrazione della dinamica infortunistica fondamentale per l’analisi eziologica e l’identificazione di priorita e strategie di intervento, consentendo l’approfondimento di comportamenti complessi, attitudini e interazioni dei soggetti nella ricostruzione dei processi decisionali e del contesto in cui si e verificato l’infortunio. I racconti di situazioni realmente accadute costituiscono un metodo efficace per il passaggio delle conoscenze e un buon sistema per farle ricordare. Obiettivi: Obiettivo principale e descrivere l’esperienza di un sistema di raccolta di storie di infortunio, valorizzate da indicazioni per la prevenzione validate e sistematizzate, per migliorare la diffusione delle informazioni mediante un metodo di trasferimento delle evidenze basato sulla narrazione degli eventi infortunistici. Metodi: L’arruolamento degli operatori dei Servizi PreSAL delle ASL invitati a fornire le storie di infortunio e avvenuto mediante seminari ...
Annali dell'Istituto superiore di sanita, 2008
MATline is a tool that can be used to predict which industrial processes can be expected to invol... more MATline is a tool that can be used to predict which industrial processes can be expected to involve the use of a substance that is considered carcinogenic as documented in the literature. The database includes agents carrying risk phrases R45, R49 and R40 according to the method of classification adopted by the EU and/or agents in categories 1, 2A and 2B as classified by the International Agency for Research on Cancer (IARC). Each agent is associated with a list of industrial processes coded according to the tariff headings used by the National Institute of Insurance against Occupational Injuries and Diseases (Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro, INAIL). The main sources of information are the IARC Monographs and databases available through the National Library of Medicine's TOXNET portal. The matrix currently includes 600 carcinogenic agents, 23 classes of agents and some 7000 links between agents and industrial processes. MATline can be v...
Introduzione: La narrazione della dinamica infortunistica e fondamentale per l’analisi eziologica... more Introduzione: La narrazione della dinamica infortunistica e fondamentale per l’analisi eziologica e l’identificazione di strategie per gli interventi preventivi. L’obiettivo e stato sperimentare l’utilita di un sistema di raccolta di storie sulla capacita di comunicarle con un metodo di trasferimento delle evidenze basato sulla narrazione. Metodologia: Gli operatori dei SPreSAL sono stati arruolati mediante laboratori volti a individuare gli infortuni, adottare una scrittura efficace, identificare gli elementi chiave. Risultati: Hanno aderito 43 operatori SPreSAL. Sono state raccolte e pubblicate sul sito Dors 33 storie. Conclusione: La sperimentazione ha dimostrato come la narrazione permetta di interpretare gli infortuni dando un senso che consente di ampliare la visione dei fattori di rischio e migliorare le indicazioni per la prevenzione.
Epidemiologia e prevenzione, 2013
MATline, the job-exposure matrix for carcinogenic agents, is a data bank free accessible online. ... more MATline, the job-exposure matrix for carcinogenic agents, is a data bank free accessible online. It provides data as classification and toxicological properties of carcinogenic agents, and a list of industrial processes with potential exposure to each carcinogen agent, and an up-to-date estimation of the number of activities and workers related to the industrial process on Regional basis. It also lists the target organs for which a causal relationship with the agent has been established. MATline was recently updated with the new classifications introduced by Regulation EC No. 1272/2008 (CLP). The Authorisation List or the Restriction of the Registration, Evaluation, Authorization of Chemicals (REACh) regulation specifically mark chemicals. The matrix is helpful for professionals in the public health sector to identify in advance the potential sources of exposure, and prioritise intervention plans; for occupational physicians to help identifying causes of occupational cancer cases; f...
European Journal of Investigation in Health, Psychology and Education
Background: Workplace injuries in Italy still occur despite laws and safety norms. We need to und... more Background: Workplace injuries in Italy still occur despite laws and safety norms. We need to understand the causes rooted in the context and social conditions, and need to improve the practice of Occupational Safety and Health (OSH) inspectors of the Workplace Safety and Prevention Services (WSPS) of the Italian regional health boards. The aims of this study were to describe the setting up of a Community of Practice (CoP) for the production of best practices for injury prevention and to evaluate the motivation of OSH inspectors for participating in the CoP and the effects of CoP participation on their professional practice. Methods: Two workplace injury stories underwent peer review during each CoP meeting. We evaluated the CoP using a focus group and a questionnaire. Result: Between 2014 and 2021, the CoP met in 18 workshops. Over the 8-year period, the CoP grew from 20 to 150 participants. Overall, 30 stories underwent peer review and were published on the institutional website. ...
Per le sostanze classificate come cancerogeni certi e possibili per l’uomo dalla IARC è indicato ... more Per le sostanze classificate come cancerogeni certi e possibili per l’uomo dalla IARC è indicato l’organo bersaglio. Dalla scheda si può accedere alla lista delle specifiche attività lavorative, codificate utilizzando l'elenco delle voci di tariffa INAIL (l'Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro), in cui la sostanza può essere presente sia come materia prima e/o ausiliario sia come contaminante. Nella matrice sono presenti 26 classi di sostanze (es. “oli minerali”) e 718 sostanze ritenute cancerogene dalla IARC e/o dalla CE associate a 437 voci di tariffa INAIL.
Annali Dell Istituto Superiore Di Sanita, Feb 1, 2008
MATline is a tool that can be used to predict which industrial processes can be expected to invol... more MATline is a tool that can be used to predict which industrial processes can be expected to involve the use of a substance that is considered carcinogenic as documented in the literature. The database includes agents carrying risk phrases R45, R49 and R40 according to the method of classification adopted by the EU and/or agents in categories 1, 2A and 2B as classified by the International Agency for Research on Cancer (IARC). Each agent is associated with a list of industrial processes coded according to the tariff headings used by the National Institute of Insurance against Occupational Injuries and Diseases (Istituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro, INAIL). The main sources of information are the IARC Monographs and databases available through the National Library of Medicine's TOXNET portal. The matrix currently includes 600 carcinogenic agents, 23 classes of agents and some 7000 links between agents and industrial processes. MATline can be viewed on the www.dors.it website.