Analysis of the return on preventive measures in musculoskeletal disorders through the benefitecost ratio: A case study in a hospital

Work-related musculoskeletal disorders (WMSDs) are among the most costly health problems that society is facing today. Prevention involves investments and it is important for organizations to make a cost ebenefit analysis of ergonomic projects. Return on prevention is a recent concern in the domain of occupational safety and health (OSH). There are many studies concerning the return on the prevention of WMSDs, in terms of the benefits for the organization in which the preventive measures are implemented. However, it is also important to perform an analysis of the impact of each measure on society (externalities). A model to perform a financial and economic costebenefit analysis related to OSH projects was developed and it was applied in the case of the prevention of WMSDs in a Portuguese hospital. An analysis of the accidents and corresponding costs has been made in six of the services of the hospital. Financial and an economic costebenefit analysis have been made and the benefitecost ratio (B/C) has been calculated. While the B/C financial ratio, considering only the benefits to the hospital, is around 2, the economic B/C ratio, taking into account all the external benefits that have been quantified, is higher than 14. Relevance to industry: Both the economic and the financial B/C ratio are important support tools for decision makers in public and private organizations, helping them to define which preventive measures should be implemented, taking into account the costs involved and the resulting quantified benefits, for the organization, for the workers and for the society.

Economic evaluation of occupational safety preventive measures in a hospital

BACKGROUND: When an organization performs an integrated analysis of risks through its Occupational Health and Safety Management System, several steps are suggested to address the implications of the identified risks. Namely, the organization should make a detailed analysis of the monetary impact for the organization of each of the preventive measures considered. However, it is also important to perform an analysis of the impact of each measure on society (externalities). OBJECTIVE: The aim of this paper is to present a case study related to the application of the proposed economic evaluation methodology. METHODS: An analysis of the work accidents in a hospital has been made. Three of the major types of accidents have been selected: needle stings, falls and excessive strain. Following the risk assessment, some preventive measures have been designed. Subsequently, the Benefit/Cost ratio (B/C) of these measures has been calculated, both in financial terms (from the organization’s perspective) and in economic terms (including the benefits for the worker and for the Society). RESULTS: While the financial ratio is only advantageous in some cases, when the externalities are taken into account, the B/C ratio increases significantly. CONCLUSIONS: It is important to consider external benefits to make decisions concerning the implementation of preventive measures in Occupational Health and Safety projects

Comissão de Fiscalização e Disciplina do Sindicato Nacional do Ensino Superior reeleita

Processo de reeleição e identificação dos professores e investigadores do Sindicato Nacional do Ensino Superior que foram reeleitos para a Comissão de Fiscalização do Sindicato Nacional do Ensino Superior. § Re-election process and identification of teachers and researchers of the National Union of Higher Education that were re-elected to the Audit Committee of the National Union of Higher Education.

As práticas de auditoria interna nas Instituições Públicas de Ensino Superior portuguesas

Este artigo visa analisar as práticas de auditoria interna (AI) nas Instituições Públicas de Ensino Superior (IPES). A metodologia utilizada para desenvolver este trabalho foi o inquérito por questionário, submetido on-line, às IPES portuguesas. Como resultado foi obtida uma taxa de resposta de 43%. Com este estudo concluímos que a maioria das IPES não tem departamento de AI, nem sabe quando o poderá ter. Nos politécnicos, ao contrário das universidades, a existência de um departamento de AI está relacionada com a dimensão da instituição. De facto, com este projeto verificámos que ainda existe um longo percurso a percorrer para que as IPES e os seus órgãos de gestão estejam sensibilizados para a importância da AI. Assim, esperamos que com o presente artigo tenhamos contribuído para enriquecer um pouco mais a literatura académica, apresentar a importância da AI e os benefícios associados a esta para que possa despertar o interesse para a sua implementação.