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Statistical Tests: Not applicable: No statistical tests. Results:

Implementation Intermediate OHS

Outcomes Final OHS Outcomes Cost of Intervention Economic Outcomes

Not applicable

Not applicable

Not applicable

Not applicable

Effect estimates: Premium rate declined from 1.51 (pre-intervention 1990) to 1.13 (post-intervention 1992-5 average). Accumulated savings 1991-1995. $2,866,000.

Facilitators/ Barriers

Not applicable

Did the Design Lack Statistical Power? Not applicable.

Were Any Harms of the Intervention Identified? Increase in staff abuse during study period, but cause not established. IWH Reviewers’ Comments:

Health care industry’s premium rate declined to a lesser extent, thereby controlling for any compensation system-related changes. The estimate of financial benefits could have been improved by including a sensitivity analysis on the premium rate assumed for the absence of intervention for the 1991-95 period. Other data in the paper and supporting papers support the interpretation that the financial benefit is attributable to prevention efforts.

Institute for Work & Health

150

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