An interesting article on the quality of reporting in the Dutch system:
D.Spreeuwers1, A. G. E. M. de Boer1, J. H. A. M. Verbeek1,2, M. M. van Beurden1 and F. J. H. van Dijk1
Diagnosing and reporting of occupational diseases: a quality improvement study
To assess the need for quality improvement of diagnosing and reporting of noise-induced occupational hearing loss and occupational adjustment disorder. Performance indicators and criteria for the quality of diagnosing and reporting were developed. Self-assessment questionnaires were sent to all occupational physicians recorded on the Netherlands Centre for Occupational Diseases database.
The mean quality score for diagnosing and reporting was 6.0 (SD: 1.4) for noise-induced occupational hearing loss and 7.9 (SD: 1.5) for occupational adjustment disorder on a scale of 0-10. For noise-induced occupational hearing loss, there was a need for quality improvement of the aspects of medical history, audiometric measurement, clinical diagnosis of the disease and reporting. For occupational adjustment disorder, the assessment of other non-occupational causes needed improvement.
1 Coronel Institute of Occupational Health, Academic Medical Centre, University of Amsterdam, the Netherlands
2 Finnish Institute of Occupational Health, Knowledge Transfer Team, Kuopio, Finland




