The changing organization of work and the safety and health of working people: a commentary
Abstract
Recent trends in the organization of work may affect worker health through a variety of pathways--by increasing the risk of stress-related illnesses, such as cardiovascular disease, musculoskeletal disorders, and psychological disorders, by increasing exposure to hazardous substances and violence on the job, or by affecting occupational health services and training programs. Much remains to be learned about the nature of changes in work organization, and how they affect worker health and safety. While available evidence is limited, such evidence suggests that recent trends in work organization may be increasing the risk of occupational illnesses. In a groundbreaking publication, the National Institute for Occupational Safety and Health has provided a concise summary of available knowledge and a detailed agenda for research and development.
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Lean affects employees responsible for carrying out the work, as studies outside healthcare demonstrate.
“By transforming work structures and processes, Lean also affects the employees responsible for carrying out the work, as studies of Lean outside of healthcare demonstrate [32–36].”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [35]
Lean can threaten autonomy.
“Lean implementers and researchers should be aware that Lean can increase workload, threaten autonomy, and bring about anxiety.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [35]
Lean can increase workload.
“Lean implementers and researchers should be aware that Lean can increase workload, threaten autonomy, and bring about anxiety.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [35]
Undesirable employee effects of Lean are well documented in the broader Lean literature.
“These undesirable employee effects are well documented in the broader Lean literature [32–39, 94–97] but may not show up in reports on Lean in health care either because of how Lean is implemented in health care or because studies in health care simply do not measure employee effects.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [35]
Lean can bring about anxiety.
“Lean implementers and researchers should be aware that Lean can increase workload, threaten autonomy, and bring about anxiety.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [35]
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- Authors
- Landsbergis, P. A.
- Affiliations
- Mount Sinai Hospital (US)
- Corresponding author
- Landsbergis, Paul A.
- ORCID
- Landsbergis, Paul A.
- Venue
- Journal of Occupational and Environmental Medicine
- Published
- 2003-01
- Volume
- 45
- Issue
- 1
- Pages
- 61-72
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2094637140
- Cited by
- 227
- References
- 79
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 6 · 2022: 9 · 2021: 5 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 9 · 2016: 9 · 2015: 15 · 2014: 8 · 2013: 8 · 2012: 11
- FWCI
- 29.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety Management
- Keywords
- work organization, occupational health, occupational safety, stress-related disorders, cardiovascular disease, musculoskeletal disorders, mental illness, hazardous substance exposure, workplace violence, occupational health services, employee training programs, NIOSH
- MeSH terms
- Cardiovascular Diseases, Health Promotion, Humans, Musculoskeletal Diseases, National Institute for Occupational Safety and Health, U.S., Occupational Diseases, United States, Work, Occupational Health, Workplace
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