Writing a Cochrane systematic review on preventive interventions to improve safety: the case of the construction industry

Med Lav. 2009 Jul-Aug;100(4):258-67.

Abstract

Objectives: The objective of this paper is to describe the main steps and to conduct a systematic literature review on preventive interventions concerning work-related injuries and to illustrate the process.

Methods: Based on the Cochrane handbook, a structured framework of six steps was outlined for the development of a systematic review. This framework was used to describe a Cochrane systematic review (CSR) on the effectiveness of interventions to prevent work related injuries in the construction industry.

Results: The 6 main steps to write a CSR were: formulating the problem and objectives; locating and selecting studies; assessing study quality; collecting data; analysing data and presenting results; and interpreting results. The CSR on preventing injuries in the construction industry yielded five eligible intervention studies. Re-analysis of original injury data of the studies on regulatory interventions, through correcting for pre-intervention injury trends led to different conclusions about the effectiveness of interventions than those reported in the original studies.

Conclusions: The Cochrane handbook for systematic reviews of interventions provides a practical and feasible six-step framework for developing and reporting a systematic review for preventive interventions.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Accidental Falls / economics
  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data
  • Accidents, Occupational / economics
  • Accidents, Occupational / prevention & control*
  • Accidents, Occupational / statistics & numerical data
  • Cohort Studies
  • Confounding Factors, Epidemiologic
  • Data Collection / methods
  • Denmark / epidemiology
  • Evidence-Based Medicine* / methods
  • Evidence-Based Medicine* / standards
  • Humans
  • Meta-Analysis as Topic*
  • Models, Theoretical
  • Occupational Health / legislation & jurisprudence
  • Program Evaluation / methods
  • Randomized Controlled Trials as Topic
  • Research Design
  • Review Literature as Topic*
  • Safety Management / legislation & jurisprudence
  • Safety Management / methods*
  • United States / epidemiology