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Measuring Best Practices for Workplace Safety, Health, and Well-Being: The Workplace Integrated Safety and Health Assessment

Sorensen, Glorian, PhD, MPH; Sparer, Emily, ScD; Williams, Jessica, A.R., PhD; Gundersen, Daniel, PhD; Boden, Leslie, I., PhD; Dennerlein, Jack, T., PhD; Hashimoto, Dean, MD JD; Katz, Jeffrey, N., MD; McLellan, Deborah, L., PhD; Okechukwu, Cassandra, A., ScD, MSN; Pronk, Nicolaas, P., PhD, FACSM; Revette, Anna, PhD; Wagner, Gregory, R., MD

Journal of Occupational and Environmental Medicine: May 2018 - Volume 60 - Issue 5 - p 430–439
doi: 10.1097/JOM.0000000000001286

Objective: To present a measure of effective workplace organizational policies, programs, and practices that focuses on working conditions and organizational facilitators of worker safety, health and well-being: the workplace integrated safety and health (WISH) assessment.

Methods: Development of this assessment used an iterative process involving a modified Delphi method, extensive literature reviews, and systematic cognitive testing.

Results: The assessment measures six core constructs identified as central to best practices for protecting and promoting worker safety, health and well-being: leadership commitment; participation; policies, programs, and practices that foster supportive working conditions; comprehensive and collaborative strategies; adherence to federal and state regulations and ethical norms; and data-driven change.

Conclusions: The WISH Assessment holds promise as a tool that may inform organizational priority setting and guide research around causal pathways influencing implementation and outcomes related to these approaches.

Dana-Farber Cancer Institute (Dr Sorensen, Dr Sparer, Dr Williams, Dr Gundersen, Dr McLellan, Dr Revette); Harvard T.H. Chan School of Public Health (Dr Sorensen, Dr Sparer, Dr Williams, Dr Dennerlein, Dr McLellan, Dr Okechukwu, Dr Pronk, Dr Wagner); University of Kansas School of Medicine, Kansas City, Kansas (Dr Williams); Boston University School of Public Health (Dr Boden); Northeastern University (Dr Dennerlein); Partners HealthCare, Inc. (Dr Hashimoto); Boston College Law School, Newton Centre (Dr Hashimoto); Brigham and Women's Hospital (Dr Katz), Boston, Massachusetts; HealthPartners Institute, Minneapolis, Minnesota (Dr Pronk).

Address correspondence to: Glorian Sorensen, PhD, MPH, Dana-Farber Cancer Institute, Boston, MA (

Funding: This work was supported by a grant from the National Institute for Occupational Safety and Health (U19 OH008861) for the Harvard T.H. Chan School of Public Health Center for Work, Health, and Well-being.

First four authors listed in order of contributions, then in alphabetical.

Authors Sorensen, Sparer, Williams, Gundersen, Boden, Dennerlein, Hashimoto, Katz, McLellan, Okechukwu, Pronk, Revette, and Wagner have no relationships/conditions/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

Supplemental digital contents are available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Copyright © 2018 by the American College of Occupational and Environmental Medicine