Division of Gastroenterology, William Beaumont Hospital, MOB 233, 3535 West Thirteen Mile Road, Royal Oak, MI 48073, USA.
Dig Dis Sci. 2010 Apr;55(4):947-51. doi: 10.1007/s10620-009-0923-0.
BACKGROUND The endoscopy unit before remediation may be a high-risk area for slip and fall injuries due to a large number of exposed above-the-floor wires in the endoscopy rooms, dimmed lighting during endoscopic procedures, and staff inattention to obstacles due to preoccupation with the endoscopic patient. AIM To describe a novel, previously unappreciated workplace hazard to endoscopic personnel: Exposed wires in the endoscopy unit.METHODS This study is a retrospective review of 110,000 endoscopic procedures performed during the last 5 years at an academic, teaching hospital with a high-volume endoscopy unit. All significant orthopedic injuries to endoscopic personnel from slips, twists, and falls from tripping over exposed cords in the endoscopy unit were reviewed. The severity of injury was documented based on roentgenographic findings, number of days of missed work, number of days with a modified work schedule, and requirement for orthopedic surgery. The number of potentially exposed cords per endoscopy room was determined. RESULTS During the 5-year study period, three endoscopic personnel suffered significant orthopedic injuries from slips, twists, and falls from tripping over cords, wires, or tubing lying exposed over the floor in the endoscopy suite: The resulting injuries consisted of fourth and fifth metacarpal hand fractures due to a fall after tripping on oxygen tubing; a rib fracture due to tripping on electrical wires trailing from an endoscopy cart; and a grade II ankle sprain due to the foot becoming entangled in oxygen tubing. All injuries resulted in lost days of work [mean 9.3 +/- 11.0 (SD) days] and in additional days of restricted work (mean 41.7 +/- 31.8 days). One injury required orthopedic surgery. Hospital review revealed a mean of 35.3 +/- 7.5 cords, wires, or tubing per endoscopy procedure room, the majority of which were exposed above the floor before remediation (n = 10 rooms). Remediation of exposed wires included: bundling related wires together in a cable to reduce the number of independent wires, covering exposed wires on the floor with a nonslip heavy mat, and running wires from ceiling outlets to equipment high above ground (e.g. mounted endoscopy video monitors). CONCLUSIONS Tripping, slipping, and falling over exposed wires can cause significant injury to endoscopic personnel. This previously undescribed hazard should be preventable by simple remediation, and all endoscopic personnel, hospital architects, hospital administrators, and governmental regulators should be alerted to this potential hazard
在修复之前，内镜室中有大量暴露在外的地面以上电线、内镜手术过程中光线昏暗，以及工作人员因专注于内镜患者而忽略障碍物，这些因素使得内镜室可能成为滑倒和跌倒受伤的高风险区域。
描述内镜人员中一种新的、以前未被认识到的工作场所危害：内镜室中暴露的电线。
本研究回顾了一家学术教学医院内镜室过去 5 年进行的 110,000 例内镜检查，该医院内镜室数量大。所有因在内镜室中被暴露的电线绊倒而导致的内镜人员明显的骨科损伤，包括滑倒、扭伤和摔倒，都进行了回顾。根据射线照相结果、缺勤天数、修改后的工作时间表天数以及是否需要骨科手术来记录损伤的严重程度。确定每个内镜室潜在暴露的电线数量。
在 5 年的研究期间，有 3 名内镜人员因在内镜套房中被暴露在地面上的电线、电缆或管道绊倒而遭受严重的骨科损伤：由此导致的损伤包括因绊倒在氧气管上而导致第四和第五掌骨手部骨折；因从内镜推车中拉出的电线绊倒而导致肋骨骨折；因脚被氧气管缠住而导致二级踝关节扭伤。所有损伤导致工作缺勤[平均 9.3 +/- 11.0（SD）天]和额外的限制工作天数（平均 41.7 +/- 31.8 天）。其中 1 例需要骨科手术。医院审查显示，每个内镜检查室平均有 35.3 +/- 7.5 根电线、电缆或管道，其中大部分在修复前暴露在地面上（n = 10 个房间）。修复暴露的电线包括：将相关电线捆绑在一起形成一根电缆，以减少独立电线的数量；在地板上放置防滑重型垫子以覆盖暴露的电线；将电线从天花板插座引至高于地面的设备（例如，安装在墙上的内镜视频监视器）。
绊倒、滑倒和摔倒在暴露的电线上可能会导致内镜人员严重受伤。这种以前未描述的危害可以通过简单的修复来预防，所有内镜人员、医院建筑师、医院管理人员和政府监管机构都应该注意到这种潜在的危害。
