Division of Gastroenterology & Hepatology, William Beaumont Hospital, Royal Oak, MI 48073, USA.
Dig Dis Sci. 2011 Feb;56(2):479-87. doi: 10.1007/s10620-010-1498-5. Epub 2010 Dec 10.
Scant data exist about accidental occupational injuries in endoscopy suites. This work systematically analyzes injuries, identifies workplace hazards, and proposes hazard remediation to potentially reduce risks.
A retrospective study was performed on 14 previously unreported injuries among 120 endoscopy suite personnel in a high-volume endoscopy suite during 2000-2010, identified by medical records, employee records, and interviews. Injuries, mechanisms, outcomes, and workplace hazards were analyzed.
Seventeen endoscopy personnel suffered occupational accidents in an endoscopy suite, including three previously reported cases of tripping on exposed wires (rate = 1.35/100 worker-years). The 14 newly reported accidents include: hand crushed against narrow doorway while transporting patients, 4; striking head against ceiling-mounted video monitors, 3; slip and fall on wet floor, 3; injury while breaking patient's fall, 2; injury while turning patient during colonoscopy, 1; and tripping over misplaced wheelchair, 1. Injuries included: hand-crush injury, 4; myofascial back strain, 2; scalp laceration, 2; knee contusion, 2; and other, 4 (mean = 6.1 ± 15.5 lost workdays, 6.1 ± 10.1 restricted workdays). Two gastroenterologists suffered a torn tendon or coccyx fracture from slip and falls while working in the hospital. Proposed hazard remediation includes: replace bulky, heavy CRT video monitors with sleek, light LCD-flat-panel-screens to reduce likelihood and impact of head collisions; eliminate sharp edges on video monitor supports; widen doorways to accommodate extra-wide stretchers; slip-resistant flooring for rooms with frequent liquid spills; and parking wheelchairs away from traffic areas.
Potentially correctable design flaws may frequently contribute to accidents in endoscopy suites, including: bulky overhead video monitors, too narrow doors for extra-wide stretchers, absence of slip-resistant flooring, and wires exposed above the floor.
内镜室中偶发职业性损伤的相关数据较为匮乏。本研究旨在系统性分析损伤情况、识别工作场所危害，并提出危害整改措施，以期降低风险。
对 2000 年至 2010 年间某高容量内镜室 120 名内镜室工作人员中的 14 例（此前未报告）职业损伤进行回顾性研究，通过医疗记录、员工记录和访谈进行损伤、机制、结果和工作场所危害分析。
17 名内镜室工作人员在内镜室发生职业性事故，其中 3 例此前曾报告过绊倒在暴露的电线上（发生率=1.35/100 名工人年）。新报告的 14 例事故包括：运送患者时手被狭窄的门道夹伤 4 例；头部撞击天花板安装的视频监视器 3 例；湿地板滑倒 3 例；在阻止患者摔倒时受伤 2 例；在结肠镜检查时转动患者时受伤 1 例；被放错位置的轮椅绊倒 1 例。损伤包括：手部挤压伤 4 例；肌筋膜腰背拉伤 2 例；头皮裂伤 2 例；膝关节瘀伤 2 例；其他 4 例（平均失工日 6.1±15.5 天，限制工作日 6.1±10.1 天）。2 名胃肠病学家在医院工作时滑倒，导致肌腱撕裂或尾骨骨折。建议的危害整改措施包括：用轻薄的液晶平板屏幕替代体积大、重量大的 CRT 视频监视器，以降低头部碰撞的可能性和影响；消除视频监视器支架的锋利边缘；拓宽门道，以适应超宽的担架；在经常有液体溢出的房间内铺设防滑地板；将轮椅停放在远离交通区域。
设计缺陷可能是内镜室事故的常见原因，包括：笨重的头顶视频监视器、对超宽担架而言过于狭窄的门、无防滑地板以及地面上方暴露的电线。
