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尸检和停尸房活动期间的身体风险评估作为风险管理策略。

Evaluation of Physical Risk during Necropsy and Morgue Activities as Risk Management Strategy.

机构信息

Department of Anatomical, Histological, Forensic and Orthopaedic Science, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, Italy.

Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers' Compensation Authority (INAIL), Monte Porzio Catone, 00078 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2021 Aug 4;18(16):8266. doi: 10.3390/ijerph18168266.

DOI:10.3390/ijerph18168266
PMID:34444019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8393537/
Abstract

Physical risk assessments allow us to understand work-related critical issues, thus representing a useful tool in risk management strategies. In particular, our study focuses on the identification of already known and emerging physical risks related to necropsy and morgue activities, as well as crime scene investigations. The aim of our study is, therefore, to identify objective elements in order to quantify exposure to such risk factors among healthcare professionals and working personnel. For the research of potentially at-risk activities, data from the Morgue of Policlinico Umberto I Hospital in Rome were used. The scientific literature has been reviewed in order to assess the risks associated with morgue activity. Measurements were performed on previously scheduled days, in collaboration with the activities of different research units. The identified areas of risk were: microclimate; exposure to noise and vibrations; postural and biomechanical aspects of necropsy activities. The obtained results make it possible to detect interindividual variability in exposure to many of the aforementioned risk factors. In particular, the assessment of microclimate did not show significant results. On the contrary, exposure to vibrations and biomechanical aspects of load handling have shown potential risk profiles. For this reason, both profiles have been identified as possible action targets for risk management strategies.

摘要

物理风险评估使我们能够了解与工作相关的关键问题,因此是风险管理策略中的有用工具。特别是,我们的研究侧重于确定与尸检和停尸房活动以及犯罪现场调查相关的已知和新兴物理风险。因此,我们的研究旨在确定客观因素,以量化医疗保健专业人员和工作人员接触此类风险因素的程度。为了研究潜在的危险活动,我们使用了罗马翁贝托一世综合医院停尸房的数据。为了评估与停尸房活动相关的风险,我们查阅了科学文献。测量是在与不同研究单位的活动合作下,在预先安排的日子进行的。确定的风险领域包括:小气候;噪音和振动暴露;尸检活动的姿势和生物力学方面。获得的结果使得可以检测到许多上述风险因素的个体间变异性。特别是,小气候评估没有显示出显著的结果。相反,振动和搬运负荷的生物力学方面暴露显示出潜在的风险概况。因此,这两种概况都被确定为风险管理策略的可能目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/89656360040c/ijerph-18-08266-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/682d565ee48b/ijerph-18-08266-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/f55eab38a1ef/ijerph-18-08266-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/f908385203c9/ijerph-18-08266-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/50eb0f885cbf/ijerph-18-08266-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/aaa52554640a/ijerph-18-08266-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/6e4ba9147a05/ijerph-18-08266-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/cd44c4e2fd7c/ijerph-18-08266-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/4d33682d0017/ijerph-18-08266-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/89656360040c/ijerph-18-08266-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/682d565ee48b/ijerph-18-08266-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/f55eab38a1ef/ijerph-18-08266-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/f908385203c9/ijerph-18-08266-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/50eb0f885cbf/ijerph-18-08266-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/aaa52554640a/ijerph-18-08266-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/6e4ba9147a05/ijerph-18-08266-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/cd44c4e2fd7c/ijerph-18-08266-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/4d33682d0017/ijerph-18-08266-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49d7/8393537/89656360040c/ijerph-18-08266-g009.jpg

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