Occupational Аccidents and Near-Miss Events in the Internal Medicine Services: Turkey Sample in University Hospital

2021 ◽  
Vol 17 (6) ◽  
pp. 520-529
Author(s):  
Pelin Uymaz ◽  
Sinem Ozpınar

Background. Health institutions are considered occupational areas with high risk due to the need for human resources, including numerous specialists with distinct characteristics, use of intensive technology, and complex occupational processes. The importance of occupational health and safety, which aims to eliminate or minimize all these negativities, is increasing rapidly. The purpose of this study is to examine the frequency of exposure to occupational accidents and near-miss events of the nurses and physicians working in the internal ­medicine units of a university hospital, and their reporting status and factors affecting these characteristics. Materials and methods. This research is a descriptive study, and the data of the recent year have been evaluated. The research was carried out in internal medicine units of a university hospital in Istanbul. The data in this study were collected by using the “Evaluation Form for Occupational Accidents and Near-Miss Events” which was created by the researchers. Results. A total of 117 individuals, 83 women (70.94 %), and 34 men (29.06 %) participated in this study. Of the participants, 59 were nurses (50.43 %), and 58 were physicians (49.57 %). There was a significant moderate positive correlation (r = 0.305) between age and the number of occupational accidents (p = 0.039). The average number of occupational accidents experienced by nurses (1.31 ± 0.74) was found to be lower than physicians (2.80 ± 2.53) (p = 0.006). The number of near-miss incidents experienced by physicians (2.79 ± 4.30) was higher than the nurses (1.29 ± 83.00) (p = 0.032). Conclusions. Every workplace accident or near-miss event experienced by healthcare professionals should be reported and analyzed carefully to prevent future workplace accidents. Training of health professionals on health risks they may encounter and protective measures against occupational accidents have vital importance.

2017 ◽  
Vol 7 (6) ◽  
pp. 2334-2339 ◽  
Author(s):  
A. R. Khoso ◽  
M. A. Akhund ◽  
A. H. Memon ◽  
F. Siddiqui ◽  
S. H. Khahro

Labor’s health and safety (H&S) is a matter of concern for all industries. Occurrence of accidents in industries is becoming a common issue. Both white collar and blue-collar workers are not shielded from materials that damage their health. This study identifies the critical factors affecting labor’s H&S in Hyderabad, Pakistan industries. The awareness of labor regarding prevention and consequences that affect workers’ H&S is also a matter of interest of this research. The severity of factors was determined through questionnaire survey from experts, H&S supervisors and managerial staff of industries. For the descriptive analysis the software SPPS 24.0 was used. This research also includes interviews form industry laborers about awareness regarding H&S critical factors. The results show that, Improper PPE use, operating machines that are poorly maintained, long term exposure to high intensity noise, working extended and irregular hours and lack of knowledge of working instruments are the critical causes of accidents. Also 60.9%, 73.9%, 69.6%, 78.3% and 89% of workers are not aware about these causes and their consequences. Thus, this research is a road map for industrial employers, law makers, local, provisional and federal Government of Pakistan in order to help minimizing the workplace accidents and the providing of safe and secure working environment for laborers.


2019 ◽  
Vol 13 (2) ◽  
pp. 511
Author(s):  
Márcia Astrês Fernandes ◽  
Keyla Maria Pereira de Sousa ◽  
Iara Jéssica Barreto Silva ◽  
Narlene Fontenelle Basílio da Silva ◽  
Ana Virginia Uchoa Prado Paz ◽  
...  

RESUMOObjetivo: discorrer sobre a implantação e implementação de um protocolo para atendimento pós-acidente de trabalho com material biológico por perfurocortante. Método: trata-se de estudo qualitativo, descritivo, do tipo relato de experiência. Resultados: iniciou-se em 2013, a implantação do protocolo para atendimento pós-acidente de trabalho com material biológico, a partir do qual passou por várias etapas de implementação. Informa-se que, o fluxograma versa sobre as orientações quanto aos cuidados locais, imediatamente após o acidente, atendimento médico para avaliação da lesão e da exposição, recomendações profiláticas em tempo hábil após exposição, solicitação de sorologias do acidentado e paciente-fonte, quando possível acompanhamento sorológico do acidentado após exposição e emissão da Comunicação de Acidente de Traballho. Conclusão: mostraram-se que, apesar das dificuldades para implementação do protocolo, a experiência foi exitosa e o fluxo de atendimento pós-acidente com material biológico desfruta de diversos avanços importantes para a saúde e segurança dos trabalhadores do hospital universitário em questão. Descritores: Saúde do Trabalhador; Enfermagem; Acidentes de Trabalho; Exposição a Agentes Biológicos; Prevenção de Acidentes; Notificação de Acidente de Trabalho.ABSTRACT Objective: to discuss the deployment and implementation of a protocol for care after occupational accident with biological material from needle-sharp instruments. Method: this is a qualitative, descriptive study, of the experience-report type. Results: in 2013, the deployment of the protocol for care after occupational accident with biological material, from which it passed through various implementation stages. The flowchart describes the guidelines regarding local care, immediately after the accident, medical care to evaluate the lesion and the exposure, prophylactic recommendations in a timely manner after exposure, request for serology of the casualty and patient-source, when possible, serological follow-up of the casualty after exposure and issuance of the Occupational Accident Communication. Conclusion: despite the difficulties for implementing the Protocol, the experience was successful and the flow of the care after accident with biological material includes several important advances for workers’ health and safety at the university hospital in question. Descriptors: Occupational Health; Nursing; Occupational Accidents; Exposure to Biological Agents; Accident Prevention; Occupational Accidents Notification.RESUMEN Objetivo: analizar la implantación y aplicación de un protocolo para el cuidado post-accidente laboral con material biológico por perforantes/cortantes. Método: este es un estudio cualitativo, descriptivo del tipo relato de experiencia. Resultados: se inició en 2013, la implementación del protocolo para el cuidado post-accidentes laborales con material biológico, pasando por distintas fases de ejecución. El diagrama de flujo versa sobre las directrices relativas a los cuidados, inmediatamente después del accidente, la asistencia médica para la evaluación de la lesión y de la exposición, la profilaxis con recomendaciones en forma oportuna después de la exposición, la solicitud de serología del accidentado y el paciente-fuente, cuando posible, el seguimiento serológico del accidentado después de la exposición y la emisión de la Comunicación de Accidente Laboral. Conclusión: a pesar de las dificultades para la aplicación del Protocolo, la experiencia fue exitosa y el flujo de atención post-accidente con material biológico incluye varios avances importantes para la seguridad y salud de los trabajadores en el hospital de la universidad en cuestión. Descriptores: Salud Laboral; Enfermería; Accidentes Laborales; Exposición a Agentes Biológicos; Prevención de Accidentes; Notificación de Accidentes Laborales.


2021 ◽  
Vol 343 ◽  
pp. 10024
Author(s):  
Petru Iulian Muresan ◽  
Ioan Milosan ◽  
Teodor Machedon-Pisu ◽  
Adrian Reit ◽  
Dorin Senchetru ◽  
...  

The most frequent workplace accidents in the industry are most of the times caused by the employer’s failure to fulfill their obligation to provide appropriate on-the-job training. Starting from this state of affairs, this paper analyzes the main cause of workplace accidents in the industry, which is the lack of training, or incomplete or inadequate training of employees, a situation indicated by the latest studies and the latest activity report of Labor Inspectorate. The solution identified by most employers was to use the online environment, this being the only way that allows the achievement of both of the aforementioned objectives at the same time. In this context, the paper identifies and proposes the use of the online environment, especially in the process of distance training of workers, giving them the opportunity to receive training documents, to analyze them, to electronically sign them and send them to the employer in electronic format. This proposal of supplementing the current legislation with the possibility of using the online environment in the field of occupational health and safety (OHS) also takes into account other categories of benefits that this solution brings, such as streamlining OHS and optimizing costs incurred in fulfilling these legal obligations.


2011 ◽  
Vol 5 (3) ◽  
pp. 670
Author(s):  
Illyane Alencar Carvalho ◽  
Letícia Moura Mulatinho ◽  
Juliana Alencar Carvalho ◽  
Cinthia Maciel de Campos Rocha ◽  
Djane Da Silva Teixeira

ABSTRACTObjective: to characterize the occupational accidents in the practice of nursing in the Intensive Care Unit (ICU) of a university hospital. Method: this is about a descriptive study from quantitative approach. For data collection was used to form structured sample of 180 nursing staff who signed the terms of consent and notification forms to query the Department of Engineering and Safety of hospital in 2006. Data were stored and analyzed statistically by the software Microsoft Excel 2003, after approval by the ethics committee in search of the Oswaldo Cruz Hospital, with protocol 141/2006. Results: accidents predominated in technical nursing, females, aged 31 to 40 years. The highest accident was by cutting and piercing. Among the occupational risks have become apparent order and poor cleaning, handling chemicals and cutting / piercing, manual lifting and carrying weight and inadequate physical arrangement. There were no reports of ICU in the hospital. Conclusion: changes are needed in the workplace, and prevention programs targeting of measures for reporting in order to minimize the occurrence of accidents with the nursing staff. Descriptors: workplace accidents; nursing; intensive care units.RESUMOObjetivo: caracterizar os acidentes de trabalho no âmbito da prática de enfermagem nas Unidades de Terapia Intensiva (UTI) de um Hospital Universitário. Método: estudo descritivo, de abordagem quantitativa. Para coleta de dados foi empregado formulário estruturado à amostra de 180 trabalhadores de enfermagem que assinaram os termos de consentimentos livre e esclarecido e consulta às fichas de notificação do Setor de Engenharia e Segurança do Trabalho do hospital do ano de 2006. Os dados foram armazenados e analisados estatisticamente através do software Microsoft Excel 2003, após aprovação do comitê de ética em pesquisa do Hospital Universitário Oswaldo Cruz, com o protocolo 141/2006. Resultados: os acidentes predominaram, nos técnicos de enfermagem; sexo feminino; faixa etária 31 a 40 anos. O maior índice de acidente foi por pérfuro-cortante. Dentre os riscos ocupacionais, evidenciaram-se ordem e limpeza deficiente, manipulação de produtos químicos e de pérfuro-cortantes, levantamento e transporte manual de peso e arranjo físico inadequado. Não foram encontradas notificações das UTI no hospital. Conclusão: são necessárias mudanças no ambiente de trabalho, programas de prevenção e direcionamento de medidas para a notificação, a fim de minimizar a ocorrência dos acidentes com a equipe de enfermagem. Descritores: acidentes de trabalho; enfermagem; unidades de terapia intensiva.RESUMENObjetivo: caracterizar los accidentes de trabajo en la práctica de enfermería en las Unidad de Terapia Intensiva (UTI) de un hospital universitario. Método: estudio descriptivo de enfoque cuantitativo. Para la recolección de datos se utiliza para formar la muestra estructurada de personal de enfermería 180 que firmaron los términos de los formularios de consentimiento y notificación a la consulta del Departamento de Ingeniería y de seguridad del hospital en 2006. Los datos fueron almacenados y analizados estadísticamente por el software de Microsoft Excel 2003, después de la aprobación por el comité de ética en la búsqueda del Hospital Oswaldo Cruz, con el protocolo 141/2006. Resultados: los accidentes en las mujeres que participan técnicos de enfermería, las edades de 31 a 40 años. El mayor accidente fue por el corte y perforación. Entre los riesgos laborales se han convertido en orden aparente y la limpieza de los pobres, manipulación de productos químicos y de corte / perforación, manual de levantar y cargar el peso y la disposición física inadecuada. No hubo informes de la UCI en el hospital. Conclusión: los cambios son necesarios en el lugar de trabajo y programas de prevención y orientación de las medidas para la presentació de informes con el fin de minimizar la ocurrencia de accidentes com el personal de enfermaria. Descriptores: accidentes de trabajo; enfermería; unidades de terapia intensiva.


2019 ◽  
Vol 5 (2) ◽  
pp. 141-156
Author(s):  
Aulia Indra

Occupational Health and Safety (K3) is a system of programs designed for both workers and employers in an effort to prevent the occurrence of occupational accidents and diseases caused by working relations in the work environment by identifying the things that potentially cause workplace accidents and anticipatory action in the event of such a thing. The resulting impact of this workplace accidents can be bad, such as the loss of lives, disability, damage to production, which is ultimately detrimental to all parties. In Indonesia, every company has to follow the program of the Occupational Health and Safety (K3), but can be seen in workplace accidents are still common. The purpose of this research was to determine the effect of occupational safety and health (K3) on employee performance in PT. Pertamina (Persero) Medan. Digunakana research method is simple linear regression. The estimation deskriptif showed that is company an very important for health and safety (K3) on employee company and the health and safety (K3) positif and significant effect on employee performance in PT. Pertamina (Persero) Medan.


2019 ◽  
Vol 67 (7) ◽  
pp. 338-349
Author(s):  
Maryam Afshari ◽  
Jalal Poorolajal ◽  
Forouzan Rezapur-Shahkolai ◽  
Mohammad Javad Assari ◽  
Akram Karimi-Shahanjarini

Farmers in developing countries use harmful pesticides while taking few or no protective measures. There is limited evidence on factors affecting their safety measures. The objective of this study was to identify the underlying factors influencing farmers’ protective behaviors (PBs) and use of personal protective equipment (PPE) during the exposure to pesticides. From April to August 2017, a descriptive study was conducted in Twiserkan County in western Iran among 474 farmers from 104 villages. A questionnaire was developed to measure demographic characteristics and factors suggested in integrated agent-centered (IAC) framework. The questionnaire was validated in terms of content validity through expert reviews and tested for reliability in a group of farmers. Data were collected by face-to-face interviews with farmers. Physiological arousal (β = .154, p < .05), intention (β = .345, p < .05), habit (β = .188, p < .05), and contextual factors (β = .101, p < .05) had a significant and positive impact on farmers engaging in pesticide PBs. Among the assessed factors, only physiological arousal (β = .122, p < .05) and habit (β = .646, p < .05) were found to have a significant and positive effect on the use of PPE, but the intention (β = –.039, p > .05) and contextual factors (β = –.009, p > .05) had no significant relation with the use of PPE. The results of this study identified determinants of farmers’ safety measures. Our results suggest that the IAC framework could serve as a guide to developing a more effective intervention for safety measures of Iranian farmers.


SAGE Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. 215824401881104
Author(s):  
Kamaruddin Arshad ◽  
Qi Ying Lean ◽  
Long Chiau Ming ◽  
Sundara Rajan Mahalingam ◽  
Chua Say Tiong ◽  
...  

Environmental health (EH) is the study of environment and environmental factors affecting the health of human. Identifying the most relevant and up-to-date and updated teaching topics of EH programs is vital to ensure competent practitioners are nurtured. Thus, this study aimed to attain the view of current content of EH programs for EH professionals and intended to recommend topics necessary for education and practice. The level of importance of current and newly proposed topics for EH courses at diploma and bachelor’s level was assessed using a cross-sectional survey design. Practicing EH programs graduates were invited via social media and e-mails to participate in the survey. The respondents were asked to rank the importance of different EH topics based on 5-point Likert-type scale. Descriptive statistics were employed to report the importance of EH curricula at Malaysian tertiary institutions. It was found that between diploma’s and bachelor’s level, the bachelor’s graduates were expected to have high exposure in existing topics such as vector control management, legislation for EH and safety, health and safety risk assessment, as well as newly proposed topics including critical literature evaluation and innovation in creating awareness activities. The findings from this survey could serve as a guide to improvise EH curricula to ensure the EH programs continue to produce students with the necessary skills, knowledge, and competencies.


Author(s):  
Amani Salem Alqahtani ◽  
Meshael Mohammed Alrasheed ◽  
Ada Mohammed Alqunaibet

This study aims to investigate public response attitude, anxiety, practices and trust in the authorities’ mitigation plan during the first wave of COVID-19 pandemic. A national cross sectional phone survey was conducted among Saudi residents aged 16 years and above. A total of 90,421 (45.2%) individuals participated in the study. Of those, the overall rate of COVID-19 correct knowledge was 82% (mean: 9.84); social media was the most reported source of knowledge. Younger age, low levels of education and foreign residents were associated with poor knowledge. Overall, 49.5% scored 5 or more on the GAD-7 test, indicating anxiety symptoms, 19.2% of them scored 10 and above, suggesting moderate to severe anxiety. Majority of participants (>78%) trusted and supported the interventions implemented by the government to control COVID-19. Social distancing practices among participants was as following, 72.5% stayed at home and avoid going out for nonessential business and 49.5% avoided attending social events and family gatherings. Trust in authorities, being anxious, worry and levels of knowledge about the disease, were the most common factors affecting adoption of the recommended practices. Continuous evaluation of public response about COVID-19, and the effectiveness of protective measures is essential to better inform policy-makers and identify ways of encouraging behaviour change among public during pandemic.


Author(s):  
Giacomo Pucci ◽  
Edoardo Santoni ◽  
Valeria Bisogni ◽  
Camilla Calandri ◽  
Alberto Cerasari ◽  
...  

AbstractAtrial fibrillation (AF), the commonest sustained cardiac arrhythmia affecting the adult population, is often casually discovered among hospitalized people. AF onset is indeed triggered by several clinical conditions such as acute inflammatory states, infections, and electrolyte disturbance, frequently occurring during the hospitalization. We aimed to evaluate whether systematic AF screening, performed through an automated oscillometric blood pressure (BP) device (Microlife WatchBP Office AFIB, Microlife AG, Switzerland), is effective for detecting AF episodes in subjects admitted to an Internal Medicine ward. 163 patients consecutively hospitalized at the Unit of Internal Medicine of the “Santa Maria” Terni University Hospital between November 2019 and January 2020 (mean age ± standard deviation: 77 ± 14 years, men proportion: 40%) were examined. Simultaneously with BP measurement and AF screening, a standard 12-lead electrocardiogram (ECG) was performed in all subjects. AF was diagnosed by ECG in 29 patients (18%). AF screening showed overall 86% sensitivity and 96% specificity. False negatives (n = 4) had RR-interval coefficient of variation lower than true positives (n = 25, p < 0.01), suggesting a regular ventricular rhythm during AF. The repeated evaluation substantially confirmed the same level of agreement. AF screening was positive in all patients with new-onset AF (n = 6, 100%). Systematic AF screening in patients admitted to Internal Medicine wards, performed using the Microlife WatchBP Office AFIB, is feasible and effective. The opportunity to implement such technology in daily routine clinical practice to prevent undiagnosed AF episodes in hospitalized patients should be the subject of further research.


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