Occupational risks evaluation in a centralized antineoplastic agent preparation unit
| Autor: | Philippe-Henri Secrétan, Taibou Diallo, Nathalie Thromas, Richard Loeuillet, Quentin Dubray, Joël Schlatter, Sandrine Poil, Emilie Andre, Salvatore Cisternino, Anne-Sophie Fauqueur |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
preparation
lcsh:R5-920 business.industry Legislation General Medicine 030210 environmental & occupational health risk management drugs Unit (housing) 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Central unit Antineoplastic agents Medicine Operations management Original Article occupational business Risk assessment lcsh:Medicine (General) Risk management |
| Zdroj: | SAGE Open Medicine SAGE Open Medicine, Vol 7 (2019) |
| ISSN: | 2050-3121 |
| Popis: | Objective: The global professional risk assessment applied to the central unit of antineoplastic agent preparations is part of a mandatory approach required by the European legislation for workers. This study identified the hazardous situations related to the staff activity and then enabled the preparation of a formal plan of occupational prevention. Methods: The nature of study approved by a working group constituted by experts was the global risk analysis. After identifying the hazardous situations, the global risk analysis estimated the risk level of each hazardous situation based on a criticality score, including severity and frequency. The global risk analysis highlighted the initial and residual risks after establishing a plan to reduce the high criticality risks. Results: Hence, 33 unacceptable hazardous situations were identified. The critical categories of professional risks were “Product, emissions, and waste risks” with 17 (55%) hazardous situations; “Psychosocial risk factors” with 8 (24%) hazardous situations; and “Risks related to work equipment” with 6 (18%) hazardous situations. Once the risk reduction plan was in place, all hazardous situations were considered under control. The corrective actions led to a reorganization of human resources, the update of protection protocols, and optimization of ergonomic work tools. Staff-specific medical monitoring and regular surface contamination tests have been scheduled annually. In addition, initial and continuous training, specific to product and waste risks, has been updated. Conclusion: The global professional risk assessment related to centralized antineoplastic agent preparation unit generated failure in our system and enabled corrective actions for staff safety. |
| Databáze: | OpenAIRE |
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