caa a22 4500 445797169 CHVBK 20180317145129.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10620-010-1498-5 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1498-5 Cappell Mitchell Division of Gastroenterology & Hepatology, MOB 233, William Beaumont Hospital, 3535 West Thirteen Mile Road, 48073, Royal Oak, MI, USA aut Accidental Occupational Injuries to Endoscopy Personnel in a High-Volume Endoscopy Suite During the Last Decade: Mechanisms, Workplace Hazards, and Proposed Remediation [Elektronische Daten] [Mitchell Cappell] Introduction: 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. Methods: 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. Results: 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. Conclusions: 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. Springer Science+Business Media, LLC, 2010 Workplace injury nationallicence Slip and fall injury nationallicence Head trauma nationallicence Occupational safety nationallicence Workman's compensation nationallicence Occupational Safety and Health Administration (OSHA) nationallicence Medicolegal nationallicence Accident prevention nationallicence Ergonomics nationallicence Endoscopy suite nationallicence Gastroenterologist nationallicence Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 479-487 0163-2116 56:2<479 2011 56 10620 https://doi.org/10.1007/s10620-010-1498-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1498-5 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Cappell Mitchell Division of Gastroenterology & Hepatology, MOB 233, William Beaumont Hospital, 3535 West Thirteen Mile Road, 48073, Royal Oak, MI, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 479-487 0163-2116 56:2<479 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer