Risks of the working environment in the safety ensuring in endoscopy
https://doi.org/10.31146/1682-8658-ecg-184-12-5-15
Abstract
The working environment is forming from the organizational conditions, motivation and the willingness of employees to fulfill their duties in the best way on the one hand, and is determined by the team ethical standards, on the other hand. Risks associated with the working environment are composed of compliance risks associated with ensuring compliance with legal requirements for labor protection and regulation, ensuring of infectious safety, as well as risks associated with the physical and psycho-emotional status of medical workers, determining the impact of the “human” factor on the work results. The purpose of this review article is to identify the risks of the working environment in endoscopy, as the first stage of risk management, in order to be able for further assessment of their impact on the safety of medical activities in endoscopy, as well as to identify the ways to reduce or eliminate these types of risks. The article includes the following relevant sections: 1. Compliance risks in endoscopy, as a part of the modern healthcare risk-management system—general questions. 2. Risks of the work environment in endoscopy in the conditions of epidemiological threats associated with a new coronavirus infection SARS-CoV-2 (COVID-19). 3. Risks of the work environment tips and tricks associated with the psychosomatic status and professional burnout of medical personnel in endoscopy.
About the Authors
M. A. Ivantsova
State medical hospital “Sverdlovsk regional hospital № 2”
Russian Federation
Russian Federation
Marina A. Ivantsova, PhD, Head of endoscopy unit
emb. Working youth, 3, Yekaterinburg, Sverdlovsk region, 620077
G. N. Belova
Multifunctional medical center of the Bank of Russia
Russian Federation
Russian Federation
Galina V. Belova, MD, PhD, Professor, Deputy chief physician
Sebastopol Ave., 66, Moscow, 117647
P. L. Shcherbakov
Clinical and diagnostic center Krasnaya Presnya MEDSI
Russian Federation
Russian Federation
Petr L. Shcherbakov, MD, Professor, Chief physician
Gruzinsky lane, 3A, Moscow, 123056
Scopus Author ID: 56510036400
N. V. Vernik
State medical hospital “Tyomen regional hospital № 9”
Russian Federation
Russian Federation
Nataliya V. Vernik, MD, Deputy chief physician
626240, Tyumen region, Vagaysky district, Vagai village, st. Green, 12
References
1. Bol’shakova T. V. Issledovaniye nervno-psikhicheskogo napryazheniya vrachey khirurgicheskogo profi lya [Study of neuropsychic stress of surgical doctors]. Yaroslav. psikhol. vestn., 2001, Vol. 5, pp.93–95.
2. Vernik NV, Ivantsova MA, Yashin DI. Deontological questions in prophylactic of endoscopic complications: the signifi cance of rational and psychological factors (analytical overview). Eksp Klin Gastroenterol. 2015;(4):59–65.
3. Vodop’yanova N. Ye., Starchenkova Ye. S. Sindrom vygoraniya: diagnostika i profi laktika. [Burnout syndrome: diagnosis and prevention]. SPb. Piter Publ., 2005, 336 p.
4. Grenkova T. A., Starkov YU.G., Korolev M. P., et al. Temporary guidelines for endoscopy departments/ offi ces for work in conditions of epidemic trouble for coronavirus infection COVID-19 version 4 (dated 27.04. 2020), approved by the Chief Endoscopist of the Ministry of Health of the Russian Federation.
5. Ivantsova M.A., Prudkov M. I., Belova G. V., et al. Safe and careful handling of endoscopic equipment and instruments in clinical practice. Methodical manual. UGMU. 2018, 41P.
6. Ivantsova M. A., Kolosovsky S. V., Scherbakov P. L., Stolin A. V. Risk-management and basic regulatory legislation in endoscopy practice safety and quality control ensuring. URMJ. 2019; Endoscopy and gastroenterology 11 (179): 22–28
7. Il’in Ye. P. Rabota i lichnost’: Psikhologiya zavisti, vrazhdebnosti, tshcheslaviya. [Work and Personality: Th e Psychology of Envy, Hostility, Vanity]. SPb. Piter Publ., 2012. 208 P.
8. ISO / IEC31000: 2009 “Risk management. General principles and guidelines”.
9. Karvasarskiy B. D. «Psikhoterapiya», uchebnik dlya vuzov [“Psychotherapy”, textbook for universities] Rev. 2, 2002, SPb, Piter Publ., 672p.
10. Kitsul I. S. Struktura i soderzhaniye polozheniya o vnutrennem kontrole kachestva i bezopasnosti meditsinskoy deyatel’nosti [Th e structure and content of the regulation on internal quality control and safety of medical activities]. Zamestitel’ glavnogo vracha, 2013; 12 (91): 50–57.
11. Knyazyuk N. F., Nevmerzhitsky P. I. Compliance Risk Management (COMPLIANCE RISKS). Business Education in the Knowledge Economy, 2017, No. 1, pp. 54–62.
12. Nikonov Ye.L ., Kashin S . V., Kuvayev R . O., Rezva A. A. Coronavirus infection COVID-19: infectious safety in the endoscopy unit. Guidelines. Moscow. 2020, 15 P.
13. Larentsova L.I, Bardenshteyn L. M. Sindrom emotsional’nogo vygoraniya u vrachey razlichnykh spetsial’nostey: psikhologicheskiye aspekty. [Burnout syndrome in doctors of various specialties: psychological aspects]. Moscow. 2009, 141 P.
14. Methodical instructions MU3.1.3420–17 «Ensuring the epidemiological safety of non-sterile endoscopic interventions on the gastrointestinal tract and respiratory tract», approved by the Chief State Sanitary Doctor of the Russian Federation. 20.02.2017., 40 P.
15. Morozov G. V., Tsaregorodtsev G. I. Medical ethics and deontology, Moscow. Meditsina Publ. 1983.
16. Palevskaya S. A., Scherbakov P. L., Ivantsova M. A. et al. Russian and European policy documents of professional endoscopy societies: structure and value in medical care quality and safety providing system. Ural Medical Journal Endoscopy and gastroenterology, 2019, No. 11 (179), pp. 12–21. DOI 10.25694.
17. Petrovskiy B. V. Deontology in medicine. Moscow, Meditsina Publ, 1988.
18. Practical recommendations for improving internal quality control and safety of medical activities for the hospital. FSBI «Center for Monitoring and Clinical and Economic Expertise of Roszdravnadzor». 11.07. 2018.
19. Proposals (practical recommendations) on the organization of internal quality control and safety of medical activities in a medical organization (hospital) / Federal State Budgetary Institution «Center for Monitoring and Clinical and Economic Expertise» of Roszdravnadzor, 2015, 116 p.
20. Order of the Ministry of Health of the Russian Federation of December 6, 2017 No. 974n «On approval of the Rules for conducting endoscopic examinations.»
21. Appendix to the letter of Rospotrebnadzor No. 02 / 770– 2020–32 dated 23.01.20 «On instructions for conducting disinfection measures for the prevention of diseases caused by coronaviruses».
22. Prevention of infectious diseases during endoscopic interventions. Sanitary and Epidemiological Rules and Standards – SanPiN3.1.3263–15 / Resolution of the Chief State Sanitary Doctor of the Russian Federation of 06/18/2015. No. 20.
23. Psikhologicheskiy status i sostoyaniye zdorov’ya meditsinskikh sester: issledovaniye vzaimozavisimosti. [Psychological and health status of nurses: a study of interdependence]. Gl. med. Sestra, 2005, no. 4, pp. 77–81.
24. Rybina O. V. Psikhologicheskiye kharakteristiki vrachey v sostoyanii professional’nogo stressa: avtoref. dis. kand. psikhol. nauk: spets. [Psychological characteristics of doctors in a state of professional stress] 19.00.04 Med. psikhol. SPb., 2005. 24 P.
25. Spravochnik po profilaktike i lecheniyu COVID-19. [A guide to the prevention and treatment of COVID-19]. Available at: https://www.imena.ua/blog/covid-19-prevention-and-treatment-handbook/amp/#2.4.
26. Starchenko A. A., Roshal ’ L . M. Trebova niya Natsional’noy meditsinskoy palaty po bezopasnosti meditsinskoy deyatel’nosti. [National Medical Chamber requirements for the safety of medical activities]. Available at: http://himedtech.ru›articles/9437.htm.
27. Khokhlov R. A., Minakov E. V., et al. Vliyaniye sindroma emotsional’nogo vygoraniya na stereotipy vrachebnoy praktiki i klinicheskuyu inertnost’ [Th e eff ect of burnout syndrome on stereotypes of medical practice and clinical inertia]. Moscov, Meditsina Publ., 2009.
28. AGA Institute Rapid Recommend at ions for Gastrointestinal Procedures During the COVID-19 Pandemic. https://doi.org/10.1053/j.gastro.2020.03.072.
29. AGA Digestive Health Physicians Association (DHPA) guidelines: https://www.gastro.org/pressrelease/aga-dhpa-joint-guidance-for-resumption-of-elective-endoscopy. (Accessed May 1, 2020).
30. ASGE Quality Assurance in Endoscopy Committee, Calderwood AH, Day LW, et al. ASGE guide-line for infection control during GI endoscopy. Gastrointest Endosc. 2018; 87:1167–1179.
31. Beilenhoff U., Brljak J., Dumonceau J. M., Hassan C., Ponchon T., Tillett J. et al. Reprocessing of fl exible endoscopes and endoscopic accessories used in gastrointestinal endoscopy: ESGE–ESGENA Position Statement– Update 2018, Endoscopy. 2018; 50: 1205–1234.
32. Chiu WYC et al. Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements). Gut. 2020. epub ahead of print. http://dx.doi.org/10.1136/gutjnl-2020–321185.
33. Darwiche K, Ross B, Gesierich W, Petermann C, Huebner R. Empfehlungen zur Durchführung einer Bronchoskopie in Zeiten der COVID-19-Pandemie [Internet]. Recommendations of the DGP to perform a bronchoscopy in times of COVID-19 pandemic. 2020, cited 2020 Mar 26.
34. Dumonceau J.-M., Hassan C., Riphaus A., Ponchon T., et al. ESGE Guideline Development Policy. Endoscopy. 2012; 44: 626–629.
35. ESGE and ESGENA Position Statement on gastrointestinal endoscopy and the COVID-19 pandemic. https://www.esge.com/esge-and-esgena-position-statement-on-gastrointestinalendoscopy-and-the-covid-19-pandemic.
36. Gastroenterology Professional Society Guidance on Endoscopic Procedures During the COVID-19 Pandemic, Priority tiring: https://www.gastro.org/practice-guidance/practice-updates/covid19/gastroenterology-professional-society-guidance-on-endoscopic-procedures-during-thecovid-19-pandemic. (Accessed April 26, 2020).
37. Jin X. Epidemiological, clinical and virological characteristics of 74 cases of coronavirusinfected disease 2019 (COVID-19) with gastrointestinal symptoms. Gut. 2020 Mar 24. pii: gutjnl2020–320926. doi: 10.1136/gutjnl-2020–320926.
38. Johnston ER, Habib-Bein N, Dueker JM, et al. Risk of bacterial exposure to the endoscopists face during endoscopy. Gastrointest Endosc. 2019; 89:818–824.
39. Joint_GI_Society_Guidance_on_Endoscopic_Procedure_During_COVID19_FINAL_impending_3312020.pdf.
40. Maslach C. Вurnout. Th e Cost of Caring. Englewood Cliff s; Prentice – Hall, 1982, 177 p.
41. Razai MS, Doerholt Katja, Ladhani Shamez, Oakeshott Pippa. Coronavirus disease 2019 (covid-19): a guide for UK GPs BMJ 2020; 368: m800.
42. Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html
43. Repici A., Maselli R., Colombo M., et al. Coronavirus (COVID-19) outbreak: what the department of endoscopy should know, Gastrointestinal Endoscopy (2020), doi: https://doi.org/10.1016/j.gie.2020.03.019/
44. Roberge RJ., Coca A., Williams WJ., et al. Surgical mask placement over N95 fi ltering facepiece respirators: physiological effects on healthcare workers. Respirology. 2010; 15:516–21.
45. Roberge RJ. Eff ect of surgical masks worn concurrently over N95 filtering facepiece respirators: extended service life versus increased user burden. J Public Health Manag Pract. 2008;14.
46. Tang JW, Li Y, Eames I, Chan PK, Ridgway GL. Factors involved in the aerosol transmission of infection and control of ventilation in healthcare premises. J Hosp Infect, 2006;64:100–14.
47. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet. 2020; 395:470–3.
48. WEO Guidance to Endoscopists: Reopening of Endoscopy ServicesThe WEO COVID-19 Response Taskforce / 2020/04/200409 WEO-Advice-toEndoscopistsCOVID-19-Update-April-9–2020.pdf.
49. Wiskow С., Alrecht T., Pierto C. How to create an attractive and supportive work environment for health workers Analysis of WHO health systems and policies, 2010, 41 P.
50. World Health Organization. Pneumonia of Unknown Cause – China. https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/ (14 February 2020).
51. Zhang Y et al. Suggestions of infection prevention and control in digestive endoscopy during current 2019- nCoV pneumonia outbreak in Wuhan, Hubei Province, China.
Review
For citations:
Ivantsova M.A., Belova G.N., Shcherbakov P.L., Vernik N.V. Risks of the working environment in the safety ensuring in endoscopy. Experimental and Clinical Gastroenterology. 2020;(12):5-15. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-184-12-5-15
Views:
631
Email this article 