Improving Quality and Safety in the Endoscopy Unit (On-Demand) | October 2024-14_Palchaudhuri

14_Palchaudhuri_Ergonomics

Pdf Summary

The presentation by Dr. Sonali Palchaudhuri focuses on the topic of ergonomic injuries in the field of endoscopy, emphasizing the urgency of addressing this prevalent issue to improve quality and safety in endoscopic practice. At Massachusetts General Hospital, insights into the prevalence, risk factors, and preventive measures for endoscopy-related injuries (ERI) were discussed.<br /><br />A meta-analysis revealed that about 57.7% of endoscopists experience ERI, impacting various body parts such as the hands, fingers, back, and neck. Female endoscopists appear to be at a higher risk, with a reported incidence rate of 62.4% as opposed to 45.5% in males, highlighting a significant gender disparity. Risk factors include extended years of practice, frequency of weekly endoscopies, and prolonged hours performing these procedures, suggesting that greater exposure increases the likelihood of injury.<br /><br />Innovative solutions like the "ergonomic time-out," introduced by Shergill et al., suggest a pre-procedure strategy that could reduce the risk of musculoskeletal injuries among endoscopists. Additionally, there are structural recommendations to mitigate ERIs, including adjustable height monitors, anti-fatigue mats, appropriately positioning equipment, and ensuring accessible ergonomics for all team members. Importantly, the design and purchase of medical equipment should consider these ergonomic factors to reduce injury risk.<br /><br />The presentation also underscores the importance of a team-oriented approach, where each member's ergonomic needs, such as monitor and bed height adjustments, are considered to create a safer working environment. By integrating practical ergonomic considerations into endoscopy units and working processes, injuries can be significantly reduced, enhancing overall safety and efficiency for all personnel involved.

Keywords

ergonomic injuries

endoscopy

Massachusetts General Hospital

endoscopy-related injuries

risk factors

gender disparity

ergonomic time-out

musculoskeletal injuries

preventive measures

team-oriented approach