Improving Quality and Safety in the Endoscopy Unit (Virtual) | November 2025-Ergonomics in GI Endoscopy

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This presentation by Dr. Sonali Palchaudhuri from Massachusetts General Hospital focuses on the prevalence, risk factors, and prevention of ergonomics-related injuries (ERI) among endoscopists and endoscopy teams. A meta-analysis reveals that approximately 57.7% of endoscopists experience ERI, commonly affecting hands, fingers, back, and neck (25-35% incidence in these areas). Female endoscopists face a higher risk (62.4% vs 45.5%, OR 1.79), with increased injury rates linked to longer practice duration (15+ years), performing more than 20 endoscopies weekly, and spending over 16 hours per week on endoscopy.<br /><br />To reduce injuries, the American Society for Gastrointestinal Endoscopy (ASGE) provides guidance emphasizing ergonomic awareness and prevention strategies. A notable proposal introduced at DDW 2024 is the "MYSELF" ergonomic time-out, a simple pre-procedure checklist aimed at minimizing musculoskeletal injury risk by encouraging posture checks and adjustments.<br /><br />Practical solutions include ergonomic design of endoscopy units, ensuring adjustable monitor heights, bed heights, and availability of supportive equipment (e.g., anti-fatigue mats, step stools). Importantly, ergonomics should be considered not only for endoscopists but for all team members, with careful attention to positioning anesthesia staff and equipment towers to fit various heights. A team-based approach fosters mutual vigilance for ergonomic best practices.<br /><br />In summary, ergonomic injuries in endoscopy are common but potentially mitigated through individual awareness, pre-procedure ergonomic time-outs, and structural changes in the work environment to support safe postures and reduce strain for the entire endoscopy team.

Asset Subtitle

Sonali Palchaudhuri, MD, MHCI

Keywords

ergonomics-related injuries

endoscopists

endoscopy teams

musculoskeletal injury

MYSELF ergonomic time-out

American Society for Gastrointestinal Endoscopy

ergonomic prevention strategies

injury risk factors

ergonomic design

team-based approach