Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production

This study investigated how a standard could become reality-based in a workplace where certain types of deviations are not permitted, such as a radiopharmaceutical production unit. Compliance with standards is necessary to ensure the safety of individuals who manufacture such substances as well as t...

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Main Authors: Gerferson André Silva Costa, Julie Micheline Amaral Silva, Raquel Guimarães Soares, Celina Maria Modena, Fabiana Goulart de Oliveira, Francisco de Paula Antunes Lima
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024020346
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author Gerferson André Silva Costa
Julie Micheline Amaral Silva
Raquel Guimarães Soares
Celina Maria Modena
Fabiana Goulart de Oliveira
Francisco de Paula Antunes Lima
author_facet Gerferson André Silva Costa
Julie Micheline Amaral Silva
Raquel Guimarães Soares
Celina Maria Modena
Fabiana Goulart de Oliveira
Francisco de Paula Antunes Lima
author_sort Gerferson André Silva Costa
collection DOAJ
description This study investigated how a standard could become reality-based in a workplace where certain types of deviations are not permitted, such as a radiopharmaceutical production unit. Compliance with standards is necessary to ensure the safety of individuals who manufacture such substances as well as the security of patients receiving treatment. In this qualitative case study, an ergonomic analysis of work (also known as activity analysis) was performed, with noncompliance recorded in internal audits as a starting point: the lack of double-checking in radiopharmaceutical synthesis cassette assembly. Field observations and self-confrontation interviews with workers from a production unit were conducted to analyze the activities. Although a double-check did not occur, the radiopharmaceutical synthesis operator apparently developed another risk control strategy, focusing his attention to the equipment assembly details, which necessitated continuous control and verification actions to ensure that there were no problems at this stage of production. A multilevel approach was used to demonstrate how the safety and quality of production processes based on standard compliance only become effective and adherent to the activity after resolving various conflicts at work, including control systems (external and internal audits), work collectives, the contradiction of the activity itself, and the discussion of singular situations arising daily. This study contributes to the discussion on workplace safety considering standardization and advances the discussion on changing perspectives regarding rule compliance.
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spelling doaj.art-7ffc6f6c8758495ca390e6b84e2475702024-03-09T09:26:50ZengElsevierHeliyon2405-84402024-02-01104e26003Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical productionGerferson André Silva Costa0Julie Micheline Amaral Silva1Raquel Guimarães Soares2Celina Maria Modena3Fabiana Goulart de Oliveira4Francisco de Paula Antunes Lima5Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Belo Horizonte, Brazil, Av. Augusto de Lima, 1715, Barro Preto, Belo Horizonte, Minas Gerais, 30190-002, Brazil; Corresponding author.Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, Campus Pampulha, Zip Code, 31.270-901, Belo Horizonte, Minas Gerais, BrazilUniversidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, Campus Pampulha, Zip Code, 31.270-901, Belo Horizonte, Minas Gerais, BrazilInstituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Belo Horizonte, Brazil, Av. Augusto de Lima, 1715, Barro Preto, Belo Horizonte, Minas Gerais, 30190-002, BrazilUniversidade do Estado de Minas Gerais, Divinópolis, Brazil. Av. Paraná, 3001, Jardim Belvedere, Divinópolis, Minas Gerais, BrazilUniversidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, Campus Pampulha, Zip Code, 31.270-901, Belo Horizonte, Minas Gerais, BrazilThis study investigated how a standard could become reality-based in a workplace where certain types of deviations are not permitted, such as a radiopharmaceutical production unit. Compliance with standards is necessary to ensure the safety of individuals who manufacture such substances as well as the security of patients receiving treatment. In this qualitative case study, an ergonomic analysis of work (also known as activity analysis) was performed, with noncompliance recorded in internal audits as a starting point: the lack of double-checking in radiopharmaceutical synthesis cassette assembly. Field observations and self-confrontation interviews with workers from a production unit were conducted to analyze the activities. Although a double-check did not occur, the radiopharmaceutical synthesis operator apparently developed another risk control strategy, focusing his attention to the equipment assembly details, which necessitated continuous control and verification actions to ensure that there were no problems at this stage of production. A multilevel approach was used to demonstrate how the safety and quality of production processes based on standard compliance only become effective and adherent to the activity after resolving various conflicts at work, including control systems (external and internal audits), work collectives, the contradiction of the activity itself, and the discussion of singular situations arising daily. This study contributes to the discussion on workplace safety considering standardization and advances the discussion on changing perspectives regarding rule compliance.http://www.sciencedirect.com/science/article/pii/S2405844024020346RadiopharmaceuticalsActivity analysisAdherence to standardsRisk control
spellingShingle Gerferson André Silva Costa
Julie Micheline Amaral Silva
Raquel Guimarães Soares
Celina Maria Modena
Fabiana Goulart de Oliveira
Francisco de Paula Antunes Lima
Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production
Heliyon
Radiopharmaceuticals
Activity analysis
Adherence to standards
Risk control
title Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production
title_full Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production
title_fullStr Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production
title_full_unstemmed Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production
title_short Compliance and initiative: A discussion on the relationship between standards and activities in radiopharmaceutical production
title_sort compliance and initiative a discussion on the relationship between standards and activities in radiopharmaceutical production
topic Radiopharmaceuticals
Activity analysis
Adherence to standards
Risk control
url http://www.sciencedirect.com/science/article/pii/S2405844024020346
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