Occupational risks evaluation in a centralized antineoplastic agent preparation unit
Objective: The global professional risk assessment applied to the central unit of antineoplastic agent preparations is part of a mandatory approach required by the European legislation for workers. This study identified the hazardous situations related to the staff activity and then enabled the prep...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2019-07-01
|
Series: | SAGE Open Medicine |
Online Access: | https://doi.org/10.1177/2050312119866970 |
_version_ | 1798022739514097664 |
---|---|
author | Quentin Dubray Taibou Diallo Richard Loeuillet Emilie Andre Anne-Sophie Fauqueur Sandrine Poil Nathalie Thromas Philippe-Henri Secretan Salvatore Cisternino Joël Schlatter |
author_facet | Quentin Dubray Taibou Diallo Richard Loeuillet Emilie Andre Anne-Sophie Fauqueur Sandrine Poil Nathalie Thromas Philippe-Henri Secretan Salvatore Cisternino Joël Schlatter |
author_sort | Quentin Dubray |
collection | DOAJ |
description | Objective: The global professional risk assessment applied to the central unit of antineoplastic agent preparations is part of a mandatory approach required by the European legislation for workers. This study identified the hazardous situations related to the staff activity and then enabled the preparation of a formal plan of occupational prevention. Methods: The nature of study approved by a working group constituted by experts was the global risk analysis. After identifying the hazardous situations, the global risk analysis estimated the risk level of each hazardous situation based on a criticality score, including severity and frequency. The global risk analysis highlighted the initial and residual risks after establishing a plan to reduce the high criticality risks. Results: Hence, 33 unacceptable hazardous situations were identified. The critical categories of professional risks were “Product, emissions, and waste risks” with 17 (55%) hazardous situations; “Psychosocial risk factors” with 8 (24%) hazardous situations; and “Risks related to work equipment” with 6 (18%) hazardous situations. Once the risk reduction plan was in place, all hazardous situations were considered under control. The corrective actions led to a reorganization of human resources, the update of protection protocols, and optimization of ergonomic work tools. Staff-specific medical monitoring and regular surface contamination tests have been scheduled annually. In addition, initial and continuous training, specific to product and waste risks, has been updated. Conclusion: The global professional risk assessment related to centralized antineoplastic agent preparation unit generated failure in our system and enabled corrective actions for staff safety. |
first_indexed | 2024-04-11T17:34:55Z |
format | Article |
id | doaj.art-c62dd7e786034c12a646d368075a93e7 |
institution | Directory Open Access Journal |
issn | 2050-3121 |
language | English |
last_indexed | 2024-04-11T17:34:55Z |
publishDate | 2019-07-01 |
publisher | SAGE Publishing |
record_format | Article |
series | SAGE Open Medicine |
spelling | doaj.art-c62dd7e786034c12a646d368075a93e72022-12-22T04:11:44ZengSAGE PublishingSAGE Open Medicine2050-31212019-07-01710.1177/2050312119866970Occupational risks evaluation in a centralized antineoplastic agent preparation unitQuentin Dubray0Taibou Diallo1Richard Loeuillet2Emilie Andre3Anne-Sophie Fauqueur4Sandrine Poil5Nathalie Thromas6Philippe-Henri Secretan7Salvatore Cisternino8Joël Schlatter9Pharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FranceINSERM UMR-S 1144, Paris, FrancePharmacie, Hôpital Universitaire Necker – Enfants Malades, Paris, FranceObjective: The global professional risk assessment applied to the central unit of antineoplastic agent preparations is part of a mandatory approach required by the European legislation for workers. This study identified the hazardous situations related to the staff activity and then enabled the preparation of a formal plan of occupational prevention. Methods: The nature of study approved by a working group constituted by experts was the global risk analysis. After identifying the hazardous situations, the global risk analysis estimated the risk level of each hazardous situation based on a criticality score, including severity and frequency. The global risk analysis highlighted the initial and residual risks after establishing a plan to reduce the high criticality risks. Results: Hence, 33 unacceptable hazardous situations were identified. The critical categories of professional risks were “Product, emissions, and waste risks” with 17 (55%) hazardous situations; “Psychosocial risk factors” with 8 (24%) hazardous situations; and “Risks related to work equipment” with 6 (18%) hazardous situations. Once the risk reduction plan was in place, all hazardous situations were considered under control. The corrective actions led to a reorganization of human resources, the update of protection protocols, and optimization of ergonomic work tools. Staff-specific medical monitoring and regular surface contamination tests have been scheduled annually. In addition, initial and continuous training, specific to product and waste risks, has been updated. Conclusion: The global professional risk assessment related to centralized antineoplastic agent preparation unit generated failure in our system and enabled corrective actions for staff safety.https://doi.org/10.1177/2050312119866970 |
spellingShingle | Quentin Dubray Taibou Diallo Richard Loeuillet Emilie Andre Anne-Sophie Fauqueur Sandrine Poil Nathalie Thromas Philippe-Henri Secretan Salvatore Cisternino Joël Schlatter Occupational risks evaluation in a centralized antineoplastic agent preparation unit SAGE Open Medicine |
title | Occupational risks evaluation in a centralized antineoplastic agent preparation unit |
title_full | Occupational risks evaluation in a centralized antineoplastic agent preparation unit |
title_fullStr | Occupational risks evaluation in a centralized antineoplastic agent preparation unit |
title_full_unstemmed | Occupational risks evaluation in a centralized antineoplastic agent preparation unit |
title_short | Occupational risks evaluation in a centralized antineoplastic agent preparation unit |
title_sort | occupational risks evaluation in a centralized antineoplastic agent preparation unit |
url | https://doi.org/10.1177/2050312119866970 |
work_keys_str_mv | AT quentindubray occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT taiboudiallo occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT richardloeuillet occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT emilieandre occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT annesophiefauqueur occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT sandrinepoil occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT nathaliethromas occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT philippehenrisecretan occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT salvatorecisternino occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit AT joelschlatter occupationalrisksevaluationinacentralizedantineoplasticagentpreparationunit |