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James A Goldstein - One of the best experts on this subject based on the ideXlab platform.
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scai multi society position statement on occupational Health Hazards of the catheterization laboratory shifting the paradigm for Healthcare workers protection
Journal of the American College of Cardiology, 2020Co-Authors: Lloyd W Klein, James A Goldstein, David E Haines, Charles E Chambers, Roxana Mehran, Smadar Kort, Michael C Valentine, D R CoxAbstract:Renewed attention has focused on the occupational Health Hazards posed by working in the fluoroscopic laboratory ([1–6][1]). Accumulated occupational radiation exposure is associated with Health risks to physicians, nurses, and technologists working in this environment. Health care workers are
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occupational Health Hazards of interventional cardiologists in the current decade results of the 2014 scai membership survey
Catheterization and Cardiovascular Interventions, 2015Co-Authors: Lloyd W Klein, Charles E Chambers, Yolande Tra, Kirk N Garratt, Wayne Powell, Georgina Lopezcruz, James A GoldsteinAbstract:Background Interventional cardiologists and staff are subject to unique physical demands that predispose them to distinct occupational Health Hazards not seen in other medical disciplines. Methods To characterize the prevalence of these occupational Health problems, The Society for Cardiovascular Angiography and Interventions (SCAI) surveyed its members by email. Inquiries included age, years of invasive practice, and diagnostic and interventional cases per year. Questions focused on orthopedic (spine, hips, knees, and ankles) and radiation-associated problems (cataracts and cancers). Results There were 314 responses. Responders were on average busy and experienced, performing a mean of 380 ± 249 diagnostic and 200 ± 129 interventional cases annually. Of the responders, 6.9% of operators have had to limit their caseload because of radiation exposure and 9.3% have had a Health-related period of absence. Furthermore, 153 (49.4%) operators reported at least one orthopedic injury: 24.7% cervical spine disease, 34.4% lumbar spine problems, and 19.6% hip, knee or ankle joint problems. Age was most significantly correlated with orthopedic illnesses: cervical injuries (χ2 = 150.7, P < 0.0001); hip/knee or ankle injuries (χ2 = 80.9, P < 0.0001); lumbar injuries (χ2 = 147.0, P < 0.0001); and any orthopedic illness (χ2 = 241.2, P < 0.0001). Annual total caseload was also associated: the estimated change in the odds of orthopedic illness for each additional total caseload quintile is 1.0013 (1.0001, 1.0026). There is a small but substantial incidence of cancer. Conclusions These findings are consistent with, and extend the findings, of a prior 2004 SCAI survey, in documenting a substantial prevalence of orthopedic complications among active interventional cardiologists, which persists despite increased awareness. © 2015 Wiley Periodicals, Inc.
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occupational Health Hazards in the interventional laboratory time for a safer environment
Catheterization and Cardiovascular Interventions, 2008Co-Authors: Lloyd W Klein, David E Haines, Donald L Miller, Stephen Balter, Warren K Laskey, Neil Naito, Allan Ross, Matthew A Mauro, James A GoldsteinAbstract:Over the past 30 years, the advent of fluoroscopically guided interventional procedures has resulted in dramatic increments in both X-ray exposure and physical demands that predispose interventionists to distinct occupational Health Hazards. The Hazards of accumulated radiation exposure have been known for years, but until recently the other potential risks have been ill-defined and under-appreciated. The physical stresses inherent in this career choice appear to be associated with a predilection to orthopedic injuries, attributable in great part to the cumulative adverse effects of bearing the weight and design of personal protective apparel worn to reduce radiation risk and to the poor ergonomic design of interventional suites. These occupational Health concerns pertain to cardiologists, radiologists and surgeons working with fluoroscopy, pain management specialists performing nonvascular fluoroscopic procedures, and the many support personnel working in these environments. This position paper is the work of representatives of the major societies of physicians who work in the interventional laboratory environment, and has been formally endorsed by all. In this paper, the available data delineating the prevalence of these occupational Health risks is reviewed and ongoing epidemiological studies designed to further elucidate these risks are summarized. The main purpose is to publicly state speaking with a single voice that the interventional laboratory poses workplace Hazards that must be acknowledged, better understood and mitigated to the greatest extent possible, and to advocate vigorously on behalf of efforts to reduce these Hazards. Interventional physicians and their professional societies, working together with industry, should strive toward the ultimate zero radiation exposure work environment that would eliminate the need for personal protective apparel and prevent its orthopedic and ergonomic consequences. © 2008 Wiley-Liss, Inc.
Kwabena A Poku - One of the best experts on this subject based on the ideXlab platform.
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experiences of frontline nursing staff on workplace safety and occupational Health Hazards in two psychiatric hospitals in ghana
BMC Public Health, 2018Co-Authors: Robert Kaba Alhassan, Kwabena A PokuAbstract:Psychiatric hospitals need safe working environments to promote productivity at the workplace. Even though occupational Health and safety is not completely new to the corporate society, its scope is largely limited to the manufacturing/processing industries which are perceived to pose greater dangers to workers than the Health sector. This paper sought to explore the experiences of frontline nursing personnel on the occupational Health and safety conditions in two psychiatric hospitals in Ghana. This is an exploratory cross-sectional study among 296 nurses and nurse-assistants in Accra (n = 164) and Pantang (n = 132) psychiatric hospitals using the proportional stratified random sampling technique. Multivariate Ordinary Least Squares (OLS) regression test was conducted to ascertain the determinants of staff exposure to occupational Health Hazards and the frequency of exposure to these occupational Health Hazards on daily basis. Knowledge levels on occupational Health Hazards was high in Accra and Pantang psychiatric hospitals (i.e. 92 and 81% respectively), but barely 44% of the 296 interviewed staff in the two hospitals said they reported their most recent exposure to an occupational Health hazard to hospital management. It was found that staff who worked for more years on the ward had higher likelihood of exposure to occupational Health Hazards than those who worked for lesser years (p = 0.002). The category of occupational Health Hazards reported most were the physical Health Hazards. Psychosocial Hazards were the least reported Health Hazards. Frequency of exposure to occupational Health Hazards on daily basis was positively associated with work schedules of staff particularly, staff on routine day schedule (Coef = 4.49, p = 0.011) and those who alternated between day and night schedules (Coef = 4.48, p = 0.010). Occupational Health and safety conditions in the two hospitals were found to be generally poor. Even though majority of the staff knew about occupational Health and safety, less than half of them reported exposure to workplace Health Hazards. Key stakeholders such as the Ministry of Health in collaboration with the Mental Health Authority should intensify efforts towards effective enforcement of existing policies on safety in Healthcare institutions, particularly psychiatric hospitals where exposure to occupational Health Hazards is more prevalent.
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experiences of frontline nursing staff on workplace safety and occupational Health Hazards in two psychiatric hospitals in ghana
Occupational medicine and health affairs, 2018Co-Authors: Robert Kaba Alhassan, Kwabena A PokuAbstract:Background: Psychiatric hospitals need safe working environments to promote productivity at the workplace. Even though occupational Health and safety is not completely new to the corporate society, its scope is largely limited to the manufacturing industries which are perceived to pose greater dangers to workers. Purpose: This paper sought to ascertain the occupational Health and safety conditions in two psychiatric hospitals in Ghana. Methods: This is a cross-sectional study among 350 nurses and nurse-assistants in Accra and Pantang psychiatric hospitals using the proportional stratified random sampling technique. Multivariate Ordinary Least Squares (OLS) logistic regression was conducted to ascertain the determinants of staff exposure to occupational Health Hazards. Results: Knowledge levels on occupational Health Hazards were high in the two psychiatric hospitals. Physical Health Hazards were reported most than psychosocial Hazards which are perceived as minor. Frequency of exposure to occupational Health Hazards was positively associated with work schedules of staff particularly, staff on routine day schedule (Coef=4.49, p=0.011) and those who alternated between day and night schedules (Coef=4.48, p=0.010). Staff age, sex and number of years of work experience were significant correlates of exposure to workplace Health Hazards (p<0.05). Conclusion: Occupational Health and safety conditions of the two hospitals were found to be generally poor. Reporting of work related Health Hazards by Health staff was low due to low awareness and poor compensations. The Ministry of Health in collaboration with the Mental Health Authority should intensify efforts towards effective enforcement of existing policies on safety in Healthcare institutions, particularly psychiatric hospitals.
Lloyd W Klein - One of the best experts on this subject based on the ideXlab platform.
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scai multi society position statement on occupational Health Hazards of the catheterization laboratory shifting the paradigm for Healthcare workers protection
Journal of the American College of Cardiology, 2020Co-Authors: Lloyd W Klein, James A Goldstein, David E Haines, Charles E Chambers, Roxana Mehran, Smadar Kort, Michael C Valentine, D R CoxAbstract:Renewed attention has focused on the occupational Health Hazards posed by working in the fluoroscopic laboratory ([1–6][1]). Accumulated occupational radiation exposure is associated with Health risks to physicians, nurses, and technologists working in this environment. Health care workers are
-
occupational Health Hazards of interventional cardiologists in the current decade results of the 2014 scai membership survey
Catheterization and Cardiovascular Interventions, 2015Co-Authors: Lloyd W Klein, Charles E Chambers, Yolande Tra, Kirk N Garratt, Wayne Powell, Georgina Lopezcruz, James A GoldsteinAbstract:Background Interventional cardiologists and staff are subject to unique physical demands that predispose them to distinct occupational Health Hazards not seen in other medical disciplines. Methods To characterize the prevalence of these occupational Health problems, The Society for Cardiovascular Angiography and Interventions (SCAI) surveyed its members by email. Inquiries included age, years of invasive practice, and diagnostic and interventional cases per year. Questions focused on orthopedic (spine, hips, knees, and ankles) and radiation-associated problems (cataracts and cancers). Results There were 314 responses. Responders were on average busy and experienced, performing a mean of 380 ± 249 diagnostic and 200 ± 129 interventional cases annually. Of the responders, 6.9% of operators have had to limit their caseload because of radiation exposure and 9.3% have had a Health-related period of absence. Furthermore, 153 (49.4%) operators reported at least one orthopedic injury: 24.7% cervical spine disease, 34.4% lumbar spine problems, and 19.6% hip, knee or ankle joint problems. Age was most significantly correlated with orthopedic illnesses: cervical injuries (χ2 = 150.7, P < 0.0001); hip/knee or ankle injuries (χ2 = 80.9, P < 0.0001); lumbar injuries (χ2 = 147.0, P < 0.0001); and any orthopedic illness (χ2 = 241.2, P < 0.0001). Annual total caseload was also associated: the estimated change in the odds of orthopedic illness for each additional total caseload quintile is 1.0013 (1.0001, 1.0026). There is a small but substantial incidence of cancer. Conclusions These findings are consistent with, and extend the findings, of a prior 2004 SCAI survey, in documenting a substantial prevalence of orthopedic complications among active interventional cardiologists, which persists despite increased awareness. © 2015 Wiley Periodicals, Inc.
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occupational Health Hazards in the interventional laboratory time for a safer environment
Catheterization and Cardiovascular Interventions, 2008Co-Authors: Lloyd W Klein, David E Haines, Donald L Miller, Stephen Balter, Warren K Laskey, Neil Naito, Allan Ross, Matthew A Mauro, James A GoldsteinAbstract:Over the past 30 years, the advent of fluoroscopically guided interventional procedures has resulted in dramatic increments in both X-ray exposure and physical demands that predispose interventionists to distinct occupational Health Hazards. The Hazards of accumulated radiation exposure have been known for years, but until recently the other potential risks have been ill-defined and under-appreciated. The physical stresses inherent in this career choice appear to be associated with a predilection to orthopedic injuries, attributable in great part to the cumulative adverse effects of bearing the weight and design of personal protective apparel worn to reduce radiation risk and to the poor ergonomic design of interventional suites. These occupational Health concerns pertain to cardiologists, radiologists and surgeons working with fluoroscopy, pain management specialists performing nonvascular fluoroscopic procedures, and the many support personnel working in these environments. This position paper is the work of representatives of the major societies of physicians who work in the interventional laboratory environment, and has been formally endorsed by all. In this paper, the available data delineating the prevalence of these occupational Health risks is reviewed and ongoing epidemiological studies designed to further elucidate these risks are summarized. The main purpose is to publicly state speaking with a single voice that the interventional laboratory poses workplace Hazards that must be acknowledged, better understood and mitigated to the greatest extent possible, and to advocate vigorously on behalf of efforts to reduce these Hazards. Interventional physicians and their professional societies, working together with industry, should strive toward the ultimate zero radiation exposure work environment that would eliminate the need for personal protective apparel and prevent its orthopedic and ergonomic consequences. © 2008 Wiley-Liss, Inc.
Boon Huan Tan - One of the best experts on this subject based on the ideXlab platform.
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The use of animals as a surveillance tool for monitoring environmental Health Hazards, human Health Hazards and bioterrorism.
Veterinary Microbiology, 2017Co-Authors: Jacqueline Pei Shan Neo, Boon Huan TanAbstract:This review discusses the utilization of wild or domestic animals as surveillance tools for monitoring naturally occurring environmental and human Health Hazards. Besides providing early warning to natural Hazards, animals can also provide early warning to societal Hazards like bioterrorism. Animals are ideal surveillance tools to humans because they share the same environment as humans and spend more time outdoors than humans, increasing their exposure risk. Furthermore, the biologically compressed lifespans of some animals may allow them to develop clinical signs more rapidly after exposure to specific pathogens. Animals are an excellent channel for monitoring novel and known pathogens with outbreak potential given that more than 60 % of emerging infectious diseases in humans originate as zoonoses. This review attempts to highlight animal illnesses, deaths, biomarkers or sentinel events, to remind human and veterinary public Health programs that animal Health can be used to discover, monitor or predict environmental Health Hazards, human Health Hazards, or bioterrorism. Lastly, we hope that this review will encourage the implementation of animals as a surveillance tool by clinicians, veterinarians, ecosystem Health professionals, researchers and governments.
Robert Kaba Alhassan - One of the best experts on this subject based on the ideXlab platform.
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experiences of frontline nursing staff on workplace safety and occupational Health Hazards in two psychiatric hospitals in ghana
BMC Public Health, 2018Co-Authors: Robert Kaba Alhassan, Kwabena A PokuAbstract:Psychiatric hospitals need safe working environments to promote productivity at the workplace. Even though occupational Health and safety is not completely new to the corporate society, its scope is largely limited to the manufacturing/processing industries which are perceived to pose greater dangers to workers than the Health sector. This paper sought to explore the experiences of frontline nursing personnel on the occupational Health and safety conditions in two psychiatric hospitals in Ghana. This is an exploratory cross-sectional study among 296 nurses and nurse-assistants in Accra (n = 164) and Pantang (n = 132) psychiatric hospitals using the proportional stratified random sampling technique. Multivariate Ordinary Least Squares (OLS) regression test was conducted to ascertain the determinants of staff exposure to occupational Health Hazards and the frequency of exposure to these occupational Health Hazards on daily basis. Knowledge levels on occupational Health Hazards was high in Accra and Pantang psychiatric hospitals (i.e. 92 and 81% respectively), but barely 44% of the 296 interviewed staff in the two hospitals said they reported their most recent exposure to an occupational Health hazard to hospital management. It was found that staff who worked for more years on the ward had higher likelihood of exposure to occupational Health Hazards than those who worked for lesser years (p = 0.002). The category of occupational Health Hazards reported most were the physical Health Hazards. Psychosocial Hazards were the least reported Health Hazards. Frequency of exposure to occupational Health Hazards on daily basis was positively associated with work schedules of staff particularly, staff on routine day schedule (Coef = 4.49, p = 0.011) and those who alternated between day and night schedules (Coef = 4.48, p = 0.010). Occupational Health and safety conditions in the two hospitals were found to be generally poor. Even though majority of the staff knew about occupational Health and safety, less than half of them reported exposure to workplace Health Hazards. Key stakeholders such as the Ministry of Health in collaboration with the Mental Health Authority should intensify efforts towards effective enforcement of existing policies on safety in Healthcare institutions, particularly psychiatric hospitals where exposure to occupational Health Hazards is more prevalent.
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experiences of frontline nursing staff on workplace safety and occupational Health Hazards in two psychiatric hospitals in ghana
Occupational medicine and health affairs, 2018Co-Authors: Robert Kaba Alhassan, Kwabena A PokuAbstract:Background: Psychiatric hospitals need safe working environments to promote productivity at the workplace. Even though occupational Health and safety is not completely new to the corporate society, its scope is largely limited to the manufacturing industries which are perceived to pose greater dangers to workers. Purpose: This paper sought to ascertain the occupational Health and safety conditions in two psychiatric hospitals in Ghana. Methods: This is a cross-sectional study among 350 nurses and nurse-assistants in Accra and Pantang psychiatric hospitals using the proportional stratified random sampling technique. Multivariate Ordinary Least Squares (OLS) logistic regression was conducted to ascertain the determinants of staff exposure to occupational Health Hazards. Results: Knowledge levels on occupational Health Hazards were high in the two psychiatric hospitals. Physical Health Hazards were reported most than psychosocial Hazards which are perceived as minor. Frequency of exposure to occupational Health Hazards was positively associated with work schedules of staff particularly, staff on routine day schedule (Coef=4.49, p=0.011) and those who alternated between day and night schedules (Coef=4.48, p=0.010). Staff age, sex and number of years of work experience were significant correlates of exposure to workplace Health Hazards (p<0.05). Conclusion: Occupational Health and safety conditions of the two hospitals were found to be generally poor. Reporting of work related Health Hazards by Health staff was low due to low awareness and poor compensations. The Ministry of Health in collaboration with the Mental Health Authority should intensify efforts towards effective enforcement of existing policies on safety in Healthcare institutions, particularly psychiatric hospitals.
