Occupational exposures in the operating room: Are surgeons well-equipped?

<h4>Background</h4>Occupational health hazards are ubiquitously found in the operating room, guaranteeing an inevitable risk of exposure to the surgeon. Although provisions on occupational health and safety in healthcare exist, they do not address non-traditional hazards found in the ope...

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Autores principales:	Wilmina N Landford, Ledibabari M Ngaage, Erica Lee, Yvonne Rasko, Robin Yang, Sheri Slezak, Richard Redett
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bba4640cc0fe488ea79ebdbe818b0ef1
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spelling	oai:doaj.org-article:bba4640cc0fe488ea79ebdbe818b0ef12021-12-02T20:15:39ZOccupational exposures in the operating room: Are surgeons well-equipped?1932-620310.1371/journal.pone.0253785https://doaj.org/article/bba4640cc0fe488ea79ebdbe818b0ef12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253785https://doaj.org/toc/1932-6203<h4>Background</h4>Occupational health hazards are ubiquitously found in the operating room, guaranteeing an inevitable risk of exposure to the surgeon. Although provisions on occupational health and safety in healthcare exist, they do not address non-traditional hazards found in the operating room. In order to determine whether surgeons or trainees receive any form of occupational health training, we examine the associations between occupational health training and exposure rate.<h4>Study design</h4>A cross-sectional survey was distributed. Respondent characteristics included academic level, race/ethnicity, and gender. The survey evaluated seven surgical disciplines and 13 occupational hazards. Multivariable logistic regression was used to examine the association between academic level, surgical specialty, and exposure rate.<h4>Results</h4>Our cohort of 183 respondents (33.1% response rate) consisted of attendings (n = 72, 39.3%) and trainees (n = 111, 60.7%). Surgical trainees were less likely to have been trained in cytotoxic drugs (OR 0.22, p<0.001), methylmethacrylate (OR 0.15, p<0.001), patient lifting (OR 0.43, p = 0.009), radiation (OR 0.40, p = 0.007), and surgical smoke (OR 0.41, p = 0.041) than attending surgeons. Additionally, trainees were more likely to experience frequent exposure to bloodborne pathogens (OR 5.26, p<0.001), methylmethacrylate (OR 2.86, p<0.001), cytotoxic drugs (OR 3.03, p<0.001), and formaldehyde (2.08, p = 0.011), to name a few.<h4>Conclusion</h4>Although surgeon safety is not a domain in residency training, standardized efforts to educate and change the culture of safety in residency programs is warranted. Our study demonstrates a disparity between trainees and attendings with a recommendation to provide formal training to trainees independent of their anticipated risk of exposure.Wilmina N LandfordLedibabari M NgaageErica LeeYvonne RaskoRobin YangSheri SlezakRichard RedettPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253785 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wilmina N Landford Ledibabari M Ngaage Erica Lee Yvonne Rasko Robin Yang Sheri Slezak Richard Redett Occupational exposures in the operating room: Are surgeons well-equipped?
description	<h4>Background</h4>Occupational health hazards are ubiquitously found in the operating room, guaranteeing an inevitable risk of exposure to the surgeon. Although provisions on occupational health and safety in healthcare exist, they do not address non-traditional hazards found in the operating room. In order to determine whether surgeons or trainees receive any form of occupational health training, we examine the associations between occupational health training and exposure rate.<h4>Study design</h4>A cross-sectional survey was distributed. Respondent characteristics included academic level, race/ethnicity, and gender. The survey evaluated seven surgical disciplines and 13 occupational hazards. Multivariable logistic regression was used to examine the association between academic level, surgical specialty, and exposure rate.<h4>Results</h4>Our cohort of 183 respondents (33.1% response rate) consisted of attendings (n = 72, 39.3%) and trainees (n = 111, 60.7%). Surgical trainees were less likely to have been trained in cytotoxic drugs (OR 0.22, p<0.001), methylmethacrylate (OR 0.15, p<0.001), patient lifting (OR 0.43, p = 0.009), radiation (OR 0.40, p = 0.007), and surgical smoke (OR 0.41, p = 0.041) than attending surgeons. Additionally, trainees were more likely to experience frequent exposure to bloodborne pathogens (OR 5.26, p<0.001), methylmethacrylate (OR 2.86, p<0.001), cytotoxic drugs (OR 3.03, p<0.001), and formaldehyde (2.08, p = 0.011), to name a few.<h4>Conclusion</h4>Although surgeon safety is not a domain in residency training, standardized efforts to educate and change the culture of safety in residency programs is warranted. Our study demonstrates a disparity between trainees and attendings with a recommendation to provide formal training to trainees independent of their anticipated risk of exposure.
format	article
author	Wilmina N Landford Ledibabari M Ngaage Erica Lee Yvonne Rasko Robin Yang Sheri Slezak Richard Redett
author_facet	Wilmina N Landford Ledibabari M Ngaage Erica Lee Yvonne Rasko Robin Yang Sheri Slezak Richard Redett
author_sort	Wilmina N Landford
title	Occupational exposures in the operating room: Are surgeons well-equipped?
title_short	Occupational exposures in the operating room: Are surgeons well-equipped?
title_full	Occupational exposures in the operating room: Are surgeons well-equipped?
title_fullStr	Occupational exposures in the operating room: Are surgeons well-equipped?
title_full_unstemmed	Occupational exposures in the operating room: Are surgeons well-equipped?
title_sort	occupational exposures in the operating room: are surgeons well-equipped?
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bba4640cc0fe488ea79ebdbe818b0ef1
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Occupational exposures in the operating room: Are surgeons well-equipped?

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