title: Injury to endoscopic personnel from tripping over exposed cords, wires, and tubing in the endoscopy suite: a preventable cause of potentially severe workplace injury.
abstract: BACKGROUND The endoscopy unit before remediation may be a high-risk area for slip and fall injuries due to a large number of exposed above-the-floor wires in the endoscopy rooms, dimmed lighting during endoscopic procedures, and staff inattention to obstacles due to preoccupation with the endoscopic patient. AIM To describe a novel, previously unappreciated workplace hazard to endoscopic personnel: Exposed wires in the endoscopy unit.METHODS This study is a retrospective review of 110,000 endoscopic procedures performed during the last 5 years at an academic, teaching hospital with a high-volume endoscopy unit. All significant orthopedic injuries to endoscopic personnel from slips, twists, and falls from tripping over exposed cords in the endoscopy unit were reviewed. The severity of injury was documented based on roentgenographic findings, number of days of missed work, number of days with a modified work schedule, and requirement for orthopedic surgery. The number of potentially exposed cords per endoscopy room was determined. RESULTS During the 5-year study period, three endoscopic personnel suffered significant orthopedic injuries from slips, twists, and falls from tripping over cords, wires, or tubing lying exposed over the floor in the endoscopy suite: The resulting injuries consisted of fourth and fifth metacarpal hand fractures due to a fall after tripping on oxygen tubing; a rib fracture due to tripping on electrical wires trailing from an endoscopy cart; and a grade II ankle sprain due to the foot becoming entangled in oxygen tubing. All injuries resulted in lost days of work [mean 9.3 +/- 11.0 (SD) days] and in additional days of restricted work (mean 41.7 +/- 31.8 days). One injury required orthopedic surgery. Hospital review revealed a mean of 35.3 +/- 7.5 cords, wires, or tubing per endoscopy procedure room, the majority of which were exposed above the floor before remediation (n = 10 rooms). Remediation of exposed wires included: bundling related wires together in a cable to reduce the number of independent wires, covering exposed wires on the floor with a nonslip heavy mat, and running wires from ceiling outlets to equipment high above ground (e.g. mounted endoscopy video monitors). CONCLUSIONS Tripping, slipping, and falling over exposed wires can cause significant injury to endoscopic personnel. This previously undescribed hazard should be preventable by simple remediation, and all endoscopic personnel, hospital architects, hospital administrators, and governmental regulators should be alerted to this potential hazard
authors.affiliation: Division of Gastroenterology, William Beaumont Hospital, MOB 233, 3535 West Thirteen Mile Road, Royal Oak, MI 48073, USA.
authors.forename: Mitchell S
authors.initials: MS
authors.lastname: Cappell
mesh_terms: D000046:Academic Medical Centers / Q000706:statistics & numerical data; D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data; D000062:Accidents, Occupational / Q000517:prevention & control* / Q000706:statistics & numerical data; D000328:Adult; D016512:Ankle Injuries / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery; D003430:Cross-Sectional Studies; D004559:Electric Wiring; D016099:Endoscopy, Gastrointestinal; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000517:prevention & control* / Q000601:surgery; D018460:Fractures, Comminuted / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery; D006230:Hand Injuries / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery; D006801:Humans; D008029:Lighting; D008297:Male; D050279:Metacarpal Bones / Q000293:injuries; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D019637:Orthopedic Procedures / Q000706:statistics & numerical data; D010564:Personnel, Hospital / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012253:Rib Fractures / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery; D017751:Safety Management; D018582:Sick Leave / Q000706:statistics & numerical data; D013180:Sprains and Strains / Q000453:epidemiology / Q000517:prevention & control* / Q000601:surgery; D014481:United States; D014489:United States Occupational Safety and Health Administration