RISK ASSESSMENT IN GREEK HEALTH CARE SETTINGS Estimation de la - - PowerPoint PPT Presentation

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RISK ASSESSMENT IN GREEK HEALTH CARE SETTINGS Estimation de la - - PowerPoint PPT Presentation

May 10, 2023 244 likes •463 views

RISK ASSESSMENT IN GREEK HEALTH CARE SETTINGS Estimation de la risque dans services du system Grec de la Sant Styliani Tziaferi Assistant Professor in Community Nursing Dep. of Nursing Faculty of Human Movement and Quality of Life Sciences

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RISK ASSESSMENT IN GREEK HEALTH CARE SETTINGS Estimation de la risque dans services du system Grec de la Santé

Styliani Tziaferi

Assistant Professor in Community Nursing

  • Dep. of Nursing

Faculty of Human Movement and Quality of Life Sciences University of Peloponnese

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What is a Hazard;

 A substance, factor or physical situation, that

may cause harm, leading to injury or disease, disaster in working area or into environment

  • r combination of all the above
  • Hazard: Continuous or Non continuous

Physical Ergonomic Mechanical Chemical Biological Psycho- social

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RISK

The probability of harm or an undesirable event induction and their consequences The probability of a substance or factor to cause adverse effect in terms of use and/or exposure & the size of this damage. It is a function of the exposure to a source

  • f hazard, with the possibility of harm, due

to this exposure

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What is risk assessment;

Tota Total l proc procedur edure e of

  • f evaluat

evaluation ion of

  • f siz

size e

  • f hazard
  • f hazard and

and its its cons conseque equences nces into into hea health & lth & safet safety. y. It is It is a tool a tool for decision for decision making, making, referring to referring to whethe whether r risk risk level level is is tolera tolerable ble or acce

  • r accepted

pted, , taking taking into into con consider sideration ation all all pro protec tective tive measur measures es

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Risk assessment according the kind of risk

 No stochastic effect: The adverse effect is

related to the dose, if it exceeds a critical threshold (NOAEL or LOAEL) –(for ex. biological)

 Stochastic effect: The incidence of adverse

effect is related to the dose (higher dose/ higher probability) (for ex. chemotherapy)

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Risk assessment

 Structured & systematic procedure

(Sinclair, 1988)

 Idea- Report of Robens Committee- U.K.

(Horie 2010)

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 Qualitative  Semi-quantitative  Quantitative

(Raafat and Sadhra,1999)

Risk

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Level of Risk & ALARP (As Low as Reasonably Practicable)

Non tolerable level

Tolerable

Area of ALARP

Tolerable

Generally accepted level

(ALARP. Source: HSE 1992, Sadhra & Rampal)

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CONSEQUENCES

INCREASED POSSIBILITY

Risk level

people equipment consequence

Α Β C D Ε

1/100 0000 1/10

none none none

LAW

1

ΜΕDIUM

2

A

3

B

4

MANY CASUAL TIES EXTENDED DAMAGE DISASTROUS

C HIGH

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Risk Assessment MATRIX (RAM)

4

HIGH C

3

ΜEDIUM Β

2 1

LOW Α

A B C D E

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Methodology

 Experts’ inspection  Workers’ evaluation  Objective measurements

(Tziaferi, 2006, Tziaferi et al, 2011,

Tziaferi at al, 2012)

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Procedure

 1. IDENTIFICATION OF HAZARDS  2. ΑΝΑLYSIS & NAMING

OF EXPOSED HAZARDS Re-evaluation

 3. EVALUATION OF EXPOSURE

TO HAZARDS Guidelines of safe working procedures

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Organization of Greek Health and Safety services– Greek, European, International law-

GREEK L.1568/1985

  • L. 3028/2007

EUROPEAN

Framework-Directive 89/391 EEC «minimum safety and health requirements throughout

Europe while Member States are allowed to maintain or establish more stringent measures»

Framework- Directive 91/383 EE (P.D. 17/18.1.96 P.G. 11/Α/96) (P.D. 95/99) * internal/external services on H&S

  • Written Risk Assessment

INTERNATIONAL

General Conventions (International Labour Office -I.L.O.)

112/59,155/81,161/85, 149/1977 (Ν.1672/1987

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So far…

 Public sector:

About 40%

 Private sector: almost all

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WHO, 2012

Manual of risk assessment in Public health Issues

  • Evidence based surveillance
  • General and special hazards
  • Responsibility of crisis management
  • Experience in training
  • Special scientists
  • Same terminology & theoretical background:

combination of qualitative & quantitative evaluation

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ΕU-OSHA, 2012

  • Europe faces an important change
  • Variety within each country- member
  • Holistic, in common, attempted approach
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ΕU-OSHA, 2012

Νew hazards New forms of work organization New professional careers New influences on employees’ and employers’ health

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ΕU-OSHA , 2014 Campaign: “Healthy Workplaces Manage Stress”

Law Lack of surveillance Small enterprises/ health sectors Worker’s involvement Leadership management

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Merci beaucoup!