Priorities of ensuring hygiene and occupational safety of medical personnel and the resilience of healthcare facilities in emergency situations

Authors

DOI:

https://doi.org/10.14739/2310-1210.2024.4.304454

Keywords:

healthcare facilities, occupational injuries, emergency situation, COVID-19 pandemic, state of war

Abstract

Aim. To evaluate the influence of biological and socio-political emergencies on the safety of healthcare staff members.

Materials and methods. The study used bibliosemantic, statistical, and mathematical methods, analyzing official statistical data on the healthcare system state in Ukraine.

Results. While performing their functions in healthcare facilities, medical workers are exposed to the risk of negative effects from biological, psychophysiological, chemical, physical, and social harmful and hazardous factors. Adverse occupational factors in hospital environments exert a complex, combined, or concurrent effect, and its impact intensity can be enormously increased in various types of emergency situations.

During the COVID-19 pandemic, a steep increase in occupational injuries in the national healthcare (in fact, by 30 times) has been documented, including due to the registration of acute infectious diseases among medical personnel at the workplace. Similar trends are also evidenced in indicators of lethal injuries, professional and occupationally induced morbidity.

Furthermore, Ukraine has faced overlapping emergency situations of socio-political terms, caused by the full-scale aggression of the Russian Federation, and medical-biological problems caused by the COVID-19 pandemic, significantly complicating the state of affairs. According to official data, only in the first year of the full-scale invasion of Ukraine, about 1500 healthcare facilities were damaged, 106 medical workers died, including 33 at their workplace.

Conclusions. The resilience of healthcare facilities to various types of emergency situations is an extremely important component of ensuring the hospital environment safety and, as practice shows, requires improvement. There is an urgent need to develop clear response algorithms for healthcare facilities to cope with emergency situations that could influence them.

Reinforcing a safety culture in the national medical sector could become the goal and foundation for future strategies to create a safe hospital environment by improving and enhancing the safety culture.

Author Biographies

R. P. Brukhno, Bogomolets National Medical University, Kyiv, Ukraine

MD, PhD, DSc, Associate Professor of the Department of Hygiene, Occupational Safety and Health

O. P. Yavorovskyi, Bogomolets National Medical University, Kyiv, Ukraine

MD, PhD, DSc, Professor, Head of the Department of Hygiene, Occupational Safety and Health

Yu. M. Skaletskyi, State Institution “O. M. Marzeyev Institute for Public Health of the National Academy of Medical Science of Ukraine”, Kyiv

MD, PhD, DSc, Professor, Head of the Laboratory of Safety Strategies in Health Care

T. O. Zinchenko, Bogomolets National Medical University, Kyiv, Ukraine

MD, PhD, Associate Professor of the Department of Hygiene, Occupational Safety and Health

References

Bureau of Labor Statistics, U. S. Department of Labor, Survey of Occupational Injuries and Illnesses, in cooperation with participating state agencies. Employer-reported workplace injuries and illnesses – 2018 [Internet]. 2019 [cited 2024 May 17]. Available from: https://www.bls.gov/news.release/pdf/osh.pdf

Van Poppel F, Bijwaard G, Van Lieburg M, Van Lieburg F, Hoekstra R, Verkade F. The Life Expectancy of Medical Professionals in the Netherlands, Sixteenth to Twentieth Centuries. Population. 2016;71(4):619-40. doi: https://doi.org/10.3917/popu.1604.0659

Nagorna AM. Occupational morbidity in Ukraine during the COVID-19 pandemic: an epidemiological analysis. Ukrainian journal of occupational health. 2022;18(1):12-21. doi: https://doi.org/10.33573/ujoh2022.01.012

Nahorna AM, Sokolova MP, Kononova IG. [Occupational morbidity of medical workers in Ukraine as a medical and social problem]. 2016;55(2):3-16. Ukrainian. Available from: https://ujoh.org/upload-files/doc/vydav/16-02/pdf/2.pdf

Yavorovskyi OP, Naumenko OM, Skaletsky YM, Brukhno RP, Rigan MM, Omelchuk ST, et al. COVID-19 as a stress test of healthcare establishments effectiveness and reliability measured nationally and globally. Wiad Lek. 2021;74(10 pt 1):2471-6.

Yavorovsky AP, Skaletsky YM, Brukhno RP, Shkurba AV, Kirichuk IM, Regan ММ. Problems of safety, occupational hygiene and control over infections in fighting with occupational diseases of healthcare workers with COVID-19 in treatment facilities of Ukraine. Medicni perspektivi. 2020;25(4):159-65. doi: https://doi.org/10.26641/2307-0404.2020.4.221660

Skaletsky YN, Yavorovsky AP, Gitchka SG, Regan MM, Didkovsky VL, Bruhno RP. [Inpatient and postoperative mortality trends as indicators of patient safety in Ukraine]. Ukrainian medical journal. 2020;0(3):38-41. Ukrainian. doi: https://doi.org/10.32471/umj.1680-3051.137.182411

Skaletsky YN, Yavorovsky AP, Gichka SG, Rygan MM, Gorval AK, Didkovsky VL, et al. [Trends in inpatient and postoperative mortality as indicators of patient safety at the level of individual hospital facilities (report 2)]. Ukrainian medical journal. 2020;2(6):36-9. Ukrainian. doi: https://doi.org/10.32471/umj.1680-3051.140.196368

Yavorovskyi OP, Brukhno RP, Brukhno OM. [The causative agents of infectious diseases as harmful and dangerous factors of medical workers’ labor conditions]. In: Aktualni problemy profilaktychnoi medytsyny. Iss. 20. Lviv: Lviv National Medical University named after Danylo Halytskyi; 2020. p. 3-15. Ukrainian. Available from: http://ir.librarynmu.com/handle/123456789/2046

Yavorovsky AP, Skaletsky YM, Brukhno RP, Zinchenko TO, Brukhno OM, Petrovska OS. [Current issues of hospital environment safety in emergency situations]. In: Suchasni problemy hihiieny, epidemiolohii, mikrobiolohii ta tuberkulozu. Lviv: Lviv National Medical University named after Danylo Halytskyi; 2024. p. 160-8. Ukrainian. Available from: http://catalog.liha-pres.eu/index.php/liha-pres/catalog/view/260/7611/17074-1

Yavorovsky ОP, Skaletsky YM, Brukhno RP, Ivanko ОV, Kravchenko SV, Bugro VI, et al. [Comparative analysis of patient safety culture dynamics in Ukraine and the USA healthcare facilities reference to establishing safe hospital environment]. Clinical and Preventive Medicine. 2023;0(6):113-20. Ukrainian. 10.31612/2616-4868.6.2023.14

Basanets AV, Hvozdetskiy VA, Оstapenko TA, Zhurakhivska NV, Kharchuk LV. [Standards for the recognition of COVID-19 as an acute occupational disease in Ukraine according to recommendations of the International Labor Organization]. Ukrainian Journal of Occupational Health. 2020;16(2):86-95. Ukrainian. doi: https://doi.org/10.33573/ujoh2020.02.086

Nahorna AM, Savenkova NV. [Natural death of the employees at workplace in Ukraine in the dynamics of 2015-2020]. Dovkillia ta zdorovia. 2021;(3):13-22. Ukrainian. doi: https://doi.org/10.32402/dovkil2021.03.013

Zvit pro priami zbytky infrastruktury vid ruinuvan vnaslidok viiskovoi ahresii rosii proty Ukrainy za rik vid pochatku povnomasshtabnoho vtorhnennia [Report on the direct damage to the infrastructure from the destruction caused by Russia’s military aggression against Ukraine one year after the start of the full-scale invasion] [Internet]. March 2023 cited 2024 May 17]. Available from: https://kse.ua/wp-content/uploads/2023/03/UKR_Feb23_FINAL_Damages-Report-1.pdf

Andreasyan G. Medicine during the war: What challenges did the medical system face? [Internet]. Mind UA. 2023 [cited 2024 May 17]. Available from: https://mind.ua/en/openmind/20255116-medicine-during-the-war-what-challenges-did-the-medical-system-face

Sorra J, Gray L, Streagle S, et al. AHRQ Hospital Survey on Patient Safety Culture: User’s Guide [Internet]. Rockville, MD: Agency for Healthcare Research and Quality. July 2018 [cited 2024 May 17]. Available from: https://www.ahrq.gov/sops/quality-patient-safety/patientsafetyculture/hospital/index.html

Published

2024-07-17

How to Cite

1.
Brukhno RP, Yavorovskyi OP, Skaletskyi YM, Zinchenko TO. Priorities of ensuring hygiene and occupational safety of medical personnel and the resilience of healthcare facilities in emergency situations. Zaporozhye Medical Journal [Internet]. 2024Jul.17 [cited 2024Nov.22];26(4):307-12. Available from: http://zmj.zsmu.edu.ua/article/view/304454