Analysis of Occupational Safety and Health (OSH) Risks in Hospitals: Literature Review

  • Widi Mahasih Pramusiwi Universitas Ahmad Dahlan
  • Widodo Hariyono Universitas Ahmad Dahlan
  • Rochana Ruliyandari Universitas Ahmad Dahlan
Keywords: Occupational Health and Safety, OSH in Hospitals, Risk Analysis

Abstract

Introduction: As one of the workplaces that poses significant risks to occupational safety and health, hospitals have the potential for the emergence of infectious diseases among staff, patients, and even visitors. Essentially, all healthcare workers, including healthcare professionals, are at risk of being exposed to hazards in the workplace.

Objective: To determine the extent and types of health and safety risks present in Indonesian hospitals, researchers conducted further assessment through a systematic literature review.

Method: Data collection was carried out using specified categories on the Google Scholar search page, while the data filtering method was conducted by applying the PRISMA analysis method, resulting in six research articles being reviewed in this study.

Result: From the various studies reviewed, it is known that occupational health and safety hazards have the potential to result in numerous risks, including bacteria; cough and cold; dizziness; sneezing; Covid-19; animal disturbances; musculoskeletal disorders; hepatitis A; hepatitis B; HIV; nosocomial infections; fungi; falls; fatigue; heat; medical waste fluid contamination; medical waste; bruises; sore eyes; muscle pain; low back pain; joint pain; panic; exposure to hazardous and toxic materials; poor lighting; incorrect posture; attacks from patients; shortness of breath; work stress; scratches; falls from stairs; slips; being hit; stumbling; paper cuts; electric shocks; viral infections; being hit by objects; needle pricks; typhus; tuberculosis; and other viruses. These risks are categorized as physical, chemical, biological, ergonomic, and psychological hazards. Additionally, each risk has different levels of severity (high, medium, low) in each case.

Conclusion: Occupational health and safety hazards in hospitals encompass a wide range of risks, categorized into physical, chemical, biological, ergonomic, and psychological hazards. These include infectious diseases like Covid-19, hepatitis, and tuberculosis; physical injuries from falls, slips, and needle pricks; exposure to hazardous chemicals; ergonomic issues; and psychological stress.

References

Kemenkes RI. Permenkes No 3 Tahun 2020 Tentang Klasifikasi dan Perizinan Rumah Sakit. Tentang Klasifikasi dan Perizinan Rumah Sakit [Internet]. 2020;(3):1–80. Available from: http://bppsdmk.kemkes.go.id/web/filesa/peraturan/119.pdf

Mustofa B, Paranita ES, Sukwika T. Risk Management with the FMEA Method in the Kuwait Hospital Emergency Room Manajemen Risiko dengan Metode FMEA di Instalasi Gawat Darurat Rumah Sakit Kuwait. Manag Stud Entrep J [Internet]. 2023;4(5):7064–77. Available from: http://journal.yrpipku.com/index.php/msej

World Health Organization (WHO). Occupational health: health workers [Internet]. World Health Organization. 2022 [cited 2024 Jul 3]. Available from: https://www.who.int/news-room/fact-sheets/detail/occupational-health--health-workers

Sarastuti D, Subaris H, Wijayanti AC, KM S, Epid M. Analisis kecelakaan kerja di rumah sakit universitas gadjah mada yogyakarta. Universitas Muhammadiyah Surakarta; 2016.

Fitra M. Analisis Risiko Keselamatan Dan Kesehatan Kerja (ARK3). Jakarta: Azkiya Publishing; 2021. 106 p.

Menteri Kesehatan RI. KEPMENKES Nomor 432/MENKES/SK/IV/2007 Tentang Pedoman Manajemen Kesehatan Dan Keselamatan Kerja (K3) Dl Rumah Sakit [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2007. Available from: https://regulasi.bkpk.kemkes.go.id/detail/a04ff22a-3049-447d-aa8f-abe6f70883fa/

Mengistu DA, Tolera ST, Demmu YM. Worldwide Prevalence of Occupational Exposure to Needle Stick Injury among Healthcare Workers: A Systematic Review and Meta-Analysis. Can J Infect Dis Med Microbiol. 2021;2021:1–10.

Mahdi MI. Kasus Kecelakaan Kerja di Indonesia Alami Tren Meningkat. [Internet]. DataIndonesia.id. 2022 [cited 2024 Jul 3]. p. 1. Available from: https://dataindonesia.id/tenaga-kerja/detail/kasus-kecelakaan-kerja-di-indonesia-alami-tren-meningkat

Frantzana A. Hospital Hygiene and Safety. Am J Biomed Sci Res. 2019;2(5):172–6.

Mayangkara RH, Subiyanto AA, Tamtomo DG. Implementation of Hospital Occupational Health and Safety Regulations to Minimize Occupational Accidents at the Sultan Agung Islamic Hospital, Semarang. J Heal Policy Manag. 2021;6(3):160–7.

Azizo?lu F, Köse A, Gül H. Self?reported environmental health risks of nurses working in hospital surgical units. Int Nurs Rev [Internet]. 2018;66:87–93. Available from: https://api.semanticscholar.org/CorpusID:49339586

Gestal JJ. Occupational hazards in hospitals: accidents, radiation, exposure to noxious chemicals, drug addiction and psychic problems, and assault. Br J Ind Med [Internet]. 1987 Aug 1;44(8):510 LP – 520. Available from: http://oem.bmj.com/content/44/8/510.abstract

Omoijiade EN. An assessment of laundry workers exposure to workplace hazards in secondary and tertiary health facilities in Benin-city, Nigeria. MOJ Public Heal. 2018;7(5):252–9.

Kusmawan D. Pengantar Konsep Dan Aplikasi K3 Rumah Sakit. Yogyakarta: Deepublish; 2021. 135 p.

Opoku SY, Yeboah C, Ampon-Wireko S, Hinneh RK. Occupational Health and Safety Hazards Experienced by Healthcare Workers at Two Hospitals in Suyani, Bono Region, Ghana. Occup Dis Environ Med. 2023;11(02):122–36.

Che Huei L, Ya-Wen L, Chiu Ming Y, Li Chen H, Jong Yi W, Ming Hung L. Occupational health and safety hazards faced by healthcare professionals in Taiwan: A systematic review of risk factors and control strategies. SAGE open Med. 2020;8:2050312120918999.

Damayanty S, Susanto A, Hipta WF. Implementation of Hospital Occupational Health and Safety Standards at General Hospitals in Kendari City. Kemas. 2022;18(1):10–9.

Marasini R, Shrestha P, Chaudhary Y. Occupational health and safety hazards faced by health care professionals in Kathmandu based hospital: a cross-sectional analytical study. Int J Community Med Public Heal. 2023;10(2):593–603.

Gough D, Thomas J, Oliver S. Clarifying differences between reviews within evidence ecosystems. Syst Rev. 2019;8(1):1–15.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10(1):1–11.

Rahayu T, Wekke IS, Erlinda R, Batusangkar I. Teknik Menulis Review Literatur Dalam Sebuah Artikel Ilmiah Kuesioner View project Southeast Asia View project. 2019;(September). Available from: https://www.researchgate.net/publication/335826989

Masturoh I, Nauri Anggita. Metodologi Penelitian Kesehatan. Jakarta: Pusat Pendidikan Sumber Daya Manusia Kesehatan; 2018. 307 p.

Hempel S, Xenakis L, Danz M. Front Matter. In: Systematic Reviews for Occupational Safety and Health Questions [Internet]. RAND Corporation; 2016. p. i–ii. (Resources for Evidence Synthesis). Available from: http://www.jstor.org/stable/10.7249/j.ctt1d9nnzq.1

Khorsan R, Crawford C. How to assess the external validity and model validity of therapeutic trials: A conceptual approach to systematic review methodology. Evidence-based Complement Altern Med. 2014;2014.

Indriati G, Setiawan P. Analisis Manajemen Resiko K3RS di Instalasi Gawat Darurat RSUP Dr. M. Djamil Padang. Ensiklopedia J. 2021;3(3):65–75.

Rizaldi MI, Nerawati AD, Rusmiati R. Analisis Resiko Petugas Kebersihan Yang Menangani Limbah Medis Di Rumah Sakit Umum Haji Surabaya. GEMA Lingkung Kesehat [Internet]. 2020; Available from: https://api.semanticscholar.org/CorpusID:228403931

Anggita D, Fitria S. Petugas Unit Rekam Medis di Bagian Filing Rumah Sakit Roemani Muhammadiyah Semarang Tahun 2019. VISIKES J Kesehat Masy. 2020;18(2):60–6.

Hilmi IL, Ratnasari DS. Identifikasi Potensi Bahaya Penyebab Kecelakaan Kerja di Instalasi Farmasi Rumah Sakit di Karawang. 2019; Available from: https://api.semanticscholar.org/CorpusID:202144506

Indragiri S, Yuttya T. Risiko Menggunakan Identification Risk Assessment and Risk (Hirarc). J Kesehat. 2020;9:1080–94.

Yuantari C, Nadia H. Analis Resiko Keselamatan dan Kesehatan Kerja Pada Petugas Kebersihan di Rumah Sakit. Faletehan Heal J. 2018;5(3):107–16.

Anua SM, Naim F, Hamzah NA, Jusoh J, Che Azid MKA, Kasim Z. Hazard Identification and Physical Parameters Measurement in Dental Laboratories. J Energy Saf Technol. 2023;5(2):15–20.

Kabiri N, Jannati A, Vahed N, Mahami-Oskouei M. 109: RISK MANAGEMENT AND PATIENT SAFETY IN OPERATING ROOM: A SYSTEMATIC REVIEW. BMJ Open [Internet]. 2017;7. Available from: https://api.semanticscholar.org/CorpusID:46861405

Ahmed MK, Afifi M, Uskokovi? V. Protecting healthcare workers during COVID-19 pandemic with nanotechnology: A protocol for a new device from Egypt. J Infect Public Health [Internet]. 2020;13(9):1243–6. Available from: https://www.sciencedirect.com/science/article/pii/S1876034120305955

Lemiech-Mirowska E, Kiersnowska ZM, Micha?kiewicz M, Depta A, Marczak M. Nosocomial infections as one of the most important problems of healthcare system. Ann Agric Environ Med. 2021 Sep;28(3):361–6.

Alzahrani KS, Almutairi KM, Alsulami AW, Aseeri AM, Alqarni MA, Haffah AA, et al. Emerging bacterial and fungal pathogens in healthcare and the threat of drug resistance. Int J Community Med Public Heal. 2023;11(1):403–7.

Abdalkareem Jasim S, Thaeer Hammid A, Turgunpulatovich Daminov B, Kadhem Abid M, Lateef Al-Awsi GR, Afra A, et al. Investigation ways of causes needle sticks injuries, risk factors affecting on health and ways to preventive. Rev Environ Health. 2023 Dec;38(4):629–36.

Suksatan W, Jasim SA, Widjaja G, Jalil AT, Chupradit S, Ansari MJ, et al. Assessment effects and risk of nosocomial infection and needle sticks injuries among patents and health care worker. Toxicol reports. 2022;9:284–92.

Rajendran S, Giridhar S, Chaudhari S, Gupta PK. Technological advancements in occupational health and safety. Meas Sensors [Internet]. 2021;15:100045. Available from: https://www.sciencedirect.com/science/article/pii/S2665917421000076

Moradi Majd P, Seyedin H, Bagheri H, Tavakoli N. Hospital Preparedness Plans for Chemical Incidents and Threats: A Systematic Review. Disaster Med Public Health Prep [Internet]. 2019/10/15. 2020;14(4):477–85. Available from: https://www.cambridge.org/core/product/22E20BFD5618BB10EDD3B5884C5C4E2C

Lim MC, Awang Lukman K, Giloi N, Lim JF, Salleh H, Radzran AS, et al. Landscaping Work: Work-related Musculoskeletal Problems and Ergonomic Risk Factors. Risk Manag Healthc Policy. 2021;14:3411–21.

Zare M, Black N, Sagot J-C, Hunault G, Roquelaure Y. Ergonomics interventions to reduce musculoskeletal risk factors in a truck manufacturing plant. Int J Ind Ergon [Internet]. 2020;75:102896. Available from: https://www.sciencedirect.com/science/article/pii/S0169814119302069

Gurubhagavatula I, Barger LK, Barnes CM, Basner M, Boivin DB, Dawson D, et al. Guiding principles for determining work shift duration and addressing the effects of work shift duration on performance, safety, and health: guidance from the American Academy of Sleep Medicine and the Sleep Research Society. Sleep [Internet]. 2021 Nov 1;44(11):zsab161. Available from: https://doi.org/10.1093/sleep/zsab161

Abdalla S, Apramian SS, Cantley LF, Cullen MR. Occupation and Risk for Injuries. In: Mock CN, Nugent R, Kobusingye O, Smith KR, editors. Washington (DC); 2017.

Rahmadani M, Modjo R. Systematic Literature Review: Analysis of Assessment Elements of OHSMS in Indonesia Hospital. J Phys Conf Ser. 2021;1933(1).

Published
2024-08-09
How to Cite
Pramusiwi, W. M., Hariyono, W., & Ruliyandari, R. (2024). Analysis of Occupational Safety and Health (OSH) Risks in Hospitals: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(8), 2051-2061. https://doi.org/10.56338/mppki.v7i8.5654