Sürdürebilir Labaratuvar Güvenliği Kültürü

Ülkemizde laboratuvarlarda çok sayıda çalışan bulunmaktadır. Laboratuvar çevresi, çalışmak için tehlikeli bir yerdir. Laboratuvar çalışanları kimyasal, biyolojik, fiziksel ve radyoaktif tehlikeler dahil çok sayıda potansiyel tehlikelere maruz kalmaktadır. Laboratuvar çalışanları, laboratuvarlarında gelişme alanlarına uygun güvenlik kültürlerini oluşturmaya ve eğitilmeye ihtiyaç duymaktadırlar. Laboratuvar güvenliğinin sağlanması tecrübeli çalışan olmadan çok zordur. Bu çalışma, ilgili sağlık, güvenlik ve çevre düzenlemelerini takip ederek laboratuvarları çalışmak için güvenli, sağlıklı yerler olarak korumakla öncelikli sorumluluğu olan laboratuvar çalışanları için hazırlanmıştır.

Many workers are employed in laboratories in Turkey. The laboratory environment can be a hazardous place to work. Laboratory workers are exposed to numerous potential hazards including chemical, biological, physical and radioactive hazards. Laboratory workers need to be educated to take safety seriously, acknowledge areas of improvement in their laboratories, and begin creating a safety culture of their own. It is difficult for them to know the requirements of laboratory safety without having the necessary experience. This document is intended for laboratory workers who have the primary responsibility for maintaining laboratories as safe, healthy places to work and for ensuring that applicable health, safety and environmental regulations are followed.

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  • ASGE Standards of Practice Committee, John, R, Cash B.D, Pasha, S.F, Early, D.S, Muthusamy, V.R et al. Bowel preparation before colonoscopy. Gastrointestinal Endoscopy, 2015,81(4),781-94. https://doi.org/10.1016/j.gie.2014.09.048.
  • Sweetser, S, Baron, TH. Optimizing bowel cleansing for colonoscopy. Mayo Clinic Proceedings, 2015, 90 (4), 520-26. https://doi.org/10.1016/j.mayocp.2015.01.015.
  • Wexner, SD, Beck, D.E, Baron, T.H, et al. A Consensus Document on Bowel Preparation before Colonoscopy: Prepared by a Task Force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Gastrointestinal Endoscopy, 2006, 63(7), 894-909. https://doi.org/10.1016/j.gie.2006.03.918.
  • Gimeno-García, A.Z, Baute, J.L, Hernandez, G, et al. Risk factors for ınadequate bowel preparation: a validated predictive score. Endoscopy, 2017, 49 (6), 536-43. https://doi.org/10.1055/s-0043-101683.
  • Johnson, D.A, Barkun, A.N, Cohen, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the us multi-society task force on colorectal cancer. Gastroenterology, 2014, 147 (4), 903-24. https://doi.org/10.1053/j.gastro.2014.07.002.
  • Froehlich, F, Wietlisbach, V, Gonvers, J.J, Burnand, B, Vader, J.P. Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: The European Panel of Appropriateness of Gastrointestinal Endoscopy European Multicenter Study. Gastrointestinal Endoscopy, 2005,61 (3), 378-84.
  • Görücü, K.Y, İhsan, U, Acartürk, G. Yatan Hastalarda Kolonoskopi Öncesi Barsak Hazırlığı Talimatlarına Hastaların Uyumu ve Tolerans Düzeyi. Sakarya Tıp Dergisi, 2011, 1 (4), 135-39.
  • Rex, D.K, Imperiale, T.F, Latinovich, D, Bratcher, L.L. Impact of bowel preparation on efficiency and cost of colonoscopy. The American Journal of Gastroenterology, 2002, 97(7),1696-700.
  • Sherer, E.A, Imler, T.D, Imperiale, T.F. The effect of colonoscopy preparation quality on adenoma detection rates. Gastrointestinal Endoscopy, 2012, 75 (3), 545-53. https://doi.org/10.1016/j.gie.2011.09.022.
  • Chokshi, R.V, Hovis, C.E, Hollander, T, Early, D.S, Wang, J.S. Prevalence of missed adenomas in patients with ınadequate bowel preparation on screening colonoscopy. Gastrointestinal Endoscopy, 2012,75 (6), 1197-1203. https://doi.org/10.1016/j.gie.2012.01.005.
  • Hong, S.N, Sung, I.K, Kim, J.H, et al. The effect of the bowel preparation status on the risk of missing polyp and adenoma during screening colonoscopy: A Tandem Colonoscopic Study. Clinical Endoscopy, 2012 ,45 (4), 404-11. https://doi.org/10.5946/ce.2012.45.4.404
  • Lebwohl, B, Kastrinos, F, Glick, M, Rosenbaum, A.J, Wang, T, Neugut, A.I . The ımpact of suboptimal bowel preparation on adenoma miss rates and the factors associated with early repeat colonoscopy. Gastrointestinal Endoscopy, 2011,73 (6), 1207-14. https://doi.org/10.1016/j.gie.2011.01.051.
  • Harrison, N.M, Hjelkrem, M.C. Bowel cleansing before colonoscopy: Balancing efficacy, safety, cost and patient tolerance. World Journal of Gastrointestinal Endoscopy, 2016,8 (1), 4-12. https://doi.org/10.4253/wjge.v8.i1.4.
  • Kurlander, J.E, Sondhi, A.R, Waljee, A.K, Menees, S.B, Connell, C.M, Schoenfeld, P.S et al. How Efficacious Are Patient Education Interventions to Improve Bowel Preparation for Colonoscopy? A Systematic Review. Plos One, 2016,11 (10), e0164442. https://doi.org/10.1371/journal.pone.0164442.
  • Yakut, M, Uysal, E, Beşik, G, Özkan, Y, Kirbaş, G, Özden, A. Türk insanı kolonoskopi işlemine nasıl bakıyor? Kolonoskopi hazırlık rejimine uyumu etkileyen faktörlerin irdelenmesi: Klinik prospektif çalışma. Endoskopi Dergisi, 2009,17 (2). https://doi.org/10.17940/ed.58708.
  • Cheng, C.H, Liu, N.J, Tang, et al. Predictors of Suboptimal Bowel Preparation Using 3-l of Polyethylene Glycol for an Outpatient Colonoscopy: A Prospective Observational Study. Digestive Diseases and Sciences, 2017,62 (2), 345-51. https://doi.org/10.1007/s10620-016-4343-7.
  • Ness, R.M, Manam, R, Hoen, H, Chalasani, N. Predictors of ınadequate bowel preparation for colonoscopy. The American Journal of Gastroenterology, 2001,96 (6), 1797-1802. https://doi.org/10.1111/j.1572-0241.2001.03874.x.
  • Çakır, T, Aslaner, A, Mayir, ve ark. Elektif Kolonoskopi öncesi uygulanan kolon hazırlığı talimatlarına hastaların uyumu; anket çalışması. Kocatepe Tıp Dergisi, 2016,17 (1). https://doi.org/10.18229/ktd.89643.
  • 1Gözüm, S, Aksayan, S. Öz-Etkililik-Yeterlik Ölçeği’nin Türkçe Formunun güvenilirlik ve geçerliliği. Journal of Anatolia Nursing and Health Sciences, 1999,2 (1). http://e-dergi.atauni.edu.tr/ataunihem/article/view/1025000042.
  • Bandura, A. Self-efficacy: The exercise of control. New York, NY, US: 1997.
  • Yıldırım, F, İlhan, İ.Ö. Genel Özyeterlilik Ölçeği Türkçe Formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi, 2010,21 (4), 8.
  • Aksayan, S, Gözüm, S. Olumlu sağlık davranışlarının başlatılması ve sürdürülmesinde öz etkililik algısının önemi. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi, 1998,2 (1), 35-42.
  • Lai, E.J, Calderwood, A.H, Doros, G, Fix O.K, Jacobson, B.C. The Boston Bowel Preparation Scale: A valid and reliable ınstrument for colonoscopy-oriented research. Gastrointestinal Endoscopy, 2009, 69 (3), 620-25. https://doi.org/10.1016/j.gie.2008.05.057.
  • Van Weyenberg, S. Grading the quality of bowel preparation. Video Journal and Encyclopedia of GI Endoscopy, 2014,1 (3), 615-18. https://doi.org/10.1016/j.vjgien.2013.05.001.
  • Sherer, M, Maddux, J.E, Mercandante, B, Prentice-dunn, S, Jacobs, B, Rogers, R.W. The Self-efficacy scale: construction and validation. Psychological Reports, 1982,51 (2), 663-71. https://doi.org/10.2466/pr0.1982.51.2.663.
  • Kazarian, E.S, Carreira, F.S, Toribara, N.W, Denberg, T.D. Colonoscopy completion in a large safety net health care system. Clinical Gastroenterology and Hepatology: The Official Clinical Practice Journal of the American Gastroenterological Association, 2008,6 (4), 438-42. https://doi.org/10.1016/j.cgh.2007.12.003.
  • Allaire, J, Thompson, W.O, Cash, B.D, Galt, D.J. A Quality ımprovement project comparing two regimens of medication for colonoscopy preparation. Gastroenterology Nursing : The Official Journal of the Society of Gastroenterology Nurses and Associates, 2004,27 (1), 3-8. https://doi.org/10.1097/00001610-200401000-00002.
  • Menees, S.B, Kim, H.M, Wren, P, et al. Patient compliance and suboptimal bowel preparation with split-dose bowel regimen in average-risk screening colonoscopy. Gastrointestinal Endoscopy, 2014,79 (5), 811-820.e3. https://doi.org/10.1016/j.gie.2014.01.024.
  • Kilgore, T.W, Abdinoor, A.A, Szary, N.M, et al. Bowel preparation with split-dose polyethylene glycol before colonoscopy: a meta-analysis of randomized controlled trials. Gastrointestinal Endoscopy, 2011,73 (6), 1240-45. https://doi.org/10.1016/j.gie.2011.02.007.
  • Vatansever, Özge, Ünsar, S. Esansiyel hipertansiyonlu hastaların ilaç tedavisine uyum/öz etkililik düzeylerinin ve etkileyen faktörlerin belirlenmesi. Türk Kardiyoloji Derneği Kardiyovasküler Hemşirelik Dergisi, 2014,5 (8), 66-74.
  • Gedik, S. Kırsal alanda yaşayan Tip 2 Diyabetli bireylerin hastalık yönetiminde öz-etkililik düzeyleri. Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü. http://acikerisim.selcuk.edu.tr:8080/xmlui//handle/123456789/5972. 2016.
  • Friedman, S, Cheifetz, A.S, Farraye, F.A, et al. High self-efficacy predicts adherence to surveillance colonoscopy in ınflammatory bowel disease. Inflammatory Bowel Diseases, 2014, 20 (9), 1602-10. https://doi.org/10.1097/MIB.0000000000000125