Participatory screening of occupational risks at the sterilisation unit of the Niono reference health centre (CSRéf) in 2024

Abstract

The assessment of occupational risks represents the initial stage of any occupational health and safety prevention approach. It is essential when planning appropriate preventive actions to protect personnel. Given the widespread increase in occupational hazards in hospital settings, it is crucial to analyze the most exposed work environments. Among these, the sterilization unit stands out due to the frequent handling of contaminated medical devices, the use of chemical products, and the pressure associated with safety and responsiveness requirements. This study was conducted in this context and aimed to assess the specific risks associated with this strategic yet potentially hazardous unit. Moreover, according to the International Labour Organization, each year, 2.78 million workers die because of occupational accidents and work-related diseases. As part of our approach, we adopted the Participatory Risk Screening method (Déparis), which represents the first level of the SOBANE strategy (Screening, Observation, Analysis, and Expertise). The screening was carried out by a nine-member committee coordinated by the Occupational Health and Safety Officer (OHS) of the Referral Health Center (CSRéf). Two Déparis sessions led to the formulation of 50 preventive actions, 66% of which required no financial cost. Six situations (33.33%) were deemed satisfactory, five (50%) moderate, and two (11.11%) unsatisfactory, mainly related to electrical, fire, and psychosocial risks. Twelve aspects require further in-depth analysis. This study highlighted significant occupational risks within the sterilization unit and provides a foundation for improving staff working conditions.