Implementing ergonomics interventions in the endoscopy suite

Core curriculum for ergonomics in endoscopy

“…Trainees should understand the potential utility of an "ergonomic time out" before beginning a procedure as a reminder for all team members to check their posture, bed and monitor height, and other elements of proper ergonomics. 11,26 The patient's position should be optimized to avoid undue pressure on any part of their body and to ensure they Recommended positioning of the monitor, bed, endoscope, processer, patient, and endoscopist for optimal ergonomics during endoscopy.…”

“…Use of ergonomic-specific checklists to promote self-reflection, monitor trainees' ergonomic performance, and guide generation of goal-directed feedback have been shown to be useful in the context of endoscopy. 10,11 Such checklists can also provide a framework for teaching ergonomics within the clinical setting. Ergonomic assessment can also be integrated into endoscopy assessment forms for general and advanced endoscopic procedures.…”

“…6 Additionally, research indicates that injuries are higher among fellows not receiving training 7 and that education on endoscopy ergonomics can improve ergonomic-related behaviors. 10,11 Musculoskeletal symptoms and injuries related to the practice of endoscopy can shorten endoscopists' careers, reduce personnel available for healthcare delivery, and thereby negatively impact patient care.…”

Ergonomics in the Unit: Modeling the Environment Around the Endoscopist

“…Involvement and education of the entire endoscopy unit team allows everyone to align on the same goals. Quality improvement educational initiatives on ergonomic practices in the endoscopy unit have been shown to improve knowledge and awareness [24].…”

Endoscopist injury: shifting our focus to interventions

“…1 Prior studies have demonstrated a measurable benefit from an ergonomic training program, including benefits to trainees. [4][5][6] In this issue of Gastrointestinal Endoscopy, Markwell et al 7 report on the results of their pilot study, which used an interactive RAM approach with a physical therapist (PT)-led intervention to reduce endoscopists' musculoskeletal symptoms. The PT assessment included position and posturing during endoscopy and during rest, with the creation of an individualized wellness plan.…”