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• W2940652020 abstract "We developed an evidence-based continuous quality improvement (CQI) cycle for laboratory safety as a method of utilizing survey data to improve safety in a public health laboratory setting. • Expert Opinion: The CQI cycle begins with the solicitation of laboratory staff input via an annual survey addressing potential chemical, physical and radiological hazards associated with multiple laboratory activities. The survey collects frequency, severity and exposure data related to these activities in the context of the most pathogenic organisms handled at least weekly. • Gap Analysis: Step 2 of the CQI cycle used survey data to identify areas needing improvement. Typically, the traditional two-dimensional risk assessment matrix is used to prioritize mitigations. However, we added an additional dimension - frequency of exposure - to create three-dimensional risk maps to better inform and communicate risk priorities. • Mitigation Measures: Step 3 of the CQI cycle was to use these results to develop mitigations. This included evaluating the identified risks to determine what risk control measures (elimination, substitution, engineering, administrative or PPE) were needed. In the 2016 iteration of the CQI cycle described here, all mitigations were based on administrative controls. • Evaluation and Feedback: The last step of the CQI cycle was to evaluate the inferred effects of interventions through subsequent surveys, allowing for qualitative assessment of intervention effectiveness while simultaneously restarting the cycle by identifying new hazards. Here we describe the tools used to drive this CQI cycle, including the survey tool, risk analysis method, design of interventions and inference of mitigation effectiveness." @default.
• W2940652020 created "2019-05-03" @default.
• W2940652020 creator A5030628980 @default.
• W2940652020 creator A5033160061 @default.
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• W2940652020 creator A5091074293 @default.
• W2940652020 creator A5091540354 @default.
• W2940652020 date "2019-08-01" @default.
• W2940652020 modified "2023-09-26" @default.
• W2940652020 title "Development and implementation of evidence-based laboratory safety management tools for a public health laboratory" @default.
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• W2940652020 doi "https://doi.org/10.1016/j.ssci.2019.04.003" @default.
• W2940652020 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6537614" @default.
• W2940652020 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31156293" @default.
• W2940652020 hasPublicationYear "2019" @default.

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