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Faria V.A.,University of Sao Paulo | De Sena Badaro M.L.,Divisao Of Laboratorio Central | Rodrigues E.,Divisao Of Laboratorio Central | Mendes M.E.,Secao Tecnica de Bioquimica de Sangue | Sumita N.M.,Patologia Clinica
Jornal Brasileiro de Patologia e Medicina Laboratorial | Year: 2011

Workplace hazards are related to any potentially harmful source in terms of lesions, injuries and health damage or a combination of these factors. The risks are consequences of laboratory hazards. Clinical laboratories pose multiple occupational hazards, which are categorized as biological, physical, chemical, ergonomic and accident prone. It is important to identify risks, assess the impacts that may affect the enterprise and establish prioritization criteria for making decisions. Furthermore, it is essential to implement strategies and preventive actions in order to avoid flaws or potential damage. Not only does this article propose a systematic identification and assessment of hazards, health risks and occupational safety within clinical laboratories, but it also discusses their applications in operational practice. Source


Do Nascimento Goncalves E.M.,University of Sao Paulo | Do Nascimento Goncalves E.M.,Divisao Of Laboratorio Central | Dos Santos C.B.,Instituto Central Do HC FMUSP | De Sena Badaro M.L.,DLC HC FMUSP | And 4 more authors.
Jornal Brasileiro de Patologia e Medicina Laboratorial | Year: 2011

Introduction: As far as environmental awareness is concerned, one of the main challenges in society has been to implement and optimize systems that perform the appropriate disposal of waste generated by several human activities. In Brazil, both the development and implementation of a Health Services Waste Management Program - HSWMP (Plano de Gerenciamento de Resíduos de Serviços de Saúde [PGRSS]) are legally required. Objective: This article describes the implementation of HSWMP in the Central Laboratory Division of University of São Paulo Medical School Hospital - CLD/USP-MSH (Divisão de Laboratório Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo [DLC/HC-FMUSP]) comprising material, human and physical area resources. Method: The process started with the incorporation of the concept of sustainability into the Integrated Management System - IMS (Sistema Integrado de Gestão [SIG]), which focuses on the non-generation, minimization and recycling of health services waste in order to preserve natural resources and reduce environmental impact. Conclusion: The HSWMP facilitated communication, information dissemination, awareness, competence and training of all parties involved. Several activities were conducted simultaneously, which resulted in behavioral changes. Source


Rodrigues E.,University of Sao Paulo | De Oliveira Lavorato L.M.,Servico de Bioquimica Clinica | Novais R.C.D.,Servico de Bioquimica Clinica | Bussmann L.Z.,DLC HC FMUSP | And 2 more authors.
Jornal Brasileiro de Patologia e Medicina Laboratorial | Year: 2011

Introduction: Over the last century, mercury levels in the environment have tripled, increasing the risk of human contamination. Hence, it pollutes groundwater, rivers and seas, and it enters the food chain through the ingestion of contaminated fish. It affects the central nervous system and the inhalation of mercury vapors cause asthenia, fatigue, anorexia, weight loss and gastrointestinal disturbances. The contamination detection is carried out through hair and blood sample analysis. The replacement of mercury-containing equipment used in health services is crucial in order to reduce environmental and occupational hazards. Objective: To describe the implementation of "Zero Mercury" program at the Central Laboratory Division of University of São Paulo Medical School Hospital - CLD/USP-MSH (Divisão de Laboratório Central do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo [DLC/HC-FMUSP]). Methods: The project was developed within the period of three years (2008-2010). During its elaboration, the action plans were defined, including a training program for the team responsible for the implementation of equipment and reagent replacement. Results: By the end of the project, CLD/USP-MSH received an honorable mention by the Brazilian Ministry of Labor and Employment for the fulfillment of "Mercury Zero" program requirements. Conclusion: A mercury-free laboratory environment requires managerial commitment, a consistent action plan and staff awareness of health and environmental risks. Source


Uliani C.D.,University of Sao Paulo | Rodrigues E.,DLC HC FMUSP | Faria V.A.,DLC HC FMUSP | Badaro M.L.S.,DLC HC FMUSP | And 3 more authors.
Jornal Brasileiro de Patologia e Medicina Laboratorial | Year: 2011

The article presents the conceptual principles on sustainable development and sustainability. Furthermore, it evaluates the progress and impacts on the economy, environment and society. It discusses the applicability of the concepts of corporate sustainability in laboratory medicine and the challenges of deployment in the clinical laboratory. The impact of sustainability indicators and their role in management are also critically reviewed from the perspective of social and environmental balance. Additionally, the text provides some tools for evaluation and interpretation of indicators and their corresponding application in the critical analysis process. Lastly, the article describes the importance of sustainability indicators in the practice of benchmarking and its applicability in the clinical laboratory. Source


De Almeida L.P.,University of Sao Paulo | Wengerkievicz A.C.,Patologia Clinica | Viviani N.M.,FMUSP | Viviani N.M.,Divisao Of Laboratorio Central Dlc | And 3 more authors.
Jornal Brasileiro de Patologia e Medicina Laboratorial | Year: 2011

Defective synthesis of hemoglobin gives rise to a group of hereditary disorders. If the defect arises from a genetic mutation producing abnormal protein chains, the condition is classified as hemoglobin variant. Whereas, if the structure is normal but the synthesis is reduced, they are denominated as thalassaemia. This article aims to describe the laboratory diagnostic approach in four cases of hemoglobin disorders in order to illustrate the role of laboratories and discuss the role of clinical pathologists as a link between physicians and laboratories in diagnostic clarification. Source

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