Table 5 Identified risks.

From: A fuzzy based hybrid approach for risk assessment of anesthesiologists using OPA and EDAS methods

Risk code

Risk description

R1

Loss of concentration and ineffective communication due to noise pollution

R2

Exposure to ionizing radiation (in areas where fluoroscopy is used, from procedures like X-rays and interventional radiology)

R3

Laser hazards: risks of eye damage or burns to operators and bystanders from surgical lasers

R4

Exposure to static magnetic fields and time-varying magnetic fields (from MRI machines, which can cause transient vertigo, nausea, and dizziness)

R5

Eye strain related to monitor glare, reflections from stainless steel trays and trolleys, and non-standard lighting

R6

Potential health effects of chronic exposure to waste anesthetic gases

R7

Exposure to surgical smoke containing potentially harmful volatile organic compounds and particulates

R8

Exposure to disinfectants, antiseptic agents, and other chemicals used in the operating room environment

R9

High risk of inflammation (halogenated anesthetics can produce reactive metabolites and reactive oxygen species)

R10

Transmission of infectious and contagious diseases such as tuberculosis, SARS-CoV-2, SARS-CoV-1, and H1N1 through the air

R11

Burns from hot sterilized equipment

R12

Discomfort, depression, and mental health issues after exposure to injured and deceased patients

R13

Chronic exposure to drugs through skin and mucous membrane contact may lead to bacterial resistance

R14

Exposure to latex and other materials commonly used in the operating room that can cause allergic reactions, potentially leading to physical disability.

R15

High stress levels due to the nature of the work, exposure to emergencies and critical situations.

R16

Burnout syndrome

R17

Fear of not performing optimally and making errors during work

R18

Long working hours

R19

Night shifts

R20

Disruption of work-life balance and family relationships due to the demanding nature of the profession.

R21

Exposure to blood, semen, vaginal secretions, and other bodily fluids

R22

Needlestick injuries

R23

Poorly adjusted equipment like the anesthesia machine, operating table, and monitors can lead to anesthesiologists adopting awkward postures

R24

Monotony and Repetition

R25

Unadjusted height of workstations

R26

Problems in metacarpophalangeal joints caused by holding the mask

R27

Ignition sources in the operating room environment (electrosurgical equipment, lasers, and other sources)

R28

Increased risk of fires when using flammable anesthetic gases like nitrous oxide

R29

Fuel sources for fires (surgical drapes, gowns, and other textiles)

R30

Flammable alcohol-based skin preparation solutions

R31

Collisions with equipment and objects in a confined and congested space

R32

Slips and falls in the operating theater

R33

The risk of electrical shocks and accidents due to the increased use of electrical appliances and equipment in the operating room raises

R34

Electric charges (high and low voltage) due to improper earthing

R35

Violence due to emergence delirium and assaults during anesthetic fatalities