基于模糊综合评价法的某医疗机构放射性职业病危害风险评估  

Risk assessment of occupational radiation hazards in a medical institution by fuzzy comprehensive evaluation method

作　　者：张燕[1] 王建宇[1] 苏艺伟 黄海波[1] 侯狮峰 张万峰[1] 刘移民[1] ZHANG Yan;WANG Jianyu;SU Yiwei;HUANG Haibo;HOU Shifeng;ZHA NG Wanfeng;LIU Yimin(Guangzhou occupational disease prevention and treatment hospital,Guangzhou,Guangdong 510620,China)

机构地区：[1]广州市职业病防治院,广东广州510620

出　　处：《职业卫生与应急救援》2021年第4期394-397,479,共5页Occupational Health and Emergency Rescue

基　　金：广州市医药卫生科技项目[穗卫科教[2020]1号(20201A010040)];广州市医学重点学科建设项目[穗卫科教(2016)27号];广州市高水平临床重点专科建设项目[穗卫函(2019)1555号];广州市“121人才梯队工程”后备人才项目。

摘　　要：目的对某三级甲等医疗机构放射性职业病危害进行综合风险评估,为监管部门和医疗机构的健康风险管控和医护人员的职业健康保障提供依据。方法采用模糊综合评价法,对广州市某三级甲等医疗机构的放射性职业病危害进行风险分级和管理。结果建立的评估因素集V=(V1,V2,V3,V4,V5)=(选址布局,职业病危害因素种类,放射防护措施,放射防护管理,健康监护)。模糊综合评价法结果显示系统总得分F=14.639 4,可认为该医院项目风险评估结果为Ⅲ级,属高度危害(10-17分)。结论该医院评价单元可能产生严重的职业危害,必须采取控制措施,防止放射性职业病危害对人体健康产生影响。基于模糊综合评价法的风险评估可以对医疗机构存在的放射性职业病危害评判,保障医护人员等职业人群的身体健康。Objective To conduct a comprehensive risk assessment of occupational radiation hazards in a top tertiary medical institutions,so as to provide basis for health risk control of regulatory departments and medical institutions and occupational health security of medical staff. Methods Using the fuzzy comprehensive evaluation method,the risk classification and management of occupational radiation hazards in this medical institution in Guangzhou were carried out.Results The established evaluation factor set was V =(V1,V2,V3,V4,V5),representing(site selection and layout,types of occupational hazards,radiation protection measures,radiation protection management,health monitoring). The results of fuzzy comprehensive evaluation method showed that the total score of the system was f = 14.639 4. The risk assessment result of the hospital project was ranked as grade Ⅲ,which was highly hazardous(10-17 points). Conclusions The occupational radiation hazards in this hospital may cause serious occupational hazards,and control measures must be taken to prevent the impact on human health. The risk assessment with fuzzy comprehensive evaluation method can fully evaluate the occupational radiation hazards existing in medical institutions and ensure the health of medical staff and other occupational groups.

关 键 词：模糊综合评价法 风险评估 医疗机构 放射性职业危害 

分 类 号：R146[医药卫生—公共卫生与预防医学]