# Hazard Identification and Risk Assessment Using Energy Tracing and Barrier Analysis Method in the Imaging Department of Amir al-Momenin Ali (AS) Hospital in Gerash City: -

## TL;DR

This study identifies and evaluates risks in a hospital's imaging department using the ETBA method and proposes control measures to improve safety.

## Contribution

The study applies the Energy Tracing and Barrier Analysis method to assess risks in a hospital imaging department and suggests practical control measures.

## Key findings

- 433 risks were identified, categorized into human, equipment, and environmental factors.
- Implementation of control measures significantly reduced the number of high and serious risks.
- Proposed solutions include safety training, periodic inspections, and improved maintenance.

## Abstract

Hospitals are considered one of the most important institutions providing
health services; given the presence of specific hazards, compliance with
safety principles is of utmost importance. This study aimed to identify and
evaluate the risk of existing hazards using the Energy Tracing and Barrier
Analysis (ETBA) method in the imaging department.

The present study is an analytical study performed to assess the risk in the
imaging department of Amir al-Momenin Ali (AS) State Hospital in Gerash in
2024. In this study, potential risks were identified using the ETBA
technique and qualitatively assessed via the risk matrix (MIL-STD882E).
Observation, interviews with department experts, review of documents, work
instructions, technical documents of devices, layout of devices, as well as
documents of the maintenance and repair unit of this department were used
for data collection.

A total of 433 risks were identified, 232 of which were human-related, 167
were equipment-related and 34 were environmental-related. At the primary
risk level, 13 were identified as unacceptable risks (high level) requiring
immediate intervention, 281 as undesirable risks (serious level), 79 as
acceptable risks with revision (medium level), and 61 as acceptable risks
(low level). At the secondary risk level, once the controls were
implemented, the results improved and the number of undesirable risks
dropped to 18, 274 as medium level, and 141 as low level, demonstrating the
effectiveness of the controls in mitigating risks.

In this study, in addition to obtaining the level of risks in the hospital
imaging department, the level of possible risks in each of those departments
was also measured. Further, based on the existing assessment levels, control
measures and suggestions were presented. They included implementing measures
such as safety training, periodic inspection monitoring system, operator
training, protection control, cable inspection, installation of overload
alarms, improving preventive maintenance, as well as providing appropriate
educational solutions to control the identified risks.