Assessment of the Epidemiological Safety System in Endoscopic Departments and Offices of Medical Organizations in the Republic of Tatarstan: A Cross-Sectional Study



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Abstract

BACKGROUND: Along with the high demand, endoscopic procedures have ranked among the top 10 highest-risk medical technologies for patient safety according to ECRI over the past decade.

AIM: To assess epidemiological risks in endoscopic units of the Republic of Tatarstan based on their compliance with sanitary regulations.

METHODS: We developed a checklist for assessing epidemiological safety in endoscopy units and offices. The items are based on current sanitary requirements and use a binary scoring system (1 for compliance, 0 for non-compliance), with no intermediate scores. The checklist comprises 29 risk criteria grouped into four domains: layout and equipment; staffing and training (429 healthcare workers included); endoscope reprocessing; and laboratory testing. The maximum scores are: Domain 1—11, Domain 2—3, Domain 3—10, Domain 4—5 (total 29). We included 93 public healthcare facilities in the Republic of Tatarstan that perform endoscopic procedures. Data were analyzed using absolute and relative values and are presented as percentages.

RESULTS: The method allowed us to assess epidemiological safety in 93 facilities. The highest non-compliance rates were found in endoscope reprocessing (75.3%) and laboratory testing (70%). Overall, 5.4% of facilities were fully compliant (low risk, green), 52.7% were partially compliant (moderate risk, yellow), and 41.9% were non-compliant (high risk, red).

CONCLUSION: These findings highlight the need to strengthen epidemiological surveillance of sanitary compliance in endoscopy units and offices.

About the authors

Milyausha Sh. Muzaffarova

Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Republic of Tatarstan

Author for correspondence.
Email: shamilevnamed@mail.ru
ORCID iD: 0000-0003-1732-6974
SPIN-code: 2351-8210

leading specialist-expert, Depart. of Epidemiological Surveillance

Russian Federation, Kazan

Marina A. Patyashina

Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Republic of Tatarstan; Kazan State Medical Academy — Branch of the Russian Medical Academy of Continuous Professional Education

Email: Marina.Patyashina@tatar.ru
ORCID iD: 0000-0002-6302-3993
SPIN-code: 8873-0100

MD, Dr. Sci. (Medicine), Head; Assistant Professor, Head, Depart. of Epidemiology and Disinfection

Russian Federation, Kazan; Kazan

Liliya R. Yuzlibayeva

Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Republic of Tatarstan; Kazan State Medical Academy — Branch of the Russian Medical Academy of Continuous Professional Education

Email: yuzlibaeva.lr@tatar.ru
ORCID iD: 0000-0002-8082-0302
SPIN-code: 6836-9840

MD, Cand. Sci. (Medicine), Head, Epidemiological Surveillance Depart.; Assistant Professor, Depart. of Epidemiology and Disinfection

Russian Federation, Kazan; Kazan

Valentina I. Sharaftdinova

Interregional Clinical Diagnostic Center

Email: vtina@mail.ru
ORCID iD: 0009-0005-5693-8123
SPIN-code: 6703-3824

Head, Epidemiology Depart.

Russian Federation, Kazan

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