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Biorisk
is the risk associated to biological toxins or infectious
agents
Biorisk Management
is the integration of biosafety and biosecurity to
manage risks when working with biological toxins
and infectious agents (CWA 15793 Laboratory Biorisk
Management Standard)
Three components of Biorisk Management
• Assessment
• Mitigation
• Performance
AMP Model
Like a three- legged stool, a
biorisk management fails if
one of the components, or
legs, is overlooked or is not
addressed
Risk Assessment
includes the identification of hazards and
characterization of risks that are possible present in
the laboratory
Hazard
refers to anything in the environment that has the
potential to cause harm
Risk
- the possibility that something bad or unpleasant
(such as an injury or loss) will happen
- In order for a risk to occur, there must be a situation
for the hazard to cause harm.
Mitigation Procedures
- are actions and control measures that are put into
place to reduce or eliminate the risks associated
with biological agents and toxins (Salerno, 2015)
Elimination
the most difficult & most effective control measure,
involves the total decision not to work with a
specific biological agent or even not doing the
intended work
- provides the highest degree of risk reduction
Substitution
- is the replacement of the procedures or biological
agent with a similar entity in order to reduce the risks
- For example, a laboratory conducting research with the
pathogen Bacillus anthracis, responsible for causing the
acute fatal disease anthrax, could potentially substitute a
less dangerous experimental surrogate, such as the
Bacillus thuringiensis, an organism most commonly used in
biological pesticides worldwide.
Engineering Controls
- includes physical changes in work stations, equipment,
production facilities, or any other relevant aspect of the work
environment that can reduce or prevent exposure to hazards
- Examples are installation of biosafety cabinets, safety
equipment (centrifuge with cover, autoclave, and machines with
indicators), facility design enabling proper airflow, ventilation
system to ensure directional airflow, and air treatment systems
to decontaminate or remove agents from exhaust air, controlled
access zones, airlocks as laboratory entrances, or separate
buildings or modules to isolate the laboratory
Administrative Contact
- refers to the policies, standards, and guidelines used to
control risks
- Examples: Proficiency and competency training for
laboratory staff, displaying of biohazard or warning
signages, markings, and labels, controlling visitor and
worker access, and documenting written standard
operating procedures
Personal Protective
Equipment (PPE)
- devices worn by workers to protect them against
chemicals, toxins, and pathogenic hazards in the laboratory
- Gloves, gowns, and respirators are all examples of PPE
- is considered the least effective measure because it only
protects the person who is wearing it, and only when it is
used correctly
Performance Evaluation
- the last pillar of the biorisk management model which
involves a systematic process intended to achieve
organizational objectives and goals.
- ensures that the implemented mitigation measures are
indeed reducing or eliminating risks
Biorisk Management (BRM)
is an integral part in the implementation
of the concept of biosafety and biosecurity in a laboratory. It involves
the process of assessment, mitigation, and performance evaluation.
AMP Model
illustrates the balanced role among the components
of BRM.
Robust risk assessment
is the heart of BRM. It ensures safety and
security of the people working in the laboratory as well as all the
stakeholders in an organization.
Performance evaluation
is not a linear process, rather, it is a
continuous process to monitor the implementation of existing biosafety
procedures and practices. It provides direction for decision-makers to
be able to come up with reasonable and justifiable biosafety guidelines.
mitigation procedures
to be employed depend on the
result of a robust risk assessment. It is recommended not to overdo or
underdo the measures.