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Developing resilience potentials
Published in Erik Hollnagel, Safety-II in Practice, 2017
Safety management systems typically emphasise a single issue, not only in terms of indications or manifestations (failures or the lack of safety) but also in terms of approach. From a Safety-I perspective, the purpose of safety management is the reduction and possible elimination of adverse outcomes, and the approach must therefore be based on an understanding of how adverse outcomes happen. The second principle of the causality credo implies a value congruence between causes and effects – in the sense that an adverse effect must be due to an adverse cause. The understanding of how failures and malfunctions happen therefore becomes critical. The preferred explanations have historically gone from the technology, to the human factor and then to the organisation and safety management, as described in many places.
What next? Development of non-technical skills
Published in Rhona Flin, George G. Youngson, Steven Yule, Enhancing Surgical Performance, 2015
George G. Youngson, Thoralf M. Sundt
Safety management systems are systematic and comprehensive processes for the proactive management of safety risks.9 They integrate operational aspects of the service with technical aspects and financial and human resource management. They are designed to deal with adverse events so that valuable lessons are applied to improve safety and efficiency, and they build capacity into their systems to anticipate and address safety issues before they result in incidents or accidents. In health care, this requires a significant commitment from hospital managers to develop an overall safety strategy and a framework to put responsibilities in place as part of a system where hazards are identified, risks are determined and analysed, solutions are recorded and tasks and responsibilities are allocated with clarity and commensurate with the abilities of the recipient.
Blame free reporting
Published in John Tingle, Pippa Bark, Patient Safety, Law Policy and Practice, 2011
Attention concerning the safety of the care provided to patients has increased substantially in recent years, with hospitals and other health care institutions now required to have a safety management system in place. Registering and analysing incidents, where incidents are defined as ‘everything unintended’, represent a significant element of such systems, while the analysing of incidents can play an important role in the quality and safety of the care provided to patients. Experience with similar reporting systems in other sectors, such as the aviation sector, has been good.
Factors affecting safety performance in the construction industry: an empirical study using structural equation modelling
Published in International Journal of Occupational Safety and Ergonomics, 2022
A research approach comprising quantitative data gathered through the distribution of questionnaires was utilized. The aim is to facilitate the integration of data speaking to the two major components of safety performance: safety culture and safety management system components. This approach, which is justified and characterized in greater detail in the following subsections, relies on the ability to obtain and integrate data in order to yield a basis for the development of a process model describing the relationships between a broad array of factors implicated in determining organizational safety performance; the data it provides, in turn, facilitate the analysis of favourable safety practices observed by construction companies operating in Saudi Arabia. Using collected data, the factors of Saudi Arabia’s safety performance will be synthesized to develop a practical model that describes the functional relationships that shape safety performance. The safety performance model will be novel and multivariate, tailored specifically to the Saudi context. It will make a topical, meaningful contribution to the growing body of literature on safety in Saudi Arabia’s construction industry. Recommendations will be made to improve the country’s safety performance and management, and the model will lay a foundation for future research on the topic of safety performance.
Structural equation modeling of safety performance based on personality traits, job and organizational-related factors
Published in International Journal of Occupational Safety and Ergonomics, 2022
Fazel Rajabi, Hamidreza Mokarami, Rosanna Cousins, Mehdi Jahangiri
In previous studies, many organizational factors have been presented as effective contributors to understanding safety performance, including management commitment, relationships, continuous improvement, a blame culture, employee participation and empowerment, safety activities, safety management systems, reward systems, safety reporting systems, supervision style, teamwork and leadership styles [50–52]. Nevertheless, most studies investigating safety performance have focused on safety climate. This variable is a particular form of organizational climate that includes employee safety behavior at various organizational levels. Technically, it is the shared perception of workplace safety values and practices [53]. Many studies have introduced safety climate as a predictor of safety performance [54–58]. Although safety climate has been shown to be able to predict safety performance, it was investigated in this study as a predictor of safety performance as well as a moderator of the relationship between personality traits, job-related factors and safety performance.
Assessment of adequacy of respiratory infection prevention in hospitals of Inner Mongolia, China: a cross-sectional study using unannounced standardized patients
Published in Postgraduate Medicine, 2020
Yijing Xie, Edward B McNeil, Hutcha Sriplung, Yancun Fan, Xingsheng Zhao, Virasakdi Chongsuvivatwong
The World Health Organization (WHO) considers safety as one of the six dimensions of healthcare quality and that health care should be delivered with minimal risks and harm to service users in hospitals [7]. Prevention strategies to improve the safety management systems in hospitals are very important as hospitals are possible reservoirs of infection at the onset of an outbreak or epidemic. Prevention strategies, such as wearing protective face masks, performing triage, providing hand-washing facilities and ensuring air ventilation, can mitigate the spread of disease within a hospital environment and are key actions to reduce nosocomial infections among both patients and health care providers in all settings of a hospital [8–11]. Both handwashing and air ventilation have been proven to reduce the probability of transmission of respiratory infections [12,13]. The information desk is usually located in the front of the outpatient’s entrance where it plays an important role in triage, and prevention of the spread of infectious diseases. In China, the registration area of many large hospitals is often crowded, causing outpatients to wait in a queue before receiving a service [14]. Most patients with respiratory symptoms opt to visit the respiratory outpatient department while many with acute infections of the upper respiratory tract opt to visit a specialist at the ear, nose and throat (ENT) clinic [15]. The emergency department also plays an important public health role for prevention of RIDs [16].