SafetyInsights.org

This paper explored the impact of a new response to clinical incidents, which utilised a Restorative Just Culture (RJC) framework and Safety-II principles. Impacts were evaluated via staff surveys of perceptions of just culture and second victim experiences, quality of incident recommendations were compared before and after implementation and assessed via a healthcare hierarch of… Continue reading Restorative just culture significantly improves stakeholder inclusion, second victim experiences and quality of recommendations in incident responses

This paper systematically reviewed pertinent literature on leading indicators – discussing definitions, types, and development methods. Not a summary, but it’s open access. In image 1, they explore definitions, examples, functions, what, how, advantages and disadvantages of both leading and lagging based on the literature review. They also identify different typologies of leading indicators, including:… Continue reading Constructs of leading indicators: A synthesis of safety literature

This is an interesting study from `96 (from Torbjørn Rundmo, one of my favourite authors) which explored the relationship between risk perception and safety. 1,138 offshore oil employees self-completed a questionnaire. Specifically, the author determined: 1. whether risk perception affects risk behaviour or if risk perception and risk behaviour are independent effect variables, i.e. variables… Continue reading Associations between risk perception and safety

This systematically reviewed the evidence for efficacy of two-person checks for safety critical tasks in high-consequence industries outside of healthcare. Just 9 studies met inclusion & quality criteria. Providing background: ·        “Arm doors and cross-check” is said to be a familiar statement when travelling by air. It draws on the principle of redundancy and is intended… Continue reading Are two-person checks more effective than one-person checks for safety critical tasks in high-consequence industries outside of healthcare? A systematic review

This study evaluated safety performance indicators against a set of pre-determined criteria to assess the quality of indicators. This included against more objective criteria and also qualitative criteria (assessed via expert groups). The objective quality criteria were: objective, valid, predictive, while the subjective criteria were: clear, functional, and important (see the paper for full definitions).… Continue reading Formal evaluation of construction safety performance metrics and a case for a balanced approach

A study I’ve summarized systematically reviewed the evidence around injury/illness underreporting and contributing factors. Be on the look-out for the summary in the near future, but I’ve dumped the main findings into this table if you’re interested. The full paper is a useful reference if you’re after the original refs or the findings. No major… Continue reading Mini-post: A systematic review of reasons for incident underreporting

Why don’t organisations effectively learn from incidents? This is a question perpetually asked, with various factors, beliefs and data. A 2014 study held focus groups in seven organisations to discuss the factors that employees believe contributed to a failure to learn. Key findings are shown in the attached table via causes for bottlenecks in learning… Continue reading Why don’t organisations learn from incidents?

This systematic review and meta-analysis evaluated the evidence from over 30 years on the effects of workplace health/wellness programs on specific dietary habits, anthropometric parameters and cardiometabolic risk factors. Not a summary since the full paper is freely available. Wellness programs included screening, individual education, group education, food environment, labelling, financial incentives, physical activity, self-awareness… Continue reading Effectiveness of workplace wellness programmes for dietary habits, overweight, and cardiometabolic health: a systematic review and meta-analysis

This explored inherently safer design principles for reducing confined space risks. A literature review and interviews with 15 confined space (CS) experts was undertaken. An overview of safety in design for CS was given; one element relating to use of autonomous or semi-autonomous technologies for CS operation. Evidence suggests that the adoption of these technologies… Continue reading Inherently Safer Design (ISD) solutions in confined spaces – Experts’ practical feedback in Quebec, Canada

For those interested, the attached image is an AcciMap from Andrew Hopkins on the Glenbrook train crash. What I like about AcciMap (and STAMP/STPA, FRAM etc.) is its focus on articulating the connections between factors and its structural focus on different hierarchical levels (e.g. not just the individuals or workplace, but also upstream beyond the… Continue reading AcciMap of Glenbrook rail crash