SafetyInsights.org

This surveyed 3136 aviation maintenance personnel from one company to judge the appropriate level of discipline in 3 incident scenarios. Five pieces of ‘‘mitigating” contextual information were presented per scenario and the participants given an opportunity to re-assess their judgement of culpability/discipline. First, the issues with Just Culture (JC) processes were highlighted. Including the fallacy… Continue reading Just culture’s ‘‘line in the sand” is a shifting one; an empirical investigation of culpability determination

Incident data is frequently used in organisations for reporting on current and historical performance and for evaluating risk exposure (in a sense). I think it’s often seen as fairly representative of reality, although I think most accept that not all events are reported. But how coupled to reality is incident data according to published evidence?… Continue reading Lies, damned lies, and incident statistics

ABSTRACT Background Electronic hospital variance reporting systems used to report near misses and adverse events are plagued by underreporting. The purpose of this study is to prospectively evaluate directly observed variances that occur in our pediatric operating room and to correlate these with the two established variance reporting systems in our hospital. Materials and methods… Continue reading Are we missing the near misses in the OR?—underreporting of safety incidents in pediatric surgery

Abstract Background and aims Electricians frequently experience low-voltage electrical accidents. Some such accidents involve long-term negative health consequences. Early identification of victims at risk for long-term injury may improve acute medical treatment and long-term follow-up. This study aimed to determine acute exposure, health effects and treatment associated with general health ≥ 2 years after low-voltage electrical… Continue reading Low-voltage electrical accidents, immediate reactions and acute health care associated with self-reported general health 4 years later

This describes a three-year case study of the implementation and outcomes of a Safety Management by Walking Around (SMBWA) program. The program, involving leaders and workers regularly walking the line and engaging within their departments and cross-departmental were then integrated into an IT system for collection, analysis and distribution. Walk arounds can more generally “build… Continue reading Safety management by walking around (SMBWA): A safety intervention program based on both peer and manager participation

This studied the effects of work intensification (WI) on safety performance and mediating factors by surveying 122 people from high-accident companies. WI is different to time pressure. Whereas time pressure reflects high quantitative workload at a specific point in time, WI “refers to increasing levels of quantitative workload over time. In other words, work intensification… Continue reading How Work Intensification Relates to Organization-Level Safety Performance: The Mediating Roles of Safety Climate, Safety Motivation, and Safety Knowledge

How can application of S-II and resilient performance ideas enhance learning opportunities? This study (link below) explored the application of S-II for post-hoc analysis of 35 investigation reports to explore that question. Specifically, they explored how S-II/resilient healthcare principles could enhance the quality of investigations – such as via understanding misalignments between demand & capacity,… Continue reading Can S-II principles enhance learning from investigations?

This explored the application of the GO-ARC technique (Generating Options for Active Risk Control) in improving the allocation of risk controls. The GO-ARC technique relies on a structured brainstorming session using a series of five prompts; each prompt is a risk control strategy. See below. The prompts are 3-tiered hierarchy of risk controls – elimination,… Continue reading Use of the Generating Options for Active Risk Control (GO-ARC) Technique can lead to more robust risk control options

ABSTRACT Causal agents for workers’ compensation claims and physical injury have largely been identified as physical demands. We proposed an integrated theory of physical injury (i.e. musculoskeletal disorder symptoms [MSDs]) and workers’ compensation claims, which combined psychosocial and physical mechanisms. A random, population-based sample of 1095 Australian workers completed a telephone interview on two occasions… Continue reading Psychosocial safety climate, psychosocial and physical factors in the aetiology of musculoskeletal disorder symptoms and workplace injury compensation claims

This explored the application of the hierarchy of control (HOC) in the context of healthcare. 42 risk controls from four clinical teams were evaluated against the HOC. In setting up the context, it’s said that “Though healthcare is often exhorted to learn from ‘high-reliability’ industries, adopting tools and techniques from those sectors may not be… Continue reading Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare