Night shift work and indicators of cardiovascular risk: a systematic review and meta-analysis

This may interest people – a meta-analysis and systematic review of the effects night shift work has on markers of cardiovascular risk. Not a summary – you can read the full open access paper. 81 studies met inclusion criteria – 14 cohort and 67 cross-sectional. Findings: ·        “Night shift work is associated with increased inflammation ·        “HDL-C… Continue reading Night shift work and indicators of cardiovascular risk: a systematic review and meta-analysis

Avoiding ‘second victims’ in healthcare: what support do staff want for coping with patient safety incidents, what do they get and is it effective? A systematic review

This systematic review evaluated evidence for what support staff want vs what they receive, and whether the support is effective. 99 studies were included. Some extracts: ·        PSI (patient safety incident) lead to emotional shame, guilt, anger, shock, depression, fear, flashbacks, helplessness, fatigue, withdrawal and more ·        The three most desired support types staff want before and… Continue reading Avoiding ‘second victims’ in healthcare: what support do staff want for coping with patient safety incidents, what do they get and is it effective? A systematic review

Coffee drinking timing and mortality in US adults (** tl;dr: coffee is awesome)

This may interest people, exploring the role of coffee drinking on all-cause mortality and Cardiovascular disease (CVD). Large sample, but observational and via 7-day dietary record, with follow-up periods. Note: Normally we need to be cautious with study methods and limits, but since we’re dealing with coffee – I’ll accept no ill spoken. Coffee defies… Continue reading Coffee drinking timing and mortality in US adults (** tl;dr: coffee is awesome)

Imbalanced sleep increases mortality risk by 14–34%: a meta-analysis

Poor sleep increases mortality risk by 14 – 34% according to a new meta-analysis. 79 cohort studies were included. Findings: ·      Inadequate sleep was defined as fewer than 7 h per night ·      1/3 of adults regularly experience insufficient sleep which are “driven by lifestyle factors deeply rooted in modern society” ·      Chronic sleep deprivation has been linked… Continue reading Imbalanced sleep increases mortality risk by 14–34%: a meta-analysis

1912 article discussing the role of fatigue in industrial accidents and arguing against ‘carelessness’ as an “ultimate cause”

This was an interesting article from 1912 highlighting the role that fatigue has in industrial accidents. Also challenges ‘carelessness’, saying it doesn’t account for the effects of fatigue. While scientific knowledge has progressed over the century, it’s cool how well they articulated the issue. ·        Image 1 top panel shows a breakdown of accidents per time… Continue reading 1912 article discussing the role of fatigue in industrial accidents and arguing against ‘carelessness’ as an “ultimate cause”

What Control Measures Should I Use? Applying the Total Worker Health Hierarchy of Controls to Manage Workplace Fatigue

This new paper from Drew Dawson and others reconceptualised fatigue risk management within Total Worker Health (TWH) Hierarchy of Controls (HOC). THW HOC works as an extension to the traditional HOC, and “presents strategies in order of effectiveness, ranging from “eliminate,” “substitute,” “redesign,” “educate,” and “encourage” categories” They say that while is mostly associated with… Continue reading What Control Measures Should I Use? Applying the Total Worker Health Hierarchy of Controls to Manage Workplace Fatigue

Safety Management Systems may struggle with psychosocial factors and other complex phenomena

Certified safety management systems (OHSM) may struggle with complex, multi-factorial matters, like psychosocial safety. Extracts: ·        The OHSM “does not necessarily tackle the most urgent work environment issues and may exclude important aspects of the work environment such as psychosocial factors” ·        “some [OHSM] approaches may be ill-equipped to tackle complex sociotechnical issues and psychosocial matters, and… Continue reading Safety Management Systems may struggle with psychosocial factors and other complex phenomena

Why do doctors make poor decisions? Spotlighting ‘noise’ as an under-recognised source of error in clinical practice

A brief read covering the concept of noise, pertaining to judgements. This is based on the work from Kahneman, Sibony and Sunstein. From the article: ·        While biases in judgements have captured a lot of attention, “it has been suggested that ‘noise’ (defined as an undesirable variability in human judgements) is a highly important, yet under-recognised… Continue reading Why do doctors make poor decisions? Spotlighting ‘noise’ as an under-recognised source of error in clinical practice

A life of Reason: A mini-compendium of James Reason’s contributions

Seems fitting to cover some work from James Reason and to reflect on his enduring impact on our professional work, thinking and models. I’ve focused more on articles I’ve summarised or posted an image extract of, or could find a full-text article for. It’s NOT systematic. I’ve also included articles not from Reason but whom… Continue reading A life of Reason: A mini-compendium of James Reason’s contributions

Industrial Accidents and Industrial Diseases – 1909 article

Another interesting read from 1909, talking about ‘social responsibility’ and industrial accidents & diseases in the US. Really modern thinking here – that: 1) ‘trade’ should bear the fair burden of injury 2) compensation is about justice and social responsibility 3) a worker’s free will to work in dangerous industries is a myth (they often… Continue reading Industrial Accidents and Industrial Diseases – 1909 article