A framework for integrated safety in safety-management systems in healthcare

Occupational Health and Safety (K3) is aimed as an effort to create a workplace that is safe, healthy, free from environmental pollution, so that it can reduce and or be free from work accidents and occupational diseases and can have an impact on increasing work efficiency and productivity. The need for implementation and Monitoring of the Occupational Health and Safety Management System at PT. Mujur Lestari must have a good corporate culture and be able to contribute to SMK3. For that PT. Mujur Lestari makes implementation and Monitoring to minimize the risk of work accidents for employees. The sample used in this study were employees of PT. Mujur Lestari, totaling 81 people. The data collection method used a questionnaire while the analytical method used was multivariate analysis. The results showed that there was an influence between knowledge on the Occupational Health and Safety Management System (SMK3) at PT. Mujur Lestari with a tcount greater than ttable, the effect of applying the Occupational Health and Safety Management System (SMK3) with a tcount greater than ttable, the effect of Monitoring on the Occupational Health and Safety Management System (SMK3) with a greater tcount from ttable and there is no relationship between the implementation and Monitoring of the Occupational Safety and Health Management System (SMK3). The conclusion shows that the knowledge variable has a positive and significant effect on the Occupational Safety and Health Management System (SMK3), the application variable has a positive and significant impact on the Occupational Safety and Health Management System (SMK3) and the Monitoring variable has a positive and significant effect on the Occupational Safety and Health Management System. (SMK3). Keywords: Occupational Health and Safety (K3), Occupational Health and Safety Management System (SMK3).

Problem statement: To understand and appreciate the safety and security management systems in industries with a view to find out critical areas requiring attention so as to enhance the effectiveness of safety management systems and security management systems in large, medium and small scale industries. Approach: The study was restricted to Large, Medium and Small scale industries located in Tamilnadu, Kerala, Pondycherry, Karnataka and Andhra Pradesh states of India. The data have been randomly collected from 45 samples each from Large, Medium and Small scale industries. This study has taken into the account of 6 major elements namely management commitment, documentation, facilities, promotion, procedure and training and each major elements having 6 sub elements thus consisting of 36 sub elements of safety management systems and 36 sub elements of security management systems. The sub-elements are prepared such as to reflect the availability of the safety and security management system in industries. Results: Major accident hazard industries require more attention towards safety and security management systems. The safety management system has gained more prevalence than security management system in large scale industries than the medium and small scale industries. The safety management system has considerable prevalence than security management system in medium scale industries than the small scale industries. The safety and security management system have more or less the same prevalence in the small scale industries. Conclusion: All the industries should devise systems for the adoption and implementation of safety and security management system. Security failures can lead to safety failures and hence they must be given equal importance. The major accident hazard industries should adopt all the safety and security management elements. All the elements of safety and security management systems should be given equal importance for effective and safe functioning of the industries. The security management system is an upcoming field which needs to be sincerely implemented in the industries in the present scenario of global terrorism. The safety and security management system should go together in a coherent manner to reduce the societal risk.

In health care, errors could have serious consequences for patients and staff. High-risk industries, such as aviation, have improved safety by taking a systems approach, known as safety management systems. Safety management systems are generally considered to have four key components: leadership commitment and safety policy; safety risk management; safety assurance; and safety culture. Safety management systems need to be context-specific to be effective. Evidence on the use of safety management systems in health care is therefore needed to inform policy decisions. To investigate the application of safety management systems to patient safety in terms of effectiveness, implementation and experience. We conducted a systematic review of research and other evidence from high-income countries that have publicly funded healthcare systems with universal coverage and key evidence available in English. We included Australia, Canada, Ireland, New Zealand and the Netherlands. We searched the websites of, and contacted experts from, patient safety organisations in each country, and searched MEDLINE (December 2023) and EMBASE (via Ovid), Cumulative Index to Nursing and Allied Health Literature (EBSCO) and Web of Science (February 2024). We included policy documents, research and other evidence relating to the effectiveness, implementation or experience of the safety approach in each country. We summarised and mapped included evidence onto an initial framework based on analysis of safety management systems in high-risk industries. We shared drafts with experts in each country for comment. No standardised quality appraisal was conducted but those studies evaluating impact were critically examined for risk of bias. Fifty-three publications were included, from Australia (5), Canada (7), Ireland (8), New Zealand (9) and the Netherlands (24). The Netherlands was the only country with a patient safety programme explicitly based on a safety management system approach. The programme was associated with improvement in some aspects of patient safety in hospitals but there was significant variation in its implementation and outcomes. The main components of a safety management system were also identified to some extent in the patient safety approaches of the other four countries, along with evidence of influence from high-risk industries and 'safety science' more widely. Although we followed best practice for conducting systematic reviews, some limitations should be acknowledged. We did not conduct formal quality appraisal, but the risk of bias in studies evaluating impact was examined. We also tried to mitigate the risk of partial understanding (from the use of policy documents) by talking to experts from each country. Only the Dutch patient safety programme was explicitly based on a safety management system approach. Concepts from high-risk industries and broader safety science had influenced the patient safety approach in the other countries, and the ongoing approach in the Netherlands, but this was less systematic and explicit. Approaches to patient safety in all countries reflect increasing awareness that for an initiative to be successful, it needs to be context-specific. Using realist methods to identify mechanisms underpinning the success of different patient safety approaches could allow better understanding of how and to what extent such initiatives work in specific circumstances. Methods for evaluation of impact also require further development to allow better understanding and comparison of different approaches. This study is registered as PROSPERO CRD42023487512. This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: NIHR136105) and is published in full in Health and Social Care Delivery Research; Vol. 13, No. 7. See the NIHR Funding and Awards website for further award information.

The occurrence of accidents at work is largely caused by human factors (unsafe act), i.e., the behavior that is not secure. And the fraction is caused by environmental factors (unsafe condition). Therefore, to ensure the safety and health of the medical personnel, non-medic personnel nor others who visited the hospital, it takes an effort to minimize the risk of danger that exists, it needs to be applied to the safety management system and Occupational Health Hospital. The purpose of this research was to analyze the effect of the application of safety and health management system Work Against a work Behavior And environmental conditions of work at the Dr. Harjono General Hospital of Ponorogo. The research design was analytic observational with a quantitative approach. Research on variable i.e. application of the occupational health and safety management system (OHSMS) as the independent variable, the behavior of the working conditions and working environment as the dependent variable. This research population all employees in installations of polyclinics, inpatient care installations, medical record and pharmaceutical installation Dr. Harjono General Hospital of Ponorogo as many as 446 employees. Samples taken with the cluster random sampling technique as much as 258 respondents. Data is collected with instruments ceklist and processed in coding, editing, tabulating and scoring as well as tested with linear regression test. Linear regression results indicate that partially and simultaneously the value of p values there are shows so that 0.05 < influence influence the application of safety and health management system Work Against a work Behavior And Work in environmental conditions at Dr. Harjono General Hospital of Ponorogo. The existence of the application of management system of safety and occupational health will create the most benefits to the maintenance of a good workforce that can be seen from the behavior of the work and the working environment

BACKGROUND: Occupational safety and health management systems, hereinafter, in SMK3 are part of the overall company management system in the context of risk control related to work activities to create a safe, efficient, and productive workplace through efforts to prevent accidents and occupational diseases. AIM: This study aimed to evaluating the application of occupational safety and health management systems to contractors in the management area of PT Sims Jaya Kaltim based on government regulation number 50 of 2012. METHODS: The application of SMK3 is mandatory for companies with 100 employees or high risk. The evaluation research using the culinary method adopted a countenance stake evaluation model with three stages, starting with the antecedents, Transaction, and outcomes stages, in three mining companies. Data collection uses source pole, interviews, document review, and observation. RESULTS: The results of this study indicate the results of evaluating the implementation of an occupational safety and health management system at the Attendance (Input) stage in PT X based on government regulation number 50 of 2012, included in the less category where the value obtained is 55%. The results of the evaluation of the application of an occupational health and safety management system at the stage of transaction in X based on government regulation number 50 of 2012 are included in the satisfying category where the value obtained is 86%, while the outcomes obtained a value of 70.5% in the less category. PT Mandiri Herindo Adiperkasa and PT Iwaco Jaya Abadi are expected to further enhance the application of occupational safety and health management systems. CONCLUSION: The results of the evaluation of the implementation of the occupational safety and health management system (SMK3) at the Attendance (Input) stage at PT X based on government regulation number 50 of 2012 are included in the category of lacking where the value obtained is 55%. Transaction phase (Process) is included in the satisfactory category where the value gained 86%. The outcomes phase is obtained 70.5%.

The development of industry by empowering high technology is accompanied by an increase in players and technology users in the industrial era and globalization. So it is necessary to pay attention to work safety as an effort to improve human resources in the field of Occupational Safety and Health Management System. The theme of Occupational Safety and Health Management System is very interesting to study and continue to develop. So the purpose of this research is to know the implementation of Occupational Safety and Health Management System in accordance with the Standard Operating Procedure and to know the use of Personal Protective Equipment for employees in the maintenance department of a shoe-making company according to the rules and rules of Occupational Safety and Health Management System.
 The research method used is comparative quantitative research (comparing quantitatively). The research subjects were employees in the maintenance department of a shoe-making company which collected 60 people.
 The results of this study indicate that the Post-Test value > from the Pre-Test results. Therefore, the implementation of the Health and Safety Management System in the maintenance department has been implemented or in accordance with standart operation procedure and policies of a shoe-making company.

Occupational health and safety in hospitals is influenced by Occupational Safety and Health Management System or what is often called SMK3 which functions to regulate occupational safety and health in an industry or building. This research aims to analyze the relationship between inhibiting factors and the implementation of the occupational health and safety management system at the Royal Prima Medan Hospital. This research is an analytical survey research using a cross sectional study design carried out in June 2023. The sample in this research is all medical personnel who work in Royal Prima Medan Hospital, namely 121 people. The sample size is determined using the total population formula. Data were analyzed using the chi square test and logistic regression. The research results show that there is a relationship between HR quality, HR workload, HR work environment, wage levels and the rate of addition of new workers with the implementation of the occupational safety and health management system at the Royal Prima Medan Hospital. The most dominant variable related to the implementation of the occupational safety and health management system at the Royal Prima Medan Hospital is the wage level. It is recommended to the hospital that the results of this research can be used as input to improve and develop the level of occupational health and safety, especially for hospital workers, which can also indirectly improve the quality of service and work productivity of the hospital

Current situation of certification system and future improvements of the occupational health and safety management system for loss prevention in Korea – Focused on KOSHA 18001

The National Energy Board (NEB) believes that effective management systems are an integral part of managing safety and protection of the environment. Management systems allow for flexibility while ensuring that a comprehensive approach to managing risk is taken. This paper focuses on taking the systems approach to safety and environmental management in a quasi-judicial regulatory environment, particularly the NEB. The NEB is developing and implementing a Safety and Environmental Management System (SEMS) using the same “principle-based approach” as the internationally recognized ISO 14001 standard and OHSAS 18001 specification. It is the understanding of the NEB that it is the first regulatory agency in Canada to formally implement a safety and environmental management system to improve internal programs and processes. Under the goal-oriented Onshore Pipeline Regulations - 1999, the NEB requires pipeline companies to “develop and implement an environmental protection program to anticipate, prevent, mitigate and manage conditions that have a potential to adversely affect the environment”. While no regulations require the NEB to implement a management system, the NEB is proactively taking its own advice and meeting the same requirements of the companies it regulates. The development and implementation of the SEMS will help to consolidate and integrate internal NEB safety and environmental efforts as well as assist in clarifying their regulatory role, expectations, and responsibilities in regards to safety and environmental protection. The NEB has completed the first step of the development and implementation of the SEMS, including the development and communication of the NEB Environmental Policy and a draft of an integrated Safety & Environmental Policy; identification of objectives, targets and performance indicators; and improvements to existing programs and processes. The NEB Environmental Policy will be phased out once the integrated policy is approved and communicated. The second step includes conducting a detailed gap analysis to identify and prioritize areas for improvement as well as integrating the SEMS into the existing NEB business planning cycle. By fully incorporating the defined SEMS into the annual NEB business planning cycle, the management system approach will be used as the basis for setting internal safety and environmental priorities, work planning and continual improvement.

DuPont: Safety Management in a Re-Engineered Corporate Culture

Recently, incidents and disasters occurring in home as well as abroad influence whole industrial society not just limited in business places or districts. If safety management system of business is broken, then an incident occurs. This brings out a huge loss at the scene of an incident and other businesses. And then, delayed and passive reaction to this incident may be expanded to a national disaster. A state of emergency caused by these disasters threatens countries and public's safety in addition to company's loss, and it can encourage social and financial anxiety worldwide. If BCMS(Business Continuity Management System)’s, which has recently been adopted as a social safety system, is established in a general place of business, overlap and collision are inevitable in many sides. And it will make an overlapped organization that makes confusion in company by a cost of management. To avoid these overlap and collision, for making better OH&SMS (Occupational Health and Safety Management System), companies need to construct a unified business system after adding applicable requirements in business place. And then we can minimize confusions and burdens in company, and operate integrated system including BCMS. This study suggests using HSSMS (Health, Safety and Security Management System) which is KOSHA 18001 - nowadays many companies are used in KOREA - utilized by BCMS. If company adopts this HSSMS(Health, Safety and Security Management System), following positive effects can be expected.1) HSSMS makes it possible for company's OH&SMS to unify with BCM systems and to be continual improvement and operation.2) Because HSSMS makes OH&SMS communicate with national BCMS, it helps constructing and operating BCMS being cooperated by the public and civil sector.3) OH&SMS and BCMS make it easier to decrease accident rate, enhance working environment, increase productivity, hold a dominant position in internal and external market, preoccupy the appearance of global standard, and respond the voluntary restraints of market.

This research aims to determine the implementation of the Occupational Safety and Health (K3) management system in the Light Vehicle Engineering Automotive Workshop at Cokroaminoto Vocational School, Kotamonagu, which is based on the Occupational Safety and Health Management System. This research is a quantitative descriptive research. The research subjects were 3 respondents, namely 1 Head of Department, 1 Workshop Coordinator, and 1 Technician. Data was collected using a questionnaire and cross-checked with documentation and interviews. Testing the validity of the instrument is carried out through expert judgment. Data analysis is presented in the form of block graphs and presented briefly in tables in the form of percentages of achievement scores which are then categorized and described based on the sub-indicators. Based on the research results, the achievement of indicators in the implementation of the Occupational Health and Safety Management System in the Automotive Workshop for Light Vehicle Engineering at Cokroaminoto Vocational School, Kotamonagu, namely 73.57% achieved, falls into the sufficient category, because the implementation of K3 has been achieved sufficiently, so it is necessary to increase the implementation of K3 following the K3 management system. The obstacles that influence the implementation of SMK3 are the lack of awareness among students about the importance of K3, the absence of a special team that handles K3 at the Light Vehicle Engineering Automotive Workshop at SMK Cokroaminoto Kotamonagu and the lack of documentation at the Light Vehicle Engineering Automotive Workshop at SMK Cokroaminoto Kotamonagu. Efforts made to overcome obstacles are by providing direction and advice to students about the importance of K3 and students are advised to always use PPE when practicing. The need for a special team that handles K3 and documentation related to K3 must be improved so that the implementation of K3 in Automotive Workshops is run by regulations and legislation. When using tools, students must take part in maintaining and maintaining them so that the tools are not easily damaged and it is necessary to replace tools if one is damaged and add additional tools so that students do not have to take turns using the tools.

Occupational Safety and Health (K3) is an effort made so that workers always work safely and healthily in the workplace, and resources and production processes can be used safely and efficiently. The number of work accident cases in Indonesia in the period January-August 2024 was 278,564 cases, of which North Sumatra Province had 15,220 cases. Every company is required to implement an Occupational Safety and Health Management System (SMK3) that is integrated with the company's management system. The implementation of the occupational safety and health management system (SMK3) at Perumda Tirtanadi, North Sumatra Province has a good management system, this is proven by the certification audit process by the K3 management system audit institution by PT. Surveyor Indonesia and has received recognition from the Indonesian Ministry of Manpower. This study aims to determine five (5) principles, namely the determination of K3 policies, K3 planning, implementation of K3 plans, monitoring and evaluation of K3 performance, and review and improvement of K3 performance at Perumda Tirtandi. This study uses a descriptive qualitative approach through interviews. The interview results were processed using the NVIVO application. The results of the study are on the first principle of establishing K3 policies by establishing SOPs and annual work programs in accordance with national regulations, which must be informed to all employees. The second principle is K3 planning which emphasizes K3 culture through repeated socialization reflecting an ecological-social approach in health promotion. The third principle, namely the implementation of K3 in Perumda Tirtanadi shows a strong commitment to ensuring the use of PPE and compliance with K3 signs. The fourth principle, sustainability in SMK3 is reflected in the monitoring system of Perumda Tirtanadi, which involves visits from management and the K3 advisory committee. The fifth principle is a critical process that allows management to conduct objective assessments of the entire system. The study on the Implementation of the Occupational Safety and Health Management System (SMK3) requires socialization of SMK3 and considers K3 as something mandatory and a necessity when working.

Background: Health services in Health Care Facilities (Fasyankes) have high risks related to the safety of patients and health workers, which can trigger occupational accidents. Risk control through the implementation of the Occupational Safety and Health Management System (OSHMS) is needed to create a safe and healthy work environment. Objective: This study aims to identify and evaluate the implementation of occupational health and safety management systems in health care facilities, especially in Sekadau Health Center. Methods: This research is a descriptive study with a crosssectional design. Data were collected through observation and validated based on interviews with occupational health program holders, health and safety programs, and doctors. Results: This study shows that the implementation of the Occupational Safety and Health Management System (OHSMS) at the Sekadau Health Center mostly runs quite well, especially in policy setting, planning, and reviewing and improving OHS performance. The implementation of the OHS Plan has gone very well. However, weaknesses were found in monitoring and evaluating OHS performance. Conclusion: It is recommended that the Sekadau Health Center strengthen monitoring and evaluation of OHS performance by adding resources and experts in the field of occupational safety and health, to ensure a more thorough and sustainable implementation.

Background After several decades of sustained effort, patient safety remains a difficult challenge. A range of policy interventions and organisational activities now focus on patient safety issues, but these are often developed as stand-alone interventions or are implemented in isolation. This contrasts to the approach taken in other safety-critical sectors, where safety is built on carefully organised and tightly integrated safety management systems (SMS) that bring together all the fundamental activities of understanding, implementing, monitoring and improving safety in organisations. Methods This article considers the organising principles that underpin SMS in a range of other sectors, and explores and describes the key functions and activities that are of particular relevance to healthcare. Strategies in other safety-critical sectors are reviewed, emerging thinking in healthcare is described and the relevance of policy and legislation are considered. Results SMS are the foundation of safety in sectors from aviation to food production, but healthcare does not yet have a well-specified and widely shared view on what constitute the fundamental principles, activities and functions necessary to support integrated systems of safety management. This critical issue is increasingly being recognised by national health agencies, and the journey towards developing integrated SMS in healthcare represents the next phase in the systemic improvement of patient safety. Conclusion The development of healthcare SMS can be informed by the experiences of safety-critical sectors that have travelled this path before; by emerging thinking and exploration in healthcare organisations; and by revisiting the legislative and policy context that shapes patient safety.