Safe Practices Research Articles

Multilevel factors drive child exposure to enteric pathogens in animal feces: A qualitative study in northwestern coastal Ecuador.

Exposure to animal feces and associated enteric pathogens poses significant risks to child health. However, public health strategies to mitigate enteric infections among children largely aim to reduce exposure to human feces, overlooking transmission pathways related to animal feces. In this study we examine if and how children are exposed to enteric pathogens in animal feces in northwestern coastal Ecuador. We conducted qualitative interviews with mothers of children aged 10-18 months that owned (n = 32) and did not own (n = 26) animals in urban and rural communities. Using thematic analysis, we identified community, household, and child behavioral factors that influence exposure. We also compared child exposure by household animal ownership. Our findings revealed myriad opportunities for young children to be exposed to enteric pathogens in many locations and from multiple animal sources, regardless of household animal ownership. Animal feces management practices (AFM) used by mothers, such as rinsing feces into ditches and throwing feces into surrounding areas, may increase environmental contamination outside their homes and in their communities. Unsafe AFM practices were similar to unsafe child feces management practices reported in other studies, including practices related to defecation location, feces removal and disposal, environmental contamination cleaning, and handwashing. Findings suggest that animal feces may contaminate the environment along similar pathways as human feces. Identification and incorporation of safe AFM practices, similar to those developed for child feces management, would 1) mitigate child exposure to enteric pathogens by reducing animal feces contamination in domestic and public spaces; and 2) enable an integrated approach to address enteric pathogen exposure pathways related to animal and child feces.

Safety Culture and Worker Perception in Highway Maintenance Operations: A Survey of Alabama Department of Transportation Maintenance Technicians

The survey entitled “Field Survey of Alabama Department of Transportation (ALDOT) Transportation Maintenance Technicians (TMTs) Perception of Worker Safety” investigates the safety perceptions and concerns of maintenance workers within ALDOT through a multifaceted analysis approach. The findings reveal critical insights that can significantly enhance ALDOT’s safety practices, training programs, and overall safety culture. Disparities in safety perceptions across different ALDOT’s areas were found, emphasizing the need for ALDOT to tailor its strategies to meet the unique needs of each area, ensuring that safety measures are both relevant and effective. The study emphasizes the importance of implementing targeted interventions focused on high-risk activities and prevalent safety concerns, allowing ALDOT to prioritize resources effectively. Additionally, the research highlights the necessity for continuous improvement by regularly evaluating safety initiatives based on feedback and best practices. This ongoing evaluation ensures that safety measures remain relevant and effective in addressing the evolving needs of TMTs. By integrating these insights into its safety management practices, ALDOT can cultivate a more proactive and resilient work environment that not only addresses immediate safety concerns but also establishes a sustainable culture of safety prioritizing employee well-being. The study provides a roadmap for future improvements in workplace safety and initiates discussions on the implications and recommendations for enhancing ALDOT’s and other transportation agencies’ safety management practices.

Bacterial growth in breast milk expressed under hygienic control: a pilot study

ObjectiveIn this pilot study, we verified safe practices for breast milk expression, storage, and duration, based on bacteriological results.ResultsWe collected breast milk samples from three healthy lactating volunteers and analyzed the bacterial flora and changes in the viable bacterial counts (including those of Staphylococcus) of the samples. Although no consistent change could be observed in the abundance of a particular bacterial group in samples expressed under hygienic control conditions, viable bacterial counts were higher in self-expressed milk than in milk expressed under hygienic control conditions. In conclusion, increased hygiene awareness is vital during breast milk expression and storage.

Effect of Implementation of Educational Guidelines for Nurses Regarding the Safety Practice of Immunoglobulin Administration on Their Knowledge and Performance

Effect of Implementation of Educational Guidelines for Nurses Regarding the Safety Practice of Immunoglobulin Administration on Their Knowledge and Performance

Challenges in reliable preoperative blood ordering: A qualitative interview study.

Presurgical blood orders are important for patient safety during surgery, but excess orders can be costly to patients and the healthcare system. We aimed to assess clinician perceptions on the presurgical blood ordering process and perceived barriers to reliable decision-making. This descriptive qualitative study was conducted at a single large academic medical center. Semi-structured interviews were conducted with surgeons, anesthesiologists, nurse anesthetists, nurse practitioners working in preoperative assessment clinics, and transfusion medicine physicians to assess perceptions of current blood ordering processes. Interview responses were analyzed using an inductive open coding approach followed by thematic analysis. Twenty-three clinicians were interviewed. Clinicians felt that the current blood ordering process was frequently inconsistent. One contributor was a lack of information on surgical transfusion risk, related to lack of experience in ordering clinicians, insufficient communication between stakeholders, high turnover in academic settings, and lack of awareness of the maximum surgical blood ordering schedule. Other contributors included differing opinions about the benefits and harms of over- and under-preparing blood products, leading to variation in transfusion risk thresholds between clinicians, and disagreement about the safety of emergency-release blood. Several barriers to reliable decision-making for presurgical blood orders exist. Future efforts to improve ordering consistency may benefit from improved information sharing between stakeholders and education on safe transfusion practices.

Eye wash devices in dentistry: A brief review of safety protocols and best practices

Dentistry is a challenging profession that requires precision and commitment to patient safety. To ensure the well-being of dental professionals and patients, using eyewash devices has become an indispensable practice. This review explains the vital role of eyewash devices in dentistry, the various types available, and their significance in maintaining a safe dental practice.

Health And Menstrual Hygiene Of Adolescent Girls In Vijayapura District.

One-fifth of the world's population is in their adolescent years, and in India, 20.9% of people are in this age range. Adolescent girls were unable to obtain the proper knowledge due to social prohibitions and cultural beliefs, which resulted in poor hygiene habits. Due to these behavior's, microorganisms are harbored, which raises the risk of Genito-urinary diseases. To better understand the menstrual hygiene practices of teenage girls in the Vijayapura district, a study on the subject was undertaken. The study's goal was to investigate the menstrual hygiene habits of teenage females in Vijayapura. The study's secondary data-based paper's methodology. As a result of this study, teenage girls' health instruction must focus on menstrual hygiene and health for them to continue practicing good hygiene. With increased understanding and safe menstrual practices, reproductive system infections and their consequences can be prevented.

Exploring the Role of Food Safety Practices in Enhancing Sustainability within the Food Industry: A Comprehensive Analysis of Challenges, Opportunities, and Global Trends

This study explores the critical relationship between food safety practices and sustainability within the global food industry, addressing how these practices contribute to the long-term viability of food systems. As environmental pressures, population growth, and food security concerns intensify, the integration of food safety with sustainability goals has become a key area of focus. The research highlights that effective food safety protocols not only safeguard public health by preventing contamination and foodborne illnesses but also significantly reduce food waste, thereby contributing to resource efficiency and minimizing environmental impact. Technological advancements, such as blockchain and artificial intelligence, play a transformative role in enhancing both food safety and sustainability by improving traceability, transparency, and proactive risk management across the supply chain. However, disparities in regulatory frameworks and enforcement, particularly between developed and developing countries, pose significant challenges to the widespread adoption of integrated food safety and sustainability practices. The study also underscores the growing influence of consumer behavior, with increasing demand for transparency, ethical sourcing, and sustainable food production driving industry changes. Despite the progress made, challenges remain, particularly in balancing the environmental impact of packaging materials with food safety needs. The findings emphasize the importance of harmonizing food safety and sustainability standards, fostering international cooperation, and investing in education and training across the food supply chain to build a culture that supports both safety and sustainability. Additionally, there is a need for continued research and innovation to address emerging challenges and ensure that the food industry can meet the evolving demands of both safety and sustainability. This study demonstrates that the integration of food safety practices with sustainability goals is essential for the development of a resilient and sustainable food system, capable of supporting global food security while protecting public health and the environment for future generations.

Design, Implementation, and Adaptation of a Tutoring Program for the Competency Development of New Nurses in a Hospital Emergency Department.

The healthcare environment faced by nurses is complex, with high workloads and situations of high comorbidity. The integration of nurses into the work environment is a cause for concern, and improvements are sought for their incorporation into the workforce. The benefits of mentoring programs are described not only for nurses but also for patients with safer practices and benefits for the institution due to the increased commitment of its professionals. A methodological article that illustrates the complete process to design and implement a tutoring program for new nurses in an emergency department is presented. The competency profile required for the figure of tutor was developed, including the steps followed for the development of the program and the structure and phases of which it is composed, as well as the validation of the evaluation instruments of the process. A strength was the participation of experts during the in-depth analysis of the competency profile, as well as in the adaptation of the evaluation items, which endorses the pertinence, relevance, usefulness, and clarity of the content of this program. The transparency in this methodology makes it possible to follow the steps for its reproduction and applicability in other hospitals.

Supporting recovery, healing and wellbeing with Aboriginal communities of the southeast coast of Australia: a practice-based study of an Aboriginal community-controlled health organisation’s response to cumulative disasters

BackgroundThe recent crises of bushfires, floods, and the COVID-19 pandemic on the southeast coast of Australia were unprecedented in their extent and intensity. Few studies have investigated responses to cumulative disasters in First Nations communities, despite acknowledgement that these crises disproportionately impact First Nations people. This study was conducted by Aboriginal and non-Aboriginal researchers in partnership with Waminda, South Coast Women’s Health and Wellbeing Aboriginal Corporation, an Aboriginal Community Controlled Health Organisation (ACCHO). It investigated the collective experiences of people affected by cumulative disasters to identify the practices that support healing, and recovery for Aboriginal communities. The study addresses a knowledge gap of how Waminda, designs, manages and delivers responses to address complex health and social issues in the context of cumulative disasters.MethodsUnderpinned by practice theory this study employed Indigenous-informed, narrative inquiry. Culturally-appropriate, multiple interpretive methods were used to collect data including: observations; yarns with Aboriginal community members, yarns with Waminda practitioners, management and board members; interviews-to-the-double, visual images and documentation. The data were collated and analysed using the phases of reflexive thematic analysis.ResultsThe paper articulates a suite of culturally safe and place-based practices that enhance social, emotional and spiritual well-being following cumulative disasters. These practice bundles include: adopting a Country-centred conception of local communities; being community-led; viewing care as a collective, relational, sociomaterial accomplishment and having fluid boundaries. These practice bundles ‘hang together’ through organising practices including the Waminda Model of Care, staff wellbeing framework and emergency management plan which orient action and manage risks. The paper demonstrates the need for disaster responses to be community-led and culturally situated. ACCHOs are shown to play a crucial role, and their local responses to immediate community needs are grounded in contextual knowledge and use existing resources rather than relying on mainstream system-wide interventions.ConclusionsThe paper suggests crafting responses that focus on assisting communities (re)gain their sense of belonging, hope for the future, control over their lives and their capacities to care for and to be cared for by Country, are key to both enhancing healing, health and well-being and harnessing the strengths of communities.

Enhancing Street Food Safety in Kampala: Current Challenges and Future Directions

Street food vending in Kampala is a vibrant component of the city’s cultural and economic fabric, providing affordable, diverse food options and supporting local agriculture. However, the informal nature of street food vending introduces significant food safety challenges, including regulatory constraints, inconsistent sanitary practices, and risks of microbiological contamination. This review examines the current state of street food vending in Kampala, focusing on regulatory frameworks, hygiene standards, and vendor knowledge. It explores the health implications of street food consumption, including case studies of foodborne illnesses, and evaluates successful interventions aimed at improving safety. The review also draws comparative insights from practices in other cities and identifies emerging trends and research needs. Key findings highlight the need for strengthened enforcement mechanisms, enhanced vendor training, and improved public awareness to address food safety challenges. Recommendations include adopting best practices from successful cities, leveraging emerging technologies for real-time monitoring, and improving infrastructure to support safe street food practices. This comprehensive overview offers actionable insights for stakeholders to enhance the safety and sustainability of street food vending in Kampala. Keywords: Street Food, Kampala, Current Challenges, Future Directions

Effective methods for the decontamination of healthcare waste: Ozone and UV-C radiation process

ABSTRACT Human-generated waste, including infectious healthcare waste, poses significant risks to public health and the environment. The COVID-19 pandemic has increased the global production of infectious waste, emphasizing the need for safe and sustainable waste management practices. While autoclaves are commonly used for on-site disposal, alternative methods like ozone gas and UV-C radiation offer environmentally friendly options that effectively eliminate pathogens without leaving toxic residues. Inadequate waste management can contribute to disease transmission, while open burning releases harmful pollutants. This study investigated the effectiveness of different disinfection agents – ozone gas and UV-C radiation – on infectious solid waste contaminated with bacteria. The bacterial indicators examined were Staphylococcus aureus, Bacillus subtilis, and Pseudomonas aeruginosa. The experimental methods included operating each ozone and UV-C radiation individually and simultaneously using ozone gas and UV-C radiation. The study also investigated exposure times and various concentrations of ozone gas. The findings demonstrated that the simultaneous application of ozone gas and UV-C radiation was the most effective method for decontaminating infectious solid waste and targeting the selected bacteria. The concentration of ozone gas ranged from 165 to 5000 ppm, depending on generation time and treatment chamber volume, while exposure times varied from 1 to 180 minutes. In applying UV-C rays, complete elimination of S. aureus was observed after 60 minutes up to 6-log, while the reduction of B. subtilis and P. aeruginosa were 2-log and 3-log, respectively. Ozone gas had the ability to inactivate all strains, but when ozone gas and UV-C rays were used simultaneously, this process was accelerated and improved. The total reduction in the bacterial load was 8-log. Considering the increase in population and the subsequent increase in waste generation, adopting an environmentally friendly waste management method can be very advantageous. Implications: This study highlights the effectiveness of simultaneously applying ozone gas and UV-C radiation for decontaminating infectious solid waste, offering an environmentally friendly alternative to traditional thermal treatments like autoclave and incineration. By optimizing ozone concentrations and exposure times, this method reduces disease transmission risks and minimizes environmental impact. These findings are crucial, especially during outbreaks such as the COVID-19 pandemic, providing scalable, sustainable waste management solutions for healthcare facilities. Implementing these techniques can protect public health and the environment, setting a new standard for safe infectious waste disposal worldwide, mitigating hazardous pollutants, and reduce the exposure risk of bio-hazardous residues.

A mixed-methods examination of fixed-object crashes among electric utility company fleet vehicles

IntroductionOne of the most common and serious types of crashes among all motor-vehicle users involves collisions with fixed objects. This type of crash occurs frequently among utility vehicle workers while driving for work. The overarching objective of this research was to improve the safety of electric utility company vehicle operators by determining the circumstances under which utility vehicles are involved in crashes with fixed objects and to provide recommendations to help drivers and utility fleet company management prevent these types of crashes. MethodsThe study incorporated a mixed methods approach and gathered information from structured interviews with safety managers at electric power companies and an analysis of utility vehicle crashes using data supplied by electric power companies and a statewide database in Michigan. ResultsMany factors were found to contribute to fixed-object crashes including engagement in secondary tasks and job productivity pressure. Information was organized and evaluated to develop 11 recommendations for countermeasure strategies that are directed at various levels within the system in which the drivers operate. DiscussionThis study was the first to explore fixed-object crashes among electric utility fleet vehicles. The findings are unique in that they provide insight into the safety practices in an industry that has received limited academic attention and highlight the need to place greater emphasis on road safety practices in the workplace. Practical applicationCountermeasures generated for this study are applicable to companies in which fleet driver safety is a primary concern.

Second Victims in Industries beyond Healthcare: A Scoping Review.

The second victim phenomenon (SVP) refers to workers negatively impacted by involvement in unanticipated adverse events or errors. While this phenomenon has been extensively studied in healthcare since its acknowledgment over 20 years ago, its presence and management in other high-risk industries have remained unclear. We conducted a scoping review aiming to map the SVP in non-healthcare industries, as well as to explore the available interventions or support programs addressed to help second victims (SVs). A total of 5818 unique records were identified and, after the screening process, 18 studies from eight sectors were included. All industries acknowledged the existence of the SVP, though many did not use a specific term for defining the SV. Similarities in psychological and emotional consequences were found across sectors. Support strategies varied, with the aviation sector implementing the most comprehensive programs. Self-care and peer support were the most reported interventions, while structured clinical support was not mentioned in any industry. Our review highlighted a lack of standardized terminology and industry-specific, evidence-based support interventions for the SVP outside of healthcare. Healthcare appears to be at the forefront of formally recognizing and addressing the SVP, despite traditionally learning from other high-reliability industries in safety practices. This presents opportunities for reciprocal learning and knowledge transfer between healthcare and other high-risk sectors.

Enhancing safe prescribing practices using thematic teaching: a quality improvement project

Enhancing safe prescribing practices using thematic teaching: a quality improvement project

Safe water treatment practices: A qualitative study on point-of-use chlorination in Nigeria

Safe water treatment practices: A qualitative study on point-of-use chlorination in Nigeria

Solution-oriented development of the sound environment in industrial workplaces

Objectives. Research literature has not given much evaluation to why the proposed noise control actions in workplaces are not being implemented. There are views of the different personnel groups in the workplace and the reasons why the possibilities for solutions have not been examined. Methods. The companies under study were a welding machine shop, an assembly plant, a heavy steel company and an art glass factory. Noise management was approached by combining the perspectives of technology, acoustics and occupational safety with the examination of sociocultural factors at the workplace level. Results. Noise was not well represented in occupational safety practices. The productivity aspect was strongly emphasized. The use of personal protective equipment created the illusion that everything possible has been done and noise controlled. Conclusion. The study developed a model in which experts in the field of acoustics and sociocultural researchers together evaluated the state and development needs of noise abatement. The results of the project show that successful noise control solutions require a process involving all staff in the workplace.

Generation Rx: evaluation of medication misuse prevention education for older adults.

Increased medication misuse over the last two decades has prompted extensive discussion about the lack of evidence-based and evidence-informed prevention education programs targeting the topic. As older adults are high utilizers of medications, this is an important population to reach with such educational programming. This study was designed to assess the change in knowledge and behavioral intentions of older adult participants after attending an educational session focused on safe medication use utilizing the Generation Rx Older Adult Toolkit (GROAT) resources. The Generation Rx team at The Ohio State University College of Pharmacy (OSU COP) partnered with The Ohio State University Extension offices (OSU Extension) across the state of Ohio to provide GROAT educational programming in their communities. OSU Extension Educators were trained via the standardized virtual training program, Generation Rx Ambassadors. Program participants were surveyed immediately before and after the educational events. Pre- and post-survey data was then analyzed to assess knowledge gain and behavioral intentions about safe medication practices, as well as program perception and program satisfaction. Programming occurred between May 2022 and September 2022. In total, OSU Extension Educators collectively engaged 843 individuals in a prevention education program utilizing the GROAT materials. After excluding participants under 50 years of age, there were 297 pre surveys and 245 post surveys included in the data analysis. Knowledge gains from pre- to post-survey showed a significant increase in correct responses in seven of the eight questions asked regarding safe medication practices. All five questions evaluating behavioral intentions demonstrated positive results after the programming (p < 0.001). Participants' perceptions and program satisfaction were also favorable. This study found through pre- and post-survey results that the Generation Rx Older Adult Toolkit programming delivered by Generation Rx trained OSU Extension Educators significantly increased older adult participants' knowledge and favorably impacted behavioral intentions around safe medication use practices.

Knowledge, attitude, and practice of food safety: a survey on processed potato products manufacturer in Bangladesh

Knowledge, attitude, and practice of food safety: a survey on processed potato products manufacturer in Bangladesh

Microbiological and nutritional assessment of ‘&lt;i&gt;ncha iwu&lt;/i&gt;’ (edible emulsion) vended in selected markets in Umunneochi Lga, Abia State, Nigeria

‘Ncha iwu’ is commonly used as a sauce in the preparation of ready-to-eat African salad, a wellknowndelicacy among the Igbo tribe in Nigeria. A total number of fifteen (15) samples of ‘ncha iwu’ were randomly purchased from three (3) vendors in Orie Ngodo and Eke Eziama market in Umunneochi Local Government Area of Abia state. The microbiological quality, proximate composition, and mineral content of the samples were determined using Standard Methods. ‘Ncha iwu’ prepared in the laboratory served as the control. The results showed that total bacterial, Staphylococcal, Coliform and fungal counts of the samples ranged from 3.81-4.37, 2.0-3.58, 3.0-3.8, and 2.0-3.0 log10 CFU/g, respectively. The bacterial species isolated and frequency of occurrence were Staphylococcus aureus (28 %), Klebsiella spp. (18 %), Pseudomonas spp. (18 %), Escherichia coli (18 %) while the fungal species were Penicillium spp. (50 %), Aspergillus spp. (40 %), and Candida spp. (10 %). Proximate analysis indicated that ‘ncha iwu’ contains ash (63.93%), moisture (15.88 %), fibre (8.99 %), lipid (7.70 %), protein (3.50 %) and carbohydrate (0.0 %) while minerals content include Fe (3.679 mg/g), Mg (1.055 mg/g), K (1.054 mg/g), Ca (1.030 mg/g), Mn (0.469 mg/g) and Na (0.222 mg/g). Although ‘ncha iwu’ contains beneficial nutrients, majority of the commercial samples were contaminated with potential pathogenic microorganisms which is a public health concern unlike the control. This is as a result of poor handling by the producers and vendors. Good hygienic practices by the handlers, proper packaging and storage of ‘ncha iwu’ will reduce the microbial contamination of the product. Hence, adequate public health awareness campaign, training on food safety, sanitation and hygenic practices should be provided to the local processors and vendors of ‘ncha iwu’.