Safety Briefing Research Articles

Effect of the Green Cross method on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study

BackgroundHospitals should adopt multiple methods to monitor incidents for a comprehensive review of the types of incidents that occur. Contrary to traditional incident reporting systems, the Green Cross (GC) method...

The impact of virtual human likeness on safety information, safety engagement, and safety behavior intentions in in-flight safety briefings: an application of the theory of planned behavior

The impact of virtual human likeness on safety information, safety engagement, and safety behavior intentions in in-flight safety briefings: an application of the theory of planned behavior

Innovative BIM technology application in the construction management of highway

Within the global architecture, engineering, and construction industry, the use of Building Information Modeling (BIM) technology has significantly expanded. However, given the unique characteristics of road infrastructure, the application of BIM technology is still being explored. This article focuses on the Yuanchen Expressway, exploring innovative applications of BIM technology in comprehensive construction management. The project employs advanced technologies, including BIM, Geographic Information Systems (GIS), and the Internet of Things (IoT), to precisely identify critical nodes and breakthroughs. Supported by a detailed BIM model and a multi-level, diversified digital management platform, the project effectively addresses construction challenges in multiple tunnels, bridges, and complex interchanges, achieving intelligent construction innovation throughout the Yuanchen Expressway with BIM technology. By guiding construction through BIM models, utilizing a BIM+GIS-based management cloud platform system, and employing VR safety briefings, the project effectively reduces the difficulty of communication and coordination in project management, shortens the project measurement cycle, improves on-site work efficiency, and ensures comprehensive control and safety management. This article provides an exemplary case for the application of full-line construction management using BIM technology in the highway sector both in China and globally, offering new perspectives and strategies for highway construction management.

تطبيق دروس السلامة المستفادة من قطاع الطيران المدني التجاري على صناعة النفط والغاز

Commercial aviation safety-related protocols and initiatives have received considerable interest from several industries due to the widely recognition of their effectiveness as an ultra-safe industry. And yet, it’s not clear how to adopt these protocols in oil and gas sector. Thus, this article provides a typology of these protocols to apply to the oil and gas sector. This paper examines seven examples of error counter measures used in commercial aviation safety. Examples are Crew Resource Management (CRM) and Line Operations Safety Audit (LOSA) methodology. This would help in developing a conceptual typology that might potentially apply to the oil and gas industry. The initiatives examined in this article fall into twofold themes: concepts that seek to increase collective awareness of safety values; and concepts that promote safety by design. The results of this research revealed that all task checklists, joint safety briefings, and the confidential safety reporting system are protocols that help users routinely enhance workplace safety. However, initiatives such as the sterile cockpit system and LOSA approach in frontline operations fall under the responsibility of middle and upper management to ensure safety performance. Examining and discussing the proposed typology with the sector’s safety experts and front-line professionals before the implementation process would highlight any unanticipated challenges, and therefore proactively reduce them to promote an organizational safety culture in the oil and gas sector which enables operational cost reduction and mitigates loss-time injury. Finally, this study outlines that it is possible to benefit from aviation safety standards in the oil and gas sectors and achieve higher safety performance. Keywords: Oil & Gas Safety; Occupational Safety; Safety Management; Safety Culture; Aviation Safety; Threat and Error Management.

Application of Safety Briefing as an Effort to Reduce the Impact of Disasters in Health Care Facilities

Application of Safety Briefing as an Effort to Reduce the Impact of Disasters in Health Care Facilities

RISK LIST IDENTIFICATION ENCOMPASSING TACIT KNOWLEDGE FOR VIRTUAL REALITY IN BUILDING PROJECTS IN JAKARTA

A high-rise building project can be considered as a high-risk project because the work items are quite a lot and high in the structure being built, the occupational health and safety (OHS) of construction plays an important role in the smooth implementation of a construction project. Construction OHS conducts safety briefing to all construction workers when they enter the construction project environment and every morning before the construction begins. Two information systems are used to inform the workers about the conditions and hazards in the construction projects, namely tacit knowledge and explicit knowledge. Therefore, safety induction is less effective and hinders the implementation of construction project work, where construction workers do not know situations that occur when carrying out a job socialized by OHS officers. In this problem, a simulation must be carried out before workers do their work, to carry out this simulation can be done with virtual reality technology. The research was conducted by distributing questionnaires to the OHS staff of construction projects in Jakarta while the data from the questionnaires were calculated. This study aims to find out a list of risks that are still relevant including tacit knowledge and obtained 11 work risks including tacit knowledge from 38 work risks for building construction projects in Jakarta. Keywords: Construction, OHS, Risk, Knowledge management, Virtual reality.

A Drug Safety Briefing (II) in Transplantation from Real-World Individual Pharmacotherapy Management to Prevent Patient and Graft from Polypharmacy Risks at the Very Earliest Stage.

For early and long-term patient and graft survival, drug therapy in solid organ and hematopoietic stem cell transplantation inevitably involves polypharmacy in patients with widely varying and even abruptly changing conditions. In this second part, relevant medication briefing is provided, in addition to the scores defined in the previously published first part on the design of the Individual Pharmacotherapy Management (IPM). The focus is on the growing spectrum of contemporary polypharmacy in transplant patients, including early and long-term follow-up medications. 1. Unlike the available drug-drug interaction (DDI) tables, for the first time, this methodological all-in-one device refers to the entire risks, including contraindications, special warnings, adverse drug reactions (ADRs), and DDIs. The selection of 65 common critical drugs results from 10 years of daily IPM with real-world evidence from more than 60,800 IPM inpatient and outpatient medication analyses. It includes immunosuppressants and typical critical antimicrobials, analgesics, antihypertensives, oral anticoagulants, antiarrhythmics, antilipids, antidepressants, antipsychotics, antipropulsives, antiemetics, propulsives, proton pump inhibitors (PPIs), sedatives, antineoplastics, and protein kinase inhibitors. As a guide for the attending physician, the drug-related risks are presented in an alphabetical overview based on the Summaries of Product Characteristics (SmPCs) and the literature. 2. Further briefing refers to own proven clinical measures to manage unavoidable drug-related high-risk situations. Drug-induced injuries to the vulnerable graft and the immunosuppressed comorbid patient require such standardized, intensive IPM and the comprehensive preventive briefing toolset to optimize the outcomes in the polypharmacy setting.

Evaluation of Health and Safety Status of Public and Private Building Construction Projects in Pokhara

Health and safety (H&S) in the construction industry encompasses a set of principles, regulations, practices, and measures designed to safeguard the well-being and safety of construction teams within construction environments. Developing countries like Nepal lag in establishing and implementing robust H&S regulations, impacting overall project performance. This research assesses the H&S status in public and private building construction projects within Pokhara Valley, Nepal. One private and one public project were selected for the investigation. After conducting a thorough literature review and consulting key informants, a structured five-point Likert scale questionnaire was developed for efficient data collection. Findings revealed that H&S aspects in privately and publicly owned building construction projects. Privately owned projects underscored effective ventilation, hard hats, and daily safety briefings are significant factors. Slip, trip, and fall incidents are major accident causes, highlighting the importance of proper lighting. Public projects emphasized ventilation, hard hats, and safety rules, with toolbox talks and qualified team members deemed critical. Slip, trip, and fall incidents remained the primary accidents, and safety signs played a pivotal role. These findings offer essential guidance for policymakers and construction managers to enhance H&S practices in diverse construction environments.

Sosialisasi Edukasi Risiko Bahaya Pada Pekerja Pengelasan di CV. Duta Makmur Abadi

Promotion of OSH culture in the workplace is an activity or activities planned and aimed at improving the safety and health of workers and increasing company productivity whose activities are in the form of training/training, visual management in each work area (safety boards, safety signs, posters, banners, slogans), safety meetings (P2K3 meetings, safety induction, safety briefings), emergency response simulations, both informative, persuasive and emotional messages. One of the CV workers. Duta Makmur Abadi complained when we were interviewed that the worker often experienced shortness of breath, got splashes of gram welding in the eyes, and had watery eyes. Therefore, we socialize regarding the potential hazards that occur in welding workers so that workers are aware of potential hazards. Before and after socialization, the workers are given pre and post tests. These questions are used to find out whether workers understand OSH material about the dangers of welding and from these results workers' knowledge increases from 70 to 90 by 29%. And the social activities of the staff at CV Duta Makmur Abadi were declared successful based on the results of the questions before and after the test.

Dimensi Patient Safety Briefing dan Dampak bagi Budaya Keselamatan Pasien

This research aims to provide a comprehensive overview of the dimensions of patient safety briefings implemented in clinical settings in hospitals and their impact on the dimensions of safety culture. This research is a scoping review using a literature search through the Scopus, CINAHL, and Medline databases. Research results, of the 472 research articles identified, 20 of them met the inclusion criteria. The research article describes the dimensions of patient safety briefings and dimensions of patient safety. Data from the results of the scoping review explains the implementation of patient safety briefings and the positive impact on the dimensions of safety culture in clinical settings in hospitals. In conclusion, complex research describes the dimensions of patient safety briefings in clinical care settings. This dimension explains the steps on how to carry out a standard patient safety briefing in a hospital clinical setting or clinical service. Empirical research regarding the dimensions of patient safety briefings has an impact on patient safety culture and improves patient safety in the context of hospital risk management. The potential for future research is to examine more broadly each dimension of patient safety briefings and their impact on clinical settings in hospitals.
 
 Key words: Patient safety briefings; Situational Awareness; Safety Culture; Hospital; Clinical Setting

Increasing staff time for patient facing care on an inpatient geriatric unit through modification of multidisciplinary board rounds: a quality improvement project

BackgroundNHS staff recruitment and retention have failed to keep pace with service demands and workforce burn-out is of significant concern. This quality improvement project (QIP) aimed to increase staff time...

Current state and improvement prospects of warehouse workers health and safety practices in Bulgarian manufacturing and trading organizations

Occupational health and safety (OHS) of warehouse workers is a crucial issue for warehouse managers. The importance of OHS practices has increased over recent years due both to high levels of fatal accidents in the logistics industry, and chronic shortage of labor in the sector, which requires systematic efforts to reduce absenteeism and increase warehouse employee motivation. This article aims to address the current state of some fundamental OHS practices of warehouse workers in Bulgarian manufacturing and trading organizations, and to outline some recommendations for their future improvements. The data were collected using the questionnaire survey method among 91 manufacturing and trading organizations in Bulgaria, which operate warehouses, and were processed using Chi-square analysis. The results show that the share of trading organizations, which implement OHS practices is lower, in comparison with surveyed manufacturing organizations. In addition, small organizations lag behind medium and large regarding the use of fundamental measures to protect warehouse workers. The main research findings indicate that there is a need to expand the frequency of OHS practices applied in trading organizations through a wider implementation of joint firefighting drills with fire and emergency safety authorities, adaptation of warehouse infrastructure, clear designation of emergency exits and placement of signs/work instructions for safe work at workplaces. Furthermore, it is critical to increase the use of appropriate work clothing and personal protective equipment (PPE), as well as to provide regular safety briefings in trading warehouses and small organizations.

Effects of non-technical skill-based surgical education for trainees on herniorrhaphy outcomes.

Non-technical skills are essential for surgical patient safety and are implemented in clinical practice. However, training for non-technical skills has not been thoroughly investigated. This study aimed to evaluate the learning curve for non-technical skill-based education in herniorrhaphy. Quality improvement initiatives, including non-technical skill-based intervention, were performed in the department of surgery. The intervention included declaring the patient safety policy, briefing and debriefing, and criterion for the switching of places of the trainee and instructor as defined by the department. Patients who underwent herniorrhaphy from April 2014 to September 2017 were included. A total of 14 trainees and nine instructors in the pre-intervention period and 14 trainees and seven instructors in the intervention period were included in this study. The median experience of each trainee was 28 and 15 cases in the pre-intervention and intervention groups, respectively. A total of 749 patients were included: 473 in the pre-intervention period and 328 in the intervention period. Demographics and hernia types were mostly similar between groups, and morbidity was not statistically different between the two groups (3.4 vs. 1.2%, p = 0.054). The nonlinear regression model showed an early decline and deep plateau phase of the learning curve in the intervention group. A significant difference was observed in the plateau operation time (61 min in the pre-intervention group and 52 min in the intervention group). This study demonstrated the effectiveness of non-technical skill-based intervention for surgical training. An early decline and deep plateau of the learning curve can be achieved with well-implemented quality improvement initiatives. Nonetheless, further studies are needed to establish a training program for non-technical skill-based learning.

Analisis Keselamatan dan Kesehatan Kerja (K3) pada Pemeliharaan Kubikel 20 kV di Gardu Distribusi PLN

Occupational Safety and Health (OHS) is a crucial aspect in energy infrastructure maintenance operations, such as Distribution Substations (GD) owned by PLN. Cubicle maintenance work at GD PLN is a critical activity that involves high risks to worker safety and health and has an impact on the continuity of electricity supply. This study aims to analyze the application of K3 to 20 kV cubicle maintenance work at GD PLN. Through a qualitative approach, data are obtained based on observation, interviews and literature studies. The results showed that the application of K3 was obtained through safety briefing activities and K3 documentation which included SOPs, inspectors, HIRARC and JSA. While the maintenance process of the 20 kV cubicle includes preparation, implementation and completion.

Implementation of Safety Culture at the Aviation Security Unit at Betoambari Airport, Baubau City

Aviation security and safety must be considered in every operation. To prevent accidents, actions that increase safety are needed, such as adopting a safety culture. Safety culture is formed through organizational, professional and national culture that is implemented to maintain flight safety. The aim of this research is to find out how far the safety culture is implemented at the Aviation Security unit at Betoambari Airport. This study uses a research method in the form of a qualitative approach using primary data in the form of interview and observation data and secondary data in the form of literature studies, report data in the form of SOP (Operational Standard) archives related to safety culture and events that have been documented and related to the subject matter. research discussion. Data collection techniques used are observation, interviews and documentation. While the data analysis technique uses data collection, data reduction, data presentation and conclusion. Then in measuring the validity of the researchers used the technique of triangulation of sources and methods. The results of this study looked at the implementation of the safety culture at Betoambari Airport with the implementation of AVSEC officers: performance, work shifts, work coordination, safety briefings with other units according to the SOP in force in the Ministry of Transportation regulation SKEP 2765/XII/ 2010. the obstacles faced by AVSEC officers are related to the need to improve the quality of human resources, coordination with other units such as customs to work optimally and the addition of incomplete facilities to support AVSEC's performance in aviation safety and security.

Behavior Based Safety Implementation Using the DO IT Method at Pertamina in Makassar City

The application of Behavior Based Safety (BBS) in an effort to reduce the potential risk of accidents has been widely applied in various industries. However, its application with the DO IT (Define, Observed, Intervene Test) method to change unsafe behavior is still rarely implemented. The purpose of the research is how to identify the stages of implementing Behavior Based Safety (BBS) with the DO IT method, what forms of intervention are given in an effort to modify worker behavior for Pertamina officers in of Makassar. This type of research is quantitative with an observational approach. With behavior-based safety using the DO IT method Data collection is done by observation, reviewing documents, and interviews. The Observe stage is to observe the behavior that has been determined, obtained an initial score that the rate of PPE application among the workers was 66,6%. most workers had shown safe behavior (56,6%). Safety briefing was conducted at the Daily Section of the Pertamina. The results, it was found that, with regard to the compliance with operation procedure , most workers had shown safe behavior (53,3%). Based on the research results, the DO IT method is an effective and efficient method for industries that do not yet have a good occupational safety and health management system in a company. This study recommends that companies apply the do it method and strengthen oversight and monitoring related to safety behavior in preventing work accidents and increasing employee work productivity.

Implementation of Safety Risk Management in Aircraft Airffame Maintenance

This study analyzes the application of Safety Risk Management in the practice of aircraft maintenance at AMTO (Aircraft Maintenance Training Organization) Indonesia Aviation Polytechnic Curug. The research method used is descriptive qualitative. Starting with hazard identification, risk assessment, and continuing with mitigation actions. Risk assessment uses the Risk Matrix. The results showed that 9 hazards were at tolerable levels, namely 4 hazards in the component release phase, 3 hazards in the inspection phase, and 2 hazards in the installation and adjustment phase. Recommended mitigation measures include additional training, safety briefing, safety promotion, supervision of important phases, and periodic checks on tools and equipment. This research is then used as a document for compliance with Safety Risk Management according to the SMS Implementation Plan at the AMTO (Aircraft Maintenance Training Organization) of the Indonesian Aviation Polytechnic Curug.

Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals’ experiences after 3 years, including the COVID-19 pandemic period

ObjectivesUnsafe medical care causes morbidity and mortality among the hospital patients. In a postanaesthesia care unit (PACU), increasing patient safety is a joint effort between different professions. The Green Cross...

Adverse Patient Safety Events During the COVID-19 Epidemic.

A retrospective descriptive analysis of patient safety events related to COVID-19 was performed on data that were submitted in the Joint Patient Safety Event Reporting System and Root Cause Analysis databases to the VHA National Center for Patient Safety from March 2020 to February 2021. Events were coded for type of event, location, and cause of event. Delays in care and staff/patients exposed to COVID-19 were the most common types of patient safety events, followed by COVID-19-positive patients eloping, laboratory processing errors, and one wrong procedure. The most frequently cited locations where events took place were emergency departments, medical units, community living centers, and intensive care units. Confusion over procedures, care not provided because of COVID-19, and failure to identify COVID-positive patient before they exposed others to COVID were the most common causes for patient safety events. Our results are similar to other studies of patient safety during the first year of the COVID-19 pandemic. Based on these results, we recommend the following: (1) focus on patient safety culture, leadership, and governance; (2) proactively develop competency checklists, cognitive aids, and other tools for healthcare staff who are working in new or unfamiliar clinical settings; (3) augment or enhance communication efforts with patient safety huddles or briefings at all levels within a healthcare organization to proactively uncover risk and mitigate fear by explaining changes in policies and procedures; and (4) maximize the use of quality and patient safety experts who are knowledgeable in system and human factor theories as well as change management to assist in redesigning clinical workflows and processes.

Health Canada safety brief on opioid use in patients with mental health disorders

Health Canada safety brief on opioid use in patients with mental health disorders