Safety Campaigns Research Articles

Behaviour of motorcyclists and bicyclists before and after a road safety campaign, China.

To examine changes in red-light running and distracted riding among motorcyclists and cyclists before and after the 2020 implementation of the One Helmet, One Seatbelt campaign in China. We obtained 192 hours of film before (2019) and after (2021) implementation of the campaign in eight road intersections in Changsha. We calculated percentages and ratios of red-light running and distracted riding. To assess the associations between these traffic behaviours and the campaign, we used multivariable logistic regression models to calculate adjusted odds ratios (aOR). We filmed 5256 motorcyclists and cyclists in 2019 and 6269 in 2021. Red-light running decreased from 45.1% to 41.5% during this period (ratio: 0.92; 95% confidence interval, CI: 0.88-0.96), while distracted riding increased from 3.5% to 5.0% (ratio: 1.42; 95% CI: 1.19-1.69). After adjusting for covariates, male riders were more likely to run a red light compared to female riders (aOR: 1.28; 95% CI: 1.06-1.55). Red-light running was also more likely among electric bicycle riders (aOR: 1.46; 95% CI: 1.10-1.95) and motorcyclists (aOR: 1.47; 95% CI: 1.13-1.90) compared to traditional cyclists. All types of riders were less prone to run a red light during peak hours than off-peak hours (aOR: 0.85; 95% CI: 0.73-0.99). Distracted riding was more common on weekends compared to weekdays (aOR: 3.01; 95% CI: 2.02-4.49). China's national road safety campaign, which focuses on helmet and seatbelt use, was associated with reduced red-light running. Strict enforcement and targeted modifications could improve the campaign's effectiveness.

Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety

BackgroundThe COVID-19 pandemic highlighted that hand hygiene is key in preventing healthcare-associated infections. Patients and families are understudied targets for infection prevention and control practices. Previous campaigns to change hand hygiene behavior have been effective, but often face systemic challenges with implementation. MethodsThe “Hand Hygiene Heroes” educational campaign was developed to improve patient and family hand hygiene at two tertiary care pediatric and obstetrics hospitals. Its multiple phases included visual materials, tailored activities for nine hospital units, and long-term evaluation during a two-year period. Hand hygiene rates among patients/families and healthcare workers were measured at baseline and throughout the campaign via direct observation. ResultsOverall, hand hygiene significantly increased for both patients/families (OR 1.82, p 0.041) and healthcare workers (OR 2.15, p <0.001) after campaign initiation. However, individual units had varying degrees of sustainment on follow-up evaluations. DiscussionDuration of intervention, activity simplicity, active participation, and resource availability may affect success of campaign initiatives. Positive prognostic factors included mixed leadership support from administration and front-line workers, pre-determined sustainability plans, and tailored activities by target audience. ConclusionsImplementation of hospital educational campaigns can be resource-intensive but can positively impact patient and family hand hygiene.

A Retrospective Evaluation of Mandibular Fracture in Kabul, Afghanistan.

The mandible, a key bone in the lower face, is prone to trauma. Although mandibular fractures are widely recognized as common and costly, there is a research gap on this topic in Afghanistan. This study explores the causes of lower jaw fractures and their link to demographic factors in the Afghan population. A retrospective analysis of 535 medical records from a Kabul tertiary hospital (March 2021 to March 2022) examined lower jaw fractures, patient demographics (age, sex), and injury causes. Statistical methods, including chi-square tests and Pearson's contingency coefficient, were employed to explore correlations between mandibular fractures and demographic factors. In this study, we analyzed 579 mandibular fractures in 535 patients, with road accidents (33.08%), falls (22.61%), and interpersonal conflicts being the leading causes. Most patients were aged 21-30, with single fractures being the most common (92.3%) and parasymphyseal fractures being the most prevalent (28.5%). Although certain fracture types were significantly correlated with age, no notable association was found between age and injury cause. This study reveals that road accidents, falls, and interpersonal conflicts are the main causes of lower jaw fractures in Kabul, with the highest incidence in individuals aged 21-30. These findings highlight the necessity for targeted public health interventions, such as improved road safety campaigns and stricter traffic regulation enforcement, to lower injury rates. Incorporating these insights into clinical practice can also help healthcare providers more effectively manage lower jaw fractures in affected populations.

A Study on Internet News for Patient Safety Campaigns: Focusing on Text Network Analysis and Topic Modeling.

Background/Objectives: This study aimed to identify the main issues related to public patient safety campaigns reflected in Korean online news. This study utilized a text-mining method to identify keywords and topics related to patient safety campaigns. Methods: The data collection period was from 1 January 2022 to 31 December 2023, and 4110 news articles were extracted. Through data preprocessing, 2661 duplicated news and 1213 unrelated news were removed, and 236 news were selected. Using the NetMiner program, keyword co-occurrence frequency calculation, keyword centrality analysis, and topic modeling analysis were performed. Results: The results showed that the most frequently mentioned keywords with high degree centrality, betweenness centrality, and closeness centrality in online news were "hospital", "medical", "medicine", "project", and "treatment". The topics of online news related to the patient safety campaign were "patient-centered care for medical safety", "health promotion projects at a regional institution", "hand hygiene education to prevent infection", "healthcare quality improvement through the Mint Festival", and "safe use of medicines". Conclusions: This study analyzed patient safety campaign news topics using text network analysis and topic modeling. It was confirmed that patient safety campaigns are essential for fostering a patient safety culture, improving medical quality, and encouraging patient participation in hospitals. Therefore, to build a safe medical environment, it is necessary to establish an effective patient safety campaign for not only medical staff providing medical care, but also patients and their caregivers, and for this, cooperation and participation from various professional occupations are necessary.

A Stochastic Model to Predict Road Accidents in Albania

The importance of predicting accident rates lies in the improvement of road infrastructure and the effective implementation of laws and traffic regulations. The statistical change of many phenomena over time is described by time series. This paper aims to forecast the number of individuals involved in road accidents in Albania by applying SARIMA model approach. This study used monthly number of individuals involved in road traffic accidents in Albania from 2016 to 2023. Using forecasting techniques for the number of traffic accidents can serve as a valuable strategy for achieving various objectives including the implementation of traffic safety campaigns, strategies, and action plans outlined in traffic safety initiatives. The model was found to be effective in capturing the underlying patterns and trends in the data, providing valuable insights for understanding and forecasting traffic accident occurrences in Albania.

The External Ventricular Drain Safety Campaign: A Global Patient Safety Initiative of the Society for Neuroscience in Anesthesiology and Critical Care.

The External Ventricular Drain Safety Campaign: A Global Patient Safety Initiative of the Society for Neuroscience in Anesthesiology and Critical Care.

Contamination of Streptococcus suis and S. suis Serotype 2 in Raw Pork and Edible Pig Organs: A Public Health Concern in Chiang Mai, Thailand.

Streptococcus suis is one of the most important zoonotic pathogens causing serious diseases in both pigs and humans, especially serotype 2. In northern Thailand, there is a notable prevalence of S. suis infection in humans and transmission has occurred mainly through the consumption of raw pork products. Despite the continued practice of consuming raw pork in this region, limited data exist regarding S. suis contamination in such products. Therefore, this study aimed to assess the prevalence of S. suis and S. suis serotype 2 in retail raw pork meat and edible pig organs sold in Chiang Mai city, Thailand. A total of 200 samples, comprising raw pork meat and edible pig organs, were collected from nine fresh markets in Chiang Mai city between May and July 2023. Samples were prepared and cultured in Todd-Hewitt broth. Bacterial DNA was extracted and tested for any serotypes of S. suis and serotype 2 using loop-mediated isothermal amplification (LAMP) techniques. The study revealed contaminations of S. suis and serotype 2 at rates of 84% and 34%, respectively, with a higher prevalence observed in pig organs compared to raw pork. Both S. suis and serotype 2 were detected across all nine fresh markets investigated. The prevalence of S. suis remained consistently high throughout the study period, whereas serotype 2 showed peaks in May and July. These high rates of contamination indicate that people who consume or work in close contact with raw pork or edible pig organs are at a high risk of S. suis infection. Urgent implementation and maintenance of food safety campaigns and public health interventions are crucial for disease prevention and control.

Empowering Communities for Safer Roads: A Study of Road Safety Campaigns in Punjab

Empowering Communities for Safer Roads: A Study of Road Safety Campaigns in Punjab

Causes and Trends of Motorcycle Accidents

Road safety has long been considered as one ofthe social responsibilities to the Malaysian Government. Inthe visibility of this responsibilities, multiple bodies concernon road safety has been formed within the governmentdepartments, private agencies, and voluntary organizations.The current study was carried out to understand the recenttrend and statistics of road motorcycles in Kajang,Malaysia. The statistics for road accidents and the relatedcasualties in Malaysia from 2005 to 2008 was obtained fromthe Bukit Aman Police Headquarters. The statistics ofregistered motor vehicles in Malaysia will be provided byRoad Transport Department of Malaysia. Data will beanalyzed using SPSS software. Descriptive and hypothesistesting techniques were used to obtain the results based onthe stated objectives of the study. From the crash statistics,it can be revealed that Kajang has a relatively higherincidence of casualties (dead, seriously injured and lightlyinjured). In addition, the results show that the young ridersof motorcycles among the age of 16 to 20 years from themajority of those who die in motorcycles accidents.Moreover, it is recognized that the considerable percentageof the motorcyclists and the pillion riders did not wearsafety helmets when they were traveling on the roadsnetwork. The Malaysian government has to organize manymotorcycle safety campaigns in the coming few years.

The Cost-Effectiveness of Primary Prevention Interventions for Skin Cancer: An Updated Systematic Review.

Preventing the onset of skin malignancies is feasible by reducing exposure to ultraviolet radiation. We reviewed published economic evaluations of primary prevention initiatives in the past decade, to support investment decisions for skin cancer prevention. We assessed cost-effectiveness, cost-utility and benefit-cost analyses published from 1 September 2013. Seven databases were searched on 18 July 2023 and updated on 15 November 2023. Studies must have reported outcomes in terms of monetary costs, life years, quality-adjusted life years or variant thereof. A narrative synthesis was undertaken and reporting quality was assessed by three reviewers using the Consolidated Health Economic Evaluation Reporting Standards checklist. In total, 12 studies were included with five studies located in Australia; three in North America and the remaining four in Europe. Interventions included restricting the use of indoor tanning devices (7 studies), television advertising, multi-component sun safety campaigns, shade structures plus protective clothing provision for outdoor workers and provision of melanoma genomic risk information to individuals. Most studies constructed Markov cohort models and adopted a societal cost perspective. Overall, the reporting quality of the studies was high. Studies found highly favourable returns on investment ranging from US$0.35 for every $1 spent on prevention, up to €3.60 for every €1 spent. Other studies showed substantial skin cancers avoided, gains in life years, quality-adjusted survival, and societal cost savings. From both population health and economic perspectives, allocating limited health care resources to primary prevention of skin cancer is highly favourable.

Navigating Road Traffic Accidents in Jordan: A Retrospective Exploration of the Health and Economic Impacts.

Background Road traffic accidents (RTAs) are considered a major public health threat. The causes of RTAs are multifactorial, comprising both human and non-human factors. RTAs may result not only in detrimental health consequences but also in serious economic burdens. This study aimed to provide a retrospective overview of the health and economic impacts of RTAs in Jordan during the period 2013-2021, including the implemented multisectoral mitigation strategies. Methodology This study presents a retrospective chart review of the traffic reports published by the Public Security Directorate (PSD) in Jordan during the period 2013-2021. The examined variables were the total number of road accidents involving human injuries per year, average road accidents per day, annual deaths, average deaths per day, deaths per 100,000 population, annual number of injuries, average number of injuries per day, severity of human injury, number of registered vehicles, and the annual financial costs. Data were extracted from PSD reports and presented descriptively. Results The number of registered vehicles has risen from 1,263,754 in 2013 to 1,795,215 in 2021 with a 42.1% increase. This was also associated with an increase in the average RTAs per day from 28.0 in 2013 to 30.8 in 2021. The total number of RTAs that involved human injuries during the period 2013-2021 fluctuated with 8,451 in 2020 (lowest) and 11,241 in 2021 (highest). In the same period, annual deaths caused by RTAs peaked in 2013 with 768 deaths (highest) compared to 461 in 2020 (lowest). In the five years from 2017 to 2021, the total financial cost of RTAs in Jordan was nearly 1.561 billion Jordanian Dinars (~2.2 billion U.S. dollars) compared to 1.363 billion Jordanian Dinars (~1.92 billion U.S. dollars) in the five years from 2012 to 2016. Conclusions Targeting human and road infrastructure factors through effective government-society partnerships is crucial in mitigating the health and economic burden of RTAs in Jordan. More strict enforcement of traffic laws, along with incremental increases in the penalties for dangerous traffic violations, and regular road safety campaigns are expected to provide more control over the human factors of RTAs. Further research is needed to evaluate the impact of the recently amended traffic law on the trends of RTAs in the country.

Assessing the effect of automated speed enforcement and comprehensive measures on road safety in Rwanda

Objectives Daily, approximately 3,400 traffic-related deaths occur globally, with over 90% concentrated in low and middle-income countries (LMICs). Notably, Rwanda has one of the highest road traffic death rates in the world (29.7 per 100,000 people) and is the first low-income country to implement a national Automated Speed Enforcement (ASE) policy. The primary goal of this study is to evaluate the effectiveness of ASE cameras in reducing the primary outcome of road traffic deaths and secondary outcomes of serious injury crashes and fatal crashes. Methods The study used data on road traffic deaths, and serious injury and fatal crashes collected by the Rwanda National Police between 2010 and 2022. Interrupted time series (ITS) models were fit to quantify the association between ASE and change in road traffic crash outcomes, adjusted for COVID-19-related variables (such as the start of the pandemic, the closure of schools and bars), along with exposure variables (such as GDP and population), and other concurrent road safety measures (such as road safety campaigns). Results The ITS models show that the implementation of ASE cameras significantly reduced road traffic deaths, serious injury crashes, and fatal crashes at the provincial level. For instance, the implementation of ASE cameras in the whole of Rwanda in April 2021 was significantly associated with a 0.14 (95% CI [0.072, 0.212]) reduction in monthly death incidence, equating to a 38.16% monthly decrease compared to the period before their installation (January 2010-March 2021). Conclusion This study emphasizes the significant association of ASE in Rwanda with improved road traffic crash outcomes, a result that may inform road safety policy in other LMICs. Rwanda has become the first low-income country to implement nationwide scaling of ASE in Africa, paving the way for the generation of valuable evidence on speed-related interventions. In addition to new knowledge generation, African road safety research efforts like this one are opportunities to grow academic and law enforcement cooperations while improving data systems and sources for future research benefits.

Measuring the Critical Success Factor of Safety Program in Drilling and Well Intervention Operation at PT. MHK, Ltd.

The drilling and well intervention division implements various safety initiatives to prevent incidents. Despite its multiple activities, an assessment has yet to be conducted to determine the program’s efficacy. This paper aims to determine the elements that impact the effectiveness of safety program execution in drilling and well intervention operations in MHK, Ltd. The Author conducted measurements utilizing variables related to the critical success factor of the safety program, as outlined in the cross-reference research article. Subsequently, the author introduces a system of incentives in variables quantified as a novelty of this research based on input from subject matter experts. By understanding the variables that influence the efficacy of the safety campaign, the safety campaign initiatives will be more focused on mitigating accidents within the drilling and well intervention divisions. The research was conducted utilizing a quantitative approach, where data was gathered through a questionnaire that employed a Likert scale. The population comprises individuals employed in the Drilling and Well Intervention roles at many locations, including the site, field, barge, rig, and town. The data is further analyzed using the Partial Least Squares Structural Equation Modelling (PLS-SEM) technique, employing the smartPLS4 software. The study findings indicated that three out of five variables examined had a favorable and significant impact on the efficacy of the safety program at DWI MHK, Ltd.: management commitment, reward and punishment, and safety arrangement. We propose strengthening identified elements and addressing weaknesses, including utilizing digitalization and artificial intelligence for safety monitoring.

The Impacts of Animated Transport Safety Advertising Cross Two Cultures

ABSTRACT Transport safety campaigns are valuable for public health, as they prevent traffic fatalities and collisions. Authorities and nonprofit organizations attempt to promote transport safety by advertising via social media. Understanding the factors that make online transport safety campaigns successful is also important. However, studies exploring the impact of animated videos on transportation safety are scarce. We adopted the stimuli-organism-response (S-O-R) framework to examine the impact of music and graphics on transport users’ emotional states and behaviors. We also considered how the reactions varied across cultures. The respondents were shown animated transport safety advertisements produced by Metro Trains in Melbourne, Australia. A total of 217 valid questionnaires were collected from transportation users in Taiwan and Vietnam. In contrast, we explored the spillover effects of an animated transport safety promotion campaign across cultures. The findings show that music significantly impacts people’s emotions, which, in turn, are associated with positive behavioral intentions. Self-efficacy had the greatest effect on behavioral responses. We also found that transport users in Taiwan were more influenced by graphics, whereas those in Vietnam were more affected by music in the S-O path. Fear arousal affects the behavioral intentions of Vietnamese transportation users in the O-R path. Self-efficacy is the dominant factor affecting the ability of Taiwan’s transport users to obey traffic rules. Transport safety advertising should be designed to evoke emotions, and specific stimulus elements should be adjusted according to cultural preferences.

Key sustainable mobility indicators for university campuses

The increasing focus on promoting sustainable transportation in higher education institutions has resulted in studies that examine different aspects of the planning process. However, little research has focused on an essential element of the process: indicators of sustainable mobility in the context of university campuses. This gap is particularly noticeable in countries like Brazil, where this investigation was carried out. This study aimed to identify a set of key indicators to evaluate sustainable mobility on university campuses by taking into account their relevance and suitability to different contexts. The study combined knowledge gained from real-life planning initiatives with experts' judgment to identify the key indicators. After selecting potentially transferable indicators, we formed an expert panel with professionals from various university campuses to determine the degree of relevance and suitability of these indicators in different contexts. The results were analyzed using the Friedman non-parametric test, which indicated experts' agreement, in terms of relevance and suitability, in the following 13 indicators: Public transport infrastructure, Quality of pedestrian paths (inside and to access the campus), Parking spaces for users with mobility constraints, Urban public transport, Security within and around the campus, Universal access to buildings, Parking infrastructure, Bike racks and bike shelters, Infrastructure to access the campus, Adequacy of transport modes, Quality of campus roads, Cycling infrastructure, and Road safety campaigns. The final list may be particularly convenient for preliminary assessments or for universities that do not have resources available for wide-ranging evaluations of sustainable mobility.

Injury-severity analysis of crashes involving defective vehicles and accounting for the underlying socioeconomic mediators

Crashes occur from a combination of factors related to the driver, roadway, and vehicle factors. The impact of vehicles on road crashes is a critical consideration within road safety analysis, even though not much studies have been conducted in this area. This study assessed how various vehicle and other crash factors are significantly associated with crash outcomes. To do this, historical vehicle defect-related crashes were obtained for the state of Alabama from 2016 to 2020. After data cleaning, a crash injury severity model was developed using the random parameters multinomial logit with heterogeneity in means approach to account for possible unobserved heterogeneity in the data. A spatial analysis was further conducted to better understand vehicle defect crashes as a broader societal issue and potentially explore their connection with the socio-demographic characteristics of the drivers of these vehicles. The preliminary data analysis showed that brake and tire defects accounted for about 65% of the vehicle defects associated with the crashes. The model estimation results revealed that improper tread depth and headlight defects were associated with major injury outcomes, while brake defects were more associated with minor injuries. Also, crashes associated with speeding, drunk driving, failure to use seatbelts, and those that occurred on curved roads left with downgrades were likely to result in major injuries. Findings from the spatial analysis showed that postal codes with higher median incomes are more likely to record lower vehicle defect-related crashes, unlike those that have higher proportions of females and African Americans. The study's findings provide data-driven evidence for sustained safety campaigns, workshops, and training on basic vehicle maintenance practices in the low-income communities in the state.

Safety Behavior Analysis in the Drilling Rig Site Operations of Pertamina Hulu Mahakam

PT Pertamina Hulu Mahakam is Indonesia national oil company that produce and operate gas and oil field in Mahakam, East Kalimantan Area. It spreads from swamp delta to shallow water offshore area. In 2022, the company operates 5 drilling rigs, which are 3 Jack Up Rigs and 2 Swamp Barge Rigs. The drilling rig is used to perform the operations of well construction activities for development and explorations wells, from spud, drilling, until well completion. The operations on the drilling rig have a high-risk profile. It involves handling equipment, tools, tripping hazard, lifting operations, moving object, drop object, power system, rotation system, high pressure lines and simultaneous operations. A safety system, campaign, initiatives, and measurement are deployed on the rig site to keep the rig crew away from incident. Despite safety initiatives in place on the rig site, however, incident still happens. If incident happened, there will be lost of productivity, man hours, medical cost, administration, and dedicated investigation time. The operations need to be stopped and reevaluated again before continuing the job. Due to the most common factor of incident is human factor, hence, to understand how safety initiatives conducted and implemented by people on the rig, the research uses the theory of planned behavior. The research took sample of questionnaires and interview from personnel on the rig, which are the actors of safety initiatives. It involves direct and indirect method, and comparison between descriptive (manual method) and PLS analysist. On PLS analysis, author compares independently the result between: Direct Measurement (A), Control Belief (B) and Control belief multiply to the outcome evaluation / motivation / power, depend on the factors of the TPB (B x C). From the result, it is observed that the determinant factors of the theory of planned behavior such as: attitude, subjective norm and perceived behavioral control is confirmed to have effect on the intention and safety incident avoidance. Based on the descriptive analysis, all variable element of TPB have high to very high category, except Direct Measurement of Perceived Behavioural Control (PBC) that falls into medium category. This give indication that the level of control, ease or difficulties of rig workers in performing safety initiatives is low compare to the other factors. It is shown by the questionnaire result that despite they have control in performing safety initiatives, however, when incident happened, they state that they have less control. On the hypothesis result, the model B x C has the best output from reliability test, however, it is shown that the attitude has no effect on safety behavior intention. This finding relates to the answer on the level of worries and concern on safety of the rig crew which supposed to be undesirable when incident happened, however the answer was more on desirable. This part can be explored more on how the rig worker view the “worry or concern”, which due to their nature of their workplace, they might use this as a tool to keep vigilant and awareness on the workplace.

Evaluating trespass prevention: working with young people as co-researchers and filmmakers on a railway safety project

ABSTRACT Recent attempts have been made by Network Rail and the British Transport Police to discourage young people from committing ‘railway trespass’ – the dangerous act of illegally gaining access to live railway tracks. Whilst public safety campaigns have a long history in the UK and beyond, little research has been dedicated to a better understanding of how young people engage with this media. This article reflects on Evaluating Trespass Prevention (2021), a project which involved a small group of Further Education (FE) Media Students as co-researchers exploring railway trespass prevention. The young co-researchers co-produced a new evaluation toolkit, as well as creatively exploring themes of railway trespass through documentary interviewing and filmmaking. Presenting our critical reflections on the process of working with young co-researchers on this project, we argue for the broader adoption of an adaptable and iterative approach to meaningful engagement with young people in relation to contemporary social issues.

Causes, Safety Awareness and Protection Path of Sports Injury among Physical Education Students in Selected Middle Schools in China

By research the causes, safety awareness and protection ways of sports injuries of students majoring in physical education in some middle schools in China, based on the presented findings of the study, the researcher came up with the following conclusions: First. The sports awareness campaign and protocol in the two middle schools in Jinzhou No.8 Middle School and Jinzhou Experimental Middle School China are in place. Second. It could be inferred that coaches observe safety measures so as to avoid major injuries among the student-athletes. Third. The school officials support the sports activities of the students by providing different sports facilities as well as competent medical team. Last. The students are aware of the sports safety campaign.

Trend Analysis of Inpatient Medical Adverse Events in Taiwan (2014-2020): Findings From Taiwan Patient Safety Reporting System.

Medical adverse event (MAE) reporting and management are essential for patient safety campaigns. An epidemiological assessment of MAE trends is crucial for understanding the effectiveness of patient safety improvement efforts. This study analyzed the trends of inpatient MAEs, focusing on MAE incidence and harm severity. Longitudinal secondary data (over 2014-2020) on MAEs reported by 18 hospitals were retrieved from the Taiwan Patient-safety Reporting system. The numbers and incidence rates (per 1000 inpatient days) of reported MAEs were calculated. The harm severity levels of six major MAE categories were analyzed. Trend and generalized estimating equation analyses were conducted to investigate changes in MAE patterns. Trend analyses revealed significant decreasing trends in the number (4763-3107 per year; Jonckheere-Terpstra test = -1.952, P = 0.05) and incidence rates (0.92-0.62 per 1000 inpatient days; β = -0.5017, P = 0.00) of harmful MAEs over 7-year study period. Among the most frequently reported MAEs, tube-related events exhibited the most significant decreasing trend (28%-23.8%; Jonckheere-Terpstra test = -2.854, P = 0.00). The reported numbers, incidence rates, and severity of falls and tube-related events dropped significantly. By analyzing representative longitudinal MAE data, this study demonstrated the effectiveness of nationwide patient safety improvement campaigns in Taiwan. Our data reveal significant reductions in the reported numbers, incidence rates, and severity of several major MAEs. Specifically, our data indicate significant reductions in the incidence and severity of tube-related events, which can be beneficial for patient safety improvement efforts.