Organizational Safety Culture Research Articles

Path analysis of coal mine accident risk factors based on the 24Model.

Coal mine accidents seriously affect China's coal safety production and sustainable development. The present study aimed to reveal the risk factors in coal mine accidents and explore the causal relationship among risk factors. This study utilized text mining to analyse 450 coal mine accident reports, identifying 50 risk factors and efficiently mapping them into the 24Model. The association rule algorithm was then used to mine the strong association rules among the risk factors within the 24Model, establishing the interaction mechanism among them. Based on the strong association rules, related hypotheses were proposed. Finally, the hierarchical and logical relationships of risk factors within the 24Model were analysed, and the causal and mediating effects were tested by path analysis. The safety management system has a direct effect on unsafe acts, unsafe conditions, habitual behaviour and organizational safety culture. Moreover, external influence has an effect on unsafe acts, organizational safety culture and habitual behaviour through the mediating effect of the safety management system. Based on the results obtained, this study proposes a series of specific measures to prevent risks in coal mines, providing a new perspective for the analysis and prevention of accidents.

Nursing Students' Experiences and Perceived Learning Effectiveness of Patient Safety and Its Influencing Factors: An Integrative Literature Review.

To examine and synthesise the current literature to gain insights into nursing students' experiences, their perceived learning effectiveness of patient safety and its influencing factors. Integrative review. CINAHL, Medline, Scopus, and Embase databases from January 2011 to October 2023. Of the 5940 papers initially retrieved, 33 were included after title, abstract, and full-text screening. No papers were omitted through quality appraisal. Despite nursing students' generally positive attitude towards patient safety, their idealistic view did not translate into actual actions of upholding patient safety due to various factors. Moreover, their experiences and perceived effectiveness of learning patient safety were influenced by factors such as organisational safety culture and pedagogical contexts. Thematic analysis revealed four themes: 'perception, attitudes, and evaluation towards patient safety'; 'supportive organizational culture as impetus to promote patient safety'; 'perceived confidence, knowledge, and competence toward patient safety'; and 'educational contexts and pedagogies to promote learning of patient safety'. There is an inadequate focus on patient safety in clinical education compared to classroom education. Given that the clinical setting serves as an authentic learning environment of patient safety, nursing faculties play a crucial role in reforming existing nursing curricula to integrate patient safety education in both settings to ensure continuity of learning. Clinical nursing leaders should also proactively review and reform organisational culture and practices to enable nursing students' acquisition and internalisation of patient safety learning. This review highlighted the need for further collaboration between nursing faculties and healthcare institutions to advocate an environment conducive to nursing students' effective learning of patient safety. Reporting adheres to the Reporting items for systematic review and meta-analyses (PRISMA) 2020 guidelines. No patient or public contribution.

MODERN CONCEPT OF OCCUPATIONAL SAFETY AND HEALTH MANAGEMENT WITH A RISK-BASED APPROACH

The article justifies implementing a risk-based approach (RBA) in occupational safety and health (OSH) management. It considers the limitations of traditional methods of implementing preventive measures focused on reactive measures designed to respond to immediate security challenges. It further proposes modern proactive strategies that can monitor, predict, and prevent dangerous situations in the workplace in advance. The study develops and substantiates the RBA’s main principles and underscores elements, methodologies, and their integration into existing OSH management systems. It provides arguments to support decentralising decision-making closer to the sources of hazards to allow for a faster and more effective response. It also emphasises the fragmented nature of the current occupational safety and health legislation, making it challenging to integrate RBA. Recommendations suggest improving the legislative framework to support RBA and provide employers greater flexibility in choosing risk management tools and methods. The authors recognise a systematic risk monitoring and assessment approach as a critical need. The absence of regular audits and risk assessments hinders the identification and prevention of hazards. The study proposes the introduction of modern technologies and methodologies, such as the Fine and Kinney method, the Elmeri system, and the Ishikawa diagram, to improve the risk identification and assessment processes. The article also stresses the importance of informing employees about potential risks and preventive measures, which contributes to the overall safety culture in organisations. In addition, the authors outline an algorithm for implementing RBA, which includes auditing workplaces, creating electronic registers, developing safety instructions, systematic risk assessment, documenting results, and informing stakeholders. The proposed approach aims to proactively identify and mitigate occupational risks, which helps to reduce workplace accidents and occupational diseases. The article concludes that the transition to a risk-based approach is essential for improving workplace safety, reducing occupational risks, and supporting the sustainable development of enterprises. By applying RBA, organisations can achieve higher occupational safety, reduce the costs associated with accidents and injuries, and contribute to a safer and healthier work environment. Keywords: risks, occupational safety, occupational health, production, risk-based approach.

Patient safety reporting and learning system of Catalonia (SNiSP Cat): a health policy initiative to enhance culture, leadership and professional engagement

Patient safety reporting and learning systems (PSRLS) are tools to promote patient safety culture in healthcare organisations (HCO). Many PRSLS are locally developed. WHO Global Action Plan on Patient Safety...

The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics.

Despite the intense policy focus on reducing health-care-associated conditions, adverse events in health care settings persist. Therefore, evaluating patient safety efforts and related health policy initiatives remains critical. The aim of this study was to explore the relationship between hospital patient safety culture and hospital performance on Centers for Medicare & Medicaid Services (CMS) Hospital Value-Based Purchasing (HVBP) metrics. A pooled cross-sectional study design was used utilizing three secondary datasets from 2018 and 2021: the Hospital Survey on Patient Safety Culture, the American Hospital Association annual survey, and the Hospital Compare data from CMS. We used two multivariable linear regression models to examine the relationship between organizational patient safety culture and hospital performance. The dependent variables included the overall CMS total performance score (TPS) and the four individual TPS domain scores. Hospital patient safety culture, the independent variable, was operationalized using two measures from the Hospital Survey on Patient Safety Culture: (a) the domain score of overall perceptions of patient safety and (b) the patient safety grade. We observed positive and significant associations between hospital patient safety culture and a hospital's overall TPS and the "patient and community engagement" and "safety" domains. Findings suggest that building a strong patient safety culture has the potential to lead health care organizations to achieve high performance on HVBP metrics. Our findings have important policy implications for both the future of CMS HVBP as a motivator of patient safety and how health care managers integrate culture change into programs to meet external quality metrics.

Implementing an Organizational Culture of Biosafety and Biosecurity in the ŞAP Institute.

An organizational culture of biosafety and biosecurity is critical for effective management of transboundary animal diseases. One essential aspect of this work is keeping important pathogens studied in veterinary laboratories under control. Türkiye is among the countries that are both endemic and disease-free for foot-and-mouth disease (FMD) virus, and it has a unique institute dedicated to FMD diagnosis, control, and vaccine production. To build an organizational safety culture within this institute and strengthen awareness of the importance of safe and secure handling of FMD, 4 staff members previously trained in biorisk management developed and provided trainings to all institute staff. The institute's 173 personnel were divided into 3 groups by job description based on direct or indirect work with FMD virus. All 3 groups received training that addressed biosecurity, biosafety, biorisk awareness, and insider threat; the trainings varied in length by group. Three-quarters (n=130, 75%) of all institute staff completed their training and were asked to complete knowledge surveys using a Likert scale survey before and after their training. A majority (n=104, 80%) of those participants completed both the pretraining and posttraining surveys. All 3 training groups' posttraining surveys showed improved awareness above baseline scores, and all 3 groups scores reached the targeted threshold goal. Group 2 demonstrated a realization that some of the knowledge and habits they had acquired through experience were incorrect. Scores for several individual questions decreased at posttraining, and these results will need further evaluation. The overall training results prompted the institute to provide periodic updates to employees to sustain the organizational safety culture. With this study, the institute now has a dedicated group of biorisk management representatives. This work serves as a wake-up call for established institutions that rely on staff experience to foster an organizational culture of biosafety and biosecurity.

The Relationship between Organizational Culture and Patient safety Culture in Hospitals in Aceh Province

Background: A lack of patient safety culture among nurses can lead to unexpected events for patients as recipients of nursing services. Organizational culture is believed to be related to a good patient safety culture among nurses. The study aims to identify the relationship between organizational culture and patients safety culture in hospitals in Aceh Province. Methods: This Quantitative study used a correlational design with a cross-sectional research approach. The number of samples comprised 219 nurses (total sampling). Data analysis was performed using the person product moment test. Results: Finding of the study showed that there was a significant relationship between organizational culture and the culture of patient safety (p=0.000, r2=0.659). Conclusion: High organizational culture will increase the culture of patient safety by nurses in hospital wards.

A Model of Adaptive Error Management Practices Addressing the Higher-Order Factors of the Dirty Dozen Error Classification—Implications for Organizational Resilience in Sociotechnical Systems

Within the dynamic, complex, and often safety-critical operations of many process industries, the integration of technology and human elements has given rise to sociotechnical systems (STSs), where the interaction between people and technology plays a pivotal role. To thrive in this complex environment, organizations must adopt adaptive error management strategies and cultivate organizational resilience. This approach involves managing the unexpected and designing systems to embrace disorder by organizational learning from errors in STSs. The main objective of this article was to present empirical data of error-causing elements in STSs based on the Dirty Dozen concept, their underlying structure, and implications for error causation screening and adaptive error management systems. A sample of 544 workers employed in seven process industries, such as automotive, chemicals, defense, metal, and timber, participated in this study. The results revealed a three-factor model of human error causation in STSs. Based on these results, an adaptive error management system (AEMS), which includes evidence-based interventions to manage causes of human errors and mitigate their risky consequences, was presented. Finally, implications for organizational resilience and safety culture in STSs were discussed.

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.

Development of a survey to support assessment of safety learning systems

BackgroundPatient safety learning systems play a critical role in supporting safety culture in healthcare organisations. A lack of explicit standards leads to inconsistent implementation across organisations, causing uncertainty about their...

An updated analysis of safety climate and downstream outcomes in two convenience samples of U.S. fire departments (FOCUS 1.0 and 2.0 survey waves)

BackgroundThe Fire service Organizational Culture of Safety (FOCUS) survey is an assessment tool comprised of psychometrically validated metrics of safety climate, safety behavior, and downstream outcomes (organizational and injury) that are specific to the U.S. fire and rescue service.MethodsThis analysis consists of a descriptive summary of two independent survey waves (FOCUS 1.0 and 2.0). The fire departments included in these survey waves were from convenience sampling (n1.0 = 275; n2.0 = 170). In addition to department level characteristics, we examined individual level characteristics for firefighters and EMS providers in participating departments (n1.0 = 22,719; n2.0 = 16,882). We conducted regression analyses to examine the associations between safety climate and safety behaviors, organizational outcomes, and safety outcomes. All analyses were stratified by organization type (career, volunteer).ResultsOur analysis indicated that a majority of respondents were males (90.7%FOCUS 1.0; 90.4%FOCUS 2.0), non-officers (68.4%FOCUS 1.0; 66.4%FOCUS 2.0), and non-Hispanic Whites (70.8%FOCUS 1.0; 69.5%FOCUS 2.0). For both samples there was a higher prevalence of injuries among individuals in career departments (nFOCUS 1.0 = 3778 [17.5%]; nFOCUS 2.0 = 3072 [18.7%]) than volunteer departments (nFOCUS 1.0 = 103 [8.8%]; nFOCUS 2.0 = 34 [7.4%]). We observed an approximate 10-point difference between the mean scores of Management Commitment to Safety for career and volunteer departments in both samples. We observed associations for two organizational outcomes, Safety Behavior and Job Satisfaction, with Management Commitment to Safety and Supervisor Support for Safety overall and when stratified by organization type. We observed a decrease in the odds of injuries associated with a one-unit increase in Management Commitment to Safety (OR1.0 overall: 0.98, 95% CI 0.97–0.99; OR2.0 volunteer: 0.90, 95% CI 0.85–0.95) and Supervisor Support for Safety (OR1.0 overall: 0.95, 95% CI 0.93–0.97; OR1.0 career: 0.95, 95% CI 0.92–0.98).ConclusionsFrom our current study, and a prior analysis of a geographically stratified random sample of U.S. fire departments, we identified that from all the organizational outcomes, job satisfaction was most consistently associated with FOCUS safety climate. Further, firefighters in our samples consistently rated Supervisor Support for Safety higher than Management Commitment to Safety. Future interventions should support fire departments in improving their departmental Management Commitment to Safety and maintaining their Supervisor for Safety.

Percepción del clima organizacional y cultura de seguridad en el servicio de cirugía de un hospital de emergencias nivel III-1

To determine the correlation between the perception of organizational climate and the safety culture in the surgery department of the José Casimiro Ulloa Emergency Hospital (HEJCU), a descriptive and correlational study was conducted with 100 healthcare professionals, using the ECO-S and MOSPS questionnaires, respectively. The correlation was analyzed using Spearman's correlation coefficient, with p<0.05 considered statistically significant. Of the total, 57% were men and 43% women; 62% were physicians and 38% nurses. The organizational climate was adequate (43%), at risk (40%), and inadequate (17%); the safety culture was high (14%), medium (82%), and low (4%). A significant positive correlation was found between safety culture and organizational climate (rho=0.501), organizational behavior (rho=0.477), organizational structure (rho=0.494), and management style (rho=0.474) (p<0.001). In conclusion, there is a positive correlation between organizational climate and safety culture in the surgery department of HEJCU.

The Framework of Construction Workers Safety: Evaluating the Effectiveness of Safety Practices in Construction Industry

Abstract: This study aims to investigate the multifaceted approach to safety and health management practices within the construction industry, with the ultimate goal of delineating their impact on reducing workplace incidents and enhancing overall safety culture. In order to achieve this goal, a mixed-methods research design is employed, which combines quantitative data from structured surveys across a diverse sample of construction sites with qualitative insights from in-depth interviews and case studies. The findings of the analysis reveal a significant correlation between the frequency and comprehensiveness of safety training programs and a reduction in incident rates. Furthermore, the adoption of advanced safety technologies and equipment, coupled with a strong organizational safety culture, is found to be a pivotal factor in improving safety outcomes. The study also highlights the importance of customizing safety practices to the unique needs of different construction projects to optimize effectiveness.

Employee voice as a means to facilitate organizational safety and crisis preparedness

ABSTRACT A comprehensive diagnosis of an organization’s preparedness for a crisis requires an examination of its climate beyond the influences from the management. This study emphasizes the crucial role employees play in establishing and maintaining a climate that will survive crises by examining the function of promotive and prohibitive voice in fostering a culture of safety. The current study proposed a model in which employee promotive and prohibitive voices impact organizational crisis preparedness through the mediation of organizational safety culture. 329 working adults participated in the study through answering an online questionnaire on MTurk. The data were consistent with the proposed path model, demonstrating the critical role that employee voice plays in creating a culture of safety, which ultimately leaves an organization adequately or inadequately prepared for a potential crisis event.

The Relationship of Organizational Culture and Patient Safety Culture on Service Development in The Hospital Dr. Ario Wirawan Salatiga

The primary objective of his research is to examine the relationship between the organizational culture and patient safety culture at the Dr. Ario Wirawan Pulmonary Hospital in Salatiga, specifically in the context of service development. Dr. Ario Wirawan Salatiga admitted 99 participants to the study at Lung Hospital. Data collection was conducted through the use of a questionnaire. Utilizing a non-probability sampling method for the sampling procedure. The data analysis technique included multiple linear regression analyses. The study's findings indicate that organizational culture has a pivotal role in stimulating service growth, exerting a distinct and substantial influence. The study's findings clearly indicate that the most prominent part of patient safety culture in hospitals is "teamwork in units." Conversely, the aspects that need enhancement include "staffing" and "handoff and transition." (2) A robust safety culture has a substantial and beneficial impact on the advancement of services.

The Critical Role of Leadership in Patient Safety Culture: A Mediation Analysis of Management Influence on Safety Factors.

This research aims to investigate the role of management leadership in promoting a culture of patient safety within healthcare organizations. Through a comprehensive mediation analysis of the Chinese version of the safety attitudes questionnaire (CSAQ) and patient safety culture, the study examines the interplay between these critical factors and their combined influence on healthcare outcomes. In a medical center located in Taiwan, a cross-sectional survey was carried out utilizing the CSAQ. Among the 1500 distributed surveys, 1037 were returned and deemed valid, resulting in a return rate of 69.13%. To investigate the main measures, Structural Equation Modeling with mediation analysis was employed to scrutinize the direct and indirect effects of factors including teamwork climate, job satisfaction, stress recognition, perceptions of management, working conditions, and emotional exhaustion on safety climate. The findings reveal that effective management leadership plays a pivotal role in shaping safety attitudes and fostering a robust patient safety culture. The study identifies three critical facets of patient safety that are entirely mediated by management perceptions: teamwork climate, working conditions, and stress recognition. The results highlight the importance of enhancing these dimensions to advance the patient safety culture within healthcare organizations. Moreover, stress recognition is identified as a critical factor influencing the organizational culture of patient safety. This research offers valuable insights for healthcare organizations seeking to prioritize patient safety and improve overall quality of care. By enhancing our understanding of the critical factors that shape safety attitudes and patient safety culture, this study provides a roadmap for effective management leadership and a culture of patient safety within healthcare organizations. The study underscores the significance of management leadership in promoting patient safety culture and highlights the importance of enhancing teamwork climate, working conditions, and stress recognition to advance patient safety culture.

Organizational learning, quality and safety culture in patient care: comparing Colombia and the Kingdom of Saudi Arabia

PurposeThe purpose of this study is to determine the interactions between factors such as organizational learning, feedback about errors, punitive response to errors and communication quality in hospitals in the Kingdom of Saudi Arabia and Colombia when adopting a culture of quality and safety (CQS) in patient care.Design/methodology/approachBased on a literature review, a self-administered questionnaire was developed and used to collect data from 417 Saudi respondents affiliated with hospitals and 483 Colombian respondents at the beginning of the pandemic. Structural equation modeling is used in this study to test the hypothesized relationships.FindingsThe results show a solid and significant predictive relationship between feedback about errors and the CQS in both countries (Colombia: b = 0.55, p < 0.001; KSA: b = 0.44, p < 0.001), but a very low and insignificant predictive relationship between no punitive response to errors and CQS (Colombia: b = –0.02, p > 0.05; KSA: b = 0.05, p > 0.05).Practical implicationsThis study demonstrates the importance of organizational learning in fostering a CQS in the health-care sector in the Kingdom of Saudi Arabia and Colombia. Recent unprecedented policy actions motivated by the COVID-19 pandemic, such as social distancing, lockdowns and safety practices enforcement, have further highlighted this concern. Moreover, attention to the dimensions addressed in this study is required for accreditation purposes in organizations seeking to promote a CQS. Overall, this research highlights the vital role of safety and quality practices among health-care organizations, which has significant policy implications, especially in the current period of high uncertainty.Originality/valueThis paper contributes to the theory and practice in the health-care sector by extending the current knowledge of the impact of the quality of communications, non-punitive response to errors and feedback about errors in organizational learning and safety culture, and by presenting a novel, quantitative methodology seldom used for these topics.

Safety attitudes among workers in Malaysian chemical manufacturing plants

AbstractStatistics in Malaysia show that accident cases in the manufacturing industry are the highest compared with other sectors. Concerns regarding changing workers' attitudes, controlling their current perceptions, and installing knowledge and experiences that travel through the culture are necessary. This study investigates workers' attitudes to safety between executives and operators. A total number of 309 respondents voluntarily participated. Results report that respondents' attitude toward individual responsibility (M = 4.24, SD = 0.63) is the highest, followed by the effectiveness of safety arrangements (M = 3.91, SD = 0.81) and safeness of the work environment (M = 3.17, SD = 0.73). Results revealed a significant difference between groups (t = 6.67, p = 0.014) for personal skepticism and (t = 15.775, p = 0.001) for personal immunity. There was a statistically positive correlation between attitudes measured with selected demographic factors. It can be concluded that increases in the level of education were associated with increases in individual responsibility, and an increase in age was directly correlated with increases in the effectiveness of safety arrangements. Furthermore, different groups of workers influence their attitudes toward safety arrangements and safeness of the work environment. This study can be used as a preliminary study or the first step for enhancing an organizational safety culture through behavior and attitude change.

Improving safety performance in the Nigerian oil and gas construction industry through human factor engineering

Background The Nigerian Oil and Gas construction industry faces challenges in incident prevention due to conflicting factors, including inadequate resource allocation, prioritization of quality and production over safety, communication gaps, insufficient supervision, poor workplace design, low risk perception, limited management commitment, worker incompetence, deficient design systems, and planning deficiencies. This research aims to develop a human factor engineering (HFE) model that supports the prevention of losses in Oil and Gas construction activities in Nigeria by assessing the influence of human factors on workers' behavior and organizational safety culture. Methods The study involved skilled construction workers with a minimum of two years of experience in upstream, downstream, and midstream sectors. Data collection utilized a descriptive study design with self-administered, structured questionnaires. IBM SPSS AMOS Structural Equation Modeling software was used for data analysis. Results The results indicate statistically significant Pearson's correlation coefficients between human factors and organizational safety culture, with p-values of 0.003, 0.002, 0.004, 0.009, and 0.002 for workplace, task, personal, organizational, and design factors, respectively. The structural equation regression model reveals statistically significant human factors and organizational safety culture, with path coefficients of -0.888, 2.630, -1.59, 4.645, and 0.492 for personal, organizational, workplace, design, and task factors, respectively. Conclusions The research concludes that engineered human factors contribute to improved safety performance in the Oil and Gas construction industry. To enhance safety, the study recommends that the Nigerian government establishes a construction safety board, organizations implement integrated contractor construction health and safety management systems, and workers take personal responsibility for their safety.

Management of adverse events in a Moroccan regional hospital: a state of art and perspectives.

the risk management system is useful to identify, analyze, and reduce the risk occurrence of adverse events (AEs) in health services. This system suggests useful improvements to patients and to the whole institution and also contributes to the acquisition of a collective and organizational safety culture. This study presented a state of the art of the management of AEs identified in different services of a regional hospital in the north of Morocco. this is a retrospective cross-sectional exploratory study carried out from 2017 to 2019 using observations and semi-structured interviews, which were recorded, re-transcribed, and analyzed. Data was also collected from audit reports, results of investigations of the nosocomial infection control committee and the risk management commission, AEs declaration sheets, and meetings reports. a number of 83 AEs were recorded, 10 of which were urgent. The reported events were related to care, infection risk, the drugs circuit, and medico-technical events. Two hundred cases of nosocomial infections were also recorded, of which 75 occurred in the intensive care unit and 35 in the maternity service. Surgical site infections were the most frequently reported complication. Adverse events were related to organizational failure, equipment problems, and errors related to professional practices. our findings may guide the improvement of the event management system in order to reduce the occurrence of future incidents. Thus, improving the risk management system requires setting up training strategies for staff on the importance of this system and its mode of operation.