Safety Movement Research Articles

A Combined Extract Derived from Black Sticky Rice and Dill Improves Clinical Symptoms and Ischemic Stroke Biomarkers in Transient Ischemic Attack and Ischemic Stroke Patients.

Currently, the adjuvant therapy to optimize the restorative process after stroke is required due to the unsatisfied therapeutic efficacy. A combined extract of black sticky rice and dill showed potential in the preclinical state, so we hypothesized that it could provide clinical benefits. A three-arm, randomized, placebo-controlled study was set up to elucidate this issue. Both males and females (18-80 years old) who had experienced transient ischemic attacks or ischemic strokes within the last 5-10 days with an NIHSS score ≤ 7 and received standard treatment were randomly assigned to receive either a placebo or capsule containing a combined extract of black sticky rice and dill at a dose of 600 or 1200 mg per day. The safety parameters, movement control, and degree of disability were assessed 1, 2, and 6 weeks after the intervention, and serum stroke biomarkers were assessed at the mentioned time points, except at 2 weeks. After week 1, the high-dose (1200 mg/day) treatment group had improved NIHSSS, VCAM1, and MMP-9. Both S100β and VCAM1 also improved at week 6, while the low-dose treatment group (600 mg/day) only exhibited improved VCAM1. Therefore, a high dose of the developed adjuvant supplement improves stroke recovery by improving motor impairment by reducing endothelial dysfunction and inflammation.

From Safety First to Reasonable Capitalism: Safety Movements and John R. Commons’s Twenty-Five Years Experience

: This article aims to reveal a new narrative derived from John R. Commons’s experience between 1907 and 1932 by focusing on the safety movement of middle management “safety experts” that began spontaneously in large companies across the Midwest. This article confirmed that Commons discovered, inherited, practiced, and succeeded in implementing the method and the program that had been elaborated by the safety experts. By understanding the relationship between Commons and the safety experts, this article addressed two deficits of Commons’s twenty-year experimentation: the role of the state conciliator in the joint bargaining system and the method of creating a safety spirit and a program to foster willingness.

Evolution of user behaviour on social media during 2018 road safety movement in Bangladesh

Evolution of user behaviour on social media during 2018 road safety movement in Bangladesh

The Face of the Protest: Analyzing the Iconicity of an Image from the Road Safety Movement in Bangladesh

The Face of the Protest: Analyzing the Iconicity of an Image from the Road Safety Movement in Bangladesh

Intelligent complex for modeling safety movement of a multi-agent group of marine robots in uncertain environments

Intensive development today is observed in the areas of data processing and analysis, as well as in the management of robotic systems; Artificial Intelligence (AI) systems are increasingly used. As the complexity of the tasks facing the Marine Robotic Complex (MRC) increases, the need for the use of AI technologies becomes clear. These technologies provide safe movement and control of marine objects, navigation of MRC in maritime space, development of behavior logic in unknown environments and planning of their movement, as well as optimization of data processing. The development of MRC currently covers various areas for which there is no single solution yet. This article outlines the development process of a simulation complex designed to model an intelligent system (IS) for strategizing the motion of a collective of marine robotic systems. It includes an in-depth exposition of individual modules and the mathematical modeling of the employed algorithms.

Evacuation strategies for wrecked pedestrians considering emotional contagion and safety officers

Evacuation in shipwrecks remains challenging, and there is a gap in research related to the consideration of emotional changes in pedestrians and the role of safety personnel on passenger ships. The present strategy may be the first work in the dual-model (SIS model and social force model) related research to synthesize the pedestrian's multi-emotional changes and the safety officer's role and movement rules in the shipwreck scenario. We employed a multifactorial two-model approach to enhance the realism of evacuation outcomes during re-sinking scenarios, including pedestrian mood, safety officer, and ship tilt. Our findings reveal critical thresholds for emotion transmission, except for exit width and pedestrian density, where a few people transmitting emotions have minimal effects. Negative emotions beyond a certain threshold can disrupt evacuation and lead to casualties, while positive emotions contribute to smoother evacuations with fewer casualties. Furthermore, optimizing the safety officer's position and action strategy can alleviate the negative feelings of pedestrians and facilitate an orderly evacuation, positively affecting the evacuation outcome, especially in the case of a sinking ship with an increasingly severe angle of inclination. This study provides a valuable framework for improving evacuation safety and minimizing casualties during maritime emergencies.

Blood Management: A Current Opportunity in Perioperative Medicine.

The purpose of this viewpoint is to provide awareness of the current opportunities to enhance a high-value care approach to blood product transfusion. It provides a historical context to the evolution of blood management, as well as of the patient safety and high-value care movement. Leveraging current technology for enhanced education, as well as clinical decision support, is also discussed.

Operating room architecture in otolaryngology and extracranial surgery: A review

ObjectiveTo determine the best architectural plan for the extracranial and otolaryngology operating room Date SourcesPubMed and the Avery Index to Architectural Periodicals, Art Full Text, and Art Index Retrospective MethodsWe queried PubMed and the Avery Index to Architectural Periodicals, Art Full Text, and Art Index Retrospective for the key words ‘architecture’ ‘operating room’ and ‘otolaryngology.’ No relevant articles were found between 1989 and 2023. We created schematic diagrams of operating rooms in which we have operated over our combined careers and present the safest and most efficient configuration of the extracranial and otolaryngology surgery operating room. ResultsNo articles were identified. The architecture and medical literature have no recommendations for design and architectural details relevant to the extracranial operating room. ConclusionOur specialty may wish to be proactive about this area of importance to our specialty. The medical, art, architecture literature offers no guidance for the optimal design and architectural layout of the extracranial operating room. Details to consider in such planning include patient and staff safety, anticipated patient and staff movement, OR efficiency, equipment size, placement and movement, line, and cord placement, and finally supply access. The authors suggest a configuration for the design and architectural layout for the extracranial surgery operating room.

The Face of the Protest: Analyzing the Iconicity of an Image from the Road Safety Movement in Bangladesh

The Face of the Protest: Analyzing the Iconicity of an Image from the Road Safety Movement in Bangladesh

Enhanced Hazardous Material Management through Advanced Robotic Solutions

Abstract: This abstract introduces an advanced explosive disposal robot built to handle dangerous tasks traditionally done by bomb disposal experts. It comes with cutting-edge technology, a strong chassis for tough terrains, and a precise mechanical arm for delicate tasks and controlled detonations. The robot includes high-res cameras, thermal sensors, and chemical detectors for real-time feedback. It's designed for remote control, ensuring operator safety and precise movements. Safety, reliability, and ease of use are focal points, validated through rigorous testing. This robot reduces risks, improves efficiency, and finds applications in military, law enforcement, and public safety.

Conceptualizing student movements in Bangladesh post-2013: a qualitative and comparative case study of the Quota Reform Movement and the Road Safety Movement

ABSTRACT Despite the presence of mass grievances and moral indignation against the political elite and the monied class, the social movements in Bangladesh in the last decade, albeit very few, have failed to transform the increasingly authoritarian and claustrophobic political milieu. In fact, the nation has not seen that many movements, notwithstanding serious mass grievances on social, political, and economic issues. This situation poses a paradox. I study two significant social movements’ cases, the 2018 Quota Reform Movement and the 2018 Road Safety Protests, and briefly compare the genealogy of the movements, as well as their success and failure. The study draws primarily on secondary data derived from existing research on the issue and a systematic review of major newspapers in Bangladesh over the relevant period of time for its analysis and supplements it with participant observations and informal interviews. I conceptualize these movements by using a theoretical framework derived from Political Process Theory (PPT). I argue that, although both movements were partially successful, the Quota Reform movement was relatively more successful than the Road Safety Movement. In this paper, I try to address the reasons behind the relative success of one movement over another. By comparing the two movements in tandem, I argue that significant differences in ‘mobilizing structure’ make the difference in the degree of success, given that the ‘framing’ and the ‘political opportunity structures’ were more or less similar for both movements.

Investigating the application of lean tools in the design of healthcare facilities

ABSTRACT Lean methods and tools are increasingly being implemented globally in the design of healthcare facilities, to eliminate waste and improve processes. The study of the implementation of Lean in the design of healthcare facilities in India is essential to identify the challenges in the Indian context and its benefits to the Indian healthcare industry. In this study, the methodology of Action Research was employed to optimize the design of outpatient units within the gynaecology departments of two hospitals in India. The methodology involved diagnosis, action planning, action taking, evaluating, and specifying learning. The research process began with a comprehensive literature review, which was followed by interviews conducted with various stakeholders to identify the existing problems. Based on the identified issues, the Lean tools of mistake-proofing, spaghetti diagram, BIM, and visual management were selected for implementation in the study. The intervention studies were performed in collaboration with firms that designed the two healthcare facilities. Mistake-proofing suggestions were made using tools like BIM and visual management to propose solutions that ensure safety, privacy, and efficient movement within outpatient departments. Spaghetti diagrams created using the software VisTABLE, were used to study user movements and quantitative analyses were performed to arrive at alternative layouts. Reduction in distance travelled, and avoidance of repeated movements over a path was achieved in these alternate layouts. The feedback from the design firms showed that these tools could be implemented during the design process and would minimize wasted efforts while enhancing the effectiveness of space.

The Hospitalist Movement 25 Years Later.

Hospitalists are generalists who specialize in the care of hospitalized patients. In the 25 years since the term hospitalist was coined, the field of hospital medicine has grown exponentially and established a substantial footprint in the medical community. There are now more hospitalists than practicing physicians in any other internal medicine subspecialty. Several key forces catalyzed the growth in the field of hospital medicine, including the quality, safety, and value movements; residency duty hour restrictions; the emergence of electronic health records; and the COVID-19 pandemic. Looking ahead, we see new opportunities in the realms of technology and telemedicine, and challenges persist in regard to balancing financial considerations with increasing workload and burnout. Hospitalists must remain nimble and seize emerging opportunities to continue supporting the field's prominence and growth.

Day People, Night People: Being Chuck Bosk

Through Forgive and Remember, Charles Bosk made the world of surgical complications and closed‐door morbidity and morbidity conferences visible to a wide audience, helping to remake medical errors from a private into a public issue. In so doing, his work helped to motivate a generation to advocate for higher‐quality, safer health care. But Bosk's introduction to The Price of Perfection: The Cost of Error also highlights how the managerial tools that advocates applied to these problems—“checklists, safety huddles, briefings and debriefings”—invariably missed deeper lessons that Bosk took from his work. Here, a former student and collaborator of Bosk's reflects on Bosk's legacy in relation to the patient safety movement he helped create and the lasting impact of his work on the culture of medical practice.

Summing Up What Can Never be Summed Up: A Meditation on the Work and Legacy of Charles L. Bosk

This special issue of “The Forum” publishes Charles L. Bosk's final work—a book proposal written for a trade audience titled—The Price of Perfection: The Cost of Error. Five noted scholars Carol Heimer, Carla Keirns, Mark Neuman, Julia Szymczak, and Stefan Timmermans offer commentary. Their essays touch on common themes: Bosk's humanity, his wry sense of humor, and keen ability to highlight the absurdity of the social organization of contemporary medicine alongside the sacred obligation that accompanies caring for the sick. Together, the book proposal and these five essays focus our attention on the impact Bosk's scholarship had in medicine, sociology, and the patient safety movement.

The Role of Apron Movement Control Unit Officers in Handling the Movement of Cargo Planes at the Tjilik Riwut Palangkaraya Airport Apron

The purpose of this study is to study; (1) What are the roles of AMC officers inhandling the movement of cargo aircraft on apron Bandar Udara Tjilik Riwut Palangkaraya? ; (2) What are the obstacles faced and solutions for AMC officers in handling the movement of cargo aircraft on apron Bandar Udara Tjilik Riwut Palangkaraya? . The research method used is a qualitative method with an interview and observation approach. The results showed that; (1) The role of AMC officers inhandling the movement of cargo aircraft on apron Bandar Udara Tjilik Riwut Palangkaraya as follows: (a) Regulate the movement and placement of aircraft so as not to collide with other aircraft. (b) Regulate the movement and placement of aircraft so that they do not collide or be obstructed by obstacles in the apron and its surroundings. (c) Regulate the placement of aircraft on the parking stand based on the type and size of the aircraft. (d) Regulate the entry and exit of aircraft from the apron (parking stand) to the manoeuvring area or vice versa. In this case, coordination must be carried out with the Aerodrome Control Tower unit in advance. (e) Ensure the safety and smooth movement of vehicles and the regularity of other activities on the apron. (2) Obstacles faced by AMC officers in handling the movement of cargo aircraft on the apron of Tjilik Riwut Airport Palangkaraya include; (a) Lack of personnel or human resources, (b) Lack of Quality and Quantity of CCTV compared to the apron area, (c) Does not have a remote area for all types of aircraft, (d) Parking stand Constraints for unscheduled flights, (e) Lack of Communication in AMC Officer Shift Changes. Solutions to the obstacles faced by AMC officers in handling the movement of cargo aircraft on apron Bandar Udara Tjilik Riwut Palangkaraya, including; (a) Addition of personnel or human resources, (b) Improvement of Quality and Quantity of CCTV in proportion to the area of ap ron, (c) Determination of remote areas for all types of aircraft, (d) Increase Officer Readiness in facing unscheduled flights, (e) Improve coordination and communication of AMC units.

How different countries respond to adverse events whilst patients' rights are protected.

Patient safety is high on the policy agenda internationally. Learning from safety incidents is a core component in achieving the important goal of increasing patient safety. This study explores the legal frameworks in the countries to promote reporting, disclosure, and supporting healthcare professionals (HCPs) involved in safety incidents. A cross-sectional online survey was conducted to ascertain an overview of the legal frameworks at national level, as well as relevant policies. ERNST (The European Researchers' Network Working on Second Victims) group peer-reviewed data collected from countries was performed to validate information. Information from 27 countries was collected and analyzed, giving a response rate of 60%. A reporting system for patient safety incidents was in place in 85.2% (N = 23) of countries surveyed, though few (37%, N = 10) were focused on systems-learning. In about half of the countries (48.1%, N = 13) open disclosure depends on the initiative of HCPs. The tort liability system was common in most countries. No-fault compensation schemes and alternative forms of redress were less common. Support for HCPs involved in patient safety incidents was extremely limited, with just 11.1% (N = 3) of participating countries reporting that supports were available in all healthcare institutions. Despite progress in the patient safety movement worldwide, the findings suggest that there are considerable differences in the approach to the reporting and disclosure of patient safety incidents. Additionally, models of compensation vary limiting patients' access to redress. Finally, the results highlight the need for comprehensive support for HCPs involved in safety incidents.

MODELS FOR FORECASTING RAILROAD TRACK GEOMETRY DEGRADATION USING MACHINE LEARNING METHODS

Railroad track maintenance has always been complex, both because of its responsibility in terms of ensuring the safety of train traffic, and because of the high labor intensity of work processes and continuous work planning. Diagnostics and monitoring of all elements of the railroad track is carried out to ensure the safety of train traffic. One of the main parameters affecting the safety and uninterrupted movement of trains is the condition of the track. Deviations and malfunctions in rail track geometry lead to both speed limitation and complete closure of the track for train traffic. Failure to correct faults in a timely manner can often lead to more serious consequences. The main parameters of track geometry have a significant impact on the smoothness of train movement and the risks of derailment of rolling stock. Therefore, monitoring and control of these parameters is a priority task to ensure the stable operation of railroads. To automate this process, data-driven fault detection and diagnosis models can be used. To solve the problem, we used modern methods of solving classification problems for tabular data collected by special track-measuring tools. Automated machine learning model generation systems served as the basis for solving the problem. These systems make it much easier to train and configure machine learning models, as well as to implement them in a production environment. The practical significance of this work is that the solution of the problem of predicting track geometry degradation can be considered as part of the decision-making system for track repair and maintenance.

View From the Top: An Interview With Patient Safety Authority Chair, Dr. Nirmal Joshi

By Nirmal Joshi, Caitlyn Allen. Pennsylvania has been leading the patient safety movement for over two decades. How has healthcare changed in that time, what still needs to change—and how do we get there?

A celebration of the work of Richard Cook, MD: A pioneer in understanding accidents, safety, human factors, and resilience

Dr. Richard Cook was a physician, educator, scholar, and researcher. He was a brilliant thinker and writer. Richard's CV lists 41 peer reviewed publications, 39 conference proceedings, 6 technical reports, 30 books/book chapters that were cited about 10,000 times (as of September 2022). Richard has excelled in multiple careers and was remarkably giving of his time, devoting 100s of thousands of hours of his life presenting, debating, corresponding, mentoring, and challenging the world, in formal and informal settings, to mature toward more complex, realistic thinking about the world as a sociotechnical entity. Our community recognizes him mainly for his key role in the start and expansion of the patient safety movement. This paper presents quintessence from a panel session that honors Richard’s work. The 7 panelists and moderator present Richard’s legacy, introduce varied aspects of his work, and consider how we can take his legacy forward to cope with future challenges. It is a moment to step back, remind ourselves of patient safety’s evolution from the 90’s until today, the power of resilience for the future of healthcare complex systems, and how to build momentum that can succeed at scale.