Safety Officer Research Articles

Clinicians’ perspective of the opioid analgesic stewardship in acute pain clinical care standard

ObjectivesOpioid analgesics are high-risk medicines, widely used in hospitals to manage pain. To improve the use of opioids in Australia, The Australian Commission on Safety and Quality in Health Care released the first national Opioid Analgesic Stewardship in Acute Pain Clinical Care Standard (Opioid Stewardship Standard). The objective of this study was to explore clinicians’ perspectives of the implementation of the Opioid Stewardship Standard to understand factors that may impact this process. MethodsQualitative one-on-one interviews were conducted with clinicians, including doctors, pharmacists, nurses, and patient safety officers. The interview guide was developed based on the Consolidated Framework of Implementation Research. Interview transcriptions were thematically analyzed using an inductive approach to identify common themes. ResultsIn total, 32 clinicians were interviewed, including 10 doctors, 10 pharmacists, and 12 nurses from 26 sites across Australia. Themes identified included: (i) Organizational priorities, (ii) organizational capacity for implementation, (iii) changing prescribing practices, and (iv) the Opioid Stewardship Standard. ConclusionsClinicians’ perceptions were categorized into four themes regarding the implementation of the Opioid Stewardship Standard. Key findings from this study included the importance of local data to increase organizational prioritization, availability of resources and staffing to increase organizational capacity for implementation to implement the Opioid Stewardship Standard. Future studies should evaluate the impact of such strategies on implementation. Lay summaryHealth professionals need more support from the health system to deliver health care that aligns with policies such as the Opioid Stewardship Standard. Organisations within the health system should consider providing support such as staffing to meet these needs.

Best Management Practices to Mitigate Contamination of Karstic Aquifers from Emergency Fire-Control Runoff

We propose best management practices to increase karstic aquifer drinking water supplies’ resilience to potential hazardous material impacts where first responders and public safety officials suspect emergency firefighting runoff has entered the subsurface in the aquifer recharge zone. Karstic aquifers are unique because of their direct openings to the land’s surface, which allows contaminants in runoff or other surface waters to rapidly enter the subsurface and impact aquifer water quality. In the United States, 20% of the land surface is karst, and about a third of the groundwater used for drinking comes from karstic aquifers. Proposed best management practices emphasize on-site, real-time evaluation of the transport and fate of HAZMAT that may enter the subsurface and focus on water quality sampling, runoff and groundwater flow modeling, nontoxic dye tracing, and related studies for use in planning before and during an event and after emergency response has ended. We recommend best management practices for evidence-based screening of high-risk sites to facilitate placement of hazardous material sampling devices and emergency responder deployment. The best management practices, tools, curricula, and training described combine with earlier work by the authors to provide a comprehensive menu of actions to (1) help first responders prevent or limit flushing of hazardous material into a karstic aquifer; (2) help emergency management officials understand the consequences of contamination and issue data-driven geographically focused health and safety risk communications; and (3) help provide health and safety officials with relevant science- and data-based information that can help mitigate human and environmental health risks.

Unravelling incipient accidents: a machine learning prediction of incident risks in highway operations

PurposeSafety research has focused on drivers, pedestrians and vehicles, with scarce attention given to highway traffic officers (HTOs). This paper develops a robust prediction model which enables highway safety authorities to predict exclusive incidents occurring on the highway such as incursions and environmental hazards, respond effectively to diverse safety risk incident scenarios and aid in timely safety precautions to minimise HTO incidents.Design/methodology/approachUsing data from a highway incident database, a supervised machine learning method that employs three algorithms [namely Support Vector Machine (SVM), Random Forests (RF) and Naïve Bayes (NB)] was applied, and their performances were comparatively analysed. Three data balancing algorithms were also applied to handle the class imbalance challenge. A five-phase sequential method, which includes (1) data collection, (2) data pre-processing, (3) model selection, (4) data balancing and (5) model evaluation, was implemented.FindingsThe findings indicate that SVM with a polynomial kernel combined with the Synthetic Minority Over-sampling Technique (SMOTE) algorithm is the best model to predict the various incidents, and the Random Under-sampling (RU) algorithm was the most inefficient in improving model accuracy. Weather/visibility, age range and location were the most significant factors in predicting highway incidents.Originality/valueThis is the first study to develop a prediction model for HTOs and utilise an incident database solely dedicated to HTOs to forecast various incident outcomes in highway operations. The prediction model will provide evidence-based information to safety officers to train HTOs on impending risks predicted by the model thereby equipping workers with resilient shocks such as awareness, anticipation and flexibility.

The implementation of a "safety officer" program: an innovative approach to improve infection prevention and control practices in Ethiopia.

Effective infection prevention and control (IPC) was central to keeping healthcare workers (HCWs) safe during the COVID-19 pandemic. However, as the pandemic continued, the maintenance of high-quality IPC practices waned, placing HCWs at increased risk of infection. A COVID-19 Safety Officer (SO) program was piloted by the United States Agency for International Development (USAID)-funded Reaching Impact, Saturation and Epidemic Control (RISE) project across two health facilities in Ethiopia, which trained clinical and non-clinical HCWs on IPC protocols to promote safe practices in patient care areas. We sought to evaluate the implementation and effectiveness of the SO program in improving IPC practices within the clinical setting. This is a post-implementation evaluation of the SO program, implemented in two hospitals in Ethiopia between May 2022 and December 2022. Participants completed a 4-day course on COVID-19 epidemiology, IPC, safety communication, and learning theory as a part of the Training of Trainers component (n = 23), and were posted in clinical wards to provide staff training and support to maintain IPC protocols. The program was evaluated at 6 months using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Effectiveness was measured using direct observation of IPC practices across intervention sites. Implementation outcomes were measured using surveys and qualitative interviews to capture training cascade, knowledge, comfort, acceptability, and maintenance. Participants were able to cascade training to an additional 167 clinical (67.6%) and 80 non-clinical (32.3%) staff across both sites. Direct observation of clinical staff at 6 months showed that 95% (59/62) wore at least a surgical mask with patients and were compliant with masking and/or distancing protocol. Clinical interviews revealed that SOs contributed to increased perceived comfort with screening and isolation procedures and environmental cleaning procedures. The SO training program was widely adopted, and effective in improving the implementation and comfort of maintaining IPC practices in clinical settings.

Applying the Health Belief Model to mobile device distracted driving

Introduction: The advancement of mobile devices has resulted in constant connectivity, but at the expense of traffic safety. The goal of this study was to apply the Health Belief Model to understand the barriers preventing drivers from driving without manipulating their devices, and what they perceived would motivate them to stop driving distracted. Methods: We conducted a nationwide survey of 2,013 U.S. licensed drivers. Participants indicated how much they agreed with or supported 63 statements and concepts pertaining to the Health Belief Model constructs of threats, barriers, benefits, and cues to action related to manipulating devices while driving. Heath Belief Model constructs were compared between distracted drivers, or those who regularly did (during most or all drives in the previous 30 days) one or more mobile device tasks, and non-distracted drivers. Logistic regression evaluated the relationship between Health Belief Model constructs and distracted driver designation. Results: Those who agreed more with threats (odds ratio [OR], 1.61; 95 % confidence interval [CI], 1.27, 2.04) and disagreed more with barriers to stopping (OR, 0.36; 95 % CI, 0.31, 0.41) were more likely to not drive distracted. We identified distracted drivers’ top barriers to avoiding cellphone distractions, as well as barrier categories that were significantly greater for distracted drivers than non-distracted drivers. Distracted drivers felt most strongly that intrapersonal, interpersonal, and policy cues would motivate behavior termination, and more support of technological countermeasures was associated with regularly driving distracted after controlling for support for policy and organizational countermeasures. Conclusions: Simultaneously increasing threat perceptions, targeting the top barriers identified, and implementing policy-, interpersonal-, and technological-based countermeasures may encourage device-free driving. Practical Applications: When designing interventions or programs, state highway safety offices should find new ways to increase threat perceptions and offer solutions to the barriers most cited by distracted drivers.

Causes, risk factors, and complications of accidental intra-arterial administration of medications in a children’s hospital: a case series

BackgroundAccidental intra-arterial administration of a medication can lead to serious iatrogenic harm. Most studies have discussed single cases of accidental intra-arterial administration of a medication, but only a few have described multiple cases occurring in a single, pediatric hospital setting.MethodsThe subjects were pediatric patients with an accidental intra-arterial administration of a medication. After obtaining approval from the institutional review board, the relevant cases were extracted from incident reports submitted to the patient safety office of the study center between November 2016 and April 2023.ResultsA review of 18,204 incident reports yielded 10 cases (patient age: 27 days to 13 years) of accidental intra-arterial administration of a medication. The most common site of the cannulation was the dorsum of the foot followed by the dorsum of the hand. The medications administered were narcotics, sedatives, muscle relaxants, antibiotics, and crystalloids. No serious adverse events occurred after injection. In some cases, the accidental arterial cannulation was not discovered immediately (53 min to 26 days). Seven patients had difficult intravenous access; in two of these, ultrasound-guided peripheral venous cannulation was used.ConclusionsWe experienced 10 cases of accidental intra-arterial administration of a medication. The dorsalis pedis artery and the radial artery around the anatomical tobacco socket were common sites of unintentional arterial cannulation. Difficult intravenous (IV) access may be associated with unintentional arterial cannulation. If IV access is difficult or the free IV drip is sluggish, strict vigilance and repeated confirmation are needed to prevent unintentional arterial cannulation.

Effect of Feedback Provision on Improving Patient Safety Indices Based on Hospital Accreditation Model: A Study in Shahid Rahnemoon Hospital, Yazd

Background: Accreditation means systematic evaluation of health service centers with specific standards. One of the most important goals of the accreditation process is to improve patient safety. Patient safety visits are one of the most important standards for improving safety. One of the ways to increase the effectiveness of visits is holding feedback sessions. Objectives: The present study was conducted with the aim of assessing the effect of feedback provision on improving patient safety indices based on the hospital accreditation model in Shahid Rahnemoon Hospital, Yazd. Methods: The present study is a semi-experimental study with a before-and-after design that was conducted in Shahid Rahnemoon Hospital, Yazd, from September to December 2021 and January to August 2022. After each visit, formal feedback sessions were held with the attendance of patient safety team members and officials of the visited wards/units. Evaluation indicators included patient safety indicators in accreditation standards, such as error reporting, rate of unwanted events, and patient safety culture score. These were measured before and after feedback. The tools used were the patient safety standards evaluation checklist based on the accreditation model, the patient safety culture questionnaire, and other indicators extracted using documentation. The Patient Safety Culture Evaluation Questionnaire was completed by 360 nurses working in the hospital in the form of a census. Analysis was done using descriptive statistical tests and paired t-tests with STATA 14.2 software. Results: Based on the results of the study, safety feedback was provided to increase patient safety indicators in different departments and units of hospitals [t = - 4.8652, w/df = 10, P = 0.0007, (P = 0.05)]. A significant difference was observed in the amount of error reporting (P = 0.031) and patient safety (P < 0.001) before and after the intervention. The degree of compliance with the dimensions of the patient safety culture had a statistically significant difference before and after the intervention (P < 0.001). Conclusions: Providing a safety feedback program had a significant positive effect on the consumption and consequences of the patient’s safety culture. Therefore, conducting regular safety visits and setting up a direct feedback program to each department/unit after the visit, and the follow-up of corrective measures, will lead to an increase in patient safety standards.

The Positive School Safety Program (PSSP) for School Officers: Implementation Processes and Outcomes.

Approximately 50% of U.S. students attend a school with a school officer. The Positive School Safety Program (PSSP) is a 16-session, manualized peer-to-peer coaching program that teaches school officers positive approaches to behavioral management (e.g., trauma-informed reinforcement strategies) to enhance interactions with students, improve school climate, and reduce school-based arrests. A convergent, mixed methods longitudinal design was used to investigate the implementation process and outcomes of the PSSP among school safety officer coaches in the School District of Philadelphia (SDP) who were trained in the 2020-2021 school year. Via surveys, officer coaches (n = 25) provided quantitative data at three time points regarding their knowledge, attitudes, and confidence in utilizing positive approaches to behavioral management and trauma-informed skills, as well as their mindset toward coaching. These data were analyzed using mixed effects modeling. Perceptions of program acceptability, appropriateness, and feasibility were assessed post-training and analyzed descriptively. Qualitative interviews, informed by the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, were conducted with coaches and untrained school officers and were analyzed via thematic analysis. Significant changes over the course of training were detected in coaches' knowledge, confidence, and their willingness to use the skills, which aligned with coaches' qualitative self-reports. Coaches agreed that the PSSP was acceptable, appropriate, and feasible. School districts interested in improving school climate and reducing school-based arrests by using the PSSP, or similar peer-to-peer coaching programs, should consider how they will target identified determinants to support successful implementation in their unique contexts.

Documents to procure gamma irradiation chamber and license for operation in blood center

Abstract: Graft-versus-host disease is a critical posttransplant complication, particularly affecting individuals with compromised immune systems. Patients undergoing bone marrow transplants, neonates receiving intrauterine transfusions, and those recipients of blood from first-degree relatives are vulnerable to this condition. The significance of efficient lymphocyte inactivation has driven the widespread adoption of Gamma Irradiation Chambers (GICs) utilizing radiation sources such as Cesium-137 (Cs-137) or Cobalt-60 (Co-60). However, the effective operation of these chambers is contingent on navigating a complex regulatory landscape (Cs-137 or Co-60 is commonly used as the source of gamma rays. The usual dose is 25 Gray [Gy] to 35 Gy [1 Gy = 100 rads], this dosage inactivates 85%–95% of lymphocytes in the blood components without any adverse effect on other cellular components of the blood). GIC unit mainly houses either Co-60 or Cs-137as radiation sources (model no BI-2000, BI-5000 mfr. by Board of Radiation and Isotope Technology with typical radioactivity ranging from tens to hundreds of terabecquerel. These units are also used in research institutions, hospitals, blood center, etc. A review of legal, regulatory, and policy aspects of the operation of GIC in India regarding its issues, challenges, and opportunities. We aimed to prepare a standard guidance document for GIC for a smooth process of the Atomic Energy Regulatory Board (AERB) licensing and equipment purchasing. The present article was written based on the experience of applying for GIC with AERB and recurrent support extended to colleagues in the fraternity. The documents prepared for licensing and various procedural steps involved in the same are included. Many documents and many days are required from procurement to the receipt of the license for operation GIC. At the same time, with very few user institutes and less number of experienced people in the country, it becomes difficult to find a proper method to approach the national government body. If blood center/radiological safety officer are properly trained as per the guidelines available, this can reduce man-days and facilitate the earliest operations.

Real-Time Personal Protective Equipment Non-Compliance Recognition on AI Edge Cameras

Despite advancements in technology, safety equipment, and training within the construction industry over recent decades, the prevalence of fatal and nonfatal injuries and accidents remains a significant concern among construction workers. Hard hats and safety vests are crucial safety gear known to mitigate severe head trauma and other injuries. However, adherence to safety protocols, including the use of such gear, is often inadequate, posing potential risks to workers. Moreover, current manual safety monitoring systems are laborious and time-consuming. To address these challenges and enhance workplace safety, there is a pressing need to automate safety monitoring processes economically, with reduced processing times. This research proposes a deep learning-based pipeline for real-time identification of non-compliance with wearing hard hats and safety vests, enabling safety officers to preempt hazards and mitigate risks at construction sites. We evaluate various neural networks for edge deployment and find that the Single Shot Multibox Detector (SSD) MobileNet V2 model excels in computational efficiency, making it particularly suitable for this application-oriented task. The experiments and comparative analyses demonstrate the pipeline’s effectiveness in accurately identifying instances of non-compliance across different scenarios, underscoring its potential for improving safety outcomes.

Diverting 911 calls: Lessons from early adopting urban jurisdictions

AbstractResearch SummaryTwo perceptions drive interest in finding ways of diverting more 911 calls from police to civilian first responders: (1) police responses can result in inadvertent harm to citizens and (2) many calls to which police respond require services that police often cannot provide. Thus, using other personnel may improve police–citizen relations and strengthen crime fighting by reducing extraneous police burden. Using a case study design, we conducted formative evaluations of programs that have developed beyond pilots in three large U.S. cities: Albuquerque, Atlanta, and Houston. In each city, we interviewed officials, program operators, and other stakeholders and reviewed program documents and statistics. We detail the events and forces that led to the establishment of each program, the way in which the programs have been institutionalized, and the way they interact with the Police Department. We then discuss key lessons learned for these jurisdictions.Policy ImplicationsMany U.S. cities are considering diverting some emergency calls for service from police to civilian first responders. This analysis provides evidence to aid policy makers, researchers, and other stakeholders in the development and evaluation of community responder programs. In all respects, we find that cities’ unique experiences inform program design. For example, in Albuquerque, a City Hall‐driven initiative established a new city agency parallel to the Police Department. In Atlanta, decarceration activists drove the initiative; the program is a city/county‐funded nonprofit, more fragile in its funding. Risk aversion among call takers and dispatchers has led to low call diversion rates across all sites, but training and collaboration have shown promise to resolve this problem. Public safety officials external to the diversion programs commonly expressed concerns about first responder safety and perceptions that police are expected when 911 is called. This risk aversion has led to slower‐than‐expected expansion of the program within each city.

Implementing digital technologies in the school setting – how does it relate to work environment?

ABSTRACT Despite the extensive introduction of digital technologies in working life and the demand for the public sector, including schools, to digitalise, there is limited research on the relationship between digitalisation and the work environment. The aim of this article is therefore to explore how implementation processes of digital administrative and communication systems and teaching tools interact with work-related demands and resources experienced in schools. The Normalisation Process Theory (NPT) and Job Demand-Resources model (JDR) were used to analyse experiences of digitalisation and the work environment of employees, managers, strategists and health and safety officers in schools in Sweden. The study, based on semi-structured interviews with 25 participants, shows that the lack of resources and a too-high workload were reported as problematic and challenging in the introduction of digital technology. Collegial cooperation and decision-making opportunities, on the other hand, seemed to enhance the digitalisation process and to some extent even bridge over the weaknesses of strained time resources and high workload.

Evaluasi Penggunaan Alat Pelindung Diri (APD) dalam Pemilahan Sampah AMDK Gelas Plastik di Bank Sampah SiHatin

This study aims to evaluate use of finger protection PPE in process of sorting plastic glass at SiHatin Waste Bank. The waste sorting process with high risk is the process of cutting plastic cup ring. This research uses qualitative method with case study approach, interviews, and observations to identify problems and find solutions to improve comfort and safety. PPE used for three months was proven to increase safety officers by 80.95%. However, there is discomfort experienced by 18 out of 20 officers due to several factors, namely: precision movements difficulty by 90%, sweat on fingers by 60%, inappropriate size by 45% and skin irritation by 35%. The proposed solutions include using more comfortable materials and ergonomic, setting break times, and training use of PPE to increase its effectiveness. In addition, development of cutting ring tool was developed to reduce the risk of injury and increase worker productivity.

Unveiling the Driving Factors of Emerging Trends in the Ghanaian Construction Industry: An Evaluative Analysis of Push and Pull Factors

There is a significant change in the Ghanaian construction sector, driven by the convergence of emerging trends. The study investigated the underlying factors influencing these emerging trends in the Ghanaian construction industry, focusing on both pull and push factors. A mixed-methods approach was employed, combining survey data with qualitative analysis, to gain a comprehensive understanding of the drivers shaping the industry's development. The study was conducted within three cities (Cape Coast, Kasoa, and Winneba) in the Central Region of Ghana. Fifteen (15) construction companies were purposively selected based on their interest in technological advancements within the construction ecosystem. Five (5) categories of construction professionals, project managers, quantity surveyors, architects, structural engineers, safety officers, and site supervisors employed by the aforementioned fifteen (15) construction companies were considered for the study. Data collected were analyzed utilizing SPSS software version 20. Push factors highlighted environmental degradation, technological innovation, and infrastructure renewal as significant motivators. Pull factors emphasized the industry's extrinsic motivations, including community development, cultural considerations, and economic growth. The analysis revealed that both push and pull factors play crucial roles in driving the trends within the industry. Qualitative interviews conducted as part of the study provided deeper insights, identifying six key themes: regulatory compliance and market competition, technological advancements, skill development, economic considerations, leadership and strategic vision, and customer demand. These themes underscore the complex relationship between external pressures and internal motivations. Correlation and regression analyses indicated significant relationships between trend recognition and both push and pull factors, emphasizing the interplay between external pressures and aspirational drivers in shaping industry trends. This study contributes to a deeper understanding of the dynamic forces driving change in the Ghanaian construction sector, offering substantial insights for stakeholders. These insights can help stakeholders navigate challenges and capitalize on opportunities for sustainable growth and development. The findings underscore the importance of balancing technological advancements with socio-economic goals to foster a robust and forward-thinking construction industry in Ghana.

Guideline for the verification of digital PCR methods in analytical GMO testing

The international working group “Development of methods for identification of foodstuffs produced by means of genetic engineering techniques” was established pursuant to § 64 of the German Food and Feed Code (LFGB). It has developed a guideline for implementing and verifying digital PCR methods previously validated as real-time PCR techniques. While event-specific methods in testing of genetically modified organisms (GMO) have traditionally relied on real-time PCR, new digital PCR technologies offer significant advantages and therefore, leading to an increased use by control laboratories. This guideline provides practical recommendations for transferring the real-time PCR to digital PCR and for verifying the digital PCR method. The guideline is applicable to analysis of GMO in food, feed and seed and is freely available on the website of the Federal Office of Consumer Protection and Food Safety (BVL).

Enhancing Sustainable Safety Practices in Construction: Insights from Cultural and Socio-Economic Analysis

Exploring cultural diversity and socio-economic factors offers a holistic approach to fostering sustainable safety practices within the construction industry. This study investigates the relationship between cultural and socio-economic factors and their influence on safety practices within the construction industry, focusing specifically on Saudi Arabian construction. Employing a comparative research design, data were gathered through a questionnaire distributed among various stakeholders, including construction workers, safety officers, project managers, supervisors, and other professionals involved in construction projects. Structural equation modeling (SEM) was utilized to analyze the relationships between cultural, socio-economic, and safety practices. The findings showed significant associations of cultural and socio-economic factors with safety practices and attitudes. Specifically, positive workplace norms and values, effective communication styles, higher income levels, and better education and literacy levels were found to positively influence adherence to safety guidelines and the effectiveness of training programs. Conversely, job insecurity exhibited a negative impact on safety-related outcomes and training effectiveness. This study demonstrates the importance of fostering a positive safety culture within organizations, emphasizing leadership commitment, effective communication, and employee engagement. It also highlights the significance of addressing socio-economic factors, such as job security, income levels, and education, to promote a safer work environment and enhance safety practices. Practical implications derived from the research findings offer actionable insights for organizations to develop targeted interventions aimed at improving sustainable safety practices and training effectiveness within the construction industry in Saudi Arabia.

The Anesthesia Patient Safety Officer: Why Every Institution Needs One

The Anesthesia Patient Safety Officer: Why Every Institution Needs One

Patient safety culture and medication safety in European intensive care units: a focus group study

BackgroundPatients in intensive care units (ICUs) are susceptible to medication errors (MEs) for many reasons, including the complexity and intensity of care. Little is known about patient safety culture, its...

Effect of a Safety Leadership Training Including Coaching on Safety Performance and Climate in Wood-processing Companies

BackgroundThe wood-processing industry has historically exhibited high rates of occupational hazards resulting in illness and injury. One of the major causes of high injury rates is small firm size, as resource constraints generally preclude hiring safety officers. This study examined the effect of a safety leadership training program that included coaching for managers on workers' safety behaviors and safety climate in three wood-processing companies. MethodsOne or two managers at each site participated in this study. The manager training consisted of safety leadership education, safety observation, positive or corrective feedback on workers' behaviors, goal setting, and low-cost rewards for meeting goals. The dependent variable was the percentage of safe employee behaviors recorded on a critical behavior checklist developed for this study. Safety climate was measured before and after the intervention. An AB multiple baseline design across settings was adopted. After the baseline (A), the training program (B) was introduced to each site at different points in time. ResultsAfter the introduction of safety leadership training, the mean rate of safety compliance increased by 15.3%, from 80.38% to 95.68%, and safety climate scores increased significantly from an average of 3.2 to 3.47. ConclusionThese results suggest that safety leadership coaching can be effective in improving safety management in small sawmilling sites. Implications, limitations, and possible future research directions are discussed.

Physical work environment in an activity-based flex office: a longitudinal case study

ObjectiveThis study aimed to investigate and explore Occupational Health and Safety (OHS) management, office ergonomics, and musculoskeletal symptoms in a group of office workers relocating from cell offices to activity-based flex offices (AFOs).MethodsThe analysis was based on qualitative interview data with 77 employees and longitudinal questionnaire data from 152 employees.ResultsResults indicate that there was a need to clarify roles and processes related to the management of OHS. Self-rated sit comfort, working posture, and availability of daylight deteriorated and symptoms in neck and shoulders increased after the relocation and seemed to be influenced by many factors, such as difficulties adjusting the workstations, the availability of suitable workplaces, and age, sex, and individual needs.Conclusion.Research on the long-term effects of physical work environments and management of (OHS) issues after implementing activity-based flex offices is sparse. This study demonstrates the importance of planning and organising OHS issue management when implementing an AFO, and to carefully implement office ergonomics among office workers.