Safety Procedures Research Articles

Swimming Proficiency and Self-reported Mental Health Outcomes in Chinese Individuals

This researh examines the relationship between swimming proficiency and self-reported mental health outcomes in Chinese adults, considering different demographic variables. A descriptive-correlational research technique was used to recruit a varied sample from various areas and backgrounds in China. Systematic surveys evaluated swimming proficiency in multiple aspects, such as water confidence, breath control, body positioning, propulsion, coordination, and safety awareness. Additionally, self-reported mental health outcomes were measured, including emotional well-being, life satisfaction, self-esteem, sense of purpose, resilience, and social connectivity. The findings suggest that respondents usually have high confidence and proficiency in swimming abilities. However, there needs to be more understanding of safety measures, highlighting the need to enhance education on recognizing hazards and following safety procedures. Although respondents were skilled swimmers, they said that participating in swimming activities did not substantially impact their mental well-being, self-esteem, sense of purpose, resilience, or social connectivity. Nevertheless, a significant correlation between swimming proficiency and mental health outcomes was established, indicating that enhancing swimming abilities might benefit mental well-being. The study revealed many primary obstacles to participation in swimming, such as financial limitations, cultural and societal expectations, difficulties in accessing facilities, safety and health worries, and educational and psychological hindrances. The obstacles differ across different demographic groups, emphasizing the need for focused solutions.

A New Fluorescent Method for Measuring Peroxiredoxin Enzyme Activity Using Monobromobimane.

A novel fluorometric method is presented for accurately quantifying peroxiredoxin (Prx) enzyme activity in vitro. The rate-limiting step in the Prx-catalyzed reaction is the dissociation of peroxide. To avoid interference from catalase, we developed an assay using tert-butyl hydroperoxide (t-BOOH) as a substrate for specific Prx activity measurement. The assay involves incubating the enzyme substrates 1,4-dithio-DL-threitol (DTT) and t-BOOH in a suitable buffer at 37°C for 10min in a known volume of Prx enzyme. Following incubation, the reagent monobromobimane (mBB) is added to terminate the enzymatic reaction and produce a fluorescent product. Prx activity is subsequently determined by measuring thiol fluorescence, with reaction conditions optimized using a Bland-Altman plot. The efficacy of this novel protocol was rigorously validated by comparing Prx activity measurements from paired samples with those generated by a reference assay. A correlation coefficient of 0.995 was observed between the two methods, demonstrating superior precision and reliability compared to existing methods. The mBB-Prx protocol offers a significant safety advantage by using t-BOOH as a substrate for Prx activity measurement. As catalase does not catalyze t-BOOH dissociation, including sodium azide is unnecessary. Moreover, the method obviates the need for concentrated acids to terminate the Prx enzymatic reaction, as the mBB reagent efficiently inhibits Prx activity. This streamlined approach simplifies the assay and significantly improves its safety and usability, providing users with a reliable and convenient tool. The convenience of this method allows users to focus on their research without worrying about safety or complex procedures.

Study on Oxygen Plasma-Based Copper Etching Process

Abstract A plasma-based, room-temperature copper etch process using the chlorine- or bromine-containing feed gas was reported. This simple process could potentially replace the chemical mechanical polishing method in preparing copper interconnects. However, the chlorine- and bromine-containing gases are corrosive and must be handled with expensive equipment following stringent safety procedures. In this paper, the oxygen plasma-based copper etch process is presented. The copper film was converted into a porous and polycrystalline copper oxide film which was subsequently dissolved in a dilute hydrochloric acid solution. The copper film was expanded when converted into an oxide film. The oxidation precursors, i.e., oxygen radicals and ions, were generated in the plasma phase and then transported through the oxide layer to the underneath copper film where the oxidation reaction proceeded. The oxide growth rate is affected by plasma parameters, such as pressure and power, and the kinetics of the oxidation reaction. This new oxygen plasma-based process is a simple solution for preparing copper interconnects for nano and microelectronic products.

The Extent of Performance Loss of the Adelante Dance Troupe during the Modification of Cultural Implementation

This study aims to investigate the factors that contribute to the decline in performance of the Adelante Dance Troupe of the University of San Jose-Recoletos during cultural modification, focusing on (1) human motivation, (2) human personality, and (3) psychological needs: Relatedness, competence, and autonomy. Through the firsthand experiences of 30 members affected by COVID-19-induced changes, the research identifies essential factors. The study reveals the impact of collecting limitations, travel restrictions, and safety procedures on cultural performance organizations. Modifications, such as social distancing and virtual platforms, contribute to the observed performance decrease. This study assesses ADT performance; there is a corresponding 89.8% improvement in personality. When dancers lose performance, their level of competence declines during cultural implementation adjustments, too. This ties in with personal issues and personality-driven decision-making, highlighting that dancers' difficulties adjusting to changing cultural implementation are more closely related to their situations and decisions than to dance group policies or programs. The prevalent factors influencing performance can be enhanced through various initiatives, programs, and skims. The study highlights the importance of addressing motivation in dance troupes undergoing cultural adaptations to minimize performance issues. This suggests that the psychological aspects of individuals play a more critical role in influencing performance outcomes than the technical skills and proficiency in dance.

Technical aspects of the new BYCROSSTM atherectomy device - preliminary results after 28 patients.

Purpose: Technical aspects are crucial for the planning and performing of the atherectomy to treat peripheral arterial disease. This report illustrates the use of a novel atherectomy device and investigates the feasibility, efficacy, and safety procedures involved in performing the atherectomy on 28 patients. We performed a prospective analysis of patients who underwent an atherectomy with the BYCROSSTM Atherectomy device between August 2022 and September 2023 at a tertiary referral centre. Patients with a lesion below the aortic bifurcation (vessel diameter ≥ 3mm) having a de novo or restenotic (stent-included) present were recruited. Major adverse events (MAE) are defined as amputation, death, myocardial infarction, or angiographic distal embolization that require a separate intervention. Of the 28 patients treated with the BYCROSS device, 23 were men with a mean age of 65.6 ± 9,6 years and a mean BMI of 24,6 ± 3.9 kg/m2. Most patients had a typical atherogenic risk profile as well as multiple preexisting comorbidities. In all patients, a symptomatic peripheral arterial disease (PAD) was the main reason for an intervention. The most common Rutherford category was 5 (12/28). The most common lesion region was the femoropopliteal segment (25/28) with 23 de novo stenosis. Mean lesion length was 218,0 ± 93,7 mm. The mean PACCS Score was 3,0 ± 1,0. Stenosis grade was by mean 99,3 ± 3,7%. Ankle Brachial Index (ABI) increased significantly after BYCROSS atherectomy (pre- 0,44 ± 0,43 vs. post-procedure 0,84 ± 0,30 P<0,001. Target lesion/vessel revascularization (TLR/TVR) within the first 30 days was 3,6% (1/28). 30-day MAE rate was 14,3% (vessel perforation in 3/28 patients, embolism in 1/28). There were no deaths, index limb amputations, or myocardial infarctions. The BYCROSSTM atherectomy system is a new device with numerous advantages in treating high-grade, calcifying stenosis and occlusion processes in PAD. Based on the above findings, the BYCROSSTM Atherectomy device represents a feasible, safe, and effective method for endovascular treatment of peripheral arterial disease.

Application of Safety Procedure As Efforts To Prevent Work Accidents In MT. Serang Jaya Engine Room

Safety Procedure is a formal written safety procedure and contains procedures, identification and obligations to carry it out while working. Not optimal due to lack of understanding of Safety Procedures that pose a risk of work accidents. This study aims to determine the causes and impacts of the non-optimal implementation of Safety Procedures and efforts so that the Safety Procedure can run optimally so as to prevent work accidents in the engine room. The research method used in this study is a qualitative method with a descriptive pattern. Research data sources are obtained from primary and secondary data. Data collection techniques through observation, literature study, interviews and documentation during the time researchers carried out marine practices on the MT ship. Serang Jaya. The data analysis techniques used are by collecting data, reducing data, presenting data and drawing conclusions or verifying data which is also supported by fishbone analysis. Testing the validity of data using the tringulation method. The results stated that the factors of not optimal Safety Procedure due to lack of crew understanding of Safety Procedure, and crew concern for safety as well as lack of supervision and coordination between crew and management are the reasons why Safety Procedure cannot run optimally. The impact of not optimal Safety Procedure is the high risk of work accidents, hampering ship operations, harming the ship or the parties concerned. Efforts that can be made to optimize this are by carrying out Safety meeting activities, Toolbox Meeting, Drill, installing Safety Signs. And always provide counseling related to Safety Procedure in the engine room.

Teledermoscopic triage of melanoma-suspicious skin lesions is safe: A retrospective comparative diagnostic accuracy study with multiple assessors.

The rising incidence of melanoma and the high number of benign lesions excised due to diagnostic uncertainty highlight the need for effective patient triage. This study assesses the safety and accuracy of teledermoscopic triage on a high-prevalence case set with pre-triaged, challenging, melanoma-suspicious lesions. Five dermatologists independently reviewed 250 retrospectively extracted patient cases. Teledermoscopy assessments were simulated for panels of 1, 2, 3 and 5 assessors using two distinct consensus strategies, Caution Protocol and Majority Vote, and the sensitivity and specificity of the patient triages were calculated. Triage by a single teledermatologist showed a sensitivity of 92.3% and a specificity of 58.7%. Sensitivity improved with the number of assessors, particularly when using the Caution Protocol, though with a considerable drop in specificity. The Majority Vote showed a more balanced improvement in sensitivity and specificity. Safety analyses indicated that diagnostic accuracy decreased with poor image quality and increased case difficulty. Expert teledermoscopic triage of melanocytic skin lesions is highly sensitive and lowers the need for unnecessary excision procedures by half while dismissing as few as 0.4% (95% confidence interval 0-0.6%) of melanomas, even when applied to a high-prevalence pre-triaged subpopulation. Implementation of safety procedures increases accuracy. Using multiple teledermatologists increases sensitivity but at the cost of specificity unless a Majority Vote consensus strategy is applied. Future teledermoscopy guidelines should encompass safety procedures and protocols for disagreement between assessors.

From knowledge to action: Assessing the effectiveness of immersive virtual reality training on safety behaviors in confined spaces using the Kirkpatrick model

Safety in the industrial sector is paramount, with national legislations establishing specific regulations to reduce accidents. These regulations emphasize risk removal and proper operator training as preventive measures. However, traditional training can be time-consuming and costly, leading companies to meet only the minimum requirements. In particular, confined spaces pose significant dangers, often resulting in fatal, cascading accidents due to a lack of proper safety procedures. Therefore, effective training is crucial to mitigate these risks.Advanced technologies like Immersive Virtual Reality (IVR) present new opportunities for cost-effective and extensive training campaigns by eliminating the risks associated with real environment training, offering a safe yet realistic experience.Despite the widespread adoption of IVR training applications in industrial research, there is a notable lack of systematic approaches to evaluate their effectiveness. Conducting such evaluations is crucial to ascertain their impact on essential training outcomes, including participant engagement, knowledge transfer, and enhanced safety behavior during work activities.To address this gap, we developed an IVR-based training platform for confined space safety procedures and established a systematic validation procedure using the Kirkpatrick model to assess its effectiveness compared to conventional training methods. Results demonstrate that IVR training provides an excellent user experience, better knowledge transfer than the traditional approach, and improved performance in simulated procedures, reducing execution errors and completion times. This dual focus on creating and validating the IVR system underscores its potential as an effective training tool in hazardous environments such as confined spaces, where proper training can prevent tragic fatalities.

A multi-criteria decision-making approach for prioritizing factors influencing healthcare workers' safety performance: A case of a women's hospital

This study was designed to examine the influence of organizational and individual-level factors on the safety performance of healthcare workers at a women's hospital. Healthcare workers in different occupational groups enrolled in the current study. A questionnaire was used for data collection, and the data were analyzed using an integrated multi-criteria decision-making (MCDM) approach. The entropy method was applied to prioritize influential factors, including safety climate, perceived organizational support for safety, perceived supervisor support for safety, safety voice, organizational resilience, and individual resilience, and the technique for order preference by similarity to an ideal solution (TOPSIS) was employed to rank the alternatives (healthcare workers in different occupational groups). The finding of the entropy method illustrated that perceived organizational support for safety and organizational resilience had the highest influence on healthcare workers' safety performance. The other most influential factor was individual resilience. Regarding safety performance components, safety compliance was more important than safety participation. TOPSIS results suggested that radiologists, nurses, and midwives experienced higher safety performance levels than the other occupational groups in the study women's hospital. The findings of this study demonstrated that organizational and individual-level factors such as safety climate, perceived organizational and supervisor support for safety, and resilience-related factors significantly influence healthcare workers' safety performance, and compliance with safety rules and procedures is essential to achieve better safety performance.

Child Fatalities in Tractor-Related Accidents in Rural Iceland, 1918–2024: A Historical Analysis

Children on farms face high risks of work- and non-work-related fatalities, with tractors being a significant contributor. This study examines children’s involvement in fatal tractor-related accidents within agriculture in Iceland from 1918 to 2024, explores adult reflections on childhood tractor-driving experiences, and analyses Members of Parliament’s arguments against setting a minimum age for off-road tractor driving. The data are based on parliamentary debates on tractor-related legislation, fatal tractor-related accidents documented in newspaper archives and supplementary sources, and narrative interviews with former summer children who stayed at farms during their childhoods. Over half of the 81 registered accidents involved children—primarily boys—with 75% occurring between 1958 and 1988, when no minimum age for off-road tractor driving existed. The fatality incidence rate for children was more than four times higher than for adults. Arguments against minimum age requirements for off-road driving included the need for child labour, children’s superior driving skills, and the denial that children were more often victims than adults. Since 1988, no child has died while driving a tractor. A human-centred approach focusing on the working conditions, driver capacity, and adherence to safety procedures and legal frameworks is needed to prevent future accidents.

The Effect of High Performance Work System on Intention to Leave and Safety Workarounds: The Role of Burnout as Mediation and Mentoring &amp; Coping Mechanism as Moderator

This study aims to analyze the influence of High Performance Work System (HPWS) on intention to leave and safety workarounds, with the role of burnout as a mediation variable and mentoring and coping mechanism as a moderator variable. The study was conducted on non-doctor employees at the Diponegoro National Hospital, Semarang. The method used is a quantitative approach with data collection techniques through questionnaires distributed to respondents. The data was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results of the study show that HPWS has a negative influence on burnout, which means that the implementation of HPWS can reduce the level of emotional fatigue of employees. In contrast, burnout has a positive effect on intention to leave and safety workarounds, indicating that employees who experience burnout are more likely to want to leave the company and ignore work safety procedures. In addition, burnout acts as a mediator between HPWS and the two variables. Good HPWS implementation is able to reduce burnout, thereby reducing employee intentions to move and increasing compliance with safety procedures. The conclusion of this study is that the effective implementation of HPWS can reduce employee burnout, reduce the desire to leave work, and increase compliance with occupational safety. Mentoring and coping mechanisms play an important role in strengthening the positive effects of HPWS.

Occupational Injuries and Its Determinants Among Cement Factory Workers: A Cross Sectional Study

Abstract Introduction: Cement manufacturing industry workers face inevitable circumstances and are unintentionally exposed to different injuries at the workplace. The purpose of this study was to establish the pattern of injuries and their related risk factors. Materials and Methods: This cross-sectional study involved 360 workers from different departments within three cement factories in Chhattisgarh, India. Results: 55% of employees had either abrasion (30%) or dust in their eyes (23%). Workers in open areas (unadjusted odds ratio [UOR] = 3.28 [2.08–5.18]) and those who do not have training in personal protective equipment (UOR = 2.19 [1.42–3.39]) were more likely to get injured. Conclusions: A high number of workers suffered from injuries, as reported by this study; therefore, there is a need for thorough training and safety procedures.

Interplay of multiple labels and willingness to pay

PurposeThere are calls for irradiated food labelling due to a significant need for food safety and extensive procedures to safeguard consumer health. Additionally, there is a strong push from producers for mandatory Country of Origin (COO) labelling. The study examines how the COO and Radura labels influence consumer behaviour and shows the interplay between these influences. Using Attitude-Behavior-Context theory, a conceptual model is proposed and tested to evaluate these factors. The use of multiple labels allows for more choices. How the information presented on labels corresponds to consumers' pre-purchase information search is tested on regular label users.Design/methodology/approachStructural Equation Modelling (SEM), Generalised Linear Modelling and Cluster Analysis were used to analyse the data on a sample of 322 Australian respondents.FindingsThe study revealed that COO labelling had a significant positive relationship with attitudes but a negative relationship with WTP, acting as a suppressed mediator between attitudes and WTP. Interestingly, while knowledge was not found significant, label confidence emerged as a significant factor. Furthermore, the research suggests that regular users may prioritize COO labels over Radura labels.Originality/valueThis research contributes novelty by being the first to address the interplay between COO and irradiated labels, complementing the growing body of literature on irradiation labelling. It also offers valuable insights for retail practitioners, providing an understanding that can facilitate the delivery of high-value multiple labels at the point of purchase.

The Role of Healthcare Managers in Ensuring Patient Safety and Satisfaction during Radiation Therapy for Lung Cancer Patients in Saudi Arabia: A Systematic Review

Radiation therapy is a complicated treatment technique that calls for meticulous coordination, strict adherence to safety procedures, and care that is concentrated on the patient. Managers in the healthcare industry play an essential role in supervising and improving these various facets of care delivery. This systematic analysis aims to evaluate the significant role that healthcare managers play in ensuring patient safety and satisfaction during radiation therapy for patients in Saudi Arabia who have lung cancer. The research analyzes the existing literature in order to identify the unique roles, problems, and tactics that healthcare managers in Saudi Arabia apply in order to improve patient safety and satisfaction during radiation therapy for patients with lung cancer. The findings of this research contribute to improving the quality of care provided to lung cancer patients undergoing radiation therapy in Saudi Arabia, which ultimately leads to better patient outcomes.

Urban food (In)security and the role of migrant informal food waste recyclers in Delhi

Urban food systems in developing countries like India are rife with inequalities that preclude food security for all. In this context, the paper examines the role played by informal workers in the ‘circular economy’ for food in improving the accessibility of food and urban food security in Delhi, India. Evidence from an informal street market close to one of the country's largest urban wholesale markets of food grains, pulses and spices in Delhi reveals rare details of how urban food waste plays a significant role in the livelihood strategies of the city's poor migrants while also contributing to the urban food security of the low-income households. Although there is a growing recognition that the street food sector plays an important role in urban food security, the vital role played by waste collectors, home-based workers and street vendors in restoring discarded food grain, pulses and spices, and bringing them back into the urban food system has been largely invisible. This invisibility extends to the gendered segregation of work in food waste recycling, where our study found that predominantly women undertake labour-intensive and lower paid tasks at the bottom of the hierarchy. The paper provides an overview of the nature of informal livelihood, the contribution of informal workers and challenges and opportunities in the urban circular economy for food. However, their contributions are often overshadowed by health and safety concerns about the reuse of discarded food. Further, an analysis of the current policy landscape in urban India also indicates that informal workers are marginalised in the circular economy for food. While the state owes these informal workers support and protection for their contribution to the ‘Circular economy’ for food and urban food security, any effort to sustain these practices would need to incorporate adequate health and safety procedures.

Evaluation Of the Safety Management System of Building Construction Projects: A Case Study of Erbil Governorate.

Any organization linked with construction needs to apply suitable standards, procedures, and structures to support the right acts by all the involved construction structures that are related to health and safety. This paper evaluates the safety management procedure of building construction projects by rating the importance of safety management factors and calculating the average practice. This has been done by conducting a case study of (94) projects constructed during 2013-2023 by designing a questionnaire that represents a successful plan of 49 factors of seven phases for a safety management system. And delivering it to stakeholders who worked on those projects. The results of the study show that the average practice of safety management is 61.27%, which is unacceptable. The typical safety management process falls between 37.54% for initial planning and 79.93% for precautions before scaffold implementation. The results revealed that the shortage in practicing safety management stages is noticeable in all building construction projects, especially for initial planning with a rate of practice of 37.54%, and the use of personal protection equipment with a rate of practice of 47.41%. There is a lack of practicing safety procedures. A team for emergency issues is rarely available in addition to the shortage of first aid centers. There are not enough medications in case of accidents. Also, the workers are not using suitable protection equipment often. There must be an emphasis on the issue of safety management in future construction projects.

Enhancing Public Health: Research on Occupational Health Measures and Employee Productivity in Manufacturing

Occupational health measures are rules and regulations designed to protect workers' physical and mental health while they are at work. These precautions consist of health exams, safety procedures, environmental modification, and stress reduction plans. This research’s goal is to investigate the impact of occupational health measure (OHM), work environment, and employee productivity, to investigate the significant variable in manufacturing. A total of 54 respondents were provided. Questions were used to get the data. SPSS software is used. ANOVA, chi-square test, regression analysis test, Pearson correlation coefficient (PCC) test, and Cronbach’s alpha (α) test are employed in the analysis of the outcomes. The findings indicate that OHM, employee productivity, and work environment in enhancing public health are simultaneously significant to manufacturing. OHM and employee productivity are the significant factor that affects manufacturing. By mitigating health hazards and advancing employee welfare, businesses establish more secure work environments that promote increased productivity and effectiveness. In the end, successful public health programs support both overall corporate performance and employee happiness.

Rock anchor testing on sandstone from the Botucatu Formation, Paraná River Basin, Brazil: Insights for climbing safety procedures at the Corumbataí Geopark Project

The Corumbataí Geopark Project, located in São Paulo state, southeast Brazil, features valuable geosites that represent Earth's heritage and attract visitors with geoturism activities such as climbing. Rock anchors are crucial for ensuring climbers' safety in case of falls. This study reveals that the load capacity performance of expansion rock anchors is influenced by the applied torque, the physical-mechanical properties of the rock, and the weathering-induced strength degradation over time. The sandstone of Botucatu Formation, the predominant lithotype at these geosites, was assessed through petrographic analysis, non-destructive testing, physical and mechanical assessments, and pull-out tests of the anchors. Our findings indicate that the sandstone generally meets the geotechnical properties requirements for load capacities outlined in international climbing guidelines, a threshold of 80 MPa is recommended for effective rock anchor performance. However, prolonged exposure leads to rock degradation, compromising safety. Consequently, anchors should not be used in weathered rock and regular maintenance is strong recommended for climbing safety, approximately every 6 six years. This study provides a novel approach to characterizing rock-anchor interactions, supporting the development of effective management plans for outdoor activities.

Assessment of work safety analysis performance among rural hospitals of Chirumanzu district of midlands province, Zimbabwe

Ensuring workplace safety for healthcare workers is vital considering the important role they play in various societies which is to save life. Healthcare workers face different risks when performing tasks in various departments within hospitals, hence there is a need to assess work safety analysis procedures among healthcare workers. As a result, this study aims to assess the effectiveness of work safety analysis procedures among healthcare workers at Muvonde and Driefontein Sanatorium rural hospitals in Chirumanzu district. The research applied the descriptive cross-sectional design, combining quantitative and qualitative data collection methods. A questionnaire with both closed and open ended questionnaire was used for data collection among 109 healthcare workers at Muvonde hospital and 68 healthcare workers at Driefontein Sanatorium hospital. Secondary data sources, observations and interviews were also included as data collection methods. Quantitative data collected during the study was analysed using SPSS version 25. Braun and Clarke (2006)’s six phase framework was applied for qualitative data analysis. Ethical approval form was obtained from the District Medical Officer and Midlands State University. Findings of the study indicated that risks identified at Muvonde and Driefontein Sanatorium rural hospitals are classified as ergonomic, physical, chemical, psychosocial and biological risks. Respondents specified that these risks occur as a result of inadequate equipment, poor training, negative safety behaviour, poor management and pressure due to high workload. Safety inspection, safety workshops and monitoring of worker’s safety behaviour were mentioned as measures to manage risks. However, the strengths and weaknesses of the current safety procedures need to be assessed to highlight areas for improvement to reduce occurrence of risks within the hospitals.

Analysis of Interpersonal Communication, Motivation and Attitudes towards the Implementation of Patient Safety in Hospital Inpatients

The background to this research is that effective integration of interpersonal communication, motivation and attitudes can strengthen the implementation of patient safety in the health service environment, especially in inpatient settings. The aim of this research is to analyze whether there is an influence of Interpersonal Communication, Motivation and Attitude on the implementation of Patient Safety. The stages of achievement in this research include several stages of observation, sample determination, using a cross sectional approach using a questionnaire and data processing using a data analysis method using multiple linear regression tests. This research method is collecting primary data by giving questionnaires to all nurses who are directly involved in efforts to provide services to all patients at Jati Husada Karanganyar General Hospital with a cross sectional design, the sample size is 69 nurses. The research data was then tested for linear regression at a significance level of 0.005. The results of this research are that the level of understanding and implementation of patient safety in the Jati Husada Karanganyar Hospital inpatient is good, which is 89.7% for the level of understanding (interpersonal communication, motivation and attitude), on the variables of Interpersonal Communication, Motivation and Attitude simultaneously. has a significant effect on the implementation of patient safety in the Jati Husada Karanganyar Hospital, which means that the higher the value of interpersonal communication, motivation and attitude, the more disciplined the nurses are in carrying out patient safety procedures, the variables Interpersonal Communication, motivation and attitude have a significant effect on the implementation of patient safety in Inpatient care at Jati Husada Karanganyar Hospital, where the influence is positive, which means that the better the nurse's attitude in implementing patient safety procedures, the higher the level of patient safety implementation.