Strong Safety Culture Research Articles

Factors Influencing Children’s Hospital Nurses’ Safety Accident Management Activities for Hospitalized Children

Background: We aimed to identify the factors influencing safety accident management activities for hospitalized children in children’s hospitals. Methods: In August 2022, data were collected from 170 nurses across seven children’s hospitals in Gwangju Metropolitan City, Korea. The collected data were analyzed using independent t-tests, analysis of variance, Pearson’s correlation analysis, and multiple regression analysis. Results: Safety accident management activities for hospitalized children differ significantly based on nurses’ experience in children’s hospitals (P=0.048). Safety accident management activities were positively correlated with patient safety culture (r=0.47, P<0.001), critical thinking (r=0.35, P<0.001), and nursing work environment (r=0.51, P<0.001). Furthermore, the most influential determinant of safety accident management activities for hospitalized children was the nursing work environment (β=0.42, P<0.001), followed by nurses’ experience in children’s hospitals (β=0.20, P=0.004), and patient safety culture (β=0.17, P=0.041). These variables had an explanatory power of 34.0 % (adjusted R2=0.34, P<0.001). Conclusion: A positive nursing work environment and strong patient safety culture are essential for increasing safety accident management activities among children’s hospital nurses. Additionally, children’s hospitals should provide support to the nursing staff and implement policies that encourage long-term retention of experienced nurses.

THE EFFECT OF RADIATION PROTECTION TRAINING ON RADIATION SAFETY CULTURE

Radiology examination in Indonesia is bound by radiation protection policy. Radiographers, as radiation workers, must ensure radiation safety during radiology examinations. A strong safety culture needs to be implemented, considering that radiology installations use radiation that can adversely affect health. Radiation protection training is one of the most critical factors contributing to forming a radiation safety culture. This study aims to analyze the effect of radiation protection training on radiation officers on improving radiation safety culture, identifying radiation safety culture before and after radiation protection training on radiation officers. This study uses a quasi-experiment with a pre-test-post-test group design, which will observe and then measure the radiation safety culture of the experimental group before and after radiation protection training by providing a pre-test and post-test. The data obtained are then processed and interpreted as a results report. From 32 respondents, it was shown that elements of safety culture such as awareness and concern, knowledge and competence, commitment, motivation, supervision, and responsibility increased after participating in training. By this study, an increase in aspects of safety culture was obtained from before training to after training with a sig. (2-tailed) value of 0.000 is lower than the alpha level of 5% (0.05). Radiation protection training has become an effective means to improve and grow the radiation safety culture in hospital facilities. Keywords: radiation protection training, radiation safety culture, radiation officers, radiation examination.

Occupational health and safety in the construction industry: a comprehensive review with emphasis on Nigeria

The construction industry holds remarkable benchmarks of aptitude and creativity; however, it is among the most lethal industries when it comes to occupational health and safety (OHS). This study incorporates a detailed analysis of the key OHS issues within the construction sector with a special regard for developing countries such as Nigeria. The paper discusses different physical, chemical, biological, and psychological risks within the industry and highlights the importance of compliance with OHS requirements aimed at avoiding mishaps, incidents, and even fatalities. Moreover, it discusses the issues relating to poor training, funding limitations, and project pressures while highlighting the significance of maintaining a strong safety culture, workers' awareness, and compliance in enhancing OHS results. In addition to that, the review also examines current safety measures, identifies gaps, and suggests improvements, drawing on global best practices to inform future policies and strategies. This study serves as a valuable resource for policymakers, construction stakeholders, and employers to minimize health risks and optimize construction workers’ productivity and well-being.

ENGINEERING MANAGEMENT PERSPECTIVES ON SAFETY CULTURE IN CHEMICAL AND PETROCHEMICAL PLANTS: A SYSTEMATIC REVIEW

This systematic review examines the influence of engineering management practices on cultivating and sustaining a strong safety culture in chemical and petrochemical plants. Given the high-risk nature of these industries, establishing a robust safety culture is essential for mitigating operational hazards, reducing risks, and preventing accidents that can have serious human and environmental impacts. The review synthesizes findings from 135 peer-reviewed studies, focusing on key elements such as leadership commitment, employee engagement, regulatory compliance, safety management systems, and the integration of advanced technologies like automation and artificial intelligence (AI). The results highlight that safety performance in these industries is closely linked to management's active involvement in promoting safety practices, clear communication strategies, and the continuous assessment and improvement of safety protocols. Engineering managers play a critical role in driving safety initiatives and fostering an organizational culture where safety is a shared responsibility. The review also underscores the importance of regulatory compliance as a foundation for safety, while emphasizing that the most successful organizations go beyond compliance to embed safety deeply into their operational practices. Technological advancements, particularly in automation and real-time monitoring, were found to significantly enhance safety outcomes by enabling proactive risk identification and mitigation. Overall, this review offers valuable insights and practical guidelines for engineering managers aiming to strengthen safety protocols, reduce risks, and enhance safety performance in high-hazard industrial environments.

Advancing chemical safety protocols in small and medium enterprises: A comprehensive guide

Small and Medium Enterprises (SMEs) face significant challenges in managing chemical safety, often due to limited resources, inadequate infrastructure, and a lack of awareness about regulatory requirements. As chemical safety becomes increasingly critical for protecting workers, communities, and the environment, it is essential to develop tailored safety protocols for SMEs that address their unique needs. This review presents a comprehensive guide on advancing chemical safety protocols in SMEs, focusing on risk assessment, proper storage and handling of chemicals, personal protective equipment (PPE), spill prevention, and waste management. The integration of modern technologies, such as digital risk management tools, Internet of Things (IoT) sensors, and AI-driven predictive analytics, offers SMEs cost-effective solutions to enhance chemical safety. These technologies enable real-time monitoring, early warning systems for chemical hazards, and the automation of safety audits, which can significantly reduce risks and improve compliance. Additionally, fostering a strong chemical safety culture within SMEs is vital, requiring leadership commitment, employee training, and effective hazard reporting systems. Navigating regulatory frameworks and achieving compliance with limited resources presents another key challenge for SMEs. This guide highlights practical strategies for meeting safety standards, including leveraging external resources and simplifying documentation processes. Case studies showcase successful implementations of safety protocols and technologies in various SME sectors, providing insights into best practices and lessons learned. As technological advancements continue to evolve, SMEs must stay ahead by adopting innovations such as robotics, wearable safety technologies, and digital twins for chemical safety planning. This review emphasizes that a holistic approach—combining technology, policy, and workplace culture is essential for advancing chemical safety in SMEs, ensuring long-term sustainability, and safeguarding the health and well-being of workers.

The Influence of Safety Compliance on Safety Climate with Safety Culture as a Mediator among Grab Drivers in South Jakarta

This study aims to analyze the influence of safety compliance, safety culture and safety climate among Grab drivers in South Jakarta. By gaining an in-depth understanding of these factors, it is expected that more effective safety strategies and programs can be developed to ensure the safety of both drivers and passengers, as well as to enhance security in future online transportation operations. The research employs a quantitative methodology with descriptive and inferential approaches. Data collection was conducted through questionnaires distributed to 98 Grab drivers in the South Jakarta area. The data were analyzed using SmartPLS 3.0 software with the Partial Least Square (PLS) method. The results of the study indicate a significant influence of safety compliance on safety culture, as well as on safety climate. These findings confirm that good safety compliance contributes to the formation of a strong safety culture and overall enhancement of the safety climate. Additionally, it was found that safety culture has a strong positive impact on safety climate.

Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery.

Currently, 40% of counties in the United States do not have an obstetrician or midwife, and in rural areas the likelihood of childbirth being attended to by a family medicine (FM) physician is increasing. We sought to characterize the effect of the FM presence on unit culture and a key perinatal quality metric in Iowa hospital intrapartum units. Using a cross-sectional design, we surveyed Iowa physicians, nurses, and midwives delivering intrapartum care at hospitals participating in a quality improvement initiative to decrease the incidence of cesarean delivery. We linked respondents with their hospital characteristics and outcomes data. The primary outcome was the association between FM physician, obstetrician (OB), or both disciplines' presence on labor and delivery and hospital low-risk, primary cesarean delivery rate. Unit culture was compared by hospital type (FM-only, OB-only, or Both). A total of 849 clinicians from 39 hospitals completed the survey; 13 FM-only, 11 OB-only, and 15 hospitals with both. FM-only hospitals were all rural, with <1,000 annual births. Among hospitals with <1,000 annual births, births at FM-only hospitals had an adjusted 34.3% lower risk of cesarean delivery (adjusted incident rate ratio = 0.66; 95% CI, 0.52-.0.98) compared with hospitals with both. Nurses endorsed unit norms more supportive of vaginal birth and stronger safety culture at FM-only hospitals (P <.05). Birthing hospitals staffed exclusively by FM physicians were more likely to have lower cesarean rates and stronger nursing-rated safety culture. Both access and quality of care provide strong arguments for reinforcing the pipeline of FM physicians training in intrapartum care.

사업장 안전문화 증진을 위한 사업장 안전의식 수준 향상 프로그램의 활용 방안

To effectively reduce industrial accidents, workplaces must be encouraged to undertake safety initiatives independently and establish a strong safety culture. This study introduces leading indicators and a safety culture model developed to assess the safety awareness levels among workplace members. By diagnosing these levels, it becomes possible to promote activities in areas where safety awareness is lacking. Additionally, areas with significant perception differences among members can be improved by investigating the underlying causes. Establishing a safety culture in the workplace necessitates the promotion of improvement activities based on diagnostic results. This study proposed several tasks to raise safety awareness in workplaces. These tasks include activating safety culture diagnosis in connection with the corporate self-regulation system, introducing a safety culture grade certification system, training private experts, supporting workplace consulting, and discovering and disseminating best practices.

Developing a Culture of Safety for Sustainable Development and Public Health in Manufacturing Companies—A Case Study

One of the most important values in human life is health and safety. This is reflected in the Sustainable Development Goals (SDG3, SDG8), which were presented by the United Nations in 2015. These goals emphasize the importance of ensuring healthy lives, promoting well-being for all, and fostering inclusive and sustainable economic growth through decent work and safe working conditions. Taking into account the importance of issues related to safety, including occupational safety and human health, research was carried out to examine the impact of the development of a safety culture during employees’ work on improving public health. In order to conduct the research, a survey questionnaire was developed, consisting of 20 questions relating to 10 attributes of safety culture. The research surveys were carried out among 363 employees in a production enterprise, and an interview questionnaire was administered to 3 employees of the Occupational Health and Safety Service of this enterprise. The results revealed that the enterprise’s employees rate the level of safety culture very highly. Along with the improvement of working conditions in the enterprise, the level of safety increases, the number of accidents at work decreases, and thus the protection of employee health is higher. Therefore, a high level of safety culture is correlated with a high value attached to the health and life of employees, and this, in turn, affects public health. Moreover, fostering a strong safety culture aligns with the principles of sustainable development, contributing to long-term societal well-being and aligning with global goals for responsible and ethical growth.

Implementing safety standards in radiographic practices: challenges and solutions

Ensuring the safety of patients and healthcare workers in radiographic practices is a critical concern in modern healthcare. The use of ionizing radiation, while invaluable for diagnostic and therapeutic purposes, carries inherent risks that necessitate stringent safety standards. Despite advances in technology and regulatory frameworks, the consistent implementation of these safety standards remains a challenge across various healthcare settings. The discussion addresses the complexities of navigating diverse regulatory environments, where enforcement and adherence to safety guidelines can vary significantly. These inconsistencies are particularly pronounced in low-resource regions, where limited access to modern radiographic equipment and inadequate training further exacerbate the risks of radiation exposure. Technological advancements in radiography, such as digital radiography, dose-reduction software, and advanced imaging modalities, offer significant benefits in terms of diagnostic accuracy and efficiency. However, they also introduce new challenges in maintaining up-to-date safety protocols. The rapid pace of innovation often outstrips the ability of regulatory bodies to update guidelines, leading to gaps in safety practices. Additionally, the effectiveness of these technologies depends heavily on proper usage and understanding by radiographic professionals, highlighting the need for continuous education and training. A strong safety culture within radiographic practices is essential for minimizing radiation risks. Leadership commitment, ongoing education, effective communication, and the empowerment of radiographic professionals are critical components of this culture. When these elements are in place, they foster an environment where safety is prioritized, and all staff members are actively engaged in maintaining and improving safety standards. The multifaceted approach required to enhance radiographic safety underscores the importance of harmonizing regulatory efforts, investing in modern technologies, and cultivating a safety-first mindset among healthcare professionals. These efforts collectively contribute to the safe and effective use of radiographic technology, ultimately protecting both patients and healthcare workers from unnecessary radiation exposure.

Digital Maturity as a Predictor of Quality and Safety Outcomes in US Hospitals: Cross-Sectional Observational Study.

This study demonstrates that digital maturity contributes to strengthened quality and safety performance outcomes in US hospitals. Advanced digital maturity is associated with more digitally enabled work environments with automated flow of data across information systems to enable clinicians and leaders to track quality and safety outcomes. This research illustrates that an advanced digitally enabled workforce is associated with strong safety leadership and culture and better patient health and safety outcomes. This study aimed to examine the relationship between digital maturity and quality and safety outcomes in US hospitals. The data sources were hospital safety letter grades as well as quality and safety scores on a continuous scale published by The Leapfrog Group. We used the digital maturity level (measured using the Electronic Medical Record Assessment Model [EMRAM]) of 1026 US hospitals. This was a cross-sectional, observational study. Logistic, linear, and Tweedie regression analyses were used to explore the relationships among The Leapfrog Group's Hospital Safety Grades, individual Leapfrog safety scores, and digital maturity levels classified as advanced or fully developed digital maturity (EMRAM levels 6 and 7) or underdeveloped maturity (EMRAM level 0). Digital maturity was a predictor while controlling for hospital characteristics including teaching status, urban or rural location, hospital size measured by number of beds, whether the hospital was a referral center, and type of hospital ownership as confounding variables. Hospitals were divided into the following 2 groups to compare safety and quality outcomes: hospitals that were digitally advanced and hospitals with underdeveloped digital maturity. Data from The Leapfrog Group's Hospital Safety Grades report published in spring 2019 were matched to the hospitals with completed EMRAM assessments in 2019. Hospital characteristics such as number of hospital beds were obtained from the CMS database. The results revealed that the odds of achieving a higher Leapfrog Group Hospital Safety Grade was statistically significantly higher, by 3.25 times, for hospitals with advanced digital maturity (EMRAM maturity of 6 or 7; odds ratio 3.25, 95% CI 2.33-4.55). Hospitals with advanced digital maturity had statistically significantly reduced infection rates, reduced adverse events, and improved surgical safety outcomes. The study findings suggest a significant difference in quality and safety outcomes among hospitals with advanced digital maturity compared with hospitals with underdeveloped digital maturity.

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.

A STUDY ON HEALTH AND SAFETY MEASURES TOWARDS MANUFACTURING INDUSTRY

The manufacturing industry, despite its vital role in the economy, presents inherent risks to worker health and safety. This study examines the various health and safety measures crucial for creating a secure work environment. It explores common hazards encountered in manufacturing, encompassing physical, chemical, and ergonomic threats. The focus is on analysing existing safety protocols, including personal protective equipment (PPE), hazard identification and control procedures, and emergency response plans. The study delves into the importance of a strong safety culture, where both management and employees actively participate in risk mitigation. It emphasizes the role of training and awareness programs in empowering workers to identify and address potential hazards. Additionally, the research may explore the positive impact of effective health and safety practices on worker morale, productivity, and regulatory compliance. Keywords: Manufacturing industry, Health and safety, Risk management, Safety culture, Training, PPE.

Exploring the safety reporting culture among healthcare practitioners in Saudi hospitals: a comprehensive 2022 national study

BackgroundWith the rise in medical errors, establishing a strong safety culture and an effective incident reporting system is crucial. As part of the Saudi National Health Transformation Vision of 2030, multiple projects have been initiated to periodically assess healthcare quality measures and ensure a commitment to continuous improvement. Among these is the Hospital Survey on Patient Safety Culture National Project (HSPSC), conducted regularly by the Saudi Patient Safety Center (SPSC). However, comprehensive tools for assessing reporting culture are lacking. Addressing this gap can enhance reporting, efficiency, and health safety.ObjectiveThis paper aims to investigate the reporting practices among healthcare professionals (HCPs) in Saudi Arabian hospitals and examine the relationship between reporting culture domains and other variables such as hospital bed capabilities and HCPs’ work positions.MethodsThe study focuses on measuring the reporting culture-related items measures and employs secondary data analysis using information from the Hospital Survey on Patient Safety Culture conducted by the Saudi Center for Patient Safety in 2022, encompassing hospitals throughout Saudi Arabia. Data incorporated seven items in total: four items related to the Response to Error Domain, two related to the Reporting Patient Safety Events Domain, and one associated with the number of events reported in the past 12 months.ResultsThe sample for the analyzed data included 145,657 HCPs from 392 hospitals. The results showed that the average positive response rates for reporting culture-related items were between 50% and 70%. In addition, the research indicated that favorable response rates were relatively higher among managerial and quality/patient safety/risk management staff. In contrast, almost half had not reported any events in the preceding year, and a quarter reported only 1 or 2 events. Pearson correlation analysis demonstrates a strong negative correlation between bed capacity and reporting safety events, response to error, and number of events reported (r = -0.935, -0.920, and − 0.911, respectively; p < 0.05), while a strong positive correlation is observed between reporting safety events and response to error (r = 0.980; p < 0.01).ConclusionsAlmost 75% of the HCPs reported fewer safety events over the last 12 months, indicating an unexpectedly minimal recorded occurrence variance ranging from 0 to 2 incidents.

Specific Personal Hygiene Procedures and Practices in Food Handlers—A Cross-Sectional Study in Butcher and Fishmonger Shops in Almada

Good manufacturing practices play an important role in obtaining safe food and preventing foodborne diseases. To achieve this goal, food handlers must receive appropriate training to be aware of their responsibilities. In this work, compliance with specific personal hygiene requirements by food handlers was assessed in a cross-sectional study of traditional small retail establishments, namely butcher (n = 56) and fishmonger (n = 17) shops in Almada, Portugal. Food handlers (n = 140, of which 113 worked in butcher shops, and 27 worked in fishmonger shops) were interviewed for data collection, and retail establishments were audited considering specific hygiene requisites. In fishmonger shops, most food handlers are women (89%), aged 18 to 45 years (70%), with a high school degree, having worked for less than 5 years in this activity, while in butcher shops most food handlers are men (90%) over 45 years old (58%), with a basic education level, and more than 26 years of experience. Most food handlers (&gt;95%) attended recent food safety and hygiene training courses and were able to recognize that hand sanitizers cannot replace a proper hand wash, and to identify Staphylococcus aureus transmission routes to food. However, approximately 23% of retail establishments failed to provide hot water in the handwashing basin and exhibited improper placement of handwashing instructions. Furthermore, these establishments did not implement corrective actions following non-conforming microbiological results of hand hygiene monitoring. These findings reinforce the need for consistent management commitment, and for providing food handlers with regular training, which is crucial for maintaining a strong food safety and hygiene culture in these traditional small retail establishments.

Pentingnya Penggunaan Alat Pelindung Diri (APD) pada Pekerja Bangunan terhadap Keselamatan Kerja

Construction workers are often exposed to high risks of injury and illness due to potentially dangerous work environments. Therefore, the use of Personal Protective Equipment (PPE) is very important to protect them from various threats on construction sites. Literature research conducted in recent years has provided consistent evidence regarding the benefits and importance of using PPE in the construction industry. Various types of PPE, such as safety helmets, safety shoes, protective eyewear, respirators, and gloves, have been shown to be effective in reducing the risk of physical injury and exposure to hazardous materials. Literature studies also show that implementing strict policies related to the use of PPE can reduce the rate of work accidents and work-related illnesses. In addition, proper training and awareness of the importance of occupational safety have been proven to increase worker compliance with the use of PPE. Factors such as adequate availability of PPE, strict standards, a strong safety culture, supervision, and ongoing education are key elements in ensuring effective use of PPE and improving occupational safety in construction workplaces. Therefore, continued emphasis on the correct and consistent use of PPE is a must in efforts to maintain the safety and health of construction workers throughout the world.

Navigating occupational safety and health challenges in sustainable infrastructure projects: a comprehensive review

Ensuring occupational safety and health (OSH) is paramount in infrastructure projects due to their inherently high-risk nature and the increased likelihood of accidents. Despite its importance, numerous obstacles impede the successful adoption of OSH measures in these settings. Addressing these challenges is key to not only implementing OSH protocols effectively but also to improving working conditions and managing other operational facets like quality and environmental concerns, ultimately resulting in better infrastructure developments. Adopting proactive OSH strategies is crucial for preventing significant accidents and fostering a safety culture within infrastructure projects. This review focuses on identifying the primary obstacles and barriers to effective OSH in infrastructure projects, laying the groundwork for improving safety performance in the sector. It highlights organizational and legislative issues as the foremost challenges due to their direct impact on safety culture, resource distribution, compliance, and accountability. Although factors related to environmental and safety practices are deemed less critical, they are nonetheless vital for comprehensive risk management and the promotion of a safe working environment. Tackling these issues is imperative for cultivating a strong safety culture and safeguarding the health of workers on infrastructure projects. It is also essential to acknowledge the distinct OSH challenges presented by different construction scenarios to devise customized safety measures and effectively reduce risks. This review emphasizes the necessity of recognizing the unique aspects of each construction project, addressing specific dangers, and meeting regulatory demands to achieve thorough safety management.

Associations between patient safety culture and workplace safety culture in hospital settings

BackgroundStrong cultures of workplace safety and patient safety are both critical for advancing safety in healthcare and eliminating harm to both the healthcare workforce and patients. However, there is currently minimal published empirical evidence about the relationship between the perceptions of providers and staff on workplace safety culture and patient safety culture.MethodsThis study examined cross-sectional relationships between the core Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey 2.0 patient safety culture measures and supplemental workplace safety culture measures. We used data from a pilot test in 2021 of the Workplace Safety Supplemental Item Set, which consisted of 6,684 respondents from 28 hospitals in 16 states. We performed multiple regressions to examine the relationships between the 11 patient safety culture measures and the 10 workplace safety culture measures.ResultsSixty-nine (69) of 110 associations were statistically significant (mean standardized β = 0.5; 0.58 < standardized β < 0.95). The largest number of associations for the workplace safety culture measures with the patient safety culture measures were: (1) overall support from hospital leaders to ensure workplace safety; (2) being able to report workplace safety problems without negative consequences; and, (3) overall rating on workplace safety. The two associations with the strongest magnitude were between the overall rating on workplace safety and hospital management support for patient safety (standardized β = 0.95) and hospital management support for workplace safety and hospital management support for patient safety (standardized β = 0.93).ConclusionsStudy results provide evidence that workplace safety culture and patient safety culture are fundamentally linked and both are vital to a strong and healthy culture of safety.

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.

Factors affecting radiographers' use of dose-reduction measures.

This study investigates radiographers' views on implementing dose-reduction measures, with a focus on verifying patient identity and pregnancy status, practising gonad shielding in men and using compression. An electronic questionnaire was distributed to radiographers working in general radiography and/or computed tomography. The questionnaire was based on factors from a framework for analysing risk and safety in clinical medicine. Ordered logistic regressions were used to analyse associations among factors and use of dose-reduction measures. In total, 466 questionnaires were distributed and 170 radiographers (36%) completed them. Clear instructions and routines, support from colleagues, knowledge and experience, a strong safety culture, managerial support and access to proper equipment influence the likelihood of using dose-reduction measures. The strongest associations were found between support from colleagues and verifying pregnancy status (OR = 5.65,P= 0.026), safety culture and use of gonad shielding (OR = 2.36,P= 0.042), and having enough time and use of compression (OR = 2.11,P= 0.003). A strong safety culture and a supportive work environment appears to be essential for the use of dose-reduction measures, and education, training and stress management can improve utilisation of dose-reduction measures.