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1.
J Safety Res ; 76: 327-331, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33653565

RESUMO

INTRODUCTION: National estimates for nonfatal self-directed violence (SDV) presenting at EDs are calculated from the National Electronic Injury Surveillance System - All Injury Program (NEISS-AIP). In 2005, the Centers for Disease Control and Prevention and Consumer Product Safety Commission added several questions on patient characteristics and event circumstances for all intentional, nonfatal SDV captured in NEISS-AIP. In this study, we evaluated these additional questions along with the parent NEISS-AIP, which together is referred to as NEISS-AIP SDV for study purposes. METHODS: We used a mixed methods design to evaluate the NEISS-AIP SDV as a surveillance system through an assessment of key system attributes. We reviewed data entry forms, the coding manual, and training materials to understand how the system functions. To identify strengths and weaknesses, we interviewed multiple key informants. Finally, we analyzed the NEISS-AIP SDV data from 2018-the most recent data year available-to assess data quality by examining the completeness of variables. RESULTS: National estimates of SDV are calculated from NEISS-AIP SDV. Quality control activities suggest more than 99% of the cause and intent variables were coded consistently with the open text field that captures the medical chart narrative. Many SDV variables have open-ended response options, making them difficult to efficiently analyze. CONCLUSIONS: NEISS-AIP SDV provides the opportunity to describe systematically collected risk factors and characteristics associated with nonfatal SDV that are not regularly available through other data sources. With some modifications to data fields and yearly analysis of the additional SDV questions, NEISS-AIP SDV can be a valuable tool for informing suicide prevention. Practical Applications: NEISS-AIP may consider updating the SDV questions and responses and analyzing SDV data on a regular basis. Findings from analyses of the SDV data may lead to improvements in ED care.


Assuntos
Vigilância da População/métodos , Gestão da Segurança/estatística & dados numéricos , Violência/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Humanos , Fatores de Risco , Estados Unidos/epidemiologia , Ferimentos e Lesões/etnologia
2.
Guatemala; MSPAS; 29 ene. 2021. 6 p.
Não convencional em Espanhol | LILACS, LIGCSA | ID: biblio-1224473

RESUMO

En los antecedentes se presentan estadísticas del COVID-19 a la fecha en la que se elaboró el documento (enero 2021) y aborda las tres mutaciones del virus conocidas hasta la fecha del documento. "La caracterización genética de patógenos virales es la base para el desarrollo de protocolos de diagnóstico, vacunas y medicamentos antivirales. Esta estrategia también es una herramienta útil en salud pública para el seguimiento a brotes y control de enfermedades mediante estudios de epidemiología molecular." "…la secuenciación genómica del SARS-CoV-2 y la liberación oportuna de la información no solo permitió la caracterización del agente etiológico involucrado en el brote inicial, sino también el desarrollo oportuno de protocolos de diagnóstico y seguimiento a la evolución de la pandemia de COVID-19. Así, la secuenciación genómica se ha convertido en una herramienta esencial para generar datos virológicos de SARS-CoV-2, para impulsar la respuesta de laboratorio, y entender mejor los patrones de dispersión y evolución de SARS-CoV-2" De manera que el objetivo del documento es: "Generar información genética mediante la vigilancia genómica de casos confirmados de COVID-19 de pacientes que asisten a los servicios de salud públicos y privados del país, así como del Instituto Guatemalteco de Seguridad Social ­IGSS-."


Assuntos
Humanos , Masculino , Feminino , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Betacoronavirus , Laboratórios/normas , Controle de Infecções/normas , Gestão da Segurança/estatística & dados numéricos , Genômica/tendências , Pandemias/prevenção & controle , Vigilância em Saúde Pública/métodos
3.
J Surg Res ; 257: 425-432, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32892141

RESUMO

BACKGROUND: Surgical debriefs help reduce preventable errors in the operating room (OR) leading to patient injury. However, compliance with debriefs remains poor. The objective of this study was to evaluate the role of structured feedback to surgeons in improving compliance with and quality of surgical debriefs. MATERIALS AND METHODS: Surgical cases at an 875-bed urban teaching hospital from January-June 2019 were audited via audio/video recording to evaluate debrief performance. Debriefs were evaluated for clinical completeness and teamwork quality via two structured forms. Surgeons received an evaluation of their debrief performance at two time points during the study period (February and April). Univariate and mixed-effects regression analyses were used to assess changes in debrief compliance and quality over time. RESULTS: A total of 878 surgical cases performed by 61 surgeons were reviewed: 198 (22.6%) cases during Period 1 (P1), 371 (42.3%) P2, and 309 (35.1%) P3. The rate at which a debrief occurred was 62.1% in P1, 73.0% in P2, and 82.2% in P3 (P < 0.001). Debriefs were 1.96 (95% CI 1.31-2.95, P = 0.001) times more likely to be completed during P2 and 3.21 (95% CI 2.07-5.04, P < 0.001) times more likely during P3 compared to P1. The percent of debriefs initiated by the lead surgeon increased from 59.8% in P1, to 80.0% in P2, to 81.5% in P3 (P < 0.001). CONCLUSIONS: Providing structured feedback to surgeons on their debrief performance was associated with improvements in compliance and completeness with debriefing protocols, OR teamwork and communication, and leadership and accountability from the lead surgeons.


Assuntos
Feedback Formativo , Cirurgia Geral/normas , Fidelidade a Diretrizes/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , Humanos , Salas Cirúrgicas/normas , Garantia da Qualidade dos Cuidados de Saúde , Melhoria de Qualidade
4.
J Safety Res ; 75: 24-31, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33334482

RESUMO

INTRODUCTION: Bicyclist safety is a growing concern as more adults use this form of transportation for recreation, exercise, and mobility. Most bicyclist fatalities result from a crash with a vehicle. Often, the behaviors of the driver are responsible for the crash. METHOD: This survey study of Montana and North Dakota residents (n = 938) examined the influence of traffic safety culture on driver behaviors that affect safe interactions with bicyclists. RESULTS: Prosocial driver behavior was most common and appeared to be intentional. Intention was increased by positive attitudes, normative perceptions, and perceived control. However, normative perceptions appear to offer the most opportunity for change. Practical Application: Strategies that increase perceptions that prosocial driver behavior is normal may increase prosocial intentions, thereby increasing bicyclist safety.


Assuntos
Altruísmo , Condução de Veículo/estatística & dados numéricos , Ciclismo/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , Segurança/estatística & dados numéricos , Adulto , Idoso , Cultura , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Montana , North Dakota , Adulto Jovem
5.
J Safety Res ; 75: 87-98, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33334497

RESUMO

INTRODUCTION: While road traffic accidents and fatalities are a worldwide problem, the rates of road traffic accidents and fatalities show differences among countries. Similarly, driver behaviors, traffic climate, and their relationships also show differences among countries. The aim of the current study is to investigate the moderating effect of driving skills on the relationship between traffic climate and driver behaviors by country. (Turkey and China). METHOD: There were 294 Turkish drivers and 292 Chinese drivers, and they completed the Traffic Climate Scale, the Driving Skills Inventory, and the Driver Behavior Questionnaire. The moderated moderation analyses were conducted with Hayes PROCESS tool on SPSS. RESULTS: The results showed that safety skills moderated the relationship between internal requirements and violations both in Turkey and China. Safety skills also moderated the relationship between internal requirements and errors only in China and the relationship between functionality and violations in Turkey. Perceptual-motor skills moderated the relationships between external affective demands and errors, and also the relationship between internal requirements and positive driver behaviors in Turkey. It can be inferred that driving skills has different influences on traffic climate-driver behaviors relationship in different cultures and there might be cultural differences in the evaluation of drivers' own driving skills. Practical Applications: Among driving skills, safety skills have a more critical role to increase road safety by decreasing number of violations. Interventions to increase safety skills of drivers might be promising for road safety.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Condução de Veículo/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , China , Feminino , Humanos , Masculino , Turquia
6.
PLoS One ; 15(10): e0239744, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33057417

RESUMO

BACKGROUND: Globally, health care-associated infections had become serious public health importance. Compliance with standard safety precaution is effective and inexpensive measure to improve quality of healthcare in reducing occurrence of healthcare associated infections. In developing countries, like Ethiopia adherence to recommended standard safety precaution is scanty. OBJECTIVE: To assess level of compliance with standard safety precaution and associated factors among healthcare workers in Hawassa comprehensive specialized hospital Southern Ethiopia. METHODS: An institutional based cross-sectional study was conducted at Hawassa comprehensive specialized hospital. Data were collected by using self-administered questionnaire. Study participants were allocated proportionally based on their profession by using stratified random sampling method. Data were entered and analyzed by using SPSS version 20.0. Bi-variable analysis and multi variable logistic regression model were used to check which variables were associated with dependent variable. P-values ≤ 0.05 were considered statistically significant. In this study the overall compliance with standard safety precaution among healthcare workers were only 56.5%. Being female healthcare worker AOR: 2.76(1.34, 5.54), married healthcare workers AOR: 4.2(2, 9.03), accessibility of safety box AOR: 3.4(1.6, 7.17), HCWs had perceived IP training AOR: 3.99(1.46, 10.9), availability of tape water AOR: 2.68(1.15, 6.2) and healthcare workers had internal infection prevention and control supportive supervision AOR: 5.8(2.54, 13.48) associated with compliance with standard safety precaution. CONCLUSION: According to findings of the current study, overall level of compliance with standard SP among HCWs considered to be very low. Factors such as healthcare workers being female, accessibility of safety box, availability of running tape water, training and supportive supervision were independent predictors of compliance with standard safety precaution. Thus ensuring availability and accessibility of safety precaution materials and regular observing and supervising healthcare workers' practices are highly recommended.


Assuntos
Instalações de Saúde/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Hospitais Especializados/estatística & dados numéricos , Hospitais Universitários/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , Universidades/estatística & dados numéricos , Adulto , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Etiópia , Feminino , Humanos , Controle de Infecções/estatística & dados numéricos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
7.
Artigo em Inglês | MEDLINE | ID: mdl-32872189

RESUMO

Clinical risk management constitutes a central element in the healthcare systems in relation to the reverberation that it establishes, and as regards the optimization of clinical outcomes for the patient. The starting point for a right clinical risk management is represented by the identification of non-conforming results. The aim of the study is to carry out a systematic analysis of all data received in the first three years of adoption of a reporting system, revealing the strengths and weaknesses. The results emerged showed an increasing trend in the number of total records. Notably, 86.0% of the records came from the medical category. Moreover, 41.0% of the records reported the possible preventive measures that could have averted the event and in 30% of the reports are hints to be put in place to avoid the repetition of the events. The second experimental phase is categorizing the events reported. Implementing the reporting system, it would guarantee a virtuous cycle of learning, training and reallocation of resources. By sensitizing health workers to a correct use of the incident reporting system, it could become a virtuous error learning system. All this would lead to a reduction in litigation and an implementation of the therapeutic doctor-patient alliance.


Assuntos
Coleta de Dados/métodos , Erros Médicos/prevenção & controle , Segurança do Paciente , Qualidade da Assistência à Saúde/estatística & dados numéricos , Gestão de Riscos/organização & administração , Gestão da Segurança/estatística & dados numéricos , Hospitais Universitários , Humanos , Itália , Auditoria Administrativa , Erros Médicos/estatística & dados numéricos , Sistemas Computadorizados de Registros Médicos , Gestão da Segurança/organização & administração , Gestão da Qualidade Total/organização & administração
8.
Arch. prev. riesgos labor. (Ed. impr.) ; 23(3): 343-356, jul.-sept. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-194120

RESUMO

OBJETIVO: Evaluar diferencias entre la detección de incidentes o eventos adversos (I/EA) en una mutua laboral, mediante una herramienta tipo Trigger Tool (TT) y una plataforma de notificación voluntaria (SNEA). MÉTODOS: La población de estudio es la población trabajadora atendida ambulatoriamente en una mutua laboral de Enero a Septiembre del 2016. Se seleccionaron los casos declarados como I/EA según si el evento no ha afectado al paciente o por el contrario le ha afectado, a través del SNEA (n = 21 casos). Por otro lado, se seleccionaron aleatoriamente 20 historias clínicas por mes donde se aplicó la herramienta TT (180 casos). Se adaptaron 11 triggers para detectar I/EA. Se revisaron las 201 historias clínicas buscando la existencia de triggers. Se obtuvo la concordancia entre el sistema SNEA y el TT utilizando la proporción de concordancia positiva (I/EA), proporción de concordancia negativa (no I/EA) e índice Kappa. RESULTADOS: TT detectó casos de I/EA en el 41,3% de las revisiones mientras que el SNEA 10,3% (p < 0,001). El índice Kappa ofreció un valor de concordancia baja (Kappa = 0,12) lo que denota la pequeña coincidencia de sucesos adversos detectados por ambos sistemas. La proporción de concordancia negativa fue mayor que la de concordancia positiva (74,5% frente a un 26,9%). El sistema SNEA detectó menos I/EA y sobre todo se trata de menos incidentes. Por el contrario, el sistema TT detectó mayor número de I/EA y especialmente EA. CONCLUSIONES: Trigger Tool es una herramienta recomendable para la detección de incidentes


OBJECTIVE: To evaluate differences between the detection of incidents or adverse events (I/AE) using a Trigger Tool (TT) and voluntary notification platform (SNEA). METHODS: The study population is the working population attended on an outpatient basis in an Insurance Company ("mutua") from January to September 2016. The cases declared as Incident or Adverse Event (I / AE) were selected through the SNEA (21 cases), according to whether the event has not affected the patient or on the contrary has affected him. On the other hand, 20 clinical histories per month were randomly selected where the TT was applied (180 cases). The 201 clinical histories were reviewed looking for the existence of triggers. The agreement between the SNEA system and the TT was evaluated using proportion of positive agreement (I/EA), proportion of negative agreement (not I/EA) and Kappa index. RESULTS: TT detected I/EA cases in 41.3% of the revisions while the SNEA was 10.3% (p < 0.001). The Kappa index showed a low concordance value (Kappa = 0.12), which indicates the small coincidence of I/EA detected by both systems. The proportion of negative agreement was greater than that of positive agreement (74.5% versus 26.9%). The SNEA system detected less I/ EA and above all it deals with fewer incidents. On the contrary, the TT system detected a greater number of I EA and especially EA


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Pacientes Ambulatoriais/estatística & dados numéricos , Segurança do Paciente/estatística & dados numéricos , Gestão de Riscos/métodos , Gestão da Segurança/métodos , Gestão da Segurança/estatística & dados numéricos , Estudos Transversais
9.
PLoS One ; 15(8): e0237338, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32797093

RESUMO

OBJECTIVE: The study was aimed to explore patient safety culture of community pharmacists working in Dessie and Gondar towns, Northern Ethiopia. METHODS: A cross-sectional study was conducted from 1st to 31st March 2018. In this cross-sectional survey, the Pharmacy Survey on Patient Safety Culture (PSOPSC), developed by the Agency for Healthcare Research and Quality (AHRQ), was used to collect data. PSOPSC is a self-administered questionnaire. The questionnaire was distributed among staffs who work in community pharmacies of Dessie and Gondar towns. All staffs available on data collection period in the pharmacy were included. The Statistical Package for Social Science (SPSS) software version 25 was used to enter and analyze the data. RESULTS: A total of 120 participants were approached and completed the questionnaire. Results from the study showed that high positive response rate was demonstrated in the domains of "Teamwork" (90.2%) followed by physical space and environment (83.1%). On the other hand, the result also identified that there is an enormous problem related to mistake communication (44.8%) and work pressure (45%). In addition, significant difference of percent positive responses were obtained across towns and staff working hours. CONCLUSIONS: The patient safety culture of community pharmacists is appreciable especially with respect to their teamwork. Besides, urgent attention should be given to areas of weakness, mainly in the domain of "mistake communication" and "staffing and work pressure".


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Segurança do Paciente , Farmacêuticos/organização & administração , Gestão da Segurança/estatística & dados numéricos , Adulto , Serviços Comunitários de Farmácia/estatística & dados numéricos , Estudos Transversais , Etiópia , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Admissão e Escalonamento de Pessoal/organização & administração , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Farmacêuticos/psicologia , Farmacêuticos/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Carga de Trabalho/psicologia , Carga de Trabalho/estatística & dados numéricos , Adulto Jovem
10.
Guatemala; MSPAS; 26 jul 2020. 11 p.
Monografia em Espanhol | LILACS, LIGCSA | ID: biblio-1150751

RESUMO

Aborda, desde los conceptos básicos sobre gestión de riesgo, pasando por los tipos del mismo, así como proponer métodos sencillos de análisis de riesgo de contagios de COVID-19. Especialmente enfocados para las instalaciones de empresas e instituciones, a manera de orientar y prevenir el bienestar del personal que trabaja en las mismas. Busca sobre todo, identificar y analizar participativamente las amenazas y la vulnerabilidad de la población frente al virus Sars-CoV-2.


Assuntos
Humanos , Masculino , Feminino , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Gestão de Riscos/métodos , Probabilidade , Fatores de Risco , Indicadores Básicos de Saúde , Gestão da Segurança/estatística & dados numéricos , Infecções por Coronavirus/mortalidade , Guatemala
11.
Med Care ; 58(7): 594-600, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32520835

RESUMO

BACKGROUND: Prior research has found that adverse events have significant negative consequences for the patients (first victim) and caregivers (second victim) involved such as burnout. However, research has yet to examine the consequences of adverse events on members of caregiving units. We also lack research on the effects of the personal and job resources that shape the context of how adverse events are experienced. OBJECTIVES: We test the relationship between job demands (the number of adverse events on a hospital nursing unit) and nurses' experience of burnout. We further explore the ways in which personal (workgroup identification) and job (safety climate) resources amplify or dampen this relationship. Specifically, we examine whether, and the conditions under which, adverse events affect nurse burnout. RESEARCH DESIGN: Cross-sectional analyses of survey data on nurse burnout linked to hospital incident reporting system data on adverse event rates for the year before survey administration and survey data on workgroup identification and safety climate. SUBJECTS: Six hundred three registered nurses from 30 nursing units in a large, urban hospital in the Midwest completed questionnaires. RESULTS: Multilevel regression analysis indicated that adverse events were positively associated with nurse burnout. The effects of adverse events on nurse burnout were amplified when nurses exhibited high levels of workgroup identification and attenuated when safety climate perceptions were higher. CONCLUSIONS: Adverse events have broader negative consequences than previously thought, widely affecting nurse burnout on caregiving units, especially when nurses strongly identify with their workgroup. These effects are mitigated when leaders cultivate safety climate.


Assuntos
Esgotamento Profissional/etiologia , Enfermeiras e Enfermeiros/psicologia , Gestão da Segurança/normas , Identificação Social , Local de Trabalho/psicologia , Adulto , Esgotamento Profissional/complicações , Esgotamento Profissional/psicologia , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Erros Médicos/psicologia , Erros Médicos/estatística & dados numéricos , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Cultura Organizacional , Segurança do Paciente/estatística & dados numéricos , Análise de Regressão , Gestão da Segurança/estatística & dados numéricos , Inquéritos e Questionários , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
12.
J Evid Based Soc Work (2019) ; 17(5): 514-526, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32573377

RESUMO

This study aims to conceptualize the key stakeholders in emergency management of childcare facilities for applicable nations by referring to the Korean case. Qualitative content analysis is the main methodology used. Unique features are gathered from the Korean literature on childcare facilities and then summarized; however, universal principles from the English language literature on international childcare facilities are emphasized. The analysis of five major stakeholders in Korean childcare facilities, namely, governments, community personnel, parents, childcare providers, and children, shows that their current efforts are directed only at general safety management. Multi-hazard management or an integrated approach in terms of social work is thus provided as an alternative for not only Korea but also other nations.


Assuntos
Prevenção de Acidentes/normas , Creches/organização & administração , Creches/estatística & dados numéricos , Guias como Assunto , Gestão da Segurança/organização & administração , Gestão da Segurança/estatística & dados numéricos , Prevenção de Acidentes/estatística & dados numéricos , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , República da Coreia
13.
BMC Public Health ; 20(1): 808, 2020 May 29.
Artigo em Inglês | MEDLINE | ID: mdl-32471469

RESUMO

BACKGROUND: Intimate partner violence (IPV) is a leading threat to women's health and safety globally. Women in abusive relationships make critical decisions about safety and harm reduction while weighing multiple competing priorities, such as safety of children, housing and employment. In many low- and middle-income countries (LMIC), IPV prevention and response services are limited and women lack access to safety planning resources. In high-resource settings, an interactive safety decision aid app (myPlan) has been found valuable in reducing decisional conflict and empowering women to take action in accordance with their safety priorities. This paper describes 1) the community-participatory formative process used to adapt the myPlan app content, interface, and implementation for the Kenya context, and 2) the randomized clinical trial study protocol for efficacy evaluation of myPlan Kenya. METHODS: A community-participatory formative process engaged service providers and stakeholders, as well as IPV survivors for adaptation, followed by an in-depth pilot and final refinements. A randomized clinical trial design will then be used to determine efficacy of the myPlan Kenya app compared to standard care among women reporting IPV or fear of partner and living in an urban settlement. myPlan Kenya app provides and solicits information on a) relationship health; b) safety priorities; and c) severity of relationship violence. Based on the woman's inputs, the evidence-based algorithm developed for myPlan Kenya generates a tailored safety plan. Outcome measures are assessed at baseline, immediate post-intervention, and 3-month post-baseline. Difference-in-differences analysis compares primary (e.g. safety preparedness, safety behavior, IPV), and secondary outcomes (e.g. resilience, mental health, service utilization, self-blame) across timepoints by group. DISCUSSION: Formative phase revealed high feasibility and acceptability of a technology-based intervention for safety planning in this LMIC setting. This phase generated essential refinements to myPlan Kenya app readability, content and implementation, including increased visualization of messaging, and implementation via community health volunteers (CHVs). The resulting trial will be the first to evaluate efficacy of a community-partnered technology-based IPV intervention in a LMIC. Our adaptation process and trial results will inform researchers and interventionists to integrate multiple data sources to adapt IPV intervention content and interface in settings where technology-based interventions for IPV are novel and literacy is limited. TRIAL REGISTRATION: Pan African Clinical Trial Registry approval received 25 April 2018 (PACTR201804003321122); retrospectively registered.


Assuntos
Técnicas de Apoio para a Decisão , Países em Desenvolvimento/estatística & dados numéricos , Violência por Parceiro Íntimo/prevenção & controle , Violência por Parceiro Íntimo/estatística & dados numéricos , Aplicativos Móveis , Gestão da Segurança/métodos , Gestão da Segurança/estatística & dados numéricos , Adolescente , Adulto , Feminino , Humanos , Quênia , Adulto Jovem
14.
Bull World Health Organ ; 98(3): 206-211, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32132755

RESUMO

Problem: Rapid growth in the use of medical devices has drawn attention to gaps in the systematic monitoring of medical device-associated adverse events in India. Approach: Implementation of national regulations on medical devices started in January 2018. Supported by a nationwide network of monitoring centres, the Indian Pharmacopoeia Commission coordinates adverse event reports from manufacturers, legal representatives and patients or users. The commission follows-up and reviews reports with subject expert groups and sends recommendations on necessary action to the national regulatory authority. Local setting: Before 2015, no systematic structure was in place to collate adverse events associated with medical devices. Several reports of deaths and hospitalization due to faulty hip implants, cardiac stents and poor-quality devices prompted the health ministry to launch the materiovigilance programme. Relevant changes: From July 2015 to October 2019, the commission received 1931 adverse event reports, mostly from marketing authorization holders; 1277 were serious events. Reporting increased markedly after 2017. Cardiac stents were the most reported device (926 events; 47.95%). To encourage a culture of reporting, the commission has raised awareness about the programme among stakeholders, developed user-friendly reporting tools and guidelines, and conducted training for hospital personnel on medical device adverse event reporting. Lessons learnt: Regular training to stakeholders develops a sense of responsibility towards reporting medical device adverse events and ensures quality data reporting. Reporters must be assured that reporting adverse events does not have any legal implications for them and given acknowledgement of their role in high-quality device associated adverse event reporting.


Assuntos
Equipamentos e Provisões/efeitos adversos , Equipamentos e Provisões/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , Segurança de Equipamentos , Humanos , Índia , Notificação de Abuso , Vigilância de Produtos Comercializados , Sistema de Registros , Gestão da Segurança/legislação & jurisprudência
15.
BMJ Open Qual ; 9(1)2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32193196

RESUMO

BACKGROUND: The rapid merger in a crisis of three GP practices to incorporate the patients from a neighbouring closing surgery, led to the redesign of primary care provision. A deliberate focus on patient safety and staff engagement was maintained throughout this challenging transition to working at scale in an innovative, integrated and collaborative GP model. METHOD: 3 cycles of a staff culture tool (Safety, Communication, Organizational Reliability, Physician & Employee burn-out and Engagement) were performed at intervals of 9-12 months with structured feedback and engagement with staff after each round. The impact of different styles of feedback, the effect of specific interventions, and overall changes in safety climate and culture domains were observed in detail throughout this time period. RESULTS: Strong themes demonstrated were that: there was a general improvement in all culture domains; specific focus on teams that expressed they were struggling created the most effective outcomes; an initial lack of trust of the management structure improved; adapting and tailoring the styles of feedback was most efficacious; and burn-out scores dropped progressively. A unique observation of the rate at which different modalities of safety climate and culture change with time is demonstrated. CONCLUSION: With limited time, resources and energy, especially at times of crisis or change, the rapid and accurate identification of which domains of 'culture' and which teams required the most input at each stage of the journey is invaluable. Using this tool and prioritising patient safety, enables rapid and effective positive change to the culture and shape of expanding practices. It affirms that new models of working at scale in GP can be positively embraced with improvements in safety culture, if this is deliberately focused on and included in the transition process.


Assuntos
Instituições Associadas de Saúde/métodos , Gestão da Segurança/métodos , Atitude do Pessoal de Saúde , Medicina Geral/métodos , Medicina Geral/normas , Medicina Geral/estatística & dados numéricos , Instituições Associadas de Saúde/normas , Instituições Associadas de Saúde/estatística & dados numéricos , Humanos , Liderança , Cultura Organizacional , Gestão da Segurança/estatística & dados numéricos , Inquéritos e Questionários
16.
J Safety Res ; 72: 29-40, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32199575

RESUMO

INTRODUCTION: Among attempts that address high incidences of fatalities and injuries in coal mines, increasing attention has been paid to management commitment to complement the traditional focus on technological advances in safety management. However, more research is needed to explain the influence of perceived management commitment, with extant research drawing commonly on Griffin and Neal (2000) to focus on safety knowledge, skills, and motivation. This study draws on social cognitive theory (Bandura, 1986) to investigate psychological capital as a link between thought process and safety behavior. METHOD: This study uses survey data from 400 frontline workers in China's coal mines to test hypotheses. RESULT: Results suggest that perceived management commitment to safety correlates positively with workers' safety compliance and participation, and four constituents of psychological capital-self-efficacy, hope, optimism, and resilience-explain the influence of perceived management commitment on safety compliance and participation. Practical Applications: Findings offer both researchers and practitioners an explanation of how perceived management commitment influences safety behaviors, and clarify the roles psychological capital constituents play in explaining the influence of perceived management commitment on safety compliance and safety participation.


Assuntos
Comportamentos Relacionados com a Saúde , Gestão da Segurança/estatística & dados numéricos , Autoeficácia , Capital Social , Adulto , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
17.
J Safety Res ; 72: 75-91, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32199580

RESUMO

INTRODUCTION: Safe production is a sustainable approach to managing an organization's operations that considers the interests of both management and workers as salient stakeholders in a productive and safe workplace. A supportive culture enacts values versus only espousing them. These values-in-action are beliefs shared by both management and workers that align what should happen in performing organizational routines to be safe and be productive with what actually is done. However, the operations and safety management literature provides little guidance on which values-in-action are most important to safe production and how they work together to create a supportive culture. METHOD: The researchers conducted exploratory case studies in 10 manufacturing plants of 9 firms. The researchers compared plant managers' top-down perspectives on safety in the performance of work and workers' bottom-up experiences of the safety climate and their rates of injury on the job. Each case study used data collected from interviewing multiple managers, the administration of a climate survey to workers and the examination of the plant's injury rates over time as reported to its third party health and safety insurer. RESULTS: The researchers found that plants with four values-in-action -a commitment to safety, discipline, prevention and participation-were capable of safe production, while plants without those values were neither safe nor productive. Where culture and climate aligned lower rates of injury were experienced. DISCUSSION AND CONCLUSION: The four value-in-actions must all be present and work together in a self-reinforcing manner to engage workers and managers in achieving safe production. Practical application: Managers of both operations and safety functions do impact safety outcomes such as reducing injuries by creating a participatory environment that encourage learning that improves both safety and production routines.


Assuntos
Saúde do Trabalhador/estatística & dados numéricos , Cultura Organizacional , Gestão da Segurança/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Humanos , Inquéritos e Questionários
18.
PLoS One ; 15(1): e0227609, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31935238

RESUMO

In order to quantitatively analyze the influence of different traffic conditions on highway crash risk, a method of crash risk assessment based on traffic safety state division is proposed in this paper. Firstly, the highway crash data and corresponding traffic data of upstream and downstream are extracted and processed by using the matched case-control method to exclude the influence of other factors on the model. Secondly, considering the weight of traffic volume, speed and occupancy, a multi-parameter fusion cluster method is applied to divide traffic safety state. In addition, the quantitative relationship between different traffic states and highway crash risk is analyzed by using Bayesian conditional logistic regression model. Finally, the results of case study show that different traffic safety conditions are in different crash risk levels. The highway traffic management department can improve the safety risk management level by focusing on the prevention and control of high-risk traffic safety conditions.


Assuntos
Acidentes de Trânsito/prevenção & controle , Medição de Risco/métodos , Acidentes de Trânsito/estatística & dados numéricos , Condução de Veículo/estatística & dados numéricos , Teorema de Bayes , Planejamento Ambiental , Humanos , Modelos Logísticos , Medição de Risco/estatística & dados numéricos , Segurança , Gestão da Segurança/estatística & dados numéricos
19.
J Nurs Manag ; 28(1): 112-119, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31733087

RESUMO

AIM: To explore leading nurses' work values and their effect on the safety climate in neonatal intensive care units (NICUs). BACKGROUND: Despite their significance for behaviour, the work values of leading nurses are still insufficiently studied. We explore the impact of work value dimensions (self-transcendence, self-enhancement, conservation, and openness to change) on the safety climate. METHODS: A cross-sectional study was conducted in 86 German NICUs between September 2015 and August 2016. Our analyses relate questionnaire data from 75 leading nurses to the shared perceptions regarding safety among their team members (n = 1,277). We used fractional response modelling to identify important work values. RESULTS: The analysis showed differences between the dimensions of work values and their association with the safety climate. A significant positive association was found between the work value dimension self-transcendence (including the work values relationships with others and altruism) and safety climate (ß = 0.255, p = .001). A large team size has a negative impact on the safety climate. CONCLUSION: The findings indicate that the leading nurse's score on self-transcendence is positively related to the safety climate. IMPLICATIONS FOR NURSING MANAGEMENT: The results demonstrate that it might be useful to consider work values in the selection of nurse leaders.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Gestão da Segurança/normas , Valores Sociais , Engajamento no Trabalho , Adulto , Atitude do Pessoal de Saúde , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Alemanha , Humanos , Unidades de Terapia Intensiva Neonatal/organização & administração , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Cultura Organizacional , Equipe de Assistência ao Paciente , Psicometria/instrumentação , Psicometria/métodos , Gestão da Segurança/estatística & dados numéricos , Inquéritos e Questionários
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