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1.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(11): 1376-1380, 2019 Nov 10.
Artigo em Chinês | MEDLINE | ID: mdl-31838807

RESUMO

Objective: To establish the model of the self-confidence, motivation and authoritative advice factors influencing the use of child restraint and use structural equation model to test it to provide scientific basis for promoting the advocacy of use of child restraint. Methods: Using multi-stage cluster random sampling method, 9 112 parents from the family with one or more private cars and 0-6 years old children in Shanghai and Shenzhen were investigated about the use of child restraint. A theoretical model of the self-confidence, motivation and authoritative advice factors influencing the use of child restraint was constructed. The theoretical model was validated and quantitatively analyzed by structural equation model. Results: The overall model accords with the expected theoretical model, and the goodness of model fit was fine. The indicators had met the standard. RMSEA=0.03, CFI=0.97. The standardization coefficients of each route showed statistical significance (P<0.05). The standardization coefficients of the influence of authoritative suggestions and motives on self-confidence were 0.45 and 0.30 respectively, and the standardization coefficients of the influence of self-confidence on the use of child restraint was 0.40. The standardization coefficient of the influence of authoritative suggestions on motivation was 0.61. Conclusions: In the advocacy of the use of child restraint, we should attach importance to the use of recommendations from experts and organizations with professional authority, good credibility and public welfare. We should take the status of children's road traffic safety and the mechanism of the role of child restraint as one of the key points of propaganda.


Assuntos
Acidentes de Trânsito/prevenção & controle , Sistemas de Proteção para Crianças , Motivação , Pais/psicologia , Gestão da Segurança/métodos , Autoimagem , Automóveis , Criança , Pré-Escolar , China , Feminino , Humanos , Lactente , Recém-Nascido , Gravidez , Cintos de Segurança/estatística & dados numéricos
2.
J Nurs Adm ; 49(11): 525-530, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651611

RESUMO

Healthcare workplace violence is a growing concern among nurses; however, nurse administrators and managers may not be fully aware of the level, frequency, or extent of the trauma that staff nurses experience. This information gap is influenced by nurses' failure to report violent incidents, their belief that they are expected to care for violent/assaultive patients, time required for extensive documentation about these incidents, and perceptions that minimal follow-up to mitigate future episodes will occur. This article describes the evidence-based structures, processes, and practices supported to minimize organizational risk and protect nurses and other staff from being physically or emotionally injured and/or traumatized in the workplace.


Assuntos
Guias como Assunto , Recursos Humanos de Enfermagem no Hospital/psicologia , Gestão da Segurança/métodos , Gestão da Segurança/normas , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
4.
Accid Anal Prev ; 133: 105290, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31585230

RESUMO

Highway operations are marred with inherent risks of injury or death, making risk management critical for ensuring the adequate safety of the people involved. This paper investigates the interaction between various highway safety risk factors and effective risk mitigation strategies related to such interaction. The Covariate-Balanced Determinant Detector (CBDD) technique is used to estimate the quantity of both individual and combined risks, and their effect on highway operations safety. Through this technique, the most dangerous risk combinations have been identified and corresponding risk mitigation scenarios have been developed. The results illustrate that the most dangerous scenarios probably result from the interactive effect of risk factors rather than individual factors, and the effect of mitigation strategies should be evaluated in response to a risk scenario before it is implemented.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Traumatismos Ocupacionais/prevenção & controle , Gestão da Segurança/métodos , Acidentes de Trânsito/prevenção & controle , Ambiente Construído/normas , Humanos , Traumatismos Ocupacionais/epidemiologia , Medição de Risco/métodos , Fatores de Risco
5.
Accid Anal Prev ; 133: 105295, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31590093

RESUMO

This formative study investigates the utility of the social norms approach (SNA) and self-determination theory (SDT) in framing safe bicycling messages with the goal of increasing intention to use bicycle lanes on a university campus. In Study 1, observational data showed that the majority of campus bicyclists did not use designated bike lanes while cycling; thus, intention to use bicycle lanes was chosen as the dependent variable for Study 2. Survey data (n = 168) collected from college students measured SNA and SDT constructs related to intention to use bicycle lanes, including descriptive norms, injunctive norms, autonomy, competence, and relatedness. Results indicate that different aspects of both the SNA and SDT are viable approaches for developing bicycle safety campaign messages, as competence, relatedness, and injunctive norms were significant predictors of intention to use bicycle lanes. Implications for the development of campaign messages are discussed, and information is presented to assist other groups so they can use the same process to develop relevant campaign messages.


Assuntos
Ciclismo/psicologia , Gestão da Segurança/métodos , Ciclismo/estatística & dados numéricos , Feminino , Humanos , Intenção , Masculino , Autonomia Pessoal , Normas Sociais , Estudantes/psicologia , Inquéritos e Questionários , Universidades , Adulto Jovem
7.
J Athl Train ; 54(8): 843-851, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31536387

RESUMO

The Second Safety in College Football Summit resulted in interassociation consensus recommendations for three paramount safety issues in collegiate athletics: (1) independent medical care for collegiate athletes; (2) diagnosis and management of sport-related concussion; and (3) year-round football practice contact for collegiate athletes. This document, the fourth arising from the 2016 event, addresses the prevention of catastrophic injury, including traumatic and non-traumatic death, in collegiate athletes. The final recommendations in this document are the result of presentations and discussions on key items that occurred at the summit. After those presentations and discussions, endorsing organisation representatives agreed on 18 foundational statements that became the basis for this consensus paper that has been subsequently reviewed by relevant stakeholders and endorsing organisations. This is the final endorsed document for preventing catastrophic injury and death in collegiate athletes. This document is divided into the following components. (1) Background-this section provides an overview of catastrophic injury and death in collegiate athletes. (2) Interassociation recommendations: preventing catastrophic injury and death in collegiate athletes-this section provides the final recommendations of the medical organisations for preventing catastrophic injuries in collegiate athletes. (3) Interassociation recommendations: checklist-this section provides a checklist for each member school. The checklist statements stem from foundational statements voted on by representatives of medical organisations during the summit, and they serve as the primary vehicle for each member school to implement the prevention recommendations. (4) References-this section provides the relevant references for this document. (5) Appendices-this section lists the foundational statements, agenda, summit attendees and medical organisations that endorsed this document.


Assuntos
Traumatismos em Atletas , Gestão da Segurança , Medicina Esportiva , Universidades/normas , Traumatismos em Atletas/classificação , Traumatismos em Atletas/prevenção & controle , Consenso , Humanos , Gestão da Segurança/métodos , Gestão da Segurança/organização & administração , Medicina Esportiva/métodos , Medicina Esportiva/normas , Estudantes , Estados Unidos
8.
Artigo em Inglês | MEDLINE | ID: mdl-31547245

RESUMO

New drug safety issues are emerging that are beyond the existing medication safety management system. To pre-empt these problems, forecasting future drug safety trends and issues is a necessity. The objective of this study was to identify issues and future trends impacting drug safety using foresight methodologies. The study started by identifying global megatrends, trends in safety management of medicines, and key issues in drug safety. A total of 25 global megatrends were selected by extracting and clustering keywords from 26 reports concerning the future. Using the text-mining method, 10 trends in drug safety were identified from 3593 news articles. This study derived 60 issues which can arise from the trends, and finally, the 20 key issues with the highest urgency and impact scores were selected. Some examples of issues with high scores were as follows: illegal distribution of medicines, lack of technology for managing and utilizing big data, change in the pharmaceutical trade environment, lack of education and safety management for specific populations, lack of artificial intelligence-based technology for the safety management of medicines, and the prevalence of drug advertisements through social network services. The key issues could be used to establish plans for medication safety management.


Assuntos
Rotulagem de Medicamentos/métodos , Rotulagem de Medicamentos/normas , Guias como Assunto , Medicamentos sob Prescrição/normas , Gestão da Segurança/métodos , Gestão da Segurança/tendências , Previsões , Humanos , República da Coreia
9.
J Athl Train ; 54(8): 852-857, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31415183

RESUMO

OBJECTIVE: To assist sideline medical staff and to augment detection of concussion in National Football League (NFL) players during preseason and regular season games via the use of certified athletic trainer (ATC) spotters. BACKGROUND: Detecting concussive injuries in contact-sport athletes can be a challenging task for health care providers on the sideline. Over the past 8 years, professional sport leagues have begun to use additional sets of eyes (medical spotters along with video review) to help identify athletes with possible concussive injuries. DESCRIPTION: The NFL first began a program using spotters in 2011, and the ATC Spotter Program has undergone systematic enhancements each year. This article describes the evolution of the ATC Spotter Program, the requirements and training of its participants, and the program data available to date. Directions for future improvement and research are addressed. CLINICAL ADVANTAGES: The use of ATC spotters stationed in the broadcast booth has enhanced the real-time detection of concussed players in the NFL.


Assuntos
Traumatismos em Atletas/diagnóstico , Concussão Encefálica/diagnóstico , Futebol Americano/lesões , Gestão da Segurança , Traumatismos em Atletas/etiologia , Concussão Encefálica/etiologia , Humanos , Desenvolvimento de Programas , Melhoria de Qualidade , Segurança , Gestão da Segurança/métodos , Gestão da Segurança/organização & administração , Estados Unidos
10.
Br J Nurs ; 28(15): 1030-1031, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31393756

RESUMO

Emeritus Professor Alan Glasper, University of Southampton, discusses a new NHS Improvement strategy that aims to enable the health service to continuously improve patient safety.


Assuntos
Segurança do Paciente , Gestão da Segurança/métodos , Medicina Estatal/organização & administração , Humanos , Reino Unido
11.
Cancer Radiother ; 23(6-7): 510-516, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31447341

RESUMO

The increasing complexity of radiotherapy work situations (technological developments, dynamics of change, increased constraints, evolution of collective actions, of professions, of interfaces between people, of human-machine interfaces, etc.) and the limits of traditional FMEA method (Failure Mode and Effects Analysis) for analysing the risks incurred by radiotherapy patients generate difficulties in identifying how the work situations of a healthcare team can generate risky situations for patients. This observation has led us to develop a new method of risk analysis: the Work Complexity Sharing and Exploration Spaces (EPECT in French). The objective of this article is to better secure a care process (making practices more reliable, updating prescribed work, defining preventive and corrective measures, continuing reflections) based on an understanding of the complexity of radiotherapy work situations and a change in our way of thinking about risks.


Assuntos
Análise do Modo e do Efeito de Falhas na Assistência à Saúde/métodos , Radioterapia/efeitos adversos , Gestão da Segurança/métodos , Análise de Sistemas , Terminologia como Assunto , Humanos , Relações Interpessoais , Sistemas Homem-Máquina , Pesquisa Operacional , Objetivos Organizacionais , Segurança do Paciente , Radioterapia/métodos , Radioterapia/tendências , Medição de Risco
12.
Aerosp Med Hum Perform ; 90(9): 792-799, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31426895

RESUMO

INTRODUCTION: Adverse weather and poor visual cues are common elements in night-time Helicopter Emergency Medical Service (HEMS) operations contributing to spatial disorientation and fatal accidents. Pilots are required to make weather-related preflight risk assessments to accept or reject a flight. This study's aim was to develop predictive risk assessment tools based on historical accident data to assist the decision-making process.METHODS: We analyzed 32 single-pilot HEMS night-time visual flight rules fatal accidents to identify contributory risk factors. Logistic regression analysis was used to develop prediction nomograms for nonvisual meteorological conditions (non-VMC), cause and nonsurvivable accidents as dependent variables. Risk factors such as temperature dew point spread, elevation difference, and years of HEMS pilot experience, were entered as continuous variables. Flight crew composition, pilot DTE (domain task experience) and flight rule capability, primary missions, and temperature dew point spread were entered as categorical variables. A point scoring matrix transposed model probability to likelihood and consequence severity.RESULTS: The nomograms correctly predicted the likelihood of entering non-VMC, accident cause, and sustaining a nonsurvivable accident in 75%, 55%, and 94% of cases, respectively. Using data from a recent nonsurvivable HEMS accident, the nomogram estimated a 92% probability (Very Likely) of nonsurvivable accident if visual cues were lost.CONCLUSION: These nomograms can provide preflight information to predict the likelihood of adverse safety outcomes occurring during a planned HEMS mission. While further development work is needed, this approach has the potential to improve HEMS operational safety.Aherne BB, Zhang C, Chen WS, Newman DG. Preflight risk assessment for improved safety in Helicopter Emergency Medical Service operations. Aerosp Med Hum Perform. 2019; 90(9):792-799.


Assuntos
Acidentes Aeronáuticos/prevenção & controle , Resgate Aéreo/organização & administração , Tomada de Decisões , Pilotos/psicologia , Gestão da Segurança/métodos , Acidentes Aeronáuticos/mortalidade , Medicina Aeroespacial , Aeronaves , Temperatura Baixa , Sinais (Psicologia) , Humanos , Nomogramas , Estudos Retrospectivos , Medição de Risco/métodos , Fatores de Risco , Fatores de Tempo , Tempo (Meteorologia)
13.
J Nurs Adm ; 49(9): 441-446, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436743

RESUMO

OBJECTIVE: This study uses Leader-Member Exchange theory to explore the associations between contact frequency (CF) of nurse leaders and their team members, leader-member relationship, and patient safety culture. BACKGROUND: Leader-member relationships are an important part of patient safety culture development. The behaviors of leaders to achieve these relationships are unknown. This study explores CF as a leader behavior to improve patient safety culture. METHODS: Cross-sectional survey of bedside nurses (N = 746) from an 8-hospital system. RESULTS: A significant association was found between relationship strength and patient safety culture; CF's effect on relationship and patient safety culture was demonstrated. CONCLUSION: Contact frequency may support relationships between leaders and members and improve patient safety culture on nursing units. Future studies should explore factors that could be enhancing and limiting CF.


Assuntos
Atitude do Pessoal de Saúde , Relações Interprofissionais , Enfermeiras Administradoras/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Segurança do Paciente/normas , Gestão da Segurança/métodos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Adulto Jovem
14.
Artigo em Inglês | MEDLINE | ID: mdl-31382352

RESUMO

An improved accident causation model which demonstrates the relationships among different causal factors was proposed in this study. It provides a pathway for accident analysis from the individual level to the organizational level. Unsafe acts and conditions determined by individuals' poor safety knowledge, low safety awareness, bad safety habits, etc. are the immediate causes of an accident. Deficiencies in safety management systems and safety culture remain the root causes, which can cause consequences at the individual level. Moreover, the weaknesses of an organization's safety culture can have a great impact on the formation of a good safety climate and can further lead to poor decision-making and implementation of procedures in the safety management system. In order to contribute to a better perception and understanding of the accident causation model, one typical case in the process industry, the oil leak and explosion of the Sinopec Donghuang pipelines, was selected for this study. The causality from immediate causes to root causes is demonstrated in sequence and can be shown in this model explicitly and logically. Several important lessons are summarized from the results and targeted measures can be taken to avoid similar mistakes in the future. This model provides a clear and resourceful method for the safety and risk practitioner's toolkit in accident investigation and analysis, and the organization can use it as a tool to conduct staff trainings and thus to keep accidents under control.


Assuntos
Acidentes , Modelos Organizacionais , Humanos , Indústrias , Gestão da Segurança/métodos
15.
Artigo em Inglês | MEDLINE | ID: mdl-31323952

RESUMO

BACKGROUND: All objects put into a child's mouth could be hazardous in terms of trauma and toxic substance exposure. The aims of this study were to evaluate morphological characteristics of the primary teeth bite marks inflicted on various materials and to assess material wear using experimental model. METHODS: Bite marks were analyzed on five materials: rubber, plastic, foil, wood, and silicone. In order to mimic children mouthing behavior an experimental setup has been designed using primary teeth placed in dentures and children's equipment specimens. RESULTS: Deciduous teeth make visible and recognizable traces when using physiological forces on all investigated materials. The most significant material loss was revealed in silicone samples, but it has been observed in all material groups, while mouthing with incisors using higher mastication forces were identified as significant predictors for material wear. There were no significant differences between type, species, and morphological-morphometric characteristics of the bite marks which are made by incisors, canines, and molars. CONCLUSIONS: In the range of physiological bite forces, deciduous teeth lead to wear of material from which toys are made while the analysis of bite marks in children equipment could give some information regarding the risk of trauma and exposure.


Assuntos
Força de Mordida , Mordeduras Humanas , Técnica de Moldagem Odontológica , Odontologia Legal/métodos , Medição de Risco/métodos , Gestão da Segurança/métodos , Dente Decíduo , Criança , Pré-Escolar , Feminino , Humanos , Masculino
16.
Br J Nurs ; 28(14): 948-949, 2019 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-31348706

RESUMO

John Tingle discusses the new NHS patient safety strategy launched early this month.


Assuntos
Segurança do Paciente , Gestão da Segurança/métodos , Medicina Estatal/organização & administração , Humanos , Reino Unido
17.
Rev Col Bras Cir ; 46(3): e20192197, 2019 Jul 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31291434

RESUMO

This article proposes the use of a safe surgical checklist in the teaching of the discipline of Ambulatory Surgery during medical graduation. It discusses its benefits and potential implementation and adherence difficulties. It underscores the importance of developing a patient safety culture and active learning methodologies to train students for greater commitment and accountability with the quality of care provided to the community in the academic outpatient clinic of the school hospital.


Assuntos
Procedimentos Cirúrgicos Ambulatórios/normas , Lista de Checagem/normas , Educação Médica/normas , Cuidados Pré-Operatórios/normas , Gestão da Segurança/normas , Procedimentos Cirúrgicos Ambulatórios/educação , Lista de Checagem/instrumentação , Educação Médica/métodos , Humanos , Erros Médicos/prevenção & controle , Segurança do Paciente , Cuidados Pré-Operatórios/educação , Gestão da Segurança/métodos , Materiais de Ensino
18.
J Community Health Nurs ; 36(3): 115-123, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31291773

RESUMO

Carbon monoxide (CO) poisoning is preventable yet remains the most common cause of U.S. non-drug poisoning. The purpose of this non-experimental study was to develop and evaluate the theory-based CO Blitz Model. Events targeted five SC communities; volunteers provided education while local firefighters installed CO alarms. At the 4-6-month follow-up evaluation, all homes still had a functioning CO alarm; most recipients could name CO sources in their homes (78%) and what to do if the alarm sounded (90%). The theory-driven process evaluation revealed the CO Blitz Model was tailorable and effective in addressing unique community resources and needs.


Assuntos
Intoxicação por Monóxido de Carbono/prevenção & controle , Gestão da Segurança/métodos , Intoxicação por Monóxido de Carbono/mortalidade , Bombeiros , Humanos , Modelos Teóricos , Equipamentos de Proteção , South Carolina
19.
Work ; 63(3): 405-413, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282451

RESUMO

BACKGROUND: Improving Occupational Health and Safety performance has become a challenge for industry, because investing in technology, equipment, or robust management systems has not been enough to prevent accidents in the workplace. With the expansion of commercial relations and the intensification of competitiveness in the global market, leadership is essential to prevention. OBJECTIVE: Evaluate leadership in occupational safety through a case study. METHODS: The leadership training methodology "The seven steps of leadership and worker involvement" was adapted and applied. Data collection was conducted through the application of diagnosis, training, and monitoring of the evolution of the leadership performance in the management of occupational safety via structured interviews, monitoring of accidents and statistical analysis of the data. RESULTS: Research has shown that assertive leadership behavior positively influences performance in the management of occupational safety and the results of this case study showed a reduction in accidents with injuries of more than 50%. CONCLUSIONS: Evidence shows that there is a correlation between safety leadership behavior and the reduction in the occurrence of accidents.


Assuntos
Liderança , Saúde do Trabalhador/normas , Gestão da Segurança/normas , Local de Trabalho/psicologia , Humanos , Gestão da Segurança/métodos , Local de Trabalho/normas
20.
Rev Bras Enferm ; 72(3): 707-714, 2019 Jun 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269136

RESUMO

OBJECTIVE: to analyze patient safety incidents identified by caregivers of hospitalized children. METHOD: a qualitative, exploratory-descriptive study was carried out with 40 caregivers of children hospitalized in three hospital institutions in the city of Porto Alegre, Rio Grande do Sul State, Brazil, from April to December 2016. Semi-structured, recorded and transcribed interviews were carried out in their entirety, submitted to a thematic analysis using the NVivo 11.0 software. RESULTS: reports related to falls, infant feeding, patient/caregiver identification, medication process, communication, hand hygiene and hygiene of the hospital environment, spread of diseases, relations between caregivers and professionals and care processes/procedures were all cited. FINAL CONSIDERATIONS: communication and the relations among caregivers and professionals are the main contributory factors for patient safety incidents, interfering with the quality of care. The participation of caregivers and engagement in child care may be strategies to be developed to promote a safety culture.


Assuntos
Cuidadores/psicologia , Segurança do Paciente/normas , Brasil , Criança , Criança Hospitalizada/psicologia , Pré-Escolar , Hospitalização , Humanos , Entrevistas como Assunto/métodos , Pesquisa Qualitativa , Gestão de Riscos/métodos , Gestão de Riscos/tendências , Gestão da Segurança/métodos
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