Factors Affecting Nursing Surveillance Activity among Clinical Nurses.

Nursing surveillance is a defense mechanism that protects patients from adverse events, as it is a systematic process that contributes to nurses' detection of and intervention in dangerous situations. This descriptive cross-sectional study examined the degree of nursing surveillance activity performed by clinical nurses, nurses' perceived importance of nursing surveillance, and their perception of patient safety culture. The study aimed to identify the predictors of nursing surveillance activity. Participants included 205 clinical nurses from two secondary hospitals and two tertiary hospitals in Changwon-si and Cheongju-si, South Korea, who had at least one year of clinical experience. Nursing surveillance activity was high among nurses who were assigned fewer than 1.88 patients, who worked in a tertiary hospital, and those who scored 7.0 or higher in nurses' perceived expertise. Nursing surveillance activity was significantly positively correlated with nurses' perceived importance of nursing surveillance and patient safety culture. A hierarchical multiple regression analysis was performed to identify the predictors of nursing surveillance activity. Nurses' perceived expertise, perceived importance of nursing surveillance, patient safety culture, and type of hospital explained 65.3% of the variance of nursing surveillance activity. This study is significant as it provides an assessment of the extent and key predictors of nursing surveillance activity.

Incident notification and patient safety in times of a pandemic

Objective: To review notification of incidents that occurred during the COVID-19 pandemic. Methods: This is a cross-sectional, exploratory descriptive quantitative study. A total of 1,466 notifications to risk management of a private hospital were analyzed from September 2020 to September 2021. Descriptive statistical analysis was used, applying Pearson's chi-square test or the likelihood ratio test. The margin of error used was 5%. Results: Communication failure (358 -24.5%), probe and catheter use failure (232 -15.9%) and article and equipment use failure (132 -9.1%) were identified as prevalent incidents. The notifiable circumstance totaled 55.9% of reports, and, of these, 33.4% were communication failure. Adverse events were 416 (28.6%), and fall was related to mild damage (43.9%), health care-associated infections, to moderate harm (31%), and medication use failure (50%), to severe harm and death. Conclusion: Communication failure was the most reported risk circumstance, followed by medication use failure as an adverse event with severe harm. The nursing unit showed the possibility of a greater number of adverse events, while in Intensive Care Units, the degree of harm from adverse events was higher.

Understanding Safety Management Practices and Safety Performance amid Coronavirus (Covid-19) Pandemic among Nurses in Public Hospitals

The study aims to examine the role of safety management practices and safety performance among nurses working in public hospitals amid the Coronavirus (Covid-19) pandemic in Nigeria. Self-administered questionnaires were distributed for data collection and a total of 229 nursing staff from the public health facilities in Abuja, Nigeria participated in the study. The results demonstrated that the level of safety performance was moderately high. These findings support the influence of management commitment on safety, safety training, and employees' involvement on safety compliance. It was also found that management commitment to safety, safety training, and safety promotion policies posed significant effects on safety participation. This study provides empirical support for the assertion that safety management practices are of paramount importance in improving safety performance among nurses in public hospitals, especially during the Covid-19 Pandemic.

Optimal Deployment of Cordon Sanitaire with Available Testing Capacity

During the COVID-19 pandemic, authorities in many places have implemented various countermeasures, including setting up a cordon sanitaire to restrict population movement. This paper proposes a bi-level programming model to deploy a limited number of parallel checkpoints at each entry link around the cordon sanitaire to achieve a minimum total waiting time for all travelers. At the lower level, it is a transportation network equilibrium with queuing for a fixed travel demand and given road network. The feedback process between trip distribution and trip assignment results in the predicted waiting time and traffic flow for each entry link. For the lower-level model, the method of successive averages is used to achieve a network equilibrium with queuing for any given allocation decision from the upper level, and the reduced gradient algorithm is used for traffic assignment with queuing. At the upper level, it is a queuing network optimization model. The objective is the minimization of the system's total waiting time, which can be derived from the predicted traffic flow and queuing delay time at each entry link from the lower-level model. Since it is a nonlinear integer programming problem that is hard to solve, a genetic algorithm with elite strategy is designed. An experimental study using the Nguyen-Dupuis road network shows that the proposed methods effectively find a good heuristic optimal solution. Together with the findings from two additional sensitivity tests, the proposed methods are beneficial for policymakers to determine the optimal deployment of cordon sanitaire given limited resources. © National Academy of Sciences: Transportation Research Board 2021.

Analysis of Road Transport Response to COVID-19 Pandemic in Nigeria and its Policy Implications.

The COVID-19 pandemic presents a serious global health challenge to humanity in recent times. It has caused fundamental disruptions to the global transportation system, supply chains, and trade. The impact on the transport sector resulting from lockdowns has led to huge losses in revenue. At the moment there are limited studies of the road transport sector response to the COVID-19 pandemic. This paper fills this gap using Nigeria as a case study area. A mixed method involving both qualitative and quantitative research was employed. Principal Component Analysis and Multiple Criteria Analysis were used to analyze the data. The results suggest that road transport operators strongly (90.7%) believe that 51 adopted new technologies/innovations, processes, and procedures will keep them and passengers safe from the COVID-19 pandemic in Nigeria. A breakdown shows that observing the lockdown directive is perceived by road transport operators as the most effective response to the pandemic. The breakdown continues in descending order thus: COVID-19 safety protocols, environmental sanitation, and promotion of hygiene, information technology, facemask, and social distancing. Others are public enlightenment, palliative, inclusion, and mass media. This indicates that non-pharmaceutical measures are very effective in the fight against the pandemic. This finding leverages support for the application of non-pharmaceutical guidelines in containing the COVID-19 pandemic in Nigeria.

Bioprotection of Transportation and Facilities from SARS-CoV-2 (COVID-19).

The recent COVID-19 pandemic has led to a nearly world-wide shelter-in-place strategy. This raises several natural concerns about the safe relaxing of current restrictions. This article focuses on the design and operation of heating ventilation and air conditioning (HVAC) systems in the context of transportation. Do HVAC systems have a role in limiting viral spread? During shelter-in-place, can the HVAC system in a dwelling or a vehicle help limit spread of the virus? After the shelter-in-place strategy ends, can typical workplace and transportation HVAC systems limit spread of the virus? This article directly addresses these and other questions. In addition, it also summarizes simplifying assumptions needed to make meaningful predictions. This article derives new results using transform methods first given in Ginsberg and Bui. These new results describe viral spread through an HVAC system and estimate the aggregate dose of virus inhaled by an uninfected building or vehicle occupant when an infected occupant is present within the same building or vehicle. Central to these results is the derivation of a quantity called the "protection factor"-a term-of-art borrowed from the design of gas masks. Older results that rely on numerical approximations to these differential equations have long been lab validated. This article gives the exact solutions in fixed infrastructure for the first time. These solutions, therefore, retain the same lab validation of the older methods of approximation. Further, these exact solutions yield valuable insights into HVAC systems used in transportation.

CULTURE TRANSFORMATION - ENCULTURATION TO ACCULTURATION

Enculturation is learning the culture you grow up in and Acculturation is learning a culture different from that in which you grew up. The situation becomes more challenging when you are doing business in a developing country having low literacy rate and high cultural & language barriers. This paper describes the cultural transformation, behavioral systems and improvement initiatives Fatima Fertilizers Limited (FFL) has successfully implemented in past 9 years to improve the safety culture dimensions and to ensure compliance with standards. This resulted in improvement of FFL safety records to world class level. It will also describe the details of implementation process and maturing steps of systems on Behavioral/Cultural aspects and elements such as Process Safety Leadership & Engagement Program, Management Safety Audit Program, Perception Surveys, Operational Discipline & Excellence, Field vigilance & Area audits Program, Line Management Responsibility, Observation Reporting, Analysis & Action Plans and Contractor Safety Management Program etc which resulted in achievement of such remarkable results. The paper also includes the Organizations' vision & future plans on sustaining and further improving process safety culture as per changing & challenging scenarios across the globe especially post COVID-19. © 2022 AIChE Spring Meeting and 18th Global Congress on Process Safety, GCPS 2022. All rights reserved.

Give full play to the role of pharmacists in the safety management of direct oral anticoagulants.

Direct oral anticoagulants (DOACs) are recommended as first-line therapy in patients with atrial fibrillation and venous thromboembolic diseases in relevant guidelines at home and abroad. Compared with warfarin, DOACs have relatively fixed dose, fewer drug interactions, and no need of routine therapeutic drug monitoring in clinic. DOACs bring much convenience to anticoagulant therapy, but they also raise a series of new medication safety challenges. Pharmacists should ensure the safe use of DOAC through improving corresponding pharmaceutical care mechanism, such as assisting doctors to improve the suitability of dose in prescription, standardizing laboratory monitoring process, setting up early warning of potential drug interaction, and strengthening anticoagulant conversion and perioperative anticoagulant therapy management. In the post-coronavirus disease 2019 era, incorporating DOACs into the standardized manage- ment at anticoagulation clinics is an important work extension of the traditional anticoagulation clinics and may reduce the risk of exposure to the novel coronavirus. In addition, considering the limit in labour and work energy of clinical pharmacists, the application of DOAC-related clinical decision support system may help improve the appropriateness of prescription and reduce the adverse drug events.Copyright © 2020 Chinese Medical Journals Publishing House Co.Ltd. All rights reserved.

The Next Chapter in Global Compliance Auditing

The recent COVID-19 pandemic spurred evolutionary changes to how risk management programs are executed across the globe. As companies responded to the effects the virus had on their operations, they also had to continue their compliance verifications despite the inability of audit teams to visit sites for a first-hand evaluation of program status. Audit teams were driven to innovate to accomplish their mission. This metamorphosis has forever changed the process by which compliance auditing is conducted. These methodologies continue to evolve as the pandemic endures. This article will discuss the author's views of advancements in compliance auditing as a direct result of the pandemic. It will feature tools that have been developed, including planning tips, audit strategies, auditor utilization, and various concepts that audit teams can employ. The author will explain how she believes these aspects will affect the future of post-pandemic compliance auditing, particularly focusing on auditing for Process Safety Management (PSM) system requirements. © 2022 AIChE Spring Meeting and 18th Global Congress on Process Safety, GCPS 2022. All rights reserved.

Water safety management during the initial phase of the Covid-19 pandemic: challenges, responses and guidance

Water safety plans address both routine operations and incident responses to support risk management in drinking water utilities. Their use and relevance in facing the challenges of the Covid-19 crisis were investigated via a survey distributed to water utilities and health or environmental agencies across the globe. Responses from 86 respondents from 38 countries were analysed to identify the water safety challenges faced and responses. Water safety plans appear to provide some preparedness and organizational advantages to utilities in facing the Covid-19 crisis, including stronger communication links between utilities and governing agencies. Guidance for future water safety planning is provided.

Psychosocial factors for safety performance of construction workers: taking stock and looking forward

PurposePsychosocial factors have received increasing attention regarding significantly influencing safety in the construction industry. This research attempts to comprehensively summarize psychosocial factors related to safety performance of construction workers. In the context of coronavirus disease 2019, some typical psychosocial factors are selected to further analyze their influence mechanism of safety performance.Design/methodology/approachFirst, a literature review process was conducted to identify and summarize relevant psychosocial factors. Then, considering the impact of the epidemic, hypotheses on the relationship between six selected psychosocial factors (i.e. work stress, role ambiguity, work–family conflict, autonomy, social support and interpersonal conflict) and safety performance were proposed, and a hypothetical model was developed based on job demands-resources theory. Finally, a meta-analysis was used to examine these hypotheses and the model.FindingsThe results showed these psychosocial factors indirectly influenced workers' safety performance by impacting on their occupational psychology condition (i.e. burnout and engagement). Work stress, role ambiguity, work–family conflict and interpersonal conflict were negatively related to safety performance by promoting burnout and affecting engagement. Autonomy and social support were positively related to safety performance by improving work engagement and reducing burnout.Originality/valueThis research is the pioneer systematically describing the overall picture of psychosocial factors related to the safety performance of construction workers. Through deeply discussed the mechanism of psychosocial factors and safety performance, it could provide a reference for the theory and application of psychosocial factors in the field of construction safety management.

The case for change: aviation worker wellbeing during the COVID 19 pandemic, and the need for an integrated health and safety culture.

The workplace is an important setting for health protection, health promotion and disease prevention. Currently, health and wellbeing approaches at an aviation organisational level are not addressing both human and safety needs. This issue has been intensified since the COVID 19 pandemic. This paper reports on the findings of a survey pertaining to aviation worker wellbeing and organisational approaches to managing wellbeing and mental health. The survey was administered at two different time periods during the COVID 19 pandemic (2020 and 2021). Collectively, feedback was obtained from over 3000 aviation workers. Survey feedback indicates that aviation workers are experiencing considerable challenges in relation to their health and wellbeing. These challenges are not being adequately addressed at an organisational level, which creates risk both from an individual and flight safety perspective. The descriptive findings of both surveys along with a regression analysis is used to make a principled case for augmenting the existing approach to managing aviation worker wellbeing (including mental health), at both an organisational and regulatory level. It is argued that aviation organisations, with the support of the regulator should implement a preventative, ethical and evidence-based strategy to managing wellbeing and mental health risk. Critically, aviation organisations need to advance and integrated health, wellbeing, and safety culture. This necessitates an alignment of human, business, and safety objectives, as articulated in concepts of corporate social responsibility (CSR) and responsible work. Critically, this approach depends on trust and the specification of appropriate protections, so that aviation workers feel safe to routinely report wellbeing levels and challenges, and their impact on operational safety.

Transforming construction health and safety management during COVID-19 pandemic using innovative technologies: PLS-SEM approach

Purpose: This study aims to investigate technology-based health and safety (H&S) management to control the spread of disease on construction sites using a partial least squares structural equation modelling (PLS-SEM) approach. Design/methodology/approach: An extensive literature review is conducted to develop a conceptual framework. The variables identified from the literature review are included in a cross-sectional survey which gathered a total of 203 valid feedback. The variables for challenges are grouped under their relevant construct using exploratory factor analysis. Then, a hypothesized model is developed for PLS-SEM analysis using Smart PLS software. Later, the outcome of the model is further validated by nine construction experts using a semi-structured questionnaire survey. Findings: The results rationalized the relationships between the COVID-19 H&S measures, challenges in implementing COVID-19 H&S measures on construction sites and the innovative technologies in transforming construction H&S management during the COVID-19 pandemic. The possible challenges that obstruct the implementation of H&S measures are highlighted. The potential technologies which can significantly transform H&S management by reducing the impact of challenges are presented. Practical implications: The findings benefited the industry practitioners who are suffering disruption in construction operations due to the pneumonic plague. Originality/value: By developing a conceptual model, this study reveals the contribution of technology-based H&S management for construction projects during the COVID-19 pandemic, which remains under-studied, especially in the context of the developing world. © 2022, Emerald Publishing Limited.

The 3D-Dynamic Fire Risk Evaluation Method of Modern Logistics Warehouses: A Modified Gustav Method.

International trade connections with COVID-19 impeding the development of the logistics industry in express delivery, the world has become an inseparable part of daily life. To improve protection competency, there is a need for effective research on logistics warehouse fire accident alarms. The goal of this study is to create a novel fire risk evaluation method for fire safety managers in logistics warehouses. The Gustav method is used to convert a plane model to a stereoscopic model. Hazards to construction, hazards to life, and fire rescue competency are all taken into account. The empirical study used JingDong Gu'an logistics park as a case study, and the evaluation results revealed differences in fire risk levels between the two warehouses. The results show that the transmit warehouse had a higher fire risk level than the sorting warehouse. The method describes the total risk of a warehouse fire. It is appropriate for the various types and processes found in modern logistics warehouses. The results of the developed 3D-Dynamic method demonstrate the model's feasibility and practicability even to laypeople with limited professional knowledge.

Study of COVID-19 Health Protocol Standards in Construction Industry of Indonesia

Due to the decrease in GNI per capita, the Indonesian government has launched its national economic recovery program in response to the COVID-19 emergency crisis, known as the New Normal and ordered to partially resume on-hold infrastructure projects followed by the implementation of a new, integrated COVID-19 health protocol. This research presents a study of health protocol standard implementation in the construction industry with the aim of formulating recommendations for minimum criteria elements that can be used for construction services companies at all levels. The domain-taxonomy analysis approach was used as the research method: the ISO/PAS 45005:2020 and ILO standards were adapted to Ministerial Regulation of PUPR No. 10 Year 2020. A gap analysis was conducted with Singapore, Malaysia, and Australia. The analysis generated four segregated main groups of elements with level-2 sub criteria. The main groups of elements were: Planning, Prevention, Handling, and Control and Evaluation. These criteria were validated and implemented in a case study of state-owned construction enterprises, here called PT. X and PT. Y, with large, qualified construction companies. From the implementation analysis it was found that PT. X and PT. Y had implemented the minimum criteria of the COVID-19 health protocol for construction workers very well. © 2022 Published by ITB Institute for Research and Community Services.

Development of safety at Prague Airport during the pandemic

The aim of the paper is to summarize the experience gained from the safety management system (SMS) of Prague Airport in the period most affected by the pandemic. The safety management system has been operational at the airport for 14 years and the last 2 have been different than the years before. The local safety processes have changed to be able to react to the new challenges, especially in the field of the human factors. Also, the safety performance of the airport has changed, as described later. The paper transforms the experience gained in this extraordinary period into a set of conclusions, recommendations, and proposed ways how to study the topic further- The results can be used by the safety managers of other airports and other aviation companies in initiatives to improve the functioning of the safety management systems in the near future, and not in the pandemic times only. No doubt the covid was the topic of the years 2020 and 2021, but aviation must think generally and get prepared for other potential disruptions than just the pandemics, say lack of energy, adverse weather like the one that tormented Istanbul Grand Airport at the beginning of 2022, geo-political crises like the one we face now, or a shortage of staff. The last mentioned is overt, as thousands of experienced employees have left airports in last two years. It is not easy to recruit them back or attract the new ones. The paper therefore touches not just the safety, but also resilience and business continuity topics. © 2022 Elsevier B.V.. All rights reserved.

Evolution of tourism risk perception: A bibliometrics analysis on multi-dimensional model

How can we establish a risk perception model and method to guide safety management has become an important issue that needs to be solved urgently in the field of tourism management. However, the solution to this issue is inseparable from the objective analysis, induction and deduction, and the analysis of the frontier trend towards the multidimensional model of tourism risk perception. In this paper, 211 articles from the Web of Science are selected as the research object, and the bibliometric analysis is applied to find: (1) Research on tourism risk perception based on multidimensional models can be divided into nascent, developmental, and mature stages;(2) The research on the multi-dimensional model of tourism risk perception has formed a group of academic groups with outstanding contributions and representative authors;(3) The research hotspots in multidimensional models of tourism risk perception focus on the comprehensive study of perceived risk, the outbreak of COVID-19, psychological risk, destination image, and behavioral intention. On this basis, this paper proposes some corresponding research suggestions to address the inadequacies of existing studies, and the research findings have significant theoretical implications for the construction of the theoretical system of tourism risk management. © 2022 The Author(s).

Incomplete pythagorean fuzzy preference relation for subway station safety management during COVID-19 pandemic.

Completing the Pythagorean fuzzy preference relations (PFPRs) based on additive consistency may exceed the defined domain. Therefore, we develop a group decision-making (GDM) method with incomplete PFPRs. Firstly, sufficient conditions for the expressibility of estimated preference values in PFPRs based on additive consistency are presented. Next, the correction algorithm is developed to correct the inexpressible elements in incomplete PFPRs. Then, a GDM method based on incomplete PFPRs is proposed to determine the objective weights of decision-makers. Finally, an example of subway station safety management during COVID-19 is selected to illustrate the applicability of the developed GDM method. The results show that the developed GDM method effectively identifies the crucial risk factor in subway station safety management and has better performance in terms of computational time complexity than the multiplicative consistency method.

Keeping Process Safety Management Intact during Global Pandemic

Process Safety Management (PSM) is the backbone of any process industry and is fundamental to its businesses, plant reliability, safe operations, employee well-being and prevention of catastrophic events. In order to grow or sustain business and be responsible for its employees' health, good organizations never compromise on the foundation of PSM in their business and operational decisions. But what if a deadly disease alters the way how organizations and systems typically work? Can we quickly adapt to such unprecedented challenges? Are we able to fulfill all requirements of a process safety management system in this extraordinary scenario? The paper will cover this topic in detail and it will shed light on the encountered challenges and tested best practices in order to maintain PSM during a global pandemic. Effects of a pandemic on key important factors related to PSM will be discussed like management of change, employee motivation, process hazard analysis, job supervision, process monitoring, competency levels, training & development etc. Building on similar personal experience, the paper will also cover many interesting methods and suggestions for safety professionals and line managers to successfully adapt to the changes in this scenario while not compromising their process safety management systems. © 36th Center for Chemical Process Safety International Conference, CCPS 2021 - Topical Conference at the 2021 AIChE Spring Meeting and 17th Global Congress on Process Safety.