EHS News, Workplace Safety, Climate Crisis, and OSHA Updates for Safety Professionals
What is the role of checklists and time-outs in preventing adverse events? What additional measures are needed to reduce these events? This brief … When a checklist is not enough: How to improve them andwhat else is needed
How accurate and comprehensive are incident reporting systems compared to the actual frequency and severity of events that occur? According to this …Inaccuracy and misdirected decisions-making in incident reporting systems
This study evaluated the impact of an integrated Crew Resource Management (CRM) training program on failure to rescue (FTR) mortality. Two hospitals,…Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training
What’s the association between a culture of openness among staff and subsequent patient mortality? An interesting study to be posted soon explored …Higher staff openness scores linked to lower patient mortality in English hospitals
This open access paper explored the relationships between power distance and leader inclusiveness on psychological safety, and resident willingness …The effects of power, leadership and psychological safety on resident event reporting
This study explored how psychological safety (PS) affects near-miss reporting and learning in radiation oncology. They note that near misses contain …Resilience vs. Vulnerability: Psychological Safety and Reporting of Near Misses with Varying Proximity to Harm in Radiation Oncology
An absolute banger of a paper will be posted soon – co-authored by one of my favourites: the late, great Bob Wears. This paper talks about the …Replacing hindsight with insight and moving towards second stories of performance
This ethnographic study explored the ritualistic and ceremonial functions of a Surgical Safety Checklist (SSC) in an urban teaching hospital. It’s a …The ritualisation of the surgical safety checklist and its decoupling from patient safety goals
Can safety checklists become ritualistic performances disconnected from their core goal, thereby increasing risk? A new study to be posted soon …Surgical Checklists behaving badly…new study suggests they can result in ritualistic practices decoupled from their core goals
This study explored the beliefs and organisational contexts of nursing aide (caregivers henceforth) assaults and their subsequent reporting of these… Taking the Hit: Focusing on Caregiver “Error” Masks Organizational-Level Risk Factors for Nursing Aide Assault
Do perceptions of individual blame and error contribute to nursing aide (caregiver henceforth) assault and lack of reporting? Yes, according to a …Attributions of blame and individual error in workplace assault and aggression mask the underlying issues
A coroner’s report detailing a workplace fatality relating to an exploding gas strut. Such a relatively ‘simple’ failure resulted in a tragic outcome…Coroners report: exploding gas strut; poor manufactured quality, no engineering design, drawings or advice, lack of risk assessment on installation …
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