Nurse safety: How is safety climate related to affect and attitude?

Occupational accidents and injuries continue to be a critical concern for nurses, given the hazardous healthcare environment. This study advances the research on workplace safety by studying the process variables (i.e. job-related negative affect (JRNA) and job satisfaction) in explaining the relationship between safety climate and various safety criteria in nurses. Based on survey data from 326 nurses, our findings suggest that psychological safety climate is negatively related to JRNA, turnover intentions, safety workarounds, and workplace hazards. In addition, structural equation modelling indicated general support for a model in which psychological safety climate influences employee strain through job attitudes, including JRNA and job satisfaction. More specifically, job attitudes were found to mediate the relationship between psychological safety climate and turnover intentions, experience of hazards, and injuries. Safety workarounds did not significantly relate to injuries. The present study contributes to the ongoing improvement of interventions aimed at mitigating nurses’ injuries by integrating job attitudes into the safety climate–safety outcome framework.     

A Revised Economic Analysis of Restrictions on the Use of Cell Phones While Driving

Evidence that cell phone use while driving increases the risk of being involved in a motor vehicle crash has led policymakers to consider prohibitions on this practice. However, while restrictions would reduce property loss, injuries, and fatalities, consumers would lose the convenience of using these devices while driving. Quantifying the risks and benefits associated with cell phone use while driving is complicated by substantial uncertainty in the estimates of several important inputs, including the extent to which cell phone use increases a driver's risk of being involved in a crash, the amount of time drivers spend using cell phones (and hence their aggregate contribution to crashes, injuries, and fatalities), and the incremental value to users of being able to make calls while driving. Two prominent studies that have investigated cell phone use while driving have concluded that the practice should not be banned. One finds that the benefits of calls made while driving substantially exceed their costs while the other finds that other interventions could reduce motor vehicle injuries and fatalities (measured in terms of quality adjusted life years) at a lower cost. Another issue is that cell phone use imposes increased (involuntary) risks on other roadway users. This article revises the assumptions used in the two previous analyses to make them consistent and updates them using recent data. The result is a best estimate of zero for the net benefit of cell phone use while driving, a finding that differs substantially from the previous study. Our revised cost-effectiveness estimate for cell phone use while driving moves in the other direction, finding that the cost per quality adjusted life year increases modestly compared to the previous estimate. Both estimates are very uncertain.     

Workers’ Risk Tolerance and Occupational Injuries

This study explores the relationship between individuals’ risk tolerance and occupational injuries. We analyze data from a national representative survey of U.S. workers that includes information about injuries, risk tolerance, cognitive and noncognitive attributes, and risky behaviors. We measure risk tolerance through questions regarding individuals’ willingness to gamble on their lifetime income. We estimate zero‐inflated count models to assess the role played by such measures on workers’ recurrent injuries. We discuss some implications of our results for future research and occupational safety policies. Our results highlight the concurrent and changing role played by individual, work, and environmental factors in explaining recurrent incidents. They show that risk tolerance affects recurrent injuries, although not in the direction that proponents of the concept of proneness would expect. Our measure of risk aversion shows that individuals who are somewhat more risk tolerant have fewer recurrent injuries than those who are risk averse. But the estimated relationship is U‐shaped, not monotonic and, therefore, not easy to predict. At the same time, we find that individuals’ “revealed risk preferences”—specific risky behaviors—are related to higher injury probabilities. Demanding working conditions, measures of socioeconomic status, health, and safety problems experienced by workers during their youth remain among the most important factors explaining the phenomena of recurrent injuries. So our results contribute also to the important debate about the relationship between health and socioeconomic status.     

Discounting Compensation for Injuries

The reasons commonly given for discounting future costs and benefits are doubtfully applicable to future injuries: in particular, time preference justifies neither inter- nor intragenerational discounting. The cost of future injuries could be discounted on grounds that a smaller sum, invested at interest, is needed to pay a given level of ex post monetary compensation the further in the future the injury occurs. This effect is offset, however, by the diminishing marginal utility of compensation, if consumption is otherwise increasing. Depending on the elasticity of marginal utility of consumption, on whether consumption is growing at an optimal rate, and on the time period considered, the implicit discount rate may be positive, zero, or negative (even indefinitely so). There is no prospect of conventional discounting dealing appropriately with the cost of injuries to either future or present generations.     

Assessing and Preventing Serious Incidents with Behavioral Science: Enhancing Heinrich’s Triangle for the 21st Century

ABSTRACT

The rate of occupational injuries has been declining annually, but the rate of decline for fatalities has not kept a similar pace. Behavior-based safety (BBS) contributes to reducing personal injuries, and can be applied to preventing serious incidents. To address serious injuries with greater confidence requires a change in perspective on the causes of fatalities and serious injuries. Heinrich’s safety triangle helps describe the ratio between minor incidents and major incidents, but is not adequate in helping to predict serious incidents. Adding a special subset to the safety triangle can assist safety practitioners in predicting and influencing such events. Extending the triangle to include more foundational root causes, such as leadership shortcomings and system failures, will expand the scope of the behavior analysis, and including greater specificity about the precursors to serious incidents will help the precision of the behavior analysis. The implications of the expanded triangle for amplifying the effectiveness of BBS for reducing serious incidents are discussed.     

An Evaluation of Alternative Safety Criteria for Nuclear Power Plants

Safety criteria for frequency of nuclear-reactor accidents and for reactor-induced risk to individuals and to society are evaluated on the basis of their comprehensiveness, clarity, recognition of uncertainty, practicability, defensibility, simplicity, and internal consistency. Many criteria were found to be comprehensive and practicable; few completely satisfied the other evaluation standards. A consensus inferred from the most favorably evaluated criteria would allow between 1.0time10^-4 and 1.0time10^-3 core melts per reactor year, between 1.0time10^-6 and 2.0time10^-5 fatalities per reactor year per individual, and a total exposure in the United States of between 1000 and 10,000 person rems per reactor year. This consensus is consistent with the criteria proposed in NUREG0880.     

Exposure to Traffic and Risk of Hospitalization Due to Injuries

Research on the risk of motor vehicle injuries and their relationship with the amount of travel has been only partially analyzed. The few individual exposure assessments are related to very specific subsets of the driving and traveling populations. This study analyzes the relationship between kilometers traveled and hospitalization due to motor vehicle injuries. Twelve thousand three hundred and sixty nine Spanish university graduates from the Seguimiento Universidad de Navarra multipurpose cohort study were evaluated. They had not been hospitalized due to motor vehicle injuries at baseline and were followed up to eight years. Biannual questionnaires allowed for self‐reporting of kilometers traveled in motor vehicles, together with incidence of hospitalization. Covariates in the Cox regression models included age and gender and baseline use of safety belt while driving, driving a vehicle with driver‐side airbag, driving a motorcycle, and drinking and driving. There were 49,766 participant‐years with an average yearly travel of 7,828 km per person‐year. Thirty‐six subjects reported a first hospitalization event during this time. The adjusted hazard ratio per additional kilometer traveled was 1.00005 (95% confidence interval 1.000013 to 1.000086). Even the smallest of reductions in the amount of kilometers traveled (from an average of 3,250 km per year to 1,000) has a statistically significant protective effect on the likelihood of sustaining hospitalization due to motor vehicle injury (aHR 0.9, 95% CI 0.78 to 0.98). In light of current policies aimed to reduce motorized traffic due to environmental concerns, it may be appropriate to consider the additional health benefit related to reductions in injuries.     

Comparative Fire Risk Study of PCB Transformers

A risk assessment comparing the acute effects of mineral oil and PCB-askarel dielectric fluids in two transformer sites was performed. The first site has the installation characteristics for a PCB-askarel-filled transformer with sprinkler fire protection. A risk comparison is made between two types of transformers (PCB-askarel-filled and mineral oil-filled) for this site. The second site (a vault) has the installation characteristics for a mineral oil-filled transformer, and a risk comparison is made in a fashion similar to the first site. Risk is expressed in terms of frequencies of one or more acute injuries or fatalities per transformer year.     

Psychosocial factors and safety behaviour as predictors of accidental work injuries in farming

Farming is one of the most hazardous occupations in terms of the incidence and seriousness of accidental injuries. Research with other occupational groups has drawn attention to the role of psychosocial factors and stress. Such research needs to be extended to agriculture. Since stress may be a problem faced by farmers, there is a particular need to investigate the associations between farm accidents and work stressors and stress reactions. Using multivariate logistic regression analyses, this study aimed to uncover the best psychosocial predictors of injury, while controlling for exposure-related confounders. From a randomly selected sample of 794 farms, 10% of all farms in Ringkoebing County, Denmark, 393 farmers completed completed weekly accident registration over 12 months. The study sample consisted of 310 farmers who also completed questionnaires on psychosocial factors. Results indicated that farm stressors (including perceived economic problems), stress symptoms, and safety behaviour were predictors of occupational farm accidents. Higher levels of stressors and stress symptoms and poor safety behaviour were all associated with an elevated risk of injury. In the case of stress symptoms, the relation with accidents occurred via an interaction with safety behaviour. The combination of high levels of stress symptoms and poor safety behaviour was associated with a particularly high accident risk.     

Simulation analysis of cold chain performance based on time–temperature data

Perishable goods are a fundamental source of revenue for the retail sector; their management, however, constitutes a severe challenge for retailers and supply chain partners. A significant cost in particular is the fraction of products perished through the supply chain, which also constitutes an ethical and environmental concern. Supply chain organisation and operative characteristics have a significant influence on this matter, as in fact ensuring suitable temperature conditions for the stock-keeping units throughout the supply chain is mandatory for perishable products. Recent developments in sensing and communication technologies allow detailed monitoring and control of cold chain; however, depending on the characteristics of the supply chain, an inherent risk of perished products is often inevitable, even in the hypothesis of perfect control. This article proposes a methodology to evaluate the performance of a cold chain in terms of expected product quality at the retail store, and to estimate the expected fraction of perished products, according to the supply chain configuration. The approach is based on Monte Carlo simulation, and implements referenced shelf-life models. A real application is also presented, involving a preliminary analysis and mapping of the supply chain activities based on time–temperature data, in order to demonstrate the practicability of the approach proposed.     

Join the Union and Be Safe: The Effects of Unionization on Occupational Safety and Health in the European Union

This paper investigates the effect of unionization on occupational safety and health, as measured by the fatal and non‐fatal work accidents, after controlling for the country's gross domestic product. It uses a panel sample of 10 European Union countries, for the period 1982–2006. The study takes into account the time persistence in work injuries and the endogenous nature of the work injuries–union density relationship. In addition, the effect of union density is decomposed into a temporary and permanent effect. It is shown that increasing union density is associated with a decrease in the number of both fatal and non‐fatal work injuries.     

Psychosocial factors and safety behaviour as predictors of accidental work injuries in farming

Abstract

Farming is one of the most hazardous occupations in terms of the incidence and seriousness of accidental injuries. Research with other occupational groups has drawn attention to the role of psychosocial factors and stress. Such research needs to be extended to agriculture. Since stress may be a problem faced by farmers, there is a particular need to investigate the associations between farm accidents and work stressors and stress reactions. Using multivariate logistic regression analyses, this study aimed to uncover the best psychosocial predictors of injury, while controlling for exposure-related confounders. From a randomly selected sample of 794 farms, 10% of all farms in Ringkoebing County, Denmark, 393 farmers completed completed weekly accident registration over 12 months. The study sample consisted of 310 farmers who also completed questionnaires on psychosocial factors. Results indicated that farm stressors (including perceived economic problems), stress symptoms, and safety behaviour were predictors of occupational farm accidents. Higher levels of stressors and stress symptoms and poor safety behaviour were all associated with an elevated risk of injury. In the case of stress symptoms, the relation with accidents occurred via an interaction with safety behaviour. The combination of high levels of stress symptoms and poor safety behaviour was associated with a particularly high accident risk.     

Modelling relationships between job stressors and injury and near-miss outcomes for construction labourers

Construction work is an inherently dangerous occupation and exposure to additional job stressors is likely to exacerbate the level of danger, increasing workers’ risk for injury. Thus, it is important to identify and then reduce worker exposure to extraneous job stressors. This study examines the relationships between a variety of job stressors and injury or near-miss outcomes among construction workers. Self-reported questionnaire data collected from 408 construction labourers (male and female) via telephone interview were analysed using structural equation modelling. A theoretical model was tested whereby work stressors, classified into three groups, could be related, either directly or indirectly through the mediating effects of physical or psychological symptoms/strain, to self-reported injuries and near misses. Ten of the 12 work-related stressors were found to be directly related to either injury or near misses, including: job demands, job control, job certainty, training, safety climate, skill under-utilization, responsibility for the safety of others, safety compliance, exposure hours, and job tenure. Other stressors (i.e. harassment/discrimination, job certainty, social support, skill under-utilization, safety responsibility, safety compliance, tenure in construction) were indirectly related to injuries through physical symptoms or indirectly related to near misses through psychological strain. There was no support for the modelled gender differences. Implications for health and safety on construction sites are discussed.     

Modelling relationships between job stressors and injury and near-miss outcomes for construction labourers

Construction work is an inherently dangerous occupation and exposure to additional job stressors is likely to exacerbate the level of danger, increasing workers' risk for injury. Thus, it is important to identify and then reduce worker exposure to extraneous job stressors. This study examines the relationships between a variety of job stressors and injury or near-miss outcomes among construction workers. Self-reported questionnaire data collected from 408 construction labourers (male and female) via telephone interview were analysed using structural equation modelling. A theoretical model was tested whereby work stressors, classified into three groups, could be related, either directly or indirectly through the mediating effects of physical or psychological symptoms/strain, to self-reported injuries and near misses. Ten of the 12 work-related stressors were found to be directly related to either injury or near misses, including: job demands, job control, job certainty, training, safety climate, skill under-utilization, responsibility for the safety of others, safety compliance, exposure hours, and job tenure. Other stressors (i.e. harassment/discrimination, job certainty, social support, skill under-utilization, safety responsibility, safety compliance, tenure in construction) were indirectly related to injuries through physical symptoms or indirectly related to near misses through psychological strain. There was no support for the modelled gender differences. Implications for health and safety on construction sites are discussed.     

关于弱化缓冲算子序列的研究

本文以预测过程中常常出现的冲击扰动问题为出发点,在灰色系统理论缓冲算子公理体系下,构造了一类弱化缓冲算子序列,对现有的弱化缓冲算子进行了整合,研究了这类弱化缓冲算子定义的内涵,实例验证了该算子序列的有效性和实用性,为解决冲击扰动系统在建模预测过程中出现的定量预测结果与定性分析结论不符的问题提供了可以借鉴的方法。     

Loss-averse测度下考虑政府补贴的双第三方回收再制造闭环供应链

以制造商、零售商及两个第三方回收商构成的再制造闭环供应链为背景,使用Loss-averse函数测度零售商的风险规避特性、古诺(Cournot)模型刻画第三方回收商的竞争特性,将政府补贴作为内生变量,构建了第三方回收再制造闭环供应链模型,分析了风险特性、政府补贴及竞争特性对供应链的影响,证明了收益费用共享契约可以克服双重边际效应和风险规避效应,优化loss-averse测度的考虑政府补贴的双第三方回收再制造闭环供应链;最后,通过仿真研究,验证了该模型的有效性及实用性,得出了政府补贴、风险特性、竞争特性等与供应链成员期望利润等之间的关联关系,为再制造产业发展的科学决策提供决策支持和参考。     

Organisational safety climate and occupational accidents and injuries: an epidemiology-based systematic review

It is widely accepted among practitioners and researchers that a good safety climate results in improved safety. However, there is a lack of systematic and detailed reviews summarising and evaluating the scientific evidence underpinning the relationship between safety climate and injuries and accidents in a company. The current research addresses this gap and studies the association of safety climate with accidents and injuries at work. Nine databases were searched for quantitative studies. After eligibility and quality selection, 17 peer-reviewed papers were analysed. Quality assessment was developed applying the Strengthening the Reporting of Observational Studies (STROBE) guidelines, together with 9 appraisal criteria from Berra and colleagues (2008), Downs and Black (1998) and the appraisal tool from the University of Cardiff Weightman, Mann, Sander, & Turley, (2004). An evaluation summary statement was then constructed analysing the strength of the evidence provided by each study. Although 15 of the 17 studies included in this review provided full or partial support for the association of safety culture with accidents/injuries at work, scientific evidence is still unclear on the causal relationship between these two variables. Research is needed, especially longitudinal and intervention studies, to demonstrate in detail this association, which has been widely accepted in the area of occupational health and safety.     

Interpreting MSHA Citations Through the Lens of Occupational Health and Safety Management Systems: Investigating Their Impact on Mine Injuries and Illnesses 2003–2010

Since the late 1980s, the U.S. Department of Labor has considered regulating a systems approach to occupational health and safety management. Recently, a health and safety management systems (HSMS) standard has returned to the regulatory agenda of both the Occupational Safety and Health Administration (OSHA) and the Mine Safety and Health Administration (MSHA). Because a mandated standard has implications for both industry and regulating bodies alike, it is imperative to gain a greater understanding of the potential effects that an HSMS regulatory approach can have on establishment‐level injuries and illnesses. Through the lens of MSHA's regulatory framework, we first explore how current enforcement activities align with HSMS elements. Using MSHA data for the years 2003–2010, we then analyze the relationship between various types of enforcement activities (e.g., total number of citations, total penalty amount, and HSMS‐aligned citations) and mine reportable injuries. Our findings show that the reduction in mine reportable injuries predicted by increases in MSHA enforcement ranges from negligible to 18%. The results suggest that the type and focus of the enforcement activity may be more important for accident reduction than the total number of citations issued and the associated penalty amount.     

灰色组合预测模型及其应用

针对传统回归模型需要的数据量大且建模复杂等缺陷,提出了一种基于灰色关联度和GM(1,1)的灰色组合预测模型;从灰色关联度的视角寻找数据之间的依赖关系,运用GM(1,1)模型预测数据关系的未来发展趋势,进而建立因变量的预测模型;模型体现了回归分析基于事物因果关系的建模思想,同时又具有灰色理论小样本建模的特点;应用该模型对我国2007和2008年度的GDP进行预测,预测结果表明了该模型的有效性及实用性。     

小团队内部知识共享的绩效评估

本文针对小团队的特点,从知识的获取、应用、传播和可持续发展等四个方面,分析了影响小团队内部知识共享绩效的主要因素,构建了绩效评估的递阶层次结构模型。给出了各评价因素的测度方法,并运用层次分析法确定了各因素的权值。最后给出了一个评价实例,表明该方法具有良好的实用性。