Analysis of ergonomic occupational accidents and near misses in a large Belgian university hospital

2021 ◽  
pp. 1-7
Author(s):  
Norbert Fraeyman ◽  
Dirk de Bacquer ◽  
Els Clays ◽  
Tom Fiers ◽  
Lode Godderis ◽  
...  
Keyword(s):  
University Hospital ◽  
Occupational Accidents ◽  
Near Misses

scholarly journals KNOWLEDGE AND ADHERENCE OF THE NURSE TO STANDARD PRECAUTIONS IN CRITICAL UNITS

2019 ◽  
Vol 28 ◽  
Author(s):  
Luise Brunelli Gonçalves de Faria ◽  
Carla Targino Bruno dos Santos ◽  
Andréa Mathes Faustino ◽  
Lizete Malagoni de Almeida Cavalcante Oliveira ◽  
Keila Cristianne Trindade da Cruz
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Occupational Accidents ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Distrito Federal ◽  
Critical Patients ◽  
Structured Questionnaire

ABSTRACT Objective: to identify the knowledge and adherence of nurses to the standard precautions in critical care units. Method: descriptive and cross-sectional study, with a quantitative approach, with the population of nurses from a university hospital in the Distrito Federal, Brazil. For data collection, three instruments were used. A semi-structured questionnaire with identification and occupational data of nurses, the questionnaire to evaluate knowledge to standard precautions and the Questionnaire of adherence to standard precautions. Descriptive analysis was used with absolute and relative frequency values. Results: the population was composed of 40 participating nurses, 75% were female, with an average age of 32.5 years, ranging from 24 to 50 years. Professionals with five or more years of training (67.5%) predominated, 25 (62.5%) had only one job and had experience in the area of critical patient care for more than three years. Although with a high percentage of accuracy, with regard to the moments that required hand hygiene, this frequency was 97.5%. Gloves are always used for intramuscular or subcutaneous injection by 67.5% of professionals, but 17.5% still consider it unnecessary to wear disposable caps and surgical shoe covers. The use of sharps, handling and reporting of occupational accidents were not performed as expected. Conclusion: gaps were identified in relation to the knowledge and adherence of nurses in units that provide care to critical patients of a university hospital with regard to standard precautions.

scholarly journals Analysis of Port Accidents and Calibration of Heinrich’s Pyramid

2021 ◽  
pp. 036119812110444
Author(s):  
Arnab Majumdar ◽  
Iulia Manole ◽  
Ryan Nalty
Keyword(s):  
Occupational Accidents ◽  
Categorical Variables ◽  
Maritime Industry ◽  
Near Misses ◽  
Severe Accidents ◽  
Reporting Requirements ◽  
Accident Causation ◽  
Accident Data ◽  
Lower Ratio ◽  
First Time

Academics and the maritime industry have used the Heinrich Pyramid for decades to justify overall safety theory, risk assessments, and accident prevention strategies. Most use Heinrich’s original severity ratios (1:29:300) for accident causation development in a factory setting. However, to use the Pyramid effectively and mitigate risks/hazards, it must be calibrated to represent specific industry reality. This paper, for the first time, focuses on calibration of Heinrich’s Pyramid to maritime accident data, using databases from the Marine Accident Investigation Branch of the Department for Transport. This research clusters five years (2013–2017) of accident data, using K-Means clustering on categorical variables and severity levels of accidents, similar logic to Heinrich’s analysis. This approach and descriptive statistics provide new ratios between accident severity classifications for casualties with a ship (CS) and occupational accidents (OAs) separately. Results show that the data do not appear to fall into Heinrich’s Pyramid shape and yield a vastly different and lower ratio to that of Heinrich’s. Especially concerning was that Very Serious and Serious accidents occurred at a 1:5 ratio for CS and 4:1 for OA, very different from Heinrich’s 1:29. Although these results calculated a new ratio, it may not represent reality owing to accident reporting requirements under UK law, a lack of an agreed taxonomy of risk and hazard definitions, and likely underreporting of less severe accidents. This is proven because, in 2017, CS data became pyramid shaped, after a decrease in the number of accidents and a 17% increase in near-misses.

scholarly journals 1505 Occupational accidents: the reality of nursing workers a brazilian university hospital

2018 ◽  
Author(s):  
Mirian Cristina dos Santos Almeida ◽  
Cristiane Helena Gallasch ◽  
Kátia Pontes Remijo ◽  
Carolina Luiza Bernardes ◽  
Vinicius Gomes Barros ◽  
...  
Keyword(s):  
University Hospital ◽  
Occupational Accidents

Occupational Аccidents and Near-Miss Events in the Internal Medicine Services: Turkey Sample in University Hospital

2021 ◽  
Vol 17 (6) ◽  
pp. 520-529
Author(s):  
Pelin Uymaz ◽  
Sinem Ozpınar
Keyword(s):  
Internal Medicine ◽  
Health And Safety ◽  
Near Miss ◽  
University Hospital ◽  
Occupational Accidents ◽  
Protective Measures ◽  
Factors Affecting ◽  
Workplace Accidents ◽  
Health Institutions ◽  
Moderate Positive Correlation

Background. Health institutions are considered occupational areas with high risk due to the need for human resources, including numerous specialists with distinct characteristics, use of intensive technology, and complex occupational processes. The importance of occupational health and safety, which aims to eliminate or minimize all these negativities, is increasing rapidly. The purpose of this study is to examine the frequency of exposure to occupational accidents and near-miss events of the nurses and physicians working in the internal ­medicine units of a university hospital, and their reporting status and factors affecting these characteristics. Materials and methods. This research is a descriptive study, and the data of the recent year have been evaluated. The research was carried out in internal medicine units of a university hospital in Istanbul. The data in this study were collected by using the “Evaluation Form for Occupational Accidents and Near-Miss Events” which was created by the researchers. Results. A total of 117 individuals, 83 women (70.94 %), and 34 men (29.06 %) participated in this study. Of the participants, 59 were nurses (50.43 %), and 58 were physicians (49.57 %). There was a significant moderate positive correlation (r = 0.305) between age and the number of occupational accidents (p = 0.039). The average number of occupational accidents experienced by nurses (1.31 ± 0.74) was found to be lower than physicians (2.80 ± 2.53) (p = 0.006). The number of near-miss incidents experienced by physicians (2.79 ± 4.30) was higher than the nurses (1.29 ± 83.00) (p = 0.032). Conclusions. Every workplace accident or near-miss event experienced by healthcare professionals should be reported and analyzed carefully to prevent future workplace accidents. Training of health professionals on health risks they may encounter and protective measures against occupational accidents have vital importance.

scholarly journals Near Misses Experienced at a University Hospital in Korea

2016 ◽  
Vol 22 (1) ◽  
pp. 41-57
Author(s):  
Mi-Hyang Park ◽  
Hyun-Joo Kim ◽  
Bo-Woo Lee ◽  
Seok-Hwan Bae ◽  
Jin-Yong Lee
Keyword(s):  
University Hospital ◽  
Near Misses

scholarly journals Acidentes laborais e a construção coletiva de um protocolo assistencial

2019 ◽  
Vol 13 (2) ◽  
pp. 511
Author(s):  
Márcia Astrês Fernandes ◽  
Keyla Maria Pereira de Sousa ◽  
Iara Jéssica Barreto Silva ◽  
Narlene Fontenelle Basílio da Silva ◽  
Ana Virginia Uchoa Prado Paz ◽  
...  
Keyword(s):  
Biological Material ◽  
Health And Safety ◽  
University Hospital ◽  
Occupational Accidents ◽  
Occupational Accident ◽  
Implementation Stages ◽  
Qualitative Descriptive ◽  
Health Nursing ◽  
The University

RESUMOObjetivo: discorrer sobre a implantação e implementação de um protocolo para atendimento pós-acidente de trabalho com material biológico por perfurocortante. Método: trata-se de estudo qualitativo, descritivo, do tipo relato de experiência. Resultados: iniciou-se em 2013, a implantação do protocolo para atendimento pós-acidente de trabalho com material biológico, a partir do qual passou por várias etapas de implementação. Informa-se que, o fluxograma versa sobre as orientações quanto aos cuidados locais, imediatamente após o acidente, atendimento médico para avaliação da lesão e da exposição, recomendações profiláticas em tempo hábil após exposição, solicitação de sorologias do acidentado e paciente-fonte, quando possível acompanhamento sorológico do acidentado após exposição e emissão da Comunicação de Acidente de Traballho. Conclusão: mostraram-se que, apesar das dificuldades para implementação do protocolo, a experiência foi exitosa e o fluxo de atendimento pós-acidente com material biológico desfruta de diversos avanços importantes para a saúde e segurança dos trabalhadores do hospital universitário em questão. Descritores: Saúde do Trabalhador; Enfermagem; Acidentes de Trabalho; Exposição a Agentes Biológicos; Prevenção de Acidentes; Notificação de Acidente de Trabalho.ABSTRACT Objective: to discuss the deployment and implementation of a protocol for care after occupational accident with biological material from needle-sharp instruments. Method: this is a qualitative, descriptive study, of the experience-report type. Results: in 2013, the deployment of the protocol for care after occupational accident with biological material, from which it passed through various implementation stages. The flowchart describes the guidelines regarding local care, immediately after the accident, medical care to evaluate the lesion and the exposure, prophylactic recommendations in a timely manner after exposure, request for serology of the casualty and patient-source, when possible, serological follow-up of the casualty after exposure and issuance of the Occupational Accident Communication. Conclusion: despite the difficulties for implementing the Protocol, the experience was successful and the flow of the care after accident with biological material includes several important advances for workers’ health and safety at the university hospital in question. Descriptors: Occupational Health; Nursing; Occupational Accidents; Exposure to Biological Agents; Accident Prevention; Occupational Accidents Notification.RESUMEN Objetivo: analizar la implantación y aplicación de un protocolo para el cuidado post-accidente laboral con material biológico por perforantes/cortantes. Método: este es un estudio cualitativo, descriptivo del tipo relato de experiencia. Resultados: se inició en 2013, la implementación del protocolo para el cuidado post-accidentes laborales con material biológico, pasando por distintas fases de ejecución. El diagrama de flujo versa sobre las directrices relativas a los cuidados, inmediatamente después del accidente, la asistencia médica para la evaluación de la lesión y de la exposición, la profilaxis con recomendaciones en forma oportuna después de la exposición, la solicitud de serología del accidentado y el paciente-fuente, cuando posible, el seguimiento serológico del accidentado después de la exposición y la emisión de la Comunicación de Accidente Laboral. Conclusión: a pesar de las dificultades para la aplicación del Protocolo, la experiencia fue exitosa y el flujo de atención post-accidente con material biológico incluye varios avances importantes para la seguridad y salud de los trabajadores en el hospital de la universidad en cuestión. Descriptores: Salud Laboral; Enfermería; Accidentes Laborales; Exposición a Agentes Biológicos; Prevención de Accidentes; Notificación de Accidentes Laborales.

scholarly journals A UNIVERSITY HOSPITAL PRACTISE: IS THERE ANY RELATIONSHIP BETWEEN WORKPLACE SAFETY AND PATIENT SAFETY

2017 ◽  
Vol 5 (2) ◽  
pp. 282-292
Author(s):  
Yunus TAŞ ◽  
Ali Talip AKPINAR ◽  
Ihsan YİĞİT
Keyword(s):  
Patient Safety ◽  
Work Environment ◽  
Workplace Safety ◽  
Hospital Staff ◽  
University Hospital ◽  
Survey Study ◽  
Occupational Accidents ◽  
Safety Perceptions ◽  
Safe Work ◽  
Job Safety

This study investigates the relationship between workplace safety perceptions and patient safety perceptions of hospital staff . Along with job safety decrease, occupational accidents, occupational diseases increase and this may lead to detrimental consequences. Besides, Patient safety is one of the most important factors affecting the quality of health care provided in hospitals. In this study, a survey study containing Hayes’ workplace safety scale and generally consisting of statements that measure the perception of patient safety was conducted to the employees of Research and Application Hospital of Kocaeli University. it is found out that there are statistically significant relationship between patient safety the workplace job safety dimensions. It is also revealed that Patient Safety has statistically significant positive relationship among Supervisor Safety (0,250), job Safety (0,216), job Safety Policies (0,283), Safe Work Environment (0,299) and Improving Job Safety (0,313), respectively. In other words, as the supervisor safety, job safety, job safety policies, safe work environment and improving job safety increase perceptions of patient safety in hospitals increase as well.

Nurses' Willingness to Report Near Misses: A Multilevel Analysis of Contributing Factors

2014 ◽  
Vol 42 (7) ◽  
pp. 1133-1146 ◽  
Author(s):  
Min Young Kim ◽  
Seungwan Kang ◽  
Young Mee Kim ◽  
Myoungsoon You
Keyword(s):  
Knowledge Sharing ◽  
University Hospital ◽  
Error Reporting ◽  
Leader Member Exchange ◽  
Role Clarity ◽  
Contributing Factors ◽  
Head Nurse ◽  
Near Misses ◽  
Member Exchange ◽  
Willingness To Report

Although potential future medical errors can best be prevented through reporting near misses, on-site error reporting is not being achieved to a satisfactory level. We surveyed 489 nurses working in 34 wards at a university hospital in Korea in regard to their understanding of factors related to error reporting. Survey items included willingness to report near misses, defensive silence, leader-member exchange, role clarity, and knowledge-sharing climate. Results indicated that defensive silence in the workplace and unclearly defined roles reduced nurses' willingness to report errors, whereas trust-based leader-member exchange (LMX) increased the intention. Knowledge-sharing climates contributed to increasing nurses' intention to report errors, even among those of a silent disposition and in settings where the quality of LMX between the nurses and head nurse was not high.

scholarly journals EARLY NEONATAL NEAR MISS IN A UNIVERSITY HOSPITAL: COMPARATIVE CROSS-SECTIONAL STUDY

2021 ◽  
Vol 39 ◽  
Author(s):  
Karla Eveline Ximenes de França ◽  
Mirella Bezerra Rodrigues Vilela ◽  
Paulo Germano de Frias ◽  
Silvia Wanick Sarinho
Keyword(s):  
Information System ◽  
Birth Weight ◽  
Cross Sectional Study ◽  
Near Miss ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Near Misses ◽  
Early Neonatal Mortality ◽  
Neonatal Near Miss

ABSTRACT Objective: To compare 2012 and 2016 data on early neonatal near miss indicators from Health Information Systems at a university hospital. Methods: This is a cross-sectional study conducted in 2012 and 2016. We considered early neonatal near misses the live births that presented one of the following risk conditions at birth: gestational age <33 weeks, birth weight <1,750g or 5-minute Apgar score <7, or Neonatal Intensive Care Unit (NICU) admission, and were alive until the 7th day of life. Data were collected from the Live Birth Information System, Hospital Information System, and Mortality Information System. We calculated the early neonatal mortality rate, neonatal near miss rate, severe neonatal outcome rate, early neonatal survival index, and early neonatal mortality index, compared by year of birth. Results: In 2012, 304 early neonatal near misses were registered, with a higher proportion of cases with very low birth weight and mothers who had zero to three prenatal visits. In 2016, the number of cases was 243, with a predominance of more NICU admissions. The incidence of early neonatal deaths and early neonatal near misses was higher in 2012 than in 2016. Conclusions: Neonatal near miss indicators identified difference between years. The cases were more severe in 2012 and there were more NICU admissions in 2016.

Workplace accidents among nursing staff in the intensive care units of a university hospital

2011 ◽  
Vol 5 (3) ◽  
pp. 670
Author(s):  
Illyane Alencar Carvalho ◽  
Letícia Moura Mulatinho ◽  
Juliana Alencar Carvalho ◽  
Cinthia Maciel de Campos Rocha ◽  
Djane Da Silva Teixeira
Keyword(s):  
Intensive Care ◽  
Nursing Staff ◽  
University Hospital ◽  
Occupational Accidents ◽  
Microsoft Excel ◽  
Manual Lifting ◽  
Occupational Risks ◽  
Workplace Accidents ◽  
Terapia Intensiva ◽  
Las Mujeres

ABSTRACTObjective: to characterize the occupational accidents in the practice of nursing in the Intensive Care Unit (ICU) of a university hospital. Method: this is about a descriptive study from quantitative approach. For data collection was used to form structured sample of 180 nursing staff who signed the terms of consent and notification forms to query the Department of Engineering and Safety of hospital in 2006. Data were stored and analyzed statistically by the software Microsoft Excel 2003, after approval by the ethics committee in search of the Oswaldo Cruz Hospital, with protocol 141/2006. Results: accidents predominated in technical nursing, females, aged 31 to 40 years. The highest accident was by cutting and piercing. Among the occupational risks have become apparent order and poor cleaning, handling chemicals and cutting / piercing, manual lifting and carrying weight and inadequate physical arrangement. There were no reports of ICU in the hospital. Conclusion: changes are needed in the workplace, and prevention programs targeting of measures for reporting in order to minimize the occurrence of accidents with the nursing staff. Descriptors: workplace accidents; nursing; intensive care units.RESUMOObjetivo: caracterizar os acidentes de trabalho no âmbito da prática de enfermagem nas Unidades de Terapia Intensiva (UTI) de um Hospital Universitário. Método: estudo descritivo, de abordagem quantitativa. Para coleta de dados foi empregado formulário estruturado à amostra de 180 trabalhadores de enfermagem que assinaram os termos de consentimentos livre e esclarecido e consulta às fichas de notificação do Setor de Engenharia e Segurança do Trabalho do hospital do ano de 2006. Os dados foram armazenados e analisados estatisticamente através do software Microsoft Excel 2003, após aprovação do comitê de ética em pesquisa do Hospital Universitário Oswaldo Cruz, com o protocolo 141/2006. Resultados: os acidentes predominaram, nos técnicos de enfermagem; sexo feminino; faixa etária 31 a 40 anos. O maior índice de acidente foi por pérfuro-cortante. Dentre os riscos ocupacionais, evidenciaram-se ordem e limpeza deficiente, manipulação de produtos químicos e de pérfuro-cortantes, levantamento e transporte manual de peso e arranjo físico inadequado. Não foram encontradas notificações das UTI no hospital. Conclusão: são necessárias mudanças no ambiente de trabalho, programas de prevenção e direcionamento de medidas para a notificação, a fim de minimizar a ocorrência dos acidentes com a equipe de enfermagem. Descritores: acidentes de trabalho; enfermagem; unidades de terapia intensiva.RESUMENObjetivo: caracterizar los accidentes de trabajo en la práctica de enfermería en las Unidad de Terapia Intensiva (UTI) de un hospital universitario. Método: estudio descriptivo de enfoque cuantitativo. Para la recolección de datos se utiliza para formar la muestra estructurada de personal de enfermería 180 que firmaron los términos de los formularios de consentimiento y notificación a la consulta del Departamento de Ingeniería y de seguridad del hospital en 2006. Los datos fueron almacenados y analizados estadísticamente por el software de Microsoft Excel 2003, después de la aprobación por el comité de ética en la búsqueda del Hospital Oswaldo Cruz, con el protocolo 141/2006. Resultados: los accidentes en las mujeres que participan técnicos de enfermería, las edades de 31 a 40 años. El mayor accidente fue por el corte y perforación. Entre los riesgos laborales se han convertido en orden aparente y la limpieza de los pobres, manipulación de productos químicos y de corte / perforación, manual de levantar y cargar el peso y la disposición física inadecuada. No hubo informes de la UCI en el hospital. Conclusión: los cambios son necesarios en el lugar de trabajo y programas de prevención y orientación de las medidas para la presentació de informes con el fin de minimizar la ocurrencia de accidentes com el personal de enfermaria. Descriptores: accidentes de trabajo; enfermería; unidades de terapia intensiva.

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