P.1.08 Connecting contractor safety management programs and worker perceived safety climate in commercial construction projects

BackgroundLeading indicators are preferred to identify injuries and fatalities in construction industry. Safety climate is a leading indicator of construction injuries yet it is not known how workers’ safety climate scores relate to safety programs of different maturity levels.MethodsThis study examined the relationship between safety program scores based on documents and contractor reported activities and project leading indicators of contractor safety climate, safety behaviors of workers and crews, and safety attitudes of coworkers from employee surveys. Hierarchical linear regression models accounted for contractor size and number of workers, nested in contractors within projects. Separate models examined the relationships between safety program scores and 1) contractor safety climate; 2) coworker attitude scores, 3) employees’ own behavior score, and 4) crew behavior scores.Results446 employees of 40 contractors from three commercial construction projects participated. Many contractors (n=16) had good safety programs with 15 or more safety activities (out of 17) from organizational management, worker participation, hazard identification, and training domains. Stronger safety programs had higher safety climate scores (5.15 point difference on a 100 point scale, p=0.05), better coworker safety attitudes (6.69 points, p=0.01), better crew safety behaviors (5.34 points, p=0.02) and higher self-rated behaviors (5.14 points, p=0.02) compared to safety programs with fewer safety items.ConclusionsContractors with more comprehensive safety programs were perceived to have stronger safety climate. Better safety programs were also associated with better self-reported safety performance of coworkers, crews, and individual workers. Stronger safety programs incorporated activities from all four domains Safety programs that include activities that cover safety of management and worker influence safety performance and safety climate as perceived by the workers.

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Characteristics of the safety climate in teams with world-class safety performance on construction projects in South Africa

Acta Structilia ◽

10.18820/24150487/as24i1.5 ◽

2017 ◽

Vol 24 (1) ◽

Author(s):

Douw Boshoff ◽

Chris Krugell ◽

Hennie van Heerden

Keyword(s):

South Africa ◽

Construction Projects ◽

Safety Climate ◽

Safety Performance ◽

World Class

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The association between subcontractor safety management programs and worker perceived safety climate in commercial construction projects

Journal of Safety Research ◽

10.1016/j.jsr.2020.06.010 ◽

2020 ◽

Vol 74 ◽

pp. 279-288

Author(s):

Ann Marie Dale ◽

Ryan Colvin ◽

Marco Barrera ◽

Jaime R. Strickland ◽

Bradley A. Evanoff

Keyword(s):

Construction Projects ◽

Safety Climate ◽

Safety Management ◽

Perceived Safety

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Teamwork and Safety Attitudes in Complex Aortic Surgery at a Dutch Hospital: Cross-Sectional Survey Study (Preprint)

10.2196/preprints.17131 ◽

2019 ◽

Author(s):

Alexander D Hilt ◽

Ad A Kaptein ◽

Martin J Schalij ◽

Jan van Schaik

Keyword(s):

Job Satisfaction ◽

Operating Room ◽

Working Conditions ◽

Safety Climate ◽

Assessment Tool ◽

Aortic Surgery ◽

Survey Study ◽

Treatment Team ◽

Perceived Safety ◽

Safety Attitudes

BACKGROUND Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal. OBJECTIVE This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached. METHODS Two cardiovascular surgical teams performing complex aortic treatments were assessed: an endovascular-treatment team (ETT) and an open-treatment team (OTT). Both teams answered an online version of the SAQ Dutch Edition (SAQ-NL) consisting of 30 questions related to six different domains of safety: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. In addition, one open-ended question was posed to gain more insight into the completed questionnaires. RESULTS The SAQ-NL was completed by all 23 ETT members and all 13 OTT members. Team composition was comparable for both teams: 57% and 62% males, respectively, and 48% and 54% physicians, respectively. All participants worked for 10 years or more in health care. SAQ-NL mean scores were comparable between both teams, with important differences found between the physicians and nonphysicians of the ETT. Nonphysicians were less positive about the safety climate, job satisfaction, and working climate domains than were the physicians (<i>P</i><.05). Additional education on performed procedures, more conjoined team training, as well as a hybrid operating room were suggested by participants as important areas of improvement. CONCLUSIONS Nonphysicians of a local team performing complex endovascular aortic aneurysm surgery perceived safety climate, job satisfaction, and working conditions less positively than did physicians from the same team. Open-ended questions suggested that this is related to a lack of adequate conjoined training, lack of adequate education, and lack of an adequate operating room. With added open-ended questions, the SAQ-NL appears to be an assessment tool that allows for developing strategies that are instrumental in improving quality of care.

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The relationship between safety attitude and safety performance in the petrochemical industry: The mediating role of safety climate

Work ◽

10.3233/wor-203353 ◽

2020 ◽

pp. 1-11

Author(s):

Sanaz Karimpour ◽

Fereshteh Jahani ◽

Gholam Abbas Shirali

Keyword(s):

Petrochemical Industry ◽

Goodness Of Fit ◽

Safety Climate ◽

Safety Performance ◽

Statistical Population ◽

Safety Attitudes ◽

Mediating Role ◽

Safety Attitude ◽

The Relationship

BACKGROUND: This study aimed to investigate the relationship between safety attitudes and safety performance considering the mediating role of safety climate in the petrochemical industry. METHOD: The statistical population of this study included all 1700 employees in the petrochemical industry of Iran, among whom 320 were randomly selected as the participants and completed the research questionnaire. Then, the validity (content, convergent, and divergent) and reliability (Cronbach’s alpha and composite reliability) of the instrument were examined, and the research hypotheses were tested using Smart partial least squares (PLS) software. RESULTS: The results showed that the model has goodness of fit and, thereby, the positive effect of safety attitude on safety performance was confirmed. In addition, the mediating role of safety climate in the relationship between safety attitude and safety performance was proved. That is, 39.6% of the total effect of safety attitude on safety performance was explained through the mediating role of safety climate. CONCLUSION: The findings of this study can improve safety culture and bring about excellent safety performance in petrochemical industries.

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Integrated ISM-Fuzzy MICMAC approach based factor analysis on the implementation of safety program in construction industry

Decision Science Letters ◽

10.5267/j.dsl.2020.11.005 ◽

2021 ◽

pp. 139-150

Author(s):

Saber Ibrahim ◽

Nejah Ben Mabrouk

Keyword(s):

Construction Industry ◽

Construction Projects ◽

Safety Performance ◽

Interpretive Structural Modeling ◽

Factors Affecting ◽

Fuzzy Micmac ◽

Safety Programs ◽

Effective Development ◽

Key Resources ◽

Power And Dependence

The challenge of improving construction safety performance is observed in many countries. Safety is considered by practitioners and researchers as an important topic in construction industry sites. Despite the findings of implementing safety programs, it is revealed that accidents and injuries are not perfectly reduced in construction projects. In the literature, authors tried to establish several frameworks and proposed methods to reach this objective by identifying the key factors affecting safety performance. The aim of this study is to present critical factors used in the implementation of safety programs and to explore their relationships using Interpretive Structural Modeling (ISM). Then, via ISM technique, the overall structure among factors was revealed. By using the Fuzzy MICMAC analysis, the factors were classified into four groups based on their driving power and dependence power. The results showed that “Safety Training” and “Management Commitment” have the most important impact on safety programs, but also it is very important to study the interactions among factors at different stages. This analysis offers key resources for practitioners and decision makers by analyzing the relationships between factors and its driving or dependence strength. These results shed lights on the effective development of measures to facilitate the implementation of safety programs in the construction sector.

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Teamwork and Safety Attitudes in Complex Aortic Surgery at a Dutch Hospital: Cross-Sectional Survey Study

JMIR Human Factors ◽

10.2196/17131 ◽

2020 ◽

Vol 7 (2) ◽

pp. e17131

Author(s):

Alexander D Hilt ◽

Ad A Kaptein ◽

Martin J Schalij ◽

Jan van Schaik

Keyword(s):

Job Satisfaction ◽

Operating Room ◽

Working Conditions ◽

Safety Climate ◽

Assessment Tool ◽

Aortic Surgery ◽

Survey Study ◽

Treatment Team ◽

Perceived Safety ◽

Safety Attitudes

Background Improving teamwork in surgery is a complex goal and difficult to achieve. Human factors questionnaires, such as the Safety Attitudes Questionnaire (SAQ), can help us understand medical teamwork and may assist in achieving this goal. Objective This paper aimed to assess local team and safety culture in a cardiovascular surgery setting to understand how purposeful teamwork improvements can be reached. Methods Two cardiovascular surgical teams performing complex aortic treatments were assessed: an endovascular-treatment team (ETT) and an open-treatment team (OTT). Both teams answered an online version of the SAQ Dutch Edition (SAQ-NL) consisting of 30 questions related to six different domains of safety: teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. In addition, one open-ended question was posed to gain more insight into the completed questionnaires. Results The SAQ-NL was completed by all 23 ETT members and all 13 OTT members. Team composition was comparable for both teams: 57% and 62% males, respectively, and 48% and 54% physicians, respectively. All participants worked for 10 years or more in health care. SAQ-NL mean scores were comparable between both teams, with important differences found between the physicians and nonphysicians of the ETT. Nonphysicians were less positive about the safety climate, job satisfaction, and working climate domains than were the physicians (P<.05). Additional education on performed procedures, more conjoined team training, as well as a hybrid operating room were suggested by participants as important areas of improvement. Conclusions Nonphysicians of a local team performing complex endovascular aortic aneurysm surgery perceived safety climate, job satisfaction, and working conditions less positively than did physicians from the same team. Open-ended questions suggested that this is related to a lack of adequate conjoined training, lack of adequate education, and lack of an adequate operating room. With added open-ended questions, the SAQ-NL appears to be an assessment tool that allows for developing strategies that are instrumental in improving quality of care.

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Evaluation of Patient Safety Culture: A Survey of Clinicians in a Cardiovascular Operating Room

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0b013e31827e3625 ◽

2012 ◽

Vol 7 (5) ◽

pp. 328-337 ◽

Cited By ~ 7

Author(s):

Linda Henry ◽

Sharon L. Hunt ◽

Mary Kroetch ◽

Y. Tony Yang

Keyword(s):

Patient Safety ◽

Operating Room ◽

Safety Culture ◽

Safety Climate ◽

Patient Safety Culture ◽

Ventricular Assist ◽

Perceived Safety ◽

Safety Attitudes ◽

Emergency Situations ◽

Device Placement

Objective The aim of this study was to understand the perceived safety culture and attitudes of caregivers in a large cardiovascular operating room (CVOR) in a mid-Atlantic state where more than 1500 procedures are performed annually to include ventricular assist device placement and heart and lung transplantations. Methods We analyzed deidentified data obtained from a safety survey completed anonymously by frontline caregivers in the CVOR via the Safety Attitudes Questionnaire developed by Pasquel Metrics. Results The responses from the CVOR clinicians were overall positive for their perceptions of the CVOR safety climate, with the majority saying they would feel safe being treated as a patient, liked their job, and were aware of the proper channels regarding patient safety. However, many made claims of experiencing fatigue and stress due to an excessive workload and participation in emergency situations. Furthermore, the support/clinical perfusion teams were found to have experienced the greatest amount of stress and discomfort, whereas it seems the surgeons were impacted the least. Conclusions This study suggests that reactions to different situations in the operating room are dependent on the role of the caregiver. Therefore, interventions to improve communication among the caregivers must be geared on an individual group basis.

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