Zohr Field Process Safety Operative Self-Assessment

2021 ◽  
Author(s):  
Vincenzo Lisandrelli ◽  
Niccolo' Pozzi

Abstract Zohr field has developed a smart tool for the Process Safety compliance self-assessment. Scope of the tool is to evaluate field Process Safety Management system performance as well as driving a step change in field culture by making Process Safety a transversal target for all departments, not only HSE. To reach this scope, an internal Field multidisciplinary team has been created with the scope to verify the Process Safety pillars compliance through a simplified check list and scoring model. The initial 8 key elements are: ESDs Alarm management Safety Critical Elements Overrides Loss of Primary Containment Management of Change Permit to Work Manuals/Procedures For each elements a weighted scoring model from 0 to 5, composed by multiple questions, has been defined; a detailed guidance is supporting and assisting the team during the assessment. Once completed the scoring model a traffic lights system integrated with a spider diagram will automatically represents the field compliance with the elements. A quick and immediate graphic representation identifies then the main gaps for each elements. Based on those results the multidisciplinary team defines an Action Plan to be addressed to the relevant dpt for improvement and follow-up. The assessment frequency has been set to 6 months and the multidisciplinary team is appointed on rotation basis by Zohr Field General Manager and the relevant Department General Manager. The first PS self-assessment performed in Zohr in September 19 showed the PTW system and SCE management as the main points of strength while the Management of Change implementation and the ESD tracking as the elements to be improved. In particular Zohr has already set a robust system for the PTW management through a dedicated technical process team SIMOPS and developed a robust override and leak management system across the related departments. As all the plant modifications have been managed so far thorough a DCN (Design Change) System with project support, as action plan was foreseen to implement a dedicated system for the electronic management of the MoC. The first assessment highlighted also the need to improve the actions monitoring to keep traced all the findings coming from the RCA of the plant ESD and PSD. Moreover as additional benefit the interactive self-assessment tool effectively contributed to spread across all the departments the Process Safety terminology and culture in order to allow the team to get familiar with the pillars with a smart and user friendly approach.

Author(s):  
Saskia Maria De Gani ◽  
Daniela Nowak-Flück ◽  
Dunja Nicca ◽  
Dominique Vogt

Dealing with health information and taking care of one’s own health are key aspects of health literacy and a difficulty for nearly half of the population in Europe. Limited health literacy often results in poorer health outcomes. Health literacy is a fundamental health determinant, and its improvement provides great potential for addressing public health challenges. Health care organizations play an important role in improving population’s health literacy. Health literate health care organizations facilitate access, understanding and use of health information and decrease the demands and complexities of the health care system. Few efforts have been taken so far to promote organizational health literacy, especially in German-speaking countries. This project aimed at developing a self-assessment tool, which enables primary care organizations to assess and improve their level of health literacy. The self-assessment tool was developed and evaluated with general practitioners and community care organizations in Switzerland. Here the participative development process, outcomes and the three modules of the self-assessment tool are presented: (1) manual with detailed introduction and instruction, (2) checklist for self-assessment of organizational health literacy and (3) handbook with measures for improvement. The aim of this tool is that organizations are able to identify the need for action, plan and implement improvement measures.


2005 ◽  
Vol 5 (2) ◽  
pp. 161
Author(s):  
C. R. Che Hassan ◽  
M. J. Pitt ◽  
A. J. Wilday

The development of the audit method has included the identification of possible performance indicators at each level of the sociotechnical pyramid for a range of areas of work in which accidents have been shown to occur most frequently. The measurementof performance indicators is part of a feedback loop which causes safety improvements. Integration of performance indicators into the audit system has been tested at three operating chemical industries in Terengganu and Selangor in Malaysia. A summary of the weaknesses of the similar elements identified in the three audited plants is presented. Analysis on the approach used enables the identification of deficiencies in safety management aspects. Keywords: Accidents, audit, deficiencies, performance indicators, safety management, and sociotechnical pyramid.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Lang

Abstract Background High quality health promotion (HP) depends on a competent workforce for which professional development programmes for practitioners are essential. The “CompHP Core Competencies Framework in HP” defines crucial competency domains but a recent review concluded that the implementation and use of the framework is lacking. The aim was to develop and validate a self-assessment tool for HP competencies, which should help evaluate training courses. Methods A brief self-assessment tool was employed in 2018 in Austria. 584 participants of 77 training courses submitted their post-course assessment (paper-pencil, RR = 78.1%). In addition, longitudinal data are available for 148 participants who filled in a pre-course online questionnaire. Measurement reliability and validity was tested by single factor, bifactor, multigroup, and multilevel CFA. A SEM proved for predictive and concurrent validity, controlling gender and age. Results A bifactor model (X2/df=3.69, RMSEA=.07, CFI=.95, sRMR=.07) showed superior results with a strong general CompHP factor (FL>.65, wH=.90, ECV=.85), configurally invariant for two training programmes. On course level, there was only minimal variance between trainings (ICC<.08). Structurally, there was a significant increase in HP competencies when comparing pre- and post-course measurements (b=.33, p<.01). Participants showed different levels of competencies due to prior knowledge (b=.38, p<.001) and course format (b=.16, p<.06). The total scale had good properties (m = 49.8, sd = 10.3, 95%-CI: 49.0-50.7) and discriminated between groups (eg by training length). Conclusions The results justify the creation of an overall scale to assess core HP competencies. It is recommended to use the scale for evaluating training courses. The work compensates for the lack of empirical studies on the CompHP concept and facilitates a broader empirical application of a uniform competency framework for HP in accordance with international standards in HP and public health. Key messages The self-assessment tool provides a good and compact foundation for assessing HP competencies. It provides a basis for holistic, high quality and sustainable capacity building or development in HP.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ning An ◽  
Ji Sheng Lin ◽  
Qi Fei

Abstract Background To compare the validation of four tools for identifying painful new osteoporotic vertebral compression fractures (PNOVCFs) in older Chinese men: bone mineral density (BMD), Asian osteoporosis self-assessment tool (OSTA), World Health Organization fracture risk assessment tool (FRAX) (without BMD) and Beijing Friendship Hospital Osteoporosis Self-Assessment Tool (BFH-OSTM). Methods A cross sectional study was conducted from 2013 to 2019. A total of 846 men aged ≥50 were included and were divided into two groups: Fracture Group (patients with PNOVCFs underwent percutaneous vertebroplasty surgery) and Non-Fracture Group (community dwelled subjects for healthy examination). All subjects accepted a dual-energy X-ray BMD test and a structured questionnaire. The results of BMD, OSTA, FRAX and BFH-OSTM scores were assessed and receiver-operating characteristic (ROC) curves were generated to compare the validity of four tools for identifying PNOVCFs. Optimal cutoff points, sensitivity, specificity, and areas under the ROC curves (AUCs) were determined. Results There were significant differences including BMD T score (femoral neck, total hip and L1-L4), OSTA, FRAX and BFH-OSTM scores between Fracture group and Non-fracture group. Compared to BMD and OSTA, BFH-OSTM and FRAX had better predictive value, the sensitivity, specificity and AUC value are 0.841, 81.29%, 70.67% and 0.796, 74.85%, 78.52%, respectively. Compared with FRAX, the BFH-OSTM has a better AUC value. Conclusions Both BFH-OSTM and FRAX can be used to identify POVCFs, However, BFH-OSTM model may be a more simple and effective tool to identify the risk of POVCFs in Chinese elderly men.


2018 ◽  
Vol 36 (2) ◽  
pp. 93-96 ◽  
Author(s):  
Sara Moradi Tuchayi ◽  
Hossein Alinia ◽  
Lucy Lan ◽  
Olabola Awosika ◽  
Abigail Cline ◽  
...  

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 257-257
Author(s):  
Caroline Jones ◽  
David Riley ◽  
Amy Morris ◽  
Jeremy Michael Sen ◽  
Alana Ferrari ◽  
...  

257 Background: For patients receiving high dose cytarabine (HiDAC) at University of Virginia (UVA) Health between 10/2019 and 10/2020, median length of stay (LOS) from time of clinic appointment to hospital discharge was 119.35 hours. Standard treatment time should be 112 hours from premedication to end of chemotherapy. There are no national standards for duration of inpatient stay for planned chemotherapy, but only 50% of these patients were discharged after noon (over 3 hours post-chemotherapy completion). LOS that extends beyond the standard treatment time results in increased cost, overutilization of hospital resources, delayed admissions for future patients, and patient dissatisfaction. Methods: A multidisciplinary team comprised of licensed providers, pharmacists, and nurses was formed. The team focused on percentage of patients discharged by noon as a surrogate marker for LOS due to inconsistency of admission times; the aim was to increase patients discharged by noon to 65%. Reviewing the baseline data revealed an unstable process with a 3-sigma X-bar statistical process control chart. The team developed current and ideal process state maps, a Pareto chart, and a priority matrix to determine an action plan. The most common identified causes for delay in discharge included: lack of standardized discharge checklist, discharge order placed after 10 am, medications dispensed from the outpatient pharmacy after 11 am, licensed providers not prioritizing discharge patients, and medication reconciliation not completed prior to day of discharge. Results: From 10/2020 to 5/2021, the first PDSA cycle focused on standardizing the discharge process to correct the instability in the process. A discharge checklist was created based on the ideal process map, which allowed the providers to have a consistent process at discharge. 3-sigma Xbar chart demonstrated a now stable process and an increase of patients discharged by noon to 58%. During the second PDSA cycle starting in 6/2021, providers completed medication reconciliation the day before discharge, prioritized HiDAC discharges first during rounds, and ensured discharge orders were placed by completion of the last chemotherapy bag. Data collection is ongoing, and will be analyzed by August 2021. Future tests of change are planned to focus on the pharmacy medication delivery service. Hospital LOS has also decreased after the first PDSA cycle. Conclusions: Using quality improvement methodology, a multidisciplinary team developed an action plan for patients receiving HiDAC which to date has increased the percentage of patients discharging by noon and decreased length of stay. This outcome may lead to reduce hospitalization costs and increase bed availability for other oncology patients. Further PDSA cycles are scheduled and continuous evaluation of the process is ongoing.


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