Decision Making in Offshore Emergencies: Are Standard Operating Procedures the Solution?

Author(s):  
Jan Skriver ◽  
Rhona H. Flin
2020 ◽  
Vol 34 (2) ◽  
pp. 141-146
Author(s):  
Woo-Young Chun ◽  
Ji-Hee Lee ◽  
Hyung-Jun Kim

This study examines the development of content scenarios to facilitate the training of on-site commanders in firefighting activities. To establish the training content scenario system, the three core competencies of the on-site commanders were set as situation judgment, communication, and decision-making. A system of scenarios was established to actively reflect these three core competencies when designing the scenarios. All the contents of these scenarios are based on Standard Operating Procedures (SOP). The scenarios comprise 14 stages that are divided into four steps with the exception of stages 1 and 14, which mark the beginning and end of the training. It consists of the situation setting stage and the first, second, and third decision-making stages. Specifically, situation judgment and communication are important factors in each stage.


2019 ◽  
Vol 46 (2) ◽  
pp. 191-213
Author(s):  
Elizabeth Grimm Arsenault ◽  
Catherine Chiang

How did the U.S. Department of Defense (DoD) develop its torture program and, in so doing, stray so significantly from its existing standard operating procedures (SOPs) around humane prisoner treatment? This model of organizational decision-making examines both the ambiguous structural environment that interrogators faced after 9/11 and the ways in which actors used their agency to challenge the procedures and rules that had governed DoD decision-making and actions for more than six decades. By building off the work on organizational theorizing pioneered by Graham Allison and James March, this study process traces the ways in which the DoD’s institutional procedures protecting detainees were developed, challenged, and then ultimately reaffirmed. This research helps organizations ultimately understand the power—and the weaknesses—of their SOPs.


2021 ◽  
Author(s):  
Andrew Speirs ◽  
Coline Ramée ◽  
Alexia P. Payan ◽  
Dimitri Mavris ◽  
Karen M. Feigh

Author(s):  
Philip C. Butler ◽  
Andy Bowers ◽  
Andrew P. Smith ◽  
Sabrina R. Cohen-Hatton ◽  
Robert C. Honey

Objective To understand how firefighters’ use of rules (i.e., standard operating procedures [SOPs]) and deliberative decision making (i.e., operational discretion [OD]) interacts with acute stress. Background Current operational guidance for UK firefighters combines the provision of SOPs, for routine incidents, with the use of OD, under prescribed conditions (e.g., when there is a risk to human life). However, our understanding of the use of SOPs and OD is limited. Methods Incident commanders (ICs; n = 43) responded to simulated emergency incidents, which either licensed the use of OD or required use of a SOP. Video footage of IC behavior was used to code their response as involving a SOP or OD, while levels of acute stress were assessed using a blood-based measure and self-report. Results ICs were less likely to use OD selectively in the simulated emergency incident that licensed its use than in the one for which use of an SOP was appropriate; IC command level did not affect this pattern of results; and the incident that licensed OD resulted in more acute stress than the incident that required use of a SOP. Conclusion SOPs and OD were not used in the manner prescribed by current operational guidance in simulated emergency incidents. Application These results suggest that firefighter training in SOPs and OD should be augmented alongside personal resilience training, given the impact of stress on health and wellbeing, but also to improve the deployment of SOPs and OD under stress.


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Serafina Perrone ◽  
◽  
Maurizio Giordano ◽  
Giuseppe De Bernardo ◽  
Paola Lugani ◽  
...  

Abstract Background Although many studies emphasize the importance of using oxygen saturation (SpO2) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population. Methods Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO2 was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed. Results Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO2 ranges were observed. Centers using written standard operating procedures on oxygen management and SpO2 monitoring maintained a correct average range of SpO2 90–95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status. Conclusions There is considerable variation in SpO2 targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms.


2003 ◽  
Vol 24 (12) ◽  
pp. 955-960 ◽  
Author(s):  
Rosemary E. Duffy ◽  
Braulio Couto ◽  
Jussara M. Pessoa ◽  
Carlos Starling ◽  
Silma Pinheiro ◽  
...  

AbstractObjective:To report the results of our preintervention investigation and subsequent 19-month three-phase intervention study designed to reduce pyrogenic reactions among patients undergoing cardiac catheterization using reprocessed catheters.Design:A case-control study for the preintervention period and a prospective cohort study for the intervention period.Setting:A 400-bed hospital in Belo Horizonte, Brazil.Participants:Any patient undergoing cardiac catheterization in the hospital.Interventions:Three intervention phases were implemented to improve the quality of the water supplied to the cardiac catheter reprocessing laboratory. Standard operating procedures for reprocessing cardiac catheters were established and reprocessing staff were trained and educated.Results:The rate of pyrogenic reactions decreased significantly during the intervention phases, from 12.8% (159 of 1,239) in phase 1 to 5.3% (38 of 712) in phase 2 to 0.5% (4 of 769) in phase 3 (chi-square test for linear trend, 97.5;P< .001).Conclusion:Improving water quality and using standard operating procedures for reprocessing catheters can prevent pyrogenic reactions in hospitalized patients.


2016 ◽  
Vol 10 (11) ◽  
pp. e0005053 ◽  
Author(s):  
Barbara Barbé ◽  
Kristien Verdonck ◽  
Deby Mukendi ◽  
Veerle Lejon ◽  
Jean-Roger Lilo Kalo ◽  
...  

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