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Fulltext AsiaSafe: Cultivating a Safety Culture for Radiation in Diagnosis, Intervention, Therapy, and Beyond

Ho ELM, Ng KH

Korean J Radiol, 2024 Jan;25(1):8-10.
PMID: 38184764 DOI: 10.3348/kjr.2023.0945
Matched MeSH terms: Safety Management*
Fulltext Editorial: Effective occupational health and safety management in advancing global agri-food sustainability

Bhowmik S, Mamun AA, Nordin N

Front Public Health, 2024;12:1438907.
PMID: 39071146 DOI: 10.3389/fpubh.2024.1438907
Matched MeSH terms: Safety Management*
Safety Intervention Need Analysis System for construction industry

Asmalia Che Ahmad, Normazlina Mohamed Zi, Ismail Bahari, Azizah Jaafar

Journal of Occupational Safety and Health, 2012;9(2):39-46.
MyJurnal

Safety Intervention Need Analysis System (SINAS) is a web-based safety management program that aspires the identification for the need of construction safety intervention. It can be accessed through the website www.sinas.org. This first phase of SINAS project development only focus on safe design intervention. SINAS was created to provide assistance for safety practitioners in identifying the need of safe design intervention. This was put forward through the investigations of construction accidents that relate to design. The SINAS process of need analysis are carved up to six steps i.e. user information, accident details, accident evaluation, result of the need analysis, construction design intervention and safety intervention need analysis report. At the end of the process, Safety Intervention Need Analysis Report will be generated. This report is an essential document to proof the need of safe design intervention. Additionally, SINAS also offers recommendations for construction designers and professionals on suitable safe design intervention to prevent construction accidents and minimises construction risks.

Matched MeSH terms: Safety Management
Toxic release consequence analysis tool (TORCAT) for inherently safer design plant

Shariff AM, Zaini D

J Hazard Mater, 2010 Oct 15;182(1-3):394-402.
PMID: 20633985 DOI: 10.1016/j.jhazmat.2010.06.046

Many major accidents due to toxic release in the past have caused many fatalities such as the tragedy of MIC release in Bhopal, India (1984). One of the approaches is to use inherently safer design technique that utilizes inherent safety principle to eliminate or minimize accidents rather than to control the hazard. This technique is best implemented in preliminary design stage where the consequence of toxic release can be evaluated and necessary design improvements can be implemented to eliminate or minimize the accidents to as low as reasonably practicable (ALARP) without resorting to costly protective system. However, currently there is no commercial tool available that has such capability. This paper reports on the preliminary findings on the development of a prototype tool for consequence analysis and design improvement via inherent safety principle by utilizing an integrated process design simulator with toxic release consequence analysis model. The consequence analysis based on the worst-case scenarios during process flowsheeting stage were conducted as case studies. The preliminary finding shows that toxic release consequences analysis tool (TORCAT) has capability to eliminate or minimize the potential toxic release accidents by adopting the inherent safety principle early in preliminary design stage.

Matched MeSH terms: Safety Management*
Fulltext Impact of Safety Culture on Safety Performance; Mediating Role of Psychosocial Hazard: An Integrated Modelling Approach

Naji GMA, Isha ASN, Mohyaldinn ME, Leka S, Saleem MS, Rahman SMNBSA, et al.

Int J Environ Res Public Health, 2021 08 13;18(16).
PMID: 34444314 DOI: 10.3390/ijerph18168568

We conceptualize that safety culture (SC) has a positive impact on employee's safety performance by reducing their psychosocial hazards. A higher level of safety culture environment reduces psychosocial hazards by improving employee's performance toward safety concerns. The purpose of this study was to evaluate how psychosocial hazard mediates the relationship between safety culture and safety performance. Data were collected from 380 production employees in three states of Malaysia from the upstream oil and gas sector. Structural equation modeling was implemented to test the suggested hypotheses. The proposed model was evaluated using structural equation modeling. A stratified sampling with a Likert 5-point scale was used to distribute the questionnaires. Furthermore, the proposed model was tested using the simulation of the structural equation and partial. According to our findings, all hypotheses were significant. A review of prior studies was used to select the items of the dimension for the data collection. Safety culture was assessed with psychosocial hazard to determine its direct and indirect impact on safety performance. Results suggest that to enhance safety performance (leading and lagging), psychosocial concerns in the workplace environments should be taken into consideration by employees. In addition, the findings showed that the psychosocial hazard fully mediates the relationship between safety culture and safety performance.

Matched MeSH terms: Safety Management*
The influence of hazard control and prevention toward safety behaviors and safety outcomes in coal-fired power plants using PLS-SEM

Arifin K, Ali MXM, Abas A, Ahmad MA, Ahamad MA, Sahimi AS

J Safety Res, 2023 Sep;86:376-389.
PMID: 37718065 DOI: 10.1016/j.jsr.2023.07.017

INTRODUCTION: The electrical utility industry, which plays a vital role in sustaining other sectors, contributes to high occupational accident rates in the utility industries. The high accident rate shows that there has been insufficient effort made to control unsafe actions and conditions in the workplace. This study aims to examine the influence of hazard control and prevention as leading indicators of safety behaviors and outcomes in coal-fired power plants in Malaysia.
METHODS: This quantitative research was conducted by distributing survey questionnaires randomly to five coal-fired power plants in Peninsular Malaysia. A total of 340 respondents were involved in this research. Partial least squares structural equation modeling (PLS-SEM) analysis was performed using SmartPLS to validate and examine the relationship of the proposed model.
RESULTS: The results validate the construct of hazard control and prevention consisting of planning, action, managing, and verifying, while the safety outcomes construct consists of occupational accidents, fatal accidents, near misses, and lost time injuries. The results indicate that hazard control and prevention significantly relate to safety compliance, safety participation, safety motivation, and safety knowledge. Moreover, safety outcomes were influenced negatively by hazard control and prevention through safety compliance.
CONCLUSION: The model provides a better understanding of the influence of hazard control and prevention on safety behavior and outcomes.
PRACTICAL APPLICATIONS: The model can be used as guidance for practitioners and researchers in planning and implementing hazard control and prevention to improve health and safety in the workplace.

Matched MeSH terms: Safety Management*
Behavior-based safety program for process industries

Rashid MI, Athar M, Noor F, Hussain A

Int J Occup Saf Ergon, 2023 Dec;29(4):1440-1450.
PMID: 36221985 DOI: 10.1080/10803548.2022.2135282

Objectives. This article describes the reduction of unsafe behaviors observed at a fertilizer complex by implementation of a behavior-based safety (BBS) program via a behavior observation form developed by a multidisciplinary team. Methods. Six observation categories, i.e., position of people, reaction of people, personal protective equipment (PPE), tools used, operating procedures and housekeeping, are used to monitor safe and unsafe behaviors for a period of 18 months. Results. Safe behaviors increased from 57 to 70% and unsafe behaviors reduced from 40 to 26%. Behaviors of employees working in various sections of fertilizer complex such as ammonia, urea, utility, bagging/shipping and workshop were also observed. Non-compliance with PPE, housekeeping and standard operating procedures was also monitored in individual sections. Non-operational areas including the administration block, housing colony, maintenance workshop, warehouse, fire station and electrical substation were also observed. Among these, the maximum unsafe behaviors are for the housing colony and minimum for the electrical substation. Conclusion. It has been concluded that working on the housing colony, administration block and fire station areas will address 74% unsafe behaviors of non-operational areas. For practical applications, worldwide industries can implement this BBS program to enhance BBS, thus reducing unsafe behaviors and increasing employee morale.

Matched MeSH terms: Safety Management/methods
Safety management practices and safety behaviour: a preliminary investigation in Malaysian Small and Medium Enterprises in Northern Corridor Economic Region (NCER)

Khoo Teng Hong, Lilis Surienty, Daisy Kee Mui Hung

Journal of Occupational Safety and Health, 2011;8(1):0-0.
MyJurnal

The paper reports on a study conducted in Small and Medium Enterprises (SMEs) in NCER, Malaysia. Four safety management practices were studied in relation to safety behaviour of employees. Respondents consisted of employees working in SMEs in NCER. Companies were sampled randomly from directories provided by SMECorp and other SME-related body. Self-administered questionnaires were sent by mail to employees working in SMEs. Completed questionnaires were mailed back by respondents using pre-addressed and post-paid envelope included. Correlation analysis were conducted and found that all four safety management practices are highly correlated with safety behaviour. The result provides support to the use of safety management practices to improve safety behaviour of employees and overall safety of the workplace. Suggestions for management in SMEs are presented in the discussion section. Management in SMEs can consider the use of safety management practices as antecedents that trigger safety behaviour of their employees in order to reduce accident rate in workplace.

Matched MeSH terms: Safety Management
Fulltext Lightning strike fatalities: three case reports of military personnel in Malaysia

Rozali, A., Khairuddin, H., Sherina, M.S., Chia, L.M.

Malaysian Journal of Medicine and Health Sciences, 2012;8(2):73-75.
MyJurnal

Lightning strikes have been known to cause fatal injuries. However, these cases have not been adequately highlighted in Malaysia. This paper reports on three cases of military personnel who lost their lives after being struck by lightning while on operational duties. It is extremely important to implement adequate safety measures and ensure that all military personnel are adequately trained on emergency procedures, such as Cardio Pulmonary Resuscitation (CPR) to prevent casualties of lightning strikes in future. This paper addresses several issues to avoid similar occurrences; the importance of taking extra safety precautions and recognizing signs of lightning strikes, as well as the immediate administration of CPR on victims.

Matched MeSH terms: Safety Management
Off -site emergency planning

Mohamad bin Jamil

Journal of Occupational Safety and Health, 2005;2(1):23-29.
MyJurnal

Emergency in a major hazard installation may cause extensive damage to property and serious disruption both inside and outside the installation. The overall objectives of an emergency plan are: to localise the emergency and, if possible, eliminate it; and to minimise the effects of the accident on people and property. The off-site emergency plan is an integral part of any major hazard control system. In many countries the duty to prepare the off-site plan lies with the local authorities, including Malaysia. Thus, the preparations of written off-site emergency response planning is required to minimize the impact of major accident to the people , property and environment.

Matched MeSH terms: Safety Management
Fulltext A review on conceptualization and dimensions of safety culture

Shah Rollah Abdul Wahab, Yeong, Sook Shuen

Journal of Occupational Safety and Health, 2015;12(1):9-12.
MyJurnal

Recent development in industrialization and global economy has contributed to the increased number of workplace
injuries and accidents. Safety culture has been seen as a central medium to curb the worrying trend of workplace
accidents. The term of safety culture has emerged from the Chernobyl nuclear disaster in 1986 and the concept has
been widely used until today. However, the conceptualization of safety culture suffers from several major drawbacks
such as no definite understanding of how safety culture is being defined and measured. This paper hypothesized that
higher levels of safety culture in the workplace will display lower numbers of accidents. Due to this concern, this
paper seeks to provide a clear conceptualization of safety culture, dimensions used to measure it and common research
methodology used in the previous safety research.

Matched MeSH terms: Safety Management
Fulltext Behaviour-Based Safety (BBS) implementation reduce incidents at the workplace in major industry

Rosliza Osman, Noorhasimah Awang, Siti Nasyrah Ibrahim, Siti Nurani Hassan, Norsyahidah Mohammad Yusof, Jais Suratman, et al.

Journal of Occupational Safety and Health, 2015;12(1):105-108.
MyJurnal

Unsafe behaviour is the key factor which contributes to the high number of incidents. Applying Behavior-Based
Safety (BBS) into safety risk controls has been adopted in major industry toward improving safety performance.
This approach to prevent incident has a number of advantages. The objective of this study is to identify the BBS
factors which can contribute to reduce incidents at the workplace. Human factors, behaviour and environment have
been identified as BBS factors. Human factors are influenced by knowledge and understanding of the workers while
behaviour factors are influenced by culture and practices in a daily life. In addition, environmental factor involves
equipment and work area. For an effective BBS approach, level of knowledge, understanding and practices by the
workers become the main concerns in the implementation of BBS. The findings can become the reference model for
future implementation in other organizations and as a guidance for better safety management.

Matched MeSH terms: Safety Management
Fulltext An overview of industrial dust explosion incidents and the best mitigation practices in Malaysia

Mohd Azimie Ahmad, Norazura Ismail, Mohamad Rizza Othman

Journal of Occupational Safety and Health, 2015;12(1):179-182.
MyJurnal

The trends of safety incident process have been put in the statistical research and development in order to prevent
and mitigate the phenomenon. One of the incidents is known as dust explosion. It represents a constant hazard to
industries which includes any manufacturing using and handling combustible dust materials. Lack of sharing and
know-how on best practices in managing the workplace must be avoided throughout the industries. The severity and
the consequences of not taking the safety precautions at workplace have not been foreseen by the process team. This
present paper discusses the best practices in managing the hazards from the catastrophes to happen again. In addition,
the mitigation response has also been explored thoroughly through database of best practices.

Matched MeSH terms: Safety Management
Contributions of safety critical success factors and safety program elements to overall project success

Buniya MK, Othman I, Sunindijo RY, Karakhan AA, Kineber AF, Durdyev S

Int J Occup Saf Ergon, 2023 Mar;29(1):129-140.
PMID: 35125068 DOI: 10.1080/10803548.2022.2038419

Implementing a safety program is an essential step toward improving safety performance. This research aims to develop an overall project success (OPS) model for building projects through investigating the direct and indirect impact of safety critical success factors (CSFs) on OPS mediated by safety program elements. First, interviews were carried out with experts in the Iraqi construction industry, and then a questionnaire survey was utilized to obtain feedback from construction professionals. The results revealed that 20 elements are needed to confirm and improve effectiveness. These elements were categorized into four constructs: management commitment and employee involvement, worksite analysis, hazard and prevention control, and health and safety training. The analysis confirms that the relationship between safety CSFs and OPS are mediated by safety program elements. These findings offer a glimmer of hope for implementing safety programs in the Iraqi construction sector, and can also be used to enhance safety performance.

Matched MeSH terms: Safety Management
Fulltext A validity study to consult on a protocol of a home hazard management program for falls prevention among community dwelling stroke survivors

Ahmad Ainuddin H, Romli MH, S F Salim M, Hamid TA, Mackenzie L

PLoS One, 2023;18(1):e0279657.
PMID: 36630460 DOI: 10.1371/journal.pone.0279657

OBJECTIVE: A fall after a stroke is common but the consequences can be devastating not only for the stroke survivors, but also for caregivers, healthcare, and the society. However, research on falls prevention among the stroke population are limited, particularly on home hazards assessment and home modifications, demanding for a study to be conducted. The aim of the study is to validate the protocol and content of a home hazard management program guided by the Person-Environment-Occupation (PEO) Model for falls prevention among community dwelling stroke survivors.
METHOD: Researchers developed their own questionnaire for content validation which consist of 23 items that covers two domains, namely justification for telehealth home hazard management practice and the protocol's overall methodology. Occupational therapists with at least one year of experience in conducting a home hazard assessment were consulted for the content validation of a two-group clinical controlled trial protocol utilizing a home hazard assessment, home modifications and education over the usual care. Written consent was obtained prior to the study. The occupational therapists were given a Google Form link to review the protocol and intervention based on the questionnaire and rated each item using a four-point Likert scale for relevance and feasibility. Open-ended feedback was also recorded on the google form. Content Validity Index (CVI), Modified Kappa Index and Cronbach's Alpha was calculated for the content validity and reliability analysis.
RESULTS: A total of sixteen occupational therapists participated in the study. 43.7% of participants had a master's degree, 93.7% worked in the government sector and 56.2% had six years and more experience on conducting home hazard assessments. Content validity of the protocol is satisfactory for relevancy and feasibility (CVI = 0.84, ranging from 0.5 to 1.00), and for the reliability (α = 0.94 (relevance) and α = 0.97 (feasibility), respectively. The Modified Kappa ranged from 0.38 to 1.00 for all items. Feedback was also received regarding the design and procedure of the study protocol which included participant's selection criteria, sample size, equipment provided, cost, location, and care for the participants during the intervention.
CONCLUSIONS: Introducing a home hazard management program to prevent falls among the stroke population is viewed relevant and feasible. Practical suggestions from the consultation panel were adopted, and minor adjustments were required to strengthen the protocol's overall methodology. This study established a rigorous and robust experimental protocol for future undertaking.

Matched MeSH terms: Safety Management
Should known allergy status be included as a medication administration 'right'?

Mortell M

Br J Nurs, 2019 Nov 14;28(20):1292-1298.
PMID: 31714835 DOI: 10.12968/bjon.2019.28.20.1292

This article employs a paediatric case study, involving a 3-year-old child who had an anaphylactic reaction that occurred as a result of the multidisciplinary team's failure to identify and acknowledge the patient's documented 'known allergy' status. It examines and reconsiders the ongoing healthcare dilemma of medication errors and recommends that known allergy status should be considered the second medication administration 'right' before the prescribing, transcribing, dispensing and administration of any drug. Identifying and documenting drug allergy status is particularly important when caring for paediatric patients, because they cannot speak for themselves and must rely on their parents, guardians or health professionals as patient advocates. The literature states that medication errors can be prevented by employing a 'rights of medication administration' format, whether that be the familiar '5 rights' or a more detailed list. However, none of these formats specify known allergy status as a distinct 'right'. The medication safety literature is also found wanting in respect of the known allergy status of the patient. When health professionals employ a medication administration rights format prior to prescribing, transcribing, dispensing or administering a medication, the 'known allergy status' of the patient should be a transparent inclusion.

Matched MeSH terms: Safety Management/methods*
Fulltext Comparative Studies on Patient Safety Culture to Strengthen Health Systems Among Southeast Asian Countries

Kang S, Ho TTT, Lee NJ

Front Public Health, 2020;8:600216.
PMID: 33511097 DOI: 10.3389/fpubh.2020.600216

Patient safety is an important issue in health systems worldwide. A systematic review of previous studies on patient safety culture in Southeast Asian countries is necessary for South Korea's partnership with these countries, especially given South Korea's assistance in strengthening the health systems of these developing countries. Studies on patient safety culture in Southeast Asian countries, published in English and Thai languages, were retrieved from computerized databases using keywords through a manual search. Data extraction, quality assessment, and analyses were performed using several tools. The review included 21 studies conducted in Indonesia (n = 8), Thailand (n = 5), Malaysia (n = 3), Vietnam (n = 2), Singapore (n = 1), and the Philippines (n = 1). They were analyzed and categorized into 12 dimensions of safety culture, and differences in response rate or scores were identified compared to the mean of the dimensions. The heterogeneous of safety culture's situation among Southeast Asian countries, both in practice and in research, can be explained since patient safety policy and its application are not prioritized as much as they are in developed countries in the priority compared to the developed countries. However, Vietnam, Cambodia, Myanmar, and Laos are the priority countries for South Korea's official healthcare development assistance in the Southeast Asia region. Vietnam, for instance, is an economically transitioning country; therefore, consolidated patient safety improvement by inducing patient safety culture in the provincial and central health system as well as strengthening project formulation to contribute to health policy formation are needed for sustainable development of the partner countries' health systems. It is recommended that more evidence-based proactive project planning and implementation be conducted to integrate patient safety culture into the health systems of developing countries, toward health policy on patient safety and quality service for the attainment of sustainable development goals in South Korea's development cooperation.

Matched MeSH terms: Safety Management*
Protecting the health of medical students on international electives in low-resource settings

Johnston N, Sandys N, Geoghegan R, O'Donovan D, Flaherty G

J Travel Med, 2018 01 01;25(1).
PMID: 29394388 DOI: 10.1093/jtm/tax092

Background: Increasingly, medical students from developed countries are undertaking international medical electives in developing countries. Medical students understand the many benefits of these electives, such as the opportunity to develop clinical skills, to gain insight into global health issues and to travel to interesting regions of the world. However, they may be much less aware of the risk to their health and wellbeing while abroad. Compounding this problem, medical students may not seek advice from travel medicine practitioners and often receive inadequate or no information from their medical school prior to departure.
Methods: The PubMed database was searched for relevant literature relating to the health of medical elective students. Combinations of the following key words were used as search terms: 'international health elective', 'medical student' and 'health risks'. Articles were restricted to those published in English from 1997 through June 2017. A secondary review of the reference lists of these articles was performed. The grey literature was also searched for relevant material.
Results: This narrative literature review outlines the risks of clinical electives in resource-poor settings which include exposure to infectious illness, trauma, sexual health problems, excessive sun exposure, mental health issues and crime. Medical students may mitigate these health risks by being informed and well prepared for high-risk situations. The authors provide evidence-based travel advice which aims to improve pre-travel preparation and maximize student traveller safety. A safer and more enjoyable elective may be achieved if students follow road safety advice, take personal safety measures, demonstrate cultural awareness, attend to their psychological wellbeing and avoid risk-taking behaviours.
Conclusion: This article may benefit global health educators, international elective coordinators and travel medicine practitioners. For students, a comprehensive elective checklist, an inventory of health kit items and useful web-based educational resources are provided to help prepare for electives abroad.

Matched MeSH terms: Safety Management*
Fulltext The adoption of 5S practice and its impact on safety management performance: a case study in a university environment

Rhaffor, Kauthar A., Nurul Hafieza Azizul, Rahim Jamian, Jum’azulhisham Abdul Shukor

Journal of Occupational Safety and Health, 2019;16(1):9-17.
MyJurnal

he practice of 5S has been adopted by many organizations as a method to organize the workplace towards reducing waste and improving productivity. Moreover, the practice also promotes a safe and efficient environment in organisations. As safety performance of the workplace is among the key issues in most industries including universities to become world class organizations, this study seeks to address empirically the impact of 5S practice on safety management performance. In this context, a survey questionnaire is employed and distributed to 60 employees of the selected university to examine the employees’ perception on the adoption of 5S practice as well as the impact of 5S practice towards safety management performance. The questionnaires were validated by a pilot test with an acceptable value of Cronbach's alpha. Overall findings highlight there was positive perceptions toward 5S practice among the respondents. The results also revealed that 5S Audit has a very strong positive correlation with safety management performance. Furthermore, 5S Training and Top Management Commitment were (2) factors that strongly correlated to safety management performance. These factors are highly important in contributing toward the success of safety management performance. Additionally, since most of the employees were not exposed with Occupational Safety and Health (OSH), this study reveals moderate negative correlation between compliance to OSH Requirements and safety management performance.

Matched MeSH terms: Safety Management
Fulltext Barriers of Occupational Safety Implementation in Infrastructure Projects: Gaza Strip Case

Abu Aisheh YI, Tayeh BA, Alaloul WS, Jouda AF

Int J Environ Res Public Health, 2021 03 29;18(7).
PMID: 33805581 DOI: 10.3390/ijerph18073553

Infrastructure projects are the foundation for essential public services and have an influential position in societal development. Although the role of infrastructure projects is substantial, they can involve complexities and safety issues that lead to an unsafe environment, and which impacts the project key stakeholders. Therefore, this study aimed to evaluate the barriers to implementing occupational safety in infrastructure projects in the Gaza Strip, which cause serious threats and reduce project performance. To evaluate the barriers, 39 items were highlighted and modified as per the construction context and environment, and which later were distributed in the form of a questionnaire, to get feedback from consultants and contractors. The analysis shows that in the safety policy barriers group, consultants and contractors both ranked the item "a contractor committed to an occupational safety program is not rewarded" first. In the management barriers group, consultants and contractors both ranked the item "safety engineer does not have significant powers, such as stopping work when needed" in the first place. In the behavior and culture barriers group, consultants and contractors both ranked the item "workers who are not committed to occupational safety are not excluded" in the first place. Overall, both consultants and contractors shared the same viewpoint in classifying the barriers in the working environment. The outcome of this study is beneficial for Palestinian construction industry policymakers, so they can monitor the highlighted barriers in on-going infrastructure projects and can modify the safety guidelines accordingly.

Matched MeSH terms: Safety Management

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