Due to increased outsourcing in many industries, organizations are becoming larger and more interorganizationally complex and numerous operations now require cooperation among employees from different organizations. This paper presents a review of empirical literature addressing safety issues in complex interorganizational systems wherein the potential for major organizational accidents is present. Thematic analysis of the literature resulted in four main themes: economic pressures, disorganization, dilution of competence and organizational differences. The themes were viewed in light of different theoretical perspectives on organizational accident risk. The findings suggest that issues due to interorganizational complexity can hinder efficient safety management and thereby elevate the risk of organizational accidents. It is emphasized that further research is needed to better understand the implications of interorganizational complexity on safety management.

A recent cross-sectional study investigating an organizational choir-singing intervention called 'Sound of Well-being' (SOW) indicated health and organizational benefits, and a gender-specific pattern of participation and outcomes. In this study we investigate participation and effects in a short version of SOW. A total of

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A qualitative study was undertaken to explore how interorganizational complexity is managed on a petroleum-producing installation. Fourteen semi-structured interviews were conducted. Data were analysed by means of thematic analysis. Longterm organizational relations, management's role in the field and worker involvement appear to facilitate high-quality work relations which, along with similar safety practices and philosophies across companies, appear to foster commitment to mutual operational goals and contribute to an open environment in which employees were inclined to report errors and problems. Still, due to the vast number of companies involved and the vast amount of information, coordinating work processes among companies was regarded as a constant challenge. Moreover, variations in experience among sharp-end workers from sub-contractor companies in periods of high activity and marked fluctuations were identified as a challenge. The quality of interorganizational work relations appears to have important implications for safety performance in this context, indicating that high-quality work relations across collaborating companies constitute an important component for achieving and sustaining safety. As research addressing relational factors in safety research to date has been sparse, more research is needed to further explore the safety functions of high-quality work relations. Theoretically, the current study contributes to extend the high-reliability organizations framework by highlighting the role of high-quality work relations as an element for achieving mindfulness.