Comparison of different methods for work accidents investigation in hospitals: A Portuguese case study

Nunes, Cláudia; Baptista, João Santos; Silva, Manuela Vieira da; Lourenço, Irina; Carvalhais, Carlos

doi:10.3233/wor-152007

Cited by 10 publications

(7 citation statements)

References 21 publications

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“…Like other accidents, NSIs are a multifactorial phenomenon, and many factors and deficiencies at various organizational levels can contribute to such accidents. Job stress, inadequate skills, ignoring the necessary precautions [ 4 ], organizational factors [ 5 ], work scheduling [ 6 ], insufficient staffing [ 7 ], guidelines and procedures [ 8 ], fatigue [ 9 ], poor safety climate [ 10 ], and safety training [ 11 ] are some factors that have been reported by previous studies to be related to NSIs. Because many factors contribute to NSIs, the rate of such injuries remains high [ 12 ], and interventional programs have commonly failed to accomplish their intended objectives.…”

Section: Introductionmentioning

confidence: 99%

Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran, Iran

et al. 2018

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OBJECTIVESRecent studies have shown that the rate of needlestick and sharps injuries (NSIs) is unacceptably high in Iranian hospitals. The aim of the present study was to use a systematic approach to predict and reduce these injuries.METHODSThis cross-sectional study was conducted in 5 hospitals in Tehran, Iran. Eleven variables thought to affect NSIs were categorized based on the Human Factors Analysis and Classification System (HFACS) framework and modeled using a Bayesian network. A self-administered validated questionnaire was used to collect the required data. In total, 343 cases were used to train the model and 50 cases were used to test the model. Model performance was assessed using various indices. Finally, using predictive reasoning, several intervention strategies for reducing NSIs were recommended.RESULTSThe Bayesian network HFACS model was able to predict 86% of new cases correctly. The analyses showed that safety motivation and fatigue were the most important contributors to NSIs. Supervisors’ attitude toward safety and working hours per week were the most important factors in the unsafe supervision category. Management commitment and staffing were the most important organizational-level factors affecting NSIs. Finally, promising intervention strategies for reducing NSIs were identified and discussed.CONCLUSIONSTo reduce NSIs, both management commitment and sufficient staffing are necessary. Supervisors should encourage nurses to engage in safe behavior. Excessive working hours result in fatigue and increase the risk of NSIs.

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Section: Introductionmentioning

confidence: 99%

Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran, Iran

et al. 2018

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“…It is well stablished that patients are the center of every hospital, but it is known that the hospital environment has many occupational health risks due to the variety of clinical and non-clinical tasks performed by healthcare workers. The exposure to psychosocial, chemical, physical, mechanical and biological hazards are common in hospital units and predispose healthcare workers to different types of accidents [16]. However, the work performed in NICU can be particularly psychologically demanding which combined with environmental factors within the NICU, can increase the risk of work accidents occurrence, with negative consequences for staff and also for patients.…”

Section: Introductionmentioning

confidence: 99%

Assessment and characterization of sound pressure levels in Portuguese neonatal intensive care units

Baptista

Carvalhais

Xavier

et al. 2017

Archives of Environmental & Occupational Health

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In NICU, systematic exposure to sound pressure levels above the recommended can affect both ACCEPTED MANUSCRIPT ACCEPTED MANUSCRIPT 2 neonates and staff. This study aimed to evaluate the sound pressure levels in three Portuguese NICU and the noise perception of staff. The measurements were performed with a sound level meter, considering the location of the main sources of noise and the layout of the units. A questionnaire was applied to assess noise perception of professionals. The staff classified the environment (regarding noise) as -slightly uncomfortable‖ (41.1%) and 48.4% considered it as -acceptable‖. In addition, the majority (55.5%) considered -equipment‖ as the most annoying source of noise. The results showed that noise levels were excessive in all the evaluated areas of the NICUs, exceeding international guidelines, with the levels ranging between 48.7 dBA to 71.7 dBA. Overall, there is a need for more research in order to verify the effectiveness of some actions and strategies to reduce the impact of noise in NICU.

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“…A number of scientific literature review studies have been conducted over the last decades, which have covered the evolution and development of accident investigation methodologies and their comparison [8,[19][20][21][22][23][24][25]. These reviews also employed a number of different assessment criteria for the analysis of the methodologies they selected in each of the studies cited.…”

Section: Studies That Have Analysed and Evaluated Methodologies For T...mentioning

confidence: 99%

Evaluation and comparison of selected methodologies to investigate occupational accidents

Salguero-Caparrós

Rubio-Romero²

2023

WOR

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BACKGROUND: The choice of the “right” methodology to carry out the occupational accident investigation process is not an easy task. Each methodology has different conceptual and practical characteristics. The choice will depend to a large extent on the conceptual accident model being used. OBJECTIVE: The aim of this study has been to evaluate and compare a set of nine methodologies recognised as the most widely used in the field of occupational accident investigation. METHODS: For this purpose, six evaluation criteria are used which have already been applied and validated by the scientific community with a clear emphasis on the holistic nature of these methodologies. RESULTS: The results show a detailed analysis of the conceptual, methodological and practical characteristics of the nine selected occupational accident investigation methodologies. The conceptual framework of each of the methodologies, their holistic characteristics in terms of whether they cover the complete information cycle and its possible interrelation, reliability and validity of the methodologies, the experience required for their application, the flexibility in terms of being able to be used in different work environments and finally the ability of the methodology to motivate organisational improvement are presented. CONCLUSIONS: From this study, it is clear that the analysis of occupational accident investigation it is becoming increasingly necessary to employ scientific methodologies with a clear proactive approach in order to meet the challenges of changing socio-technical systems.

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Comparison of different methods for work accidents investigation in hospitals: A Portuguese case study

Cited by 10 publications

References 21 publications

Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran, Iran

Predicting needlestick and sharps injuries and determining preventive strategies using a Bayesian network approach in Tehran, Iran

Assessment and characterization of sound pressure levels in Portuguese neonatal intensive care units

Evaluation and comparison of selected methodologies to investigate occupational accidents

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