WorldWideScience

Sample records for changing safety culture

  1. Safety culture

    International Nuclear Information System (INIS)

    Drukraroff, C.

    2010-01-01

    The concept of Safety Culture was defined after Chernobyl's nuclear accident in 1986. It has not been exempt from discussion interpretations, adding riders, etc..., over the last 24 years because it has to do with human behavior and performance in the organizations. Safety Culture is not an easy task to define, assess and monitor. The proof of it is that today we still discussing and writing about it. How has been the evolution of Safety Culture at the Juzbado Factory since 1985 to today?. What is the strategy that we will be following in the future. (Author)

  2. Changing An Electrical Safety Culture - The Importance of Understanding Why.

    Energy Technology Data Exchange (ETDEWEB)

    Waters, Richard Thomas [Idaho National Laboratory

    2015-12-01

    Abstract – Electrical workers, regardless of experience, are faced with a major barrier when first introduced to NFPA 70E, “The Standard for Electrical Safety in the Workplace,” and an erroneous electrical safety culture pre-exists. This paper describes, from the author’s point of view, the barrier that he and other electrical workers have experienced and his insight into overcoming the barrier. The author in conclusion will present a series of techniques that can be used to assist other electrical workers in overcoming the barrier.

  3. The safety culture change process performed in Polish research reactor MARIA

    International Nuclear Information System (INIS)

    Golab, Andrzej

    2002-01-01

    The Safety Culture Change Process Performed in research reactor MARIA is described in this paper. The essential issues fulfilled in realization of the Safety Culture Enhancement Programme are related to the attitude and behaviour of top management, co-operating groups, operational personnel, relations between the operating organization and the supervising and advising organizations. Realization of this programme is based on changing the employees understanding of safety, changing their attitudes and behaviours by means of adequate training, requalification process and performing the broad self-assessment programme. Also a high level Quality Assurance Programme helps in development of the Safety Culture. (author)

  4. Changes in patient safety culture after restructuring of intensive care units: Two cross-sectional studies.

    Science.gov (United States)

    Vifladt, Anne; Simonsen, Bjoerg O; Lydersen, Stian; Farup, Per G

    2016-02-01

    Compare changes in registered nurses' perception of the patient safety culture in restructured and not restructured intensive care units during a four-year period. Two cross-sectional surveys were performed, in 2008/2009 (time 1) and 2012/2013 (time 2). During a period of 0-3 years after time 1, three of six hospitals merged their general and medical intensive care units (restructured). The other hospitals maintained their structure of the intensive care units (not restructured). Intensive care units in hospitals at one Norwegian hospital trust. The safety culture was measured with Hospital Survey on Patient Safety Culture. At times 1 and 2, 217/302 (72%) and 145/289 (50%) registered nurses participated. Restructuring was negatively associated with change in the safety culture, in particular, the dimensions of the safety culture within the unit level. The dimensions most vulnerable for restructuring were manager expectations and actions promoting safety, teamwork within hospital units and staffing. In this study, the restructuring of intensive care units was associated with a negative impact on the safety culture. When restructuring, the management should be particularly aware of changes in the safety culture dimensions manager expectations and actions promoting safety, teamwork within hospital units and staffing. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. CHANGING THE SAFETY CULTURE IN HANFORD TANK FARMS

    Energy Technology Data Exchange (ETDEWEB)

    BERRIOCHOA MV; ALCALA LJ

    2009-01-06

    In 2000 the Hanford Tank Farms had one of the worst safety records in the Department of Energy Complex. By the end of FY08 the safety performance of the workforce had turned completely around, resulting in one of the best safety records in the DOE complex for operations of its kind. This paper describes the variety of programs and changes that were put in place to accomplish such a dramatic turn-around. The U.S. Department of Energy's 586-square-mile Hanford Site in Washington State was established during World War II as part of the Manhattan Project to develop nuclear materials to end the war. For the next several decades it continued to produce plutonium for the nation's defense, leaving behind vast quantities of radioactive and chemical waste. Much of this waste, 53,000,000 gallons, remains stored in 149 aging single-shell tanks and 28 newer double-shell tanks. One of the primary objectives at Hanford is to safely manage this waste until it can be prepared for disposal, but this has not always been easy. These giant underground tanks, many of which date back to the beginning of the Manhattan Project, range in size from 55,000 gallons up to 1.1 million gallons, and are buried beneath 10 feet of soil near the center of the site. Up to 67 of the older single-shell tanks have leaked as much as one million gallons into the surrounding soil. Liquids from the single-shell tanks were removed by 2003 but solids remain in the form of saltcake, sludges and a hardened heel at the bottom of some tanks. The Department of Energy's Office of River Protection was established to safely manage this waste until it could be prepared for disposal. For most of the last seven years the focus has been on safely retrieving waste from the 149 aging single-shell and moving it to the newer double-shell tanks. Removing waste from the tanks is a difficult and complex task. The tanks were made to put waste in, not take it out. Because of the toxic nature of the waste, both

  6. International Safety Management – Safety Management Systems and the Challenges of Changing a Culture

    Directory of Open Access Journals (Sweden)

    Gregory Hanchrow

    2017-03-01

    Full Text Available Over the past generation, the ISM code has brought forth tremendous opportunities to investigate and enhance the human factor in shipping through the implementation of Safety Management Systems. One of the critical factors to this implementation has been mandatory compliance and a requirement for obtaining a Document of Compliance (DOC for vessels operating globally or at least internationally. A primary objective of these systems is to maintain them as “living” or “dynamic” systems that are always evolving. As the ISM code has evolved, there have been instances where large organizations have opted to maintain a voluntary DOC from their respective class society. This has been accomplished with a large human factor element as typically an organizational culture does not always accept change readily especially if there is not a legal requirement to do so. In other words, when considering maritime training is it possible that organizations may represent cultural challenges? The intent of this paper will be to research large maritime operations that have opted for a document of compliance voluntarily and compare them to similar organizations that have been mandated by international law to do the same. The result should be to gain insight into the human factors that must contribute to a culture change in the organization for the purposes of a legal requirement versus the human factors that contribute to a voluntary establishment of a safety management system. This analysis will include both the executive decision making that designs a system implementation and the operational sector that must execute its implementation. All success and failures of education and training can be determined by the outcome. Did the training achieve its goal? Or has the education prepared the students to embrace a new idea in conjunction with a company goal or a new regulatory scheme? In qualifying the goal of a successful ISM integration by examining both

  7. Assessment of Safety Culture

    International Nuclear Information System (INIS)

    Bilic Zabric, T.; Kavsek, D.

    2006-01-01

    A strong safety culture leads to more effective conduct of work and a sense of accountability among managers and employees, who should be given the opportunity to expand skills by training. The resources expended would thus result in tangible improvements in working practices and skills, which encourage further improvement of safety culture. In promoting an improved safety culture, NEK has emphasized both national and organizational culture with an appropriate balance of behavioural sciences and quality management systems approaches. In recent years there has been particular emphasis put on an increasing awareness of the contribution that human behavioural sciences can make to develop good safety practices. The purpose of an assessment of safety culture is to increase the awareness of the present culture, to serve as a basis for improvement and to keep track of the effects of change or improvement over a longer period of time. There is, however, no single approach that is suitable for all purposes and which can measure, simultaneously, all the intangible aspects of safety culture, i.e. the norms, values, beliefs, attitudes or the behaviours reflecting the culture. Various methods have their strengths and weaknesses. To prevent significant performance problems, self-assessment is used. Self-assessment is the process of identifying opportunities for improvement actively or, in some cases, weaknesses that could cause more serious errors or events. Self-assessments are an important input to the corrective action programme. NEK has developed questionnaires for safety culture self-assessment to obtain information that is representative of the whole organization. Questionnaires ensure a greater degree of anonymity, and create a less stressful situation for the respondent. Answers to questions represent the more apparent and conscious values and attitudes of the respondent. NEK proactively co-operates with WANO, INPO, IAEA in the areas of Safety Culture and Human

  8. Storytelling and Safety Culture

    International Nuclear Information System (INIS)

    Packer, C.

    2016-01-01

    The paper uses a five-part model of nuclear safety as the basis for discussion of how the oral culture in an organization contributes to (or can potentially undermine) the understanding of safety, the commitment to safe practices and the formation of group identity which is the product of effective cultural leadership. It explores some differences between oral and literate forms of expression, how these interact, and why both are essential parts of nuclear safety culture. It looks at how oral forms impact safety culture, and how by understanding the power of the oral culture leaders can be more effective in shaping people’s understanding and commitment to the essential practices of nuclear safety. Oral forms of expression in cultures are highly stable because they are repeated as “stories” and as ritualistic patterns. They are the only forms of language that “live inside us”, so they are essential for things such as communicating principles and forming a sense of group identity. Oral forms can be exceptionally long-lasting and can (and do) influence cultures sometimes decades after they first come into being. In other words, (and for good and bad) they have an exceptional ability to survive change. This is because oral stories are like magic flowers. Every time the story is told its seeds spring out and scatter, and are planted in every hearer. Then any one of those listeners can carry the story forwards into the future and retell it so another magic flower is born. Compelling stories are therefore always alive, they only die when they are replaced with a more compelling story.

  9. Resolving conflicting safety cultures

    International Nuclear Information System (INIS)

    Slider, J.E.; Patterson, M.

    1993-01-01

    Several nuclear power plant sites have been wounded in the crossfire between two distinct corporate cultures. The traditional utility culture lies on one side and that of the nuclear navy on the other. The two corporate cultures lead to different perceptions of open-quotes safety culture.close quotes This clash of safety cultures obscures a very important point about nuclear plant operations: Safety depends on organizational learning. Organizational learning provides the foundation for a perception of safety culture that transcends the conflict between utility and nuclear navy cultures. Corporate culture may be defined as the knowledge, attitudes, and beliefs shared by employees of a given company. Safety culture is the part of corporate culture concerning shared attitudes and beliefs affecting individual or public safety. If the safety culture promotes behaviors that lead to greater safety, employees will tend to open-quotes do the right thingclose quotes even when circumstances and formal guidance alone do not ensure that actions will be correct. Safety culture has become particularly important to nuclear plant owners and regulators as they have sought to establish and maintain a high level of safety in today's plants

  10. Nuclear Safety Culture

    International Nuclear Information System (INIS)

    2017-01-01

    Ethics is caring about people and Safety is caring that no physical harm comes to people.Therefore Safety is a type of Ethical Behavior. Culture: is The Way We Do Things Here.Safety Culture is mixture of organization traditions, values, attitudes and behaviors modeled by Its leaders and internalized by its members that serve to make nuclear safety the overriding priority. Safety Culture is that assembly of characteristics and attitudes in Organisations and individuals which established that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance

  11. Patient Safety Culture

    DEFF Research Database (Denmark)

    Kristensen, Solvejg

    Patient safety is highly prioritised in the Danish health care system, never the less, patients are still exposed to risk and harmed every day. Implementation of a patient safety culture has been suggested an effective mean to protect patients against adverse events. Working strategically...... with assessment and development of the patient safety culture is in early days in Denmark. It depends upon valid, reliable and effective methods. The patient safety culture represents a wide range of social phenomena permeating the way of life in a health care. In essence, the safety culture is an aggregation...... of health care professional’s behaviour, habits, norms, values, and basic assumptions related to patient care; it is the way things are done. The patient safety culture guides the motivation, commitment to and know-how of the safety management, and how all members of a work place interact. This thesis...

  12. Human factors in safety assessment. Safety culture assessment

    International Nuclear Information System (INIS)

    Zhang Li; Deng Zhiliang; Wang Yiqun; Huang Weigang

    1996-01-01

    This paper analyses the present conditions and problems in enterprises safety assessment, and introduces the characteristics and effects of safety culture. The authors think that safety culture must be used as a 'soul' to form the pattern of modern safety management. Furthermore, they propose that the human safety and synthetic safety management assessment in a system should be changed into safety culture assessment. Finally, the assessment indicators are discussed

  13. Regulatory Expectations for Safety Culture

    International Nuclear Information System (INIS)

    Jung, Su Jin; Oh, Jang Jin; Choi, Young Sung

    2014-01-01

    The oversight of licensee's safety culture becomes an important issue that attracts great public and political concerns recently in Korea. Beginning from the intended violation of rules, a series of corruptions, documents forgery and disclosure of wrong-doings made the public think that the whole mindset of nuclear workers has been inadequate. Thus, they are demanding that safety culture shall be improved and that regulatory body shall play more roles and responsibilities for the improvements and oversight for them. This paper introduces, as an effort of regulatory side, recent changes in the role of regulators in safety culture, regulatory expectations on the desired status of licensee's safety culture, the pilot inspection program for safety culture and research activity for the development of oversight system. After the Fukushima accident in Japan 2011, many critics has searched for cultural factors that caused the unacceptable negligence pervaded in Japan nuclear society and the renewed emphasis has been placed on rebuilding safety culture by operators, regulators, and relevant institutions globally. Significant progress has been made in how to approach safety culture and led to a new perspective different from the existing normative assessment method both in operators and regulatory side. Regulatory expectations and oversight of them are based on such a new holistic concept for human, organizational and cultural elements to maintain and strengthen the integrity of defense in depth and consequently nuclear safety

  14. Regulatory Expectations for Safety Culture

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Su Jin; Oh, Jang Jin; Choi, Young Sung [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2014-05-15

    The oversight of licensee's safety culture becomes an important issue that attracts great public and political concerns recently in Korea. Beginning from the intended violation of rules, a series of corruptions, documents forgery and disclosure of wrong-doings made the public think that the whole mindset of nuclear workers has been inadequate. Thus, they are demanding that safety culture shall be improved and that regulatory body shall play more roles and responsibilities for the improvements and oversight for them. This paper introduces, as an effort of regulatory side, recent changes in the role of regulators in safety culture, regulatory expectations on the desired status of licensee's safety culture, the pilot inspection program for safety culture and research activity for the development of oversight system. After the Fukushima accident in Japan 2011, many critics has searched for cultural factors that caused the unacceptable negligence pervaded in Japan nuclear society and the renewed emphasis has been placed on rebuilding safety culture by operators, regulators, and relevant institutions globally. Significant progress has been made in how to approach safety culture and led to a new perspective different from the existing normative assessment method both in operators and regulatory side. Regulatory expectations and oversight of them are based on such a new holistic concept for human, organizational and cultural elements to maintain and strengthen the integrity of defense in depth and consequently nuclear safety.

  15. Safety climate and safety culture in health care and the petroleum industry : psychometric quality, longitudinal change, and structural models

    OpenAIRE

    Olsen, Espen

    2009-01-01

    PhD thesis in Risk management and societal safety This thesis is based on the following papers: (only paper 3 is not in open access but it is available on Science direct Elsevier) PAPER 1 : Olsen, E. (2008). Reliability and Validity of the Hospital Survey on Patient Safety Culture at a Norwegian Hospital. In J. Øvretveit and P. J. Sousa (Eds.), Quality and Safety Improvement Research: Methods and Research Practice from the International Quality Improvement Research Netwo...

  16. Management of safety culture

    International Nuclear Information System (INIS)

    Kavsek, D.

    2004-01-01

    The strengthening of safety culture in an organization has become an increasingly important issue for nuclear industry. A high level of safety performance is essential for business success in intensely competitive global environment. This presentation offers a discussion of some principles and activities used in enhancing safety performance and appropriate safety behaviour at the Krsko NPP. Over the years a number of events have occurred in nuclear industry that have involved problems in human performance. A review of these and other significant events has identified recurring weaknesses in plant safety culture and policy. Focusing attention on the strengthening of relevant processes can help plants avoid similar undesirable events. The policy of the Krsko NPP is that all employees concerned shall constantly be alert to opportunities to reduce risks to the lowest practicable level and to achieve excellence in plant safety. The most important objective is to protect individuals, society and the environment by establishing and maintaining an effective defense against radiological hazard in the nuclear power plant. It is achieved through the use of reliable structures, components, systems, and procedures, as well as plant personnel committed to a strong safety culture. The elements of safety culture include both organizational and individual aspects. Elements commonly included at the organizational level are senior management commitment to safety, organizational effectiveness, effective communication, organizational learning, and a culture that encourages identification and resolution of safety issues. Elements identified at the individual level include personal accountability, a questioning attitude, communication, procedural adherence, etc.(author)

  17. Nuclear safety culture and nuclear safety supervision

    International Nuclear Information System (INIS)

    Chai Jianshe

    2013-01-01

    In this paper, the author reviews systematically and summarizes up the development process and stage characteristics of nuclear safety culture, analysis the connotation and characteristics of nuclear safety culture, sums up the achievements of our country's nuclear safety supervision, dissects the challenges and problems of nuclear safety supervision. This thesis focused on the relationship between nuclear safety culture and nuclear safety supervision, they are essential differences, but there is a close relationship. Nuclear safety supervision needs to introduce some concepts of nuclear safety culture, lays emphasis on humanistic care and improves its level and efficiency. Nuclear safety supervision authorities must strengthen nuclear safety culture training, conduct the development of nuclear safety culture, make sure that nuclear safety culture can play significant roles. (author)

  18. Organizational Culture and Safety

    Science.gov (United States)

    Adams, Catherine A.

    2003-01-01

    '..only a fool perseveres in error.' Cicero. Humans will break the most advanced technological devices and override safety and security systems if they are given the latitude. Within the workplace, the operator may be just one of several factors in causing accidents or making risky decisions. Other variables considered for their involvement in the negative and often catastrophic outcomes include the organizational context and culture. Many organizations have constructed and implemented safety programs to be assimilated into their culture to assure employee commitment and understanding of the importance of everyday safety. The purpose of this paper is to examine literature on organizational safety cultures and programs that attempt to combat vulnerability, risk taking behavior and decisions and identify the role of training in attempting to mitigate unsafe acts.

  19. Leadership Actions to Improve Nuclear Safety Culture

    International Nuclear Information System (INIS)

    Clewett, L.K.

    2016-01-01

    The challenge many leaders face is how to effectively implement and then utilise the results of Safety Culture surveys. Bruce Power has recently successfully implemented changes to the Safety Culture survey process including how corrective actions were identified and implemented. The actions taken in response to the latest survey have proven effective with step change performance noted. Nuclear Safety is a core value for Bruce Power. Nuclear Safety at Bruce Power is based on the following four pillars: reactor safety, industrial safety, radiological safety and environmental safety. Processes and practices are in place to achieve a healthy Nuclear Safety Culture within Bruce Power such that nuclear safety is the overriding priority. This governance is based on industry leading practices which monitor, asses and take action to drive continual improvements in the Nuclear Safety Culture within Bruce Power.

  20. A literature review of safety culture.

    Energy Technology Data Exchange (ETDEWEB)

    Cole, Kerstan Suzanne; Stevens-Adams, Susan Marie; Wenner, Caren A.

    2013-03-01

    safety culture, organizations have a better chance of understanding, evaluating, and making positive changes towards safety within their own organization.

  1. Safety culture at ANAV

    International Nuclear Information System (INIS)

    Fernandez Madrid, B.

    2010-01-01

    Recent safety culture assessments detected various actions, practices and behaviours that did not follow the standards, expectations and guidelines that are essential l for all safe and highly reliable companies, as we aim to be. For this reason, as part of the PROCURA project, a wide range of actions have been undertaken o reinforce certain individual, group and organisational behaviours. (Author).

  2. Safety culture in Mexico

    International Nuclear Information System (INIS)

    Salgado Gonzalez, C.H.

    2002-01-01

    In this paper, there are describe the activities already accomplished and the activities planned to be executed by the licensee and the regulator with the aim to develop, maintain and strength Safety Culture in all the Laguna Verde Nuclear Power Plant activities. (author)

  3. KHNP Safety Culture Framework based on Global Standard, and Lessons learned from Safety Culture Evaluation

    International Nuclear Information System (INIS)

    Kim, Younggab; Hur, Nam Young; Jeong, Hyeon Jong

    2015-01-01

    In order to eliminate the vague fears of the people about the nuclear power and operate continuously NPPs, a strong safety culture of NPPs should be demonstrated. Strong safety culture awareness of workers can overcome social distrust about NPPs. KHNP has been a variety efforts to improve and establish safety culture of NPPs. Safety culture framework applying global standards was set up and safety culture assessment has been carried out periodically to enhance safety culture of workers. In addition, KHNP developed various safety culture contents and they are being used in NPPs by workers. As a result of these efforts, safety culture awareness of workers is changed positively and the safety environment of NPPs is expected to be improved. KHNP makes an effort to solve areas for improvement derived from safety culture assessment. However, there are some areas to take a long time in completing the work. Therefore, these actions are necessary to be carried out consistently and continuously. KHNP also developed recently safety culture enhancement system based on web. All information related to safety culture in KHNP will be shared through this web system and this system will be used to safety culture assessment. In addition to, KHNP plans to develop safety culture indicators for monitoring the symptoms of safety culture weakening

  4. More safety by improving the safety culture

    International Nuclear Information System (INIS)

    Laaksonen, J.

    1993-01-01

    In its meeting in 1986, after Chernobyl accident, the INSAG group concluded, that the most important reason for the accident was lack of safety culture. Later the group realized that the safety culture, if it is well enough, can be used as a powerful tool to assess and develop practices affecting safety in any country. A comprehensive view on the various aspects of safety culture was presented in the INSAG-4 report published in 1991. Finland was among the first nations include the concept of safety culture in its regulations. This article describes the roles of government and the regulatory body in creating a national safety culture. How safety culture is seen in the operation of a nuclear power plant is also discussed. (orig.)

  5. Cultural Humility and Hospital Safety Culture.

    Science.gov (United States)

    Hook, Joshua N; Boan, David; Davis, Don E; Aten, Jamie D; Ruiz, John M; Maryon, Thomas

    2016-12-01

    Hospital safety culture is an integral part of providing high quality care for patients, as well as promoting a safe and healthy environment for healthcare workers. In this article, we explore the extent to which cultural humility, which involves openness to cultural diverse individuals and groups, is related to hospital safety culture. A sample of 2011 hospital employees from four hospitals completed measures of organizational cultural humility and hospital safety culture. Higher perceptions of organizational cultural humility were associated with higher levels of general perceptions of hospital safety, as well as more positive ratings on non-punitive response to error (i.e., mistakes of staff are not held against them), handoffs and transitions, and organizational learning. The cultural humility of one's organization may be an important factor to help improve hospital safety culture. We conclude by discussing potential directions for future research.

  6. Safety Culture Indicators in HANARO

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Jong Sup; Lee, Kee Hong

    2007-07-15

    The most important aim of a management system for nuclear facilities is to improve their safety performance and to foster a strong safety culture. The personnel in HANARO not only the regular employees but also the irregular persons should fully understand the importance of a nuclear safety culture. The purpose of the development of HANARO's safety culture indicators is to evaluate and enhance the safety culture in HANARO Center. The indicators has been developed based on IAEA's documents, 'Safety Series No.75-INSAG-4, Safety Culture, 1991', 'TECDOC-860, ASCOT Guideline, 1996' and the safety culture indicators for Korea nuclear power plants prepared by KINS(Korea Institute of Nuclear Safety). It is the first time to try to develop a safety culture indicators for the research reactor. The results will be used to develop a survey for evaluating the level of the safety culture attitude in HANARO Center. A survey is helpful to understand the safety attitudes of the employees and to set the safety culture activities necessary for the improvement of the safe operation. HANARO will continuously pursue the good practice of the safety attitude based on the safety culture indicators to enhance its safety.

  7. 2016 Traffic Safety Culture Index

    Science.gov (United States)

    ... SEARCH Driver Behavior & Performance 2016 Traffic Safety Culture Index This report presents the results of our annual Traffic Safety Culture Index survey, providing data on the attitudes and behaviors ...

  8. Safety Culture in Neonatal Intensive Care Units in the Gaza Strip, Palestine: A Need for Policy Change.

    Science.gov (United States)

    Abu-El-Noor, Nasser Ibrahim; Hamdan, Motasem Abduallah; Abu-El-Noor, Mysoon Khalil; Radwan, Abdal-Karim Said; Alshaer, Ahmed Ali

    Assessment of the prevailing safety culture within the Gazan health care system can be used to identify problem areas. Specifically, the need for improvements, raising awareness about patient safety, the identification and evaluation of existing safety programs and interventions for improving the safety culture. This study aims to assess the safety culture in the neonatal intensive care units (NICUs) in Gaza Strip hospitals and to assess the safety culture in regards to caregivers' characteristics. In a cross-sectional study using a census sample, we surveyed all nurses and physicians working in at all the NICUs in the Gaza Strip, Palestine. The Safety Attitudes Questionnaire (SAQ) which includes six scales was used to assess participants' attitudes towards safety culture. The overall score for SAQ was 63.9. Domains' scores ranged between 55.5 (perception of management) and 71.8 (stress recognition). The scores reported by our participants fell below the 75 out of a possible score of 100, which was considered as a cut-off point for a positive score. Moreover, our results revealed substantial variation in safety culture domain scores among participating NICUs. These results should be an indicator to our health care policy makers to modify current or adopt new health care policies to improve safety culture. It should also be a call to design customized programs for improving the safety culture in NICUs in the Gaza Strip. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Towards a global nuclear safety culture

    International Nuclear Information System (INIS)

    Rosen, M.

    1997-01-01

    This paper discusses the evolution of the global nuclear safety culture and the role in which the IAEA has played in encouraging its development. There is also a look ahead to what the future challenges of the world-wide nuclear industry might be and to the need for a continued and improved global nuclear safety culture to meet these changing needs. (Author)

  10. Safety Culture Monitoring: How to Assess Safety Culture in Real Time?

    International Nuclear Information System (INIS)

    Zronek, B.; Maryska, J.; Treslova, L.

    2016-01-01

    Do you know what is current level of safety culture in your company? Are you able to follow trend changes? Do you know what your recent issues are? Since safety culture is understood as vital part of nuclear industry daily life, it is crucial to know what the current level is. It is common to perform safety culture survey or ad hoc assessment. This contribution shares Temelin NPP, CEZ approach how to assess safety culture level permanently. Using behavioral related outputs of gap solving system, observation program, dedicated surveys, regulatory assessment, etc., allows creating real time safety culture monitoring without the need to perform any other activities. (author)

  11. Safety culture - Is it important?

    International Nuclear Information System (INIS)

    Ayres, R.A.; Reiss, R.E.

    1998-01-01

    A strong and improving safety culture provides the foundation for building long term success for a company. It is a cultural change for most organizations and requires years not months to achieve. Short term successes are typically achieved and the smart companies build upon and communicate those successes. For long term success, these companies never deviate or become complacent about maintaining a strong safety culture. There are several lessons learned from the nuclear industry that support the need to maintain a strong safety culture: 1)prevention of human errors costs less than dealing with the consequences 2)poorly designed processes cause the majority of human errors 3)quality supervision is a powerful tool in human error reduction 4)performance monitoring/trending and technology based root cause analysis are essential to human error reduction 5)human errors caused by misjudgment need special attention 6)procedural non-compliance needs a focused solution based on organizational psychology 7)the benefits of a well designed accountability system are very significant 8)knowledge and skills, more rules, are the last line of defense against problems. (authors)

  12. Safety culture: A plant operator's perspective

    International Nuclear Information System (INIS)

    Carver, P.A.

    1995-01-01

    This paper deals with the experience of conducting a Safety Culture Audit following the ASCOT Guidelines in a major operating department of the Sellafield Site, where irradiated fuel is received and stored. It also covers the process of implementing changes to strengthen the Safety Culture. The main conclusion of the paper is that the prevailing culture of a department/plant must be recognized and taken account of in preparing for and performing a Safety Culture Audit and again in the implementation of measures to strengthen the Safety Culture. Also, if any success is to be had in strengthening Safety Culture, all personnel must be involved in the process, which requires efficient communication and feedback of results and consultation on the way forward. (author). 3 refs

  13. Product Safety Culture: A New Variant of Safety Culture?

    International Nuclear Information System (INIS)

    Suhanyiova, L.; Flin, R.; Irwin, A.

    2016-01-01

    Product safety culture is a new research area which concerns user safety rather than worker or process safety. The concept appears to have emerged after the investigation into the Nimrod aircraft accident (Haddon-Cave, 2009) which echoed aspects of NASA’s Challenger and Columbia crashes. In these cases, through a blend of human and organizational failures, the culture deteriorated to the extent of damaging product integrity, resulting in user fatalities. Haddon-Cave noted that it was due to a failure in leadership and organizational safety culture that accidents such as the Nimrod happened, where the aircraft exploded due to several serious technical failures, preceded by deficiencies in the safety case. Now some organizations are starting to measure product safety culture. This is important in day-to-day life as well, where a product failure as a result of poor organizational safety culture, can cause user harm or death, as in the case of Takata airbags scandal in 2015. Eight people have lost their lives and many were injured. According to investigation reports this was due to the company’s safety malpractices of fixing faulty airbags and proceeding to install them in vehicles, as well as secretly conducting tests to assess the integrity of their product and then deleting the data and denying safety issues as a result of the company’s cost-cutting policies. As such, organizational culture, specifically the applications of safety culture, can have far-reaching consequences beyond the workplace of an organization.

  14. Experiences in assessing safety culture

    International Nuclear Information System (INIS)

    Spitalnik, J.

    2002-01-01

    Based on several Safety Culture self-assessment applications in nuclear organisations, the paper stresses relevant aspects to be considered when programming an assessment of this type. Reasons for assessing Safety Culture, basic principles to take into account, necessary resources, the importance of proper statistical analyses, the feed-back of results, and the setting up of action plans to enhance Safety Culture are discussed. (author)

  15. Safety culture : a significant influence on safety in transportation

    Science.gov (United States)

    2017-08-01

    An organizations safety culture can influence safety outcomes. Research and experience show that when safety culture is strong, accidents are less frequent and less severe. As a result, building and maintaining strong safety cultures should be a t...

  16. Patient safety: Safety culture and patient safety ethics

    DEFF Research Database (Denmark)

    Madsen, Marlene Dyrløv

    2006-01-01

    Patient safety - the prevention of medical error and adverse events - and the initiative of developing safety cultures to assure patients from harm have become one of the central concerns in quality improvement in healthcare both nationally andinternationally. This subject raises numerous......,demonstrating significant, consistent and sometimes large differences in terms of safety culture factors across the units participating in the survey. Paper 5 is the results of a study of the relation between safety culture, occupational health andpatient safety using a safety culture questionnaire survey...... challenging issues of systemic, organisational, cultural and ethical relevance, which this dissertation seeks to address through the application of different disciplinary approaches. The main focus of researchis safety culture; through empirical and theoretical studies to comprehend the phenomenon, address...

  17. Relationship of safety culture and process safety

    International Nuclear Information System (INIS)

    Olive, Claire; O'Connor, T. Michael; Mannan, M. Sam

    2006-01-01

    Throughout history, humans have gathered in groups for social, religious, and industrial purposes. As the conglomeration of people interact, a set of underlying values, beliefs, and principles begins to develop that serve to guide behavior within the group. These 'guidelines' are commonly referred to as the group culture. Modern-day organizations, including corporations, have developed their own unique cultures derived from the diversity of the organizational interests and the background of the employees. Safety culture, a sub-set of organizational culture, has been a major focus in recent years. This is especially true in the chemical industry due to the series of preventable, safety-related disasters that occurred in the late seventies and eighties. Some of the most notable disasters, during this time period, occurred at Bhopal, Flixborough, and Seveso. However, current events, like the September 11th terrorist attacks and the disintegration of the Columbia shuttle, have caused an assessment of safety culture in a variety of other organizations

  18. Organizational culture, safety culture, and safety performance at research facilities

    Energy Technology Data Exchange (ETDEWEB)

    Brown, William S.

    2000-07-30

    Organizational culture surveys of research facilities conducted several years ago and archival occupational injury reports were used to determine whether differences in safety performance are related to general organizational factors or to ''safety culture'' as reflected in specific safety-related dimensions. From among the organizations surveyed, a pair of facilities was chosen that were similar in size and scientific mission while differing on indices of work-related injuries. There were reliable differences in organizational style between the facilities, especially among workers in environment, safety, and health functions; differences between the facilities (and among job categories) on the safety scale were more modest and less regular.

  19. Safety culture in nuclear installations. Guidance for the use in enhancement of safety culture

    International Nuclear Information System (INIS)

    2002-12-01

    IAEA Assessment of the Safety Culture in Organizations Team (ASCOT) activities, significant work has been done with respect to indicators to determine the effectiveness of safety culture. IAEA-TECDOC-860, ASCOT Guidelines, issued in 1996, proposed key indicators for the different areas that need to be considered when assessing safety culture. A number of other INSAG reports and Safety Series reports have been published by the IAEA to provide information that will be helpful to organizations that are interested in developing or enhancing their safety culture. Recently the IAEA perspective on safety culture has broadened even further with attention focused on obtaining a deeper understanding of the actual concept of culture and particularly organizational culture. The approach supplements the IAEA previous efforts to promote a better understanding of safety culture, but does not replace them. It can be argued that the IAEA perspective of safety culture has evolved in stages. The first stage was associated with the definition of safety culture; the second stage with how to assess it; the third stage on how to enhance it; and the fourth and current stage on obtaining a deeper understanding of the actual concept of culture. The hope is that the more sophisticated understanding obtained in the fourth stage will lead to improved ways of assessing safety culture, and also increase our ability to detect changes in safety culture at an early point in time. This ability will enable corrective actions to be taken to avoid the consequences of a deteriorating safety culture

  20. Risk management and safety culture

    International Nuclear Information System (INIS)

    Takano, K.

    2007-01-01

    Paper informs on the efforts to elaborate a feedback system for risk comprehensive evaluation and a system to improve structure safety foreseeing the possibility to control the latent risk, ensuring the qualitative evaluation of the safety level and improvement of safety culture in various branches of industry, first and foremost, in the electricity producing sector including the nuclear power industry [ru

  1. Making Safety Culture a Corporate Culture

    International Nuclear Information System (INIS)

    Svenningsson, J.

    2016-01-01

    Safety Culture is something that we have actively worked with in the nuclear industry for a long time. Formally, it has been on the agenda since the Chernobyl accident. However, the work with creating a safe organizational culture can of course be traced back even further in time. Over the years a lot has happened in how we are approaching the concept of safety culture and especially how we look upon the human being as a part of the system and how we as humans interact with the organization and technology. For an organization to have a culture that promotes safety it is essential to create an ownership of safety with all workers within the site. To create this ownership it is vital to have the undivided commitment of the management. It all starts with the fundamental values of the organization. These values must then be concluded in firm expectations of behaviors that apply to all workers and management. This could be referred to as expectation of a Professional Behavior that allows us to live up to the company values. At OKG nuclear power plant, a successful Business Improvement Program was recently carried out with intention to develop and contribute to the maturity of the organization in terms of safety. One of the sub-programs of the program was called Professional Behavior - With purpose of making safety into a corporate culture. At OKG, Safety culture is something that systematically been addressed and worked with since 2004. Even though the Safety Culture program could be considered to already have reached a certain level of maturity the Business Improvement program helped the organization to lay the foundation for further development by clarify expected behaviors that was firmly cemented in to the corporate values.

  2. DIMENSION OF PATIENT SAFETY CULTURE

    OpenAIRE

    Haerawati Idris

    2017-01-01

    Background: Patient safety is a serious public health issue. Several studies reported security problems in healthcare systems in various countries. The impacts were varied, starting from mild pain, disability, death, and also high cost of service. This study attempted to review the culture of patient safety from several studies and to identify factors that influence them. Methods: This study was conducted with systematic mapping studies related to patient safety culture. There were 40 res...

  3. Defining safety culture and the nexus between safety goals and safety culture. 2. Decreasing Ambiguity of the Safety Culture Concept

    International Nuclear Information System (INIS)

    Inoue, Shiichiro; Hosoda, Satoshi; Suganuma, Takashi; Monta, Kazuo; Kameda, Akiyuki

    2001-01-01

    hesitant to substantiate the concept for realization because it may force them to expose actual managerial behavior including past history. It can be said that they even take advantage of the ambiguity of the concept as convenient for them to maintain a defensive managerial way of thinking and suspicions toward the concept. We once again pay attention to the INSAG reports in order to change the status quo. The reports pointed out that 'personal attitude and habits of thought and the style of organizations are generally intangible; that nevertheless such qualities lead to tangible manifestations'. This clearly leads us to the challenges we have to face. The safety culture may end as an armchair concept unless an organization becomes aware of the necessity of improving safety and unless it has sufficient power to promote it. We, therefore, have to specify what power will generate 'awareness'. We would like to see the power in the individual thought of each plant employee; the thought should not be limited to a sort of loyalty to the organization but to the society in which they belong. Today, the safety of a plant can only be secured if shared with the society in which it belongs. We think that the organization must have such ways of thinking and processes that will examine it by plant employees themselves and that will check its weak points together with society because the culture must be characterized as a widely open and integrated system, and the safety culture cannot stay in a closed system as far as it is a culture. A sort of culture has already been there in the society. No doubt the ambiguity of the concept decreases if the plant employees' safety culture is thought about in terms of considering its integration with the external culture in the society. From this viewpoint, we made a supporting tool for a self-check-type assessment of the safety culture as the first step of grasping organizational culture. The indices we try to get through the use of this tool are

  4. DIMENSION OF PATIENT SAFETY CULTURE

    Directory of Open Access Journals (Sweden)

    Haerawati Idris

    2017-03-01

    Full Text Available Background: Patient safety is a serious public health issue. Several studies reported security problems in healthcare systems in various countries. The impacts were varied, starting from mild pain, disability, death, and also high cost of service. This study attempted to review the culture of patient safety from several studies and to identify factors that influence them. Methods: This study was conducted with systematic mapping studies related to patient safety culture. There were 40 research articles were evaluated from various online sources that related from Pubmed, MEDLINE, web of science, and google scholar. It was conducted by entering keywords which appropriate to the topic, such as culture of patient safety and factors that influenced them. The obtained results were then analyzed and discussed to produce conclusions. Results: Adverse events were common problems. Healthcare employees had roles in creating safe and high quality services. One of them was through implementation of a culture of patient safety. There were several factors which support a culture of patient safety, namely leadership, teamwork, patient care, evidence-based, communication, learning, just, and patient-centered. Conclusions: Patient safety has not yet become a culture in health care. Adverse events are like an iceberg phenomenon. Efforts to develop factors which support a culture of patient safety need to be encouraged by health care provider organizations.

  5. [Safety culture: definition, models and design].

    Science.gov (United States)

    Pfaff, Holger; Hammer, Antje; Ernstmann, Nicole; Kowalski, Christoph; Ommen, Oliver

    2009-01-01

    Safety culture is a multi-dimensional phenomenon. Safety culture of a healthcare organization is high if it has a common stock in knowledge, values and symbols in regard to patients' safety. The article intends to define safety culture in the first step and, in the second step, demonstrate the effects of safety culture. We present the model of safety behaviour and show how safety culture can affect behaviour and produce safe behaviour. In the third step we will look at the causes of safety culture and present the safety-culture-model. The main hypothesis of this model is that the safety culture of a healthcare organization strongly depends on its communication culture and its social capital. Finally, we will investigate how the safety culture of a healthcare organization can be improved. Based on the safety culture model six measures to improve safety culture will be presented.

  6. Use of New Communication Technologies to Change NASA Safety Culture: Incorporating the Use of Blogs as a Fundamental Communications Tool

    Science.gov (United States)

    Huls, Dale thomas

    2005-01-01

    The purpose of this paper is to explore an innovative approach to culture change at NASA that goes beyond reorganizations, management training, and a renewed emphasis on safety. Over the last five years, a technological social revolution has been emerging from the internet. Blogs (aka web logs) are transforming traditional communication and information sharing outlets away from established information sources such as the media. The Blogosphere has grown from zero blogs in 1999 to approximately 4.5 million as of November 2004 and is expected to double in 2005. Blogs have demonstrated incredible effectiveness and efficiency with regards to affecting major military and political events. Consequently, NASA should embrace the new information paradigm presented by blogging. NASA can derive exceptional benefits from the new technology as follows: 1) Personal blogs can overcome the silent safety culture by giving voice to concerns or questions that are not well understood or seemingly inconsequential to the NASA community at-large without the pressure of formally raising a potential false alarm. Since blogs can be open to Agency-wide participation, an incredible amount of resources from an extensive pool of experience can focus on a single issue, concern, or problem and quickly vetted, discussed and assessed for feasibility, significance, and criticality. The speed for which this could be obtained cannot be matched through any other process or procedure currently in use. 2) Through official NASA established blogs, lessons learned can be a real-time two way process that is formed and implemented from the ground level. Data mining of official NASA blogs and personal blogs of NASA personnel can identify hot button issues and concerns to senior management. 3) NASA blogs could function as a natural ombudsman for the NASA community. Through the recognition of issues being voiced by the community and taking a proactive stance on those issues, credibility within NASA Management

  7. Improved safety culture and labor-management relations attributed to changing at-risk behavior process at Union Pacific.

    Science.gov (United States)

    2009-09-01

    Changing At-Risk Behavior (CAB) is a safety process that is being conducted at Union Pacifics San Antonio Service Unit (SASU) with the aim of improving road and yard safety. CAB is an example of a proactive safety risk-reduction method called Clea...

  8. SOS-1 seminar about safety culture

    International Nuclear Information System (INIS)

    Wahlstroem, B.; Hammar, L.

    2000-01-01

    The aim of the seminar was to discuss safety culture in nuclear power utilities, and to exchange experiences about how the term safety culture is accepted by the personnel. The titles of the presentations are: 1) Organisational culture. General ideas as basis for organising; 2) Safety culture - ability and will; 3) View on safety culture at Swedish and Finnish nuclear power plants; 4) Safety culture at Barsebaeck Power Company; 5) Safety culture at Olkiluoto Nuclear Power Plant; 6) How do we improve the safety culture at OKG AB?; 7) Safety culture activities at Ringhals; 8) Aspects in relation to safety culture; 9) Development of regulatory activities/effectiveness of STUK - development as an aspect of culture; 10) Organisational culture research at STUK's Department of Nuclear Reactor Regulation; 11) The IAEA safety culture services; 12) Industrial safety - different perspectives and cultures. (EHS)

  9. Leadership and safety culture. Leadership for safety

    International Nuclear Information System (INIS)

    Fischer, Erwin; Nithack, Eckhard

    2016-01-01

    The meaning of leadership for safety in the nuclear industry is pointed out. This topic has became an increasing rank since the German ''Energiewende''. Despite the phase-out of the German NPP's nuclear safety and the belonging safety culture needs to be well maintained. A challenge for the whole organisation. Following the challenge to operate nuclear power plants towards Operational Excellence a highly skilled and motivated organisation is needed. Therefore Leadership is a valuable success factor.

  10. Leadership and safety culture. Leadership for safety

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Erwin; Nithack, Eckhard [PreussenElektra GmbH, Hannover (Germany)

    2016-08-15

    The meaning of leadership for safety in the nuclear industry is pointed out. This topic has became an increasing rank since the German ''Energiewende''. Despite the phase-out of the German NPP's nuclear safety and the belonging safety culture needs to be well maintained. A challenge for the whole organisation. Following the challenge to operate nuclear power plants towards Operational Excellence a highly skilled and motivated organisation is needed. Therefore Leadership is a valuable success factor.

  11. Seeking a safety culture

    International Nuclear Information System (INIS)

    Lee, T.

    1993-01-01

    Human organisational failure has been shown to play a significant role in major accidents world-wide in both the nuclear and non-nuclear industries. A recent report called Organising for Safety, published by The Health and Safety Commission, suggests that the nuclear industry should give organisational factors the same emphasis as it does the reduction of equipment failures and individual error. (Author)

  12. Safety culture improvement. An adaptive management framework

    International Nuclear Information System (INIS)

    Obadia, Isaac Jose

    2005-01-01

    After the Chernobyl nuclear accident in 1986, the International Atomic Energy Agency (IAEA) established the safety culture concept as a proactive mean to contribute to safety improvement, starting a worldwide safety culture enhancement program within nuclear organizations mainly focused on nuclear power plants. More recently, the safety culture concept has been extended to non-power applications such as nuclear research reactors and nuclear technological research and development organizations. In 1999, the Nuclear Engineering Institute (IEN), a research and technological development unit of the Brazilian Nuclear Energy Commission (CNEN), started a management change program aiming at improving its performance level of excellence. This change program has been developed assuming the occurrence of complex causal inter-relationships between the organizational culture and the implementation of the management process. A systematic and adaptive management framework comprised of a safety culture improvement practice integrated to a management process based on the Criteria for Excellence of the Brazilian Quality Award Model, has been developed and implemented at IEN. The case study has demonstrated that the developed framework makes possible an effective safety culture improvement and simultaneously facilitates an effective implementation of the management process, thus providing some governance to the change program. (author)

  13. Safety culture issues and perspectives

    International Nuclear Information System (INIS)

    Dahlgren Persson, K.

    1999-01-01

    indicators, the symptoms and significance of shortcomings and degradation in the safety management processes and safety culture and hence failed to take effective corrective actions at an early stage. Key performance issues such as critical oversight, self assessment processes and effective corrective action programmes were not fully appreciated by senior management even after performance deficiencies were identified by the regulator and other external agencies. The seeming inability of the regulator to influence this senior management level, especially at the early stages of safety performance degradation was a major contributing factor in the continuation of the performance decline to the point that regulatory intervention became a necessity. Recovery processes commonly used a new utility senior management team to kick-start the change process and corresponding regulatory resource increases focused on monitoring the recovery. A comprehensive recovery plan and an interactive relationship with the regulator were deemed essential for a successful recovery. A review of the developing safety culture was a factor considered necessary to ensure sustainability. Public involvement in the regulatory monitoring process helped restore their confidence in the regulator, utility and plant management. The group recommended IAEA continue work to develop guidance for senior corporate management and regulators in this area (author) (ml)

  14. A Methodology for Evaluating Quantitative Nuclear Safety Culture Impact

    International Nuclear Information System (INIS)

    Han, Kiyoon; Jae, Moosung

    2015-01-01

    Through several accidents of NPPs including the Fukushima Daiichi in 2011 and Chernobyl accidents in 1986, nuclear safety culture has been emphasized in reactor safety world-widely. In Korea, KHNP evaluates the safety culture of NPP itself. KHNP developed the principles of the safety culture in consideration of the international standards. A questionnaire and interview questions are also developed based on these principles and it is used for evaluating the safety culture. However, existing methodology to evaluate the safety culture has some disadvantages. First, it is difficult to maintain the consistency of the assessment. Second, the period of safety culture assessment is too long (every two years) so it has limitations in preventing accidents occurred by a lack of safety culture. Third, it is not possible to measure the change in the risk of NPPs by weak safety culture since it is not clearly explains the effect of safety culture on the safety of NPPs. In this study, Safety Culture Impact Assessment Model (SCIAM) is developed overcoming these disadvantages. In this study, SCIAM which overcoming disadvantages of exiting safety culture assessment method is developed. SCIAM uses SCII to monitor the statues of the safety culture periodically and also uses RCDF to quantify the safety culture impact on NPP's safety. It is significant that SCIAM represents the standard of the healthy nuclear safety culture, while the exiting safety culture assessment presented only vulnerability of the safety culture of organization. SCIAM might contribute to monitoring the level of safety culture periodically and, to improving the safety of NPP

  15. Leadership and Safety Culture: Leadership for Safety

    International Nuclear Information System (INIS)

    Fischer, E.

    2016-01-01

    Following the challenge to operate Nuclear Power Plants towards operational excellence, a highly skilled and motivated organization is needed. Therefore, leadership is a valuable success factor. On the other hand a well-engineered safety orientated design of NPP’s is necessary. Once built, an NPP constantly requires maintenance, ageing management and lifetime modifications. E.ON tries to keep the nuclear units as close as possible to the state of the art of science and technology. Not at least a requirement followed by our German regulation. As a consequence of this we are continuously challenged to improve our units and the working processes using national and international operational experiences too. A lot of modifications are driven by our self and by regulators. That why these institutions — authorities and independent examiners—contribute significantly to the safety success. Not that it is easy all the day. The relationship between the regulatory body, examiners and the utilities should be challenging but also cooperative and trustful within a permanent dialog. To reach the common goal of highest standards regarding nuclear safety all parties have to secure a living safety culture. Without this attitude there is a higher risk that safety relevant aspects may stay undetected and room for improvement is not used. Nuclear operators should always be sensitized and follow each single deviation. Leaders in an NPP-organization are challenged to create a safety-, working-, and performance culture based on clear common values and behaviours, repeated and lived along all of our days to create a least a strong identity in the staffs mind to the value of safety, common culture and overall performance. (author)

  16. Safety culture at Mochovce NPP

    International Nuclear Information System (INIS)

    Markus, Jozef; Feik, Karol

    2002-01-01

    This article presents the approach of Mochovce NPP to the Safety culture. It presents activities, which have been taken by Mochovce NPP up to date in the area of Safety culture enhancement with the aim of getting the term into the subconscious of each employee, and thus minimising the human factor impact on occurrence of operational events in all safety areas. The article furthermore presents the most essential information on how the elements characterising a continuous progress in reaching the planned Safety culture goals of the company management have been implemented at Mochovce NPP, as well as the management's efforts to get among the best nuclear power plant operators in this area and to be an example for the others. (author)

  17. The practical implementation of safety culture

    International Nuclear Information System (INIS)

    Touzet, Rodolfo

    2008-01-01

    When, during the review of the Chernobyl accident, the INSAG Committee introduced the term 'Safety Culture', it spread very quickly. Later on, as a result of activities sponsored by the IAEA, the original Safety Culture concept was extended to include a large number of issues that are typical requirements of Quality Assurance Unfortunately, the way in which certain organizations approached this subject has not helped to find the right way for it to be implemented. Safety Culture is not mentioned at all in ICRP-60 and in the new recommendations of 2005 it does not even appear in the principal body and only a minor reference exists. The IAEA's Basic Safety Standards deal with the requirements for Safety Culture and for Quality Assurance as absolutely individual issues; however, Safety Culture should be considered as a part of the Quality System. Very recently the situation was strongly improved by the release of the new standard 'The Management System for Facilities and Activities' Safety Requirements GS-R-3. The EURATOM 97/43 Directive, used in the European Community for the preparation of regulations for medical practice, which, while inspired by ICRP-73, does not even mention Safety Culture. Increasing personnel training is not enough if, at the same time, there are no activities aimed at improving their attitude towards quality and safety. To achieve a change in Culture in the organization or to implant the new concept, there must be a suitable supporting Methodology to allow it to be put into practice. If not, the Safety Culture will only be a simple expression of wishes without any chance of success. Criteria, methodology and effective practical tools must be available. Two basic principles for the management system (GSR-3): a) All the tasks may be considered as 'a system of interactive processes'; b) All persons must take part in order to achieve safety and quality. These two principles are the basis of the strategy for the development of a Safety Culture

  18. Promoting a Culture of Safety as a Patient Safety Strategy

    Science.gov (United States)

    Weaver, Sallie J.; Lubomksi, Lisa H.; Wilson, Renee F.; Pfoh, Elizabeth R.; Martinez, Kathryn A.; Dy, Sydney M.

    2015-01-01

    Developing a culture of safety is a core element of many efforts to improve patient safety and care quality. This systematic review identifies and assesses interventions used to promote safety culture or climate in acute care settings. The authors searched MEDLINE, CINAHL, PsycINFO, Cochrane, and EMBASE to identify relevant English-language studies published from January 2000 to October 2012. They selected studies that targeted health care workers practicing in inpatient settings and included data about change in patient safety culture or climate after a targeted intervention. Two raters independently screened 3679 abstracts (which yielded 33 eligible studies in 35 articles), extracted study data, and rated study quality and strength of evidence. Eight studies included executive walk rounds or interdisciplinary rounds; 8 evaluated multicomponent, unit-based interventions; and 20 included team training or communication initiatives. Twenty-nine studies reported some improvement in safety culture or patient outcomes, but measured outcomes were highly heterogeneous. Strength of evidence was low, and most studies were pre–post evaluations of low to moderate quality. Within these limits, evidence suggests that interventions can improve perceptions of safety culture and potentially reduce patient harm. PMID:23460092

  19. Safeguards Culture: Analogies from Safety Culture and Security Culture

    International Nuclear Information System (INIS)

    Naito, K.

    2013-01-01

    The terminology of 'safeguards culture' has been used loosely by safeguards experts as an essential element for establishing an organizational environment of stakeholders for the effective and efficient implementation of international safeguards. However, unlike the other two triplet brothers/ sisters of 3S's (Safety, Security, Safeguards), there is no formally established definition of safeguards culture. In the case of safety culture, INSAG (the International Nuclear Safety Advisory Group) has extensively dealt with its concept, elaborating its definition and key characteristics, and published its report, INSAG-4, as the IAEA Safety Series 75. On the other hand, security culture has also been defined by AdSec (the Advisory Group on Nuclear Security). In this paper, a provisional definition of safeguards culture is made on the analogies of safety culture and security culture, and an effort is made to describe essential elements of safeguards culture. It is proposed for SAGSI (the Standing Advisory Group on Safeguards Implementation) to formally consider the definition of safeguards culture and its characteristics. The paper is followed by the slides of the presentation. (author)

  20. Understanding and assessing safety culture

    International Nuclear Information System (INIS)

    Dalling, Ian

    1997-01-01

    The 'Dalling' integrated model of organisational performance is introduced and described. A principal element of this model is culture, which is dynamically contrasted with the five other interacting critical elements, which comprise: the management system, the knowledge base, corporate leadership, stakeholders and consciousness. All six of these principal driving elements significantly influence health, safety, environmental, security, or any other aspect of organisational performance. It is asserted that the elements of organisational performance must be clearly defined and understood if meaningful measurements are to be carried out and sustained progress made in improving the knowledge of organisational performance. AEA Technology's safety culture research programme is then described together with the application of a safety culture assessment tool to organisations in the nuclear, electricity, transport, and oil and gas industries, both within and outside of the United Kingdom. (author)

  1. Safety culture and public acceptance

    International Nuclear Information System (INIS)

    Mikhalevich, Alexander A.

    2002-01-01

    After the Chernobyl NPP accident a public acceptance has become a key factor in nuclear power development all over the world. Therefore, nuclear safety culture should be based not only on technical principles, responsibilities, supervision, regulatory provisions, emergency preparedness, but the public awareness of minimum risk during the operation and decommissioning of NPPs, radioactive waste management, etc. (author)

  2. Understanding and Exploring Safety Culture

    NARCIS (Netherlands)

    Guldenmund, F.W.

    2010-01-01

    The match between safety and culture was made around 1986, when the INSAG delivered its initial report on the Chernobyl accident. Whether the marriage is a happy one is still a matter of debate, but it is most definitely a fruitful one. In the past twenty years, many researchers have devoted much

  3. Challenging patient safety culture: survey results

    NARCIS (Netherlands)

    Hellings, Johan; Schrooten, Ward; Klazinga, Niek; Vleugels, Arthur

    2007-01-01

    PURPOSE: The purpose of this paper is to measure patient safety culture in five Belgian general hospitals. Safety culture plays an important role in the approach towards greater patient safety in hospitals. DESIGN/METHODOLOGY/APPROACH: The Patient Safety Culture Hospital questionnaire was

  4. Safety Culture Survey in Krsko NPP

    International Nuclear Information System (INIS)

    Strucic, M.; Bilic Zadric, T.

    2008-01-01

    The high level of nuclear safety, stability and competitiveness of electricity production, and public acceptability are the main objectives of Krsko Nuclear Power Plant. This is achievable only in environment where strong Safety Culture is taking dominant place in the way how employees communicate, perform tasks, share their ideas and attitudes, and demonstrate their concern in all aspects of work and coexistence. To achieve these objectives, behaviour of all employees as well as specific ethical values must become more transparent and that must arise from the heart of organization. Continuous ongoing and periodic self assessments of Safety Culture in Krsko NPP present major tools in implementation process of this approach. Benefits from Periodic interdisciplinary focused self assessment approach, which main intention is finding the strengths and potential areas for improvements, was used second time to assess the area of Safety Culture in Krsko NPP. Main objectives of self assessment, performed in 2006, were to increase the awareness of the present culture, to serve as a basis for improvement and to keep track of the effects of change or improvement over a longer period of time. For the purpose of effective self assessment, extensive questionnaire was used to obtain information that is representative for whole organization. Wide range of questions was chosen to cover five major characteristics of safety culture: Accountability for safety is clear, Safety is integrated into all activities, Safety culture is learning-driven, Leadership for safety is clear and Safety is a clearly recognized value. 484 Krsko NPP employees and 96 contractors were participated in survey. 70-question survey provided information that was quantified and results compared between groups. Anonymity of participant, as well as their willingness to contribute in this assessment implicates the high level of their openness in answering the questions. High number of participant made analysis of

  5. Safety culture in nuclear power enterprise

    International Nuclear Information System (INIS)

    Zou Zhengyu; Su Luming

    2008-01-01

    The International Atomic Energy Agency (IAEA) introduced the concept of safety culture when analyzing the Chernobyl accident. Safety culture has now been widely accepted and practiced by nuclear enterprise in the world. As an important safeguard for nuclear safety, safety culture has become the core of nuclear power enterprise and entitled as the soul of nuclear enterprise. This paper analyzes the three levels of safety culture and describes its three developing phases. (authors)

  6. Nuclear safety culture based on the organizational and individual culture

    International Nuclear Information System (INIS)

    Li Jingxi; Ren Ou

    2005-01-01

    The nuclear safety culture is used increasingly and developed by countries that have nu- clear plants all over the world, since the term 'safety culture' was first introduced by IAEA in 1986. Enterprises culture reflects many terms in an enterprise, such as management level and staff quality. The safety culture is the center in a nuclear enterprises culture, and relates directly to the safety and outstanding achievement of operation. This paper discusses the nuclear safety culture from the viewpoints of the organizational and individual cultures. (authors)

  7. Operating procedures and safety culture

    International Nuclear Information System (INIS)

    Carnino, A.

    1993-01-01

    The development of new technologies in recent years has led to a tremendous increase in the information to be mastered by operators in industrial processes. The information at operators disposal both in routine situations and accidental ones needs to be well prepared and organized to ensure reliability and safety. The man-machine interface should give operators all the necessary and clear indications on the process status and evolution so that the operators can operate the installation through adequate procedures. Procedures represent the real interface and mode of action of the operators on the machine, and they are of prime importance. Although they are by essence quite different, the routine, accident, and emergency procedures have in common one attribute: They all require a good safety culture both in their development and their implementation. From the definition given by the members of the International Nuclear Safety Advisory Group (INSAG), open-quotes Safety culture is that assembly of characteristics and attitudes in organizations and individuals which establishes that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance,close quotes one can see that two aspects are embedded, a collective attitude that in fact is reflected in the managerial framework and an individual one that is linked to personnel behavior and work practices

  8. Safety culture of nuclear power plant

    International Nuclear Information System (INIS)

    Zheng Beixin

    2008-01-01

    This paper is a summary on the basis of DNMC safety culture training material for managerial personnel. It intends to explain the basic contents of safety, design, management, enterprise culture, safety culture of nuclear power plant and the relationship among them. It explains especially the constituent elements of safety culture system, the basic requirements for the three levels of commitments: policy level, management level and employee level. It also makes some analyses and judgments for some typical safety culture cases, for example, transparent culture and habitual violation of procedure. (authors)

  9. Formal Safety versus Real Safety: Quantitative and Qualitative Approaches to Safety Culture – Evidence from Estonia

    Directory of Open Access Journals (Sweden)

    Järvis Marina

    2016-10-01

    Full Text Available This paper examines differences between formal safety and real safety in Estonian small and medium-sized enterprises. The results reveal key issues in safety culture assessment. Statistical analysis of safety culture questionnaires showed many organisations with an outstanding safety culture and positive safety attitudes. However, qualitative data indicated some important safety weaknesses and aspects that should be included in the process of evaluation of safety culture in organisations.

  10. Handoffs, safety culture, and practices: evidence from the hospital survey on patient safety culture.

    Science.gov (United States)

    Lee, Soo-Hoon; Phan, Phillip H; Dorman, Todd; Weaver, Sallie J; Pronovost, Peter J

    2016-07-12

    The context of the study is the Agency for Healthcare Research and Quality's Hospital Survey on Patient Safety Culture (HSOPSC). The purpose of the study is to analyze how different elements of patient safety culture are associated with clinical handoffs and perceptions of patient safety. The study was performed with hierarchical multiple linear regression on data from the 2010 Survey. We examine the statistical relationships between perceptions of handoffs and transitions practices, patient safety culture, and patient safety. We statistically controlled for the systematic effects of hospital size, type, ownership, and staffing levels on perceptions of patient safety. The main findings were that the effective handoff of information, responsibility, and accountability were necessary to positive perceptions of patient safety. Feedback and communication about errors were positively related to the transfer of patient information; teamwork within units and the frequency of events reported were positively related to the transfer of personal responsibility during shift changes; and teamwork across units was positively related to the unit transfers of accountability for patients. In summary, staff views on the behavioral dimensions of handoffs influenced their perceptions of the hospital's level of patient safety. Given the known psychological links between perception, attitude, and behavior, a potential implication is that better patient safety can be achieved by a tight focus on improving handoffs through training and monitoring.

  11. The establishment of the safety culture

    International Nuclear Information System (INIS)

    Touzet, R.E.

    1998-01-01

    The first step in the establishment of the Safety Culture is splitting this concept into the elements involved in the same, so as to facilitate and approach to the issue. Then, two methodologies must be introduced, which shall perform independently, although synergically: (1) an 'updated' Quality Assurance Program and (2) a Program of Non-Technical (psychological and social) Activities aimed at stimulating motivation among the individuals in the Organization and at facilitating team work. Later on, once the necessary experience has been gained, the management of the organization must be based, essentially, on continuous development and on making full use of the skills of the individuals involved. In order to be successful, the establishment of a new culture of business management requires three key elements: 1) a working method containing the adequate indicators for measuring progress; 2) the commitment of the managers and the participation of all the staff; 3) the attainment of a net economical benefit that is made evident through an increase in productivity. However, all these actions refer only to one of the components of the system: the Operator of a Nuclear Power Plant, while Safety Culture must involve the whole National System, including the Government and the Regulatory Authority. The introduction of a new culture must necessarily bring along the acceptance of new concepts, new criteria and new methodologies among all the decision makers in the National System. Therefore, a change in culture must include a change in the culture of the Regulatory Authority. For instance, an evaluation of the Safety Culture is not workable by means of a conventional audit or a regulatory inspection. The fact is that what is easy to measure is not the main thing and what is difficult to measure is the only thing that actually matters. Summarizing: 'The Regulatory Authority shall be unable to verify the results because the evidences are intangible', but it shall indeed be able

  12. Implementation of the safety culture for HANARO Safety Management

    International Nuclear Information System (INIS)

    Wu, Jongsup; Han, Geeyang; Kim, Iksoo

    2008-01-01

    Safety is the fundamental principal upon which the management system is based. The IAEA INSAG(International Nuclear Safety Group) states the general aims of the safety management system. One of which is to foster and support a strong safety culture through the development and reinforcement of good safety attitudes and behavior in individuals and teams so as to allow them to carry out their tasks safety. The safety culture activities have been implemented and the importance of safety management in nuclear activities for a reactor application and utilization has also been emphasized more than 10 years in HANARO which is a 30 MW multi-purpose research reactor and achieved its first criticality in February 1995. The safety culture activities and implementations have been conducted continuously to enhance its safe operation like the seminars and lectures related to safety matters, participation in international workshops, the development of safety culture indicators, the survey on the attitude of safety culture, the development of operational safety performance indicators (SPIs), the preparation of a safety text book and the development of an e-Learning program for safety education. (author)

  13. ENSI Approach to Oversight of Safety Culture

    International Nuclear Information System (INIS)

    Humbel Haag, Claudia

    2012-01-01

    Claudia Humbel Haag presented developments in ENSI approach to safety culture oversight. ENSI has developed a definition/understanding of Safety Culture and a concept of how to perform oversight of Safety Culture. ENSI defines safety culture in the following way: Safety Culture comprises the behaviour, world views (in the sense of conceptualisations of reality and explanation models), values (in the sense of aims and evaluation scales), and features of the physical environment (specifically, the nuclear power plant and the documents used) which are shared by many members of an organization, in as much as these are of significance to nuclear safety. A model of the accessibility of safety culture was presented ranging from the observable (external aspects of safety culture), to aspects that are accessible by asking questions, through to aspects that are not accessible (internal part of safety culture). ENSI considers observable aspects through the existing systematic safety assessment compliance program. Aspects that are observable by asking questions will be addressed by additional oversight activities outside the systematic assessment program. Aspects that are not accessible are addressed by helping the licensee to re-think its safety culture through proactive discussions on safety culture. Reports are issued to the licensee on assumptions and observations identified through the discussions. The conclusions of the presentation emphasised the importance of basing any interventions in this area on a solid understanding of the concept of safety culture. ENSI safety culture oversight principles were also described. These include licensee responsibility for safety, and the need for the regulator to critically review their own activities to ensure a positive influence on the licensee

  14. Total safety management: An approach to improving safety culture

    International Nuclear Information System (INIS)

    Blush, S.M.

    1993-01-01

    A little over 4 yr ago, Admiral James D. Watkins became Secretary of Energy. President Bush, who had appointed him, informed Watkins that his principal task would be to clean up the nuclear weapons complex and put the US Department of Energy (DOE) back in the business of producing tritium for the nation's nuclear deterrent. Watkins recognized that in order to achieve these objectives, he would have to substantially improve the DOE's safety culture. Safety culture is a relatively new term. The International Atomic Energy Agency (IAEA) used it in a 1986 report on the root causes of the Chernobyl nuclear accident. In 1990, the IAEA's International Nuclear Safety Advisory Group issued a document focusing directly on safety culture. It provides guidelines to the international nuclear community for measuring the effectiveness of safety culture in nuclear organizations. Safety culture has two principal aspects: an organizational framework conducive to safety and the necessary organizational and individual attitudes that promote safety. These obviously go hand in hand. An organization must create the right framework to foster the right attitudes, but individuals must have the right attitudes to create the organizational framework that will support a good safety culture. The difficulty in developing such a synergistic relationship suggests that achieving and sustaining a strong safety culture is not easy, particularly in an organization whose safety culture is in serious disrepair

  15. Methodology and applications for organizational safety culture

    International Nuclear Information System (INIS)

    Sakaue, Takeharu; Makino, Maomi

    2004-01-01

    The mission of our activity is making 'guidance of safety culture for understanding and evaluations' which comes in much more useful and making it substantial by clarifying positioning of safety culture within evaluation of the quality management. This is pointed out by 'Discussion on how to implement safety culture sufficiently and possible recommendation' last year by falsification issue of TEPCO (Tokyo Electric Power Company). We have been developing the safety culture evaluation structured by three elements. One is safety culture evaluation support tool (SCET), another is organizational reliability model (ORM), third is system for safety. This paper describes mainly organizational reliability model (ORM) and its applications as well as ticking the system for safety culture within quality management. (author)

  16. OSART Independent Safety Culture Assessment (ISCA) Guidelines

    International Nuclear Information System (INIS)

    2016-01-01

    Safety culture is understood as an important part of nuclear safety performance. This has been demonstrated by the analysis of significant events such as Chernobyl, Davis Besse, Vandellos II, Asco, Paks, Mihamma and Forsmark, among others. In order to enhance safety culture, one essential activity is to perform assessments. IAEA Safety Standard Series No. GS-R-3, The Management System for Facilitites and Activities, states requirements for continuous improvement of safety culture, of which self, peer and independent safety culture assessments constitute an essential part. In line with this requirement, the Independent Safety Culture Assessment (ISCA) module is offered as an add-on module to the IAEA Operational Safety Review Team (OSART) programme. The OSART programme provides advice and assistance to Member States to enhance the safety of nuclear power plants during commissioning and operation. By including the ISCA module in an OSART mission, the receiving organization benefits from the synergy between the technical and the safety culture aspects of the safety review. The joint operational safety and safety culture assessment provides the organization with the opportunity to better understand the interactions between technical, human, organizational and cultural aspects, helping the organization to take a systemic approach to safety through identifying actions that fully address the root causes of any identified issue. Safety culture assessments provide insight into the fundamental drivers that shape organizational patterns of behaviour, safety consciousness and safety performance. The complex nature of safety culture means that the analysis of the results of such assessments is not as straightforward as for other types of assessment. The benefits of the results of nuclear safety culture assessments are maximized only if appropriate tools and guidance for these assessments is used; hence, this comprehensive guideline has been developed. The methodology explained

  17. Objective and character of safety culture

    International Nuclear Information System (INIS)

    Aastrand, K.

    2005-01-01

    The main topics of the lecture include: (1) concepts of safety culture introduced in INSAG-4, (2) stages of development of safety culture, (3) general practises to develop organizational effectiveness as a means of implementing and improving safety culture, (4) specific practises to develop safety culture applying to all stages of a nuclear installation's life cycle, (5) suggestions on assessing the progress of development of safety culture in an organization and on evaluating the influence of major environmental and internal organizational factors on that culture, and (6) guidance on the detection of incipient weaknesses in safety culture that may be of particular interest to regulators and those responsible for self-assessment in organization

  18. The association between EMS workplace safety culture and safety outcomes.

    Science.gov (United States)

    Weaver, Matthew D; Wang, Henry E; Fairbanks, Rollin J; Patterson, Daniel

    2012-01-01

    Prior studies have highlighted wide variation in emergency medical services (EMS) workplace safety culture across agencies. To determine the association between EMS workplace safety culture scores and patient or provider safety outcomes. We administered a cross-sectional survey to EMS workers affiliated with a convenience sample of agencies. We recruited these agencies from a national EMS management organization. We used the EMS Safety Attitudes Questionnaire (EMS-SAQ) to measure workplace safety culture and the EMS Safety Inventory (EMS-SI), a tool developed to capture self-reported safety outcomes from EMS workers. The EMS-SAQ provides reliable and valid measures of six domains: safety climate, teamwork climate, perceptions of management, working conditions, stress recognition, and job satisfaction. A panel of medical directors, emergency medical technicians and paramedics, and occupational epidemiologists developed the EMS-SI to measure self-reported injury, medical errors and adverse events, and safety-compromising behaviors. We used hierarchical linear models to evaluate the association between EMS-SAQ scores and EMS-SI safety outcome measures. Sixteen percent of all respondents reported experiencing an injury in the past three months, four of every 10 respondents reported an error or adverse event (AE), and 89% reported safety-compromising behaviors. Respondents reporting injury scored lower on five of the six domains of safety culture. Respondents reporting an error or AE scored lower for four of the six domains, while respondents reporting safety-compromising behavior had lower safety culture scores for five of the six domains. Individual EMS worker perceptions of workplace safety culture are associated with composite measures of patient and provider safety outcomes. This study is preliminary evidence of the association between safety culture and patient or provider safety outcomes.

  19. Promotion of nuclear safety culture in Korea

    International Nuclear Information System (INIS)

    Eun, Youngsoo

    1996-01-01

    The term 'nuclear safety culture' was first introduced by the IAEA after the Chernobyl accident in the former USSR and subsequently defined in the IAEA's Safety Series No. 75-IMSAG-4 'Safety Culture' as follows : 'Safety culture is that assembly of characteristics and attitudes in organizations and individuals which establish that establish that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance.' INSAG-4 deals with the concept of 'Safety Culture' as it relates to organizations and individuals engaged in nuclear power activities, and is intended for use by governmental authorities and by the nuclear industry and its supporting organizations. The IAEA's Assessment of Safety Culture in Organizations Team (ASCOT) developed ASCOT Guidelines that can be used in the assessment of the safety culture level of the organizations and their individual workers concerned, with a view to the tangible manifestations of safety culture that has intangible characteristics in nature. The IAEA provides the nuclear safety culture assessment service on the request of the Member States. Safety culture can not be achieved by the effort of the nuclear industry and its involved individuals alone. Rather, it requires a well concerted effort among various organizations engaged in nuclear activities including regulatory organizations

  20. Patient safety culture in primary care

    NARCIS (Netherlands)

    Verbakel, N.J.

    2015-01-01

    Background A constructive patient safety culture is a main prerequisite for patient safety and improvement initiatives. Until now, patient safety culture (PSC) research was mainly focused on hospital care, however, it is of equal importance in primary care. Measuring PSC informs practices on their

  1. Implementation of the safety culture for HANARO safety management

    International Nuclear Information System (INIS)

    Wu, Jongsup; Han, Geeyang; Kim, Iksoo

    2008-01-01

    Safety is the fundamental principal upon which a management system is based. The IAEA INSAG (International Nuclear Safety Group) states the general aims of a safety management system. One of which is to foster and support a strong safety culture through the development and reinforcement of good safety attitudes and behavior in individuals and teams, so as to allow them to carry out their tasks safely. The safety culture activities have been implemented and the importance of a safety management in nuclear activities for a reactor application and utilization has also been emphasized for more than 10 years in HANARO which is a 30MW multi-purpose research reactor that achieved its first criticality in February 1995. The safety culture activities and implementations have been conducted continuously to enhance its safe operation such as the seminars and lectures related to safety matters, participation in international workshops and the development of safety culture indicators, a survey on the attitude of HANARO staff toward the safety culture, the development of operational safety performance indicators (SPIs), the preparation of a safety text book and the development of a e-learning program for a safety education purpose

  2. Accelerating the culture change!

    Science.gov (United States)

    Klunk, S W; Panetta, J; Wooten, J

    1996-11-01

    Exide Electronics, a major supplier of uninterruptible power system equipment, embarked on a journey of changing a culture to improve quality, enhance customer responsiveness, and reduce costs. This case study examines the evolution of change over a period of seven years, with particular emphasis on the most recent years, 1992 through 1995. The article focuses on the Raleigh plant operations and describes how each succeeding year built on the successes and fixed the shortcomings of the prior years to accelerate the culture change, including corrective action and continuous improvement processes, organizational structures, expectations, goals, achievements, and pitfalls. The real challenge to changing the culture was structuring a dynamic approach to accelerate change! The presentation also examines how the evolutionary process itself can be created and accelerated through ongoing communication, regular feedback of progress and goals, constant evaluation and direction of the process, and measuring and paying for performance.

  3. Bricks-and-mortar and patient safety culture.

    Science.gov (United States)

    Brandis, Susan; Schleimer, Stephanie; Rice, John

    2017-06-19

    Purpose Building a new hospital requires a major investment in capital infrastructure. The purpose of this paper is to investigate the impact of bricks-and-mortar on patient safety culture before and two years after the move of a large tertiary hospital to a greenfield site. The difference in patient safety perceptions between clinical and non-clinical staff is also explored. Design/methodology/approach This research uses data collected from the same workforce across two time periods (2013 and 2015) in a large Australian healthcare service. Validated surveys of patient safety culture ( n=306 and 246) were analysed using descriptive and inferential statistics. Findings Using two-way analysis of variance, the authors found that perceived patient safety culture remains unchanged for staff despite a major relocation and upgrade of services and different perceptions of patient safety culture between staff groups remains the same throughout change. Practical implications A dramatic change in physical context, such as moving an entire hospital, made no measurable impact on perceived patient safety culture by major groups of staff. Improving patient safety culture requires more than investment in buildings and infrastructure. Understanding differences in professional perspectives of patient safety culture may inform organisational management approaches, and enhance the targeting of specific strategies. Originality/value The authors believe this to be the first empirically based paper that investigates the impact of a large investment into hospital capital and a subsequent relocation of services on clinical and non-clinical staff perceptions of patient safety culture.

  4. Safety Culture Enhancement Project. Final Report. A Field Study on Approaches to Enhancement of Safety Culture

    International Nuclear Information System (INIS)

    Lowe, Andrew; Hayward, Brent

    2006-08-01

    Safety Culture Perceptions Questionnaire conducted with site managers to access their opinions about the adequacy of the local safety culture; - a framework of safety-related competencies for managers, representing desirable actions for leading and promoting a positive safety culture; - results of an evaluation survey completed by participants at the conclusion of the Management Workshops to assess the utility of this activity. Section 4 of the report, Recommendations for Future Action, highlights nine proposed activities that could be undertaken to build on the outcomes from this project, to support the enhancement of safety culture within the Swedish nuclear industry in the longer term. Specifically, these recommendations propose actions to: 1. Introduce formal processes to ensure the ongoing development of safety related competencies amongst industry managers. 2. Strengthen the resources, contribution, value and profile of Man Technology Organisation (MTO) expertise within nuclear industry sites, in order to promote a better understanding of human performance issues, enhance error management and accident prevention capabilities. 3. Identify ways to embed existing positive safety culture attributes, in an environment of considerable workforce changes resulting from increasing use of contractors and (expected) retirements amongst an ageing industry employee population. 4. Standardise and improve aspects of incident and accident investigation processes and analysis methodologies currently used, to improve information sharing and optimise learning. 5. Implement harmonised MTO / human factors awareness training programs at appropriate levels for all nuclear industry personnel. 6. Formalise the application of applied teamwork training (as per the principles of Crew Resource Management training in aviation) for NPP Control Room Operators, Maintenance workers and other employees working in safety-critical teams. 7. Increase the use of simulation training to enhance non

  5. Cultural change that sticks.

    Science.gov (United States)

    Katzenbach, Jon R; Steffen, Ilona; Kronley, Caroline

    2012-01-01

    When a major change initiative runs aground, leaders often blame their company's culture for pushing it off course. They try to forge ahead by overhauling the culture--a tactic that tends to fizzle, fail, or backfire. Most cultures are too well entrenched to be jettisoned. The secret is to stop fighting your culture--and to work with and within it, until it evolves in the right direction. Today's best-performing companies, such as Southwest Airlines, Apple, and the Four Seasons, understand this, say the authors, three consultants from Booz & Company. These organizations follow five principles for making the most of their cultures: 1. Match strategy to culture. Culture trumps strategy every time, no matter how brilliant the plan, so the two need to be in alignment. 2. Focus on a few critical shifts in behavior. Wholesale change is hard; choose your battles wisely. 3. Honor the strengths of the existing culture. Every culture is the product of good intentions and has strengths; put them to use. 4. Integrate formal and informal interventions. Don't just implement new rules and processes; identify "influencers" who can bring other employees along. 5. Measure and monitor cultural evolution. Otherwise you can't identify backsliding or correct course. When the leaders of Aetna applied these rules while implementing a new strategy in the early 2000s, they reinvigorated the company's ailing culture and restored employee pride. That shift was reflected in the business results, as Aetna went from a $300 million loss to a $1.7 billion gain.

  6. Safety culture assessment developed by JANTI

    International Nuclear Information System (INIS)

    Hamada, Jun

    2009-01-01

    Japan's JCO accident in September 1999 provided a real-life example of what can happen when insufficient attention is paid to safety culture. This accident brought to light the importance of safety culture and reinforced the movement to foster a safety culture. Despite this, accidents and inappropriate conduct have continued to occur. Therefore, there is a strong demand to instill a safety culture throughout the nuclear power industry. In this context, Japan's nuclear power regulator, the Nuclear and Industrial Safety Agency (NISA), decided to include in its safety inspections assessments of the safety culture found in power utilities' routine safety operations to get signs of deterioration in the organizational climate. In 2007, NISA constructed guidelines for their inspectors to carry out these assessments. At the same time, utilities have embarked on their own independent safety culture initiatives, such as revising their technical specifications and building effective PDCA cycle to promote safety culture. In concert with these developments, JANTI has also instituted safety culture assessments. (author)

  7. Guide for understanding and evaluation of safety culture

    International Nuclear Information System (INIS)

    2008-01-01

    This report was the guide of understanding and evaluation of safety culture. Operator's activities for enhancement of safety culture in nuclear installations became an object of safety regulation in the management system. Evaluation of operator's activities (including top management's involvement) to prevent degradation of safety culture and organization climate in daily works needed understanding of safety culture and diversity of operator's activities. This guide was prepared to check indications of degradation of safety culture and organization climate in operator's activities in daily works and encourage operator's activities to enhance safety culture improvement and good practice. Comprehensive evaluation of operator's activities to prevent degradation of safety culture and organization climate would be performed from the standpoints of 14 safety culture elements such as top management commitment, clear plan and implementation of upper manager, measures to avoid wrong decision making, questioning attitude, reporting culture, good communications, accountability and openness, compliance, learning system, activities to prevent accidents or incidents beforehand, self-assessment or third party evaluation, work management, change management and attitudes/motivation. Element-wise examples and targets for evaluation were attached with evaluation check tables. (T. Tanaka)

  8. Decreasing Ambiguity of the Safety Culture Concept

    International Nuclear Information System (INIS)

    Inoue, Shiichiro; Hosoda, Satoshi; Suganuma, Takashi; Monta, Kazuo; Kameda, Akiyuki

    2001-01-01

    The status of the concept of ''safety culture'' is reviewed. It has not sufficiently taken root. One cause for this is the abstract nature of the concept. Organizations must become aware of the necessity of improving safety and have sufficient power to promote this. The culture of safety must be instilled in each employee, so that each of them will feel responsible for identifying weak points in plant safety. The authors devised a tool for a self-assessment of the safety culture. The tool will bring to light information divides, communication gaps, etc. Recognizing the vulnerabilities of the organization by themselves and discussing these weak points among them is the first step to decrease the ambiguity of the safety culture. The next step is to make these gaps known along with agreed-upon countermeasures. The concept of safety culture will be greatly clarified in this way and lead to safer nuclear power plants

  9. Determinants for conducting food safety culture research

    NARCIS (Netherlands)

    Nyarugwe, Shingai P.; Linnemann, Anita; Hofstede, Gert Jan; Fogliano, Vincenzo; Luning, Pieternel A.

    2016-01-01

    Background Foodborne outbreaks continue to occur regardless of existing food safety measures indicating the shortcomings of these measures to assure food safety. This has led to the recognition of food safety culture as a key contributory factor to the food safety performance of food

  10. Safety Culture Enhancement Project. Final Report. A Field Study on Approaches to Enhancement of Safety Culture

    Energy Technology Data Exchange (ETDEWEB)

    Lowe, Andrew; Hayward, Brent (Dedale Asia Pacific, Albert Park VIC 3206 (Australia))

    2006-08-15

    results of the Safety Culture Perceptions Questionnaire conducted with site managers to access their opinions about the adequacy of the local safety culture; - a framework of safety-related competencies for managers, representing desirable actions for leading and promoting a positive safety culture; - results of an evaluation survey completed by participants at the conclusion of the Management Workshops to assess the utility of this activity. Section 4 of the report, Recommendations for Future Action, highlights nine proposed activities that could be undertaken to build on the outcomes from this project, to support the enhancement of safety culture within the Swedish nuclear industry in the longer term. Specifically, these recommendations propose actions to: 1. Introduce formal processes to ensure the ongoing development of safety related competencies amongst industry managers. 2. Strengthen the resources, contribution, value and profile of Man Technology Organisation (MTO) expertise within nuclear industry sites, in order to promote a better understanding of human performance issues, enhance error management and accident prevention capabilities. 3. Identify ways to embed existing positive safety culture attributes, in an environment of considerable workforce changes resulting from increasing use of contractors and (expected) retirements amongst an ageing industry employee population. 4. Standardise and improve aspects of incident and accident investigation processes and analysis methodologies currently used, to improve information sharing and optimise learning. 5. Implement harmonised MTO / human factors awareness training programs at appropriate levels for all nuclear industry personnel. 6. Formalise the application of applied teamwork training (as per the principles of Crew Resource Management training in aviation) for NPP Control Room Operators, Maintenance workers and other employees working in safety-critical teams. 7. Increase the use of simulation training to

  11. New IAEA guidance on safety culture

    International Nuclear Information System (INIS)

    Haage, Monica; )

    2012-01-01

    Monica Haage described a project for Kozloduy Nuclear Power Plant in Bulgaria which was also funded by the Norwegian government. This project included the development of guidance documents and training on self-assessment and continuous improvement of safety culture. A draft IAEA safety culture survey was also developed as part of this project in collaboration with St Mary's University, Canada. This project was conducted in parallel with an IAEA project to develop new safety reports on safety culture self-assessment and continuous improvement. A safety report on safety culture during the pre-operational phases of NPPs has also been drafted. The IAEA approach to safety culture assessment was outlined and core principles of the approach were discussed. These include the use of several assessment methods (survey, interview, observation, focus groups, document review), and two distinct levels of analysis. The first is a descriptive analysis of the observed cultural characteristics from each assessment method and overarching themes. This is followed by a 'normative' analysis comparing what has been observed with the desirable characteristics of a strong, positive, safety culture, as defined by the IAEA safety culture framework. The application of this approach during recent Operational Safety Assessment Review Team (OSART) missions was described along with key learning points

  12. Regulatory Activities for Licensee's Safety Culture

    International Nuclear Information System (INIS)

    Choi, Young Sung; Choi, Kwang Sik

    2008-01-01

    Weaknesses in safety culture have contributed to a number of incidents/accidents in the nuclear and other high hazard sectors worldwide in the past. These events have fostered an increasing awareness of the need for licensees to develop a strong safety culture to support successful and sustainable nuclear safety performance. Regulatory bodies are taking a growing interest in this issue, and several are actively working to develop and implement approaches to maintaining regulatory oversight of licensee safety culture. However, these approaches are not yet well-established, and it was considered prudent to share experiences and developing methodologies in order to disseminate good practices and avoid potential pitfalls. This paper presents the findings, conclusions and recommendations of international meetings and other countries' activities on safety culture and gives some suggestions for regulators to consider when planning regulatory oversight for licensee's safety culture

  13. Safety culture in Ignalina NPP, regulatory view

    International Nuclear Information System (INIS)

    Maksimovas, G.

    1997-01-01

    The presentation describes how success on the way to a high level Safety Culture in Ignalina NPP may be achieved by daily, well motivated activities with good attitude and proper management participation, ensuring the development and proper implementation of Safety Culture principles within the activities of Operational organization of Ignalina NPP

  14. Incorporating organisational safety culture within ergonomics practice.

    Science.gov (United States)

    Bentley, Tim; Tappin, David

    2010-10-01

    This paper conceptualises organisational safety culture and considers its relevance to ergonomics practice. Issues discussed in the paper include the modest contribution that ergonomists and ergonomics as a discipline have made to this burgeoning field of study and the significance of safety culture to a systems approach. The relevance of safety culture to ergonomics work with regard to the analysis, design, implementation and evaluation process, and implications for participatory ergonomics approaches, are also discussed. A potential user-friendly, qualitative approach to assessing safety culture as part of ergonomics work is presented, based on a recently published conceptual framework that recognises the dynamic and multi-dimensional nature of safety culture. The paper concludes by considering the use of such an approach, where an understanding of different aspects of safety culture within an organisation is seen as important to the success of ergonomics projects. STATEMENT OF RELEVANCE: The relevance of safety culture to ergonomics practice is a key focus of this paper, including its relationship with the systems approach, participatory ergonomics and the ergonomics analysis, design, implementation and evaluation process. An approach to assessing safety culture as part of ergonomics work is presented.

  15. Assessment of safety culture at INPP

    International Nuclear Information System (INIS)

    Lesin, S.

    2002-01-01

    Safety Culture covers all main directions of plant activities and the plant departments involved through integration into the INPP Quality Assurance System. Safety Culture is represented by three components. The first is the clear INPP Safety and Quality Assurance Policy. Based on the Policy INPP is safely operated and managers' actions firstly aim at safety assurance. The second component is based on personal responsibility for safety and attitude of each employee of the plant. The third component is based on commitment to safety and competence of managers and employees of the plant. This component links the first two to ensure efficient management of safety at the plant. The above mentioned components including the elements which may significantly affect Safety Culture are also presented in the attachment. The concept of such model implies understanding of effect of different factors on the level of Safety Culture in the organization. In order to continuously correct safety problems, self-assessment of the Safety Culture level is performed at regular intervals. (author)

  16. Improving safety culture through the health and safety organization: a case study.

    Science.gov (United States)

    Nielsen, Kent J

    2014-02-01

    International research indicates that internal health and safety organizations (HSO) and health and safety committees (HSC) do not have the intended impact on companies' safety performance. The aim of this case study at an industrial plant was to test whether the HSO can improve company safety culture by creating more and better safety-related interactions both within the HSO and between HSO members and the shop-floor. A quasi-experimental single case study design based on action research with both quantitative and qualitative measures was used. Based on baseline mapping of safety culture and the efficiency of the HSO three developmental processes were started aimed at the HSC, the whole HSO, and the safety representatives, respectively. Results at follow-up indicated a marked improvement in HSO performance, interaction patterns concerning safety, safety culture indicators, and a changed trend in injury rates. These improvements are interpreted as cultural change because an organizational double-loop learning process leading to modification of the basic assumptions could be identified. The study provides evidence that the HSO can improve company safety culture by focusing on safety-related interactions. © 2013. Published by Elsevier Ltd and National Safety Council.

  17. Safety culture in nuclear installations. Proceedings

    International Nuclear Information System (INIS)

    Carnino, A.; Weimann, G.

    1995-04-01

    These proceedings of the International Topical Meeting on Safety Culture in Nuclear Installations held in Vienna, Austria from 24 to 28 April 1995 provide a wide forum of information exchange and discussions on the topic safety culture in nuclear power plants. Safety culture deals with human factors since it deals with attitudes, organization and management. It then means that it has a natural component in it which is linked to the national culture and education. There are about 95 contributions, some of them presented by title and abstract only. All of them are in the subject scope of INIS. (Botek)

  18. The awareness of employees in safety culture through the improved nuclear safety culture evaluation method

    International Nuclear Information System (INIS)

    Kim, Young Ga; Sung, Chan Ho; Jung, Yeon Sub

    2012-01-01

    After the Chernobyl nuclear accident in 1986, nuclear safety culture terminology was at first introduced emphasizing the importance of employees' attitude and organizational safety. The concept of safety culture was spread by INSAG 4 published in 1991. From that time, IAEA had provided the service of ASCOT for the safety culture assessment. However, many people still are thinking that safety culture is abstract and is not clear. It is why the systematic and reliable assessment methodology was not developed. Assessing safety culture is to identify what is the basic assumption for any organization to accept unconsciously. Therefore, it is very difficult to reach a meaningful conclusion by a superficial investigation alone. KHNP had been doing the safety culture assessment which was based on ASCOT methodology every 2 years. And this result had contributed to improving safety culture. But this result could not represent the level of organization's safety culture due to the limitation of method. So, KHNP has improved the safety culture method by benchmarking the over sea assessment techniques in 2011. The effectiveness of this improved methodology was validated through a pilot assessment. In this paper, the level of employees' safety culture awareness was analyzed by the improved method and reviewed what is necessary for the completeness and objectivity of the nuclear safety culture assessment methodology

  19. CORPORATE CULTURE AS A TOOL TO IMPROVE SAFETY CULTURE

    Directory of Open Access Journals (Sweden)

    Erika SUJOVÁ

    2013-07-01

    Full Text Available The aim of the article is to explain interconnectivity between corporate culture and safety culture, which aim to utilize motivation to prevent work accidents and other unwanted events in an enterprise. The article deals with ways how to improve approaches to Occupational Health & Safety, OH&S, at work place through proper direction of corporate culture. It introduces internal and external determinants of corporate culture, which have a significant effect. The article introduces common features of corporate culture and safety culture as an element of the OH&S management system with emphasis on system effectiveness. The final portion of the article presents the hierarchy of needs model, which may serve as a basis motivating employees to follow safety and health rules at work place.

  20. Safety culture in the nuclear field

    International Nuclear Information System (INIS)

    2005-09-01

    The council of IAEA governors ratified twelve elemental principles of physical protection of nuclear matters and installations. These principles will be included in the future updating of the international convention on the physical protection. The F basic principle proposes a definition of the safety culture and recommends that its implementation and its perenniality to be a reality in the concerned organisms.It appears as necessary to precise the concept of safety culture. The twelve principles are as follow: A State liability, B liability during international transports, C legislative and regulatory framework, D competent authority, E operators liability, F safety culture, G threats, H graduated approach, I deep defence, J assurance of the quality, K emergency plan, L confidentiality. The present document is complementary of INSAG-4, 1991 (safety series number 75, INSAG-4 safety culture, a report by the international nuclear safety advisory group, IAEA, 1991) that presents a concept of safety culture. It proposes also, in a particular chapter, the comparisons( common points and specificities) between safety culture and security culture. (N.C.)

  1. Developing safety culture in nuclear power engineering

    International Nuclear Information System (INIS)

    Tevlin, S.A.

    2000-01-01

    The new issue (no. 11) of the IAEA publications series Safety Reports, devoted to the safety culture in nuclear engineering Safety culture development in the nuclear activities. Practical recommendations to achieve success, is analyzed. A number of recommendations of international experts is presented and basic general indicators of satisfactory and insufficient safety culture in the nuclear engineering are indicated. It is shown that the safety culture has two foundations: human behavior and high quality of the control system. The necessity of creating the confidence by the management at all levels of the enterprise, development of individual initiative and responsibility of the workers, which make it possible to realize the structural hierarchic system, including technical, human and organizational constituents, is noted. Three stages are traced in the process of introducing the safety culture. At the first stage the require,emts of scientific-technical documentation and provisions of the governmental, regional and control organs are fulfilled. At the second stage the management of the organization accepts the safety as an important direction in its activities. At the third stage the organization accomplishes its work, proceeding from the position of constant safety improvement. The general model of the safety culture development is considered [ru

  2. Safety culture in nuclear installations. Management of safety and safety culture in Indian NPPs

    International Nuclear Information System (INIS)

    Rawal, S.C.

    2002-01-01

    Nuclear Power Corporation Of India Ltd. (NPCIL) is a company owned by Government of India and is responsible for Design, Construction, Commissioning, Operation and Decommissioning of Nuclear Power plants in India. Presently, a total of 13 Nuclear power Stations are in operation with an installed capacity of 2620 MWe and 2 VVR type PWR Units of 1000 MWe capacity each, 2 PHWR type units of 500 MWe capacity each and 4 PHWR type 220 MWe capacity each are under construction. NPPs generation capacity has been increased from 70% to 85% in the span Of last 7 years with high level of safety standards. This could be achieved through Management commitment towards building a strong Safety Culture. Safety culture is that assembly of characteristics and attitudes in organisation and individuals which establishes that as an overriding priority nuclear plant safety issues receives the attention warranted by their significance. This definition of safety culture brings out two major components in its manifestation. The framework within which individuals within the organisation works.The attitude and response of individual towards the safety issues over productivity and economics in the organisational work practices. The two attributes of safety culture are built in and upgraded in each individuals through special training at the time of entry in the organisation and later through in built procedures in the work practices, motivation and encouragement for free participation of each individuals. Individuals are encouraged to participate in Quality circle teams at the sectional level and review of safety proposal originated by individuals in Station operation Review Committee at Station level, in addition to this to continuously enhance the safety culture, refresher training courses are being organised at regular intervals. The safety related proposals are categorised in to two namely: Proposals from Operating Plants, and Proposals from projects and Design. The concept of safety

  3. Enhancing the Flight Safety Culture Through Training

    Science.gov (United States)

    Kanki, Barbara G.; Rosekind, Mark R. (Technical Monitor)

    1996-01-01

    In the 1970's, flight safety professionals became profoundly concerned about the prevalence of crew-caused accidents and incidents, and the role of human error in flight operations. As result, they initiated a change in the flight safety culture which has grown to significant proportions today. At the heart of the evolution were crew concepts such as flightdeck management, crew coordination, and cockpit resource management, concepts which seemed to target critical deficiencies. In themselves, the concepts were not new but their incorporation into training as a direct means of changing the flight safety culture was an untried, almost 'grassroots' approach. The targeted crew concepts and skills were not an integral part of the typical training program; the methods, curriculum, media, and even course content itself, would have to be developed and implemented from the bottom up. A familiar truism in the pilot culture is that you should 'Train the way you fly; Fly the way you train'. In short, training was expected to provide the pilot with practical operational skills that were consistent with the performance standards they were required to maintain and the operational demands they met on a daily basis. In short, one could not simply command crews to use good CRM; one would have to research and define these skills operationally as well as develop and implement a consistent and effective training program. Furthermore, one would need active support and collaboration among the research, industry and government communities in order to ensure acceptance and continued commitment. Additional information is contained in the original extended abstract.

  4. Safety Culture in New Build Projects

    International Nuclear Information System (INIS)

    Reiman, T.

    2016-01-01

    The concept of culture emphasises the social factors that have an effect on the way hazards are perceived, risks are evaluated, risk management is conducted, the current safety level is interpreted, and what is considered normal and what abnormal. It also contributes to defining the correct ways to behave in situations and correct ways to talk about safety, risks or uncertainty. Culture is something the company has created for itself that then has an effect on the company. This effect is not necessarily perceived by the company itself, since the members of the organization consider all things that happen according to their cultural taken-for-granted assumptions (“business as usual”). Thus, safety culture can either hinder or advance nuclear safety. This depends on what the shared values and assumptions are, and how they are in line with, and influence, the organizational structures, practices, personnel and technology. Safety culture requires constant and systematic development, monitoring and review during the entire life-cycle of a nuclear facility. The pre-operational phase sets many unique requirements for nuclear safety culture. For example, some of the organizations and individuals involved in the project may have no insight on how safety culture relates to nuclear power plants. Companies that work in the conventional industry typically associate safety with occupational safety issues, not with nuclear safety. Further, it may be unclear how the construction phase affects nuclear safety of an operating plant. When workers are asked to perform their work differently than previously (e.g., in conventional construction sites), explanation has to be given. For example, structures, systems and components may have different functions during emergency that exceed or differ from their quality requirements during normal operation. The strict quality requirements and use of certain methods and procedures, documentation requirements, etc., may seem unimportant if

  5. Regulatory and Safety Requirements for Food Cultures.

    Science.gov (United States)

    Laulund, Svend; Wind, Anette; Derkx, Patrick M F; Zuliani, Véronique

    2017-05-23

    The increased use of food cultures to ferment perishable raw materials has potentiated the need for regulations to assess and assure the safety of food cultures and their uses. These regulations differ from country to country, all aimed at assuring the safe use of food cultures which has to be guaranteed by the food culture supplier. Here we highlight national differences in regulations and review a list of methods and methodologies to assess the safety of food cultures at strain level, at production, and in the final product.

  6. Regulatory and Safety Requirements for Food Cultures

    Directory of Open Access Journals (Sweden)

    Svend Laulund

    2017-05-01

    Full Text Available The increased use of food cultures to ferment perishable raw materials has potentiated the need for regulations to assess and assure the safety of food cultures and their uses. These regulations differ from country to country, all aimed at assuring the safe use of food cultures which has to be guaranteed by the food culture supplier. Here we highlight national differences in regulations and review a list of methods and methodologies to assess the safety of food cultures at strain level, at production, and in the final product.

  7. Promotion of good safety culture at a Canadian HWR

    International Nuclear Information System (INIS)

    Curle, B.

    1996-01-01

    People work at a nuclear plant within a structured environment. It is the programs, procedures and other ''tools'' that are used in the workplace that actually guide behaviours, and behaviours then guide performance. The safety culture in the workplace is ''the way we do things around here''. This culture is created by structures, behaviours and performance, and is characterized by three attributes: A questioning attitude; a rigorous and prudent approach; open 2-way communication. This paper discusses a model of safety culture which puts the operating experience or learning cycle program at the heart of the endeavor. This cycle also consists of three elements: Observation; reporting; learning. It is more of a theoretical paper than a report of success at this stage. However, the ideas presented are being used to design and implement a strong safety culture at Ontario Hydro's Darlington Nuclear Station (4 x 932 Mwe CANDU units), and are beginning to show results. Programs designed for excellence in human performance have to provide clear simple structure, and draw people into alignment with the required behaviours. By making the structural elements and the alignment activities explicit an attempt can be made to ''design'' programs that will create and reinforce the required safety culture. The paper places the learning cycle at the heart of safety culture because the cycle aligns with the three attributes of safety culture. If an organization cannot learn from experience (i.e. change behaviours based on experience) it is doubtful whether it can build a strong safety culture. 2 refs

  8. Management of safety and safety culture at the NPPs of Ukraine

    International Nuclear Information System (INIS)

    Koltakov, Vladimir

    2002-01-01

    The report contains general aspects of safety and safety culture. The brief description of operational characteristics and basic indexes of atomic power plants at the Ukraine are represented. The information referring to structure of NPPs of Operation organization license-holder, safety responsibility of both Regulatory and Utility Bodies also is given. The main part of the report include seven sections: 1. Practical application of safety management models; 2. erspective on the relationship between safety management and safety culture; 3. The role of leadership in achieving high standards of safety; 4. Current and future challengers that impact on safety culture and safety management (e.g. the impact of competition, changing, economic and political circumstances, workforce demographics, etc.); 5. Key lessons learned from major events; 6. Practical applications of safety culture concepts (e.g. learning organizations, training staff communications, etc.); 7. dvance in human performance. Some of the main pending safety and safety culture problems that are necessary to achieve in the near future are mentioned

  9. Nuclear Safety Culture & Leadership in Slovenske Elektrarne

    International Nuclear Information System (INIS)

    Janko, P.

    2016-01-01

    This presentation shows practically how nuclear safety culture is maintained and assessed in Slovenske elektrarne, supported by human performance program and leadership model. Safety is the highest priority and it must be driven by the Leaders in the field. Human Performance is key to safety and therefore key to our success. Safety Policy of our operating organization—licence holder, is in line with international best practices and nuclear technology is recognised as special and unique. All nuclear facilities adopt a clear safety policy and are operated with overriding priority to nuclear safety, the protection of nuclear workers, the general public and the environment from risk of harm. The focus is on nuclear safety, although the same principles apply to radiological safety, industrial safety and environmental safety. Safety culture is assessed regularly based (every two years) on eight principles for strong safety culture in nuclear utilities. Encourage excellence in all plant activities and to go beyond compliance with applicable laws and regulations. Adopt management approaches embodying the principles of Continuous Improvement and risk Management is never ending activity for us. (author)

  10. Challenges in promoting radiation safety culture

    International Nuclear Information System (INIS)

    Mod Ali, Noriah

    2008-01-01

    Safety has quickly become an industry performance measure, and the emphasis on its reliability has always been part of a strategic commitment. This paper presents an approach taken by Malaysian Nuclear Agency (Nuclear Malaysia) and authority to develop and implement safety culture for industries that uses radioactive material and radiation sources. Maintaining and improving safety culture is a continuous process. There is a need to establish a program to measure, review and audit health and safety performance against predetermined standards. Proper safety audit will help to identify the non-compliance of safety culture as well as the deviation of management, individual and policy level commitment; review of radiation protection program and activities should be preceded. (author)

  11. Management of safety, safety culture and self assessment

    International Nuclear Information System (INIS)

    Carnino, A.

    2000-01-01

    Safety management is the term used for the measures required to ensure that an acceptable level of safety is maintained throughout the life of an installation, including decommissioning. The safety culture concept and its implementation are described in part one of the paper. The principles of safety are now quite well known and are implemented worldwide. It leads to a situation where harmonization is being achieved as indicated by the entry into force of the Convention on Nuclear Safety. To go beyond the present nuclear safety levels, management of safety and safety culture will be the means for achieving progress. Recent events which took place in major nuclear power countries have shown the importance of the management and the consequences on safety. At the same time, electricity deregulation is coming and will impact on safety through reductions in staffing and in operation and maintenance cost at nuclear installations. Management of safety as well as its control and monitoring by the safety authorities become a key to the future of nuclear energy.(author)

  12. Safety, Security and Safeguards (3S) Culture

    International Nuclear Information System (INIS)

    Mladineo, S.V.; Frazar, S.

    2013-01-01

    A meaningful discussion of Safety, Security, and Safeguards (3S) Culture requires a review of the concepts related to the culture of the three components. The concept of culture can be confusing, and so careful use of terminology is needed to enable a focused and constructive dialogue. To this end, this paper will use the concept of organizational culture as a backdrop for a broader discussion about how the three subcultures of safety, security and safeguards come together to enhance the mission of an organization. Since the accidents at Three Mile Island and Chernobyl, the nuclear industry has embraced the concept of safety culture. The work on safety culture has been used to develop programs and concepts in the culture of Material Protection, Control, and Accounting and Nuclear Security Culture. More recently, some work has been done on defining an International Safeguards Culture. Others have spoken about a 3S Culture, but there has been little rigorous consideration of the concept. This paper attempts to address 3S Culture, to begin to evaluate the merit of the concept, and to propose a definition. The paper is followed by the slides of the presentation. (authors)

  13. INTEGRATED SAFETY MANAGEMENT SYSTEM SAFETY CULTURE IMPROVEMENT INITIATIVE

    Energy Technology Data Exchange (ETDEWEB)

    MCDONALD JA JR

    2009-01-16

    In 2007, the Department of Energy (DOE) identified safety culture as one of their top Integrated Safety Management System (ISMS) related priorities. A team was formed to address this issue. The team identified a consensus set of safety culture principles, along with implementation practices that could be used by DOE, NNSA, and their contractors. Documented improvement tools were identified and communicated to contractors participating in a year long pilot project. After a year, lessons learned will be collected and a path forward determined. The goal of this effort was to achieve improved safety and mission performance through ISMS continuous improvement. The focus of ISMS improvement was safety culture improvement building on operating experience from similar industries such as the domestic and international commercial nuclear and chemical industry.

  14. A qualification of the concept safety culture

    DEFF Research Database (Denmark)

    Dyhrberg, Mette Bang

    The number of accidents at work in Denmark has not declined in the last decade, despite different types of preventions methods. Traditionally preventions have been based on regulation of human behaviour or machinery. Recently safety culture has been presented as a new approach for the prevention...... of occupational accidents. The implicit models of organisation and man within mainstream safety culture approaches seem to be too rationalistic compared with day to day life of organisations. A safety culture concept is presented where the basis is symbolism....

  15. Safety goals and safety culture opening plenary. 1. WANO's Role in Maintaining and Improving Safety Culture

    International Nuclear Information System (INIS)

    Tsutsumi, Ryosuke

    2001-01-01

    Over the past several years, operators of the world's nuclear plants have compiled an increasingly impressive record of operational performance. Among the many factors that have led to this improvement are the unprecedented cooperation and information exchange among the world's nuclear operators. This paper presents the World Association of Nuclear Operators (WANO) operating experience program and WANO peer review program as examples of the kinds of interaction that are occurring around the globe to maintain and improve the nuclear safety culture. In addition, some unique features of WANO are discussed. WANO has established four programs to help its members communicate effectively with each other. These include the exchange of operating experiences, voluntary peer reviews, professional and technical development, and technical support and exchange. The operating experience program alerts members to events that have occurred at other NPPs and enables members to take appropriate actions to prevent event recurrence. When an event occurs at a plant, management at that plant analyses the event and completes an event report, which is then sent to the WANO regional center to which the plant belongs. After a regional center review and necessary iteration, the report is posted onto the WANO Web site to make it available to all WANO members. By the end of 2000, more than 1500 event reports had been posted. The WANO Peer Review Program is a unique opportunity for members to learn and share the best worldwide insights into safe and reliable nuclear operations. The peer review program has become one of WANO's most important activities containing all essential elements of WANO's mission. A WANO peer review team consists of 15 to 16 people with NPP experience; most team members are from countries outside the one that they are visiting. These teams of peers from plants around the world visit host plants upon request to identify strengths and areas for improvement, with a strong

  16. Patient safety culture in Norwegian nursing homes.

    Science.gov (United States)

    Bondevik, Gunnar Tschudi; Hofoss, Dag; Husebø, Bettina Sandgathe; Deilkås, Ellen Catharina Tveter

    2017-06-20

    Patient safety culture concerns leader and staff interaction, attitudes, routines, awareness and practices that impinge on the risk of patient-adverse events. Due to their complex multiple diseases, nursing home patients are at particularly high risk of adverse events. Studies have found an association between patient safety culture and the risk of adverse events. This study aimed to investigate safety attitudes among healthcare providers in Norwegian nursing homes, using the Safety Attitudes Questionnaire - Ambulatory Version (SAQ-AV). We studied whether variations in safety attitudes were related to professional background, age, work experience and mother tongue. In February 2016, 463 healthcare providers working in five nursing homes in Tønsberg, Norway, were invited to answer the SAQ-AV, translated and adapted to the Norwegian nursing home setting. Previous validation of the Norwegian SAQ-AV for nursing homes identified five patient safety factors: teamwork climate, safety climate, job satisfaction, working conditions and stress recognition. SPSS v.22 was used for statistical analysis, which included estimations of mean values, standard deviations and multiple linear regressions. P-values patient safety factors teamwork climate, safety climate, job satisfaction and working conditions. Not being a Norwegian native speaker was associated with a significantly higher mean score for job satisfaction and a significantly lower mean score for stress recognition. Neither professional background nor work experience were significantly associated with mean scores for any patient safety factor. Patient safety factor scores in nursing homes were poorer than previously found in Norwegian general practices, but similar to findings in out-of-hours primary care clinics. Patient safety culture assessment may help nursing home leaders to initiate targeted quality improvement interventions. Further research should investigate associations between patient safety culture and the

  17. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.

    Science.gov (United States)

    Simons, Pascale A M; Houben, Ruud; Vlayen, Annemie; Hellings, Johan; Pijls-Johannesma, Madelon; Marneffe, Wim; Vandijck, Dominique

    2015-02-01

    The importance of a safety culture to maximize safety is no longer questioned. However, achieving sustainable culture improvements are less evident. Evidence is growing for a multifaceted approach, where multiple safety interventions are combined. Lean management is such an integral approach to improve safety, quality and efficiency and therefore, could be expected to improve the safety culture. This paper presents the effects of lean management activities on the patient safety culture in a radiotherapy institute. Patient safety culture was evaluated over a three year period using triangulation of methodologies. Two surveys were distributed three times, workshops were performed twice, data from an incident reporting system (IRS) was monitored and results were explored using structured interviews with professionals. Averages, chi-square, logistical and multi-level regression were used for analysis. The workshops showed no changes in safety culture, whereas the surveys showed improvements on six out of twelve dimensions of safety climate. The intention to report incidents not reaching patient-level decreased in accordance with the decreasing number of reports in the IRS. However, the intention to take action in order to prevent future incidents improved (factorial survey presented β: 1.19 with p: 0.01). Due to increased problem solving and improvements in equipment, the number of incidents decreased. Although the intention to report incidents not reaching patient-level decreased, employees experienced sustained safety awareness and an increased intention to structurally improve. The patient safety culture improved due to the lean activities combined with an organizational restructure, and actual patient safety outcomes might have improved as well. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Managing risk in healthcare: understanding your safety culture using the Manchester Patient Safety Framework (MaPSaF).

    Science.gov (United States)

    Parker, Dianne

    2009-03-01

    To provide sufficient information about the Manchester Patient Safety Framework (MaPSaF) to allow healthcare professionals to assess its potential usefulness. The assessment of safety culture is an important aspect of risk management, and one in which there is increasing interest among healthcare organizations. Manchester Patient Safety Framework offers a theory-based framework for assessing safety culture, designed specifically for use in the NHS. The framework covers multiple dimensions of safety culture, and five levels of safety culture development. This allows the generation of a profile of an organization's safety culture in terms of areas of relative strength and challenge, which can be used to identify focus issues for change and improvement. Manchester Patient Safety Framework provides a useful method for engaging healthcare professionals in assessing and improving the safety culture in their organization, as part of a programme of risk management.

  19. Aoteaoroa/New Zealand nursing: from eugenics to cultural safety...

    Science.gov (United States)

    Richardson, Sandy

    2004-03-01

    The concept of cultural safety offers a unique approach to nursing practice, based on recognition of the power differentials inherent in any interaction. It is from within the context of nursing in Aoteaoroa/New Zealand (A/NZ) that the concept developed and was subsequently integrated into nursing education. Cultural safety is based within a framework of biculturalism, and is congruent with the tenets of the nation's founding document, the Treaty of Waitangi. Clarification of the concept is offered, together with a review of the historical shift in nursing attitudes that has led to the emergence of "cultural safety" as a viable and valued component of nursing practice. The argument is made that cultural safety has allowed for a more reflective, critical understanding of the actions of nursing to develop. This includes recognition that nurses' attitudes and values have inevitably been influenced by social and political forces, and as such are in part reflective of those within the wider community. Comparison between the support given by nurses in the early 1900s to the theory of eugenics and the current acceptance of cultural safety is used to highlight this point. An examination of the literature identifies that ideological and conceptual changes have occurred in the approach of A/NZ nurses to issues with cultural implications for practice. A review of background factors relating to Maori health status and the Treaty of Waitangi is presented as a necessary context to the overall discussion. The discussion concludes with an acknowledgement that while the rhetoric of cultural safety is now part of nursing culture in New Zealand, there is no firm evidence to evaluate its impact in practice. Issues identified as impacting on the ability to assess/research a concept, such as cultural safety, are discussed. For cultural safety to become recognised as a credible (and indispensable) tool, it is necessary to further examine the "end-point" or "outcomes" of the process.

  20. Promoting safety culture in radiation industry through radiation audit

    International Nuclear Information System (INIS)

    Noriah, M.A.

    2007-01-01

    This paper illustrates the Malaysian experience in implementing and promoting effective radiation safety program. Current management practice demands that an organization inculcate culture of safety in preventing radiation hazard. The aforementioned objectives of radiation protection can only be met when it is implemented and evaluated continuously. Commitment from the workforce to treat safety as a priority and the ability to turn a requirement into a practical language is also important to implement radiation safety policy efficiently. Maintaining and improving safety culture is a continuous process. There is a need to establish a program to measure, review and audit health and safety performance against predetermined standards. This program is known as radiation safety audit and is able to reveal where and when action is needed to make improvements to the systems of controls. A structured and proper radiation self-auditing system is seen as the sole requirement to meet the current and future needs in sustainability of radiation safety. As a result safety culture, which has been a vital element on safety in many industries can be improved and promote changes, leading to good safety performance and excellence. (author)

  1. Cultural changes in ICU sedation management

    DEFF Research Database (Denmark)

    Egerod, Ingrid

    2009-01-01

    themes. The following themes emerged: a paradigm shift from sedated to more awake and comfortable patients, cultural changes toward intracollegial openness, increased interdisciplinary and staff/patient/family collaboration, patient and environmental normalization, and humanization. The study findings...... provide an understanding of contextual issues of sedation, safety, and comfort, and suggest that a cultural change in sedation strategies might reduce the duration of sedation and mechanical ventilation while containing cost and improving the well-being of the patients....

  2. College Drinking - Changing the Culture

    Science.gov (United States)

    ... about college alcohol policies College Drinking - Changing the Culture This is your one-stop resource for comprehensive ... More about special features College Drinking - Changing the Culture This is your one-stop resource for comprehensive ...

  3. Culture matters: indigenizing patient safety in Bhutan.

    Science.gov (United States)

    Pelzang, Rinchen; Johnstone, Megan-Jane; Hutchinson, Alison M

    2017-09-01

    Studies show that if quality of healthcare in a country is to be achieved, due consideration must be given to the importance of the core cultural values as a critical factor in improving patient safety outcomes. The influence of Bhutan's traditional (core) cultural values on the attitudes and behaviours of healthcare professionals regarding patient care are not known. This study aimed to explore the possible influence of Bhutan's traditional cultural values on staff attitudes towards patient safety and quality care. Undertaken as a qualitative exploratory descriptive inquiry, a purposeful sample of 94 healthcare professionals and managers were recruited from three levels of hospitals, a training institute and the Ministry of Health. Interviews were transcribed verbatim and analysed using thematic analysis strategies. The findings of the study suggest that Bhutanese traditional cultural values have both productive and counterproductive influences on staff attitudes towards healthcare delivery and the processes that need to be in place to ensure patient safety. Productive influences encompassed: karmic incentives to avoid preventable harm and promote safe patient care; and the prospective adoption of the 'four harmonious friends' as a culturally meaningful frame for improving understanding of the role and importance of teamwork in enhancing patient safety. Counterproductive influences included: the adoption of hierarchical and authoritative styles of management; unilateral decision-making; the legitimization of karmic beliefs; differential treatment of patients; and preferences for traditional healing practices and rituals. Although problematic in some areas, Bhutan's traditional cultural values could be used positively to inform and frame an effective model for improving patient safety in Bhutan's hospitals. Such a model must entail the institution of an 'indigenized' patient safety program, with patient safety research and reporting systems framed around local

  4. Safety culture in nuclear power plants. Proceedings

    International Nuclear Information System (INIS)

    1994-12-01

    As a consequence of the INSAG-4 report on 'safety culture', published by the IAEA in 1991, the Federal Commission for the Safety of Nuclear Power Plants (KSA) decided to hold a one-day seminar as a first step in this field. The KSA is an advisory body of the Federal Government and the Federal Department of Transport and Energy (EVED). It comments on applications for licenses, observes the operation of nuclear power plants, assists with the preparation of regulations, monitors the progress of research in the field of nuclear safety, and makes proposals for research tasks. The objective of this seminar was to familiarise the participants with the principles of 'safety culture', with the experiences made in Switzerland and abroad with existing concepts, as well as to eliminate existing prejudices. The main points dealt with at this seminar were: - safety culture from the point of view of operators, - safety culture from the point of view of the authorities, - safety culture: collaboration between power plants, the authorities and research organisations, - trends and developments in the field of safety culture. Invitations to attend this seminar were extended to the management boards of companies operating Swiss nuclear power plants, and to representatives of the Swiss authorities responsible for the safety of nuclear power plants. All these organisations were represented by a large number of executive and specialist staff. We would like to express our sincerest thanks to the Head of the Federal Department of Transport and Energy for his kind patronage of this seminar. (author) figs., tabs., refs

  5. Conceptualizing cultures of violence and cultural change

    OpenAIRE

    Wood, J. Carter

    2007-01-01

    The historiography of violence has undergone a distinct cultural turn as attention has shifted from examining violence as a clearly defined (and countable) social problem to analysing its historically defined 'social meaning'. Nevertheless, the precise nature of the relationship between 'violence' and 'culture' is still being established. How are 'cultures of violence' formed? What impact do they have on violent behaviour? How do they change? This essay examines some of the conceptual aspects...

  6. Integration, differentiation and ambiguity in safety cultures

    DEFF Research Database (Denmark)

    Richter, Anne; Koch, Christian

    2004-01-01

    This article discusses safety cultures, drawing on the differentiation, integration and ambiguity-scheme introduced by scholars of organizational culture. An ethnographic approach has been applied in the study of meaning and symbols relating to work, hazards, occupational accidents and prevention...

  7. Preliminary study on improving safety culture in Malaysian nuclear industries

    International Nuclear Information System (INIS)

    Ibrahim, Sabariah Kader; Lee, Y. E.

    2012-01-01

    This paper presents preliminary study on safety culture and its implementation in Malaysian nuclear industries by realizing the importance of safety culture; identification of important safety culture attributes; safety culture assessment and the practices to incorporate the identified safety culture attributes in organization. The first section of this paper explains the terms and definitions related to safety culture. Second, for the realization of importance of safety culture in organization, the international operational experiences emphasizing the importance of safety culture are described. Third, important safety culture attributes which are frequently cited in literature are provided. Fourth, methods to assess safety culture in operating organization are described. Finally, the practices to enhance the safety culture in an organization are discussed

  8. Preliminary study on improving safety culture in Malaysian nuclear industries

    Energy Technology Data Exchange (ETDEWEB)

    Ibrahim, Sabariah Kader [KAIST, Daejeon (Korea, Republic of); Lee, Y. E. [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2012-10-15

    This paper presents preliminary study on safety culture and its implementation in Malaysian nuclear industries by realizing the importance of safety culture; identification of important safety culture attributes; safety culture assessment and the practices to incorporate the identified safety culture attributes in organization. The first section of this paper explains the terms and definitions related to safety culture. Second, for the realization of importance of safety culture in organization, the international operational experiences emphasizing the importance of safety culture are described. Third, important safety culture attributes which are frequently cited in literature are provided. Fourth, methods to assess safety culture in operating organization are described. Finally, the practices to enhance the safety culture in an organization are discussed.

  9. Nuclear safety - Culture or obsession?

    International Nuclear Information System (INIS)

    Pereira Villar, Heldio

    2002-01-01

    Although nuclear activities are among the safest, having an enviable record in this respect, public perception is quite different. It is argued here that, regardless of the fact that environmental groups and the media in general look unfavourably towards the nuclear sector, the emphasis the sector places on safety matters is a liability rather than a asset. In short, public acceptance of a risky enterprise increases with the safety concerns shown by an entrepreneur up to a certain point. Beyond this threshold the enterprise is found too risky to be accepted, and it looks like the nuclear establishment has already crossed it. Ideas for further relationship with the public are then shown. (author)

  10. Safety culture in Bayesian and legal contexts

    International Nuclear Information System (INIS)

    Krug, H.E.P. Jr.

    1992-01-01

    While contemplating the similarities between the law of torts and concepts of safety, the author realized that there was a close correspondence between the law of negligence and the way safety ought to be generally defined. This definition of safety is provided herein. A safety culture must have an adequate definition of safety in order to function most effectively. This paper provides a practical definition of safety that answers the question 'How safe is safe enough? The development rests on two bases: the subjectivistic-Bayesian definition of probability and certain legal definitions primarily from the tort law of negligence. The development also leads to the conclusion that one cannot generally expect greater specificity in determining how safe is safe enough than one finds in the legal definition of liability under the tort of negligence. It then follows that some of the public's aversion to complex technical undertakings is rooted in its typically intuitive and vague notions concerning safety

  11. Regulatory Oversight of Safety Culture — Korea’s Experience

    International Nuclear Information System (INIS)

    Jung, S.J.; Choi, Y.S.; Kim, J.T.

    2016-01-01

    In Korea, a regulatory oversight program of safety culture was launched in 2012 to establish regulatory measures against several events caused by weak safety culture in the nuclear industry. This paper is intended to introduce the preliminary regulatory oversight framework, development and validation of safety culture components, pilot safety culture inspection results and lessons learned. The safety culture model should be based on a sound understanding of the national culture and industry characteristics where the model will be applied. The nuclear safety culture oversight model is being developed and built on the Korean regulatory system to independently assess the nuclear power operating organizations’ safety culture.

  12. Establishment and cultivation of the radiation safety culture

    International Nuclear Information System (INIS)

    Zhang Zhigang; Fan Yumao

    2010-01-01

    Safety culture is the cure of the corporate culture for nuclear technology application unit's. This article introduces the definition, connotation and levels of safety culture, and discusses the requirements of safety culture for organization and individuals in the area of technology application. Finally, key practical issues for the cultivation of safety culture are explained and some ideas about the construction of safety culture are proposed. (authors)

  13. Assessment of safety culture maturity in a hospital setting.

    Science.gov (United States)

    Law, Madelyn P; Zimmerman, Rosanne; Baker, G Ross; Smith, Teresa

    2010-01-01

    The Manchester Patient Safety Culture Assessment Tool (MaPSCAT) was used to examine the levels of safety culture maturity in four programs across one large healthcare organization. The MaPSCAT is based on a theoretical framework that was developed in the United Kingdom through extensive literature reviews and expert input. It provides a view of safety culture on 10 dimensions (continuous improvement, priority given to safety, system errors and individual responsibility, recording incidents, evaluating incidents, learning and effecting change, communication, personnel management, staff education and teamwork) at five progressive levels of safety maturity. These levels are pathological ("Why waste our time on safety?"), reactive ("We do something when we have an incident"), bureaucratic ("We have systems in place to manage safety"), proactive ("We are always on alert for risks") and generative ("Risk management is an integral part of everything we do"). This article highlights the use of a new tool, the results of a study completed with this tool and how the results can be used to advance safety culture.

  14. Iranian nurses' perception of patient safety culture.

    Science.gov (United States)

    Bahrami, Mohammad Amin; Chalak, Mahjabin; Montazeralfaraj, Razieh; Dehghani Tafti, Arefeh

    2014-04-01

    In recent decades, patient safety has become a high priority health system issue, due to the high potential of occurring adverse events in health facilities. This study was aimed to survey patient safety culture in 2 Iranian educational hospitals. In a descriptive, cross-sectional survey, a hospital survey on patient safety culture, was used in two teaching hospitals in Yazd, Iran during 2012. Study population was comprised of the same hospitals' nurses. Stratified-random sampling method was used and distributed among a total of 340 randomly-selected nurses from different units. From all distributed questionnaires, 302 ones were answered completely and afterwards analyzed using SPSS 17. Dimensional- and item-level positive scores were used for results reporting. Additionally descriptive statistics (mean and standard deviation), independent sample t-test and ANOVA were sued for data analyzing. Research findings demonstrated that both hospitals had low to average scores in all dimensions of patient safety culture. Non-punitive response to error, staffing and frequency of events reported had the lowest positive scores of patient safety dimensions with scores 15.26, 19.26, 16.65, 30 and 32.87, 31.10 respectively in Shahid Sadoughi and Shahid Rahnemoon Hospitals. Also only 29.20 and 28.80 percent of nurses in Shahid Sadoughi and Shahid Rahnemoon Hospitals, respectively, evaluated the patient safety grade of their hospital as "excellent" and "very good". Indeed, the studied hospitals had a statistical difference in 3 dimensions of patient safety culture (frequency of events reported, organizational learning and staffing). (P ≤ 0.05). Our study results were indicating of the challenge of weak patient safety culture, in educational hospitals. Therefore, the issue should be integrated to all policy makers and managerial initiatives in our health system, as a top priority.

  15. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC

    Directory of Open Access Journals (Sweden)

    Chen I-Chi

    2010-06-01

    Full Text Available Abstract Background Patient safety is a critical component to the quality of health care. As health care organizations endeavour to improve their quality of care, there is a growing recognition of the importance of establishing a culture of patient safety. In this research, the authors use the Hospital Survey on Patient Safety Culture (HSOPSC questionnaire to assess the culture of patient safety in Taiwan and attempt to provide an explanation for some of the phenomena that are unique in Taiwan. Methods The authors used HSOPSC to measure the 12 dimensions of the patient safety culture from 42 hospitals in Taiwan. The survey received 788 respondents including physicians, nurses, and non-clinical staff. This study used SPSS 15.0 for Windows and Amos 7 software tools to perform the statistical analysis on the survey data, including descriptive statistics and confirmatory factor analysis of the structural equation model. Results The overall average positive response rate for the 12 patient safety culture dimensions of the HSOPSC survey was 64%, slightly higher than the average positive response rate for the AHRQ data (61%. The results showed that hospital staff in Taiwan feel positively toward patient safety culture in their organization. The dimension that received the highest positive response rate was "Teamwork within units", similar to the results reported in the US. The dimension with the lowest percentage of positive responses was "Staffing". Statistical analysis showed discrepancies between Taiwan and the US in three dimensions, including "Feedback and communication about error", "Communication openness", and "Frequency of event reporting". Conclusions The HSOPSC measurement provides evidence for assessing patient safety culture in Taiwan. The results show that in general, hospital staffs in Taiwan feel positively toward patient safety culture within their organization. The existence of discrepancies between the US data and the Taiwanese data

  16. A safety culture transformation: its effects at a children's hospital.

    Science.gov (United States)

    Peterson, Thomas H; Teman, Susan F; Connors, Robert H

    2012-09-01

    To improve pediatric patient safety at a tertiary, 200-bed children's hospital by changing the safety culture and implementing processes, practices, and measures to sustain improvements. Although many core quality and safety measures exist for adult acute-care facilities, equivalent measures for pediatrics are lacking. Helen DeVos Children's Hospital in Grand Rapids, Michigan, part of the Spectrum Health system, led a 2-year initiative beginning in late 2007 to improve pediatric patient safety. Key strategies included safety-based staff training, training in root cause analysis, failure mode classification of events and safety behavior, integration of and collaboration between risk management and clinical staff, consistent coding and classification of serious safety events and adoption of multiple safety metrics, creating a new safety leadership infrastructure, and fostering transparency of data and safety event details. The 2-year initiative led to an estimated 68% decrease in the number of serious safety events and adoption of a serious safety event metric reported monthly. In addition, compliance with the ventilator-associated pneumonia bundle rose from 2% to 96%; hand hygiene compliance rates rose from 56% to 95%; and the Children's Asthma Care-3 core measure, home management plan of care given to patient/caregiver, rose from 0% to 83% within 6 months. Medication errors with serious harm were reduced to only two during the initiative, and ventilator-associated pneumonias dramatically decreased, with only one occurring in 2009. The initiative led to key improvements in safety culture and patient safety and also had a broad impact on several clinical quality outcome measures. Using safety metrics improves transparency and enables future benchmarking with peer institutions to help improve pediatric patient safety nationwide. Because of the initiative's success in our children's hospital, the entire Spectrum Health system, including more than 16,000 staff members

  17. Discussion on building safety culture inside a nuclear safety regulatory body

    International Nuclear Information System (INIS)

    Fan Yumao

    2013-01-01

    A strong internal safety culture plays a key role in improving the performance of a nuclear regulatory body. This paper discusses the definition of internal safety culture of nuclear regulatory bodies, and explains the functions that the safety culture to facilitate the nuclear safety regulation and finally puts forward some thoughts about building internal safety culture inside regulatory bodies. (author)

  18. Development of a new methodology for quantifying nuclear safety culture

    International Nuclear Information System (INIS)

    Han, Kiyoon; Jae, Moosung

    2017-01-01

    The present study developed a Safety Culture Impact Assessment Model (SCIAM) which consists of a safety culture assessment methodology and a safety culture impact quantification methodology. The SCIAM uses a safety culture impact index (SCII) to monitor the status of safety culture of NPPs periodically and it uses relative core damage frequency (RCDF) to present the impact of safety culture on the safety of NPPs. As a result of applying the SCIAM to the reference plant (Kori 3), the standard for the healthy safety culture of the reference plant is suggested. SCIAM might contribute to improve the safety of NPPs (Nuclear Power Plants) by monitoring the status of safety culture periodically and presenting the standard of healthy safety culture.

  19. Safety culture management and quantitative indicator evaluation

    International Nuclear Information System (INIS)

    Mandula, J.

    2002-01-01

    This report discuses a relationship between safety culture and evaluation of quantitative indicators. It shows how a systematic use of generally shared operational safety indicators may contribute to formation and reinforcement of safety culture characteristics in routine plant operation. The report also briefly describes the system of operational safety indicators used at the Dukovany plant. It is a PC database application enabling an effective work with the indicators and providing all users with an efficient tool for making synoptic overviews of indicator values in their links and hierarchical structure. Using color coding, the system allows quick indicator evaluation against predefined limits considering indicator value trends. The system, which has resulted from several-year development, was completely established at the plant during the years 2001 and 2002. (author)

  20. Safety Culture in Indian Hospitals: A Cultural Adaptation of the Safety Attitudes Questionnaire.

    Science.gov (United States)

    Patel, Saharsh; Wu, Albert W

    2016-06-01

    Patient safety is increasingly recognized as a global health concern because of a staggering number of health care-related injuries and deaths. Although many hospitals are attempting to promote a patient safety agenda, there are relatively few options to track progress. The aims of this study were to translate and culturally adapt the Safety Attitudes Questionnaire (SAQ) into Gujarati and to provide evidence for its reliability and validity in hospitals in Gujarat, India. We also present preliminary data on the safety culture in these organizations. The first phase was the cultural adaptation and translation of the SAQ into Gujarati. The second phase was a cross-sectional survey of safety attitudes in 4 private hospitals. The survey was distributed to 424 health care workers and elicited an overall response rate of 79%. The questionnaire showed acceptable reliability and preliminary evidence for construct validity among health care workers in 4 private hospitals of varying size. The initial culture score results showed outcomes similar to international standards, with two-thirds of the respondents describing teamwork climate positively and more than half of the respondents describing safety climate positively. This study reveals promising initial results for patient safety culture in India, but further study is needed. The development and validation of the SAQ-Gujarati allow additional hospitals to evaluate their patient safety culture. As the first rendition of the SAQ to an Indian setting, the tool could help to initiate safety discourse and improve the potential for institutions to provide feedback to their staff members.

  1. Safety culture in design. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Macchi, L.; Pietikaeinen, E.; Liinasuo, M.; Savioja, P.; Reiman, T.; Wahlstroem, M. [VTT Technical Research Centre of Finland, Espoo (Finland); Kahlbom, U. [Risk Pilot AB, Stockholm (Sweden); Rollenhagen, C. [Vattenfall, Stockholm, (Sweden)

    2013-04-15

    In this report we approach design from a safety culture approach As this research area is new and understudied, we take a wide scope on the issue. Different theoretical perspectives that can be taken when improving safety of the design process are considered in this report. We suggest that in the design context the concept of safety culture should be expanded from an organizational level to the level of the network of organizations involved in the design activity. The implication of approaching the design process from a safety culture perspective are discussed and the results of the empirical part of the research are presented. In the interview study in Finland and Sweden we identified challenges and opportunities in the design process from safety culture perspective. Also, a small part of the interview study concentrated on state of the art human factors engineering (HFE) practices in Finland and the results relating to that are presented. This report provide a basis for future development of systematic good design practices and for providing guidelines that can lead to safe and robust technical solutions. (Author)

  2. Safety culture in design. Final report

    International Nuclear Information System (INIS)

    Macchi, L.; Pietikaeinen, E.; Liinasuo, M.; Savioja, P.; Reiman, T.; Wahlstroem, M.; Kahlbom, U.; Rollenhagen, C.

    2013-04-01

    In this report we approach design from a safety culture approach As this research area is new and understudied, we take a wide scope on the issue. Different theoretical perspectives that can be taken when improving safety of the design process are considered in this report. We suggest that in the design context the concept of safety culture should be expanded from an organizational level to the level of the network of organizations involved in the design activity. The implication of approaching the design process from a safety culture perspective are discussed and the results of the empirical part of the research are presented. In the interview study in Finland and Sweden we identified challenges and opportunities in the design process from safety culture perspective. Also, a small part of the interview study concentrated on state of the art human factors engineering (HFE) practices in Finland and the results relating to that are presented. This report provide a basis for future development of systematic good design practices and for providing guidelines that can lead to safe and robust technical solutions. (Author)

  3. The establishment and implementation of safety culture policy in Indonesia

    International Nuclear Information System (INIS)

    Antariksawan, A.R.; Suharno; Arbie, B.

    2001-01-01

    This paper describes the progress in the establishment and implementation of safety culture in Indonesia, especially in BATAN, with special attention given to the development of safety culture indicators. The spirit of safety culture implementation is marked firstly by declaration of Policy Statement by the Head of BATAN. In order to monitor the implementation of safety culture, six indicators are established. Based on those indicators, it is seemed that at present the progress of implementation of safety culture is quite good enough. (author)

  4. From Safety Culture to Culture for Safety — What is it that we Still Haven’t Learned

    International Nuclear Information System (INIS)

    Haber, S.B.

    2016-01-01

    In April 1986 the Chernobyl Accident happened. Several years later in 1991 the IAEA Independent Nuclear Safety Advisory Group published INSAG-4 and the concept of safety culture was defined for the nuclear community because of its relationship to the accident. Where the Three Mile Island Accident in 1979 had brought human factors issues in procedure development, human performance, and training to light, the Chernobyl Accident was discussed in terms of management, supervision, and safety culture. Work in the nuclear community evolved around the concept of safety culture although a clear understanding of what was actually meant was often missing. Methods to evaluate and assess safety culture were developed and efforts to integrate the findings of those evaluations into more traditional nuclear tools, such as probabilistic risk and safety assessment were attempted as well. Safety culture became thought of as a process that could be written into a procedure, measured by performance indicators and fixed in a corrective action program. The changes that organizations saw as a function of their safety culture improvement programs though were often just changes in some behaviors. Short term improvements in safety performance and the metrics to measure them were observed and many concluded they had really changed their safety culture. The changes were often not sustainable. The efforts did not include an in depth understanding of why individuals thought or behaved in the way that they did. In March 2011 the Fukushima Daiichi Accident happened. Initially it was accepted to explain it as a natural disaster. While the earthquake or the tsunami could not be prevented, there were things that could have been done before, during and immediately after the natural phenomena that would have helped to mitigate the consequences of the accident. The IAEA conducted an in-depth analysis of the human and organizational factors of that accident and drew a number of conclusions but none so

  5. Moving towards a new safety culture

    International Nuclear Information System (INIS)

    Sero, R.

    1994-01-01

    Since the advent of nuclear power over fifty years ago, the design, licensing, operation, and maintenance of nuclear power plants have been based on prescriptive, deterministic criteria. During this time period, rapidly evolving regulations and a lack of operating experience created a culture that resulted in regulatory over-prescription and little consideration for operational flexibility and experiences. Consequently, this safety culture has had a significant impact on the rising operation and maintenance costs of nuclear power plants. 1 fig

  6. Perspectives on Changing Safeguards Culture

    Energy Technology Data Exchange (ETDEWEB)

    Mladineo, Stephen V.; Durbin, Karyn R.; Van Duzer, Andrew

    2005-12-01

    The importance of culture in the nuclear field has become widely recognized. In the wake of the 9-11 attacks in the United States, and terrorist attacks worldwide, the international community has become interested in strengthening nuclear security culture for much of the same reasons that it became interested in strengthening the nuclear safety culture in the 1980’s. The accidents that occurred at Three Mile Island and Chernobyl led to a realization that nuclear operations in one country can directly affect other countries. The accidents also led to the realization that technology alone cannot guarantee safety and that the human element has a key role to play in the safety operation of nuclear power plans.

  7. A methodology for a quantitative assessment of safety culture in NPPs based on Bayesian networks

    International Nuclear Information System (INIS)

    Kim, Young Gab; Lee, Seung Min; Seong, Poong Hyun

    2017-01-01

    Highlights: • A safety culture framework and a quantitative methodology to assess safety culture were proposed. • The relation among Norm system, Safety Management System and worker's awareness was established. • Safety culture probability at NPPs was updated by collecting actual organizational data. • Vulnerable areas and the relationship between safety culture and human error were confirmed. - Abstract: For a long time, safety has been recognized as a top priority in high-reliability industries such as aviation and nuclear power plants (NPPs). Establishing a safety culture requires a number of actions to enhance safety, one of which is changing the safety culture awareness of workers. The concept of safety culture in the nuclear power domain was established in the International Atomic Energy Agency (IAEA) safety series, wherein the importance of employee attitudes for maintaining organizational safety was emphasized. Safety culture assessment is a critical step in the process of enhancing safety culture. In this respect, assessment is focused on measuring the level of safety culture in an organization, and improving any weakness in the organization. However, many continue to think that the concept of safety culture is abstract and unclear. In addition, the results of safety culture assessments are mostly subjective and qualitative. Given the current situation, this paper suggests a quantitative methodology for safety culture assessments based on a Bayesian network. A proposed safety culture framework for NPPs would include the following: (1) a norm system, (2) a safety management system, (3) safety culture awareness of worker, and (4) Worker behavior. The level of safety culture awareness of workers at NPPs was reasoned through the proposed methodology. Then, areas of the organization that were vulnerable in terms of safety culture were derived by analyzing observational evidence. We also confirmed that the frequency of events involving human error

  8. Development and formation of safety cultures

    International Nuclear Information System (INIS)

    Merry, M.W.J.; Rycraft, H.S.

    1995-01-01

    The Thermal Oxide Reprocessing Plant (THORP) is the largest project ever undertaken by British Nuclear Fuels plc (BNFL) and its success is important for the future of the company. The company recognised at the planning stage that to be profitable, THORP had to operate both safely and with a smaller workforce. The establishment of an appropriate culture which saw safety and productivity as essential and complimentary at the beginning of the life of the plant was therefore vital for the future success of THORP The key factors in the THORP Culture formation were : The recruitment policy; the training policy; measures taken to ensure participation from the workforce; teamworking support; communication initiatives; clear statement of cultural principles; clear and demonstrable leadership. The current stage of evolution has seen some positive results namely: A clear commitment to involving all personnel in problem solving and task organisation, including safety; a confident workforce with an improved ability to communicate; the capability of the majority of the workforce to work as a team; safety awareness of the workforce is generally high along with an awareness of environmental, commercial and (political) external issues affecting the THORP business; a commitment to continuous improvement. The development of the safety culture within THORP has also had challenges, some as a result of the composite nature of the workforce, and others as side effects of the culture shaping measures. Management have recognised these, and using the results of attitude surveys, are working with the workforce to overcome their effects. Clear recognition has been achieved that the establishment of positive behaviours is a key. step in generating the culture required summarising, there is recognition that the design of safety management systems and improvement programmes, should be based on the principles of human psychology and behaviour. which includes wide participation by the workforce

  9. Application of Safety Maturity Model and 4P-4C Model in Safety Culture Assessment

    International Nuclear Information System (INIS)

    Choi, K. S.; Lee, Y. E.; Ha, J. T.; Chang, H. S.; Kam, S. C.

    2010-01-01

    Korean government and utility have made efforts to enhance the nuclear safety culture and the development of quantitative index of safety culture was promoted for past several years. Quantitative index of safety culture and the past efforts to understand safety culture need insight into the concept of culture. This paper aims to apply new method of measuring nuclear safety culture through the review of approaches of evaluating safety culture in non-nuclear industries. Scoring table has been developed based on new models and example of result of interviews evaluating the nuclear safety culture is also shown

  10. Surveys of organizational culture and safety culture in nuclear power

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Walter S. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2000-07-30

    The results of a survey of organizational culture at a nuclear power plant are summarized and compared with those of a similar survey which has been described in the literature on ''high-reliability organizations''. A general-purpose cultural inventory showed a profile of organizational style similar to that reported in the literature; the factor structure for the styles was also similar to that of the plant previously described. A specialized scale designed to measure ''safety culture'' did not distinguished among groups within the organization that would be expected to differ.

  11. SURVEYS OF ORGANIZATIONAL CULTURE AND SAFETY CULTURE IN NUCLEAR POWER

    International Nuclear Information System (INIS)

    BROWN, B.S.

    2000-01-01

    The results of a survey of organizational culture at a nuclear power plant are summarized and compared with those of a similar survey which has been described in the literature on high-reliability organizations. A general-purpose cultural inventory showed a profile of organizational style similar to that reported in the literature; the factor structure for the styles was also similar to that of the plant previously described. A specialized scale designed to measure safety culture did not distinguish among groups within the organization that would be expected to differ

  12. SEM: A Cultural Change Agent

    Science.gov (United States)

    Barnes, Bradley; Bourke, Brian

    2015-01-01

    The authors advance the concept that institutional culture is a purposeful framework by which to view SEM's utility, particularly as a cultural change agent. Through the connection of seemingly independent functions of performance and behavior, implications emerge that deepen the understanding of the influence of culture on performance outcomes…

  13. Promising Practices for Improving Hospital Patient Safety Culture.

    Science.gov (United States)

    Campione, Joanne; Famolaro, Theresa

    2018-01-01

    Patient safety culture has a positive influence on the effectiveness of patient safety and quality improvement interventions. A study was conducted to gain knowledge about promising best practices used by hospitals to improve patient safety culture hospitalwide. Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS) Hospital Survey longitudinal results from 536 hospitals that submitted data to the Hospital SOPS database from 2007 to 2014 were analyzed. Composite-level and aggregate improvement was measured, resulting in the identification of "top-improving," large hospitals (400 + beds). Semistructured interviews were conducted with one to three interviewees (for example, Vice President of Clinical Quality, Patient Safety Officer, Chief Medical Officer) from six top-improving hospitals. The transcripts of the interviews were analyzed to identify common themes and best practices among the hospitals. The mean change in the all-composite percent positive culture score was a 1.7 percentage point increase. The six hospitals interviewed had an average increase of 8.6 percentage points (range, 6.5-10.6) in their culture score. The three most common practices for improving culture as described by the hospital quality leaders from the six hospitals were (1) goal setting and strong action planning for quality improvement, (2) implementation of well-known patient safety initiatives and programs, and (3) rigorous survey administration methods. Among six large hospitals that improved their hospitalwide culture score, the common best practices were the implementation of routine culture measurement with a wide dissemination of results, strong action planning for improvement that includes leadership support and involvement from all staff levels, and multifaceted patient safety programs and education. Copyright © 2017 The Joint Commission. All rights reserved.

  14. Professionalism: a necessary ingredient in a culture of safety.

    Science.gov (United States)

    Dupree, Erin; Anderson, Rebecca; McEvoy, Mary Dee; Brodman, Michael

    2011-10-01

    A safety culture requires the highest levels of professionalism. A Code of Professionalism was created in an obstetrics service line as a mechanism to address unprofessional behavior. In this initiative, a multidisciplinary Code of Professionalism was established, with the support of leadership and the employee and nursing unions, to help create a safety culture. In 2005 the Code of Professionalism was introduced to physicians, nurses, and support staff. The U.S. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Culture Survey was used, along with a portion of the Institute for Safe Medication Practices (ISMP) Survey on Workplace Intimidation to measure changes in the safety culture. Data were collected in 2005, 2008, and 2011. One hundred thirty-four reports were made to the committee on professionalism between February 2005 and December 2010. Some 96 (72%) of the reports were submitted by nurses, with physicians accounting for 13%. Seventy-five of the reports (56%) were about unprofessional behavior by physicians and 46 (34%) were about unprofessional nursing behavior. On the AHRQ Patient Safety Culture Survey, statistically significant improvement was shown in the Teamwork Within Units dimension, from 2005 to 2008; the Management Support dimension, from 2005 to 2008; the Organizational Learning dimension, from 2005 to 2008 and also from 2008 to 2011; and the Frequency of Events Reported dimension, from 2008 to 2011. Implementing a multidisciplinary Code of Professionalism can improve the safety culture in a hospital. When leadership sets clear standards and holds physicians and staff to the same standard, improvements in an organization's safety culture can serve as the foundation for the delivery of safer care.

  15. Current Activities on Nuclear Safety Culture in Korea. How to meet the challenges for Safety and Safety Culture?

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Chaewoon [International Policy Department Policy and Standard Division, Korea Institute of Nuclear Safety, 19 Gusung-Dong Yuseong-Ku, 305-338 DAEJEON (Korea, Republic of)

    2008-07-01

    'Statement of Nuclear Safety Policy' declared by the Korean Government elucidates adherence to the principle of 'priority to safety'. The 3. Comprehensive Nuclear Energy Promotion Plan (2007-2011) more specifically addressed the necessity to develop and apply 'safety culture evaluation criteria' and to strengthen safety management of concerned organizations in an autonomous way. Putting these policies as a backdrop, Korean Government has taken diverse safety culture initiatives and has encouraged the relevant organizations to develop safety culture practices of their own accord. Accordingly, KHNP, the operating organization in Korea, developed a 'safety culture performance indicator', which has been used to evaluate safety mind of employees and the evaluation results have been continuously reflected in operational management and training programs. Furthermore, KHNP inserted 'nuclear safety culture subject' into every course of more than two week length, and provided employees with special lectures on safety culture. KINS, the regulatory organization, developed indicators for the safety culture evaluation based on the IAEA Guidelines. Also, KINS has hosted an annual Nuclear Safety Technology Information Meeting to share information between regulatory organizations and industries. Furthermore, KINS provided a nuclear safety culture class to the new employees and they are given a chance to participate in performance of a role-reversal socio-drama. Additionally, KINS developed a safety culture training program, published training materials and conducted a 'Nuclear Safety Culture Basic Course' in October 2007, 4 times of which are planed this year. In conclusion, from Government to relevant organizations, 'nuclear safety culture' concept is embraced as important and has been put into practice on a variety of forms. Specifically, 'education and training' is a starting line and sharing

  16. Development of safety culture - A Chinese traditional cultural perspective

    International Nuclear Information System (INIS)

    Zhou Weihong . E-mail zhouwh@lanps.com

    2002-01-01

    Living in a social community, the culture of an enterprise is certainly under the influence of that society. Safety culture of nuclear utilities is the core of the enterprise culture. As a formal expression as defined in INSAG 3 and 4 by IAEA, it as a matter of fact originated from the summing up of the experiences of western nuclear industry, particularly after such epoch-making accidents of Three Miles Island and Chernobyl. In view of the geographical culture theory, whether or not this conception of western industrial culture will be absorbed and assimilated by Chinese Nuclear Industry is a challenging issue. This is because, on the one hand, Nuclear Power is comparatively speaking a newly developing industry in China and, on the other hand, China has enjoyed an uninterrupted history of traditional culture over five thousand years. In other words, whether the new and alien values will conflict with or be constructively assimilated by our traditional mindset is a critical question to be answered in any development program of safety culture. (author)

  17. Exploring patient safety culture in primary care

    NARCIS (Netherlands)

    Verbakel, N.J.; van Melle, M.; Langelaan, M.; Verheij, T.J.; Wagner, C.; Zwart, D.L.

    2014-01-01

    Objective. To explore perceptions of safety culture in nine different types of primary care professions and to study possible differences. Design. Cross-sectional survey. Setting. Three hundred and thirteen practices from nine types of primary care profession groups in the Netherlands. Participants.

  18. Cultural Safety: Towards Postcolonial Counselling Practice?

    Science.gov (United States)

    Crocket, Alastair

    2012-01-01

    This article examines the discursive production of counsellor identity and practice through the operations of colonising and postcolonial discourse in Aotearoa New Zealand. It argues that constructs of cultural safety, tino rangatiratanga and Maori sovereignty, which arose as part of the postcolonial politics of life in Aotearoa, have achieved…

  19. Resilience Safety Culture in Aviation Organisations

    NARCIS (Netherlands)

    Akselsson, R.; Koornneef, F.; Stewart, S.; Ward, M.

    2009-01-01

    Chapter 2: Resilience Safety Culture in Aviation Organisations The European Commission HILAS project (Human Integration into the Lifecycle of Aviation Systems - a project supported by the European Commission’s 6th Framework between 2005-2009) was focused on using human factors knowledge and

  20. Quality improvement initiative to reduce serious safety events and improve patient safety culture.

    Science.gov (United States)

    Muething, Stephen E; Goudie, Anthony; Schoettker, Pamela J; Donnelly, Lane F; Goodfriend, Martha A; Bracke, Tracey M; Brady, Patrick W; Wheeler, Derek S; Anderson, James M; Kotagal, Uma R

    2012-08-01

    Many thousands of patients die every year in the United States as a result of serious and largely preventable safety events or medical errors. Safety events are common in hospitalized children. We conducted a quality improvement initiative to implement cultural and system changes with the goal of reducing serious safety events (SSEs) by 80% within 4 years at our large, urban pediatric hospital. A multidisciplinary SSE reduction team reviewed the safety literature, examined recent SSEs, interviewed internal leaders, and visited other leading organizations. Senior hospital leaders provided oversight, monitored progress, and helped to overcome barriers. Interventions focused on: (1) error prevention; (2) restructuring patient safety governance; (3) a new root cause analysis process and a common cause database; (4) a highly visible lessons learned program; and (5) specific tactical interventions for high-risk areas. Our outcome measures were the rate of SSEs and the change in patient safety culture. SSEs per 10000 adjusted patient-days decreased from a mean of 0.9 at baseline to 0.3 (P culture outcomes in the first year of intervention, significant improvements were observed between 2007 and 2009. Our multifaceted approach was associated with a significant and sustained reduction of SSEs and improvements in patient safety culture. Multisite studies are needed to better understand contextual factors and the significance of specific interventions.

  1. Analysis of safety culture components based on site interviews

    International Nuclear Information System (INIS)

    Ueno, Akira; Nagano, Yuko; Matsuura, Shojiro

    2002-01-01

    Safety culture of an organization is influenced by many factors such as employee's moral, safety policy of top management and questioning attitude among site staff. First this paper analyzes key factors of safety culture on the basis of site interviews. Then the paper presents a safety culture composite model and its applicability in various contexts. (author)

  2. A model for cultural change.

    Science.gov (United States)

    Andrews, M M

    1998-10-01

    Using transcultural nursing administration concepts is essential for survival, growth, satisfaction, and achieving goals in the multicultural workplace. Here, a model for cultural change in diverse health care settings assesses strengths, community resources, and readiness for change.

  3. Safety Culture and Senior Leadership Behavior: Using Negative Safety Ratings to Align Clinical Staff and Senior Leadership.

    Science.gov (United States)

    O'Connor, Shawn; Carlson, Elizabeth

    2016-04-01

    This report describes how staff-designed behavior changes among senior leaders can have a positive impact on clinical nursing staff and enhance the culture of safety in a community hospital. A positive culture of safety in a hospital improves outcomes for patients and staff. Senior leaders are accountable for developing an environment that supports a culture of safety. At 1 community hospital, surveys demonstrated that staff members did not view senior leaders as supportive of or competent in creating a culture of safety. After approval from the hospital's institutional review board was obtained, clinical nurses generated and selected ideas for senior leader behavior change. The new behaviors were assessed by a convenience sample survey of clinical nurses. In addition, culture of safety survey results were compared. Risk reports and harm events were also measured before and after behavior changes. The volume of risk and near-miss reports increased, showing that clinical staff were more inclined to report events after senior leader communication, access, and visibility increased. Harm events went down. The culture of safety survey demonstrated an improvement in the senior leadership domain in 4 of 6 units. The anonymous convenience survey demonstrated that staff members recognized changes that senior leaders had made and felt that these changes positively impacted the culture of safety. By developing skills in communication, advocacy, visibility, and access, senior leaders can enhance a hospital's culture of safety and create stronger ties with clinical staff.

  4. Safety culture and the accident at Three Mile Island

    International Nuclear Information System (INIS)

    Erp, Jan B. van

    2002-01-01

    Prior to the accident at Three Mile Island, little attention was being paid to the human role in the safe operation of civilian nuclear power plants. The investigation of the TMI accident showed that its root causes were primarily human-related. The Kemeny Report on the TMI accident does not use the term 'safety culture'; however, it fully identifies all relevant aspects of safety culture. It was only after the accident at Chernobyl that the term 'safety culture' came into widespread use. However, it should be noted that, during the years after TMI and before Chernobyl, already major changes had been instituted concerning human factors and human reliability in the civilian nuclear energy programs of many countries. Greater credit should be given to the remarkable insights developed by the Kemeny Commission as contained in the Kemeny Report. (author)

  5. Changes in cultural consumption

    DEFF Research Database (Denmark)

    Navarrete, T.; Borowiecki, K. J.

    2016-01-01

    Visits to museums have been studied as hedonic and utilitarian forms of cultural consumption, though limited attention has been given to the access of museum collections online. We perform a unique historic analysis of the visibility of collections in a museum of ethnographic collections and comp......Visits to museums have been studied as hedonic and utilitarian forms of cultural consumption, though limited attention has been given to the access of museum collections online. We perform a unique historic analysis of the visibility of collections in a museum of ethnographic collections...

  6. Development of the KINS Safety Culture Maturity Model for Self and Independent Assessment

    International Nuclear Information System (INIS)

    Sheen, C.; Choi, Y.S.

    2016-01-01

    Safety culture of an organization is cultivated and affected not only by societal and regulatory environment of the organization, but by its philosophies, policies, events and activities experienced in the process of accomplishing its mission. The safety culture would be continuously changed by the interactions between its members along with time as an organic entity. In order to perform a systematic self- or independent assessment of safety culture, a safety culture assessment model (SCAM) properly reflecting cultural characteristics should be necessary. In addition, a SCAM should be helpful not only to establish correct directions, goals, and strategies for safety culture development, but should anticipating obstacles against safety culture development in the implementation process derived from the assessment. In practical terms, a SCAM should be useful for deriving effective guidelines and implementing of corrective action programs for the evaluated organization. Korea Institute of Nuclear Safety (KINS) performed a research project for six years to develop a SCAM satisfying the above prerequisites for self- and independent assessment. The KINS SCAM was developed based on the five stage safety culture maturity model proposed by Professor Patrick Hudson and was modified into four stages to reflect existing safety culture assessment experiences at Korean nuclear power plants. In order to define the change mechanism of safety culture for development and reversion, the change model proposed by Prochaska and DiClemente was introduced into KINS SCAM and developed into the Spiral Change Model.

  7. Nuclear safety culture evaluation model based on SSE-CMM

    International Nuclear Information System (INIS)

    Yang Xiaohua; Liu Zhenghai; Liu Zhiming; Wan Yaping; Peng Guojian

    2012-01-01

    Safety culture, which is of great significance to establish safety objectives, characterizes level of enterprise safety production and development. Traditional safety culture evaluation models emphasis on thinking and behavior of individual and organization, and pay attention to evaluation results while ignore process. Moreover, determining evaluation indicators lacks objective evidence. A novel multidimensional safety culture evaluation model, which has scientific and completeness, is addressed by building an preliminary mapping between safety culture and SSE-CMM's (Systems Security Engineering Capability Maturity Model) process area and generic practice. The model focuses on enterprise system security engineering process evaluation and provides new ideas and scientific evidences for the study of safety culture. (authors)

  8. Evaluation of Patient Safety Culture and Organizational Culture as a Step in Patient Safety Improvement in a Hospital in Jakarta, Indonesia

    Directory of Open Access Journals (Sweden)

    Afrisya Iriviranty

    2016-07-01

    Full Text Available Introduction: Establishment of patient safety culture is the first step in the improvement of patient safety. As such, assessment of patient safety culture in hospitals is of paramount importance. Patient safety culture is an inherent component of organizational culture, so that the study of organizational culture is required in developing patient safety. This study aimed to evaluate patient safety culture among the clinical staff of a hospital in Jakarta, Indonesia and identify organizational culture profile. Materials and Methods: This cross-sectional, descriptive, qualitative study was conducted in a hospital in Jakarta, Indonesia in 2014. Sample population consisted of nurses, midwives, physicians, pediatricians, obstetrics and gynecology specialists, laboratory personnel, and pharmacy staff (n=152. Data were collected using the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality (AHRQ and Organizational Culture Assessment Instrument (OCAI. Results: Teamwork within units” was the strongest dimension of patient safety culture (91.7%, while “staffing” and “non-punitive response to error” were the weakest dimensions (22.7%. Moreover, clan culture was the most dominant type of organizational culture in the studied hospital. This culture serves as a guide for the changes in the healthcare organization, especially in the development of patient safety culture. Conclusion: According to the results of this study, healthcare providers were positively inclined toward the patient safety culture within the organization. As such, the action plan was designed through consensus decision-making and deemed effective in articulating patient safety in the vision and mission of the organization.

  9. 78 FR 53790 - Public Forum-Safety Culture: Enhancing Transportation Safety

    Science.gov (United States)

    2013-08-30

    ... NATIONAL TRANSPORTATION SAFETY BOARD Public Forum--Safety Culture: Enhancing Transportation Safety On Tuesday and Wednesday, September 10-11, 2013, the National Transportation Safety Board (NTSB) will convene a forum titled, ``Safety Culture: Enhancing Transportation Safety.'' The forum will begin at 9:00...

  10. Understanding Nuclear Safety Culture: A Systemic Approach

    International Nuclear Information System (INIS)

    Afghan, A.N.

    2016-01-01

    The Fukushima accident was a systemic failure (Report by Director General IAEA on the Fukushima Daiichi Accident). Systemic failure is a failure at system level unlike the currently understood notion which regards it as the failure of component and equipment. Systemic failures are due to the interdependence, complexity and unpredictability within systems and that is why these systems are called complex adaptive systems (CAS), in which “attractors” play an important role. If we want to understand the systemic failures we need to understand CAS and the role of these attractors. The intent of this paper is to identify some typical attractors (including stakeholders) and their role within complex adaptive system. Attractors can be stakeholders, individuals, processes, rules and regulations, SOPs etc., towards which other agents and individuals are attracted. This paper will try to identify attractors in nuclear safety culture and influence of their assumptions on safety culture behavior by taking examples from nuclear industry in Pakistan. For example, if the nuclear regulator is an attractor within nuclear safety culture CAS then how basic assumptions of nuclear plant operators and shift in-charges about “regulator” affect their own safety behavior?

  11. The Radiation Safety Culture: Image Gently

    International Nuclear Information System (INIS)

    Applegate, E.K.

    2015-01-01

    Barriers to Implementing Safety include Silos of Knowledge, Time, training and Resources. Creating a Safety Culture in Healthcare include Decreased authority gradients, Checklists and audits (QA), Use of structured language (SBAR), Situation, Background, Assessment, Recommendation Team briefings and debriefings (immediate learning, team building tools), Lifelong learning (PQI). Use of Collective Learning Opportunities - QA and PQI that include Web sites: IG, WFPI, IAEA, ISR and Data Registries: ACR . The Key Principles of Radiation Protection: When do we learn them? For Occupational Workers:Time, Distance and Shielding while those of For Patients: Justification, Optimization and Dose Limits (dose reference levels)

  12. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute.

    OpenAIRE

    SIMONS, Pascale; Houben, Ruud; Vlayen, Annemie; Hellings, Johan; Pijls-Johannesma, Madelon; Marneffe, Wim; Vandijck, Dominique

    2015-01-01

    PURPOSE: The importance of a safety culture to maximize safety is no longer questioned. However, achieving sustainable culture improvements are less evident. Evidence is growing for a multifaceted approach, where multiple safety interventions are combined. Lean management is such an integral approach to improve safety, quality and efficiency and therefore, could be expected to improve the safety culture. This paper presents the effects of lean management activities on the patient safety cu...

  13. Assessing progress in the development of safety culture

    International Nuclear Information System (INIS)

    Rotaru, Ioan; Ghita, Sorin

    1999-01-01

    The concept of safety culture was introduced by the International Nuclear Safety Advisory Group (INSAG) in the Summary Report on the Post-Accident Meeting on the Chernobyl Accident in 1986. The concept was further expanded in the 1988 INSAG-3 report, Basic Safety Principles for Nuclear Power Plants, and again in 1991 in the INSAG-4 report. Recognizing the increasing role that safety culture is expected to play in nuclear installations worldwide, the Convention on Nuclear Safety states the Contracting Parties' desire 'to promote an effective nuclear safety culture'. The concept of safety culture is defined in INSAG-4 as follows: Safety culture is that assembly of characteristics and attitudes in organizations and individuals which establishes that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance. Safety culture is also an amalgamation of values, standards, morals and norms of acceptable behaviour. These are aimed at maintaining a self disciplined approach to the enhancement of safety beyond legislative and regulatory requirements. Therefore, the safety culture has to be inherent in the thoughts and actions of all the individuals at every level in an organization. The leadership provided by top management is crucial. Safety culture applies to conventional and personal safety as well as nuclear safety. All safety consideration are affected by common points of beliefs, attitudes, behaviour, and cultural differences, closely linked to a shared system of values and standards. The paper poses questions and tries to find answers relative to issues like: - how to assess progress; - specific organizational indicators of a progressive safety culture; - detection of incipient weaknesses in safety culture (organizational issues, employee issues, technology issues); - revitalizing a weakened safety culture; - overall assesment of safety culture; - general evaluation model. In conclusion, there is no consistent and

  14. [Cross-cultural adaptation into Spanish of the Nursing Home Survey on Patient Safety Culture questionnaire].

    Science.gov (United States)

    Machón, M; Vergara, I; Silvestre, C; Pérez, P; Alías, G; Vrotsou, K

    2014-01-01

    This article presents the first phase of a research project aimed at adapting a tool for assessing safety culture in nursing homes into Spanish. The Nursing Home on Patient Safety Culture of the Agency for Health Care Research and Quality was translated and culturally adapted. The International Quality of Life Assessment protocol was followed, which included, translation, conceptual equivalence evaluation, back-translation, content validity and a pilot study. Three of the 42 items were modified with respect to the original version. The remaining modifications were introduced in the F Section, containing sociodemographic information and job related questions. The adapted questionnaire will help to assess the level of safety of the resident culture among healthcare professionals in these centres, to identity areas for improvement, and to analyze how to evolve when organizational changes are introduced. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

  15. Safety culture improvements in a nuclear laboratory setting

    International Nuclear Information System (INIS)

    Smith, K.L.; McKenna, J.

    2014-01-01

    In 2008, AECL performed a comprehensive safety culture assessment using recognized, industry-proven methodologies. Main observations were grouped into several key areas including standards, procedures, error-free work, and leadership fundamentals. Shortly thereafter, in 2009 May, the National Research Universal (NRU) reactor was shut down following discovery of a small leak of heavy water. Extensive repairs were required to return the reactor to service and a root cause investigation was conducted to determine the organizational and programmatic causes that led to the event. Taken together, these presented management with insights into common areas of weaknesses in performance and behaviours. A Corrective Action Plan (CAP) to address both the findings of the root cause analysis and safety culture assessment was captured in a comprehensive improvement plan issued in 2010 March, entitled the Voyageur Program Phase II (Voyageur II). The CAP addresses six key areas: Improve equipment reliability; Drive desired behaviours; Improve problem identification and resolution; Improve use of industry Operating Experience (OPEX) and reduce isolationism; Improve standards of operation; and, Improve management oversight. AECL's safety culture has been monitored regularly using quarterly surveys. A detailed safety culture assessment was executed in 2012 September. Compared with previous results, improvements for AECL were noted in the following areas: Use of Operating Experience, specifically in work planning, pre job briefs and training; Procedure quality; Availability of safety equipment; Control of temporary changes; and, Improved operational standards. (author)

  16. Safety culture and networks of influence

    International Nuclear Information System (INIS)

    Pereira, Carlos Henrique V.; Barroso, Antonio C.O.; Vieira Neto, Antonio S.

    2011-01-01

    This paper analyzes the social networks that influence the formation and maintenance of the safety culture within the Institute of Energy and Nuclear Research (IPEN-CNEN/SP). From the mapping and analysis of social networks, actors with a significant degree of influence were identified. Later using a questionnaire, the beliefs of the population sample were mapped. Thus, the importance of key actors in the network analysis could be confirmed statistically. Therefore, based on the mentioned methods we could demonstrate our hypothesis, that there are some social networks that are important in the formation of safety culture, as well as the fact that the influence of some distinguished actors plays an essential role in this amalgam. (author)

  17. Problems with quantification of safety culture

    International Nuclear Information System (INIS)

    Kozuh, M.; Mavko, B.

    1995-01-01

    For the qualitative part of the method for the Safety Culture assessment we quantitative part was developed based on expert judgement and statistical methods. The quantitative assessment should go in parallel with the qualitative part already presented. The essential part is based on expert opinion which organizational factors are the most important for certain risk significant components and how well are they implemented. The problems with getting the ratings are described in the paper. (author)

  18. Electronuclear's safety culture assessment and enhancement program

    International Nuclear Information System (INIS)

    Selvatici, E.; Diaz-Francisco, J.M.; Diniz de Souza, V.

    2002-01-01

    The present paper describes the Eletronuclear's safety culture assessment and enhancement program. The program was launched by the company's top management one year after the creation of Eletronuclear in 1997, from the merging of two companies with different organizational cultures, the design and engineering company Nuclen and the nuclear directorate of the Utility Furnas, Operator of the Angra1 NPP. The program consisted of an assessment performed internally in 1999 with the support and advice of the IAEA. This assessment, performed with the help of a survey, pooled about 80% of the company's employees. The overall result of the assessment was that a satisfactory level of safety culture existed; however, a number of points with a considerable margin for improvement were also identified. These points were mostly related with behavioural matters such as motivation, stress in the workplace, view of mistakes, handling of conflicts, and last but not least a view by a considerable number of employees that a conflict between safety and production might exist. An Action Plan was established by the company managers to tackle these weak points. This Plan was issued as company guideline by the company's Directorate. The subsequent step was to detail and implement the different actions of the Plan, which is the phase that we are at present. In the detailing of the Action Plan, special care was taken to sum up efforts, avoiding duplication of work or competition with already existing programs. In this process it was identified that the company had a considerable number of initiatives directly related to organizational and safety culture improvement, already operational. These initiatives have been integrated in the detailed Action Plan. A new assessment, for checking the effectiveness of the undertaken actions, is planned for 2003. (author)

  19. Advancing Measurement of Patient Safety Culture

    Science.gov (United States)

    Ginsburg, Liane; Gilin, Debra; Tregunno, Deborah; Norton, Peter G; Flemons, Ward; Fleming, Mark

    2009-01-01

    Objective To examine the psychometric and unit of analysis/strength of culture issues in patient safety culture (PSC) measurement. Data Source Two cross-sectional surveys of health care staff in 10 Canadian health care organizations totaling 11,586 respondents. Study Design A cross-validation study of a measure of PSC using survey data gathered using the Modified Stanford PSC survey (MSI-2005 and MSI-2006); a within-group agreement analysis of MSI-2006 data. Extraction Methods Exploratory factor analyses (EFA) of the MSI-05 survey data and confirmatory factor analysis (CFA) of the MSI-06 survey data; Rwg coefficients of homogeneity were calculated for 37 units and six organizations in the MSI-06 data set to examine within-group agreement. Principal Findings The CFA did not yield acceptable levels of fit. EFA and reliability analysis of MSI-06 data suggest two reliable dimensions of PSC: Organization leadership for safety (α=0.88) and Unit leadership for safety (α=0.81). Within-group agreement analysis shows stronger within-unit agreement than within-organization agreement on assessed PSC dimensions. Conclusions The field of PSC measurement has not been able to meet strict requirements for sound measurement using conventional approaches of CFA. Additional work is needed to identify and soundly measure key dimensions of PSC. The field would also benefit from further attention to strength of culture/unit of analysis issues. PMID:18823446

  20. Advancing measurement of patient safety culture.

    Science.gov (United States)

    Ginsburg, Liane; Gilin, Debra; Tregunno, Deborah; Norton, Peter G; Flemons, Ward; Fleming, Mark

    2009-02-01

    To examine the psychometric and unit of analysis/strength of culture issues in patient safety culture (PSC) measurement. Two cross-sectional surveys of health care staff in 10 Canadian health care organizations totaling 11,586 respondents. A cross-validation study of a measure of PSC using survey data gathered using the Modified Stanford PSC survey (MSI-2005 and MSI-2006); a within-group agreement analysis of MSI-2006 data. Extraction Methods. Exploratory factor analyses (EFA) of the MSI-05 survey data and confirmatory factor analysis (CFA) of the MSI-06 survey data; Rwg coefficients of homogeneity were calculated for 37 units and six organizations in the MSI-06 data set to examine within-group agreement. The CFA did not yield acceptable levels of fit. EFA and reliability analysis of MSI-06 data suggest two reliable dimensions of PSC: Organization leadership for safety (alpha=0.88) and Unit leadership for safety (alpha=0.81). Within-group agreement analysis shows stronger within-unit agreement than within-organization agreement on assessed PSC dimensions. The field of PSC measurement has not been able to meet strict requirements for sound measurement using conventional approaches of CFA. Additional work is needed to identify and soundly measure key dimensions of PSC. The field would also benefit from further attention to strength of culture/unit of analysis issues.

  1. An evaluation of safety culture initiatives at BNSF Railway

    Science.gov (United States)

    2015-04-01

    Major safety culture (SC) initiatives initiated in the FRA Office of Research, Technology and Development (RT&D), such as Clear Signal for Action (CSA), the Investigation of Safety Related Occurrences Protocol (ISROP), the Participative Safety Rules ...

  2. Leadership, Culture and Organizational Change

    OpenAIRE

    Vladimir-Codrin Ionescu

    2014-01-01

    An effective leadership, an evolutionary organizational culture and permanent connection to change may ensure a company’s success within an ever more dynamic competitive environment. The scientific approach of this paper is in line with theoretical and applied research in the field by the presentation of the connections existing among leadership, organizational culture and organizational change. The paper highlights the triad “vision – motivation – momentum”, the mission and the defining coor...

  3. Improving patient safety culture in general practice: an interview study

    NARCIS (Netherlands)

    Verbakel, N.J.; de Bont, A.A.; Verheij, T.J.M.; Wagner, C.; Zwart, D.L.M.

    2015-01-01

    Background When improving patient safety a positive safety culture is key. As little is known about improving patient safety culture in primary care, this study examined whether administering a culture questionnaire with or without a complementary workshop could be used as an intervention for

  4. Improving patient safety culture in general practice: An interview study

    NARCIS (Netherlands)

    N.J. Verbakel (Natasha J.); A.A. de Bont (Antoinette); T.J. Verheij; C. Wagner (Cordula); D.L.M. Zwart (Dorien)

    2015-01-01

    textabstractBackground When improving patient safety a positive safety culture is key. As little is known about improving patient safety culture in primary care, this study examined whether administering a culture questionnaire with or without a complementary workshop could be used as an

  5. Changing the Culture: Football

    Science.gov (United States)

    Santo, Ricky

    2015-01-01

    In this article college football coach Ricky Santo argues that in order to change the ways of the misunderstood world of racism, one needs to acknowledge the sociocultural consciousness in society today. The sociocultural consciousness is a way to understand how people think and behave which is influenced by their race/ethnicity, social class, and…

  6. Safety Culture in Rosatom State Atomic Energy Corporation

    International Nuclear Information System (INIS)

    Adamchik, S. A.

    2016-01-01

    The paper presents Rosatom State Atomic Energy Corporation (hereinafter “Rosatom”) current activity in safety culture enhancement. After the Chernobyl accident individual commitment to safety, organizational factors influencing on safety were put under more significant attention. Safety culture (hereinafter “SC”) should be considered like a resource to provide safety in nuclear facilities. The resource potential is in minimisation of breaches by development and existing that patterns of human performance and organizational behavior which form attitude to safety as an overriding.

  7. Indicators of safety culture - selection and utilization of leading safety performance indicators

    International Nuclear Information System (INIS)

    Reiman, Teemu; Pietikaeinen, Elina

    2010-03-01

    Safety indicators play a role in providing information on organizational performance, motivating people to work on safety and increasing organizational potential for safety. The aim of this report is to provide an overview on leading safety indicators in the domain of nuclear safety. The report explains the distinction between lead and lag indicators and proposes a framework of three types of safety performance indicators - feedback, monitor and drive indicators. Finally the report provides guidance for nuclear energy organizations for selecting and interpreting safety indicators. It proposes the use of safety culture as a leading safety performance indicator and offers an example list of potential indicators in all three categories. The report concludes that monitor and drive indicators are so called lead indicators. Drive indicators are chosen priority areas of organizational safety activity. They are based on the underlying safety model and potential safety activities and safety policy derived from it. Drive indicators influence control measures that manage the socio technical system; change, maintain, reinforce, or reduce something. Monitor indicators provide a view on the dynamics of the system in question; the activities taking place, abilities, skills and motivation of the personnel, routines and practices - the organizational potential for safety. They also monitor the efficacy of the control measures that are used to manage the socio technical system. Typically the safety performance indicators that are used are lagging (feedback) indicators that measure the outcomes of the socio technical system. Besides feedback indicators, organizations should also acknowledge the important role of monitor and drive indicators in managing safety. The selection and use of safety performance indicators is always based on an understanding (a model) of the socio technical system and safety. The safety model defines what risks are perceived. It is important that the safety

  8. Defining safety culture and the nexus between safety goals and safety culture. 3. A Methodology for Identifying Deficiencies in Safety Culture

    International Nuclear Information System (INIS)

    Apostolakis, George; Weil, Rick

    2001-01-01

    At present, the drivers of performance problems at nuclear power plants (NPPs) are organizational in nature. Organizational deficiencies and other 'latent' conditions cause human errors, resulting in incidents that impact the performance of NPPs. Therefore, the human reliability community, regulators, and others concerned with NPP safety express the view that safety culture and organizational factors play an important role in plant safety. However, we have yet to identify one complete set of organizational factors, establish links between deficient safety culture and performance, or develop adequate tools to measure safety culture. This paper will contribute to the resolution of these issues. Safety culture is not a single factor but rather is a collection of several distinct factors. This paper asserts that in order to pro-actively manage safety culture at NPPs, leading indicators and appropriate measurements must be identified and developed. Central to this effort are the identification of the distinct factors comprising safety culture and the relationships between those factors and performance. We have identified several factors important to safety culture. We have developed a methodology that is a combination of traditional root-cause analysis and theories of human error, most notably Reason's theory of accident causation. In addition to this methodology's usefulness in identifying deficiencies in safety culture, it could also be used as a starting point to identify leading indicators of deteriorating safety performance. We have identified six organizational factors as being important: communication, formalization, goal prioritization, problem identification, roles and responsibilities, and technical knowledge. In addition, we have found that certain organizational factors, although pervasive throughout the organization, have a much greater influence on the successful outcome of particular tasks of work processes, rather than being equally important to all

  9. Building a culture of safety through team training and engagement.

    Science.gov (United States)

    Thomas, Lily; Galla, Catherine

    2013-05-01

    Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healthcare team. Teamwork impacts the effectiveness of care, patient safety and clinical outcomes, and team training has been identified as a strategy for enhancing teamwork, reducing medical errors and building a culture of safety in healthcare. Therefore, we implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to create transformational and/or incremental changes; facilitating transformation of organisational culture, or solving specific problems. To date, TeamSTEPPS (TS) has been implemented in 14 hospitals, two Long Term Care Facilities, and outpatient areas across the North Shore LIJ Health System. 32 150 members of the healthcare team have been trained. TeamSTEPPS was piloted at a community hospital within the framework of the health system's organisational care delivery model, the Collaborative Care Model to facilitate sustainment. AHRQ's Hospital Survey on Patient Safety Culture, (HSOPSC), was administered before and after implementation of TeamSTEPPS, comparing the perception of patient safety by the heathcare team. Pilot hospital results of HSOPSC show significant improvement from 2007 (pre-TeamSTEPPS) to 2010. System-wide results of HSOPSC show similar trends to those seen in the pilot hospital. Valuable lessons for organisational success from the pilot hospital enabled rapid spread of TeamSTEPPS across the rest of the health system.

  10. Knowledge Management Methodologies for Improving Safety Culture

    International Nuclear Information System (INIS)

    Rusconi, C.

    2016-01-01

    Epistemic uncertainties could affect operator’s capability to prevent rare but potentially catastrophic accident sequences. Safety analysis methodologies are powerful but fragile tools if basic assumptions are not sound and exhaustive. In particular, expert judgments and technical data could be invalidated by organizational context change (e.g., maintenance planning, supply systems etc.) or by unexpected events. In 1986 accidents like Chernobyl, the explosion of Shuttle Challenger and, two years before, the toxic release at Bhopal chemical plant represented the point of no return with respect to the previous vision of safety and highlighted the undelayable need to change paradigm and face safety issues in complex systems not only from a technical point of view but to adopt a systemic vision able to include and integrate human and organizational aspects.

  11. Public education through safety culture demonstration

    International Nuclear Information System (INIS)

    Wanitsuksombut, Warapon

    2005-01-01

    The activities relating to nuclear energy have been world widely opposed against, because there have existed scars in the past; atomic bombs and a few accidents in nuclear facilities. It cannot be denied that the most effective education of public is through Medias such as news or documentary on newspaper and television. Once such cases appeared to public, it is difficult to erase the bad pictures from their memory. Since education for public is mainly depending on media, it is recommended putting harder effort on dissemination of information on regulation and regulatory function to public. The regulatory function of each country is the key of safe utilization of nuclear energy. Since prime responsibility of maintenance and operation are rested on the operators. To achieve the goal of safety, regulatory authority's task now is emphasized on encouraging operators of nuclear facilities to implement their safety culture. This will reduce the probability of unwanted events and therefore raising credit of nuclear energy. (author)

  12. Understanding Culture and Influencing Change

    Science.gov (United States)

    2010-03-01

    difference to significantly change the society from a collectivist to individualist culture.42 Pakistan scores fourteen which indicates a strongly...Pakistan which possess strong uncertainty avoidance scores (70) and low individualistic scores (14) - and are collectivists - rules and laws are...score lower than fifty indicating a more collectivist society. This helps the strategic leader to appreciate the importance class and culture play on

  13. Requirements to amend the main influence factors on the safety culture after fukushima accident

    International Nuclear Information System (INIS)

    Farcasiu, M.; Nitoi, M.

    2015-01-01

    The paper presents a general model that provides a framework for the safety culture assessment, creating the possibility to identify factors that can significantly influence the safety culture. The main safety culture influence factors (SCIF) used by model are the following: regulatory environment, organizational environment, worker characteristics, socio-political environment, national culture, organization history, business and technological characteristics. After the analysis of the deficiencies and weaknesses of SCIFc in evolution of the Fukushima accident, some issues that may become necessities and requirements to change and improve both the safety culture and safety of the nuclear installations were highlighted. For each influence factor were identified some requirements to amend. The results will emphasize the necesity of the human - technology - organization system assessment. Hence it was demonstrated that the safety culture results from the interaction of individuals with technology and with the organization. (authors)

  14. Patient Safety Culture and the Ability to Improve: A Proof of Concept Study on Hand Hygiene.

    Science.gov (United States)

    Caris, Martine G; Kamphuis, Pim G A; Dekker, Mireille; de Bruijne, Martine C; van Agtmael, Michiel A; Vandenbroucke-Grauls, Christina M J E

    2017-11-01

    OBJECTIVE To investigate whether the safety culture of a hospital unit is associated with the ability to improve. DESIGN Qualitative investigation of safety culture on hospital units following a before-and-after trial on hand hygiene. SETTING VU University Medical Center, a tertiary-care hospital in the Netherlands. METHODS With support from hospital management, we implemented a hospital-wide program to improve compliance. Over 2 years, compliance was measured through direct observation, twice before, and 4 times after interventions. We analyzed changes in compliance from baseline, and selected units to evaluate safety culture using a positive deviance approach: the hospital unit with the highest hand hygiene compliance and 2 units that showed significant improvement (21% and 16%, respectively) were selected as high performing. Another 2 units showed no improvement and were selected as low performing. A blinded, independent observer conducted interviews with unit management, physicians, and nurses, based on the Hospital Survey on Patient Safety Culture. Safety culture was categorized as pathological (lowest level), reactive, bureaucratic, proactive, or generative (highest level). RESULTS Overall, 3 units showed a proactive or generative safety culture and 2 units had bureaucratic or pathological safety cultures. When comparing compliance and interview results, high-performing units showed high levels of safety culture, while low-performing units showed low levels of safety culture. CONCLUSIONS Safety culture is associated with the ability to improve hand hygiene. Interventions may not be effective when applied in units with low levels of safety culture. Although additional research is needed to corroborate our findings, the safety culture on a unit can benefit from enhancement strategies such as team-building exercises. Strengthening the safety culture before implementing interventions could aid improvement and prevent nonproductive interventions. Infect Control

  15. Safety culture of nuclear R and D organizations: A case study

    International Nuclear Information System (INIS)

    Obadiaa, I.J.; Vidalb, M.C.R.; Frutuoso e Melob, P.F.

    2004-01-01

    After the Chernobyl nuclear accident in 1986, the International Atomic Energy Agency (IAEA) established the safety culture concept as a proactive mean to contribute to safety improvement, starting a worldwide safety culture enhancement program within nuclear organizations mainly focused on nuclear power plants. More recently, the safety culture concept has been extended to non-power applications such as nuclear research reactors and nuclear technological research and development organizations. In 1999, the Nuclear Engineering Institute (IEN), a research and technological development unit of the Brazilian Nuclear Energy Commission (CNEN), started a management changing program aiming at improving its performance level of excellence. IEN is classified as a nuclear and radioactive installation, where a nuclear research reactor and two cyclotron-type particle accelerators are operated, and several nuclear and radioactive processes related to industrial, medical and environmental applications are performed. This changing program has been developed based on the assumptions that safety is a fundamental condition for excellence, and safety culture is crucial to the improvement of operational safety. A management system comprised of a safety culture enhancement practice integrated to a quality management process, based on a systematic and adaptive approach, has been developed and implemented at IEN. This paper presents the safety culture enhancement management practice and presents the corresponding evolution of IEN's safety culture and safety indicators results. (author)

  16. Cultural safety and its importance for Australian midwifery practice.

    Science.gov (United States)

    Phiri, Jasten; Dietsch, Elaine; Bonner, Ann

    2010-01-01

    Cultural safety is an important concept in health care that originated in Aotearoa (New Zealand) to address Maori consumer dissatisfaction with health care. In Australia and internationally, midwives are now expected to provide culturally safe midwifery care to all women. Historically, Australia has received large numbers of immigrants from the United Kingdom, European countries and the Middle East. There have also been refugees and immigrants from South-East Asia, and most recently, from Africa. Australia continues to become more culturally diverse and yet to date no studies have explored the application of cultural safety in Australian midwifery practice. This paper explores how cultural safety has evolved from cultural awareness and cultural sensitivity. It examines the importance of cultural safety in nursing and midwifery practice. Finally, it explores the literature to determine how midwives can apply the concept of cultural safety to ensure safe and woman centred care.

  17. Changing organizational culture to implement organizational change.

    Science.gov (United States)

    Ferrara-Love, R

    1997-02-01

    With the advent of managed care and the restructuring of hospitals, health care is in a state of transition. In the past, healthcare executives seemed to believe that they were isolated from the changes that were occurring in corporate America. However, the need for change in both organizational culture and performance is here. To successfully navigate the "permanent white water" of health care change, examples from business are needed. These examples include work redesign, restructuring, and behavior modification to promote the changes needed for health care to move forward.

  18. Evaluation of Safety Culture Implementation and Socialization Results

    International Nuclear Information System (INIS)

    Situmorang, Johnny

    2003-01-01

    Evaluation of safety culture implementation and socialization results has been perform. Evaluation is carried out with specifying safety culture indicators, namely: Meeting between management and employee, system for incidents analysis, training activities related to improving safety, meeting with regulator, contractors, surveys on behavioural attitudes, and resources allocated to promote safety culture. Evaluation is based on observation and visiting the facilities to show the compliance indicator in term of good practices in the frame of safety culture implementation. For three facilities of research reactors, Kartini Yogyakarta, TRIGA Mark II Bandung and MPR-GAS Serpong, implementation of safety culture is considered good enough and progressive. Furthermore some indicator should be considered more intensive, for example the allocated resources, self assesment based on own questionnaire in the frame of improving the safety culture implementation. (author)

  19. Research and exploration on nuclear safety culture construction

    International Nuclear Information System (INIS)

    Zhang Lifang; Zhao Hongtao; Wang Hongwei

    2012-01-01

    This thesis mainly researched the definition, characteristics, development stage and setup procedure concerning nuclear safety culture, based on practice and experiences in Technical Physics Institute of Heilongjian. Academy of Science. The author discussed the importance of nuclear safety culture construction for an enterprise of nuclear technology utilization, and emphasized all the enterprise and individual who engaged in nuclear and radiation safety should acquire good nuclear safety culture quality, and ensure the application and development of the nuclear safety cult.ure construction in the enterprises of nu- clear technological utilization. (authors)

  20. INFORMATION CULTURE AND INFORMATION SAFETY OF SCHOOLCHILDREN

    Directory of Open Access Journals (Sweden)

    E. G. Belyakova

    2017-01-01

    Full Text Available Introduction. The article is devoted to the problem of interaction between schoolchildren and possible informational risks transmitted on the Internet. Considering the lack of external filters on the way of harmful information streams, it is actually necessary to develop information culture of schoolchildren, their abilities to sensibly and critically interpret the information on the Internet, and choice of adequate behaviour models surfing the Web. The aim of the present research is to analyze the state of informational safety of schoolchildren while using the Internet; gaining an understanding of the role of external restrictions and opportunities of intrapersonal filtration of the harmful Internet content depending on children age. Methodology and research methods. The methodology of the research is based on modern methods aimed to consider the problem of personal socialization in modern information society. Thus, the Internet Initiatives Development Fund (IIDF questionnaire let the authors define the level of awareness of recipients on the problem under consideration. Results and scientific novelty. The theoretical analysis helped the authors predict the correlation of basic methods in order to guarantee personal safety of schoolchildren taking into account the process of maturity as well as the decrease of external filters that may stop harmful content. Empirical part of the research has enabled to reveal decrease in external control of staying of a child in network in the process of growing up against the background of restrictive attitudes prevalence among teachers and parents. Therefore, the research supposed to improve information culture of schoolchildren from the earliest ages encouraging them to sensibly and correctly interpret the information on the Internet. Practical significance. The practical recommendations to parents and teachers in order to improve informational personal safety of schoolchildren are proposed. The relevancy

  1. Assessing progress in the development of safety culture

    International Nuclear Information System (INIS)

    Rotaru, I.; Ghita, S.; Biro, L.

    2002-01-01

    This paper is focussed on the organizational culture and learning processes required for the implementation of all aspects of safety culture. There is no prescriptive formula for improving safety culture. However, some common characteristics and practices are emerging that can be adopted by organizations in order to make progress. The paper refers to some approaches that have been successful in a number of countries. The experience of the international nuclear industry in the development and improvement of safety culture could be extended and found useful in other nuclear activities, irrespective of scale. The examples given of specific practice cover a wide range of activities including analysis of events, the regulatory approach on safety culture, employee participation and safety performance measures. Many of these practices may be relevant to smaller organizations and could contribute to improving safety culture, whatever the size of the organization. The most effective approach is to pursue a range of practices that can be mutually supportive in the development of a progressive safety culture, supported by professional standards, organizational and management commitment. Some guidance is also given on the assessment of safety culture and on the detection of a weakening safety culture. Few suggestions for accelerating the safety culture development and improvement process are also provided. (author)

  2. PNRA: Practically Improving Safety Culture within the Regulatory Body

    International Nuclear Information System (INIS)

    Bhatti, S.A.N.; Habib, M.A.

    2016-01-01

    The prevalence of a good safety culture is equally important for all kind of organizations involved in nuclear business including operating organizations, designers, regulator, etc., and this should be reflected through the processes and activities of these organizations. The need for inculcating safety culture into regulatory processes and practices is gradually increasing since the major nuclear accident of Fukushima, Japan. Accordingly, several international fora in last few years repeatedly highlighted the importance of prevalence of safety culture in regulatory bodies as well. The utilisation of concept of safety culture remained applicable in regulatory activities of PNRA in the form of core values. After the Fukushima accident, PNRA considered it important to check the extent of utilisation of safety culture concept in organizational activities and decided to conduct its “Safety Culture Self-Assessment (SCSA)” for presenting itself as role model in-order to endorse the fact that safety culture at regulatory authority plays an important role to influence safety culture at licenced facilities. Considering the complexity of cultural assessment starting from visual manifestations to the basic assumptions at the deeper level, PNRA decided to utilise IAEA emerging methodology for assessment of culture and then used modified IAEA normative framework (made it applicable for regulatory body) for assessing safety culture at a regulatory body. PNRA SCSA team utilised safety culture assessment tools (observations, focus groups, surveys, interviews and document analysis) for collecting cultural facts by including all level of personnel involved in different activities and functions in the organization. Different challenges were encountered during implementation of these tools which were tackled with the background of training on SCSA and with the help of experts during support missions arranged by IAEA. Before formally starting the SCSA process, pre-launch activities

  3. Variability of patient safety culture in Belgian acute hospitals.

    Science.gov (United States)

    Vlayen, Annemie; Schrooten, Ward; Wami, Welcome; Aerts, Marc; Barrado, Leandro Garcia; Claes, Neree; Hellings, Johan

    2015-06-01

    The aim of this study was to measure differences in safety culture perceptions within Belgian acute hospitals and to examine variability based on language, work area, staff position, and work experience. The Hospital Survey on Patient Safety Culture was distributed to hospitals participating in the national quality and safety program (2007-2009). Hospitals were invited to participate in a comparative study. Data of 47,136 respondents from 89 acute hospitals were used for quantitative analysis. Percentages of positive response were calculated on 12 dimensions. Generalized estimating equations models were fitted to explore differences in safety culture. Handoffs and transitions, staffing, and management support for patient safety were considered as major problem areas. Dutch-speaking hospitals had higher odds of positive perceptions for most dimensions in comparison with French-speaking hospitals. Safety culture scores were more positive for respondents working in pediatrics, psychiatry, and rehabilitation compared with the emergency department, operating theater, and multiple hospital units. We found an important gap in safety culture perceptions between leaders and assistants within disciplines. Administration and middle management had lower perceptions toward patient safety. Respondents working less than 1 year in the current hospital had more positive safety culture perceptions in comparison with all other respondents. Large comparative databases provide the opportunity to identify distinct high and low scoring groups. In our study, language, work area, and profession were identified as important safety culture predictors. Years of experience in the hospital had only a small effect on safety culture perceptions.

  4. The First Study of Patient Safety Culture in Iranian Primary Health Centers

    Directory of Open Access Journals (Sweden)

    Mojtaba Sedaghat

    2012-07-01

    Full Text Available Although the error in health care has received attention recently, patient safety culture in health centers has been relatively neglected. To measure the patient safety culture in primary health centers. A cross-sectional study, utilizing the modified version of the Hospital Survey on Patient Safety Culture (HSOPSC developed by the Agency for Healthcare Research and Quality (AHRQ and a demographic questionnaire. Healthcare staffs from health centers were participated in the survey. The patient safety culture score including subscores on 11 dimensions and 39 items; patient safety grade and number of events reported. The overall positive response rate of patient safety culture was 57 ±16.8 (CI 9555%-59%. The dimensions that received higher positive response rate were "Teamwork across units of health center", "Teamwork within units", "Head of center support for patient safety". The lowest percentage of positive responses was "Non punitive response to error". There were no relationship between working years and patients safely culture score. Similarly, no relationship was found between professional, gender and total patients safely culture score. Statistical analysis showed discrepancies between Iranian health centers and the US hospitals in three dimensions. For improving patient safety culture in health centers, it is necessary to have enough staff and establish an environment to be open and fair with staff which helps report errors spontaneously and without any fear. The findings of this study could be used to measure changes in patient safety culture over the time.

  5. International conference on safety culture in nuclear installations. Contributed papers

    International Nuclear Information System (INIS)

    2002-01-01

    Safety culture is that assembly of characteristics and attitudes in organisation and individuals which establishes that as an overriding priority nuclear plant safety issues receives the attention warranted by their significance. This definition of safety culture brings out two major components in its manifestation. The framework within which individuals within the organisation works.The attitude and response of individual towards the safety issues over productivity and economics in the organisational work practices. The industry literature provides a great deal of insight at the artefact and espoused value levels, although as yet it remains somewhat disorganized. There is, however, an overall lack of understanding of the assumption level of safety culture. The IAEA has organised the conference on safety culture for better understanding of the safety culture issues on the international level

  6. Climate change and cultural diversity.

    Science.gov (United States)

    Wisner, Ben

    2010-01-01

    Cultures and climate are changing. These changes interact with local knowledge and practice. Research has focused on technical questions, such as how small farmers and livestock keepers understand seasonal forecasts, veterinary problems or market conditions. However, there is a more holistic way of engaging local knowledge. Rural people utilise external technical ideas and tools, even complex ones, that complement their own concepts and experience of change. However, there are obstacles to overcome in generating such hybrid local knowledge. Firstly, there is a long history of domination of rural people by urban elites, including the assumed superiority of urban or high culture versus rural, vernacular or low culture. A second obstacle comes from the frequent use of science as justification to force rural people to do what governments want. Experience of exclusion and displacement has left a residue of bitterness and suspicion among many rural people. A third obstacle involves misuse of one-size-fits-all methods. No single, homogeneous knowledge exists in a locality. Rather there are women's forms of knowledge and the knowledge of men and elders and the knowledge of young people and children, which are differentiated also by occupation and by ethnicity. In the face of such cultural diversity an incompetent use of standardised participatory methods yields poor results and may alienate residents.

  7. Regulatory Oversight of Safety Culture in Finland: A Systemic Approach to Safety

    International Nuclear Information System (INIS)

    Oedewald, P.; Väisäsvaara, J.

    2016-01-01

    In Finland the Radiation and Nuclear Safety Authority STUK specifies detailed regulatory requirements for good safety culture. Both the requirements and the practical safety culture oversight activities reflect a systemic approach to safety: the interconnections between the technical, human and organizational factors receive special attention. The conference paper aims to show how the oversight of safety culture can be integrated into everyday oversight activities. The paper also emphasises that the scope of the safety culture oversight is not specific safety culture activities of the licencees, but rather the overall functioning of the licence holder or the new build project organization from safety point of view. The regulatory approach towards human and organizational factors and safety culture has evolved throughout the years of nuclear energy production in Finland. Especially the recent new build projects have highlighted the need to systematically pay attention to the non-technical aspects of safety as it has become obvious how the HOF issues can affect the design processes and quality of construction work. Current regulatory guides include a set of safety culture related requirements. The requirements are binding to the licence holders and they set both generic and specific demands on the licencee to understand, monitor and to develop safety culture of their own organization but also that of their supplier network. The requirements set for the licence holders has facilitated the need to develop the regulator’s safety culture oversight practices towards a proactive and systemic approach.

  8. Variations in hospital worker perceptions of safety culture

    NARCIS (Netherlands)

    Listyowardojo, Tita Alissa; Nap, Raoul E.; Johnson, Addie

    Objective. To compare the attitudes toward and perceptions of institutional practices that can influence patient safety between all professional groups at a university medical center. Design. A questionnaire measuring nine dimensions of organizational and safety culture was distributed to all

  9. Predictors and outcomes of patient safety culture in hospitals.

    Science.gov (United States)

    El-Jardali, Fadi; Dimassi, Hani; Jamal, Diana; Jaafar, Maha; Hemadeh, Nour

    2011-02-24

    Developing a patient safety culture was one of the recommendations made by the Institute of Medicine to assist hospitals in improving patient safety. In recent years, a multitude of evidence, mostly originating from developed countries, has been published on patient safety culture. One of the first efforts to assess the culture of safety in the Eastern Mediterranean Region was by El-Jardali et al. (2010) in Lebanon. The study entitled "The Current State of Patient Safety Culture: a study at baseline" assessed the culture of safety in Lebanese hospitals. Based on study findings, the objective of this paper is to explore the association between patient safety culture predictors and outcomes, taking into consideration respondent and hospital characteristics. In addition, it will examine the correlation between patient safety culture composites. Sixty-eight hospitals and 6,807 respondents participated in the study. The study which adopted a cross sectional research design utilized an Arabic-translated version of the Hospital Survey on Patient Safety Culture (HSOPSC). The HSOPSC measures 12 patient safety composites. Two of the composites, in addition to a patient safety grade and the number of events reported, represented the four outcome variables. Bivariate and mixed model regression analyses were used to examine the association between the patient safety culture predictors and outcomes. Significant correlations were observed among all patient safety culture composites but with differences in the strength of the correlation. Generalized Estimating Equations for the patient safety composite scores and respondent and hospital characteristics against the patient safety grade and the number of events reported revealed significant correlations. Significant correlations were also observed by linear mixed models of the same variables against the frequency of events reported and the overall perception of safety. Event reporting, communication, patient safety leadership and

  10. Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study

    Science.gov (United States)

    Haugen, A. S.; Søfteland, E.; Eide, G. E.; Sevdalis, N.; Vincent, C. A.; Nortvedt, M. W.; Harthug, S.

    2013-01-01

    Background Positive changes in safety culture have been hypothesized to be one of the mechanisms behind the reduction in mortality and morbidity after the introduction of the World Health Organization's Surgical Safety Checklist (SSC). We aimed to study the checklist effects on safety culture perceptions in operating theatre personnel using a prospective controlled intervention design at a single Norwegian university hospital. Methods We conducted a study with pre- and post-intervention surveys using the intervention and control groups. The primary outcome was the effects of the Norwegian version of the SSC on safety culture perceptions. Safety culture was measured using the validated Norwegian version of the Hospital Survey on Patient Safety Culture. Descriptive characteristics of operating theatre personnel and checklist compliance data were also recorded. A mixed linear regression model was used to assess changes in safety culture. Results The response rate was 61% (349/575) at baseline and 51% (292/569) post-intervention. Checklist compliance ranged from 77% to 85%. We found significant positive changes in the checklist intervention group for the culture factors ‘frequency of events reported’ and ‘adequate staffing’ with regression coefficients at −0.25 [95% confidence interval (CI), −0.47 to −0.07] and 0.21 (95% CI, 0.07–0.35), respectively. Overall, the intervention group reported significantly more positive culture scores—including at baseline. Conclusions Implementation of the SSC had rather limited impact on the safety culture within this hospital. PMID:23404986

  11. Workplace engagement and workers' compensation claims as predictors for patient safety culture.

    Science.gov (United States)

    Thorp, Jonathon; Baqai, Waheed; Witters, Dan; Harter, Jim; Agrawal, Sangeeta; Kanitkar, Kirti; Pappas, James

    2012-12-01

    Demonstrate the relationship between employee engagement and workplace safety for predicting patient safety culture. Patient safety is an issue for the U.S. health-care system, and health care has some of the highest rates of nonfatal workplace injuries. Understanding the types of injuries sustained by health-care employees, the type of safety environment employees of health-care organizations work in, and how employee engagement affects patient safety is vital to improving the safety of both employees and patients. The Gallup Q survey and an approved, abbreviated, and validated subset of questions from the Hospital Survey on Patient Safety Culture were administered to staff at a large tertiary academic medical center in 2007 and 2009. After controlling for demographic variables, researchers conducted a longitudinal, hierarchical linear regression analysis to study the unique contributions of employee engagement, changes in employee engagement, and employee safety in predicting patient safety culture. Teams with higher baseline engagement, more positive change in engagement, fewer workers' compensation claims, and fewer part-time associates in previous years had stronger patient safety cultures in 2009. Baseline engagement and change in engagement were the strongest independent predictors of patient safety culture in 2009. Engagement and compensation claims were additive and complimentary predictors, independent of other variables in the analysis, including the demographic composition of the workgroups in the study. A synergistic effect exists between employee engagement and decreased levels of workers' compensation claims for improving patient safety culture. Organizations can improve engagement and implement safety policies, procedures, and devices for employees with an ultimate effect of improving patient safety culture.

  12. Leadership and Safety Culture: An INPO Perspective

    International Nuclear Information System (INIS)

    Williams, D.J.

    2016-01-01

    The mission of INPO is to foster a culture of safety and reliability in the nuclear industry and it has been supporting nuclear power plants for over 30 years. Although our industry is characterised by long-term success, plants sometime exhibit performance decline, often slowly, but in some cases, quickly. The link between the presence of effective leadership teams and high levels of sustainable performance is supported by numerous examples throughout our industry’s history. Unfortunately, at times, site and corporate leaders are either unaware of the declines or are slow to react to them. INPO has identified that weak leadership teams and weak organization cultures have continued to challenge industry performance and have been identified as key drivers of plant declines. After reviewing industry strengths and areas for improvement, interactions with high-performing organizations, and applicable research, nine leadership attributes and five team attributes were commonly associated with high performance. INPO has captured these attributes in the document “INPO 15-005, Leadership and Team Effectiveness Attributes” to help the industry more quickly identify weak leadership behaviors to help prevent plant performance declines. This presentation covers the rationale behind the development of INPO 15-005 and the contents of the model. It identifies the standards of effective leadership and teams within the framework of the commercial nuclear industry and describes observable attributes seen in effective organization. (author)

  13. Safety culture aspects of managing for safety. Experience of a large nuclear reprocessing site

    International Nuclear Information System (INIS)

    Rycraft, H.S.

    1996-01-01

    The Nuclear Industry is going through turbulent times both in terms of public acceptance and business issues. Safety is one area which impacts on whether the business is allowed to continue, and how an organisation organizes itself. The need to cut costs to make nuclear power a viable energy resource, has forced the nuclear utilities to review manning policies, and management style, and in particular how to maintain safety standards during a period of change, and ultimately support continuing improvement of standards. The shrinking workforce requires a new style of management, one that depends more on the people of the organisation taking responsibility for safety at all levels of the organisation. Not only personal safety but the safety of their colleagues, general public and the environment. The safety culture of an organisation is indivisible from the company culture, each aspect of a culture influences the whole and so the balance between business, safety and quality, has to be managed. BNFL provides a full fuel cycle service to nuclear power plants, and associated services to many national and international organisations. The following notes are taken from the work carried out in the company, and mostly at the Nuclear Reprocessing and Waste storage Site at Sellafield, based in the North West of England. Following the recent re-organisation, the site now employs 6200 people and has a further 1500 contractors working on construction activities on the site. Activities on the site range from remote handling to hands on tasks, involving highly active materials to low level waste. (author)

  14. Defining safety culture and the nexus between safety goals and safety culture. 1. An Investigation Study on Practical Points of Safety Management

    International Nuclear Information System (INIS)

    Hasegawa, Naoko; Takano, Kenichi; Hirose, Ayako

    2001-01-01

    In a report after the Chernobyl accident, the International Atomic Energy Agency indicated the definition and the importance of safety culture and the ideal organizational state where safety culture pervades. However, the report did not mention practical approaches to enhance safety culture. In Japan, although there had been investigations that clarified the consciousness of employees and the organizational climate in the nuclear power and railway industries, organizational factors that clarified the level of organization safety and practical methods that spread safety culture in an organization had not been studied. The Central Research Institute of the Electric Power Industry conducted surveys of organizational culture for the construction, chemical, and manufacturing industries. The aim of our study was to clarify the organizational factors that influence safety in an organization expressed in employee safety consciousness, commitment to safety activities, rate of accidents, etc. If these areas were clarified, the level of organization safety might be evaluated, and practical ways could be suggested to enhance the safety culture. Consequently, a series of investigations was conducted to clarify relationships among organizational climate, employee consciousness, safety management and activities, and rate of accidents. The questionnaire surveys were conducted in 1998-1999. The subjects were (a) managers of the safety management sections in the head offices of the construction, chemical, and manufacturing industries; (b) responsible persons in factories of the chemical and manufacturing industries; and (c) general workers in factories of the chemical and manufacturing industries. The number of collected data was (a) managers in the head office: 48 from the construction industry and 58 from the chemical and manufacturing industries, (b) responsible persons in factories: 567, and (c) general workers: from 29 factories. Items in the questionnaires were selected from

  15. Discussion on safety culture general contract model of consultation enterprises

    International Nuclear Information System (INIS)

    Dong Huimin; Zhang Hao

    2012-01-01

    With a high safety requirement, long construction period, a large amount of investment and many influencing factors of the preparation and implementation of project schedule, local nuclear power always is built through EPC. Safety level depends on EPC. Some measures should be taken for local consultation enterprises to improve situation of safety. Some suggestion as follows: safety culture should be received enough attention; management system should be established in according with requirement of safety culture; try to encourage employee involvement; to assess it in time; safety system should be entirely compatible with enterprises system. (authors)

  16. Cultural Diversity and the Changing Culture of Education

    Science.gov (United States)

    Nderu-Boddington, Eulalee

    2008-01-01

    The paper will examine the change in schools brought about by cultural diversity and examines the theories that surround the topic. I will evaluate and examine ways in which schools can accommodate cultural diversity. References will be made to cultural and social changes in our schools and how education is affected by such changes. The issue of…

  17. Safety culture: the concept and its practical application

    International Nuclear Information System (INIS)

    Edmondson, B.

    1994-01-01

    This paper draws together a number of topics concerned with safety culture: the first part of the paper describe the characteristics of an organisation giving rise to a good safety culture as suggested in INSAG-4. The second part of the paper examines sources of information on the characteristics of organisations giving rise to good and poor safety performance including a study into the causes of a number of recent severe accidents such as Clapham Junction and Piper Alpha. The final part of the paper describes the means by which safety culture within an organisation may be measured and therefore controlled. This enables an organisation to provide for a good safety culture and improve commercial performance by a process of continuous safety improvement eliminating the losses arising from poor safety standards. (author) 6 tabs., 5 refs

  18. Teaching cultural safety in a New Zealand nursing education program.

    Science.gov (United States)

    Richardson, Fran; Carryer, Jenny

    2005-05-01

    Cultural safety education is a concept unique to nursing in New Zealand. It involves teaching nursing students to recognize and understand the dynamics of cultural, personal, and professional power and how these shape nursing and health care relationships. This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori (the indigenous people of New Zealand), and 9 were Pakeha (the Maori name for New Zealanders of European descent). Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions are experienced differently by Maori and Pakeha teachers.

  19. Variation in emergency medical services workplace safety culture.

    Science.gov (United States)

    Patterson, P Daniel; Huang, David T; Fairbanks, Rollin J; Simeone, Scott; Weaver, Matthew; Wang, Henry E

    2010-01-01

    Workplace attitude, beliefs, and culture may impact the safety of patient care. This study characterized perceptions of safety culture in a nationwide sample of emergency medical services (EMS) agencies. We conducted a cross-sectional survey involving 61 advanced life support EMS agencies in North America. We administered a modified version of the Safety Attitudes Questionnaire (SAQ), a survey instrument measuring dimensions of workplace safety culture (Safety Climate, Teamwork Climate, Perceptions of Management, Job Satisfaction, Working Conditions, and Stress Recognition). We included full-time and part-time paramedics and emergency medical technicians. We determined the variation in safety culture scores across EMS agencies. Using hierarchical linear models, we determined associations between safety culture scores and individual and EMS agency characteristics. We received 1,715 completed surveys from 61 EMS agencies (mean agency response rate 47%; 95% confidence interval [CI] 10%, 83%). There was wide variation in safety culture scores across EMS agencies [mean (minimum, maximum)]: Safety Climate 74.5 (min 49.9, max 89.7), Teamwork Climate 71.2 (min 45.1, max 90.1), Perceptions of Management 67.2 (min 31.1, max 92.2), Job Satisfaction 75.4 (min 47.5, max 93.8), Working Conditions 66.9 (min 36.6, max 91.4), and Stress Recognition 55.1 (min 31.3, max 70.6). Air medical EMS agencies tended to score higher across all safety culture domains. Lower safety culture scores were associated with increased annual patient contacts. Safety Climate domain scores were not associated with other individual or EMS agency characteristics. In this sample, workplace safety culture varies between EMS agencies.

  20. Managers’ Perceptions of Organizational Safety: Implication for the Development of Safety Culture

    OpenAIRE

    Jarvis, Marina; Virovere, Anu; Tint, Piia

    2014-01-01

    A key feature of a company’s safety culture is shared perceptions between managers and employees concerning the importance of safety. The purpose of the study was to assess senior managers’ perceptions of the current safety culture in Estonian SMEs from different branches of industry, based on a sample of 463 senior managers. The relationships of different aspects of safety culture and safety management systems, senior managers’ and employees’ perceptions and attitudes to safety were explored...

  1. Safety Culture & Beliefs in the Nuclear Industry: Looking Forward, Looking Back

    International Nuclear Information System (INIS)

    Cox, S.

    2016-01-01

    This Keynote considers the role that the notion of safety culture has played in management of safety in the nuclear industry over recent decades. It does so through the lens of the industry’s beliefs about how such a notion might be applied to better understanding and preventing safety failures. Over the last 30 years, the nuclear industry has come to accept both the concept of safety culture and the possible role that it might play in safety management and safety failure. This development is to be welcomed in general terms but is not without its shortcomings in practice. These largely concern the operationalization of the concept and the way that it is often measured and managed. So what are the issues around the way that much of the industry currently believes that the notion of safety should be applied? The Keynote addresses this question. In doing so, it explores the changes that might be necessary for a fair test of the utility of safety culture in determining the quality of safety management and performance. The final point raised in this Keynote, is fundamental but missed by some. However cast, measured and managed, the concept of safety culture was never promoted as the sole determinant of safety management or the sole reason for safety failure. Therefore, judging the utility of the concept in relation to the quality of safety management in the nuclear industry can only be done logically in the context of those of the other factors involved. (author)

  2. Nurses' perceptions of patient safety culture in Jordanian hospitals.

    Science.gov (United States)

    Khater, W A; Akhu-Zaheya, L M; Al-Mahasneh, S I; Khater, R

    2015-03-01

    Patients' safety culture is a key aspect in determining healthcare organizations' ability to address and reduce risks of patients. Nurses play a major role in patients' safety because they are accountable for direct and continuous patient care. There is little known information about patients' safety culture in Jordanian hospitals, particularly from the perspective of healthcare providers. The study aimed to assess patient safety culture in Jordanian hospitals from nurses' perspective. A cross-sectional, descriptive design was utilized. A total number of 658 nurses participated in the current study. Data were collected using an Arabic version of the hospital survey of patients' safety culture. Teamwork within unit dimensions had a high positive response, and was perceived by nurses to be the only strong suit in Jordanian hospitals. Areas that required improvement, as perceived by nurses, are as follows: communication openness, staffing, handoff and transition, non-punitive responses to errors, and teamwork across units. Regression analysis revealed factors, from nurses' perspectives, that influenced patients' safety culture in Jordanian hospital. Factors included age, total years of experience, working in university hospitals, utilizing evidence-based practice and working in hospitals that consider patient safety to be a priority. Participants in this study were limited to nurses. Therefore, there is a need to assess patient safety culture from other healthcare providers' perspectives. Moreover, the use of a self-reported questionnaire introduced the social desirability biases. The current study provides insight into how nurses perceive patient safety culture. Results of this study have revealed that there is a need to replace the traditional culture of shame/blame with a non-punitive culture. Study results implied that improving patient safety culture requires a fundamental transformation of nurses' work environment. New policies to improve collaboration between

  3. Cultural Synergy and Organizational Change

    DEFF Research Database (Denmark)

    Strøbæk, Pernille Solveig; Vogt, Joachim

    2013-01-01

    This paper explores informal codes and rhythms of social behavior at work and their relation to organizational change and wellbeing. After a merger within a public service organization we organized 8 focus groups of 2-3 clerical or academic employees within a head office and a division office (N...... = 21). Word counts of ‘I’ and ‘we’ revealed that people sharing pre-merger organizational background (homogeneous groups) used ‘we’ more often than heterogeneous groups. Head office employees were concerned with workload and social code, whereas division office employees mainly discussed meetings......, commitment, and office space. Organizational background rather than office cultures guided these differences. We found that in a merged organization cultural synergies are possible to create if practical and social values for employees are offered. Thus, interesting new ways to transform problems...

  4. Healthcare professionals’ views of feedback on patient safety culture assessment.

    NARCIS (Netherlands)

    Zwijnenberg, N.C.; Hendriks, M.; Hoogervorst-Schilp, J.; Wagner, C.

    2016-01-01

    Background: By assessing patient safety culture, healthcare providers can identify areas for improvement in patient safety culture. To achieve this, these assessment outcomes have to be relevant and presented clearly. The aim of our study was to explore healthcare professionals’ views on the

  5. Organizational Climate Determinants of Resident Safety Culture in Nursing Homes

    Science.gov (United States)

    Arnetz, Judith E.; Zhdanova, Ludmila S.; Elsouhag, Dalia; Lichtenberg, Peter; Luborsky, Mark R.; Arnetz, Bengt B.

    2011-01-01

    Purpose of the Study: In recent years, there has been an increasing focus on the role of safety culture in preventing costly adverse events, such as medication errors and falls, among nursing home residents. However, little is known regarding critical organizational determinants of a positive safety culture in nursing homes. The aim of this study…

  6. Assessing the culture of construction health and safety of selected ...

    African Journals Online (AJOL)

    The paper assessed the health and safety culture perceptions of management and field personnel of eight (8) construction firms located in Asokoro district of Abuja. Data on the perceptions of management and field personnel on construction health and safety culture were collated to test the hypothesis which states that ...

  7. Safety Cultures in Water-Based Outdoor Activities in Denmark

    DEFF Research Database (Denmark)

    Andkjær, Søren; Arvidsen, Jan

    2015-01-01

    In this paper, we report on the study Safe in Nature (Tryg i naturen) in which the aim was to analyze and discuss risk and safety related to outdoor recreation in the coastal regions of Denmark. A cultural perspective is applied to risk management and the safety cultures related to three selected...

  8. 78 FR 27419 - Final Safety Culture Policy Statement

    Science.gov (United States)

    2013-05-10

    ... organizations and functions. The BSEE defines safety culture as the core values and behaviors of all members of...-of-use and easement, and contractors to foster in personnel an appreciation for the importance of... into personal, company, and government performance objectives.'' Prescription of Safety Culture Many...

  9. Assessing patient safety culture in hospitals across countries

    NARCIS (Netherlands)

    Wagner, C.; Smits, M.; Sorra, J.; Huang, C.C.

    2013-01-01

    OBJECTIVE: It is believed that in order to reduce the number of adverse events, hospitals have to stimulate a more open culture and reflective attitude towards errors and patient safety. The objective is to examine similarities and differences in hospital patient safety culture in three countries:

  10. Assessing patient safety culture in hospitals across countries

    NARCIS (Netherlands)

    Wagner, C.; Smits, M.; Sorra, J.; Huang, C.C.

    2013-01-01

    Objective. It is believed that in order to reduce the number of adverse events, hospitals have to stimulate a more open culture and reflective attitude towards errors and patient safety. The objective is to examine similarities and differences in hospital patient safety culture in three countries:

  11. Assessing patient safety culture in hospitals across countries.

    NARCIS (Netherlands)

    Wagner, C.; Smits, M.; Sorra, J.; Huang, C.C.

    2013-01-01

    Objective: It is believed that in order to reduce the number of adverse events, hospitals have to stimulate a more open culture and reflective attitude towards errors and patient safety. The objective is to examine similarities and differences in hospital patient safety culture in three countries:

  12. Applying importance-performance analysis to patient safety culture.

    Science.gov (United States)

    Lee, Yii-Ching; Wu, Hsin-Hung; Hsieh, Wan-Lin; Weng, Shao-Jen; Hsieh, Liang-Po; Huang, Chih-Hsuan

    2015-01-01

    The Sexton et al.'s (2006) safety attitudes questionnaire (SAQ) has been widely used to assess staff's attitudes towards patient safety in healthcare organizations. However, to date there have been few studies that discuss the perceptions of patient safety both from hospital staff and upper management. The purpose of this paper is to improve and to develop better strategies regarding patient safety in healthcare organizations. The Chinese version of SAQ based on the Taiwan Joint Commission on Hospital Accreditation is used to evaluate the perceptions of hospital staff. The current study then lies in applying importance-performance analysis technique to identify the major strengths and weaknesses of the safety culture. The results show that teamwork climate, safety climate, job satisfaction, stress recognition and working conditions are major strengths and should be maintained in order to provide a better patient safety culture. On the contrary, perceptions of management and hospital handoffs and transitions are important weaknesses and should be improved immediately. Research limitations/implications - The research is restricted in generalizability. The assessment of hospital staff in patient safety culture is physicians and registered nurses. It would be interesting to further evaluate other staff's (e.g. technicians, pharmacists and others) opinions regarding patient safety culture in the hospital. Few studies have clearly evaluated the perceptions of healthcare organization management regarding patient safety culture. Healthcare managers enable to take more effective actions to improve the level of patient safety by investigating key characteristics (either strengths or weaknesses) that healthcare organizations should focus on.

  13. Regulatory Oversight of Safety Culture in Nuclear Installations

    International Nuclear Information System (INIS)

    2013-03-01

    Experience across the international nuclear industry and in other technical fields over the past few decades has demonstrated the importance of a healthy safety culture in maintaining the safety of workers, the public and the environment. Both regulators and the nuclear industry recognize the need for licensees to develop a strong safety culture in order to support successful and sustainable nuclear safety performance. Progress over recent years can be observed in the rapid development of approaches to overseeing licensees' safety culture. This publication follows on and complements earlier publications on safety culture, from the publication Safety Culture (Safety Series No. 75-INSAG-4 (1991)), published after the Chernobyl accident, to the more recently published Safety Requirements on The Management System for Facilities and Activities (IAEA Safety Standards Series No. GS-R-3 (2006)), which states that the management system is to be used to promote and support a strong safety culture. A number of attempts have been made at both the international and national levels to establish practical approaches to regulatory oversight of safety culture. During 2010 and 2011, two projects were conducted by the IAEA under the scope of the Safe Nuclear Energy - Regional Excellence Programme within the Norwegian Cooperation Programme with Bulgaria and Romania. These projects were implemented at the Bulgarian and Romanian regulatory bodies. They encompassed the development of a specific process to oversee licensees' safety culture, and involved 30 experts from 17 countries and 22 organizations. The IAEA continues to support Member States in the area of safety culture through its projects on safety management and capacity building. This publication addresses the basics of regulatory oversight of safety culture, describes the approaches currently implemented at several regulatory bodies around the world and, based on these examples, proposes a path to developing such a process

  14. A framework for the organizational assumptions underlying safety culture

    International Nuclear Information System (INIS)

    Packer, Charles

    2002-01-01

    The safety culture of the nuclear organization can be addressed at the three levels of culture proposed by Edgar Schein. The industry literature provides a great deal of insight at the artefact and espoused value levels, although as yet it remains somewhat disorganized. There is, however, an overall lack of understanding of the assumption level of safety culture. This paper describes a possible framework for conceptualizing the assumption level, suggesting that safety culture is grounded in unconscious beliefs about the nature of the safety problem, its solution and how to organize to achieve the solution. Using this framework, the organization can begin to uncover the assumptions at play in its normal operation, decisions and events and, if necessary, engage in a process to shift them towards assumptions more supportive of a strong safety culture. (author)

  15. Assessment of the factors with significant influence on safety culture

    International Nuclear Information System (INIS)

    Farcasiu, M.; Nitoi, M.

    2013-01-01

    In this paper, a qualitative and a quantitative evaluation of the factors with significant impact on safety culture were performed. These techniques were established and applied in accordance with IAEA standards. In order to show the applicability and opportunity of the methodology a specific case study was prepared: safety culture evaluation for INR Pitesti. The qualitative evaluation was performed using specific developed questionnaires. Through analysis of the completed questionnaires was established the development stage of safety culture at INR. The quantitative evaluation was performed using a guide to rate the influence factors. For each factor was identified the influence (negative or positive) and ranking score was estimated using scoring criteria. The results have emphasized safety culture stages. The paper demonstrates the fact that using both quantitative and qualitative assessment techniques, a practical value of the safety culture concept is given. (authors)

  16. A psychometric evaluation of the Chinese version of the nursing home survey on patient safety culture.

    Science.gov (United States)

    Lin, Shu-Yuan; Tseng, Wei Ting; Hsu, Miao-Ju; Chiang, Hui-Ying; Tseng, Hui-Chen

    2017-12-01

    further testing of the reliability of the scale in a large Chinese sample and in different long-term care facilities was recommended. The Chinese version of the Nursing Home Survey on Patient Safety Culture scale was developed to increase the users' intention towards safety culture assessment. It can identify areas for improvement, understand safety culture changes over time and evaluate the effectiveness of interventions. © 2017 John Wiley & Sons Ltd.

  17. Safety culture: personal considerations of an owner/operator

    International Nuclear Information System (INIS)

    Fuchs, H.

    1994-01-01

    Safety culture with nuclear energy is above all a people's business. This means that all you can do is attempting to create the type of ideal environment that helps all plant people to perform their safety-related tasks in an optimum way. This is a continuous challenge for all who are involved. In the last years the political environment has exhibited the most noteworthy shortcomings regarding safety culture. (author) figs

  18. Safety Culture and the Future of Nuclear Energy

    International Nuclear Information System (INIS)

    Yim, M.-S.

    2016-01-01

    The occurrence of the TMI, Chernobyl, and Fukushima accidents in the past gives people a false pretence that nuclear accidents are destined to happen. In fact, these accidents could have been prevented with the presence of strong safety culture. Based on the review of the history of nuclear power and nuclear safety, this talk examines how safety culture evolved over the years and how it can guide the future of global nuclear power development without repeating the past course of accidents. (author)

  19. Safety Culture and Issue in the Malaysian Manufacturing Sector

    OpenAIRE

    Ali Danish; Yusof Yusri; Adam Anbia

    2017-01-01

    . This paper highlights the Safety culture and issue in the Malaysian Manufacturing Sector and emphasis the high occupational accidents due to lack of safety culture and non-compliance of the requirements of Occupational Safety and Health Act 1994. The aim of this study is to review the occupational accidents occurrence in the Malaysia workplace since 2012-2016. Malaysia aimed to reduce the occupational accidents, the results show by DOSH increase that Occupational Noise Induced Hearing Loss ...

  20. Examination on establishment of safety culture for operating nuclear facilities

    International Nuclear Information System (INIS)

    Taniguchi, Taketoshi

    1997-01-01

    For safely operating nuclear power facilities, in addition to the technical countermeasures, the performance of the organizations that operate and manage them is important. In this paper, the spontaneous cooperation type management system that supported the introduction and development of nuclear power generation in electric power business is analyzed from the viewpoints of organization science and behavioral psychology, and based on the results of the investigation of the sense of value and psychological characteristics of young organization members who bear future nuclear power generation, on how to foster and establish safety culture which is called second safety principle in organizations, the subjects for hereafter are discussed from the viewpoints of respect of individuals and their integration with organizations, upbringing of talents and systematic learning. The factors which compose the safety culture are shown. The form of operating and managing the organizations are seen in first generation nuclear power generation, the similarity to Japanese type enterprise operation system, the change of the prerequisite of spontaneous cooperation type management and the difference of conscience among the generations of organization members are discussed. The above subjects for hereafter are discussed. (K.I.)

  1. Producing health, producing safety. Developing a collective safety culture in radiotherapy

    International Nuclear Information System (INIS)

    Nascimento, Adelaide

    2009-01-01

    This research thesis aims at a better understanding of safety management in radiotherapy and at proposing improvements for patient safety through the development of a collective safety culture. A first part presents the current context in France and abroad, addresses the transposition of other safety methods to the medical domain, and discusses the peculiarities of radiotherapy in terms of risks and the existing quality-assurance approaches. The second part presents the theoretical framework by commenting the intellectual evolution with respect to system safety and the emergence of the concept of safety culture, and by presenting the labour collective aspects and their relationship with system safety. The author then comments the variety of safety cultures among the different professions present in radiotherapy, highlights the importance of the collective dimension in correcting discrepancies at the end of the treatment process, and highlights how physicians take their colleagues work into account. Recommendations are made to improve patient safety in radiotherapy

  2. Safety Culture Assessment at Regulatory Body - PNRA Experience of Implementing IAEA Methodology for Safety Culture Self Assessment

    International Nuclear Information System (INIS)

    Bhatti, S.A.N.; Arshad, N.

    2016-01-01

    The prevalence of a good safety culture is equally important for all kind of organizations involved in nuclear business including operating organizations, designers, regulator, etc., and this should be reflected through all the processes and activities of these organizations. The need for inculcating safety culture into regulatory processes and practices is gradually increasing since the major accident at Fukushima. Accordingly, several international fora in last few years repeatedly highlighted the importance of prevalence of safety culture in regulatory bodies as well. The utilisation of concept of safety culture always remained applicable in regulatory activities of PNRA in the form of core values. After the Fukushima accident, PNRA considered it important to check the extent of utilisation of safety culture concept in organizational activities and decided to conduct its “Safety Culture Self-Assessment (SCSA)” for presenting itself as a role model in-order to endorse the fact that safety culture at regulatory authority plays an important role to influence safety culture at licenced facilities.

  3. Self-assessment of safety culture in nuclear installations. Highlights and good practices

    International Nuclear Information System (INIS)

    2002-11-01

    This report summarizes the findings of two IAEA Technical Committee Meetings on Safety Culture Self-Assessment Highlights and Good Practices. The meetings took place on 3-5 June 1998 and 23-25 October 2000 in Vienna, and involved an international cross-section of representatives who participated both in plenary discussions and working groups. The purpose of the meetings was to discuss the practical implications of evolutionary changes in the development of safety culture, and to share international experience, particularly on the methods used for the assessment of safety culture and good practices for its enhancement in an organization. The working groups were allocated specific topics for discussion, which included the following: organizational factors influencing the implementation of actions to improve safety culture; how to measure, effectively, progress in implementing solutions to safety culture problems; the symptoms of a weakening safety culture; the suitability of different methods for assessing safety culture; the achievement of sustainable improvements in safety culture using the results of assessment; the potential threats to the continuation of a strong safety culture in an organization from the many challenges facing the nuclear industry. The working groups, when appropriate, considered issues from both the utility's and the regulator's perspectives. This report will be of interest to all organizations who wish to assess and achieve a strong and sustainable safety culture. This includes not only nuclear power plants, but also other sectors of the nuclear industry such as uranium mines and mills, nuclear fuel fabrication facilities, nuclear waste repositories, research reactors, accelerators, radiography facilities, etc. The report specifically supplements other IAEA publications on this subject

  4. Good safety culture maintenance at Leningrad nuclear power plant

    International Nuclear Information System (INIS)

    Ardanov, A.

    1996-01-01

    The evidence in favour of the Leningrad NPP commitment to safety tasks, as the case is in the international practice, is The Safety Policy Statement document where safety is declared to be more significant than the power generation related issues, with the entire responsibility for the safety provision taken over by the operating utility. To avoid the situation when the stated safety tasks and policy remain only a declaration, the organizational structure of the operating utility was expanded to include The Safety Control Department and The Quality Control Department whose tasks encompass the control of the achieved safety level, development of recommendations, measures and actions aimed at the safety culture improvement, assessment and revision of the criteria and requirements to the personnel and management. Each individual at LNPP whose activity affects the plant safety has been familiarized with The Safety Policy Statement document

  5. Recent developments in the study of safety culture and its correlates: the role of leadership

    International Nuclear Information System (INIS)

    Peiro Francisco, J. M.; Garcia, J.; Martinez-Corcoles, M.

    2015-01-01

    Assessing safety culture is a key element in the strategies of reliability assurance in nuclear facilities. A diagnosis that provides a return on investment (ROI) requires a scientifically based conceptualization of the most relevant variables in safety culture and outcomes expected from it. Furthermore, it is important to develop assessment tools and designs which allow, not only checking the state of safety culture but evaluating the correlates in the different productive levels of analysis, taking into account the temporal dimensional that allows us to analyze the change and thereby identify the main determinants and mechanisms for improvement. (Author)

  6. Nuclear safety culture in Finland and Sweden - Developments and challenges

    International Nuclear Information System (INIS)

    Reiman, T.; Pietikaeinen, E.; Kahlbom, U.; Rollenhagen, C.

    2011-02-01

    The project aimed at studying the concept of nuclear safety culture and the Nordic nuclear branch safety culture. The project also aimed at looking how the power companies and the regulators view the current responsibilities and role of subcontractors in the Nordic nuclear safety culture as well as to inspect the special demands for safety culture in subcontracting chains. Interview data was collected in Sweden (n = 14) and Finland (n = 16) during 2009. Interviewees represented the major actors in the nuclear field (regulators, power companies, expert organizations, waste management organizations). Results gave insight into the nature and evaluation of safety culture in the nuclear industry. Results illustrated that there is a wide variety of views on matters that are considered important for nuclear safety within the Nordic nuclear community. However, the interviewees considered quite uniformly such psychological states as motivation, mindfulness, sense of control, understanding of hazards and sense of responsibility as important for nuclear safety. Results also gave insight into the characteristics of Nordic nuclear culture. Various differences in safety cultures in Finland and Sweden were uncovered. In addition to the differences, historical reasons for the development of the nuclear safety cultures in Finland and Sweden were pointed out. Finally, results gave implications that on the one hand subcontractors can bring new ideas and improvements to the plants' practices, but on the other hand the assurance of necessary safety attitudes and competence of the subcontracting companies and their employees is considered as a challenge. The report concludes that a good safety culture requires a deep and wide understanding of nuclear safety including the various accident mechanisms of the power plants as well as a willingness to continuously develop one's competence and understanding. An effective and resilient nuclear safety culture has to foster a constant sense of

  7. Nuclear safety culture in Finland and Sweden - Developments and challenges

    Energy Technology Data Exchange (ETDEWEB)

    Reiman, T.; Pietikaeinen, E. (Technical Research Centre of Finland, VTT (Finland)); Kahlbom, U. (RiskPilot AB (Sweden)); Rollenhagen, C. (Royal Institute of Technology (KTH) (Sweden))

    2011-02-15

    The project aimed at studying the concept of nuclear safety culture and the Nordic nuclear branch safety culture. The project also aimed at looking how the power companies and the regulators view the current responsibilities and role of subcontractors in the Nordic nuclear safety culture as well as to inspect the special demands for safety culture in subcontracting chains. Interview data was collected in Sweden (n = 14) and Finland (n = 16) during 2009. Interviewees represented the major actors in the nuclear field (regulators, power companies, expert organizations, waste management organizations). Results gave insight into the nature and evaluation of safety culture in the nuclear industry. Results illustrated that there is a wide variety of views on matters that are considered important for nuclear safety within the Nordic nuclear community. However, the interviewees considered quite uniformly such psychological states as motivation, mindfulness, sense of control, understanding of hazards and sense of responsibility as important for nuclear safety. Results also gave insight into the characteristics of Nordic nuclear culture. Various differences in safety cultures in Finland and Sweden were uncovered. In addition to the differences, historical reasons for the development of the nuclear safety cultures in Finland and Sweden were pointed out. Finally, results gave implications that on the one hand subcontractors can bring new ideas and improvements to the plants' practices, but on the other hand the assurance of necessary safety attitudes and competence of the subcontracting companies and their employees is considered as a challenge. The report concludes that a good safety culture requires a deep and wide understanding of nuclear safety including the various accident mechanisms of the power plants as well as a willingness to continuously develop one's competence and understanding. An effective and resilient nuclear safety culture has to foster a constant

  8. A culture of safety: a business strategy for medical practices.

    Science.gov (United States)

    Saxton, James W; Finkelstein, Maggie M; Marles, Adam F

    2012-01-01

    Physician practices can enhance their economics by taking patient safety to a new level within their practices. Patient safety has a lot to do with systems and processes that occur not only at the hospital but also within a physician's practice. Historically, patient safety measures have been hospital-focused and -driven, largely due to available resources; however, physician practices can impact patient safety, efficiently and effectively, with a methodical plan involving assessment, prioritization, and compliance. With the ever-increasing focus of reimbursement on quality and patient safety, physician practices that implement a true culture of safety now could see future economic benefits using this business strategy.

  9. Enhancing Safety Culture in Complex Nuclear Industry Projects

    International Nuclear Information System (INIS)

    Gotcheva, N.

    2016-01-01

    This paper presents an on-going research project “Management principles and safety culture in complex projects” (MAPS), supported by the Finnish Research Programme on Nuclear Power Plant Safety 2015-2018. The project aims at enhancing safety culture and nuclear safety by supporting high quality execution of complex projects in the nuclear industry. Safety-critical industries are facing new challenges, related to increased outsourcing and complexity in technology, work tasks and organizational structures (Milch and Laumann, 2016). In the nuclear industry, new build projects, as well as modernisation projects are temporary undertakings often carried out by networks of companies. Some companies may have little experience in the nuclear industry practices or consideration of specific national regulatory requirements. In large multinational subcontractor networks, the challenge for assuring nuclear safety arises partly from the need to ensure that safety and quality requirements are adequately understood and fulfilled by each partner. Deficient project management practices and unsatisfactory nuclear safety culture in project networks have been recognised as contributing factors to these challenges (INPO, 2010). Prior evidence indicated that many recent major projects have experienced schedule, quality and financial challenges both in the nuclear industry (STUK, 2011) and in the non-nuclear domain (Ahola et al., 2014; Brady and Davies, 2010). Since project delays and quality issues have been perceived mainly as economic problems, project management issues remain largely understudied in safety research. However, safety cannot be separated from other performance aspects if a systemic view is applied. Schedule and quality challenges may reflect deficiencies in coordination, knowledge and competence, distribution of roles and responsibilities or attitudes among the project participants. It is increasingly understood that the performance of the project network in all

  10. Safety culture in the maintenance of nuclear power plants

    International Nuclear Information System (INIS)

    2005-01-01

    Safety culture is the complexity of beliefs, shared values and behaviour reflected in making decisions and performing work in a nuclear power plant or nuclear facility. The definition of safety culture and the related concepts presented in the IAEA literature are widely known to experts. Since the publication of Safety Culture, issued by the IAEA as INSAG-4 in 1991, the IAEA has produced a number of publications on strengthening the safety culture in organizations that operate nuclear power plants and nuclear facilities. However, until now the focus has been primarily on the area of operations. Apart from operations, maintenance in plants and nuclear facilities is an aspect that deserves special attention, as maintenance activities can have both a direct and an indirect effect on equipment reliability. Adverse safety effects can arise, depending upon the level of skill of the personnel involved, safety awareness and the complexity of the work process. Any delayed effects resulting from challenges to maintenance can cause interruptions in operation, and hence affect the safety of a plant or facility. Building upon earlier IAEA publications on this topic, this Safety Report reviews how challenges to the maintenance of nuclear power plants can affect safety culture. It also highlights indications of a weakening safety culture. The challenges described are in areas such as maintenance management; human resources management; plant condition assessment and the business environment. The steps that some Member States have taken to address safety culture aspects are detailed and singled out as good practices, with a view to disseminating and exchanging experiences and lessons learned. Although this report is primarily directed at plant maintenance organizations, the subject matter is applicable to a wider audience, including plant contracting organizations and regulatory authorities

  11. Food safety culture assessment using a comprehensive mixed-methods approach

    NARCIS (Netherlands)

    Nyarugwe, Shingai P.; Linnemann, Anita; Nyanga, Loveness K.; Fogliano, Vincenzo; Luning, Pieternel A.

    2018-01-01

    Food safety challenges are a global concern especially in emerging economies, which are in the midst of developmental changes. The challenges are directly or indirectly related to the behaviour and decision-making of personnel, and to an organisation's food safety culture. This study evaluated the

  12. Promotion of good safety culture at a Swedish BWR

    International Nuclear Information System (INIS)

    Ingmarsson, K.F.

    1996-01-01

    Within the nuclear industry there are two events which have had a significant impact on the way of thinking and attitudes to safety, although in different ways. The TMI accident at Harrisburg, USA put the focus on Man-Machine interface, the way of working and attitudes to safety. The accident at Chernobyl focused on Safety Management and Safety Culture. Before the TMI accident, technology was believed to be the solutions to all kinds of problems. Technical solutions should compensate for human behaviour. After the TMI accident the focus was put on Man-Machine issues and a lot of the resources within the Nuclear Industry was allocated to Man-Machine-Interfaces, Procedures, Training, etc. After the Chernobyl accident, safety culture (IAEA INSAG-4) became a commonly used concept which included an overall perspective on safety and an understanding of the interaction between Man, Technology and Organizational matters (MTO). The Safety Culture within an organization is the sum of all attitudes, qualities and experiences influencing safety. Safety Culture is consequently not only a single quality or a single property but a generic term representing the promotion of safety in many areas

  13. Hospital survey on patient safety culture in China.

    Science.gov (United States)

    Nie, Yanli; Mao, Xuanyue; Cui, Hao; He, Shenghong; Li, Jing; Zhang, Mingming

    2013-06-24

    Patient safety culture is an important measure in assessing the quality of health care. There is a growing recognition of the need to establish a culture of hospital focused on patient safety. This study explores the attitudes and perceptions of patient safety culture for health care workers in China by using a Hospital Survey on Patient Safety Culture (HSPSC) questionnaire and comparing it with the psychometric properties of an adapted translation of the HSPSC in Chinese hospitals with that of the US. We used the modified HSPSC questionnaire to measure 10 dimensions of patient safety culture from 32 hospitals in 15 cities all across China. The questionnaire included 1160 Chinese health-care workers who consisted of predominately internal physicians and nurses. We used SPSS 17.0 and Microsoft Excel 2007 to conduct the statistical analysis on survey data including descriptive statistics and validity and reliability of survey. All data was input and checked by two investigators independently. A total of 1500 questionnaires were distributed of which 1160 were responded validly (response rate 77%). The positive response rate for each item ranged from 36% to 89%. The positive response rate on 5 dimensions (Teamwork Within Units, Organization Learning-Continuous Improvement, Communication Openness, Non-punitive Response and Teamwork Across Units) was higher than that of AHRQ data (P survey was comparatively satisfied (Cronbach's α = 0.84). The results show that amongst the health care workers surveyed in China there was a positive attitude towards the patient safety culture within their organizations. The differences between China and the US in patient safety culture suggests that cultural uniqueness should be taken into consideration whenever safety culture measurement tools are applied in different culture settings.

  14. Inclusion and Exclusion in the safety culture at sea

    DEFF Research Database (Denmark)

    Grøn, Sisse

    and linking acts inspired from research in social capital, and supplemented with acts of exclusion, all to describe the power conflicts which includes and excludes members in the unitary, divided or fragmented safety cultures that I met on board. The data shows that foreign seafarers are treated equally...... as long as the basic structures are not addressed. They are however treated equally on the majority´s terms, which still lead to a minority position even in the safety culture. A shared safety culture is therefore difficult to achieve....

  15. Culture of safety. Indicators of culture of safety. Stage of culture of safety. Optimization of radiating protection. Principle of precaution. Principle ALARA. Procedure ALARA

    International Nuclear Information System (INIS)

    Mursa, E.

    2006-01-01

    Object of research: is the theory and practice of optimization of radiating protection according to recommendations of the international organizations, realization of principle ALARA and maintenance of culture of safety (SC) on the nuclear power plant. The purpose of work - to consider the general aspects of realization of principle ALARA, conceptual bases of culture of safety, as principle of management, and practice of their introduction on the nuclear power plant. The work has the experts' report character in which the following questions are presented: The recommendations materials of the IAEA and other international organizations have been assembled, systematized and analyzed. The definitions, characteristics and universal SC features, and also indicators as a problem of parameters and quantitative SC measurements are described in details advanced. The ALARA principles - principle of precaution; not acceptance of zero risk; choice of a principle ALARA; model of acceptable radiation risk are described. The methodology of an estimation of culture of safety level and practical realization of the ALARA principle in separate organization is shown on a practical example. The SC general estimation at a national level in Republic of Moldova have been done. Taking into consideration that now Safety Culture politics are introduced only in relation to APS, in this paper the attempt of application of Safety Culture methodology to Radiological Objects have been made (Oncological Institute of the Republic of Moldova and Special Objects No.5101 and 5102 for a long time Storage of the Radioactive Waste). (authors)

  16. Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses

    Science.gov (United States)

    Quillivan, Rebecca R.; Burlison, Jonathan D.; Browne, Emily K.; Scott, Susan D.; Hoffman, James M.

    2017-01-01

    Background Second victim experiences can affect the well-being of healthcare providers and compromise patient safety. Many factors associated with improved coping afer patient safety event involvement are also components of a strong patient safety culture, so that supportive patient safety cultures may reduce second victim–related trauma. A cross-sectional survey study was conducted to assess the influence of patient safety culture on second victim–related distress, in which associations among patient safety culture dimensions, organizational support, and second victim distress were investigated. Methods The Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPSC) and the Second Victim Experience and Support Tool (SVEST), which was developed to assess organizational support and personal and professional distress after involvement in a patient safety event, were administered to nurses involved in direct patient care. Results Of 358 nurses, 155 (41%) responded, of whom 144 completed both surveys. Hierarchical linear regression demonstrated that the patient safety culture survey dimension nonpunitive response to errors was significantly associated with reductions in the second victim survey dimensions psychological, physical, and professional distress (p patient safety event by encouraging supportive interactions. Also, perceptions of second victim–related distress may be less severe when hospital cultures are characterized by nonpunitive response to errors. Reducing punitive response to error and encouraging supportive coworker, supervisor, and institutional interactions may be useful strategies to manage the severity of second victim experiences. PMID:27456420

  17. Critical Ethnography, Cultural Safety, and International Nursing Research

    OpenAIRE

    Jean N. Harrowing PhD; Judy Mill PhD; Jude Spiers PhD; Judith Kulig PhD; Walter Kipp PhD

    2010-01-01

    Critical qualitative methodology provides a strategy to examine the human experience and its relationship to power and truth. Cultural safety is a concept that has been applied to nursing education and practice and refers to interactions that acknowledge and respect the unique cultural background of patients. It recognizes power inequities between caregivers who belong to dominant cultures and patients who may belong to oppressed groups. Culture is interpreted from a critical constructivist p...

  18. Comparative analysis of existing food safety culture evaluation systems

    OpenAIRE

    Jespersen, Lone; Griffiths, Mansel; Wallace, Carol Anne

    2017-01-01

    The purpose of the research was firstly, to analyze existing culture evaluation systems for commonalities and differences in research quality, applied validation strategies, and content. Secondly, to suggest a simple structure of food safety cultural dimensions to help unify the culture evaluation field. To achieve these goals, a comparison of eight culture evaluation models applied to varing degrees in the food industry was conducted. The systems were found to vary significantly in applied v...

  19. Study of the development of a safety culture by describing routine work

    International Nuclear Information System (INIS)

    Takagi, Miho; Maeda, Noriyuki; Iida, Hiroyasu

    2017-01-01

    In this study, we considered safety culture as how an organization and its employees pay attention to risks, and how it reduces them. Our study is based on Schein's model of organizational culture. The theory of organizational culture maintains that if we change level 1 (behavior), then level 3 (assumption) changes. We considered a method to foster a safety culture based on this theory. To begin, we described the routine work of an organization by using the functional resonance analysis method (FRAM). Then, we confirmed the risk reduction behaviors being done there. We found that it is necessary for the organization to be involved in a positive fashion to reduce risks, and we offered some behaviors that the organization can encourage during routine work. We thought that when these new behaviors become habits of organization members, the safety culture of the organization will be fostered. (author)

  20. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.

    Science.gov (United States)

    Smith, Scott Alan; Yount, Naomi; Sorra, Joann

    2017-02-16

    A number of private and public companies calculate and publish proprietary hospital patient safety scores based on publicly available quality measures initially reported by the U.S. federal government. This study examines whether patient safety culture perceptions of U.S. hospital staff in a large national survey are related to publicly reported patient safety ratings of hospitals. The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture (Hospital SOPS) assesses provider and staff perceptions of hospital patient safety culture. Consumer Reports (CR), a U.S. based non-profit organization, calculates and shares with its subscribers a Hospital Safety Score calculated annually from patient experience survey data and outcomes data gathered from federal databases. Linking data collected during similar time periods, we analyzed relationships between staff perceptions of patient safety culture composites and the CR Hospital Safety Score and its five components using multiple multivariate linear regressions. We analyzed data from 164 hospitals, with patient safety culture survey responses from 140,316 providers and staff, with an average of 856 completed surveys per hospital and an average response rate per hospital of 56%. Higher overall Hospital SOPS composite average scores were significantly associated with higher overall CR Hospital Safety Scores (β = 0.24, p relationship between hospital staff perceptions of patient safety culture and the Consumer Reports Hospital Safety Score, which is a composite of patient experience and outcomes data from federal databases. As hospital managers allocate resources to improve patient safety culture within their organizations, their efforts may also indirectly improve consumer-focused, publicly reported hospital rating scores like the Consumer Reports Hospital Safety Score.

  1. Disentangling the roles of safety climate and safety culture: Multi-level effects on the relationship between supervisor enforcement and safety compliance.

    Science.gov (United States)

    Petitta, Laura; Probst, Tahira M; Barbaranelli, Claudio; Ghezzi, Valerio

    2017-02-01

    Despite increasing attention to contextual effects on the relationship between supervisor enforcement and employee safety compliance, no study has yet explored the conjoint influence exerted simultaneously by organizational safety climate and safety culture. The present study seeks to address this literature shortcoming. We first begin by briefly discussing the theoretical distinctions between safety climate and culture and the rationale for examining these together. Next, using survey data collected from 1342 employees in 32 Italian organizations, we found that employee-level supervisor enforcement, organizational-level safety climate, and autocratic, bureaucratic, and technocratic safety culture dimensions all predicted individual-level safety compliance behaviors. However, the cross-level moderating effect of safety climate was bounded by certain safety culture dimensions, such that safety climate moderated the supervisor enforcement-compliance relationship only under the clan-patronage culture dimension. Additionally, the autocratic and bureaucratic culture dimensions attenuated the relationship between supervisor enforcement and compliance. Finally, when testing the effects of technocratic safety culture and cooperative safety culture, neither safety culture nor climate moderated the relationship between supervisor enforcement and safety compliance. The results suggest a complex relationship between organizational safety culture and safety climate, indicating that organizations with particular safety cultures may be more likely to develop more (or less) positive safety climates. Moreover, employee safety compliance is a function of supervisor safety leadership, as well as the safety climate and safety culture dimensions prevalent within the organization. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Building Nuclear Safety and Security Culture Within Regulatory Body

    International Nuclear Information System (INIS)

    Huda, K.

    2016-01-01

    To achieve a higher level of nuclear safety and security, it needs to develop the safety and security culture not only in the facility but also in the regulatory body. The regulatory body, especially needs to develop the safety and security culture within the organization, because it has a function to promote and oversee the culture in the facilities. In this sense, the regulatory body should become a role model. Development of the nuclear safety and security culture should be started by properly understanding its concept and awakening the awareness of individual and organization on the importance of nuclear safety and security. For effectiveness of the culture development in the regulatory body, the following steps are suggested to be taken: setting up of the regulatory requirements, self-assessment, independent assessment review, communication with the licensee, oversight of management system implementation, and integration with regulatory activities. The paper discusses those steps in the framework of development of nuclear safety and security culture in the regulatory body, as well as some important elements in building of the culture in the nuclear facilities. (author)

  3. Measuring Safety Culture on Ships Using Safety Climate: A Study among Indian Officers

    Directory of Open Access Journals (Sweden)

    Yogendra Bhattacharya

    2015-12-01

    Full Text Available Workplace safety continues to be an area of concern in the maritime industry due to the international nature of the operations. The effectiveness of extensive legislation to manage shipboard safety remains in doubt. The focus must therefore shift towards the human element - seafarers and their perceptions of safety. The study aims to understand the alignment that exists between safety culture and safety climate on board ships as perceived by seafarers. The underlying factors of safety climate were identified using factor analysis which isolated seven factors - Support on Safety, Organizational Support, Resource Availability, Work Environment, Job Demands, ‘Just’ Culture, and Safety Compliance. The perception of safety level of seafarers was found to be low indicating the existence of misalignments between safety culture values and the actual safety climate. The study also reveals that the safety perceptions of officers employed directly by ship owners and those by managers do not differ significantly, nor do they differ between senior and junior officers. A shift in perspective towards how seafarers themselves feel towards safety might provide more effective solutions – instead of relying on regulations - and indeed aid in reducing incidents on board. This paper details practical suggestions on how to identify the factors that contribute towards a better safety climate on board ships.

  4. Examining the Relationship between Safety Management System Implementation and Safety Culture in Collegiate Flight Schools

    Science.gov (United States)

    Robertson, Mike Fuller

    2017-01-01

    Safety Management Systems (SMS) are becoming the industry standard for safety management throughout the aviation industry. As the Federal Aviation Administration (FAA) continues to mandate SMS for different segments, the assessment of an organization's safety culture becomes more important. An SMS can facilitate the development of a strong…

  5. Developments in safety and operations culture in BNFL's thorp reprocessing plant, Sellafield, Cumbria

    International Nuclear Information System (INIS)

    Kett, P.J.

    2000-01-01

    One of the best descriptions of Culture is 'how we do things around here'. In a stable organisation it is extremely difficult to change any type of culture, whether it is an operations, customer service or safety culture. To change culture one of two elements are essential. There must be either a significant external pressure felt by all in the organisation or a change in senior management, with authority to set a new direction for the organisation. BNFL had a unique opportunity through the commissioning and operation of the Thorp Reprocessing Plant at Sellafield to shape a new Safety and Operations Culture. Both the key elements for change were present. Thorp was a high profile flagship plant that had attracted multinational investment. It incorporated new technology. The workforce had volunteered to operate the plant. A strong senior management team was specially selected. The plant was being commissioned in an environment where there was significant opposition by 'anti nuclear' groups. It was essential to both BNFL and the wider international nuclear community that Thorp was commissioned and operated safely. A strong operating culture was developed with safety as the corner stone. The culture comprises three key components. Rigorous plant safety case and risk assessments before work commences and modifications to the plant occur; A high level of involvement by all levels of the workforce in both operations and safety matters; Strong supportive leadership which does not allow safety standards to be compromised and encourages open debate on how to improve. During commissioning and early operation of Thorp the robustness of the Safety and Operations Culture was demonstrated. On several occasions, despite intense commercial pressure, operations were halted until the situation was resolved both technically and procedurally. This paper describes how the Safety and Operations Culture was developed. The key factors for success include recruitment, team selection

  6. Implementing and measuring safety goals and safety culture. 4. Utility's Activities for Better Safety Culture After the JCO Accident

    International Nuclear Information System (INIS)

    Omoto, Akira

    2001-01-01

    The criticality accident at the JCO plant prompted the Government to enact a law for nuclear emergency preparedness. The nuclear industry established NSnet to facilitate opportunities for peer review among its members. This paper describes the activities by NSnet and TEPCO's Kashiwazaki-Kariwa nuclear power station (NPS) for a better safety culture. Created as a voluntary organization by the nuclear industry in 1999, NSnet has 35 members and is assisted by CRIEPI and NUPEC for its activities relevant to human factors. Given the fact that nuclear facility operators not belonging to WANO had no institutional system available for exchange of experiences and good practices for better safety among themselves, NSnet's activities focus on peer review by member organizations and onsite seminars. Starting April 2000 with visits to three fuel fabricators, NSnet intends to have 23 peer-review visits in 2 yr (Ref. 1). The six-member review team stays on-site for 4 days, during which time they review-using guidelines available from WANO and IAEA-OSART-six areas: organization/management, emergency preparedness, education/training, operation/ maintenance, protection against occupational radiation exposure, and prevention of accidents. A series of on-site seminars is held at members' nuclear facilities, to which NSnet dispatches experts for lectures. NSnet plans to hold such seminars twice per month. Other activities include information-sharing through a newsletter, a Web site (www. nsnet.gr.jp), and others. Although considerable differences exist in the design and the practices in operation/maintenance between power reactors and JCO, utilities can extract lessons from the accident that will be worth consideration for their own facilities in the areas of safety culture, education and training, and interface between design and operation. This thinking prompted the Nuclear Safety Promotion Center at Kashiwazaki-Kariwa NPS, to which the author belonged at that time, to launch the

  7. Developing safety culture-rocket science or common sense?

    Energy Technology Data Exchange (ETDEWEB)

    Mahn, J.A.

    1998-08-01

    Despite evidence of significant management contributions to the causes of major accidents, recent events at Millstone Nuclear Power Station in the US and Ontario Hydro in Canada might lead one to conclude that the significance of safety culture, and the role of management in developing and maintaining an appropriate safety culture, is either not being understood or not being taken serious as integral to the safe operation of some complex, high-reliability operations. It is the purpose of this paper to address four aspects of management that are particularly important to safety culture, and to illustrate how development of an appropriate safety culture is more a matter of common sense than rocket science.

  8. Developing safety culture-rocket science or common sense?

    International Nuclear Information System (INIS)

    Mahn, J.A.

    1998-01-01

    Despite evidence of significant management contributions to the causes of major accidents, recent events at Millstone Nuclear Power Station in the US and Ontario Hydro in Canada might lead one to conclude that the significance of safety culture, and the role of management in developing and maintaining an appropriate safety culture, is either not being understood or not being taken serious as integral to the safe operation of some complex, high-reliability operations. It is the purpose of this paper to address four aspects of management that are particularly important to safety culture, and to illustrate how development of an appropriate safety culture is more a matter of common sense than rocket science

  9. Patient's safety culture among Tunisian healthcare workers: results ...

    African Journals Online (AJOL)

    Patient's safety culture among Tunisian healthcare workers: results of a cross sectional study in university hospital. Asma Ben Cheikh, Nabiha Bouafia, Mohamed Mahjoub, Olfa Ezzi, Amel Nouira, Mansour Njah ...

  10. Safety culture assessment among laboratory personnel of a petrochemical company

    Directory of Open Access Journals (Sweden)

    M. Shekari

    2014-05-01

    .Conclusion: Strong and positive safety culture among laboratory personnel would prevent incidence of many occupational accidents. In another word, it would help organizations to facilitate access to higher standards.

  11. Safety goals and safety culture opening plenary. 2. Safety Regulation Implemented by Gosatomnadzor of Russia

    International Nuclear Information System (INIS)

    Gutsalov, A.T.; Bukrinsky, A.M.

    2001-01-01

    This paper describes principles and approaches used by Gosatomnadzor of Russia in establishing safety goals. The link between safety goals and safety culture is demonstrated. The paper also contains information on nuclear regulatory activities in Russia. Regulatory documents of Gosatomnadzor of Russia do not provide precise definitions of safety goals as IAEA documents INSAG-3 or INSAG-12 do. However, overall activities of Gosatomnadzor of Russia are directed to the achievement of these safety goals, as Gosatomnadzor of Russia is a federal executive authority responsible for the regulation of nuclear and radiation safety in accordance with the Russian Federal Law 'On the Use of Nuclear Energy'. Thus, in the Statement of the Policy of the Russian Regulatory Authority, enacted in 1992, it was established that the overall activities of Gosatomnadzor of Russia are directed to the achievement of the main goal. This goal is to establish conditions that ensure that personnel, the public, and the environment are protected from unacceptable radiation and nonproliferation of nuclear materials. The practical application of such a method as given by the publication of Statements of Policy of Gosatomnadzor of Russia may be considered as a safety culture element. 'General Provisions of NPP Safety Ensuring' (OPB-88/ 97) is a regulatory document of the highest level in the hierarchy of regulatory documents of Gosatomnadzor of Russia. It establishes quantitative values of safety goals as do the foregoing IAEA documents. Thus, this regulatory document sets up the following: 1. The estimated total probability of severe accidents should not exceed 10 5 /reactor.yr. 2. The estimated probability of the worst possible radioactive release to the environment specified in the standards should not exceed 10 -7 /reactor.yr in the case of severe beyond-design-basis accidents. 3. The probability of a reactor vessel failure should not exceed 10 -7 /reactor.yr. The foregoing values are somehow

  12. Safety culture and the 5 steps to safer surgery: an intervention study.

    Science.gov (United States)

    Hill, M R; Roberts, M J; Alderson, M L; Gale, T C E

    2015-06-01

    Improvements in safety culture have been postulated as one of the mechanisms underlying the association between the introduction of the World Health Organisation (WHO) Surgical Safety Checklist with perioperative briefings and debriefings, and enhanced patient outcomes. The 5 Steps to Safer Surgery (5SSS) incorporates pre-list briefings, the three steps of the WHO Surgical Safety Checklist (SSC) and post-list debriefings in one framework. We aimed to identify any changes in safety culture associated with the introduction of the 5SSS in orthopaedic operating theatres. We assessed the safety culture in the elective orthopaedic theatres of a large UK teaching hospital before and after introduction of the 5SSS using a modified version of the Safety Attitude Questionnaire - Operating Room (SAQ-OR). Primary outcome measures were pre-post intervention changes in the six safety culture domains of the SAQ-OR. We also analysed changes in responses to two items regarding perioperative briefings. The SAQ-OR survey response rate was 80% (60/75) at baseline and 74% (53/72) one yr later. There were significant improvements in both the reported frequency (Pimportance (P=0.018) of briefings, and in five of the six safety culture domain scores (Working Conditions, Perceptions of Management, Job Satisfaction, Safety Climate and Teamwork Climate) of the SAQ-OR (P<0.001 in all cases). Scores in the sixth domain (Stress Recognition) decreased significantly (P=0.028). Implementation of the 5SSS was associated with a significant improvement in the safety culture of elective orthopaedic operating theatres. © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Research on fuzzy comprehensive assessment method of nuclear power plant safety culture

    International Nuclear Information System (INIS)

    Xiang Yuanyuan; Chen Xukun; Xu Rongbin

    2012-01-01

    Considering the traits of safety culture in nuclear plant, 38 safety culture assessment indexes are established from 4 aspects such as safety values, safety institution, safety behavior and safety sub- stances. Based on it, a comprehensive assessment method for nuclear power plant safety culture is constructed by using AHP (Analytic Hierarchy Process) approach and fuzzy mathematics. The comprehensive assessment method has the quality of high precision and high operability, which can support the decision making of safety culture development. (authors)

  14. Patient safety culture and nurse-reported adverse events in outpatient hemodialysis units.

    Science.gov (United States)

    Thomas-Hawkins, Charlotte; Flynn, Linda

    2015-01-01

    Patient safety culture is an important quality indicator in health care facilities and has been associated with key patient outcomes in hospitals. The purpose of this analysis was to examine relationships between patient safety culture and nurse-reported adverse patient events in outpatient hemodialysis facilities. A cross-sectional correlational, mailed survey design was used. The analytic sample consisted of 422 registered nurses who worked in outpatient dialysis facilities in the United States. The Handoff and Transitions and the Overall Patient Safety Grade scales of the Agency for Healthcare Research and Quality's (AHRQ) Hospital Patient on Safety Survey were modified and used to measure patient safety culture in outpatient dialysis facilities. Nurse-reported adverse patient events was measured as a series of questions designed to capture the frequency with which nurses report that 13 adverse events occur in the outpatient dialysis facility setting. Handoff and transitions safety during patient shift change in dialysis centers was perceived negatively by a majority of nurses. On the other hand, a majority of nurses rated the overall patient safety culture in their dialysis facility as good to excellent. All relationships between patient safety culture items and adverse patient events were in the expected direction. Negative ratings of handoffs and transitions safety were independently associated with increased odds of frequent occurrences of vascular access thrombosis and patient complaints. Negative ratings of overall patient safety culture in dialysis units were independently associated with increased odds of frequent occurrences of medication errors by nurses, patient hospitalization, vascular access infection, and patient complaints. Findings from this analysis indicate that a positive patient safety culture is an important antecedent for optimal patient outcomes in ambulatory care settings.

  15. Effects of Implemented Initiatives on Patient Safety Culture in Fateme Al-zahra Hospital in Najafabad

    Directory of Open Access Journals (Sweden)

    Ahmadreza Izadi

    2015-01-01

    Full Text Available Introduction: Patient safety improvement requires ongoing culture. This cultural change is the most important challenge that managers are faced with in creation of a safe system. This study aims to show the results of initiatives to improvement in patient safety culture in Fateme Al-zahra hospital. Method: In the quasi-experimental research, patient safety culture was measured using the Persian questionnaire on adaptation of the hospital survey on patient safety culture in 12 dimensions. The research was conducted before (January 2010 and after (September 2012 the improvement initiatives. In this study, all units were determined and no sampling method was used. Reliability of the questionnaire was tested by Alpha Chronbakh (0.83. Data were analyzed using descriptive statistics indices and Independent T-Test by SPSS Software (version 18. Results: 350 questionnaires were distributed in each phaseand overall response rate was 58 and 56 percent, respectively. According to Independent T-test, Management expectations and actions, Organizational learning, Management support, Feedback and communication about error, Communication openness, Overall Perceptions of Safety, Non-punitive Response to Error, Frequency of Event Reporting, and Patient safety culture showed significant differences (P-value0.05. The mean score of Patient safety culture was 2.27 (from 5 and it was increased to 2.46 after initiatives that showed a significant difference (P-value<0.05. Conclusion: Although, improvement in patient safety culture needs teamwork and continuous attempts, the study showed that initiatives implemented in the case hospital had been effective in some dimensions. However, Teamwork within hospital units, Teamwork across units, Hospital handoffs and transitions, and Staffing dimensions were recognized for further intervention. Hospital could improve the patient safety culture with planning and measures in these dimensions.

  16. Information security as part of the nuclear safety culture

    Energy Technology Data Exchange (ETDEWEB)

    Sitnica, A., E-mail: demetrkj@westinghouse.com [Westinghouse Electric Co., 1000 Westinghouse Drive, Cranberry Township, PA 16066 (United States)

    2016-09-15

    No industry, organization, individual or even the government is immune to the information security risks which are associated with nuclear power. It can no longer be ignored, delayed or treated as unimportant. Nuclear safety is paramount to our industry, and cyber security must be woven into the fabric of our safety culture in order to succeed. Achieving this in an environment which has remained relatively unchanged and conservative prior to digitalisation demands a shift in behavior and culture. (Author)

  17. Safety culture in the nuclear versus non-nuclear organization

    Energy Technology Data Exchange (ETDEWEB)

    Haber, S.B.; Shurberg, D.A.

    1996-10-01

    The importance of safety culture in the safe and reliable operation of nuclear organizations is not a new concept. The greatest barriers to this area of research are twofold: (1) the definition and criteria of safety culture for a nuclear organization and (2) the measurement of those attributes in an objective and systematic fashion. This paper will discuss a proposed resolution of those barriers as demonstrated by the collection of data across nuclear and non-nuclear facilities over a two year period.

  18. Knowledge basis in safety culture for researchers and practitioners

    International Nuclear Information System (INIS)

    Vieira Neto, Antonio S.; Barroso, Antonio C.O.; Goncalves, Adriana

    2009-01-01

    This paper presents the main characteristics of the knowledge basis in safety culture which is being developed at the IPEN-CNEN/SP, one of the Brazilian nuclear institutes of research. The main objective of this basis is to organize the information about safety culture found in the literature and to make it available to researchers and practitioners. The first stage of the development of this basis is already finished being the subject of this work. (author)

  19. Information security as part of the nuclear safety culture

    International Nuclear Information System (INIS)

    Sitnica, A.

    2016-09-01

    No industry, organization, individual or even the government is immune to the information security risks which are associated with nuclear power. It can no longer be ignored, delayed or treated as unimportant. Nuclear safety is paramount to our industry, and cyber security must be woven into the fabric of our safety culture in order to succeed. Achieving this in an environment which has remained relatively unchanged and conservative prior to digitalisation demands a shift in behavior and culture. (Author)

  20. Safety culture in the nuclear versus non-nuclear organization

    International Nuclear Information System (INIS)

    Haber, S.B.; Shurberg, D.A.

    1996-01-01

    The importance of safety culture in the safe and reliable operation of nuclear organizations is not a new concept. The greatest barriers to this area of research are twofold: (1) the definition and criteria of safety culture for a nuclear organization and (2) the measurement of those attributes in an objective and systematic fashion. This paper will discuss a proposed resolution of those barriers as demonstrated by the collection of data across nuclear and non-nuclear facilities over a two year period

  1. [Safe patient care: safety culture and risk management in otorhinolaryngology].

    Science.gov (United States)

    St Pierre, M

    2013-04-01

    Safety culture is positioned at the heart of an organisation's vulnerability to error because of its role in framing organizational awareness to risk and in providing and sustaining effective strategies of risk management. Safety related attitudes of leadership and management play a crucial role in the development of a mature safety culture ("top-down process"). A type marker for organizational culture and thus a predictor for an organizations maturity in respect to safety is information flow and in particular an organization's general way of coping with information that suggests anomaly. As all values and beliefs, relationships, learning, and other aspects of organizational safety culture are about sharing and processing information, safety culture has been termed "informed culture". An informed culture is free of blame and open for information provided by incidents. "Incident reporting systems" are the backbone of a reporting culture, where good information flow is likely to support and encourage other kinds of cooperative behavior, such as problem solving, innovation, and inter-departmental bridging. Another facet of an informed culture is the free flow of information during perioperative patient care. The World Health Organisation's "safe surgery checklist" is the most prevalent example of a standardized information exchange aimed at preventing patient harm due to information deficit. In routine tasks mandatory standard operating procedures have gained widespread acceptance in guaranteeing the highest possible process quality.Technical and non-technical skills of healthcare professionals are the decisive human resource for an efficient and safe delivery of patient care and the avoidance of errors. The systematic enhancement of staff qualification by providing training opportunities can be a major investment in patient safety. In recent years several otorhinolaryngology departments have started to incorporate simulation based team trainings into their curriculum

  2. Relationship between organisational safety culture dimensions and crashes.

    Science.gov (United States)

    Varmazyar, Sakineh; Mortazavi, Seyed Bagher; Arghami, Shirazeh; Hajizadeh, Ebrahim

    2016-01-01

    Knowing about organisational safety culture in public transportation system can provide an appropriate guide to establish effective safety measures and interventions to improve safety at work. The aim of this study was investigation of association between safety culture dimensions (leadership styles and company values, usage of crashes information and prevention programmes, management commitment and safety policy, participation and control) with involved self-reported crashes. The associations were considered through Spearman correlation, Pearson chi-square test and logistic regression. The results showed an association among self-reported crashes (occurrence or non-occurrence) and factors including leadership styles and company values; management commitment and safety policy; and control. Moreover, it was found a negative correlation and an odds ratio less than one between control and self-reported crashes.

  3. Building a safety culture in global health: lessons from Guatemala

    Science.gov (United States)

    Rice, Henry E; Lou-Meda, Randall; Saxton, Anthony T; Johnston, Bria E; Ramirez, Carla C; Mendez, Sindy; Rice, Eli N; Aidar, Bernardo; Taicher, Brad; Baumgartner, Joy Noel; Milne, Judy; Frankel, Allan S; Sexton, J Bryan

    2018-01-01

    Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains. Domains with low scores included personal burnout, local leadership, teamwork and work–life balance. We held a series of debriefings to implement interventions targeted towards areas of need as defined by the survey. Programmes included the use of morning briefings, expansion of staff break resources and use of teamwork tools. Implementation challenges included the need for education of leadership, limited resources and hierarchical work relationships. This report can serve as an operational guide for providers in LMICs for use of a health culture survey to promote a strong safety culture and to guide their quality improvement and safety programmes. PMID:29607099

  4. Psychological aspect of safety culture and motivation

    International Nuclear Information System (INIS)

    Godienko, O.

    2002-01-01

    Evaluations of motivation related to safety of personnel in NPPs and other nuclear facilities is made using the results from a study involving 606 persons from Kursk NPP, Physics and Power Engineering Institute (Russia), Obninsk Institute od Nuclear Power and Engineering and Training Centre of Russian Federation Navy. The results show the predominant role of safety motivation as an independent component in the structure of labor activity of nuclear workers and its dynamics in forming the motivation structure

  5. Improving Patient Safety Culture in Primary Care: A Systematic Review

    NARCIS (Netherlands)

    Verbakel, Natasha J.; Langelaan, Maaike; Verheij, Theo J. M.; Wagner, Cordula; Zwart, Dorien L. M.

    Background: Patient safety culture, described as shared values, attitudes and behavior of staff in a health-care organization, gained attention as a subject of study as it is believed to be related to the impact of patient safety improvements. However, in primary care, it is yet unknown, which

  6. Safety Culture Activities of Russian Regulator (Rostechnadzor) TSOs

    International Nuclear Information System (INIS)

    Potapov, V.; Smetnik, A.; Murlis, D.

    2016-01-01

    Currently, the Federal Environmental, Industrial and Nuclear Supervision Service of Russia (Rostechnadzor) has two Technical and Scientific Support Organizations (TSOs): • FSUE VO “Safety”; • Scientific and Engineering Centre for Nuclear and Radiation Safety (SEC NRS). Both TSOs provide Rostechnadzor with scientific and technical support in the area of safety culture.

  7. Association of Safety Culture with Surgical Site Infection Outcomes.

    Science.gov (United States)

    Fan, Caleb J; Pawlik, Timothy M; Daniels, Tania; Vernon, Nora; Banks, Katie; Westby, Peggy; Wick, Elizabeth C; Sexton, J Bryan; Makary, Martin A

    2016-02-01

    Hospital workplace culture may have an impact on surgical outcomes; however, this association has not been established. We designed a study to evaluate the association between safety culture and surgical site infection (SSI). Using the Hospital Survey on Patient Safety Culture and National Healthcare Safety Network definitions, we measured 12 dimensions of safety culture and colon SSI rates, respectively, in the surgical units of Minnesota community hospitals. A Pearson's r correlation was calculated for each of 12 dimensions of surgical unit safety culture and SSI rate and then adjusted for surgical volume and American Society of Anesthesiologists (ASA) classification. Seven hospitals participated in the study, with a mean survey response rate of 43%. The SSI rates ranged from 0% to 30%, and surgical unit safety culture scores ranged from 16 to 92 on a scale of 0 to 100. Ten dimensions of surgical unit safety culture were associated with colon SSI rates: teamwork across units (r = -0.96; 95% CI [-0.76, -0.99]), organizational learning (r = -0.95; 95% CI [-0.71, -0.99]), feedback and communication about error (r = -0.92; 95% CI [-0.56, -0.99]), overall perceptions of safety (r = -0.90; 95% CI [-0.45, -0.99]), management support for patient safety (r = -0.90; 95% CI [-0.44, -0.98]), teamwork within units (r = -0.88; 95% CI [-0.38, -0.98]), communication openness (r = -0.85; 95% CI [-0.26, -0.98]), supervisor/manager expectations and actions promoting safety (r = -0.85; 95% CI [-0.25, -0.98]), non-punitive response to error (r = -0.78; 95% CI [-0.07, -0.97]), and frequency of events reported (r = -0.76; 95% CI [-0.01, -0.96]). After adjusting for surgical volume and ASA classification, 9 of 12 dimensions of surgical unit safety culture were significantly associated with lower colon SSI rates. These data suggest an important role for positive safety and teamwork culture and engaged hospital management in producing high-quality surgical

  8. Learning from error: leading a culture of safety.

    Science.gov (United States)

    Gibson, Russell; Armstrong, Alexander; Till, Alex; McKimm, Judy

    2017-07-02

    A recent shift towards more collective leadership in the NHS can help to achieve a culture of safety, particularly through encouraging frontline staff to participate and take responsibility for improving safety through learning from error and near misses. Leaders must ensure that they provide psychological safety, organizational fairness and learning systems for staff to feel confident in raising concerns, that they have the autonomy and skills to lead continual improvement, and that they have responsibility for spreading this learning within and across organizations.

  9. [Patient safety culture in directors and managers of a health service].

    Science.gov (United States)

    Giménez-Júlvez, Teresa; Hernández-García, Ignacio; Aibar-Remón, Carlos; Gutiérrez-Cía, Isabel; Febrel-Bordejé, Mercedes

    To assess patient safety culture in directors/managers. Cross-sectional descriptive study carried out from February to June 2011 among the executive/managing staff of the Aragón Health Service through semi-structured interviews. A total of 12 interviews were carried out. All the respondents admitted that there were many patient safety problems and agreed that patient safety was a priority from a theoretical rather than practical perspective. The excessive changes in executive positions was considered to be an important barrier which made it difficult to establish long-term strategies and achieve medium-term continuity. This study recorded perceptions on patient safety culture in directors, an essential factor to improve patient safety culture in this group and in the organisations they run. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  10. Safety climate and culture: Integrating psychological and systems perspectives.

    Science.gov (United States)

    Casey, Tristan; Griffin, Mark A; Flatau Harrison, Huw; Neal, Andrew

    2017-07-01

    Safety climate research has reached a mature stage of development, with a number of meta-analyses demonstrating the link between safety climate and safety outcomes. More recently, there has been interest from systems theorists in integrating the concept of safety culture and to a lesser extent, safety climate into systems-based models of organizational safety. Such models represent a theoretical and practical development of the safety climate concept by positioning climate as part of a dynamic work system in which perceptions of safety act to constrain and shape employee behavior. We propose safety climate and safety culture constitute part of the enabling capitals through which organizations build safety capability. We discuss how organizations can deploy different configurations of enabling capital to exert control over work systems and maintain safe and productive performance. We outline 4 key strategies through which organizations to reconcile the system control problems of promotion versus prevention, and stability versus flexibility. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  11. ILK statement about the regulatory authorities' perception of operators' self-assessment of safety culture

    International Nuclear Information System (INIS)

    2005-01-01

    Over the past few years, German licensing and supervisory authorities have devoted increasing attention to safety management and safety culture issues. At present, German plant operators are introducing systems for self-assessment of the safety culture in their plants, such as the Safety Culture Assessment System developed by VGB Power Tech (VGB-SBS). In its statement, the International Committee on Nuclear Technology (ILK) addresses an effective approach of the authorities in evaluating the self-assessment of safety culture conducted by operators. ILK proposes a total of ten recommendations for evaluating the self-assessment system of the operators by the authority. The regulatory authorities should see to it that the operators establish a self-assessment system for aspects of organization and personnel, and use it continuously. The measures derived from this self-assessment by the operators, and the reasons underlying them, should be discussed with the authorities. In addition to the operators, also the regulatory authorities and the technical expert organizations commissioned by them should carry out self-assessments of their respective supervisory activities, taking into account also special events, such as changes in government, and develop appropriate programs of measures to be taken. In evaluating safety culture, the regulatory authorities should strive to support the activities of operators in improving their safety culture. A spirit of mutual confidence and cooperation should exist between operators and authorities. The recommendations expressed in the statement deliberately leave room for detailed implementation by the parties concerned. (orig.)

  12. Creating a culture of safety within operative neurosurgery: the design and implementation of a perioperative safety video.

    Science.gov (United States)

    Lau, Catherine Y; Greysen, S Ryan; Mistry, Rita I; Han, Seunggu J; Mummaneni, Praveen V; Berger, Mitchel S

    2012-11-01

    Surgical and medical errors result from failures in communication and handoffs as well as lack of standardization in clinical protocols and safety practices. Checklists, simulation training, and teamwork training have been shown to decrease adverse patient events and increase the safety culture of surgical teams. The goal of this project was to simplify and standardize perioperative patient safety practices and team communication processes within operative neurosurgery through the creation of an educational safety video targeted at a neurosurgical provider audience. A multidisciplinary group consisting of neurosurgeons, anesthesiologists, nurses, neuromonitoring specialists, quality champions, and a professional video production company met over several months in an iterative process to 1) determine the overall objectives of the video, 2) decide on the content and format of the video, 3) modify the proposed content and format based on stakeholder feedback, and 4) record the video and complete final revisions during postproduction. The video was launched within the authors' institution in July 2012 in conjunction with ongoing research projects to study the effects of the video on 1) multidisciplinary providers' knowledge of perioperative safety practices, 2) provider safety attitudes and safety culture in the operating room, and 3) provider behavior in performing predetermined elements of the preoperative timeout and postoperative debrief. The neurosurgical perioperative safety video can serve as a national model for how quality champions can drive changes in safety culture and provider behavior among multidisciplinary perioperative patient care teams. Ongoing research is being performed to assess the impact of the video on provider knowledge, behavior, and safety attitudes and culture.

  13. Parents, television and cultural change

    OpenAIRE

    Hauk, Esther; Immordino, Giovanni

    2013-01-01

    This paper develops a model of cultural transmission where television plays a central role for socialization. Parents split their free time between educating their children, which is costly, and watching TV which though entertaining might socialize the children to the wrong trait. The free to air television industry maximizes advertisement revenue. We show that TV watching is increasing in cultural coverage, cost of education, TV’s entertainment value and decreasing in the perceived cultural ...

  14. Parents, television and cultural change

    OpenAIRE

    Hauk, Esther

    2011-01-01

    This paper develops a model of cultural transmission where television plays a central role for socialization. Parents split their free time between educating their children which is costly and watching TV which though entertaining might socialize the children to the wrong trait. The free to air television industry maximizes advertisement revenue. We show that TV watching is increasing in cultural coverage, cost of education, TV's entertainment value and decreasing in the perceived cultural di...

  15. Globalization and the cultural safety of an immigrant Muslim community.

    Science.gov (United States)

    Baker, Cynthia

    2007-02-01

    This paper reports a study the aim of which was to further understanding of cultural safety by focusing on the social health of a small immigrant community of Muslims in a relatively homogeneous region of Canada following the terror attacks on 11 September 2001 (9/11). The aftermath of 9/11 negatively affected Muslims living in many centers of Western Europe and North America. Little is known about the social health of Muslims in smaller areas with little cultural diversity. Developed by Maori nurses, the cultural safety concept captures the negative health effects of inequities experienced by the indigenous people of New Zealand. Nurses in Canada have used the concept to understand the health of Aboriginal peoples. It has also been used to investigate the nursing care of immigrants in a Canadian metropolitan centre. Findings indicated, however, that the dichotomy between culturally safe and unsafe groups was blurred. The methodology was qualitative, based on the constructivist paradigm. A purposive sample of 26 Muslims of Middle Eastern, Indian or Pakistani origin and residing in the province of New Brunswick, Canada were interviewed in 2002-2003. Findings. Participants experienced a sudden transition from cultural safety to cultural risk following 9/11. Their experience of cultural safety included a sense of social integration in the community and invisibility as a minority. Cultural risk stemmed from being in the spotlight of an international media and becoming a visible minority. Cultural risk is not necessarily rooted in historical events and may be generated by outside forces rather than by longstanding inequities in relationships between groups within the community. Nurses need to think about the cultural safety of their practices when caring for members of socially disadvantaged cultural minority groups as this may affect the health services delivered to them.

  16. A multilevel model of patient safety culture: cross-level relationship between organizational culture and patient safety behavior in Taiwan's hospitals.

    Science.gov (United States)

    Chen, I-Chi; Ng, Hui-Fuang; Li, Hung-Hui

    2012-01-01

    As health-care organizations endeavor to improve their quality of care, there is a growing recognition of the importance of establishing a culture of patient safety. The main objective of this study was to investigate the cross-level influences of organizational culture on patient safety behavior in Taiwan's hospitals. The authors measured organizational culture (bureaucratic, supportive and innovative culture), patient safety culture and behavior from 788 hospital workers among 42 hospitals in Taiwan. Multilevel analysis was applied to explore the relationship between organizational culture (group level) and patient safety behavior (individual level). Patient safety culture had positive impact on patient safety behavior in Taiwan's hospitals. The results also indicated that bureaucratic, innovative and supportive organizational cultures all had direct influence on patient safety behavior. However, only supportive culture demonstrated significant moderation effect on the relationship between patient safety culture and patient safety behavior. Furthermore, organizational culture strength was shown correlated negatively with patient safety culture variability. Overall, organizational culture plays an important role in patient safety activities. Safety behaviors of hospital staff are partly influenced by the prevailing cultural norms in their organizations and work groups. For management implications, constructed patient priority from management commitment to leadership is necessary. For academic implications, research on patient safety should consider leadership, group dynamics and organizational learning. These factors are important for understanding the barriers and the possibilities embedded in patient safety. Copyright © 2011 John Wiley & Sons, Ltd.

  17. Radiation Safety Culture in Medicine AFROSAFERAD

    International Nuclear Information System (INIS)

    Nyabanda, R.

    2017-01-01

    Ionizing radiation that include X-rays and Gamma rays Radio waves, infrared and visible light carries sufficient energy to free electrons from atoms or molecules. Becquerel first person to discover evidence of radioactivity, who shared a Nobel Prize for physics in 1903 with Marie and Pierre Curie. Prof Sievert and Louis Harold Gray are the Medical physicists who had major contribution in the study of the biological effects of radiation. Ionizing radiation causes displacement of an electron which can inflict damage on DNA either directly or indirectly. A radiation-safety campaign developed by the radiation health workers in Africa. Radiosensitive organs is highest in cells which are highly mitotic or undifferentiated. E.g basal epidermis, bone marrow, thymus, gonads, and lens cells. Relatively low radiosensitivity in muscle, bones, and nervous system tissues. A radiation-safety campaign developed by the radiation health workers in Africa. AFROSAFE Strategies Strengthen radiation protection of patients, health workers and public, Promote safe and appropriate use of ionizing radiation in medicine. Foster improvement of the benefit-risk dialogue with patients and the public. Enhance the safety and quality of radiological procedures in medicine, Promote safety in radiological equipment and facilities and Promote research in radiation protection and safety

  18. Safety culture in nuclear installations - The role of the regulator

    International Nuclear Information System (INIS)

    Karigi, Alice W.

    2002-01-01

    Safety culture is an amalgamation of values, standards, morals and norms of acceptable behavior by the licensees, Radiation workers and the Regulator. The role played by a Regulator in establishing safety culture in a nuclear installation is that related to Authorization, review, assessment, inspection and enforcement. The regulator is to follow the development of a facility or activity from initial selection of the site through design, construction, commissioning, radioactive waste management through to decommissioning and closure. He is to ensure safety measures are followed through out the operation of the facility by laying down in the license conditions of controlling construction of nuclear installations and ensuring competence of the operators. (author)

  19. Cultural safety: a vital element for nursing ethics.

    Science.gov (United States)

    Harding, Thomas

    2013-03-01

    This paper argues that the globalisation of nursing and the internationalisation of nursing education have lead to Western values being embedded into nursing curricula in nations where the cultural values and beliefs may be based in quite different philosophies. It argues for critical examination of assumptions underpinning ethics education in nursing and proposes that the principles of cultural safety need to be incorporated into ethics education to create a culturally safe ethic for both nurses and patients in a multicultural healthcare environment.

  20. Safety-culture in a Norwegian shipping company.

    Science.gov (United States)

    Håvold, Jon Ivar

    2005-01-01

    Although there has been considerable interest in safety culture and safety climate in many industries, little attention has been given to safety culture in one of the world's riskiest industries, shipping. Using both self developed items and items from published research on safety culture, safety climate, and quality and management style, a 40-item safety culture questionnaire was developed. The questionnaire was distributed in a self-administered form to sailors onboard 20 vessels and to officers attending a seminar in Manila. A total of 349 questionnaires were collected (total response rate, 60%). Principal component analysis (PCA) revealed 11 factors when the Kaiser eigenvalue rule was used and four factors when the scree test criterion was used. The factor structure in the material confirmed structures found in other industries. The relative importance of the factors from the factor analysis on "level of safety" measures was tested by canonical correlation analysis and regression analysis. The results confirmed previous research and showed that the most important factors were influential across industries. To determine weather differences existed between nationalities, occupations, and vessels the factors from the PCA was subjected to Multiple Discriminant Analysis. Significant differences between occupations, nations, and vessels were found on one or more of the factors from the PCA.

  1. Organizational safety culture and medical error reporting by Israeli nurses.

    Science.gov (United States)

    Kagan, Ilya; Barnoy, Sivia

    2013-09-01

    To investigate the association between patient safety culture (PSC) and the incidence and reporting rate of medical errors by Israeli nurses. Self-administered structured questionnaires were distributed to a convenience sample of 247 registered nurses enrolled in training programs at Tel Aviv University (response rate = 91%). The questionnaire's three sections examined the incidence of medication mistakes in clinical practice, the reporting rate for these errors, and the participants' views and perceptions of the safety culture in their workplace at three levels (organizational, departmental, and individual performance). Pearson correlation coefficients, t tests, and multiple regression analysis were used to analyze the data. Most nurses encountered medical errors from a daily to a weekly basis. Six percent of the sample never reported their own errors, while half reported their own errors "rarely or sometimes." The level of PSC was positively and significantly correlated with the error reporting rate. PSC, place of birth, error incidence, and not having an academic nursing degree were significant predictors of error reporting, together explaining 28% of variance. This study confirms the influence of an organizational safety climate on readiness to report errors. Senior healthcare executives and managers can make a major impact on safety culture development by creating and promoting a vision and strategy for quality and safety and fostering their employees' motivation to implement improvement programs at the departmental and individual level. A positive, carefully designed organizational safety culture can encourage error reporting by staff and so improve patient safety. © 2013 Sigma Theta Tau International.

  2. Correlation of Safety Culture Attributes in Construction Industry

    Directory of Open Access Journals (Sweden)

    Pervez Shaikh

    2013-07-01

    Full Text Available The importance of construction industry can not be overemphasized because it is one of the biggest contributors toward economic activities of a country. It employs a countable number of workforce and it is prone to accidents, incidents, hazards and disasters, therefore, the safety factor is equally important. The current research explores safety culture in the perspective of its important attributes. The EFQM (European Foundation for Quality Management is taken as the bases for finding the ways and means of safety culture improvement of the construction industry. The correlation of pattern of responses is found for every attribute of the safety culture and the interrelationships and strengths are worked out to detect the involvement of the attribute.

  3. Strengthening leadership as a catalyst for enhanced patient safety culture

    DEFF Research Database (Denmark)

    Kristensen, Solvejg; Christensen, Karl Bang; Jaquet, Annette

    2016-01-01

    in the Safety Attitudes Questionnaire. To broaden knowledge and strengthen leadership skills, a multicomponent programme consisting of academic input, exercises, reflections and discussions, networking, and action learning was implemented among the clinical area level leaders. RESULTS: In total, 358 and 325...... staff members participated before and after the intervention, respectively. 19 of the staff members were clinical area level leaders. In both surveys, the response rate was >75%. The proportion of frontline staff with positive attitudes improved by ≥5% for 5 of the 7 patient safety culture dimensions...... in a Danish psychiatric department before and after a leadership intervention. METHODS: A repeated cross-sectional experimental study by design was applied. In 2 surveys, healthcare staff were asked about their perceptions of the patient safety culture using the 7 patient safety culture dimensions...

  4. Safety culture indicators for NPP: international trends and development status in Korea

    International Nuclear Information System (INIS)

    Choi, Y. S.; Ko, J. D.; Choi, K. S.; Jung, Y. H.

    2004-01-01

    Safety culture has been recognized as important to achieve high level of nuclear safety, as several recent events that have occurred in advanced countries were found to have important implications for safety culture. Under the recognition, implementation-focused and practical methods to foster safety culture have become necessary. Development of safety culture indicators for assessing the level of safety culture and identifying some deficiencies is being conducted. This paper examines the regulatory positions of major nuclear power countries on licensee's safety culture, introduces the development status of Korean Safety Culture Indicators and presents its future direction

  5. Safety culture and quality management of Kartini research reactor

    International Nuclear Information System (INIS)

    Syarip; Hauptmanns, Ulrich

    1999-01-01

    The evaluation for assessing the safety culture and quality of safety management of Kartini research reactor is presented. The method is based on the concept of management control of safety (audit) as well as by using the developed method i.e. the questionnaires concerning areas of relevance which have to be answered with value statements. There are seven statements or qualifiers in answering the questions. Since such statements are vague, they are represented by fuzzy numbers. The weaknesses can be identified from the different areas contemplated. The evaluation result show that the quality of safety management of Kartini research reactor is globally rated as 'Average'. The operator behavior in the implementation of 'safety culture' concept is found as a weakness, therefore this area should be improved. (author)

  6. Safety culture and quality management of Kartini research reactor

    Energy Technology Data Exchange (ETDEWEB)

    Syarip [Yogyakarta Nuclear Research Centre, Yogyakarta (Indonesia); Hauptmanns, Ulrich [Department of Plant Design and Safety, Otto-Von-Guericke-University, Magdeburg (Germany)

    1999-10-01

    The evaluation for assessing the safety culture and quality of safety management of Kartini research reactor is presented. The method is based on the concept of management control of safety (audit) as well as by using the developed method i.e. the questionnaires concerning areas of relevance which have to be answered with value statements. There are seven statements or qualifiers in answering the questions. Since such statements are vague, they are represented by fuzzy numbers. The weaknesses can be identified from the different areas contemplated. The evaluation result show that the quality of safety management of Kartini research reactor is globally rated as 'Average'. The operator behavior in the implementation of 'safety culture' concept is found as a weakness, therefore this area should be improved. (author)

  7. Patient safety culture in teaching hospitals in Iran: assessment by the hospital survey on patient safety culture (HSOPSC

    Directory of Open Access Journals (Sweden)

    Mohammad Zakaria Kiaei

    2016-04-01

    Full Text Available Introduction: Patient safety culture is an important part of improvement in the safety of health care. Knowing its present status is required for development of safety culture. The present study aimed to evaluate the current status of Patient safety culture in hospitals of three central provinces of Iran. Method: The present cross-sectional study was performed in teaching hospitals of Tehran, Alborz, and Qazvin provinces. The standard HSOPSC questionnaire was used for evaluation of the patient safety culture from the viewpoint of 522(Qazvin: 200, Tehran: 312, Alborz: 40 individuals who were randomly selected as workers of the hospitals. The collected data were analyzed using Chi-square and ANOVA tests. Results:The mean positive response to 12 aspects of the patient safety was 62.9%. “Organizational learning” had the highest proportion of positive response (71.18% and “Handoffs & Transitions” had the lowest (54.49%. There was a statistically significant difference in scores of “Teamwork within Units”(p=0.006(,”Manager Expectations & actions promoting”(p=0.014,”organizational learning and continuous improvement”(p=0.001, “Management support”(p=0.007, “Feedback and communication”(p=0.012, and “Communication openness”(p=0.003 among the provinces, respectively. Conclusion: We performed a full assessment of the patient safety culture in the studied provinces. Organizational learning was satisfactory in the hospitals. The studied hospitals need arrangement of safety-based programs and supports of senior administrators to perform more sophisticated efforts and improve the patient safety culture.

  8. The practice of safety culture construction in radiation processing enterprise

    International Nuclear Information System (INIS)

    Kong Xiangshan; Zhang Yue; Yang Bin; Xu Tao; Liu Wei; Hao Jiangang

    2014-01-01

    Security is an integral part of the process of business operations. The radiation processing enterprises due to their own particularity, more need to focus on the operation of the safety factors, the construction of corporate safety culture is of great significance in guiding carry out the work of the Radiation Protection. Radiation processing enterprises should proceed from their own characteristics, the common attitude of security systems and security construction, and constantly improved to ensure the personal safety of radiation workers in the area of safety performance. (authors)

  9. Safety culture and subcontractor network governance in a complex safety critical project

    International Nuclear Information System (INIS)

    Oedewald, Pia; Gotcheva, Nadezhda

    2015-01-01

    In safety critical industries many activities are currently carried out by subcontractor networks. Nevertheless, there are few studies where the core dimensions of resilience would have been studied in safety critical network activities. This paper claims that engineering resilience into a system is largely about steering the development of culture of the system towards better ability to anticipate, monitor, respond and learn. Thus, safety culture literature has relevance in resilience engineering field. This paper analyzes practical and theoretical challenges in applying the concept of safety culture in a complex, dynamic network of subcontractors involved in the construction of a new nuclear power plant in Finland, Olkiluoto 3. The concept of safety culture is in focus since it is widely used in nuclear industry and bridges the scientific and practical interests. This paper approaches subcontractor networks as complex systems. However, the management model of the Olkiluoto 3 project is to a large degree a traditional top-down hierarchy, which creates a mismatch between the management approach and the characteristics of the system to be managed. New insights were drawn from network governance studies. - Highlights: • We studied a relevant topical subject safety culture in nuclear new build project. • We integrated safety science challenges and network governance studies. • We produced practicable insights in managing safety of subcontractor networks

  10. [Analysis and modelling of safety culture in a Mexican hospital by Markov chains].

    Science.gov (United States)

    Velázquez-Martínez, J D; Cruz-Suárez, H; Santos-Reyes, J

    2016-01-01

    The objective of this study was to analyse and model the safety culture with Markov chains, as well as predicting and/or prioritizing over time the evolutionary behaviour of the safety culture of the health's staff in one Mexican hospital. The Markov chain theory has been employed in the analysis, and the input data has been obtained from a previous study based on the Safety Attitude Questionnaire (CAS-MX-II), by considering the following 6 dimensions: safety climate, teamwork, job satisfaction, recognition of stress, perception of management, and work environment. The results highlighted the predictions and/or prioritisation of the approximate time for the possible integration into the evolutionary behaviour of the safety culture as regards the "slightly agree" (Likert scale) for: safety climate (in 12 years; 24.13%); teamwork (8 years; 34.61%); job satisfaction (11 years; 52.41%); recognition of the level of stress (8 years; 19.35%); and perception of the direction (22 years; 27.87%). The work environment dimension was unable to determine the behaviour of staff information, i.e. no information cultural roots were obtained. In general, it has been shown that there are weaknesses in the safety culture of the hospital, which is an opportunity to suggest changes to the mandatory policies in order to strengthen it. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. The Challenges of Safety Culture: No more risk!

    Directory of Open Access Journals (Sweden)

    Julija Melnikova

    2016-12-01

    Full Text Available According to A. Maslow’s [1] hierarchy of human needs the need for safety and security is a priority for mankind. The concept ‘safety culture’ appeared only in 1986, when theChernobyldisaster made the whole world muse upon human relationship with technology [2]. This global catastrophe was a caution, but not for everyone. Potent academic systems and elaborated instruments of a huge economical value have been invoked in maintaining the satisfaction of biogenetic needs, whereas any manual on safety topic has not been issued yet. Even such progressive communities as the European Union, elaborating long-term strategic decisions, do not find clear and reasonable principles that would encourage to choose safe technologies with respect to present and future generations. Giving way to the ostensible effectiveness of centralized technologies such as equipment, communication, energetic that are well-disposed to big business, the majority of politicians and even scientists are not able to estimate the risk that is programmed in the choice of dangerous and insecure technical decisions. It is not still realized that none of the technologies is worth a human life or safety.The level of social maturity is a factor stipulating the merge of two concepts ‘safety’ and „a person“. At the time when industrial priorities were dominant the concept ‘safety techniques’ had been used putting stress on peculiarities of working with technical devices and on the ways manpower could be adjusted to them. Later the term ‘Safety of labour’ appeared. It drew attention to the labour process and its peculiarities. The assimilation of European culture has determined the introduction of the notion ‘personnel safety and health’ to labour relations. The postindustrial stage of humanity development brings the new understanding of major values. Individual is now identified as a personality as well as human life is understood as the major value. The natural

  12. Further activities of safety culture toward nuclear transportation industry

    International Nuclear Information System (INIS)

    Machida, Y.; Shimakura, D.

    2004-01-01

    On September 30, 1999, a criticality accident occurred at the uranium processing facility of the JCO Co. Ltd. (hereinafter referred to as ''JCO'') Tokai plant, located in Tokaimura, Ibaraki Prefecture. This was an unprecedented accident in Japan's history of peaceful use of nuclear power, resulting in three workers exposed to severe radiation, two of whom died, and the evacuation and enforced indoor confinement of local residents. Nuclear power suppliers must take personal responsibility for ensuring safety. In this connection, the electric power industry, heavy electric machinery manufacturers, fuel fabricators, and nuclear power research organizations gathered together to establish the Nuclear Safety Network (NSnet) in December 1999, based on the resolve to share and improve the level of the safety culture across the entire nuclear power industry and to assure that such an accident never occurs again. NSnet serves as a link between nuclear power enterprises, research organizations, and other bodies, based on the principles of equality and reciprocity. A variety of activities are pursued, such as diffusing a safety culture, implementing mutual evaluation among members, and exchanging safety-related information. Aiming to share and improve the safety culture throughout the entire nuclear power industry, NSnet thoroughly implements the principle of safety first, while at the same time making efforts to restore trust in nuclear power

  13. The United States Does CAIR About Cultural Safety: Examining Cultural Safety Within Indigenous Health Contexts in Canada and the United States.

    Science.gov (United States)

    Darroch, Francine; Giles, Audrey; Sanderson, Priscilla; Brooks-Cleator, Lauren; Schwartz, Anna; Joseph, Darold; Nosker, Roger

    2017-05-01

    This article examines the concept and use of the term cultural safety in Canada and the United States. To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations. The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence. Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety-despite not using the language. We recommend that health care providers and health researchers consider the tenets of cultural safety. To address health disparities between American Indian populations and non-American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.

  14. The value of process safety culture for inspection in major hazard industies

    NARCIS (Netherlands)

    Zwetsloot, G.I.J.M.; Bezemer, R.; Guldener, V.

    2015-01-01

    Safety culture is increasingly recognised as the third important determinant of safety, complementary to technology and safety organisation. There are no legal requirements with respect to safety culture, except for nuclear power plants. Safety culture is and remains therefore a responsibility of

  15. The Comer Program: Changing School Culture.

    Science.gov (United States)

    Squires, David A.; Kranyik, Robert D.

    1996-01-01

    Site-management designs generally fail to establish structures and processes that help school communities work through cultural change. The Comer School Development Program succeeds because it supports a change in school culture and focuses on children's development, not just their speech, language, and intellectual capabilities. Lessons from…

  16. Characterization and improvement of the nuclear safety culture through self-assessment

    International Nuclear Information System (INIS)

    Levin, H.A.; McGehee, R.B.; Cottle, W.T.

    1996-01-01

    Organizational culture has a powerful influence on overall corporate performance. The ability to sustain superior results in ensuring the public's health and safety is predicated on an organization's deeply embedded values and behavioral norms and how these affect the ability to change and seek continuous improvement. The nuclear industry is developing increased recognition of the relationship of culture to nuclear safety performance as a critical element of corporate strategy. This paper describes a self-assessment methodology designed to characterize and improve the nuclear safety culture, including processes for addressing employee concerns. This methodology has been successfully applied on more than 30 occasions in the last several years, resulting in measurable improvements in safety performance and quality and employee motivation, productivity, and morale. Benefits and lessons learned are also presented

  17. [Is an effort needed in order to replace the punitive culture for the sake of patient safety?].

    Science.gov (United States)

    Gutiérrez Ubeda, S R

    2016-01-01

    Efforts to introduce a safety culture have flourished in a growing number of health care organisations. However, many of these organisational efforts have been incomplete with respect to the manner on how to address the resistance to change offered by the prevailing punitive culture of healthcare organisations. The present article is intended to increase the awareness on three reasons of why an effort is needed to change the punitive culture before introducing the patient safety culture. The first reason is that the culture needs to be investigated and understood. The second reason is that culture is a complex construct, deeply embedded in organisations and their contexts, and thus difficult to change. The third reason is that punitive culture is not compatible with some components of safety culture, thus without removing it there are great possibilities that it would continue to be active and dominant over safety culture. These reasons suggest that, unless planning and executing effective interventions towards replacing punitive culture with safety culture, there is the risk that punitive culture would still prevail. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  18. Maintenance culture and management of change - Intermediate report 2004

    International Nuclear Information System (INIS)

    Reiman, T.; Oedewald, P.; Kettunen, J.; Rollenhagen, C.; Kahlbom, U.

    2005-04-01

    Change management has emerged as an important topic in safety-critical organisations. A lot of knowledge on change management exists, but still lot of projects fail and the safety consequences of various changes are unclear. It seems that the problems of change management are interdisciplinary, but still solutions tend to only from one perspective (e.g. technical or personnel management). There also exists empirical evidence that change has been experienced as stressful in the nuclear power plants. The cultural perspective taken in this paper strives to combine technical approaches to human resources approaches. It raises new questions that are not usually explicitly taken into account in change management. Financial pressures, change of generation and other changes in the environment have forced many organisations to reorganise their practices (e.g. downsize, outsource, and develop team-based organisations). These changes have had an impact on the culture of the organisation (and the organisational culture has mediated these changes in the first phase). (au)

  19. Safety culture as an element of contact and cooperation between utilities, research and safety authorities

    International Nuclear Information System (INIS)

    Hoegberg, L.

    1994-01-01

    The safety culture approach may simply be seen as a recognition of the close interdependence between safety and organisational processes: achievement of technical safety objectives will largely depend on the quality of the implementation processes in the organisations concerned. With a slight modification of the original INSAG formulation, SKI defines safety culture as 'a consciously formulated and implemented set of values in an organisation, which establishes that, as an overriding priority, safety issues receive the attention warranted by their significance'. In practice, a high level of safety culture means the systematic organisation and implementation of a number of activities aimed at creating a high quality defence in depth against both technical and human failures that may cause accidents. An enquiring and learning attitude is a key element of such a safety culture. For example, to prevent accidents, the organisation always needs to be reactive to incidents, by performing proper root cause analysis of both technical and organisational factors, and taking appropriate corrective actions. The long term organisational objective should be to be proactive and identify deficiencies in technology and organisation that may lead to serious incidents or, at worst, accidents and take corrective action even before actual occurrence of incidents of substantial safety significance. (author) 13 refs

  20. Application of fuzzy set theory for safety culture and safety management assessment of Kartini research reactor

    International Nuclear Information System (INIS)

    Syarip; Hauptmanns, U.

    2000-01-01

    The safety culture status of nuclear power plant is usually assessed through interview and/or discussions with personnel and management in plant, and an assessment of the pertinent documentation. The approach for safety culture assessment described in IAEA Safety Series, make uses of a questionnaire composed of questions which require 'Yes' or 'No' as an answer. Hence, it is basically a check-list approach which is quite common for safety assessments in industry. Such a procedure ignores the fact that the expert answering the question usually has knowledge which goes far beyond a mere binary answer. Additionally, many situations cannot readily be described in such restricted terms. Therefore, it was developed a checklist consisting of questions which are formulated such that they require more than a simple 'yes' or 'no' as an answer. This allows one to exploit the expert knowledge of the analyst appropriately by asking him to qualify the degree of compliance of each of the topics examined. The method presented has proved useful in assessing the safety culture and quality of safety management of the research reactor. The safety culture status and the quality of safety management of Kartini research reactor is rated as 'average'. The method is also flexible and allows one to add questions to existing areas or to introduce new areas covering related topics

  1. Safety culture: a survey of the state-of-the-art

    International Nuclear Information System (INIS)

    Sorensen, J.N.

    2002-01-01

    This paper discusses the evolution of the term 'safety culture' and the perceived relationship between safety culture and safety of operations in nuclear power generation and other hazardous technologies. There is a widespread belief that safety culture is an important contributor to safety of operations. Empirical evidence that safety culture and other management and organizational factors influence operational safety is more readily available for the chemical process industry than for nuclear power plant operations. The commonly accepted attributes of safety culture include good organizational communications, good organizational learning, and senior management commitment to safety. Safety culture may be particularly important in reducing latent errors in complex, well-defended systems. The role of regulatory bodies in fostering strong safety cultures remains unclear, and additional work is required to define the essential attributes of safety culture and to identify reliable performance indicators

  2. Modeling safety culture as a socially emergent phenomenon: a case study in aircraft maintenance

    NARCIS (Netherlands)

    Passenier, D.F.; Mols, C.; Bím, J.; Sharpanskykh, A.

    2016-01-01

    Safety culture is often understood as encompassing organizational members’ shared attitudes, beliefs, perceptions and values associated with safety. Safety culture theory development is fraught with inconsistencies and superficiality of measurement methods, because the dynamic and political nature

  3. Creating a Culture of Prevention in Occupational Safety and Health Practice

    Directory of Open Access Journals (Sweden)

    Yangho Kim

    2016-06-01

    Full Text Available The incidence of occupational injuries and diseases associated with industrialization has declined markedly following developments in science and technology, such as engineering controls, protective equipment, safer machinery and processes, and greater adherence to regulations and labor inspections. Although the introduction of health and safety management systems has further decreased the incidence of occupational injuries and diseases, these systems are not effective unless accompanied by a positive safety culture in the workplace. The characteristics of work in the 21st century have given rise to new issues related to workers' health, such as new types of work-related disorders, noncommunicable diseases, and inequality in the availability of occupational health services. Overcoming these new and emerging issues requires a culture of prevention at the national level. The present paper addresses: (1 how to change safety cultures in both theory and practice at the level of the workplace; and (2 the role of prevention culture at the national level.

  4. Measurable improvement in patient safety culture: A departmental experience with incident learning.

    Science.gov (United States)

    Kusano, Aaron S; Nyflot, Matthew J; Zeng, Jing; Sponseller, Patricia A; Ermoian, Ralph; Jordan, Loucille; Carlson, Joshua; Novak, Avrey; Kane, Gabrielle; Ford, Eric C

    2015-01-01

    Rigorous use of departmental incident learning is integral to improving patient safety and quality of care. The goal of this study was to quantify the impact of a high-volume, departmental incident learning system on patient safety culture. A prospective, voluntary, electronic incident learning system was implemented in February 2012 with the intent of tracking near-miss/no-harm incidents. All incident reports were reviewed weekly by a multiprofessional team with regular department-wide feedback. Patient safety culture was measured at baseline with validated patient safety culture survey questions. A repeat survey was conducted after 1 and 2 years of departmental incident learning. Proportional changes were compared by χ(2) or Fisher exact test, where appropriate. Between 2012 and 2014, a total of 1897 error/near-miss incidents were reported, representing an average of 1 near-miss report per patient treated. Reports were filed by a cross section of staff, with the majority of incidents reported by therapists, dosimetrists, and physicists. Survey response rates at baseline and 1 and 2 years were 78%, 80%, and 80%, respectively. Statistically significant and sustained improvements were noted in several safety metrics, including belief that the department was openly discussing ways to improve safety, the sense that reports were being used for safety improvement, and the sense that changes were being evaluated for effectiveness. None of the surveyed dimensions of patient safety culture worsened. Fewer punitive concerns were noted, with statistically significant decreases in the worry of embarrassment in front of colleagues and fear of getting colleagues in trouble. A comprehensive incident learning system can identify many areas for improvement and is associated with significant and sustained improvements in patient safety culture. These data provide valuable guidance as incident learning systems become more widely used in radiation oncology. Copyright © 2015

  5. Strengthening leadership as a catalyst for enhanced patient safety culture: a repeated cross-sectional experimental study.

    Science.gov (United States)

    Kristensen, Solvejg; Christensen, Karl Bang; Jaquet, Annette; Møller Beck, Carsten; Sabroe, Svend; Bartels, Paul; Mainz, Jan

    2016-05-13

    Current literature emphasises that clinical leaders are in a position to enable a culture of safety, and that the safety culture is a performance mediator with the potential to influence patient outcomes. This paper aims to investigate staff's perceptions of patient safety culture in a Danish psychiatric department before and after a leadership intervention. A repeated cross-sectional experimental study by design was applied. In 2 surveys, healthcare staff were asked about their perceptions of the patient safety culture using the 7 patient safety culture dimensions in the Safety Attitudes Questionnaire. To broaden knowledge and strengthen leadership skills, a multicomponent programme consisting of academic input, exercises, reflections and discussions, networking, and action learning was implemented among the clinical area level leaders. In total, 358 and 325 staff members participated before and after the intervention, respectively. 19 of the staff members were clinical area level leaders. In both surveys, the response rate was >75%. The proportion of frontline staff with positive attitudes improved by ≥5% for 5 of the 7 patient safety culture dimensions over time. 6 patient safety culture dimensions became more positive (increase in mean) (pleadership can act as a significant catalyst for patient safety culture improvement. Further studies using a longitudinal study design are recommended to investigate the mechanism behind leadership's influence on patient safety culture, sustainability of improvements over time, and the association of change in the patient safety culture measures with change in psychiatric patient safety outcomes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  6. Organizational Culture and Safety Performance in the Manufacturing Companies in Malaysia: A Conceptual Analysis

    OpenAIRE

    Ong Choon Hee; Lim Lee Ping

    2014-01-01

    The purpose of this paper is to provide a conceptual analysis of organizational culture and safety performance in the manufacturing companies in Malaysia. Our conceptual analysis suggests that manufacturing companies that adopt group culture or hierarchical culture are more likely to demonstrate safety compliance and safety participation. Manufacturing companies that adopt rational culture or developmental culture are less likely to demonstrate safety compliance and safety participation. Give...

  7. Statistical analysis applied to safety culture self-assessment

    International Nuclear Information System (INIS)

    Macedo Soares, P.P.

    2002-01-01

    Interviews and opinion surveys are instruments used to assess the safety culture in an organization as part of the Safety Culture Enhancement Programme. Specific statistical tools are used to analyse the survey results. This paper presents an example of an opinion survey with the corresponding application of the statistical analysis and the conclusions obtained. Survey validation, Frequency statistics, Kolmogorov-Smirnov non-parametric test, Student (T-test) and ANOVA means comparison tests and LSD post-hoc multiple comparison test, are discussed. (author)

  8. Hospital safety culture in Taiwan: a nationwide survey using Chinese version Safety Attitude Questionnaire.

    Science.gov (United States)

    Lee, Wui-Chiang; Wung, Hwei-Ying; Liao, Hsun-Hsiang; Lo, Chien-Ming; Chang, Fei-Ling; Wang, Pa-Chun; Fan, Angela; Chen, Hsin-Hsin; Yang, Han-Chuan; Hou, Sheng-Mou

    2010-08-10

    Safety activities have been initiated at many hospitals in Taiwan, but little is known about the safety culture at these hospitals. The aims of this study were to verify a safety culture survey instrument in Chinese and to assess hospital safety culture in Taiwan. The Taiwan Patient Safety Culture Survey was conducted in 2008, using the adapted Safety Attitude Questionnaire in Chinese (SAQ-C). Hospitals and their healthcare workers participated in the survey on a voluntary basis. The psychometric properties of the five SAQ-C dimensions were examined, including teamwork climate, safety climate, job satisfaction, perception of management, and working conditions. Additional safety measures were asked to assess healthcare workers' attitudes toward their collaboration with nurses, physicians, and pharmacists, respectively, and perceptions of hospitals' encouragement of safety reporting, safety training, and delivery delays due to communication breakdowns in clinical areas. The associations between the respondents' attitudes to each SAQ-C dimension and safety measures were analyzed by generalized estimating equations, adjusting for the clustering effects at hospital levels. A total of 45,242 valid questionnaires were returned from 200 hospitals with a mean response rate of 69.4%. The Cronbach's alpha was 0.792 for teamwork climate, 0.816 for safety climate, 0.912 for job satisfaction, 0.874 for perception of management, and 0.785 for working conditions. Confirmatory factor analyses demonstrated a good model fit for each dimension and the entire construct. The percentage of hospital healthcare workers holding positive attitude was 48.9% for teamwork climate, 45.2% for perception of management, 42.1% for job satisfaction, 37.2% for safety climate, and 31.8% for working conditions. There were wide variations in the range of SAQ-C scores in each dimension among hospitals. Compared to those without positive attitudes, healthcare workers with positive attitudes to each SAQ

  9. Hospital Safety Culture in Taiwan: A Nationwide Survey Using Chinese Version Safety Attitude Questionnaire

    Science.gov (United States)

    2010-01-01

    Background Safety activities have been initiated at many hospitals in Taiwan, but little is known about the safety culture at these hospitals. The aims of this study were to verify a safety culture survey instrument in Chinese and to assess hospital safety culture in Taiwan. Methods The Taiwan Patient Safety Culture Survey was conducted in 2008, using the adapted Safety Attitude Questionnaire in Chinese (SAQ-C). Hospitals and their healthcare workers participated in the survey on a voluntary basis. The psychometric properties of the five SAQ-C dimensions were examined, including teamwork climate, safety climate, job satisfaction, perception of management, and working conditions. Additional safety measures were asked to assess healthcare workers' attitudes toward their collaboration with nurses, physicians, and pharmacists, respectively, and perceptions of hospitals' encouragement of safety reporting, safety training, and delivery delays due to communication breakdowns in clinical areas. The associations between the respondents' attitudes to each SAQ-C dimension and safety measures were analyzed by generalized estimating equations, adjusting for the clustering effects at hospital levels. Results A total of 45,242 valid questionnaires were returned from 200 hospitals with a mean response rate of 69.4%. The Cronbach's alpha was 0.792 for teamwork climate, 0.816 for safety climate, 0.912 for job satisfaction, 0.874 for perception of management, and 0.785 for working conditions. Confirmatory factor analyses demonstrated a good model fit for each dimension and the entire construct. The percentage of hospital healthcare workers holding positive attitude was 48.9% for teamwork climate, 45.2% for perception of management, 42.1% for job satisfaction, 37.2% for safety climate, and 31.8% for working conditions. There were wide variations in the range of SAQ-C scores in each dimension among hospitals. Compared to those without positive attitudes, healthcare workers with

  10. Hospital Safety Culture in Taiwan: A Nationwide Survey Using Chinese Version Safety Attitude Questionnaire

    Directory of Open Access Journals (Sweden)

    Lee Wui-Chiang

    2010-08-01

    Full Text Available Abstract Background Safety activities have been initiated at many hospitals in Taiwan, but little is known about the safety culture at these hospitals. The aims of this study were to verify a safety culture survey instrument in Chinese and to assess hospital safety culture in Taiwan. Methods The Taiwan Patient Safety Culture Survey was conducted in 2008, using the adapted Safety Attitude Questionnaire in Chinese (SAQ-C. Hospitals and their healthcare workers participated in the survey on a voluntary basis. The psychometric properties of the five SAQ-C dimensions were examined, including teamwork climate, safety climate, job satisfaction, perception of management, and working conditions. Additional safety measures were asked to assess healthcare workers' attitudes toward their collaboration with nurses, physicians, and pharmacists, respectively, and perceptions of hospitals' encouragement of safety reporting, safety training, and delivery delays due to communication breakdowns in clinical areas. The associations between the respondents' attitudes to each SAQ-C dimension and safety measures were analyzed by generalized estimating equations, adjusting for the clustering effects at hospital levels. Results A total of 45,242 valid questionnaires were returned from 200 hospitals with a mean response rate of 69.4%. The Cronbach's alpha was 0.792 for teamwork climate, 0.816 for safety climate, 0.912 for job satisfaction, 0.874 for perception of management, and 0.785 for working conditions. Confirmatory factor analyses demonstrated a good model fit for each dimension and the entire construct. The percentage of hospital healthcare workers holding positive attitude was 48.9% for teamwork climate, 45.2% for perception of management, 42.1% for job satisfaction, 37.2% for safety climate, and 31.8% for working conditions. There were wide variations in the range of SAQ-C scores in each dimension among hospitals. Compared to those without positive attitudes

  11. Safety Culture for Regulator Competence Management in Embarking States

    International Nuclear Information System (INIS)

    Kandil, M.

    2016-01-01

    Full text: Safety is based on preventive actions where the ability of a regulatory body to fulfill its responsibilities depends largely on the competence of its staff. Building employees’ skills and knowledge is an investment for each employee and in the future of the organization. This building must be the competence of its staff integration with their safety culture, the essential to ensure competent human resources as required in the IAEA safety standards and other documents, in which the need and importance of ensuring regulatory competence is emphasized. As it involves both operational and management issues, safety culture is a sensitive topic for regulators whose role is to ensure compliance with safety requirements and not to intervene in management decisions. A number of embarking States are aspiring to develop nuclear power generation and this means that, among other things, regulatory bodies have to be established and rapidly expanded. This paper reports major considerations on the integration of safety culture with an adequate competence management system for regulators in embarking states. (author

  12. The Safety Culture of an Effective Nuclear Regulatory Body

    International Nuclear Information System (INIS)

    Carlsson, Lennart; Bernard, Benoit; Lojk, Robert; Koskinen, Kaisa; Rigail, Anne-Cecile; Stoppa, Gisela; Lorand, Ferenc; Aoki, Masahiro; Fujita, Kenichi; Takada, Hiroko; Kurasaki, Takaaki; Choi, Young Sung; Smit, Martin; Bogdanova, Tatiana; Sapozhnikov, Alexander; Smetnik, Alexander; Cid Campo, Rafael; Axelsson, Lars; Carlsson, Lennart; Edland, Anne; Ryser, Cornelia; Cohen, Miriam; Ficks, Ben; Valentin, Andrea; Nicic, Adriana; Lorin, Aurelie; Nezuka, Takayoshi; Creswell, Len

    2016-01-01

    The fundamental objective of all nuclear safety regulatory bodies is to ensure that activities related to the peaceful use of nuclear energy are carried out in a safe manner within their respective countries. In order to effectively achieve this objective, the nuclear regulatory body requires specific characteristics, one of which is a healthy safety culture. This regulatory guidance report describes five principles that support the safety culture of an effective nuclear regulatory body. These principles concern leadership for safety, individual responsibility and accountability, co-operation and open communication, a holistic approach, and continuous improvement, learning and self-assessment. The report also addresses some of the challenges to a regulatory body's safety culture that must be recognised, understood and overcome. It provides a unique resource to countries with existing, mature regulators and can be used for benchmarking as well as for training and developing staff. It will also be useful for new entrant countries in the process of developing and maintaining an effective nuclear safety regulator. (authors)

  13. [Patient safety culture in Family practice residents of Galicia].

    Science.gov (United States)

    Portela Romero, Manuel; Bugarín González, Rosendo; Rodríguez Calvo, María Sol

    To determine the views held by Family practice (FP) residents on the different dimensions of patient safety, in order to identify potential areas for improvement. A cross-sectional study. Seven FP of Galicia teaching units. 182 FP residents who completed the Medical Office Survey on Patient Safety Culture questionnaire. The Medical Office Survey on Patient Safety Culture questionnaire was chosen because it is translated, validated, and adapted to the Spanish model of Primary Care. The results were grouped into 12 composites assessed by the mentioned questionnaire. The study variables were the socio-demographic dimensions of the questionnaire, as well as occupational/professional variables: age, gender, year of residence, and teaching unit of FP of Galicia. The "Organisational learning" and "Teamwork" items were considered strong areas. However, the "Patient safety and quality issues", "Information exchange with other settings", and "Work pressure and pace" items were considered areas with significant potential for improvement. First-year residents obtained the best results and the fourth-year ones the worst. The results may indicate the need to include basic knowledge on patient safety in the teaching process of FP residents in order to increase and consolidate the fragile patient safety culture described in this study. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  14. Psychometric model for safety culture assessment in nuclear research facilities

    International Nuclear Information System (INIS)

    Nascimento, C.S. do; Andrade, D.A.; Mesquita, R.N. de

    2017-01-01

    Highlights: • A psychometric model to evaluate ‘safety climate’ at nuclear research facilities. • The model presented evidences of good psychometric qualities. • The model was applied to nuclear research facilities in Brazil. • Some ‘safety culture’ weaknesses were detected in the assessed organization. • A potential tool to develop safety management programs in nuclear facilities. - Abstract: A safe and reliable operation of nuclear power plants depends not only on technical performance, but also on the people and on the organization. Organizational factors have been recognized as the main causal mechanisms of accidents by research organizations through USA, Europe and Japan. Deficiencies related with these factors reveal weaknesses in the organization’s safety culture. A significant number of instruments to assess the safety culture based on psychometric models that evaluate safety climate through questionnaires, and which are based on reliability and validity evidences, have been published in health and ‘safety at work’ areas. However, there are few safety culture assessment instruments with these characteristics (reliability and validity) available on nuclear literature. Therefore, this work proposes an instrument to evaluate, with valid and reliable measures, the safety climate of nuclear research facilities. The instrument was developed based on methodological principles applied to research modeling and its psychometric properties were evaluated by a reliability analysis and validation of content, face and construct. The instrument was applied to an important nuclear research organization in Brazil. This organization comprises 4 research reactors and many nuclear laboratories. The survey results made possible a demographic characterization and the identification of some possible safety culture weaknesses and pointing out potential areas to be improved in the assessed organization. Good evidence of reliability with Cronbach's alpha

  15. Psychometric model for safety culture assessment in nuclear research facilities

    Energy Technology Data Exchange (ETDEWEB)

    Nascimento, C.S. do, E-mail: claudio.souza@ctmsp.mar.mil.br [Centro Tecnológico da Marinha em São Paulo (CTMSP), Av. Professor Lineu Prestes 2468, 05508-000 São Paulo, SP (Brazil); Andrade, D.A., E-mail: delvonei@ipen.br [Instituto de Pesquisas Energéticas e Nucleares (IPEN/CNEN – SP), Av. Professor Lineu Prestes 2242, 05508-000 São Paulo, SP (Brazil); Mesquita, R.N. de, E-mail: rnavarro@ipen.br [Instituto de Pesquisas Energéticas e Nucleares (IPEN/CNEN – SP), Av. Professor Lineu Prestes 2242, 05508-000 São Paulo, SP (Brazil)

    2017-04-01

    Highlights: • A psychometric model to evaluate ‘safety climate’ at nuclear research facilities. • The model presented evidences of good psychometric qualities. • The model was applied to nuclear research facilities in Brazil. • Some ‘safety culture’ weaknesses were detected in the assessed organization. • A potential tool to develop safety management programs in nuclear facilities. - Abstract: A safe and reliable operation of nuclear power plants depends not only on technical performance, but also on the people and on the organization. Organizational factors have been recognized as the main causal mechanisms of accidents by research organizations through USA, Europe and Japan. Deficiencies related with these factors reveal weaknesses in the organization’s safety culture. A significant number of instruments to assess the safety culture based on psychometric models that evaluate safety climate through questionnaires, and which are based on reliability and validity evidences, have been published in health and ‘safety at work’ areas. However, there are few safety culture assessment instruments with these characteristics (reliability and validity) available on nuclear literature. Therefore, this work proposes an instrument to evaluate, with valid and reliable measures, the safety climate of nuclear research facilities. The instrument was developed based on methodological principles applied to research modeling and its psychometric properties were evaluated by a reliability analysis and validation of content, face and construct. The instrument was applied to an important nuclear research organization in Brazil. This organization comprises 4 research reactors and many nuclear laboratories. The survey results made possible a demographic characterization and the identification of some possible safety culture weaknesses and pointing out potential areas to be improved in the assessed organization. Good evidence of reliability with Cronbach's alpha

  16. Predicting and preventing organizational failure: learning, stability and safety culture

    International Nuclear Information System (INIS)

    Duffey, R.B.

    2009-01-01

    The physical definition of 'safety culture' is the creation of an organizational and operational structure that places unending emphasis on safety at every level. We propose and prefer the use of the term and the objective of sustaining a 'Learning Environment', where mistakes, outcomes and errors are used as learning vehicles to improve, and we can now define why that is true. Therefore we can manage and quantify safety effectively tracking and analyzing outcomes, using the trends to guide our needed organizational behaviors. (author)

  17. Safety culture evaluation and asset root cause analysis

    International Nuclear Information System (INIS)

    Okrent, D.; Xiong, Y.

    1995-01-01

    This paper examines the role of organizational and management factors in nuclear power plant safety through the use of operating experiences. The ASSET (Assessment of Safety Significant Events Team) reports of thirteen plants (total thirty events) have been analyzed in term of twenty organizational dimensions (factors) identified by Brookhaven National Laboratory and Pennsylvania State University. For three plants detailed results are reported in this paper. The results of thirteen plants are summarized in the form of a table. The study tends to confirm that organizational and management factors play an important role in plant safety. The twenty organizational dimensions and their definitions, in general, were adequate in this study. Formalization, Safety Culture, Technical Knowledge, Training, Roles-Responsibilities and Problem Identification appear to be key organizational factors which influence the safety of nuclear power plants studied

  18. Survey Result for the Safety Culture Attitude of HANARO in 2008

    International Nuclear Information System (INIS)

    Wu, Jong Sup; An, Seok Hwa

    2009-01-01

    One of the important aims of a nuclear management system is to foster a strong safety culture. The safety culture activities for HANARO have been implemented and the importance of safety management in nuclear activities has also been emphasized since its first operation. HANARO developed its own safety culture indicators by referring to the IAEA's documents for the purpose of the evaluation of the safety culture attitude. In June 2008 a survey on the safety culture was conducted based on the new safety culture indicators. The result of the survey shows that the safety culture activities contribute positively to its safe operation. But it is necessary to encourage some activities like training, resources and organizational culture. The survey was helpful to understand the general trends of the safety attitudes and to set the safety culture activities necessary for the improvement of its safe operation

  19. Towards a radiation safety culture at Universidad Nacional de Colombia

    International Nuclear Information System (INIS)

    Poveda, Jairo F.; Munera, Hector A.

    2008-01-01

    Full text: During the 20th century, nuclear and radiation techniques for research, teaching, and medical and engineering practice slowly appeared at the National University of Colombia, mainly at the Bogota, Medellin and Manizales branches. Each individual laboratory or researcher obtained the license for the use of the radioactive source, or radiation emitting apparatus. However, the University as a whole does not have as yet a Radiation Safety Manual, nor an inventory of laboratories using radiation. From the viewpoint of radiation safety and culture, this situation is undesirable, and may easily lead to inappropriate waste management practices, including the possibility of orphan sources (one such source has been already found). As part of the program of environmental management of dangerous wastes promoted by the National Division of Laboratories of our University, an office of radiation safety was created in the year 2006. This paper describes the situation that was found, the activities that have been carried out, some of the difficulties that we have met, and the plans that we have to help shape a safety culture at our institution. Currently we are pursuing an inventory of laboratories using radioactive sources and radiation emitting apparatuses, starting with the branches in Bogota and Manizales which are perceived as the most urgent to deal with. Fortunately, the branch in Medellin has been for about a decade under the care of a former radiation safety officer of our national Institute of Nuclear Affairs, who presently teaches there. During 2006 and 2007, 13 laboratories using radioactive sources were visited in the Bogota branch. Safety procedures and waste handling protocols were checked, safety manuals prepared and/or revised, and recommendations for safety culture provided. During 2008 we will visit Manizales, and will continue visiting a number of X-ray machines used in the Bogota branch for engineering, veterinary, and diagnostic, and surgery medical

  20. Safety Culture Perspective. Managing the pre Managing the pre-operational phases of new NPPs and creating the safety culture

    International Nuclear Information System (INIS)

    Cowan, Pamela B.; Oh, Chaewoon; Dahlgren Persson, Kerstin; Carnino, Annick

    2008-01-01

    Nuclear safety is a key for the revival of nuclear energy future programmes. Lots of competent people will be needed worldwide for ensuring the safety of the installations both existing ones and future ones. Their expertise should range from design to operation, from regulatory role to operators, from fuel fabrication to waste disposal. The challenge in front of us will be to prepare for the right recruitment, the development of the needed expertise in order to face the demand in developed countries, in countries with economies in transition and in developing countries. Time allocated for the panel does not allow for covering all aspects but the panelists will cover some of the important aspects of the challenge in terms of needs, of new competencies, of learning from operation and licensing requirements including for new designs. The key objectives of the panel are: 1- Maintaining safe operation, learning from experience, licensing including aging management and re-licensing with safety improvements for existing installations: - Presentation by Junko Ogawa of the experience and lessons learned from the earthquake on Kashiwasaki Kariwa NPP: effects in terms of manpower involved in the investigation, effects on regulations and licensing, expertise used. - Presentation by Pamela Cowan of her experience in preparing licensing actions, regulatory compliance and interface with the Regulator for both operating plants and modern requirements for constructing new ones. 2 - Special training needed for the human aspect of safety: what are the challenges in areas of safety culture and management of safety: - Presentation by Chae Woon Oh of the Korean safety culture features developed nationally, at the regulator and at the operating organizations and their integration within the safety training programmes. - Presentation by Kerstin Dahlgren Person of the needs in terms of safety culture and safety management, in terms of expertise, practitioners and assessors. 3 - How to

  1. Patient safety culture measurement in general practice. Clinimetric properties of 'SCOPE'

    Directory of Open Access Journals (Sweden)

    Zwart Dorien LM

    2011-11-01

    Full Text Available Abstract Background A supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements. To that end, we studied internal consistency and construct validity of a safety culture questionnaire for general practice (SCOPE which was derived from a comparable questionnaire for hospitals (Dutch-HSOPS. Methods The survey was conducted among caregivers of Dutch general practice as part of an ongoing quality accreditation process using a 46 item questionnaire. We conducted factor analyses and studied validity by calculating correlations between the subscales and testing the hypothesis that respondents' patient safety grade of their practices correlated with their scores on the questionnaire. Results Of 72 practices 294 respondents completed the questionnaire. Eight factors were identified concerning handover and teamwork, support and fellowship, communication openness, feedback and learning from error, intention to report events, adequate procedures and staffing, overall perceptions of patient safety and expectations and actions of managers. Cronbach's alpha of the factors rated between 0.64 and 0.85. The subscales intercorrelated moderately, except for the factor about intention to report events. Respondents who graded patient safety highly scored significantly higher on the questionnaire than those who did not. Conclusions The SCOPE questionnaire seems an appropriate instrument to assess patient safety culture in general practice. The clinimetric properties of the SCOPE are promising, but future research should confirm the factor structure and construct of the SCOPE and delineate its responsiveness to changes in safety culture over time.

  2. Exploring patient safety culture in Dutch primary care.

    NARCIS (Netherlands)

    Verbakel, N.J.; Melle, M. van; Langelaan, M.; Verheij, T.J.M.; Wagner, C.; Zwart, D.L.M.

    2014-01-01

    Objective: To explore perceptions of safety culture in nine different types of primary care professions and to study possible differences. Design Cross-sectional survey: Setting: Three hundred and thirteen practices from nine types of primary care profession groups in the Netherlands. Participants:

  3. Team Psychological Safety and Team Learning: A Cultural Perspective

    Science.gov (United States)

    Cauwelier, Peter; Ribière, Vincent M.; Bennet, Alex

    2016-01-01

    Purpose: The purpose of this paper was to evaluate if the concept of team psychological safety, a key driver of team learning and originally studied in the West, can be applied in teams from different national cultures. The model originally validated for teams in the West is applied to teams in Thailand to evaluate its validity, and the views team…

  4. Cultural Heritage in a Changing World

    DEFF Research Database (Denmark)

    The central purpose of this collection of essays is to make a creative addition to the debates surrounding the cultural heritage domain. In the 21st century the world faces epochal changes which affect every part of society, including the arenas in which cultural heritage is made, held, collected...

  5. Managing for safety and safety culture within the UK nuclear industry. A regulator's perspective

    International Nuclear Information System (INIS)

    Tyrer, M.J.

    2002-01-01

    This paper outlines the basis of the legal system for the regulation of health and safety at work within the United Kingdom (UK), and in particular, the regulation of the nuclear industry. The framework, formulated by the regulator, which has been published as a practical guide for directors, managers, health and safety professionals and employee representatives for the successful management of health and safety is explained. This guidance, however, concentrates, to a large extent, on management systems and only addresses in part the types of issues, such as behaviours, values, attitudes and beliefs which contribute to the safety culture of an organization. The regulator of the UK nuclear industry has considered research, and other work, carried out by several organizations in this area, notably the Advisory Committee on the Safety of Nuclear Installations (ACSNI) and the International Atomic Energy Agency (IAEA), and produced its own framework for managing for safety at nuclear installations. As a regulator, the Health and Safety Executive (HSE), and its inspectorate responsible for regulation of the nuclear industry, HM Nuclear Installations Inspectorate (HMNII), are not the appropriate organization to assess the safety culture of an organization, but positively encourage organizations to both carry out this assessment themselves and to monitor their performance. To this end, HSE has developed, and made available, the Health and Safety Climate Tool which is aimed at providing organizations with information which can be used as part of a continuous improvement process. (author)

  6. Implementing and measuring safety goals and safety culture. 3. Shifting to a Coaching Culture Through a 360-Degree Assessment Process

    International Nuclear Information System (INIS)

    Snow, Bruce A.; Maciuska, Frank

    2001-01-01

    Error-free operation is the ultimate objective of any safety culture. Ginna Training and Operations has embarked on an approach directed at further developing coaching skills, attitudes, and values. To accomplish this, a 360-deg assessment process designed to enhance coaching skills, attitudes, and values has been implemented. The process includes measuring participants based on a set of values and an individual self-development plan based on the feedback from the 360-deg assessment. The skills and experience of the people who make up that culture are irreplaceable. As nuclear organizations mature and generations retire, knowledge and skills must be transferred to the incoming generations without a loss in performance. The application of a 360- deg assessment process can shift the culture to include coaching in a strong command and control environment. It is a process of change management strengthened by experience while meeting the challenge to improve human performance by changing workplace attitudes. At Ginna, training programs and new processes were initiated to pursue the ultimate objective: error-free operation. The overall objective of the programs is to create a common knowledge base and the skill required to consistently incorporate ownership of 'coach and collaborate' responsibility into a strong existing 'command and control' culture. This involves the role of coach; the role of communications; and concept integration, which includes communications, coaching, and team dimensional training (TDT). The overall objective of the processes, TDT and shifting to a coaching culture through the application of a 360-deg assessment process, is to provide guidance for applying the skills learned in the programs. As depicted in Fig. 1, the TDT (a process that identifies 'strengths and challenges') can be greatly improved by applying good communications and coaching practices. As the training programs were implemented, the participants were observed and coached in

  7. Development of the Continued Improvement System for Nuclear Safety Culture

    International Nuclear Information System (INIS)

    Park, H. C.; Park, H. G.; Park, Y. W.; Park, J. Y.

    2016-01-01

    It has been found that almost 80 % of the incidents and accidents occurred recently, such as the Fukushima Daiichi disaster and Domestic SBO accident etc. were analyzed to be caused from human errors. (IAEA NES NG-G-2.1) Which strongly claims the importance of the safety culture system. Accordingly, it should be away from a cursory approach like one-off field survey or Snap shop which were being conducted at present for the continued improvement of safety culture. This study introduces an analytical methodology which approaches the generic form of the safety both consciously and unconsciously expressed with behavior, thoughts, and attitude etc. This study was implemented only for open materials such as Inspection report, incidents and accidents reports, QA documents because of the limitation in accessibility to data. More effective use with securing operational data will be possible in future

  8. Development of a Novel Nuclear Safety Culture Evaluation Method for an Operating Team Using Probabilistic Safety Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Han, Sangmin; Lee, Seung Min; Seong, Poong Hyun [KAIST, Daejeon (Korea, Republic of)

    2015-05-15

    IAEA defined safety culture as follows: 'Safety Culture is that assembly of characteristics and attitudes in organizations and individuals which establishes that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance'. Also, celebrated behavioral scientist, Cooper, defined safety culture as,'safety culture is that observable degree of effort by which all organizational members direct their attention and actions toward improving safety on a daily basis' with his internal psychological, situational, and behavioral context model. With these various definitions and criteria of safety culture, several safety culture assessment methods have been developed to improve and manage safety culture. To develop a new quantitative safety culture evaluation method for an operating team, we unified and redefined safety culture assessment items. Then we modeled a new safety culture evaluation by adopting level 1 PSA concept. Finally, we suggested the criteria to obtain nominal success probabilities of assessment items by using 'operational definition'. To validate the suggested evaluation method, we analyzed the collected audio-visual recording data collected from a full scope main control room simulator of a NPP in Korea.

  9. Development of a Novel Nuclear Safety Culture Evaluation Method for an Operating Team Using Probabilistic Safety Analysis

    International Nuclear Information System (INIS)

    Han, Sangmin; Lee, Seung Min; Seong, Poong Hyun

    2015-01-01

    IAEA defined safety culture as follows: 'Safety Culture is that assembly of characteristics and attitudes in organizations and individuals which establishes that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance'. Also, celebrated behavioral scientist, Cooper, defined safety culture as,'safety culture is that observable degree of effort by which all organizational members direct their attention and actions toward improving safety on a daily basis' with his internal psychological, situational, and behavioral context model. With these various definitions and criteria of safety culture, several safety culture assessment methods have been developed to improve and manage safety culture. To develop a new quantitative safety culture evaluation method for an operating team, we unified and redefined safety culture assessment items. Then we modeled a new safety culture evaluation by adopting level 1 PSA concept. Finally, we suggested the criteria to obtain nominal success probabilities of assessment items by using 'operational definition'. To validate the suggested evaluation method, we analyzed the collected audio-visual recording data collected from a full scope main control room simulator of a NPP in Korea

  10. How to Improve Patient Safety Culture in Croatian Hospitals?

    Science.gov (United States)

    Šklebar, Ivan; Mustajbegović, Jadranka; Šklebar, Duška; Cesarik, Marijan; Milošević, Milan; Brborović, Hana; Šporčić, Krunoslav; Petrić, Petar; Husedžinović, Ino

    2016-09-01

    Patient safety culture (PCS) has a crucial impact on the safety practices of healthcare delivery systems. The purpose of this study was to assess the state of PSC in Croatian hospitals and compare it with hospitals in the United States. The study was conducted in three public general hospitals in Croatia using the Croatian translation of the Hospital Survey of Patient Safety Culture (HSOPSC). A comparison of the results from Croatian and American hospitals was performed using a T-square test. We found statistically significant differences in all 12 PSC dimensions. Croatian responses were more positive in the two dimensions of Handoff s and Transitions and Overall Perceptions of Patient Safety. In the remaining ten dimensions, Croatian responses were less positive than in US hospitals, with the most prominent areas being Nonpunitive Response to Error, Frequency of Events Reported, Communication Openness, Teamwork within Units, Feedback & Communication about Error, Management Support for Patient Safety, and Staffing. Our findings show that PSC is significantly lower in Croatian than in American hospitals, particularly in the areas of Nonpunitive Response to Error, Leadership, Teamwork, Communication Openness and Staffing. This suggests that a more comprehensive system for the improvement of patient safety within the framework of the Croatian healthcare system needs to be developed. Our findings also help confirm that HSOPSC is a useful and appropriate tool for the assessment of PSC. HSOPSC highlights the PSC components in need of improvement and should be considered for use in national and international benchmarking.

  11. Changing the Culture at CERN

    CERN Multimedia

    2002-01-01

    'Change at CERN' is a major theme of the Management's draft Mid-Term plan that Director General, Luciano Maiani, presented to the staff on 4 April. One important change is to encourage more openness and better communication between the different sectors at CERN. For its part, the Bulletin is beginning a series of articles about the proposals presented in the draft plan. This week we begin with one aspect of Industrial Services. Future articles will cover the work of all the Task Forces, including such topics as the restructuring of the Accelerator Sector, Locally Recruited Staff, and Earned Value reporting. If you have any proposals for topics that you would like to see on these pages please send your suggestions via the form on the Users' Web Page, 'Suggestions for Change'.

  12. 75 FR 1656 - Draft Safety Culture Policy Statement: Request for Public Comments; Extension of Comment Period

    Science.gov (United States)

    2010-01-12

    ... COMMISSION Draft Safety Culture Policy Statement: Request for Public Comments; Extension of Comment Period AGENCY: Nuclear Regulatory Commission (NRC). ACTION: Issuance of draft safety culture policy statement... a draft policy statement on safety culture to include the unique aspects of nuclear safety and...

  13. Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial

    NARCIS (Netherlands)

    Verbakel, N.J.; Langelaan, M.; Verheij, T.J.M.; Wagner, C.; Zwart, D.L.M.

    2015-01-01

    Background: A constructive safety culture is essential for the successful implementation of patient safety improvements. Aim: To assess the effect of two patient safety culture interventions on incident reporting as a proxy of safety culture. Design and setting: A three-arm cluster randomised trial

  14. Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.

    NARCIS (Netherlands)

    Verbakel, N.J.; Langelaan, M.; Verheij, T.J.M.; Wagner, C.; Zwart, D.L.M.

    2015-01-01

    Background A constructive safety culture is essential for the successful implementation of patient safety improvements. Aim To assess the effect of two patient safety culture interventions on incident reporting as a proxy of safety culture. Design and setting A three-arm cluster randomised trial was

  15. Keeping patients safe in healthcare organizations: a structuration theory of safety culture.

    Science.gov (United States)

    Groves, Patricia S; Meisenbach, Rebecca J; Scott-Cawiezell, Jill

    2011-08-01

    This paper presents a discussion of the use of structuration theory to facilitate understanding and improvement of safety culture in healthcare organizations. Patient safety in healthcare organizations is an important problem worldwide. Safety culture has been proposed as a means to keep patients safe. However, lack of appropriate theory limits understanding and improvement of safety culture. The proposed structuration theory of safety culture was based on a critique of available English-language literature, resulting in literature published from 1983 to mid-2009. CINAHL, Communication and Mass Media Complete, ABI/Inform and Google Scholar databases were searched using the following terms: nursing, safety, organizational culture and safety culture. When viewed through the lens of structuration theory, safety culture is a system involving both individual actions and organizational structures. Healthcare organization members, particularly nurses, share these values through communication and enact them in practice, (re)producing an organizational safety culture system that reciprocally constrains and enables the actions of the members in terms of patient safety. This structurational viewpoint illuminates multiple opportunities for safety culture improvement. Nurse leaders should be cognizant of competing value-based culture systems in the organization and attend to nursing agency and all forms of communication when attempting to create or strengthen a safety culture. Applying structuration theory to the concept of safety culture reveals a dynamic system of individual action and organizational structure constraining and enabling safety practice. Nurses are central to the (re)production of this safety culture system. © 2011 Blackwell Publishing Ltd.

  16. Safety culture of complex risky systems: the Nuclear Engineering Institute case study

    International Nuclear Information System (INIS)

    Obadia, Isaac Jose; Vidal, Mario Cesar Rodriguez; Melo, Paulo Fernando F. Frutuoso e

    2002-01-01

    Analysis of industrial accidents have demonstrated that safe and reliable operation of complex industrial processes that use risky technology and/or hazard material depends not only on technical factors but on human and organizational factors as well. After the Chernobyl nuclear accident in 1986, the International Atomic Energy Agency established the safety culture concept and started a safety culture enhancement program within nuclear organizations worldwide. The Nuclear Engineering Institute, IEN, is a research and technological development unit of the Brazilian Nuclear Energy Commission, CNEN, characterized as a nuclear and radioactive installation where processes presenting risks to operators and to the environment are executed. In 1999, IEN started a management change program, aiming to achieve excellence of performance, based on the Model of Excellence of the National Quality Award. IEN's safety culture project is based on IAEA methodology and has been incorporated to the organizational management process. This work presents IEN's safety culture project; the results obtained on the initial safety culture assessment and the following project actions. (author)

  17. IAEA/USDOE senior management workshop on promotion of safety culture for the NPPS with RBMK reactors. Working material

    International Nuclear Information System (INIS)

    1997-01-01

    The current workshop, co-sponsored by the IAEA and USDOE, was a continuation of the previous effort for further promotion of safety culture at RBMK NPPs. The objective of the workshop was to provide a forum for senior managers from governmental organizations and operating organizations to further exchange experience in understanding the factors influencing safety culture, in assessing safety culture at their own organizations and developing safety culture at RBMK NPPs. The workshop consisted of a broad scope of presentations to review the basic concepts and major elements of safety culture (ownership, accountability, pride, job satisfaction, trust, openness, etc.), to identify and discuss the various approaches used in different countries in attaining a strong safety culture, and to explain, through the use of practical examples, what the benefits of a strong safety culture are; how to improve the behavior of people, how to gain trust and openness, how to overcome difficulties in changing staff's attitudes, and how to manage safety culture. 2 figs

  18. Developing the radiation protection safety culture in the UK

    International Nuclear Information System (INIS)

    Cole, P; Marsh, A; Hallard, R; Broughton, J; Coates, R; Croft, J; Davies, K; Devine, I; Lewis, C; Marsden, P; McGeary, R; Riley, P; Rogers, A; Rycraft, H; Shaw, A

    2014-01-01

    In the UK, as elsewhere, there is potential to improve how radiological challenges are addressed through improvement in, or development of, a strong radiation protection (RP) safety culture. In preliminary work in the UK, two areas have been identified as having a strong influence on UK society: the healthcare and nuclear industry sectors. Each has specific challenges, but with many overlapping common factors. Other sectors will benefit from further consideration. In order to make meaningful comparisons between these two principal sectors, this paper is primarily concerned with cultural aspects of RP in the working environment and occupational exposures rather than patient doses. The healthcare sector delivers a large collective dose to patients each year, particularly for diagnostic purposes, which continues to increase. Although patient dose is not the focus, it must be recognised that collective patient dose is inevitably linked to collective occupational exposure, especially in interventional procedures. The nuclear industry faces major challenges as work moves from operations to decommissioning on many sites. This involves restarting work in the plants responsible for the much higher radiation doses of the 1960/70s, but also performing tasks that are considerably more difficult and hazardous than those original performed in these plants. Factors which influence RP safety culture in the workplace are examined, and proposals are considered for a series of actions that may lead to an improvement in RP culture with an associated reduction in dose in many work areas. These actions include methods to improve knowledge and awareness of radiation safety, plus ways to influence management and colleagues in the workplace. The exchange of knowledge about safety culture between the nuclear industry and medical areas may act to develop RP culture in both sectors, and have a wider impact in other sectors where exposures to ionising radiations can occur. (memorandum)

  19. Cultivation of nuclear safety culture in Guangdong Nuclear Power Station (GNPS)

    International Nuclear Information System (INIS)

    Lu Wei; Tang Yanzhao

    2004-01-01

    Probed into the concept and developing phases of safety couture in the management of nuclear power station, especially analyzed the background and the road of cultivating nuclear safety culture in GNPS, highlighted the core concept of GNPS nuclear safety culture, presented GNPS safety culture indicators, summarized the major measures taken by GNPS, depicted the propagandizing process of transparency in GNPS, and systematically appraised the effect of GNPS in implementing nuclear safety culture. (authors)

  20. Assessment of Patient Safety Culture in a Selected Number of Pharmacies Affiliated to Mashhad University of Medical Sciences Using the Pharmacy Survey on Patient Safety Culture (SOPS

    Directory of Open Access Journals (Sweden)

    Sara Jamili

    2016-07-01

    Conclusion: According to the results of this study, commitment of healthcare authorities to patient safety culture is the most important factor in the promotion of organizational patient safety. Considering that the lowest score of patient safety culture belonged to the dimension of “overall perceptions of patient safety”,it is recommended that related training interventions be implemented for healthcare staff in order to establish and promote the patient safety culture in pharmacies.

  1. The Impact of Language and Culture Diversity in Occupational Safety.

    Science.gov (United States)

    De Jesus-Rivas, Mayra; Conlon, Helen Acree; Burns, Candace

    2016-01-01

    Occupational health nursing plays a critical part in improving the safety of foreign labor workers. The development and implementation of safety training programs do not always regularly take into account language barriers, low literacy levels, or cultural elements. This oversight can lead to more injuries and fatalities among this group. Despite established health and safety training programs, a significant number of non-native English speakers are injured or killed in preventable, occupation-related accidents. Introducing safety programs that use alternative teaching strategies such as pictograms, illustrations, and hands-on training opportunities will assist in addressing challenges for non-English laborers. Occupational health nursing has an opportunity to provide guidance on this subject and assist businesses in creating a safer and more productive work environment. © 2015 The Author(s).

  2. DISPELLING MYTHS AND MISCONCEPTIONS TO IMPLEMENT A SAFETY CULTURE

    Energy Technology Data Exchange (ETDEWEB)

    Potts, T. Todd; Smith, Ken; Hylko, James M.

    2003-02-27

    Industrial accidents are typically reported in terms of technological malfunctions, ignoring the human element in accident causation. However, over two-thirds of all accidents are attributable to human and organizational factors (e.g., planning, written procedures, job factors, training, communication, and teamwork), thereby affecting risk perception, behavior and attitudes. This paper reviews the development of WESKEM, LLC's Environmental, Safety, and Health (ES&H) Program that addresses human and organizational factors from a top-down, bottom-up approach. This approach is derived from the Department of Energy's Integrated Safety Management System. As a result, dispelling common myths and misconceptions about safety, while empowering employees to ''STOP work'' if necessary, have contributed to reducing an unusually high number of vehicle, ergonomic and slip/trip/fall incidents successfully. Furthermore, the safety culture that has developed within WESKEM, LLC's workforce consists of three common characteristics: (1) all employees hold safety as a value; (2) each individual feels responsible for the safety of their co-workers as well as themselves; and (3) each individual is willing and able to ''go beyond the call of duty'' on behalf of the safety of others. WESKEM, LLC as a company, upholds the safety culture and continues to enhance its existing ES&H program by incorporating employee feedback and lessons learned collected from other high-stress industries, thereby protecting its most vital resource - the employees. The success of this program is evident by reduced accident and injury rates, as well as the number of safe work hours accrued while performing hands-on field activities. WESKEM, LLC (Paducah + Oak Ridge) achieved over 800,000 safe work hours through August 2002. WESKEM-Paducah has achieved over 665,000 safe work hours without a recordable injury or lost workday case since it started operations on

  3. On the role of safety culture in risk-informed regulation

    International Nuclear Information System (INIS)

    Sorensen, J.N.; Apostolakis, G.E.; Powers, D.A.

    2000-01-01

    There is a widespread belief that safety culture is an important contributor to safety of operations. The commonly accepted attributes of safety culture include good organizational communications, good organizational learning, and senior management commitment to safety. Safety culture may be particularly important in reducing latent errors in complex, well-defended systems. The role of regulatory bodies in fostering strong safety cultures remains unclear, and additional work is required to define the essential attributes of safety culture and to identify reliable performance indicators. (author)

  4. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.

    Science.gov (United States)

    Szekendi, Marilyn K; Barnard, Cynthia; Creamer, Julie; Noskin, Gary A

    2010-01-01

    Although creating a culture of safety to support clinicians and improve the quality of patient care is a common goal among health care organizations, it can be difficult to envision specific efforts to directly influence organizational culture. To promote transparency and reinforce a nonpunitive attitude throughout the organization, a forum for the open, interdisciplinary discussion of patient safety problems--the Patient Safety Morbidity and Mortality (M&M) Conference--was created at Northwestern Memorial Hospital (Chicago). The intent of the M&M conference was to inform frontline providers about adverse events that occur at the hospital and to engage their input in root cause analysis, thereby encouraging reporting and promoting systems-based thinking among clinicians. Convened under the purview of the organization's quality program, and modeled on the traditional M&M conferences historically used by physicians, the conference is a monthly live meeting at which case studies are presented for retrospective (root cause) analysis by an interdisciplinary audience. Since its start in 2003, approximately 60 patient safety M&M programs have been presented. Audiences typically represent a mix of physicians, nurses, pharmacists, management, therapists, and administrative and support staff. Staff perceptions of culture, as measured by the Hospital Survey on Patient Safety Culture, showed statistically significant improvements over time. Ensuring the patient safety M&M conference program's sustained success requires an ongoing commitment to identifying events of clinical importance and to pursuing the productive discussion of these events in an open and safe forum. Patient safety M&M conferences are a valued opportunity to engage staff in exploring adverse events and to promote transparency and a nonpunitive culture.

  5. Stringent cost management and preservation of safety culture, a contradiction?

    International Nuclear Information System (INIS)

    Petersen, Klaus; Pamme, H.

    2002-01-01

    Full text: Competition in the deregulated electricity market does not leave nuclear power plants unaffected. Hence the question is to answer, whether the safety is going to suffer under the cost pressure on the market. Therefore the target of NPP operator's cost management is to run plants at maximum availability and with optimized cost structures that lead to minimized specific generating costs. The c osts of safety , with their fixed-cost character, are elements of this cost structure. The process of economic optimization of the cost structure does not permit cost minimization on its own sake in the area of operation cost and fuel cost (front and back end). The basis of economical assessment rather must be the minimization of potential risks which could entail losses of availability. However, many investments like plant modifications or preventive maintenance efforts made in order to avoid losses of availability to a large extent also imply at least a preservation or even higher levels of safety. Thus, economic efficiency and safety are closely correlated. Public opinion is very sensible as soon as the high level of plant safety seems to be touched by economic pressure. But realizing that German NPP are endowed with mature design and safety features, improvements of safety standards can only marginally be increased by further technical optimizations. Therefore plant management, man-machine-interface and the individual behaviour of the employees are targets for improvement of nuclear safety and economic efficiency by increasing the efficiency of processes. An even more efficient use of scarce funds and a tolerable political environment should allow the safety level of NPP to be upheld, and safety culture could be maintained and even be improved. (author)

  6. Regulatory Body Safety Culture in Non-nuclear HROs: Lessons for Nuclear Regulators

    International Nuclear Information System (INIS)

    Fleming, M.; Bowers, K.

    2016-01-01

    Regulator safety culture is a relatively new area of investigation, even though deficiencies in regulatory oversight have been identified in a number of public inquiries (e.g., Piper Alpha, Deep Water Horizon). More recently the IAEA report into the Fukushima disaster specifically identified the need for regulatory bodies to have a positive safety culture. While there are clear parallels between duty holder safety culture and regulator safety culture there are also likely to be differences. To date they have been no published studies investigating regulator safety culture. In order to develop a framework to understand regulator safety culture we conducted a literature review and interviewed safety culture subject matter experts from a range of HRO domains (e.g., offshore oil and gas). There was general consensus among participants that regulatory safety culture was an important topic that was worthy of further investigation. That there was general agreement that regulatory safety culture was multi-dimensional and that some of the elements of existing safety culture models applied to regulator culture (e.g., learning and leadership). The participants also identified unique dimensions of regulator safety culture including commitment to high standards and ethics, transparency and perceived role of the regulator. In this paper we will present the results of the interviews and present a model of regulator safety culture. This model will be contrasted with models being used in the nuclear industry. Implications for assessing regulatory safety culture will be discussed. (author)

  7. The Psychological Aspect of Safety Culture: Application of the Theory of Generations for the Formation of Safety Culture Among Personnel

    International Nuclear Information System (INIS)

    Melnitckaia, T.B.

    2016-01-01

    The formation of safety culture is an attempt of constructive influence on the socio psychological atmosphere of the team and the behavior of employees. By way of creating specific settings, the value system for the organization staff as part of the organizational culture, it is possible to forecast, plan and promote the desired behavior. However, it is necessary to take into account the corporate culture spontaneously established in the organization. The leaders often try to establish a safety culture, where the progressive values, norms are declared, and the results obtained are not those expected. This is partly because the organizational norms and values implemented come into conflict with reality and, therefore, are actively rejected by many members of the organization. The theory of generations developed by the American scientists (N. Howe, W. Strauss) helps in the analysis and consideration of the staff values formed under the influence of many factors, depending on the age of employees, in the course of safety culture formation. (author)

  8. Culture related to road traffic safety: a comparison of eight countries using two conceptualizations of culture.

    Science.gov (United States)

    Nordfjærn, Trond; Şimşekoğlu, Özlem; Rundmo, Torbjorn

    2014-01-01

    The majority of previous cross-country studies of human factors relevant to traffic safety have not operationalized and measured culture. Also studies in this vein have mostly been carried out in Europe and the United States. The aim of the study was to examine country cluster differences, based on the Culture's Consequences framework, in road traffic risk perception, attitudes towards traffic safety and driver behaviour in samples from Norway, Russia, India, Ghana, Tanzania, Uganda, Turkey and Iran. An additional aim was to examine cluster differences in road traffic culture as symbol use and to investigate whether this theoretical cultural framework predicts risk perception, attitudes towards traffic safety and driver behaviour in the country clusters. The sample consisted of a total of 2418 individuals who were obtained by convenience sampling in the different countries. The countries segmented into four Culture's Consequences clusters; Norway, Russia and India, Sub-Saharan Africa, and Near East countries. The findings showed that Norwegians reported overall safer attitudes towards traffic safety and driver behaviour than the remaining country clusters. Individuals in Africa reported the highest risk perception. The countries also differed substantially in road traffic culture as symbol use. Contrary to established cultural theory, prediction models revealed that cultural factors were stronger predictors of driver behaviour than of risk perception. Also, the social cognitive risk constructs (i.e. risk perception and attitudes) solely explained variance in driver behaviour in the Norwegian and Russia/India clusters. Previous empirical efforts, which aimed to demonstrate that culture is important for the risk perception criterion, may have focused on a criterion variable that is not strongly related to driver behaviour. Furthermore, countermeasures aimed to influence social cognition may have stronger applicability in countries with a more individualistic western

  9. Nuclear security culture in comparison with nuclear safety culture. Resemblances and differences

    International Nuclear Information System (INIS)

    Kawata, Norio

    2015-01-01

    Since the terrorist attacks on the U.S. on September 11th, 2001, Nuclear Security has been focused on and treated as a global issue in the international community and it has also been discussed as a real and serious threat to nuclear power plants in the world since 'The Great East Japan Earthquake' in March, 2011. The International Atomic Energy Agency (IAEA) issued a document including Nuclear Security Recommendations (INFCIRC/225/Rev.5) (NSS 13) in the Nuclear Security Series and emphasized the necessity of fostering Nuclear Security Culture. Nuclear Security Culture has been frequently discussed at various kinds of seminars and events. Since the officials in charge of Nuclear Security are familiar with the area of Nuclear Safety, the relationships between Nuclear Safety Culture and Nuclear Security Culture have been the point in controversy. This paper clarifies relevance between Nuclear Safety and Security, considers resemblances and differences of their concepts and lessons learned for each culture from nuclear power plant accidents, and promotes deeper understanding of Nuclear Safety and Nuclear Security Culture. (author)

  10. The Impact of Information Culture on Patient Safety Outcomes

    Science.gov (United States)

    Mikkonen, Santtu; Saranto, Kaija; Bates, David W.

    2017-01-01

    Summary Background An organization’s information culture and information management practices create conditions for processing patient information in hospitals. Information management incidents are failures that could lead to adverse events for the patient if they are not detected. Objectives To test a theoretical model that links information culture in acute care hospitals to information management incidents and patient safety outcomes. Methods Reason’s model for the stages of development of organizational accidents was applied. Study data were collected from a cross-sectional survey of 909 RNs who work in medical or surgical units at 32 acute care hospitals in Finland. Structural equation modeling was used to assess how well the hypothesized model fit the study data. Results Fit indices indicated a good fit for the model. In total, 18 of the 32 paths tested were statistically significant. Documentation errors had the strongest total effect on patient safety outcomes. Organizational guidance positively affected information availability and utilization of electronic patient records, whereas the latter had the strongest total effect on the reduction of information delays. Conclusions Patient safety outcomes are associated with information management incidents and information culture. Further, the dimensions of the information culture create work conditions that generate errors in hospitals. PMID:28272647

  11. A study on Impact of Safety Culture on Safety Behavior: Moderating effect of Prevention Focus

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Sun Chul; Jung, Su Jin; Choi, Young Sung [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    In modern society, it has been acknowledged that disasters caused by civilization became inevitable. With growing attention to role of human as one component of the system to cope with accident to prevent disasters, various efforts have been deployed to keep safety. Most of the industries with high hazard have adopted the term as their banner in the efforts to promote safety in their installations and operations. Recently, the Fukushima nuclear power plants(NPPs) accident happened in Japan in 2011 resulted in great impact over the world and have highlighted the importance of safety culture again.

  12. Development of an Evaluation Method for Team Safety Culture Competencies using Social Network Analysis

    International Nuclear Information System (INIS)

    Han, Sang Min; Kim, Ar Ryum; Seong, Poong Hyun

    2016-01-01

    In this study, team safety culture competency of a team was estimated through SNA, as a team safety culture index. To overcome the limit of existing safety culture evaluation methods, the concept of competency and SNA were adopted. To estimate team safety culture competency, we defined the definition, range and goal of team safety culture competencies. Derivation of core team safety culture competencies is performed and its behavioral characteristics were derived for each safety culture competency, from the procedures used in NPPs and existing criteria to assess safety culture. Then observation was chosen as a method to provide the input data for the SNA matrix of team members versus insufficient team safety culture competencies. Then through matrix operation, the matrix was converted into the two meaningful values, which are density of team members and degree centralities of each team safety culture competency. Density of tem members and degree centrality of each team safety culture competency represent the team safety culture index and the priority of team safety culture competency to be improved

  13. Culture and cognition in health systems change.

    Science.gov (United States)

    Evans, Jenna M; Baker, G Ross; Berta, Whitney; Barnsley, Jan

    2015-01-01

    Large-scale change involves modifying not only the structures and functions of multiple organizations, but also the mindsets and behaviours of diverse stakeholders. This paper focuses on the latter: the informal, less visible, and often neglected psychological and social factors implicated in change efforts. The purpose of this paper is to differentiate between the concepts of organizational culture and mental models, to argue for the value of applying a shared mental models (SMM) framework to large-scale change, and to suggest directions for future research. The authors provide an overview of SMM theory and use it to explore the dynamic relationship between culture and cognition. The contributions and limitations of the theory to change efforts are also discussed. Culture and cognition are complementary perspectives, providing insight into two different levels of the change process. SMM theory draws attention to important questions that add value to existing perspectives on large-scale change. The authors outline these questions for future research and argue that research and practice in this domain may be best served by focusing less on the potentially narrow goal of "achieving consensus" and more on identifying, understanding, and managing cognitive convergences and divergences as part of broader research and change management programmes. Drawing from both cultural and cognitive paradigms can provide researchers with a more complete picture of the processes by which coordinated action are achieved in complex change initiatives in the healthcare domain.

  14. Assessment of safety culture in the Iranian nuclear installations

    International Nuclear Information System (INIS)

    Farahani, H.F.; Davilu, H.; Sepanloo, K.

    2005-01-01

    The deficient safety culture (S.C) is the center of safety issues of nuclear industry. To benefit from the advantages of nuclear technology and considering the fact of potential hazards of accidents in nuclear installations it is essential to view safety as the highest priority. S.C is an amalgamation of values, standards, morals and norms of acceptable behavior. Organizations having effective S.C show constant commitment to safety as a top level priority. Furthermore, the personnel of a nuclear facility shall recognize the safety significance of their tasks. Many people even those who work in the field of safety do not have a correct understanding of what S.C looks like in practical sense. In this study, by conducting a survey according to IAEA-TECDOC-1329 in some nuclear facilities, the S.C within the Iranian nuclear facilities is assessed. The human and organizational factors in Tehran Research Reactor are evaluated using a questionnaire method with active participation of the reactor operators. The results sho w that the operators are pretty aware of the subject. Also it has been identified some areas of improvement. (authors)

  15. A situational approach to the measurement of safety culture

    International Nuclear Information System (INIS)

    Semmer, N.; Regennass, A.

    1997-01-01

    Values and social norms are the main target of most approaches to the study of safety culture and many existing survey methodologies directly ask for these norms and values. However, a number of considerations point to the dangers of limiting the evaluation of safety culture to the analysis of these responses. Therefore the necessity is stressed to also consider how actual situations activate norms and behaviours. This relates to the fact that in any given situation both aspects of the appraisal of reality are present: the objective definition of the situation and its personal evaluation. The latter not only reflects the ''official'' norms and values but also ''basic underlying assumptions''. The situational approach introduced in this paper confronts people with situations which contain a dilemma with conflicting social norms and where various costs and benefits are associated with different types of behaviour. In addition, the prerequisites and limitations of the situational approach are discussed. (author). 9 refs, 1 fig

  16. Study on team characteristics influencing on nuclear safety culture in Korea based on Bayesian networks

    International Nuclear Information System (INIS)

    Young-gab, K.; Chan-ho, S.; Jeong-jin, P.

    2014-01-01

    The safety culture of Korean nuclear power plants has been settled down as an organizational culture since the Chernobyl accident in 1986. Reason (1997) proposed that safety culture is a sub-culture of corporate culture and sub-culture is a term that can be used interchangeably to a sub-group of people (i.e., department, workgroup). Therefore, the safety culture of organization comprised of various teams can be told as a culture to reflect team characteristics and interact with each other. Team characteristics have something to do with a successful task performance and task efficiency. However, the team characteristics in nuclear power plant have to consider safety preferentially rather than performance. Team characteristics for a safety are necessary to ensure and enhance the safety of safety-critical system. This paper proposed team characteristics for a safety which influence on the strong and vulnerable area of safety culture. These characteristics were analyzed on the basis of the safety culture evaluation which was performed to measure the level of plant workers' safety culture in 2013. The model of team characteristics was constructed considering Bayesian inference and the result was proposed according to workers' awareness. Safety team characteristics have a direct or indirect effect on the safety of nuclear power plants. Therefore, if they are improved and trained continuously, the safety of nuclear power plants might be enhanced. (author)

  17. The advantages of creating a positive radiation safety culture in the higher education and research sectors

    International Nuclear Information System (INIS)

    Coldwell, T; Cole, P; Edwards, C; Makepeace, J; Murdock, C; Odams, H; Whitcher, R; Willis, S; Yates, L

    2015-01-01

    The safety culture of any organisation plays a critical role in setting the tone for both effective delivery of service and high standards of performance. By embedding safety at a cultural level, organisations are able to influence the attitudes and behaviours of stakeholders. To achieve this requires the ongoing commitment of heads of organisations and also individuals to prioritise safety no less than other competing goals (e.g. in universities, recruitment and retention are key) to ensure the protection of both people and the environment.The concept of culture is the same whatever the sector, e.g. medical, nuclear, industry, education, and research, but the higher education and research sectors within the UK are a unique challenge in developing a strong safety culture.This report provides an overview of the challenges presented by the sector, the current status of radiation protection culture, case studies to demonstrate good and bad practice in the sector and the practical methods to influence change. (practical matter)

  18. Culture, Urbanism and Changing Human Biology

    OpenAIRE

    Schell, L.M.

    2014-01-01

    Anthropologists have long known that human activity driven by culture changes the environment. This is apparent in the archaeological record and through the study of the modern environment. Perhaps the largest change since the paleolithic era is the organization of human populations in cities. New environments can reshape human biology through evolution as shown by the evolution of the hominid lineage. Evolution is not the only process capable of reshaping our biology. Some changes in our hum...

  19. Role of management in the development of safety culture at the operating organization

    International Nuclear Information System (INIS)

    Zhong, W.

    1997-01-01

    Role of management in the development of safety culture at the operating organization to offer practical suggestions to assist in the development or improvement of a progressive safety culture. 2 figs

  20. Discussion on establishment and improvement of the nuclear safety culture system

    International Nuclear Information System (INIS)

    Lu Weiqiang; Na Fuli

    2010-01-01

    By discussion of the problems in the manufacture process of nuclear power equipment enterprisers, puts forwards the tentative idea of establishment the nuclear safety culture system, meanwhile, gives some suggestions in order to improving the nuclear safety culture system. (authors)

  1. Culture, Urbanism and Changing Human Biology.

    Science.gov (United States)

    Schell, L M

    2014-04-03

    Anthropologists have long known that human activity driven by culture changes the environment. This is apparent in the archaeological record and through the study of the modern environment. Perhaps the largest change since the paleolithic era is the organization of human populations in cities. New environments can reshape human biology through evolution as shown by the evolution of the hominid lineage. Evolution is not the only process capable of reshaping our biology. Some changes in our human biology are adaptive and evolutionary while others are pathological. What changes in human biology may be wrought by the modern urban environment? One significant new change in the environment is the introduction of pollutants largely through urbanization. Pollutants can affect human biology in myriad ways. Evidence shows that human growth, reproduction, and cognitive functioning can be altered by some pollutants, and altered in different ways depending on the pollutant. Thus, pollutants have significance for human biologists and anthropologists generally. Further, they illustrate the bio-cultural interaction characterizing human change. Humans adapt by changing the environment, a cultural process, and then change biologically to adjust to that new environment. This ongoing, interactive process is a fundamental characteristic of human change over the millennia.

  2. Safety culture relationships with hospital nursing sensitive metrics.

    Science.gov (United States)

    Brown, Diane Storer; Wolosin, Robert

    2013-01-01

    Public demand for safer care has catapulted the healthcare industry's efforts to understand relationships between patient safety and hospital performance. This study explored linkages between staff perceptions of safety culture (SC) and ongoing measures of hospital nursing unit-based structures, care processes, and adverse patient outcomes. Relationships between nursing-sensitive measures of hospital performance and SC were explored at the unit-level from 9 California hospitals and 37 nursing units. SC perceptions were measured 6 months prior to collection of nursing metrics and relationships between the two sets of data were explored using correlational and regression analyses. Significant relationships were found with reported falls and process measures for fall prevention. Multiple associations were identified with SC and the structure of care delivery: skill mix, staff turnover, and workload intensity demonstrated significant relationships with SC, explaining 22-45% of the variance. SC was an important factor to understand in the quest to advance safe patient care. These findings have affordability and care quality implications for hospital leadership. When senior leaders prioritized a safety culture, patient outcomes may have improved with less staff turnover and more productivity. A business case could be made for investing in patient safety systems to provide reliably safe care. © 2013 National Association for Healthcare Quality.

  3. [Out of hospital emergencies towards a safety culture].

    Science.gov (United States)

    Cano-del Pozo, M I; Obón-Azuara, B; Valderrama-Rodríguez, M; Revilla-López, C; Brosed-Yuste, C; Fajardo-Trasobares, E; Garcés-Baquero, P; Mateo-Clavería, J; Molina-Estrada, I; Perona-Flores, N; Salcedo-de Dios, S; Tomé-Rey, A

    2014-01-01

    The aim of this study is to measure the degree of safety culture (CS) among healthcare professional workers of an out-of-hospital Emergency Medical Service. Most patient safety studies have been conducted in relation to the hospital rather than pre-hospital Emergency Medical Services. The objective is to analyze the dimensions with lower scores in order to plan futures strategies. A descriptive study using the AHRQ (Agency for Healthcare Research and Quality) questionnaire. The questionnaire was delivered to all healthcare professionals workers of 061 Advanced Life Support Units of Aragón, during the month of August 2013. The response rate was 55%. Main strengths detected: an adequate number of staff (96%), good working conditions (89%), tasks supported from immediate superior (77%), teamwork climate (74%), and non-punitive environment to report adverse events (68%). Areas for improvement: insufficient training in patient safety (53%) and lack of feedback of incidents reported (50%). The opportunities for improvement identified focus on the training of professionals in order to ensure safer care, while extending the safety culture. Also, the implementation of a system of notification and registration of adverse events in the service is deemed necessary. Copyright © 2014 SECA. Published by Elsevier Espana. All rights reserved.

  4. Radiological safety in petroleum industry. Towards prevention culture

    International Nuclear Information System (INIS)

    Truppa, Walter A.

    2007-01-01

    Within the frame of regulatory control of industrial applications the audit of sealed and open radioactive sources in oil uses is one of the most relevant. The handling of radioactive sources, the requirement of procedures and training are just a few examples among all those that make up the radiological safety culture. A number of requirements divided into three main groups: operational safety at the storage area of radioactive sources, during transportation and during the applications (Cementation, well logging and use of radiotracers) are highlighted. Due to the great number of aspects that have to be taken in account as well as the interrelation of all control processes it is highly recommended that aspects of safety culture and quality should be considered and improvements regarding prevention, should be introduced so as to correct deviations that could arise in order to avoid radiological risk situations, emphasizing risk perception situations, attitude training, implementation of audit and level of safety in the facilities and control of duties, involving radiological material handling, described in the present work. (author) [es

  5. Patient safety culture in obstetrics and gynecology and neonatology units: the nurses' and the midwives' opinion: Patient safety culture.

    Science.gov (United States)

    Ribeliene, Janina; Blazeviciene, Aurelija; Jolanta Nadisauskiene, Ruta; Tameliene, Rasa; Kudreviciene, Ausrele; Nedzelskiene, Irena; Macijauskiene, Jurate

    2018-04-04

    Patients treated in healthcare facilities that provide services in the fields of obstetrics, gynecology, and neonatology are especially vulnerable. Large multidisciplinary teams of physicians, multiple invasive and noninvasive diagnostic and therapeutic procedures, and the use of advanced technologies increase the probability of adverse events.The evaluation of knowledge about patient safety culture among nurses and midwives working in such units and the identification of critical areas at a healthcare institution would reduce the number of adverse events and improve patient safety. The aim of the study was to evaluate the opinion of nurses and midwives working in clinical departments that provide services in the fields of obstetrics, gynecology, and neonatology about patient safety culture and to explore potential predictors for the overall perception of safety. We used the Hospital Survey on Patient Safety Culture (HSOPSC) to evaluate nurses' and midwives'opinion about patient safety issues. The overall response rate in the survey was 100% (n = 233). The analysis of the dimensions of safety on the unit level showed that the respondents' most positive evaluations were in the Organizational Learning - Continuous Improvement (73.2%) and Feedback and Communication about Error (66.8%) dimensions, and the most negative evaluations- in the Non-punitive Response to Error (33.5%) and Staffing (44.6%) dimensions. On the hospital level, the evaluation of the safety dimensions ranged between 41.4 and 56.8%. The percentage of positive responses in the outcome dimensions Frequency of Events Reported was 82.4%. We found a significant association between the outcome dimension Frequency of Events Reported and the Hospital Management Support for Patient Safety and Feedback and Communication about Error dimensions. On the hospital level, the critical domains in healthcare facilities that provide services in the fields of obstetrics, gynecology, and neonatology were Teamwork Across

  6. A guideline for comprehensive evaluation of a licensee's effort to cultivate safety culture

    International Nuclear Information System (INIS)

    Makino, Maomi; Ishii, Yoichi

    2009-01-01

    The nuclear industry in Japan had held excellent performance in safety in the world during 90's. However recent events stem from organizational factors and defects of safety culture are pointed out in their contexts. In order to reduce accidents caused by organizational factors, the Japanese Regulatory body NISA (Nuclear and Industrial Safety Agency) decided to evaluate a licensee's effort for the cultivation of safety culture, and to order all licensses to add the provision of cultivating safety culture to their safety preservation rules. The inspection for the new safety preservation rules started in December, 2007. For a measure of evaluation by resident inspectors, NISA and the Japan Nuclear Energy Safety Organization (JNES) prepared a guideline for the prevention of degradation of safety culture and organizational climate. In this guideline, 14 items were defined as the components of the safety culture or as the viewpoints to evaluate the effort made to prevent any degradation of safety culture and organizational climate in the daily safety preservation activities. The 14 items are also used to establish the method to comprehensively evaluate the effort to prevent degradation of safety culture and organizational climate. This method consists of 10 steps: two steps to taken prior to start of the evaluation, two steps to be taken during the evaluation period, 5 steps to be taken during a comprehensive evaluation period and a final step to be taken for comprehensive findings for safety culture. This paper mainly describes the viewpoints to evaluate comprehensively a licensee's effort for cultivation of safety culture. (author)

  7. 75 FR 20009 - Development of NRC's Safety Culture Policy Statement: Cancellation of Public Workshops Scheduled...

    Science.gov (United States)

    2010-04-16

    ... COMMISSION Development of NRC's Safety Culture Policy Statement: Cancellation of Public Workshops Scheduled... apply to all licensees/certificate holders; and (3) receive comments on the draft safety culture policy... forging a consensus around the objectives, strategies, activities and measures that enhance safety culture...

  8. Sustaining organizational culture change in health systems.

    Science.gov (United States)

    Willis, Cameron David; Saul, Jessie; Bevan, Helen; Scheirer, Mary Ann; Best, Allan; Greenhalgh, Trisha; Mannion, Russell; Cornelissen, Evelyn; Howland, David; Jenkins, Emily; Bitz, Jennifer

    2016-01-01

    The questions addressed by this review are: first, what are the guiding principles underlying efforts to stimulate sustained cultural change; second, what are the mechanisms by which these principles operate; and, finally, what are the contextual factors that influence the likelihood of these principles being effective? The paper aims to discuss these issues. The authors conducted a literature review informed by rapid realist review methodology that examined how interventions interact with contexts and mechanisms to influence the sustainability of cultural change. Reference and expert panelists assisted in refining the research questions, systematically searching published and grey literature, and helping to identify interactions between interventions, mechanisms and contexts. Six guiding principles were identified: align vision and action; make incremental changes within a comprehensive transformation strategy; foster distributed leadership; promote staff engagement; create collaborative relationships; and continuously assess and learn from change. These principles interact with contextual elements such as local power distributions, pre-existing values and beliefs and readiness to engage. Mechanisms influencing how these principles sustain cultural change include activation of a shared sense of urgency and fostering flexible levels of engagement. The principles identified in this review, along with the contexts and mechanisms that influence their effectiveness, are useful domains for policy and practice leaders to explore when grappling with cultural change. These principles are sufficiently broad to allow local flexibilities in adoption and application. This is the first study to adopt a realist approach for understanding how changes in organizational culture may be sustained. Through doing so, this review highlights the broad principles by which organizational action may be organized within enabling contextual settings.

  9. Climate Change and Food Safety: Beyond Production

    Science.gov (United States)

    Ziska, L. H.; Crimmins, A. R.

    2016-12-01

    There is merited interest in determining the extent of climate disruption on agricultural production and food security. However, additional aspects of food security, including food safety, nutrition and distribution have, overall, received less attention. Beginning in 2013, the U.S. Global Change Research Program as part of the ongoing National Climate Assessment, began a directed effort to evaluate the vulnerability of climate change to these under-represented aspects of food security for developed countries. Based on this extensive review of current science, several key findings were developed: (a) Climate change, including rising temperatures and changes in weather extremes, is expected to increase the exposure of food to certain pathogens and toxins; (b) Climate change will increase human exposure to chemical contaminants in food through several pathways; (c) The nutritional value of agriculturally important food crops, including cereals, will decrease in response to the ongoing increase in atmospheric carbon dioxide; (d) Increases in the frequency or intensity of extreme weather events associated with climate change may disrupt food distribution. These findings will be presented as a means to describe the state of the science and expand on food security research in the broader context of public health and climate change.

  10. The Impact of Seafarers’ Perceptions of National Culture and Leadership on Safety Attitude and Safety Behavior in Dry Bulk Shipping

    Directory of Open Access Journals (Sweden)

    Chin-Shan Lu

    2016-06-01

    Full Text Available This research aims to examine the effects of national culture and leadership style on safety performance in bulk shipping companies. Survey data collected from 322 respondents working in dry bulk carriers was used, a multiple regression analysis was conducted to analyze the influence of national culture and leadership styles (i.e. transformational, passive management, and contingent reward on safety attitude and safety behavior. The results indicate that national culture dimensions such as power distance, uncertainty avoidance, collectivism, and long-term orientation had a positive influence on safety behaviour. Long-term orientation had a positive influence on safety attitude, whereas masculinity had a negative influence on safety attitude of seafarers. Specifically, this research found that transformational leadership had a positive influence on safety attitude and safety behaviour of seafarers. Moreover, practical implication from the research findings to improve ship safety in dry bulk shipping were discussed.

  11. Views on safety culture at Swedish and Finnish nuclear power plants

    International Nuclear Information System (INIS)

    Hammar, L.; Wahlstroem, B.; Kettunen, J.

    2000-02-01

    The report presents the results of interviews about safety culture at Swedish and Finnish nuclear power plants. The aim is to promote the safety work and increase the debate about safety in nuclear power plants, by showing that the safety culture is an important safety factor. The interviews point out different threats, which may become real. It is therefor necessary that the safety aspects get support from of the society and the power plant owners. (EHS)

  12. ASCOT guidelines revised 1996 edition. Guidelines for organizational self-assessment of safety culture and for reviews by the assessment of safety culture in organizations team

    International Nuclear Information System (INIS)

    1996-01-01

    In order to properly assess safety culture, it is necessary to consider the contribution of all organizations which have an impact on it. Therefore, while assessing the safety culture in an operating organization it is necessary to address at least its interfaces with the local regulatory agency, utility corporate headquarters and supporting organizations. These guidelines are primarily intended for use by any organization wishing to conduct a self-assessment of safety culture. They should also serve as a basis for conducting an international peer review of the organization's self-assessment carried out by an ASCOT (Assessment of Safety Culture in Organizations Team) mission

  13. Effects of a team-based assessment and intervention on patient safety culture in general practice

    DEFF Research Database (Denmark)

    Hoffmann, B; Müller, V; Rochon, J

    2014-01-01

    Background: The measurement of safety culture in healthcare is generally regarded as a first step towards improvement. Based on a self-assessment of safety culture, the Frankfurt Patient Safety Matrix (FraTrix) aims to enable healthcare teams to improve safety culture in their organisations...... months, scores were allocated for safety culture as expressed in practice structure and processes (indicators), in safety climate and in patient safety incident reporting. The primary outcome was the indicator error management. Results: During the team sessions, practice teams reflected on their safety...... culture and decided on about 10 actions per practice to improve it. After 12 months, no significant differences were found between intervention and control groups in terms of error management (competing probability = 0.48, 95% CI 0.34 to 0.63, p = 0.823), 11 further patient safety culture indicators...

  14. Republished: Building a culture of safety through team training and engagement.

    Science.gov (United States)

    Thomas, Lily; Galla, Catherine

    2013-07-01

    Medical errors continue to occur despite multiple strategies devised for their prevention. Although many safety initiatives lead to improvement, they are often short lived and unsustainable. Our goal was to build a culture of patient safety within a structure that optimised teamwork and ongoing engagement of the healthcare team. Teamwork impacts the effectiveness of care, patient safety and clinical outcomes, and team training has been identified as a strategy for enhancing teamwork, reducing medical errors and building a culture of safety in healthcare. Therefore, we implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS), an evidence-based framework which was used for team training to create transformational and/or incremental changes; facilitating transformation of organisational culture, or solving specific problems. To date, TeamSTEPPS (TS) has been implemented in 14 hospitals, two Long Term Care Facilities, and outpatient areas across the North Shore LIJ Health System. 32 150 members of the healthcare team have been trained. TeamSTEPPS was piloted at a community hospital within the framework of the health system's organisational care delivery model, the Collaborative Care Model to facilitate sustainment. AHRQ's Hospital Survey on Patient Safety Culture, (HSOPSC), was administered before and after implementation of TeamSTEPPS, comparing the perception of patient safety by the heathcare team. Pilot hospital results of HSOPSC show significant improvement from 2007 (pre-TeamSTEPPS) to 2010. System-wide results of HSOPSC show similar trends to those seen in the pilot hospital. Valuable lessons for organisational success from the pilot hospital enabled rapid spread of TeamSTEPPS across the rest of the health system.

  15. Safety Culture Implementation in Indonesian Nuclear Energy Regulatory Agency (BAPETEN)

    International Nuclear Information System (INIS)

    Nurwidi Astuti, Y.H.; Dewanto, P.

    2016-01-01

    The Indonesia Nuclear Energy Act no. 10 of 1997 clearly stated that Nuclear Energy Regulatory Agency (BAPETEN) is the Nuclear Regulatory Body. This is the legal basis of BAPETEN to perform regulatory functions on the use of nuclear energy in Indonesia, including regulation, authorisation, inspection and enforcement. The Independent regulatory functions are stipulated in Article 4 and Article 14 of the Nuclear Energy Act no. 10 (1997) which require the government to establish regulatory body that is reporting directly to the president and has responsibility to control of the use of nuclear energy. BAPETEN has been start fully its functioning on January 4, 1999. In it roles as a regulatory body, the main aspect that continues and always to be developed is the safety culture. One of the objectives of regulatory functions is “to increase legal awareness of nuclear energy of the user to develop safety culture” (Article 15, point d), while in the elucidation of article 15 it is stipulated that “safety culture is that of characteristics and attitudes in organizations and individual that emphasise the importance of safety”.

  16. Safety Culture and Issue in the Malaysian Manufacturing Sector

    Directory of Open Access Journals (Sweden)

    Ali Danish

    2017-01-01

    Full Text Available . This paper highlights the Safety culture and issue in the Malaysian Manufacturing Sector and emphasis the high occupational accidents due to lack of safety culture and non-compliance of the requirements of Occupational Safety and Health Act 1994. The aim of this study is to review the occupational accidents occurrence in the Malaysia workplace since 2012-2016. Malaysia aimed to reduce the occupational accidents, the results show by DOSH increase that Occupational Noise Induced Hearing Loss 83.7%, occupational musculoskeletal diseases, 4.4% and occupational lung diseases 2.3%. But the as per the record from DOSH that in last 5-Years, the increment in the fatal accidents by Average 26%, Permanent Disability by Average 71% and Non-Permanent Disability by 64 % are investigated only in Manufacturing Industries. The government must show their high interest on such a vulnerable employees to accomplish the above aim. This step will be helpful for planning to reduce the accidents in workplaces and it will also detect the prevention for the future accidents.

  17. Safety culture in the gynecology robotics operating room.

    Science.gov (United States)

    Zullo, Melissa D; McCarroll, Michele L; Mendise, Thomas M; Ferris, Edward F; Roulette, G D; Zolton, Jessica; Andrews, Stephen J; von Gruenigen, Vivian E

    2014-01-01

    To measure the safety culture in the robotics surgery operating room before and after implementation of the Robotic Operating Room Computerized Checklist (RORCC). Prospective study. Gynecology surgical staff (n = 32). An urban community hospital. The Safety Attitudes Questionnaire domains examined were teamwork, safety, job satisfaction, stress recognition, perceptions of management, and working conditions. Questions and domains were described using percent agreement and the Cronbach alpha. Paired t-tests were used to describe differences before and after implementation of the checklist. Mean (SD) staff age was 46.7 (9.5) years, and most were women (78%) and worked full-time (97%). Twenty respondents (83% of nurses, 80% of surgeons, 66% of surgical technicians, and 33% of certified registered nurse anesthetists) completed the Safety Attitudes Questionnaire; 6 were excluded because of non-matching identifiers. Before RORCC implementation, the highest quality of communication and collaboration was reported by surgeons and surgical technicians (100%). Certified registered nurse anesthetists reported only adequate levels of communication and collaboration with other positions. Most staff reported positive responses for teamwork (48%; α = 0.81), safety (47%; α = 0.75), working conditions (37%; α = 0.55), stress recognition (26%; α = 0.71), and perceptions of management (32%; α = 0.52). No differences were observed after RORCC implementation. Quality of communication and collaboration in the gynecology robotics operating room is high between most positions; however, safety attitude responses are low overall. No differences after RORCC implementation and low response rates may highlight lack of staff support. Copyright © 2014. Published by Elsevier Inc.

  18. Safety Culture in the Maternity Units: a census survey using the Safety Attitudes Questionnaire

    Directory of Open Access Journals (Sweden)

    Savva Nicos

    2011-09-01

    Full Text Available Abstract Background Patient safety has been a priority for many societies and health care systems in the last decades. Identification of preventable risks and aversion of potentially unsafe situations and fatal complications in maternity units is life saving. The explicit need to focus on quality of care underpins the aim of the study to initially evaluate the safety culture and teamwork climate in the public Maternity Units of the 5 Regional Hospitals in Cyprus as measured by a validated safety attitudes tool. Methods Data were collected from 140 midwives working in the public sector all over Cyprus by the Greek Version of the Safety Attitudes Questionnaire-Labor version. Results One hundred and six (75.71% registered midwives completed the questionnaire fully. The median of total work experience as a registered midwife was 3 years (IQR: 2-18.25; whereas the median of total working experience in the nursing and maternity units was 5 years (IQR: 2-21.75. Experienced midwives rated the following domains higher: team work, safety climate, job satisfaction and working conditions as opposed to the midwives with less experience. Additionally those with a longer working life in the current maternity units rated these domains higher: safety climate, job satisfaction and working conditions as opposed to the less experienced midwives. Conclusions The high mean total score on team work and safety climate in the more experienced group of midwives is a predominant finding for the maternity units of Cyprus. In Cyprus where facilities are small in size and midwives know each other, share more responsibility towards patient safety. It could be suggested that younger midwives need more support and teamwork practice to enhance the safety and teamwork climate towards self-confidence.

  19. Culture Negative Infective Endocarditits: a Changing Paradigm

    LENUS (Irish Health Repository)

    Daly, A

    2016-05-01

    Traditionally, the modified Duke\\'s criteria, based primarily on positive blood cultures, is used to diagnose Infective Endocarditis (IE). However, reports demonstrate that 31% of cases are diagnosed as Culture Negative Infective Endocarditis (CNIE)1. Consequently, empiric broad-spectrum antibiotics are prescribed to cover unidentified organisms and, as a result, antibiotic therapy may be compromised. Molecular diagnostic techniques aid with identifying causative organisms in cases of CNIE and we question if the increasing use of such technologies will change the local epidemiology of CNIE. We present the first case of Tropheryma whipplei Infective Endocarditis (TWIE) reported in Ireland.

  20. Safety culture in nuclear installations: Summary of an international topical meeting

    International Nuclear Information System (INIS)

    Carnino, A.; Derrough, M.; Weimann, G.

    1996-01-01

    An international topical meeting, Safety Culture in Nuclear Installations, was organized by the American Nuclear Society (ANS) Austria Local Section, cosponsored by the ANS Nuclear Reactor Safety and Human Factors Divisions in cooperation with the Nuclear Energy Agency of the Organization for Economic Cooperation and Development (NEA/OECD) and held in Vienna April 24-28, 1995. Some 250 experts from 30 different countries and organizations took part in the 85 paper presentations and two workshops. The concept of safety culture was initially used in the first International Nuclear Safety Advisory Group (INSAG) report on the Chernobyl accident analysis report in 1986. Although some elements of safety culture have been used over the years in nuclear safety activities, the new phrase safety culture and the concept were found interesting as highlighting the 'soft' aspects of safety and as encompassing more than human errors. Unfortunately, for many years it was used more in the way of identifying lack of safety culture. Conscious of this application, INSAG further developed the safety culture concept in the INSAG 4 report: The report contains a definition, the universal aspects of safety culture, the two main components of safety culture management and individual behaviour, and performance indicators of a good safety culture. This report is now quite famous and adopted with some additions or complementary definitions by many institutes and organizations for their daily activities

  1. [Relationship between job satisfaction and patient safety culture].

    Science.gov (United States)

    Merino-Plaza, María José; Carrera-Hueso, Francisco Javier; Roca-Castelló, María Rosa; Morro-Martín, María Dolores; Martínez-Asensi, Amparo; Fikri-Benbrahim, Narjis

    2017-05-19

    To evaluate the relationship between safety culture and job satisfaction in a medium-stay hospital, showing the relationships between the dimensions that define both constructs and identifying the dimensions with the greatest impact on both variables. Cross-sectional study conducted in 2015, using the Basque Health Service Job Satisfaction Survey and the Spanish version of the «Hospital Survey on Patient Safety» questionnaire (Agency for Healthcare Research and Quality). Result Variables: high job satisfaction and high degree of perceived security (score ≥75th percentile). Predictor variables: socio-demographic characteristics and perception of the evaluated dimensions. The association between variables was quantified by adjusted odds ratio (OR) and the 95% confidence interval. The mean job satisfaction was 7.21 (standard deviation [SD]: 2.01) and the mean of perceived safety was 7.48 (SD=1.98). The 75th percentile of the distribution in both cases was 9. The socio-demographic variables had little significance, while a positive perception of many of the considered dimensions, was associated with high perception of the result variables. In the data analysis were obtained multiple significant correlations and cross-relations between the dimensions that define both constructs, as well as between the degree of satisfaction of the dimensions considered and the outcome variables. The results obtained evidenced the relationship between job satisfaction and safety culture and quantify the association degree between the studied variables. The adjusted OR identifies the variables most strongly associated with the effect and helps to select improvement areas. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Culture, communication and safety: lessons from the airline industry.

    Science.gov (United States)

    d'Agincourt-Canning, Lori G; Kissoon, Niranjan; Singal, Mona; Pitfield, Alexander F

    2011-06-01

    Communication is a critical component of effective teamwork and both are essential elements in providing high quality of care to patients. Yet, communication is not an innate skill but a process influenced by internal (personal/cultural values) as well as external (professional roles and hierarchies) factors. To provide illustrative cases, themes and tools for improving communication. Literature review and consensus opinion based on extensive experience. Professional autonomy should be de-emphasized. Tools such as SBAR and simulation are important in communication and teamwork. Tools designed to improve communication and safety in the aviation industry may have applicability to the pediatric intensive care unit.

  3. Employee Engagement and a Culture of Safety in the Intensive Care Unit.

    Science.gov (United States)

    Collier, Susan L; Fitzpatrick, Joyce J; Siedlecki, Sandra L; Dolansky, Mary A

    2016-01-01

    A descriptive, retrospective design was used to explore the relationship between employee engagement and culture of safety in ICUs within a large Midwestern healthcare system. Results demonstrated a strong positive relationship between total engagement score and total patient safety score (r = 0.645, P engagement score and the 12 safety culture dimensions. These findings have implications for improving managerial strategies relative to employee engagement that may ultimately impact perceptions of a safety culture.

  4. Measurement of Food Safety Culture using Survey and Maturity Profiling Tools

    OpenAIRE

    Jespersen, Lone; Griffiths, Mansel; Maclaurin, Tanya; Chapman, Ben; Wallace, Carol A.

    2016-01-01

    Organizational culture is defined by dimensions and characteristics that can be used to measure food safety culture in food manufacturing through a food safety maturity model. Maturity models from quality, health care, and information technology have been used since early 1970 and this work presents a novel food safety culture maturity model with five capability areas and food safety pinpointed behaviours specific to functions and levels in a food manufacturing company. A survey tool linked t...

  5. 76 FR 73570 - Pipeline Safety: Miscellaneous Changes to Pipeline Safety Regulations

    Science.gov (United States)

    2011-11-29

    ... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration 49 CFR Parts 191, 192, 195 and 198 [Docket No. PHMSA-2010-0026] RIN 2137-AE59 Pipeline Safety: Miscellaneous Changes to Pipeline Safety Regulations AGENCY: Pipeline and Hazardous Materials Safety Administration...

  6. Folk Beliefs of Cultural Changes in China

    Directory of Open Access Journals (Sweden)

    Yi eXu

    2014-09-01

    Full Text Available For the last several decades, Chinese society has experienced transformative changes. How are these changes understood among Chinese people? To examine this question, Part 1 in this research solicited folk beliefs of cultural change from a group of Chinese participants in an open-ended format, and the generated folk beliefs were rated by another group of participants in Part 2 to gauge each belief’s level of agreement. Part 3 plotted the folk beliefs retained in Part 2 using the Google Ngram Viewer in order to infer the amount of intellectual interests that each belief has received cross-temporarily. These analyses suggested a few themes in Chinese folk beliefs of cultural change (1 rising perceived importance of materialism and individualism in understanding contemporary Chinese culture and Chinese psychology relative to those of the past (2 rising perceived importance of freedom, democracy and human rights and (3 enduring perceived importance of family relations and friendship as well as patriotism. Interestingly, findings from Parts 2 and 3 diverged somewhat, illuminating possible divergence between folk beliefs and intellectual interests especially for issues related to heritage of Confucianism.

  7. Development of a Culturally Informed Child Safety Curriculum for American Indian Families.

    Science.gov (United States)

    Berns, Ryan M; Tomayko, Emily J; Cronin, Kate A; Prince, Ronald J; Parker, Tassy; Adams, Alexandra K

    2017-04-01

    American Indian (AI) children are disproportionately affected by unintentional injuries, with injury mortality rates approximately 2.3 times higher than the combined rates for all children in the United States. Although multiple risk factors are known to contribute to these increased rates, a comprehensive, culturally informed curriculum that emphasizes child safety is lacking for this population. In response to this need, academic and tribal researchers, tribal community members, tribal wellness staff, and national child safety experts collaborated to develop a novel child safety curriculum. This paper describes its development and community delivery. We developed the safety curriculum as part of a larger randomized controlled trial known as Healthy Children, Strong Families 2 (HCSF2), a family-based intervention targeting obesity prevention in early childhood (2-5 years). During the development of the HCSF2 intervention, participating tribal communities expressed concern about randomizing enrolled families to a control group who would not receive an intervention. To address this concern and the significant disparities in injuries and unintentional death rates among AI children, we added an active control group (Safety Journey) that would utilize our safety curriculum. Satisfaction surveys administered at the 12-month time point of the intervention indicate 94% of participants (N = 196) were either satisfied or very satisfied with the child safety curriculum. The majority of participants (69%) reported spending more than 15 min with the curriculum materials each month, and 83% thought the child safety newsletters were either helpful or very helpful in making changes to improve their family's safety. These findings indicate these child safety materials have been well received by HCSF2 participants. The use of community-engaged approaches to develop this curriculum represents a model that could be adapted for other at-risk populations and serves as an initial

  8. Causal Relationship Analysis of the Patient Safety Culture Based on Safety Attitudes Questionnaire in Taiwan

    Directory of Open Access Journals (Sweden)

    Yii-Ching Lee

    2018-01-01

    Full Text Available This study uses the decision-making trial and evaluation laboratory method to identify critical dimensions of the safety attitudes questionnaire in Taiwan in order to improve the patient safety culture from experts’ viewpoints. Teamwork climate, stress recognition, and perceptions of management are three causal dimensions, while safety climate, job satisfaction, and working conditions are receiving dimensions. In practice, improvements on effect-based dimensions might receive little effects when a great amount of efforts have been invested. In contrast, improving a causal dimension not only improves itself but also results in better performance of other dimension(s directly affected by this particular dimension. Teamwork climate and perceptions of management are found to be the most critical dimensions because they are both causal dimensions and have significant influences on four dimensions apiece. It is worth to note that job satisfaction is the only dimension affected by the other dimensions. In order to effectively enhance the patient safety culture for healthcare organizations, teamwork climate, and perceptions of management should be closely monitored.

  9. Understanding safety culture in long-term care: a case study.

    Science.gov (United States)

    Halligan, Michelle H; Zecevic, Aleksandra; Kothari, Anita R; Salmoni, Alan W; Orchard, Treena

    2014-12-01

    This case study aimed to understand safety culture in a high-risk secured unit for cognitively impaired residents in a long-term care (LTC) facility. Specific objectives included the following: diagnosing the present level of safety culture maturity using the Patient Safety Culture Improvement Tool (PSCIT), examining the barriers to a positive safety culture, and identifying actions for improvement. A mixed methods design was used within a secured unit for cognitively impaired residents in a Canadian nonprofit LTC facility. Semistructured interviews, a focus group, and the Modified Stanford Patient Safety Culture Survey Instrument were used to explore this topic. Data were synthesized to situate safety maturity of the unit within the PSCIT adapted for LTC. Results indicated a reactive culture, where safety systems were piecemeal and developed only in response to adverse events and/or regulatory requirements. A punitive regulatory environment, inadequate resources, heavy workloads, poor interdisciplinary collaboration, and resident safety training capacity were major barriers to improving safety. This study highlights the importance of understanding a unit's safety culture and identifies the PSCIT as a useful framework for planning future improvements to safety culture maturity. Incorporating mixed methods in the study of health care safety culture provided a good model that can be recommended for future use in research and LTC practice.

  10. Integration of safety culture in transient analyses for nuclear power plants

    International Nuclear Information System (INIS)

    Stosic, Zoran V.; Stoll, Uwe

    2009-01-01

    In the nuclear field Safety Culture is the arrangement of attitudes and characteristics in individuals and organisations which determines first and foremost that nuclear power plant safety issues receive adequate attention due to their outstanding significance. It differs from general Corporate Culture via its concept of core hazards and the potentially large effects associated with the release of radioactivity. One can talk about positive and negative Safety Cultures. A positive Safety Culture assumes that the whole is more than the sum of the parts. The different parts interact to increase the overall effectiveness. In a negative Safety Culture the opposite is the case, with the action of some individuals restricted by the cynicism of others. Some examples of issues that contribute to a negative safety culture are: non-adherence to the established instructions and procedures, unclear definition of responsibilities, disinterest and inattentiveness, overestimation of own capabilities and arrogance, unclear rules, and mistrust between involved organisations. In addition to differentiation and importance of Safety Culture, necessary commitment levels, safety management framework, the paper discusses integration of Safety Culture in transient analyses of nuclear power plants. In this course the commitment to Safety Culture is defined as: a good Safety Culture depends on the continuous commitment and fulfilment of all involved organizations, persons and processes without any exception. (author)

  11. Physical protection: his contribution to the safety culture

    International Nuclear Information System (INIS)

    Rodriguez, C.E.; Cesario, R.H.; Giustina, D.H.; Canibano, J.

    1998-01-01

    Full text: As a contribution to the safety culture improvement, the present paper aims at raising awareness about the importance of physical protection measures and, this way, increase the commitment of those responsible for the materials or nuclear installations safety that can cause severe radiological consequences to the public. To that purpose, a brief description is made of the basic criteria used for the design of a Physical Protection System and the introduction of our own computational tool designed and developed by the Nuclear Regulatory Authority to evaluate this type of systems. Likewise, comments are made on the illicit traffic events occurred during the last years involving nuclear materials and other radioactive sources out of some States control, showing that these type of materials are easily accessible and that there are always individuals willing to selling and buying it. Even though events like these won't grant enough uranium or plutonium to fabricate a nuclear weapon, but non-stables isotope and conventional explosives could be mixed to produce a huge contamination. These reported cases had built some public concern and threatened to set a lack of trust on the control systems in use. Even though, no nuclear material diversion and equipment of nuclear interest within the nuclear installations where it is in force the AR 10.13.1 Standard -Physical Protection of Nuclear Materials and Facilities-, have been detected as of today, as a conclusion we must say that only a permanent strengthening of each link of the safety chain will allow a level of an adequate safety. This requires that the already established politics set by the safety authorities reach a high level of commitment by the individuals involved. (author) [es

  12. SCART guidelines. Reference report for IAEA Safety Culture Assessment Review Team (SCART)

    International Nuclear Information System (INIS)

    2008-01-01

    The IAEA Director General stressed the role of safety culture in his concluding remarks at the Meeting of the Contracting Parties to the Convention on Nuclear Safety in 2002: 'As we have learned in other areas, it is not enough simply to have a structure; it is not enough to say that we have the necessary laws and the appropriate regulatory bodies. All these are important, but equally important is that we have in place a safety culture that gives effect to the structure that we have developed. To me, effectiveness and transparency are keys. So, it is an issue which I am pleased to see, you are giving the attention it deserves and we will continue to work with you in clarifying, developing and applying safety culture through our programmes and through our technical cooperation activities.' The concept of safety culture was initially developed by the International Nuclear Safety Advisory Group (INSAG) after the Chernobyl accident in 1986. Since then the IAEA's perspective of safety culture has expanded with time as its recognition of the complexities of the concept developed. Safety culture is considered to be specific organizational culture in all types of organizations with activities that give rise to radiation risks. The aim is to make safety culture strong and sustainable, so that safety becomes a primary focus for all activities in such organizations, even for those, which might not look safety-related at first. SCART (Safety Culture Assessment Review Team) is a safety review service, which reflects the expressed interest of Members States for methods and tools for safety culture assessment. It is a replacement for the earlier service ASCOT (Assessment of Safety Culture in Organizations Team). The IAEA Safety Fundamentals, Requirements and Guides (Safety Standards) are the basis for the SCART Safety Review Service. The reports of INSAG, identifying important current nuclear safety issues, serve also as references during a SCART mission. SCART missions are based

  13. Problem Based Learning as a Cultural Tool for Health and Safety Learning in a Multi-national Company

    DEFF Research Database (Denmark)

    Adam, Henrik; Petersson, Eva

    2013-01-01

    and several organisational changes, has not managed to secure adequate safety culture. Safety implementation processes traditionally involve a large amount of training; which is associated with reduced productivity for the time spent on training. Therefore, the company in question wants to find ways......The general background of this study is an interest in how cultural tools contribute to structuring learning activities. The specific interest is to explore how such tools co-determine employees’ problem solving actions in health, safety and environment (HSE) training activities in a multi...

  14. Cultural Journalism and Cultural Critique in a Changing Media Landscape

    DEFF Research Database (Denmark)

    Kristensen, Nete Nørgaard; From, Unni

    2015-01-01

    This special issue addresses a topic of journalism studies that has previously been somewhat neglected but which has gained increasing scholarly attention since the mid-2000s: the coverage and evaluation of art and culture, or what we term “cultural journalism and cultural critique.......” In this introduction, we highlight three issues that serve to frame the study of cultural journalism and cultural critique more generally and the eight articles of this special issue more specifically: (1) the constant challenge of demarcating cultural journalism and cultural critique, including the interrelations...... of “journalism” and “critique”; (2) the dialectic of globalisation’s cultural homogenisation, on the one hand, and the specificity of local/national cultures, on the other; and (3) the digital media landscape seen in terms of the need to rethink, perhaps even redefine cultural journalism and cultural critique...

  15. The mediating role of integration of safety by activity versus operator between organizational culture and safety climate.

    Science.gov (United States)

    Auzoult, Laurent; Gangloff, Bernard

    2018-04-20

    In this study, we analyse the impact of the organizational culture and introduce a new variable, the integration of safety, which relates to the modalities for the implementation and adoption of safety in the work process, either through the activity or by the operator. One hundred and eighty employees replied to a questionnaire measuring the organizational climate, the safety climate and the integration of safety. We expected that implementation centred on the activity or on the operator would mediate the relationship between the organizational culture and the safety climate. The results support our assumptions. A regression analysis highlights the positive impact on the safety climate of organizational values of the 'rule' and 'support' type, as well as of integration by the operator and activity. Moreover, integration mediates the relation between these variables. The results suggest to take into account organizational culture and to introduce different implementation modalities to improve the safety climate.

  16. Changing cultural attitudes towards female genital cutting.

    Science.gov (United States)

    Vogt, Sonja; Mohmmed Zaid, Nadia Ahmed; El Fadil Ahmed, Hilal; Fehr, Ernst; Efferson, Charles

    2016-10-27

    As globalization brings people with incompatible attitudes into contact, cultural conflicts inevitably arise. Little is known about how to mitigate conflict and about how the conflicts that occur can shape the cultural evolution of the groups involved. Female genital cutting is a prominent example. Governments and international agencies have promoted the abandonment of cutting for decades, but the practice remains widespread with associated health risks for millions of girls and women. In their efforts to end cutting, international agents have often adopted the view that cutting is locally pervasive and entrenched. This implies the need to introduce values and expectations from outside the local culture. Members of the target society may view such interventions as unwelcome intrusions, and campaigns promoting abandonment have sometimes led to backlash as they struggle to reconcile cultural tolerance with the conviction that cutting violates universal human rights. Cutting, however, is not necessarily locally pervasive and entrenched. We designed experiments on cultural change that exploited the existence of conflicting attitudes within cutting societies. We produced four entertaining movies that served as experimental treatments in two experiments in Sudan, and we developed an implicit association test to unobtrusively measure attitudes about cutting. The movies depart from the view that cutting is locally pervasive by dramatizing members of an extended family as they confront each other with divergent views about whether the family should continue cutting. The movies significantly improved attitudes towards girls who remain uncut, with one in particular having a relatively persistent effect. These results show that using entertainment to dramatize locally discordant views can provide a basis for applied cultural evolution without accentuating intercultural divisions.

  17. A management system integrating radiation protection and safety supporting safety culture in the hospital

    International Nuclear Information System (INIS)

    Almen, A.; Lundh, C.

    2015-01-01

    Quality assurance has been identified as an important part of radiation protection and safety for a considerable time period. A rational expansion and improvement of quality assurance is to integrate radiation protection and safety in a management system. The aim of this study was to explore factors influencing the implementing strategy when introducing a management system including radiation protection and safety in hospitals and to outline benefits of such a system. The main experience from developing a management system is that it is possible to create a vast number of common policies and routines for the whole hospital, resulting in a cost-efficient system. One of the key benefits is the involvement of management at all levels, including the hospital director. Furthermore, a transparent system will involve staff throughout the organisation as well. A management system supports a common view on what should be done, who should do it and how the activities are reviewed. An integrated management system for radiation protection and safety includes key elements supporting a safety culture. (authors)

  18. Safety culture and accident analysis-A socio-management approach based on organizational safety social capital

    International Nuclear Information System (INIS)

    Rao, Suman

    2007-01-01

    One of the biggest challenges for organizations in today's competitive business environment is to create and preserve a self-sustaining safety culture. Typically, Key drivers of safety culture in many organizations are regulation, audits, safety training, various types of employee exhortations to comply with safety norms, etc. However, less evident factors like networking relationships and social trust amongst employees, as also extended networking relationships and social trust of organizations with external stakeholders like government, suppliers, regulators, etc., which constitute the safety social capital in the Organization-seem to also influence the sustenance of organizational safety culture. Can erosion in safety social capital cause deterioration in safety culture and contribute to accidents? If so, how does it contribute? As existing accident analysis models do not provide answers to these questions, CAMSoC (Curtailing Accidents by Managing Social Capital), an accident analysis model, is proposed. As an illustration, five accidents: Bhopal (India), Hyatt Regency (USA), Tenerife (Canary Islands), Westray (Canada) and Exxon Valdez (USA) have been analyzed using CAMSoC. This limited cross-industry analysis provides two key socio-management insights: the biggest source of motivation that causes deviant behavior leading to accidents is 'Faulty Value Systems'. The second biggest source is 'Enforceable Trust'. From a management control perspective, deterioration in safety culture and resultant accidents is more due to the 'action controls' rather than explicit 'cultural controls'. Future research directions to enhance the model's utility through layering are addressed briefly

  19. International Conference on Human and Organizational Aspects of Assuring Nuclear Safety. Exploring 30 years of Safety Culture. Programme and Abstracts

    International Nuclear Information System (INIS)

    2016-01-01

    Thirty years ago, the International Nuclear Safety Advisory Group concluded, in its investigation of the Chernobyl accident, that one of the key lessons to be learned from that accident was the importance of a strong safety culture to maintain safe operations. Almost five years have now passed since the accident at the Fukushima Daiichi nuclear power plant, and the need to implement a systemic approach to safety that takes into account the complex and dynamic sociotechnical systems comprising nuclear infrastructure is one of the main lessons emerging from investigations. This conference will allow an international audience to take a step back and reflect upon the knowledge accumulated in the areas of human and organizational factors (HOF), safety culture and leadership for safety over the past 30 years. The objectives of the conference are to: • Review the experience gained with regard to HOF, safety culture and leadership for safety; • Share and gather experiences related to current developments, approaches, methods and research in the areas of HOF, safety culture and leadership for safety; and • Identify the future needs for building organizational resilience capabilities in order to further strengthen defence in depth for nuclear facilities and activities. The special focus of the conference will be on safety culture and the past 30 years of developments in this area.

  20. Is culture associated with patient safety in the emergency department? A study of staff perspectives.

    NARCIS (Netherlands)

    Verbeek-van Noord, I.; Wagner, C.; Dyck, C. van; Twisk, J.W.R.; Bruijne, M.C. de

    2014-01-01

    Objective: To describe the patient safety culture of Dutch emergency departments (EDs), to examine associations between safety culture dimensions and patient safety grades as reported by ED staff and to compare these associations between nurses and physicians. DESIGN: Cross-sectional survey

  1. Evaluation of Influence Factors within Implementing of Nuclear Safety Culture in Embarking Countries

    International Nuclear Information System (INIS)

    Situmorang, J.

    2016-01-01

    The evaluation of the implementation nuclear safety culture at BATAN has been performed. BATAN is Indonesia’s national nuclear energy agency. Nowadays, BATAN is planning to develop an experimental power reactor. To implement the nuclear safety culture BATAN has issued BATAN chairman regulation (Perka BATAN 200). Perka BATAN is the reference for individuals and organizations to implement nuclear safety culture which includes basic principles, mechanisms, assessment, as well as the implementation of the application of safety culture. It covers the establishment of safety policies, program development, program implementation, development and measurement of safety culture. Each facilities within BATAN is expected to well implement a safety culture. The implementation of safety culture is developed by considering the characteristics, attributes and indicators. The characteristics, attributes and indicators referenced are elaborated from the IAEA. The activities to strengthen safety culture are monthly workshop with participants is head of every facilities, safety leadership training and workshop for safety division manager in every facilities. It is also issued a handbook of safety that is distributed to all employees BATAN.

  2. Patient safety culture measurement in general care: clinimetric properties of 'SCOPE'.

    NARCIS (Netherlands)

    Zwart, D.L.M.; Langelaan, M.; Vooren, R.C. van de; Kuyvenhoven, M.M.; Kalkman, C.J.; Verheij, T.J.M.; Wagner, C.

    2011-01-01

    BACKGROUND: A supportive patient safety culture is considered to be an essential condition for improving patient safety. Assessing the current safety culture in general practice may be a first step to target improvements. To that end, we studied internal consistency and construct validity of a

  3. Is culture associated with patient safety in the emergency department? A study of staff perspectives.

    NARCIS (Netherlands)

    van Noord, I.; Wagner, C.; van Dyck, C.; Twisk, J.; de Bruijne, M.C.

    2014-01-01

    Objectives: To describe the patient safety culture of Dutch emergency departments (EDs), to examine associations between safety culture dimensions and patient safety grades as reported by ED staff and to compare these associations between nurses and physicians. Design: Cross-sectional survey

  4. Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration.

    Science.gov (United States)

    Hartmann, Christine W; Meterko, Mark; Rosen, Amy K; Shibei Zhao; Shokeen, Priti; Singer, Sara; Gaba, David M

    2009-06-01

    Improving safety climate could enhance patient safety, yet little evidence exists regarding the relationship between hospital characteristics and safety climate. This study assessed the relationship between hospitals' organizational culture and safety climate in Veterans Health Administration (VA) hospitals nationally. Data were collected from a sample of employees in a stratified random sample of 30 VA hospitals over a 6-month period (response rate = 50%; n = 4,625). The Patient Safety Climate in Healthcare Organizations (PSCHO) and the Zammuto and Krakower surveys were used to measure safety climate and organizational culture, respectively. Higher levels of safety climate were significantly associated with higher levels of group and entrepreneurial cultures, while lower levels of safety climate were associated with higher levels of hierarchical culture. Hospitals could use these results to design specific interventions aimed at improving safety climate.

  5. Building a Safety Culture in New Comers — A Case for Turkey

    International Nuclear Information System (INIS)

    Göktepe, B.G.; Dayday, N.; Oymaci, S.

    2016-01-01

    Background: Nuclear safety is a dynamic field. The nuclear power industry has been continuing to improve the safety and performance of operating reactors. However since the Fukushima event, nuclear safety and safety culture has become one of the highest priority issues around the world. Although a safety culture development program is necessary for all nuclear countries and companies, it is especially critical for new comers starting from the pre-operational phase. Safety Culture Aspects In Newcomers: When a country embarking on a Nuclear Power Program, there are many aspects to consider. Building a national nuclear power infrastructure as one of the priority is a complex issue, requiring several years of planning. Implementation of nuclear safety infrastructure includes various steps. Major progressive steps for ensuring nuclear safety requires the availability of suitably qualified staff and the establishment of an effective safety culture in the country of concern.

  6. Challenges and Enhancements to the Safety Culture of the Regulatory Body

    International Nuclear Information System (INIS)

    Niel, Jean-Christophe; Chevet, Pierre Franck; Sheron, Brian; Boyd, Michael; Carlsson, Lennart; Tiippana, Petteri; Burns, Stephen; Jamieson, Terry; Fuketa, Toyoshi; Rzentkowski, Greg; Weiss, Frank Peter; Le Guen, Bernard

    2015-06-01

    The workshop opened with presentations by both the NEA Director-General and the chair of the three committees directly involved with the safety culture of the regulatory body (SCRB). The opening session set the scene and gave an overview of the SCRB together with presentations and discussions on priorities and challenges. The main session focused on the principles of the SCRB, its implementation and the challenges and enhancements that are being raised and considered. The workshop concluded with a session that looked at findings and conclusions, the way forward and an agreed position on the SCRB. This document brings together the available presentations (slides) given at the workshop: 1 - Introduction: Challenges and Enhancements to the Safety Culture of the Regulatory Body (J-C. Niel); 2 - Thoughts on Safety Culture from a CSNI Perspective (B. Sheron); 3 - Radiological Protection Culture: CRPPH Work (M. Boyd); 4 - Challenges and Enhancements to Safety Culture of the Regulatory Body (L. Carlsson); 5 - Principles for the safety culture of the regulatory body (P. Tiippana); 6 - NRC's Internal Safety Culture: Successes, Challenges, and the Path Forward (S.G. Burns); 7 - Insights on the Canadian Nuclear Safety Commission's Safety Culture Journey (T. Jamieson); 8 - Lessons Learned from the Fukushima Dai-ichi Accident regarding Safety Culture of Regulatory Body (T. Fuketa); 9 - Challenges to Regulatory Bodies' safety culture (P-F. Chevet); 10 - Regulatory Safety Culture: International Perspective (G. Rzentkowski); 11 - Integration of Safety Research into Safety Culture Concepts (F-P. Weiss); 12 - Radiation Protection and Emergency Management Aspects: Culture drawn up by RP professionals (B. Le Guen); 13 - Closing session panel (L. Carlsson)

  7. Changes In Growth Culture FDA Activity Under Changing Growth Conditions

    DEFF Research Database (Denmark)

    Jørgensen, Per Elberg; Eriksen, Thomas Juul; Jensen, Bjørn K.

    1992-01-01

    of the bacteria. The FDA activity/ATP ratio was calculated for different concentrations of autoclaved sludge. A faster decay rate of ATP relative to FDA hydrolysis activity was observed, thus causing changes in the ratio. Furthermore, comparison between values obtained from pure cultures and different soils......The FDA hydrolysis capacities and bacterial biomass concentrations (estimated by determination of ATP content) of growth cultures prepared from activated sludge and wastewater, were measured to find out whether the FDA activity would reflect bacterial biomass under different physiological states...

  8. Developing Measures for Assessing the Causality of Safety Culture in a Petrochemical Industry

    International Nuclear Information System (INIS)

    Wu, T.-C.; Lin, C.-H.; Shiau, S.-Y.

    2009-01-01

    This paper discusses safety culture in the petrochemical sector and the causes and consequences of safety culture. A sample of 520 responses selected by simple random sampling completed questionnaires for this survey, the return rate was 86.75%. The research instrument comprises four sections: basic information, the safety leadership scale (SLS), the safety climate scale (SCS), and the safety performance scale (SPS). SPSS 12.0, a statistical software package, was used for item analysis, validity analysis, and reliability analysis. Exploratory factor analysis indicated that (1) SLS abstracted three factors such as safety caring, safety controlling, and safety coaching; (2) SCS comprised three factors such as emergency response, safety commitment, and risk perception; and (3) SPS was composed of accident investigation, safety training, safety inspections, and safety motivation. We conclude that the SLS, SCS, and SPS developed in this paper have good construct validity and internal consistency and can serve as the basis for future research.

  9. An Evaluation Method for Team Competencies to Enhance Nuclear Safety Culture

    International Nuclear Information System (INIS)

    Hang, S. M.; Seong, P. H.; Kim, A. R.

    2016-01-01

    Safety culture has received attention in safety-critical industries, including nuclear power plants (NPPs), due to various prominent accidents such as concealment of a Station Blackout (SBO) of Kori NPP unit 1 in 2012, the Sewol ferry accident in 2014, and the Chernobyl accident in 1986. Analysis reports have pointed out that one of the major contributors to the cause of the accidents is ‘the lack of safety culture’. The term, nuclear safety culture, was firstly defined after the Chernobyl accident by the IAEA in INSAG report no. 4, as follows “Safety culture is that assembly of characteristics and attitudes in organizations and individuals which establishes that, as an overriding priority, nuclear plant safety issues receive the attention warranted their significance.” Afterwards, a wide consensus grew among researchers and nuclear-related organizations, that safety culture should be evaluated and managed in a certain manner. Consequently, each nuclear-related organization defined and developed their own safety culture definitions and assessment methods. However, none of these methods provides a way for an individual or a team to enhance the safety culture of an organization. Especially for a team, which is the smallest working unit in NPPs, team members easily overlook their required practices to improve nuclear safety culture. Therefore in this study, we suggested a method to estimate nuclear safety culture of a team, by approaching with the ‘competency’ point of view. The competency is commonly focused on individuals, and defined as, “underlying characteristics of an individual that are causally related to effective or superior performance in a job.” Similar to safety culture, the definition of competency focuses on characteristics and attitudes of individuals. Thus, we defined ‘safety culture competency’ as “underlying characteristics and outward attitudes of individuals that are causally related to a healthy and strong nuclear safety

  10. Safety Culture: A Requirement for New Business Models — Lessons Learned from Other High Risk Industries

    International Nuclear Information System (INIS)

    Kecklund, L.

    2016-01-01

    Technical development and changes on global markets affects all high risk industries creating opportunities as well as risks related to the achievement of safety and business goals. Changes in legal and regulatory frameworks as well as in market demands create a need for major changes. Several high risk industries are facing a situation where they have to develop new business models. Within the transportation domain, e.g., aviation and railways, there is a growing concern related to how the new business models may affects safety issues. New business models in aviation and railways include extensive use of outsourcing and subcontractors to reduce costs resulting in, e.g., negative changes in working conditions, work hours, employment conditions and high turnover rates. The energy sector also faces pressures to create new business models for transition to renewable energy production to comply with new legal and regulatory requirements and to make best use of new reactor designs. In addition, large scale phase out and decommissioning of nuclear facilities have to be managed by the nuclear industry. Some negative effects of new business models have already arisen within the transportation domain, e.g., the negative effects of extensive outsourcing and subcontractor use. In the railway domain the infrastructure manager is required by European and national regulations to assure that all subcontractors are working according to the requirements in the infrastructure managers SMS (Safety Management System). More than ten levels of subcontracts can be working in a major infrastructure project making the system highly complex and thus difficult to control. In the aviation domain, tightly coupled interacting computer networks supplying airport services, as well as air traffic control, are managed and maintained by several different companies creating numerous interfaces which must be managed by the SMS. There are examples where a business model with several low

  11. An innovative program to increase safety culture for workers on a nuclear power plant

    International Nuclear Information System (INIS)

    Schryvers, Vincent

    2007-01-01

    Full text: To implement the WENRA harmonized guidelines and the IAEA reference guides, Electrabel has recently introduced a major training program for both its own staff and the contractors working on the sites of its Nuclear Power Plants. This training program stresses the importance of safety culture on both theoretical and practical level and is mostly focused on the behavioural aspects during activities performed at the site of a Nuclear Power Plant. Further emphasis is put on radiation protection, industrial safety, environmental protection and explosion prevention. The training scheme for both the staff of Electrabel and contractors typically contains a theoretical part introducing the basic concepts of nuclear safety and safety culture and a practical exercise in a simulated environment. A novel element in the training cycle is the use of a simulated environment, where the actual working conditions in the nuclear part of the installation are simulated. This mock-up installation enables the workers to train the nuclear safety constraints linked to the actual installation and to enhance safety culture by responding on simulated problems and changing conditions possibly being encountered during an intervention at the real working site. To analyze the behaviour of the future workers, the activities are videotaped and commented for further improvement. A refresh of the training courses is implemented after 3 years.Although this training program has only been in operation for just 6 months, the response of the contractors and the staff to this training has been enthusiastic. At this moment, more than 1.000 workers have successfully completed the training course. (author)

  12. Cultivating and Development — 30 Years Practice of Safety Culture in China

    International Nuclear Information System (INIS)

    Hu, L.; Zhang, Y.; Zhang, W.; Xu, G.

    2016-01-01

    The safety culture has been cultivated and promoted in China since its very beginning by IAEA. The 1st stage—stage of start and exploration—was from 1984 to 2007, in which the international concept of safety culture was imported and studied, with the process of combination and convergence with the positive elements of Chinese traditional culture. The basic ideas, such as the principles and directing ideas for the nuclear safety, were established in China. The 2nd stage — stage of practice and growing — was from 2007 to 2014, where safety culture was promoted by the Government, and the regulatory body NNSA established its basic supervision value based on the safety culture. The Chinese nuclear industry was encouraged to develop their of safety culture in a vivid form of presenting. The 3rd stage — stage of fast development — is from 2014 to now. The Chinese president Xi announce the Chinese Nuclear Safety View in The Hague in March 2014, showing the states position regarding the nuclear safety and safety culture. The policy declaration was issued and the nuclear safety promotion special action was carried out by NNSA. Safety culture is widely accepted and acknowledged by the nuclear and radioactivity relevant industry. (author)

  13. Activities on safety culture study. Study status in public and private sectors

    International Nuclear Information System (INIS)

    Makino, Maomi; Takano, Kenichi

    2004-01-01

    Around after entering in the 21st century, organizational accidents had occurred in Japan at various industries including nuclear industry, which were caused directly by unsafe action, human error and illegal conduct of personnel but there were problems in safety culture of organization such as slow retreat of safety system stimulated by management, schedule control and procedure management becoming a dead letter, lack of safety education, and workplace climate of schedule priority. This article referred to organizational factors common to many severe accidents and introduced safety culture study in public and private sectors to overcome those factors. Safety Culture Evaluation Support Tool (SCEST) was developed for self-evaluation of safety culture of organization as well as Organizational Reliability model (OR model) for analysis of initiation and propagation process of risk event. Safety diagnosis system and feedback type risk assessment system for promoting safe organizational climate and culture were also developed. (T. Tanaka)

  14. Key practical issues in strengthening safety culture. INSAG-15. A report by the International Safety Advisory Group [Russian Edition

    International Nuclear Information System (INIS)

    2015-01-01

    This report describes the essential practical issues to be considered by organizations aiming to strengthen safety culture. It is intended for senior executives, managers and first line supervisors in operating organizations. Although safety culture cannot be directly regulated, it is important that members of regulatory bodies understand how their actions affect the development of attempts to strengthen safety culture and are sympathetic to the need to improve the less formal human related aspects of safety. The report is therefore of relevance to regulators, although not intended primarily for them. The International Nuclear Safety Advisory Group (INSAG) introduced the concept of safety culture in its INSAG-4 report in 1991. Since then, many papers have been written on safety culture, as it relates to organizations and individuals, its improvement and its underpinning prerequisites. Variations in national cultures mean that what constitutes a good approach to enhancing safety culture in one country may not be the best approach in another. However, INSAG seeks to provide pragmatic and practical advice of wide applicability in the principles and issues presented in this report. Nuclear and radiological safety are the prime concerns of this report, but the topics discussed are so general that successful application of the principles should lead to improvements in other important areas, such as industrial safety, environmental performance and, in some respects, wider business performance. This is because many of the attitudes and practices necessary to achieve good performance in nuclear safety, including visible commitment by management, openness, care and thoroughness in completing tasks, good communication and clarity in recognizing major issues and dealing with them as a priority, have wide applicability

  15. Key practical issues in strengthening safety culture. INSAG-15. A report by the International Safety Advisory Group

    International Nuclear Information System (INIS)

    2002-01-01

    This report describes the essential practical issues to be considered by organizations aiming to strengthen safety culture. It is intended for senior executives, managers and first line supervisors in operating organizations. Although safety culture cannot be directly regulated, it is important that members of regulatory bodies understand how their actions affect the development of attempts to strengthen safety culture and are sympathetic to the need to improve the less formal human related aspects of safety. The report is therefore of relevance to regulators, although not intended primarily for them. The International Nuclear Safety Advisory Group (INSAG) introduced the concept of safety culture in its INSAG-4 report in 1991. Since then, many papers have been written on safety culture, as it relates to organizations and individuals, its improvement and its underpinning prerequisites. Variations in national cultures mean that what constitutes a good approach to enhancing safety culture in one country may not be the best approach in another. However, INSAG seeks to provide pragmatic and practical advice of wide applicability in the principles and issues presented in this report. Nuclear and radiological safety are the prime concerns of this report, but the topics discussed are so general that successful application of the principles should lead to improvements in other important areas, such as industrial safety, environmental performance and, in some respects, wider business performance. This is because many of the attitudes and practices necessary to achieve good performance in nuclear safety, including visible commitment by management, openness, care and thoroughness in completing tasks, good communication and clarity in recognizing major issues and dealing with them as a priority, have wide applicability

  16. Safety culture in regulatory expert organization : analysis result of survey for KINS employees

    International Nuclear Information System (INIS)

    Choi, G. S.; Choi, Y. S.

    2003-01-01

    Much has been discussed on safety culture of operating organizations, however, little has been done on that of regulatory organization. Current issues and activities related to nuclear safety culture at IAEA, OECD/NEA, etc. were investigated and relevant literatures were reviewed. Elements essential for safety culture of regulatory organization were proposed and survey questionnaire for employees of regulatory expert organization, KINS, was developed based on the elements proposed. The survey result was presented and its implications were discussed. Based on the result, elements of safety culture in regulatory organization were proposed. The result of this survey can be used in developing safety culture model of regulatory organization, measurement method and also promotion of safety culture in regulatory organization

  17. Do Safety Culture Scores in Nursing Homes Depend on Job Role and Ownership? Results from a National Survey.

    Science.gov (United States)

    Banaszak-Holl, Jane; Reichert, Heidi; Todd Greene, M; Mody, Lona; Wald, Heidi L; Crnich, Christopher; McNamara, Sara E; Meddings, Jennifer

    2017-10-01

    assess barriers, facilitators, and changes in safety culture. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  18. Perspective of Nurses toward the Patient Safety Culture in Neonatal Intensive Care Units

    Directory of Open Access Journals (Sweden)

    Saba Farzi

    2017-12-01

    Conclusion: According to the results, adherence to the dimensions of the patient safety culture was poor in the studied hospitals. Therefore, the patient safety culture requires special attention by providing proper facilities, adequate staff, developing checklists for handoffs and transitions, and surveillance and continuous monitoring by healthcare centers. Furthermore, a system-based approach should be implemented to deal with errors, while a persuasive reporting approach is needed to promote the patient safety culture in the NICUs of these hospitals.

  19. Safety culture and organizational issues during transition from operation to decommissioning of NPPs

    International Nuclear Information System (INIS)

    Slavcheva, K.; Mori, M.; D'Amico, N.; Sollima, C.

    2005-01-01

    The paper highlights the critical safety issues in a Nuclear Power Plant (NPP) to be managed during the transition period from operation to decommissioning. Pre-shutdown is an important period of a NPP lifetime due to the changes and issues to be faced by the NPP management, which include safety culture issues, organizational issues, plant safety issues and nuclear waste issues. Preservation of staff competence and moral, management and organizational capability, preservation of knowledge and corporate memory, preservation of safety culture, surveillance and permanent control to maintain adequate level of nuclear and radiation safety, development of appropriate solutions for the new incoming issues are the key challenges to be timely faced. The uncertainty regarding the future of the site, the future of the workers and the incoming re-organization originate numerous additional issues including stress for the personnel. It is necessary to take appropriate actions to reduce the uncertainty. The regulatory regime continues with the same rules as during operation. Responsibility for safety remains with the licensee and the regulatory supervision continues and oversees the safe operation and security of the NPP, the safe management and storage of spent nuclear fuel and radioactive waste. Anticipated attention from the Operator and the Regulator to key organizational and safety culture issues during the pre-shutdown phase has shown to be an effective preventive action. The Operator has to aim to preserve staff competence and motivation, preserve corporate memory, safety culture, reinforce monitoring and control on the health risk of workers and population, preserve the technical part of the organization from external disturb and distractions, ensure transparency and develop strategies to solve forthcoming issues. The Regulator has to aim to reorient its supervision, train its personnel and adapt its tools to the new situation, keep adequate presence onsite, keep dialogue

  20. The Role of the Master in Improving Safety Culture Onboard Ships

    Directory of Open Access Journals (Sweden)

    T. Bielic

    2017-03-01

    Full Text Available As a complex socio-technical system marine transportation is open to risks. Due to the efforts of international organisations, flag and port administrations, classification societies and ship-owners the safety record has steadily improved. However, marine accidents resulting from inadequate safety culture still occur. In this paper examples of recent accidents related to different dimensions of safety culture are provided. The role of the master in achieving an enhanced safety is emphasised.

  1. Safety culture management: The importance of organizational factors

    International Nuclear Information System (INIS)

    Haber, S.B.; Shurberg, D.A.; Jacobs, R.; Hofmann, D.

    1995-01-01

    The concept of safety culture has been used extensively to explain the underlying causes of performance based events, both positive and negative, across the nuclear industry. The work described in this paper represents several years of effort to identify, define and assess the organizational factors important to safe performance in nuclear power plants (NPPs). The research discussed in this paper is primarily conducted in support of the US Nuclear Regulatory Commission's (NRC) efforts in understanding the impact of organizational performance on safety. As a result of a series of research activities undertaken by numerous NRC contractors, a collection of organizational dimensions has been identified and defined. These dimensions represent what is believed to be a comprehensive taxonomy of organizational elements that relate to the safe operation of nuclear power plants. Techniques were also developed by which to measure these organizational dimensions, and include structured interview protocols, behavioral checklists, and behavioral anchored rating scales (BARS). Recent efforts have focused on devising a methodology for the extraction of information related to the identified organizational dimensions from existing NRC documentation. This type of effort would assess the applicability of the organizational dimensions to existing NRC inspection and evaluation reports, refine the organizational dimensions previously developed so they are more relevant to the task of retrospective analysis, and attempt to rate plants based on the review of existing NRC documentation using the techniques previously developed for the assessment of organizational dimensions

  2. Developing Expert Teams with a Strong Safety Culture

    Science.gov (United States)

    Rogers, David G.

    2010-01-01

    Would you like to lead a world renowned team that draws out all the talents and expertise of its members and consistently out performs all others in the industry? Ever wonder why so many organizations fail to truly learn from past mistakes only to repeat the same ones at a later date? Are you a program/project manager or team member in a high-risk organization where the decisions made often carry the highest of consequences? Leadership, communication, team building, critical decision-making and continuous team improvement skills and behaviors are mere talking points without the attitudes, commitment and strategies necessary to make them the very fabric of a team. Developing Expert Teams with a Strong Safety Culture, will provide you with proven knowledge and strategies to take your team soaring to heights you may have not thought possible. A myriad of teams have applied these strategies and techniques within their organization team environments: military and commercial aviation, astronaut flight crews, Shuttle flight controllers, members of the Space Shuttle Program Mission Management Team, air traffic controllers, nuclear power control teams, surgical teams, and the fire service report having spectacular success. Many industry leaders are beginning to realize that although the circumstances and environments of these teams may differ greatly to their own, the core elements, governing principles and dynamics involved in managing and building a stellar safety conscious team remain identical.

  3. On integration and innovation of sino-foreign safety culture in Haiyang AP1000 Project

    International Nuclear Information System (INIS)

    Li Ruipu; Song Fengwei

    2010-01-01

    The undergoing Haiyang Nuclear Power Plant is not only introducing the top-advanced AP1000 nuclear technology, but also the mature HSE management system from U.S.A. It's very important for both sides to communicate, comprehend and acculturation of both different culture. After over 1 year discussion and practice, the experts of Westinghouse Consortium and Chinese HSE engineers have established an distinctive safety culture of AP1000 Project initially, demonstrating the followings: Exemplary actions of the expat experts and the SNPTC leaders, the high level standard HSE procedures, HSE audit, various training, HSE inspection all-around, the safety performance assessment for prospective index, JHA/JSA , emergency system, humanism rewards and punishment etc.. Haiyang SPMO has made Three-Step master plan for AP1000 project HSE Routine by analysis the site problems and the difference between Chinese and American, that is, from 2008 to 2020, when nuclear power achieve to independent, safety culture of Haiyang AP1000 will change from 'dependent' to 'independent', until the last 'interdependent'. (authors)

  4. Safety Culture Evaluation at Research Reactors of Pakistan Atomic Energy Commission

    International Nuclear Information System (INIS)

    Qamar, M.A.; Saeed, A.; Shah, J.H.

    2016-01-01

    The concept of safety culture was presented by IAEA in document INSAG-4 (1991), delineated as “assembly of characteristics and attitudes in organizations and individuals which establish that, as an overriding priority, nuclear plant safety issues receive the attention warranted by their significance”. The purpose of this paper is to describe the evaluation of safety culture at research reactors of the Pakistan Atomic Energy Commission (PAEC). Evaluating the safety culture of a particular organization poses some challenges which can be resolved by using safety culture evaluation models like those of Sachein (1992) and Harber-Barrier(1998). In PAEC, safety culture is the integral part of management system which not only promotes safety culture throughout the organization but also enhances its significance. To strengthen the safety culture, PAEC is also participating in a number of international and regional meetings of IAEA regarding safety culture. PAEC and the national regulator Pakistan Nuclear Regulatory Authority (PNRA) are also arranging workshops, peer reviews, sharing operational experiences and interacting with IAEA missions to enhance its capabilities in the field of safety culture. The Directorate General of Safety (DOS) is a corporate office of PAEC for safety and regulatory matters. DOS is in the process of implementing a program to evaluate safety culture at nuclear installations of PAEC to ensure that safety culture is included as a vital segment of the Integral Management System of the establishment. In this regard, training sessions and lectures on safety culture evaluation are normally conducted in PAEC for awareness and enhancement of the safety culture program. Safety culture is also addressed in PNRA Regulations like PAK-909 and PAK-913. In this paper we will focus on the safety culture evaluation in our research reactors, i.e., PARR-1 and PARR-2. The evaluation results will be based on observations, interviews of employees, group discussions

  5. Advice on cultural policy matters: changing times for the Council for Culture

    NARCIS (Netherlands)

    Lelieveldt, Philomeen; Minnaert, Toine

    The central question is the changing role of advisory councils in Dutch cultural policy and the subsequent change in discourse on culture and the arts within cultural policy. Our working hypothesis is that the role of the Council for Culture (Raad voor Cultuur), the formal advisory council, is

  6. Understanding the relationship between safety culture dimensions and safety performance of construction projects through partial least square method

    Science.gov (United States)

    Latief, Yusuf; Machfudiyanto, Rossy A.; Arifuddin, Rosmariani; Yogiswara, Yoko

    2017-03-01

    Based on the data, 32% of accidental cases in Indonesia occurs on constructional sectors. It is supported by the data from Public Work and Housing Department that 27.43% of the implementation level of Safety Management System policy at construction companies in Indonesia remains unsafe categories. Moreover, there are dimensions of occupational safety culture formed including leadership, behavior, strategy, policy, process, people, safety cost, value and contract system. The aim of this study is to determine the model of an effective safety culture and know the relationship between dimensions in construction industry. The method used in this research was questionnaire survey which was distributed to the sample of construction companies either in a national private one in Indonesia. The result of this research is supposed to be able to illustrate the development of the relationship among occupational safety culture dimensions which have influences to the performances of constructional companies in Indonesia.

  7. Diverse cultures at work: ensuring safety and health through leadership and participation

    OpenAIRE

    Starren, A.; Luijters, K.; Drupsteen, L.; Vilkevicius, G.; Stulginskis, A.; Eeckelaert, L.; Elsler, D.

    2013-01-01

    The differences between cultures are helpful in understanding discrepancies when several nationalities are working together. Cross-cultural studies describe characteristics of cultures and differences between different cultures. Therefore, the cross-cultural literature is very helpful in describing general differences that may occur in multinationals, as well as in multicultural teams. In this report the focus is on managing cultural diversity in occupational safety and health, i.e. aspects o...

  8. Exploring the Influence of Nurse Work Environment and Patient Safety Culture on Attitudes Toward Incident Reporting.

    Science.gov (United States)

    Yoo, Moon Sook; Kim, Kyoung Ja

    2017-09-01

    The aim of this study was to explore the influence of nurse work environments and patient safety culture on attitudes toward incident reporting. Patient safety culture had been known as a factor of incident reporting by nurses. Positive work environment could be an important influencing factor for the safety behavior of nurses. A cross-sectional survey design was used. The structured questionnaire was administered to 191 nurses working at a tertiary university hospital in South Korea. Nurses' perception of work environment and patient safety culture were positively correlated with attitudes toward incident reporting. A regression model with clinical career, work area and nurse work environment, and patient safety culture against attitudes toward incident reporting was statistically significant. The model explained approximately 50.7% of attitudes toward incident reporting. Improving nurses' attitudes toward incident reporting can be achieved with a broad approach that includes improvements in work environment and patient safety culture.

  9. Safety-Culture Exploration in Taiwan’s Metal Industries: Identifying the Workers’ Background Influence on Safety Climate

    Directory of Open Access Journals (Sweden)

    Shu-Chiang Lin

    2017-10-01

    Full Text Available The present study aims to assess the safety-climate level in Taiwan’s metal industries, as well as to identify the influence of workers’ backgrounds on the safety climate. An earlier report showed that a poor safety culture was related to the cause of accidents in Taiwan’s traditional manufacturing industries. This study surveyed a total of 839 workers who voluntarily participated and completed the safety-culture questionnaires. These workers were from a Taiwanese metal company and its five satellite companies. Three safety-climate factors, namely safety perception, safety communication and safety-management systems, were assessed. Confirmatory factor analysis (CFA was conducted by developing structural equation modeling to ensure the questionnaire’s validity. The influence of workers’ backgrounds on the safety climate was identified by using one-way ANOVA. The reliability result of the questionnaire was above the acceptable level. The overall safety-climate score was 4.22 out of a five-point scale for safety perception, 4.23 for safety-management systems and 3.97 for safety communication. The scores indicate a good level of safety climate, with room for improvement in safety communication. Additionally, the influence of workers’ backgrounds on the safety climate was confirmed. Based on the validity test, it was also found that the questionnaire could be improved by reconstructing its questions in its development process in order to increase the safety-climate model’s reliability and validity, as well as its model fit.

  10. Population growth, demographic change, and cultural landscapes.

    Science.gov (United States)

    Woodgate, G; Sage, C

    1994-01-01

    The inclusion of both ecological and socioeconomic components within landscapes makes possible the perception of the hierarchical character of landscape organization. A research approach is needed to conceptualize cultural landscapes as the product of interaction between society and nature. Richard Norgaard's 1984 paper on coevolutionary agricultural development attempts to meet this challenge. Coevolution is the interactive synthesis of natural and social mechanisms of change that characterize the relationship between social systems and ecosystems. The relationship between population, consumption, and environmental changes is complex. Currently industrialized countries present the biggest threat to global environmental resources. The issue of carrying capacity is the corollary of population and the environment. It is primarily the technological factor rather than population that needs to be controlled. The relationship between rich and poor countries is determined by superior economic power. An analysis of landscape change is made, tracing the coevolution of society and environment from the end of the feudal era and making comparisons with continental Europe. Over the years since 1945 the need to realize potential economies of scale has resulted in a wholesale loss of woodlands, hedgerows, and small ponds in the UK. In a global context the likely impacts of population growth and demographic change on landscapes will be influenced by such socioeconomic factors as technology and affluence; policies that ignore cause and effect; and the traditional tendency to treat the environment as a waste repository and a supply depot.

  11. Changes In Growth Culture FDA Activity Under Changing Growth Conditions

    DEFF Research Database (Denmark)

    Jørgensen, Per Elberg; Eriksen, Thomas Juul; Jensen, Bjørn K.

    1992-01-01

    The FDA hydrolysis capacities and bacterial biomass concentrations (estimated by determination of ATP content) of growth cultures prepared from activated sludge and wastewater, were measured to find out whether the FDA activity would reflect bacterial biomass under different physiological states...... of the bacteria. The FDA activity/ATP ratio was calculated for different concentrations of autoclaved sludge. A faster decay rate of ATP relative to FDA hydrolysis activity was observed, thus causing changes in the ratio. Furthermore, comparison between values obtained from pure cultures and different soils...... revealed differences up to two orders of magnitude of the ratio. Based on these results it was concluded that the FDA activity should not be applied for measurements of viable biomass in environments in which different physiological conditions occur....

  12. Lessons Learned from a Five-year Evaluation of the Belgian Safety Culture Oversight Process

    International Nuclear Information System (INIS)

    Bernard, B.

    2016-01-01

    The Belgian Regulatory Body has implemented a Safety Culture oversight process since 2010. In a nutshell, this process is based on field observations provided by inspectors or safety analysts during any contact with a licencee (inspections, meetings, phone calls, etc). These observations are recorded within an observation (excel) sheet—aiming at describing factual and contextual issues — and are linked to IAEA Safety Culture attributes. It should be stressed that the purpose of the process is not to give a comprehensive view of a licencee safety culture but to address findings that require attention or action on the part of a licencee. In other words, gathering safety culture observations aims at identifying cultural, organizational or behavioural issues in order to feed a regulatory response to potential problems. Safety Culture Observations (SCO) are then fully integrated in routine inspection activities and must be seen as an input of the overall oversight process. As a result, the assessment of the SCO is inserted within the yearly safety evaluation report performed by Bel V and transmitted to the licencee. However, observing safety culture is not a natural approach for engineers. Guidance, training and coaching must be provided in order to open up safety dimensions to be captured. In other words, a SCO process requires a continuous support in order to promote a holistic and systemic view of safety.

  13. Insight and Lessons Learned on Safety Culture from Analysis of Inspection Findings and Events

    International Nuclear Information System (INIS)

    Kim, J.T.; Jung, S.J.; Choi, Y.S.

    2016-01-01

    Safety culture has been a main subject of scrutiny in major accidents of modern complex technologies. The Fukushima accident also plausibly has its root cause deep into weak safety culture. After the Fukushima accident in Japan 2011, many critics have searched for cultural factors that caused the unacceptable negligence pervaded in Japan’s nuclear society. Renewed emphasis has also been placed on rebuilding strong safety culture by operators, regulators, and relevant institutions worldwide. Significant progress has been made in approach to safety culture and this led to a new perspective different from the existing normative assessment method both in operators and regulatory side. Regulatory expectations and oversight of them are based on such a new holistic concept for human, organizational and cultural elements to maintain and strengthen the integrity of defense in depth and consequently nuclear safety.

  14. "Causes" of pesticide safety behavior change in Latino farmworker families.

    Science.gov (United States)

    Grzywacz, Joseph G; Arcury, Thomas A; Talton, Jennifer W; D'Agostino, Ralph B; Trejo, Grisel; Mirabelli, Maria C; Quandt, Sara A

    2013-07-01

    To identify the source of behavior change resulting from a health education intervention focused on pesticide safety. Data were from the La Familia Sana demonstration project, a promotora-delivered pesticide safety education intervention conducted with immigrant Latinos (N = 610). The La Familia Sana program produced changes in 3 sets of pesticide safety behaviors. Changes in the conceptual targets of the intervention and promotora attributes explained 0.45-6% and 0.5-3% of the changes in pesticide-related behavior, respectively. The conceptual targets of the La Familia Sana program explained the greatest amount of change in pesticide-related behavior. Promotora attributes also contributed to intervention success.

  15. Cultural safety in New Zealand and the United States: looking at a way forward together.

    Science.gov (United States)

    Doutrich, Dawn; Arcus, Kerri; Dekker, Lida; Spuck, Janet; Pollock-Robinson, Catherine

    2012-04-01

    Cultural safety emerged in Aotearoa, New Zealand as a nursing response to bicultural interactions between indigenous Maori and other New Zealanders. The purpose of this research is to describe the meaning and experience of cultural safety as depicted by nurses in New Zealand and to illustrate the potential for this to inform U.S. nursing education and practice. This interpretive hermeneutic study explored cultural safety as described by 12 experienced nurses who were selected through snowball and purposive sampling. Audiotaped interviews were conducted after ethics approval. Interpretive analysis uncovered five themes that are described with data and paradigm cases. Cultural safety considers the perspective of the patient as the norm in contrast to the culture of health care. Understanding historical power differences and personal biases can help challenge victim-blaming responses by health care providers. Incorporating these understandings into reflective practice enhances the possibility of culturally safe learning for students and culturally safe care for patients.

  16. Critical Conversations and the Role of Dialogue in Delivering Meaningful Improvements in Safety and Security Culture

    International Nuclear Information System (INIS)

    Brissette, S.

    2016-01-01

    Significant scholarship has been devoted to research into safety culture assessment methodologies. These focus on the development, delivery and interpretations of safety culture surveys and other assessment techniques to assure reliable outcomes that provide insights into the safety culture of an organization across multiple dimensions. The lessons from this scholarship can be applied to the emerging area of security culture assessments as the nuclear industry broadens its focus on this topic. The aim of this paper is to discuss the value of establishing mechanisms, immediately after an assessment and regularly between assessments, to facilitate a structured dialogue among leaders around insights derived from an assessment, to enable ongoing improvements in safety and security culture. The leader’s role includes both understanding the current state of culture, the “what is”, and creating regular, open and informed dialogue around their role in shaping the culture to achieve “what should be”.

  17. Do you see what I see? Effects of national culture on employees' safety-related perceptions and behavior.

    Science.gov (United States)

    Casey, Tristan W; Riseborough, Karli M; Krauss, Autumn D

    2015-05-01

    Growing international trade and globalization are increasing the cultural diversity of the modern workforce, which often results in migrants working under the management of foreign leadership. This change in work arrangements has important implications for occupational health and safety, as migrant workers have been found to be at an increased risk of injuries compared to their domestic counterparts. While some explanations for this discrepancy have been proposed (e.g., job differences, safety knowledge, and communication difficulties), differences in injury involvement have been found to persist even when these contextual factors are controlled for. We argue that employees' national culture may explain further variance in their safety-related perceptions and safety compliance, and investigate this through comparing the survey responses of 562 Anglo and Southern Asian workers at a multinational oil and gas company. Using structural equation modeling, we firstly established partial measurement invariance of our measures across cultural groups. Estimation of the combined sample structural model revealed that supervisor production pressure was negatively related to willingness to report errors and supervisor support, but did not predict safety compliance behavior. Supervisor safety support was positively related to both willingness to report errors and safety compliance. Next, we uncovered evidence of cultural differences in the relationships between supervisor production pressure, supervisor safety support, and willingness to report errors; of note, among Southern Asian employees the negative relationship between supervisor production pressure and willingness to report errors was stronger, and for supervisor safety support, weaker as compared to the model estimated with Anglo employees. Implications of these findings for safety management in multicultural teams within the oil and gas industry are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Built cultural heritage facing climate change risks

    International Nuclear Information System (INIS)

    Lefevre, Roger-Alexandre; Martin, Daniel

    2011-01-01

    The built cultural heritage would face important risks in the frame of climate change. They are well identified by the major international organizations, but only in a qualitative manner, and mainly refer on the action of water or on its absence. The most active research is supported by the European Commission. The results obtained by the European project 'Noah's Ark' are the most important at the day. Dose-Response Functions with predictive climate models are used to produce vulnerability maps at a European scale of which one example is presented. The recommendations of the Council of Europe for policy makers and researchers are developed as a conclusion. Three case studies are synthesized in annex of this article: Venice, London and Paris. (authors)

  19. Effects of patient safety culture interventions on incident reporting in general practice : A cluster randomised trial a cluster randomised trial

    NARCIS (Netherlands)

    Verbakel, Natasha J.; Langelaan, Maaike; Verheij, Theo J M; Wagner, Cordula; Zwart, Dorien L M

    2015-01-01

    Background: A constructive safety culture is essential for the successful implementation of patient safety improvements. Aim: To assess the effect of two patient safety culture interventions on incident reporting as a proxy of safety culture. Design and setting: A three-arm cluster randomised trial

  20. Safety culture and accident analysis-A socio-management approach based on organizational safety social capital

    Energy Technology Data Exchange (ETDEWEB)

    Rao, Suman [Risk Analyst (India)]. E-mail: sumanashokrao@yahoo.co.in

    2007-04-11

    One of the biggest challenges for organizations in today's competitive business environment is to create and preserve a self-sustaining safety culture. Typically, Key drivers of safety culture in many organizations are regulation, audits, safety training, various types of employee exhortations to comply with safety norms, etc. However, less evident factors like networking relationships and social trust amongst employees, as also extended networking relationships and social trust of organizations with external stakeholders like government, suppliers, regulators, etc., which constitute the safety social capital in the Organization-seem to also influence the sustenance of organizational safety culture. Can erosion in safety social capital cause deterioration in safety culture and contribute to accidents? If so, how does it contribute? As existing accident analysis models do not provide answers to these questions, CAMSoC (Curtailing Accidents by Managing Social Capital), an accident analysis model, is proposed. As an illustration, five accidents: Bhopal (India), Hyatt Regency (USA), Tenerife (Canary Islands), Westray (Canada) and Exxon Valdez (USA) have been analyzed using CAMSoC. This limited cross-industry analysis provides two key socio-management insights: the biggest source of motivation that causes deviant behavior leading to accidents is 'Faulty Value Systems'. The second biggest source is 'Enforceable Trust'. From a management control perspective, deterioration in safety culture and resultant accidents is more due to the 'action controls' rather than explicit 'cultural controls'. Future research directions to enhance the model's utility through layering are addressed briefly.

  1. Studying the Relationship between Individual and Organizational Factors and Nurses' Perception of Patient Safety Culture

    Directory of Open Access Journals (Sweden)

    Farahnaz Abdolahzadeh

    2012-11-01

    Full Text Available Introduction: Safety culture is considered as an important factor in improving patient safety. Therefore, identifying individual and organizational factors affecting safety culture is crucial. This study was carried out to determine individual and organizational factors associated with nurses' perception of patient safety culture. Methods: The present descriptive study included 940 nurses working in four training hospitals affiliated with Urmia University of Medical Sciences (Iran. Data was collected through the self-report questionnaire of patient safety culture. Descriptive (number, percent, mean, and standard deviation and inferential (t-test and analysis of variance statistics were used to analyze the data in SPSS. Results: Nurses' perception of patient safety culture was significantly correlated with marital status, workplace, and overtime hours. Conclusion: The results of this study revealed that some individual and organizational factors can impact on nurses' perception of patient safety culture. Nursing authorities should thus pay more attention to factors which promote patient safety culture and ultimately the safety of provided services.

  2. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and Safety Culture in a Large, Multisite Radiation Oncology Department.

    Science.gov (United States)

    Woodhouse, Kristina Demas; Volz, Edna; Maity, Amit; Gabriel, Peter E; Solberg, Timothy D; Bergendahl, Howard W; Hahn, Stephen M

    2016-05-01

    High-reliability organizations (HROs) focus on continuous identification and improvement of safety issues. We sought to advance a large, multisite radiation oncology department toward high reliability through the implementation of a comprehensive safety culture (SC) program at the University of Pennsylvania Department of Radiation Oncology. In 2011, with guidance from safety literature and experts in HROs, we designed an SC framework to reduce radiation errors. All state-reported medical events (SRMEs) from 2009 to 2016 were retrospectively reviewed and plotted on a control chart. Changes in SC grade were assessed using the Agency for Healthcare Research and Quality Hospital Survey. Outcomes measured included the number of radiation treatment fractions and days between SRMEs, as well as SC grade. Multifaceted safety initiatives were implemented at our main academic center and across all network sites. Postintervention results demonstrate increased staff fundamental safety knowledge, enhanced peer review with an electronic system, and special cause variation of SRMEs on control chart analysis. From 2009 to 2016, the number of days and fractions between SRMEs significantly increased, from a mean of 174 to 541 days (P safety framework. Our multifaceted initiatives, focusing on culture and system changes, can be successfully implemented in a large academic radiation oncology department to yield measurable improvements in SC and outcomes. Copyright © 2016 by American Society of Clinical Oncology.

  3. Safety culture: the perspective of a lawyer on its necessity and weaknesses

    International Nuclear Information System (INIS)

    Favini, J.M.

    1998-01-01

    A reflection is presented on the acceptance and extension of the concept of safety culture in radiation protection. Safety culture, a basic attitude to guard against nuclear accidents, radiological hazards or radiological accidents, is predicated on the prevention of complacency. (author)

  4. Discussion of establishment and improvement of the nuclear safety culture system

    International Nuclear Information System (INIS)

    Lu Weiqiang; Na Fuli

    2009-01-01

    In the basis of discussion on some nuclear safety culture problems in the manufacture process of nuclear power equipment enterprises, the tentative idea of establishing the safety culture system is put forwards, meanwhile, some suggestions are given in order to improve the system. (authors)

  5. Development of safety culture at Kozloduy NPP: The role of the regulatory body

    International Nuclear Information System (INIS)

    Miliovsky, Ventzislav

    2002-01-01

    An evolution is made upon external factor that accompany the development of safety culture at Kozloduy NPP (KNPP). The two basic stages and the major results achieved independently and with external assistance were considered in the process of development of safety culture. The areas in which the regulatory body insists on having active participation were defined. (author)

  6. Discussion of fostering strong nuclear safety culture in nuclear power plants in China

    International Nuclear Information System (INIS)

    Jiang Fuming

    2011-01-01

    This paper described the most recent development of nuclear safety culture in the world nuclear industry. Focus areas are recommended to foster a strong nuclear safety culture (SNSC) in Chinese nuclear industry with the view of our current development, aiming to accelerate the formation of SNSC. (author)

  7. The Role of the Regulator in the Field of Safety Culture to Shun Nuclear Accident

    International Nuclear Information System (INIS)

    Kandil, M.M.

    2016-01-01

    The 2011 accident at the Fukushima Daiichi nuclear power plant in Japan has, as might be expected, led to improvements in equipment at plants around the world that have fortified safety systems and allowed for better protection against rare, extreme natural events. Equally important to the process of improving nuclear safety is the emphasis placed on implementing quality improvements to the human side of nuclear safety, a crucial element that is often not considered by those outside the nuclear sector. Ensuring nuclear reactor safety is not only a question of physical protection against all credible threats, enhancing robustness of important safety systems and increasing redundancy of back-up power and water cooling systems, but also one of making certain that qualified and trained staff are supported by effective procedures. However, these assets are valued only in an organizational culture that places a premium on ensuring high levels of safety, or implementing what is called an effective “nuclear safety culture”. Principles, characteristics and factors for effective safety culture are to great extent similar between licencees and regulatory bodies and can be applied for developing RB’s safety. Safety is the primary purpose of the regulatory body, Regulator plays a significant role in the field of nuclear safety even though the prime responsibility for safety belongs to the operator, and it is the regulator which actually decides what is considered to be safe. In order to effectively implement the international principle of high level of nuclear safety, nuclear safety culture should be clearly named as an objective in international nuclear legal acts and the regulator’s responsibility for promotion of nuclear safety culture should be established. What is more difficult for the regulator is finding the right balance of firmness but fairness in dealing with the operator. In addition to enforcing safety regulations, the regulator should have a positive

  8. Safety culture giving impetus to the development of nuclear power enterprise

    International Nuclear Information System (INIS)

    Zhang Ying

    2011-01-01

    Jiangsu Nuclear Power Corporation (JNPC) have been continuously assimilating excellent nuclear safety culture at home and abroad and improving the plant safety operation and internal management level of corporation since the successful construction of Phase I project and the gradual success of the expansion project. Implemented the 'top management 8 expectations', executed the '3 into 1' (quality, environment and occupational health safety) management system. The culture of 'zero tolerance' has been deeply rooted. The safety culture brings people's heart closer, which is not only accepted by the employees, but also climbs up to a higher level and adds momentum to the scientific development of Tianwan Nuclear Power Station Base. (author)

  9. Safety culture as a matter of regulatory control and regulatory effectiveness

    International Nuclear Information System (INIS)

    Camargo, C.T.M.; Furieri, E.B.; Arrieta, L.A.I.; Almeida, C.U.C.

    2002-01-01

    More than 15 years have passed since the term 'safety culture' was introduced by the International Nuclear Safety Advisory Group (INSAG), and although the concept now is widely accepted, practical applications and characteristics have been disseminated mainly for nuclear power plant operating organizations. There is still a lack of international guidance on the use of safety culture as a regulatory matter and on the application of the concept within regulatory organizations. This work explores the meaning of safety culture in two different fields: as an element of safety management systems it shall be a matter of regulatory control; as a complementary tool for quality management it should be used to enhance regulatory effectiveness. Brazilian recent experience on regulating nuclear power reactors provide some examples on how the concept of safety culture may influence regulatory strategies and regulatory management. (author)

  10. Safety culture: a comparative study of space, nuclear and oil-gas sectors

    International Nuclear Information System (INIS)

    Morais, David; Assis, Altair Souza de

    2008-01-01

    Full text:We access in this paper the safety culture methodology adopted by three different industrial sectors: Nuclear, space/aeronautics and oil-gas, in Brazil. In this work, It is evaluated the planning, training, personal monitoring and the interaction between the technical personal, such as engineers and physicists, with human ones, such social workers and physiologists, key factor to understand the efficacy of the local safety culture pattern. The research is made through the analysis of the relevant manuals and interviewing the safety, human areas personal, and regulatory managers, concerned with/related to safety/working with safety culture at the specific industrial sector. It is compared the efficacies and the official regulatory vision on the issue, for the different sectors, in order to detect confluences and divergences and, so, to propose a model that better treat the safety culture as a global industrial value. (author)

  11. Cultural Institutions as Structures for Cognitive Change.

    Science.gov (United States)

    Carr, David

    1992-01-01

    Explores cultural institutions as educative environments for adult lives and situations for cognitive apprenticeship. Suggests ways that cultural institutions can be subject to the designs of reflective educators. (JOW)

  12. 75 FR 57081 - Revised Draft Safety Culture Policy Statement: Request for Comments

    Science.gov (United States)

    2010-09-17

    ... cost of the effort vs. safety. It should be noted that although the term ``security'' is not expressly... Statement of Policy (SOP) contained in the FRN focuses on the interface of nuclear