Bartosz Pryba, Wioletta Mędrzycka-Dąbrowska, Anna Małecka-Dubiela
Introduction: Pain has been identified as the most common reason for emergency medical service (EMS) calls. Despite many years of pain research, it is still true that oligoanalgesia is an ongoing phenomenon. This demonstrates the need for the implementation of new solutions and for further analyses on the causes of inadequate pain treatment. The study was undertaken to analyze analgesic treatment implemented in specialist “S” and basic “P” Emergency Medical Teams (EMTs). Methods: This retrospective study was based on the analysis of medical records using the emergency medical service card. A total of 1333 medical files were analyzed, of which 539 cases were qualified for the study according to the inclusion and exclusion criteria. Results: The analysis has shown that the majority of interventions were undertaken by basic emergency medical teams and that acute pain was the most common reason for contacting the EMS. However, only 62.52% of patients received analgesia. It was shown that the frequency of administering paracetamol, metamizole, and ketoprofen was proportional to the increase in pain intensity. Similar correlations were identified in the cases of morphine, fentanyl, and drotaverine, which were most often administered to patients with the most severe pain. Conclusions: The nature and location of pain, as well as its intensity, affected the choice of analgesia. Opioids were administered more frequently with more extensive injuries and at greater pain intensity. Significant differences were found in the frequency at which acetylsalicylic acid was administered more often in “S” EMTs and drotaverine more often in “P” EMTs. The intravenous route was found to be the most common route of analgesia administration in EMTs.
{"title":"Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study","authors":"Bartosz Pryba, Wioletta Mędrzycka-Dąbrowska, Anna Małecka-Dubiela","doi":"10.3390/safety9040074","DOIUrl":"https://doi.org/10.3390/safety9040074","url":null,"abstract":"Introduction: Pain has been identified as the most common reason for emergency medical service (EMS) calls. Despite many years of pain research, it is still true that oligoanalgesia is an ongoing phenomenon. This demonstrates the need for the implementation of new solutions and for further analyses on the causes of inadequate pain treatment. The study was undertaken to analyze analgesic treatment implemented in specialist “S” and basic “P” Emergency Medical Teams (EMTs). Methods: This retrospective study was based on the analysis of medical records using the emergency medical service card. A total of 1333 medical files were analyzed, of which 539 cases were qualified for the study according to the inclusion and exclusion criteria. Results: The analysis has shown that the majority of interventions were undertaken by basic emergency medical teams and that acute pain was the most common reason for contacting the EMS. However, only 62.52% of patients received analgesia. It was shown that the frequency of administering paracetamol, metamizole, and ketoprofen was proportional to the increase in pain intensity. Similar correlations were identified in the cases of morphine, fentanyl, and drotaverine, which were most often administered to patients with the most severe pain. Conclusions: The nature and location of pain, as well as its intensity, affected the choice of analgesia. Opioids were administered more frequently with more extensive injuries and at greater pain intensity. Significant differences were found in the frequency at which acetylsalicylic acid was administered more often in “S” EMTs and drotaverine more often in “P” EMTs. The intravenous route was found to be the most common route of analgesia administration in EMTs.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135728783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camera-based mirror systems (CBMSs) are a relatively new technology in the automotive industry, and much of the United States’ medium- and heavy-duty commercial fleet has been reluctant to convert from standard glass, or “west coast”, mirrors to CBMSs. CBMSs have the potential to reduce the number of truck and passenger vehicle incidents, improving overall fleet safety. CBMSs also have the potential to improve operational efficiency by improving aerodynamics and reducing drag, resulting in better fuel economy, and improving maneuverability. Improvements in overall safety are also possible; the field of view for the driver is potentially 360° with the addition of trailer cameras, allowing for visibility of the rear of the trailer and the front of the truck. These potential improvements seem promising, but the literature on driver surveys clearly shows that there is reluctance to adopt this technology for many reasons. Additionally, more robust testing in the laboratory and in the field is necessary to determine whether CBMSs are adequate to replace standard mirrors on trucks. This analysis provides an overview of key research questions for CBMS testing based on the current literature on the topic (surveys, standards, and previous testing). The purpose of this analysis is to serve as guidance in developing further testing of CBMSs, especially testing involving human subjects.
{"title":"Key Considerations in Assessing the Safety and Performance of Camera-Based Mirror Systems","authors":"Amy Moore, Jinghui Yuan, Shiqi (Shawn) Ou, Jackeline Rios Torres, Vivek Sujan, Adam Siekmann","doi":"10.3390/safety9040073","DOIUrl":"https://doi.org/10.3390/safety9040073","url":null,"abstract":"Camera-based mirror systems (CBMSs) are a relatively new technology in the automotive industry, and much of the United States’ medium- and heavy-duty commercial fleet has been reluctant to convert from standard glass, or “west coast”, mirrors to CBMSs. CBMSs have the potential to reduce the number of truck and passenger vehicle incidents, improving overall fleet safety. CBMSs also have the potential to improve operational efficiency by improving aerodynamics and reducing drag, resulting in better fuel economy, and improving maneuverability. Improvements in overall safety are also possible; the field of view for the driver is potentially 360° with the addition of trailer cameras, allowing for visibility of the rear of the trailer and the front of the truck. These potential improvements seem promising, but the literature on driver surveys clearly shows that there is reluctance to adopt this technology for many reasons. Additionally, more robust testing in the laboratory and in the field is necessary to determine whether CBMSs are adequate to replace standard mirrors on trucks. This analysis provides an overview of key research questions for CBMS testing based on the current literature on the topic (surveys, standards, and previous testing). The purpose of this analysis is to serve as guidance in developing further testing of CBMSs, especially testing involving human subjects.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136213005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To analyze the predominant frequencies of hearing threshold shift and the prevalence of hearing loss related to the co-exposure to noise and solvents. A systematic review and meta-analysis were performed by retrieving published articles from Web of Science, PubMed, Scopus, Embase, and ProQuest until July 2023. Data were extracted in line with the Cochrane Collaboration Handbook, and the Newcastle-Ottawa Scale and Agency for Healthcare Research and Quality were used to assess the studies’ quality. The meta-analysis was used to estimate the odds ratios (ORs) with 95% confidence interval (CI). I2 and Q statistics were used to prove the heterogeneity. A total of 22 selected studies (9948 workers), six cohort studies and 16 cross-sectional studies were included. The results revealed that 43.7%, 41.3%, and 53.6% of the participants presented with hearing loss due to noise exposure, solvent exposure, and combined exposure to noise and solvent, respectively. The workers exposed to both noise and solvents had a higher risk of hearing loss than those exposed to noise (overall weighted odds ratio [OR]: 1.76) or solvents (overall-weighted OR: 2.02) alone. The poorer hearing threshold in the combined noise and solvents exposure group was mainly at high frequencies (3, 4, 6, and 8 kHz), with a peak of 29.47 dB HL at 6 kHz. The noise-exposed group’s peak hearing threshold was 28.87 dB HL at 4 kHz. The peak hearing threshold of the solvent-exposed group was 28.65 dB HL at 6 kHz. The workers exposed to noise and solvent simultaneously had a higher prevalence of hearing loss than those exposed to solvents. Co-exposure to noise and solvents increases the odds of hearing loss. The dominant hearing threshold changes occurred at 3, 4, 6, and 8 kHz, and the peak value appeared at 6 kHz in workers co-exposed to noise and solvents.
分析与噪声和溶剂共同暴露有关的听力阈值移位的主要频率和听力损失的患病率。通过检索Web of Science、PubMed、Scopus、Embase和ProQuest截至2023年7月的已发表文章，进行了系统回顾和荟萃分析。根据Cochrane协作手册提取数据，并使用纽卡斯尔-渥太华量表和医疗保健研究与质量机构来评估研究的质量。meta分析采用95%置信区间(CI)估计优势比(ORs)。采用I2和Q统计量证明异质性。共纳入22项精选研究(9948名工人)，6项队列研究和16项横断面研究。结果显示，43.7%、41.3%和53.6%的参与者分别因噪音暴露、溶剂暴露和噪音和溶剂联合暴露而出现听力损失。同时暴露于噪音和溶剂的工人比单独暴露于噪音(总加权比值比[OR]: 1.76)或溶剂(总加权比值比:2.02)的工人有更高的听力损失风险。噪声和溶剂联合暴露组较差的听力阈值主要出现在高频(3、4、6和8 kHz)， 6 kHz峰值为29.47 dB HL。噪声暴露组在4 kHz时的峰值听阈为28.87 dB HL。溶剂暴露组在6 kHz时的峰值听力阈值为28.65 dB HL。同时暴露于噪音和溶剂的工人比暴露于溶剂的工人听力损失的患病率更高。同时暴露在噪音和溶剂中会增加听力损失的几率。噪声和溶剂共暴露工人的主要听阈变化发生在3、4、6和8 kHz，峰值出现在6 kHz。
{"title":"Occupational Hearing Loss Associated with the Combined Exposure of Solvents and Noise: A Systematic Review and Meta-Analysis","authors":"Jia Ren, Hongwei Xie, Yong Hu, Yu Hong, Hua Zou, Xiangjing Gao","doi":"10.3390/safety9040071","DOIUrl":"https://doi.org/10.3390/safety9040071","url":null,"abstract":"To analyze the predominant frequencies of hearing threshold shift and the prevalence of hearing loss related to the co-exposure to noise and solvents. A systematic review and meta-analysis were performed by retrieving published articles from Web of Science, PubMed, Scopus, Embase, and ProQuest until July 2023. Data were extracted in line with the Cochrane Collaboration Handbook, and the Newcastle-Ottawa Scale and Agency for Healthcare Research and Quality were used to assess the studies’ quality. The meta-analysis was used to estimate the odds ratios (ORs) with 95% confidence interval (CI). I2 and Q statistics were used to prove the heterogeneity. A total of 22 selected studies (9948 workers), six cohort studies and 16 cross-sectional studies were included. The results revealed that 43.7%, 41.3%, and 53.6% of the participants presented with hearing loss due to noise exposure, solvent exposure, and combined exposure to noise and solvent, respectively. The workers exposed to both noise and solvents had a higher risk of hearing loss than those exposed to noise (overall weighted odds ratio [OR]: 1.76) or solvents (overall-weighted OR: 2.02) alone. The poorer hearing threshold in the combined noise and solvents exposure group was mainly at high frequencies (3, 4, 6, and 8 kHz), with a peak of 29.47 dB HL at 6 kHz. The noise-exposed group’s peak hearing threshold was 28.87 dB HL at 4 kHz. The peak hearing threshold of the solvent-exposed group was 28.65 dB HL at 6 kHz. The workers exposed to noise and solvent simultaneously had a higher prevalence of hearing loss than those exposed to solvents. Co-exposure to noise and solvents increases the odds of hearing loss. The dominant hearing threshold changes occurred at 3, 4, 6, and 8 kHz, and the peak value appeared at 6 kHz in workers co-exposed to noise and solvents.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy Moore, Vivek Sujan, Adam Siekmann, Hyeonsup Lim, Shiqi (Shawn) Ou, Sarah Tennille
Vehicular incidents, especially those involving tractor trailers, are increasing in number every year. These events are extremely costly for fleets, in terms of damage or loss of property, loss of efficiency, and certainly in terms of loss of life. Although the U.S. Department of Transportation (DOT) is responsible for performing inspections, and fleet managers are encouraged to maintain their fleet and participate in regular inspections, it is uncertain whether these inspections are occurring at a frequency that is necessary to prevent incidents. The Federal Motor Carrier Safety Administration (FMCSA) of the DOT manages and maintains the Motor Carrier Management Information System (MCMIS) dataset, which contains all incident and inspection data regarding commercial vehicles in the U.S. The purpose of this preliminary analysis was to explore the MCMIS dataset through spatiotemporal analyses, to uncover findings that may hint at potential improvements in the DOT inspection process and highlight location-specific trends in the dataset. These analyses are novel, as previous research using the MCMIS dataset only examined the data at the state or county level, not at a national scale. The results from the analyses pinpointed specific major metropolitan areas, namely Harris County (Houston), Texas, and three of the New York boroughs (Kings, Queens, and the Bronx), which were found to have increasing incident rates during the study period (2016–2020). An overview of potential causal factors contributing to this increase are provided as well as an overview of the inspection process, and suggestions for improvement relative to the highlighted locations in Texas and New York are also provided. Ultimately, it is suggested that the incorporation of advanced technology and automation may prove beneficial in reducing the occurrence of events that lead to incidents and may also help in the inspection process.
{"title":"Spatio-Temporal Assessment of Heavy-Duty Truck Incident and Inspection Data","authors":"Amy Moore, Vivek Sujan, Adam Siekmann, Hyeonsup Lim, Shiqi (Shawn) Ou, Sarah Tennille","doi":"10.3390/safety9040072","DOIUrl":"https://doi.org/10.3390/safety9040072","url":null,"abstract":"Vehicular incidents, especially those involving tractor trailers, are increasing in number every year. These events are extremely costly for fleets, in terms of damage or loss of property, loss of efficiency, and certainly in terms of loss of life. Although the U.S. Department of Transportation (DOT) is responsible for performing inspections, and fleet managers are encouraged to maintain their fleet and participate in regular inspections, it is uncertain whether these inspections are occurring at a frequency that is necessary to prevent incidents. The Federal Motor Carrier Safety Administration (FMCSA) of the DOT manages and maintains the Motor Carrier Management Information System (MCMIS) dataset, which contains all incident and inspection data regarding commercial vehicles in the U.S. The purpose of this preliminary analysis was to explore the MCMIS dataset through spatiotemporal analyses, to uncover findings that may hint at potential improvements in the DOT inspection process and highlight location-specific trends in the dataset. These analyses are novel, as previous research using the MCMIS dataset only examined the data at the state or county level, not at a national scale. The results from the analyses pinpointed specific major metropolitan areas, namely Harris County (Houston), Texas, and three of the New York boroughs (Kings, Queens, and the Bronx), which were found to have increasing incident rates during the study period (2016–2020). An overview of potential causal factors contributing to this increase are provided as well as an overview of the inspection process, and suggestions for improvement relative to the highlighted locations in Texas and New York are also provided. Ultimately, it is suggested that the incorporation of advanced technology and automation may prove beneficial in reducing the occurrence of events that lead to incidents and may also help in the inspection process.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135094463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Carlos Sá, Leonardo Soares, José Dinis-Carvalho, Francisco J. G. Silva, Gilberto Santos
Both the Lean philosophy and occupational safety and health have been widely studied, although this has usually been carried out independently. However, the correlation between Lean and occupational safety and health in the industrial context is still underexplored. Indeed, Lean tools can be applied to ensure the best safety environment for workers in each kind of manufacturing process, and this deserves to be studied. The study described here aims to understand the influence of each of a set of four Lean tools used in an industrial context with a strong manual labor component, seeking to determine the influence of each of these Lean tools on the increase in safety obtained through their application. For this purpose, four Lean tools that are quite commonly applied are selected, taking into account previously presented work that pointed to the positive influence of the application of each of these tools on worker safety: total productive maintenance system, Gemba walk, visual management and Yokoten. This study aims to apply these Lean tools and to analyze their impact on productivity, and then, on the safety of a company selected as a target in order to validate the concept. For this purpose, a new tool is created. In the first instance, the tool analyzes the current state of the productive process and the safety level through the study of the risk levels detected in the plant. In terms of productivity results, a reduction between 7% and 12% in cycle time is achieved in four areas of the plant. The feedback from employees showed increased satisfaction with the processes’ simplification. To conclude, a 50% reduction in the number of work accidents per month is observed as a result of the implementation of Lean tools. The influence of the selected Lean tools on increasing both productivity and safety is clear, and our results prove the selection of tools to be largely adequate.
{"title":"Assessment of the Impact of Lean Tools on the Safety of the Shoemaking Industry","authors":"José Carlos Sá, Leonardo Soares, José Dinis-Carvalho, Francisco J. G. Silva, Gilberto Santos","doi":"10.3390/safety9040070","DOIUrl":"https://doi.org/10.3390/safety9040070","url":null,"abstract":"Both the Lean philosophy and occupational safety and health have been widely studied, although this has usually been carried out independently. However, the correlation between Lean and occupational safety and health in the industrial context is still underexplored. Indeed, Lean tools can be applied to ensure the best safety environment for workers in each kind of manufacturing process, and this deserves to be studied. The study described here aims to understand the influence of each of a set of four Lean tools used in an industrial context with a strong manual labor component, seeking to determine the influence of each of these Lean tools on the increase in safety obtained through their application. For this purpose, four Lean tools that are quite commonly applied are selected, taking into account previously presented work that pointed to the positive influence of the application of each of these tools on worker safety: total productive maintenance system, Gemba walk, visual management and Yokoten. This study aims to apply these Lean tools and to analyze their impact on productivity, and then, on the safety of a company selected as a target in order to validate the concept. For this purpose, a new tool is created. In the first instance, the tool analyzes the current state of the productive process and the safety level through the study of the risk levels detected in the plant. In terms of productivity results, a reduction between 7% and 12% in cycle time is achieved in four areas of the plant. The feedback from employees showed increased satisfaction with the processes’ simplification. To conclude, a 50% reduction in the number of work accidents per month is observed as a result of the implementation of Lean tools. The influence of the selected Lean tools on increasing both productivity and safety is clear, and our results prove the selection of tools to be largely adequate.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sandra Lange, Wioletta Mędrzycka-Dąbrowska, Anna Małecka-Dubiela
Introductions: Computed tomography is one of the biggest breakthroughs in diagnostic imaging. In order to more accurately assess structures and pathological changes during the examination, it is necessary to administer a contrast agent. Patients presenting for the examination, very often only find out during the examination that a contrast agent is required. This increases patients’ uncertainty when giving written consent for contrast administration, as well as anxiety about the examination. The aim of this study was to explore the experiences of patients who have contrast-enhanced CT scans, focusing primarily on anxiety, feelings, and safety. Methods: The cross-sectional study was conducted in diagnostic imaging offices in Pomeranian Voivodeship in 2019–2020. The survey was aimed at patients presenting for CT examinations with intravenous contrast injection. In total, 172 patients participated in the survey. A proprietary survey questionnaire was used to conduct the study. Results and Conclusions: During a CT scan, intravenous contrast agent administration is often necessary. Although there are few studies on patients’ experiences with this examination, the authors observe that some patients experience anxiety. The results of our study showed the following: (1) 30.8% of patients experience anxiety before a CT scan with intravenous contrast injection; (2) variables such as gender, previous experience, and searching for information about the examination influence the occurrence of anxiety; (3) the most common feelings experienced by patients during intravenous contrast injection are a sensation of warmth spreading throughout the body; (4) the most common source of information about the study used among patients was the Internet; (5) most patients feel safe during a CT scan.
{"title":"Patient Experience during Contrast-Enhanced Computed Tomography Examination: Anxiety, Feelings, and Safety","authors":"Sandra Lange, Wioletta Mędrzycka-Dąbrowska, Anna Małecka-Dubiela","doi":"10.3390/safety9040069","DOIUrl":"https://doi.org/10.3390/safety9040069","url":null,"abstract":"Introductions: Computed tomography is one of the biggest breakthroughs in diagnostic imaging. In order to more accurately assess structures and pathological changes during the examination, it is necessary to administer a contrast agent. Patients presenting for the examination, very often only find out during the examination that a contrast agent is required. This increases patients’ uncertainty when giving written consent for contrast administration, as well as anxiety about the examination. The aim of this study was to explore the experiences of patients who have contrast-enhanced CT scans, focusing primarily on anxiety, feelings, and safety. Methods: The cross-sectional study was conducted in diagnostic imaging offices in Pomeranian Voivodeship in 2019–2020. The survey was aimed at patients presenting for CT examinations with intravenous contrast injection. In total, 172 patients participated in the survey. A proprietary survey questionnaire was used to conduct the study. Results and Conclusions: During a CT scan, intravenous contrast agent administration is often necessary. Although there are few studies on patients’ experiences with this examination, the authors observe that some patients experience anxiety. The results of our study showed the following: (1) 30.8% of patients experience anxiety before a CT scan with intravenous contrast injection; (2) variables such as gender, previous experience, and searching for information about the examination influence the occurrence of anxiety; (3) the most common feelings experienced by patients during intravenous contrast injection are a sensation of warmth spreading throughout the body; (4) the most common source of information about the study used among patients was the Internet; (5) most patients feel safe during a CT scan.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135483744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Barry Turner’s 1978 Man-made Disasters and Charles Perrow’s 1984 Normal Accidents were seminal books but a detailed comparison has yet to be undertaken. Doing so is important to establish content and priority of key ideas underpinning contemporary safety science. Turner’s research found socio-technical and systemic patterns that meant that major organisational disasters could be foreseen and were preventable. Perrow’s macro-structuralist industry focus was on technologically deterministic but unpredictable and unpreventable “system” accidents, particularly rare catastrophes. Andrew Hopkins and Nick Pidgeon respectively suggested that some prominent writers who wrote after Turner may not have been aware of, or did not properly acknowledge, Turner’s work. Using a methodology involving systematic reading and historical, biographical and thematic theory analysis, a detailed review of Turner’s and Perrow’s backgrounds and publications sheds new light on Turner’s priority and accomplishment, highlighting substantial similarities as well as clear differences. Normal Accidents did not cite Turner in 1984 or when republished with major additions in 1999. Turner became better known after a 1997 second edition of Man-made Disasters but under-acknowledgment issues by Perrow and others continued. Ethical citation and potential reasons for under-acknowledgment are discussed together with lessons applicable more broadly. It is concluded that Turner’s foundational importance for safety science should be better recognised.
{"title":"Barry Turner: The Under-Acknowledged Safety Pioneer","authors":"Kym Bills, Leesa Costello, Marcus Cattani","doi":"10.3390/safety9040068","DOIUrl":"https://doi.org/10.3390/safety9040068","url":null,"abstract":"Barry Turner’s 1978 Man-made Disasters and Charles Perrow’s 1984 Normal Accidents were seminal books but a detailed comparison has yet to be undertaken. Doing so is important to establish content and priority of key ideas underpinning contemporary safety science. Turner’s research found socio-technical and systemic patterns that meant that major organisational disasters could be foreseen and were preventable. Perrow’s macro-structuralist industry focus was on technologically deterministic but unpredictable and unpreventable “system” accidents, particularly rare catastrophes. Andrew Hopkins and Nick Pidgeon respectively suggested that some prominent writers who wrote after Turner may not have been aware of, or did not properly acknowledge, Turner’s work. Using a methodology involving systematic reading and historical, biographical and thematic theory analysis, a detailed review of Turner’s and Perrow’s backgrounds and publications sheds new light on Turner’s priority and accomplishment, highlighting substantial similarities as well as clear differences. Normal Accidents did not cite Turner in 1984 or when republished with major additions in 1999. Turner became better known after a 1997 second edition of Man-made Disasters but under-acknowledgment issues by Perrow and others continued. Ethical citation and potential reasons for under-acknowledgment are discussed together with lessons applicable more broadly. It is concluded that Turner’s foundational importance for safety science should be better recognised.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135899815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The State-of-the-Practice Survey on United States Departments of Transportation (DOTs) Worker Injuries and Safety Program Efforts is a comprehensive report that provides valuable insights into the safety programs of state DOTs. The survey was conducted using a web-based questionnaire that was distributed to all 50 state DOTs and received a response rate of 44% (22 states). The survey consisted of 40 questions that were designed to gather information about the safety programs of state DOTs, including their training and education efforts, injury analysis practices, and safety efforts. The survey responses were analyzed using descriptive statistics and a thematic analysis approach. The results highlighted contrasts in safety efforts across responding DOTs, with various methods of injury documentation, data collection, and the implementation of safety-related policies and procedures. The report offers recommendations for reducing worker injuries and illnesses, including the need for standardized injury documentation and data collection practices, the provision of regular and updated training to address new hazards that may arise due to changes in job tasks or procedures, the allocation of adequate funding and resources to support safety programs, and the development of a return-to-work program to facilitate the prompt return of injured workers. Additionally, ergonomic assessments and training should be provided to prevent musculoskeletal injuries. The report concludes that state DOTs can benefit from sharing best practices and collaborating on safety initiatives in order to improve worker safety and reduce the incidence of injuries and illnesses. The findings of this survey may be beneficial to any DOT implementing worker safety best practices within their respective agency. The limitations of the study include a lack of inferential statistical analysis due to the restricted statistical power of the sample size.
{"title":"State-of-the-Practice Survey: United States Departments of Transportation Worker Injuries and Safety Program Efforts","authors":"Lana K. Marji, Wesley C. Zech, Jason T. Kirby","doi":"10.3390/safety9040067","DOIUrl":"https://doi.org/10.3390/safety9040067","url":null,"abstract":"The State-of-the-Practice Survey on United States Departments of Transportation (DOTs) Worker Injuries and Safety Program Efforts is a comprehensive report that provides valuable insights into the safety programs of state DOTs. The survey was conducted using a web-based questionnaire that was distributed to all 50 state DOTs and received a response rate of 44% (22 states). The survey consisted of 40 questions that were designed to gather information about the safety programs of state DOTs, including their training and education efforts, injury analysis practices, and safety efforts. The survey responses were analyzed using descriptive statistics and a thematic analysis approach. The results highlighted contrasts in safety efforts across responding DOTs, with various methods of injury documentation, data collection, and the implementation of safety-related policies and procedures. The report offers recommendations for reducing worker injuries and illnesses, including the need for standardized injury documentation and data collection practices, the provision of regular and updated training to address new hazards that may arise due to changes in job tasks or procedures, the allocation of adequate funding and resources to support safety programs, and the development of a return-to-work program to facilitate the prompt return of injured workers. Additionally, ergonomic assessments and training should be provided to prevent musculoskeletal injuries. The report concludes that state DOTs can benefit from sharing best practices and collaborating on safety initiatives in order to improve worker safety and reduce the incidence of injuries and illnesses. The findings of this survey may be beneficial to any DOT implementing worker safety best practices within their respective agency. The limitations of the study include a lack of inferential statistical analysis due to the restricted statistical power of the sample size.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135459218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adebola Olowosegun, Grigorios Fountas, Adrian Davis
This paper aims at delivering new empirical evidence as to the effectiveness of 20 mph speed limits in rural areas. For this purpose, speed and traffic data were drawn from the area of the Scottish Borders, UK, where the local Council led the rollout of a 20 mph speed limit trial in 97 villages and towns from October 2020. This intervention is considered as one of the first of its kind in the UK and overseas, as it was carried out on a large scale, in predominantly rural areas. To evaluate the impact of the 20 mph speed limit on vehicle speeds, we conducted a “before–after” quantitative analysis using traffic and speed data collected in different waves before and after the intervention. The descriptive analysis showed that both mean and 85th percentile speeds reduced directly after the introduction of the 20 mph speed limit (by 3.1 mph and 3.2 mph, respectively), and that such speed reductions were largely maintained even up to eight months after the onset of the intervention. The largest speed reductions were observed in locations with high-speed patterns before the intervention, and especially in those having mean speeds greater than 25 mph before the intervention. Both non-parametric and parametric statistical tests, which were conducted using approximately five million speed observations, showed that the observed speed changes were statistically significant for the vast majority of cases. Linear regression models were also estimated confirming the significant impact of the 20 mph limit on vehicle speeds, while controlling for the influence of traffic volume. Overall, the findings of this study will likely assist in filling an evidence gap regarding the effectiveness of 20 mph speed limits in rural settlements. They can also provide encouragement to those local authorities in the UK and abroad that are currently actively examining the possibility of setting the 20 mph as the default limit in built-up areas.
{"title":"Assessing the Impact of 20 mph Speed Limits on Vehicle Speeds in Rural Areas: The Case of the Scottish Borders","authors":"Adebola Olowosegun, Grigorios Fountas, Adrian Davis","doi":"10.3390/safety9030066","DOIUrl":"https://doi.org/10.3390/safety9030066","url":null,"abstract":"This paper aims at delivering new empirical evidence as to the effectiveness of 20 mph speed limits in rural areas. For this purpose, speed and traffic data were drawn from the area of the Scottish Borders, UK, where the local Council led the rollout of a 20 mph speed limit trial in 97 villages and towns from October 2020. This intervention is considered as one of the first of its kind in the UK and overseas, as it was carried out on a large scale, in predominantly rural areas. To evaluate the impact of the 20 mph speed limit on vehicle speeds, we conducted a “before–after” quantitative analysis using traffic and speed data collected in different waves before and after the intervention. The descriptive analysis showed that both mean and 85th percentile speeds reduced directly after the introduction of the 20 mph speed limit (by 3.1 mph and 3.2 mph, respectively), and that such speed reductions were largely maintained even up to eight months after the onset of the intervention. The largest speed reductions were observed in locations with high-speed patterns before the intervention, and especially in those having mean speeds greater than 25 mph before the intervention. Both non-parametric and parametric statistical tests, which were conducted using approximately five million speed observations, showed that the observed speed changes were statistically significant for the vast majority of cases. Linear regression models were also estimated confirming the significant impact of the 20 mph limit on vehicle speeds, while controlling for the influence of traffic volume. Overall, the findings of this study will likely assist in filling an evidence gap regarding the effectiveness of 20 mph speed limits in rural settlements. They can also provide encouragement to those local authorities in the UK and abroad that are currently actively examining the possibility of setting the 20 mph as the default limit in built-up areas.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135783061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The rapid rise of Unmanned Aerial Vehicles (UAVs) and their integration into smart city initiatives has sparked a surge of research interest in a broad array of thematic areas. This study undertakes a comprehensive review of recent scholarly literature to elucidate key research trends and innovative strategies for applying UAVs in smart cities. Through a detailed descriptive analysis, we identify prominent research clusters, including integrating the Internet of Things (IoT) with UAVs, applying artificial intelligence in surveillance, exploring the Internet of Drones (IoD), and cybersecurity challenges faced by smart cities. It is observed that security and privacy concerns within smart cities receive the most scholarly attention, indicating their central importance in shaping smart city strategies. The review of innovative strategies reveals a strong emphasis on leveraging cutting-edge technologies to enhance UAV capabilities and ensure drones’ efficient, secure, and ethical deployment in smart city environments. This study provides crucial insights that inform the design of future research and policies in the burgeoning field of smart city development through the use of UAVs.
{"title":"A New Shift in Implementing Unmanned Aerial Vehicles (UAVs) in the Safety and Security of Smart Cities: A Systematic Literature Review","authors":"Khalifa AL-Dosari, Noora Fetais","doi":"10.3390/safety9030064","DOIUrl":"https://doi.org/10.3390/safety9030064","url":null,"abstract":"The rapid rise of Unmanned Aerial Vehicles (UAVs) and their integration into smart city initiatives has sparked a surge of research interest in a broad array of thematic areas. This study undertakes a comprehensive review of recent scholarly literature to elucidate key research trends and innovative strategies for applying UAVs in smart cities. Through a detailed descriptive analysis, we identify prominent research clusters, including integrating the Internet of Things (IoT) with UAVs, applying artificial intelligence in surveillance, exploring the Internet of Drones (IoD), and cybersecurity challenges faced by smart cities. It is observed that security and privacy concerns within smart cities receive the most scholarly attention, indicating their central importance in shaping smart city strategies. The review of innovative strategies reveals a strong emphasis on leveraging cutting-edge technologies to enhance UAV capabilities and ensure drones’ efficient, secure, and ethical deployment in smart city environments. This study provides crucial insights that inform the design of future research and policies in the burgeoning field of smart city development through the use of UAVs.","PeriodicalId":36827,"journal":{"name":"Safety","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134990586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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