Altruistic or Egocentric, or even Hypocritic? - A Cross-Cultural Study of the Safety Priority Choice of Autonomous Car

How should the autonomous car behave when faced with an unavoidable accident? In particular, in situations where either the driver or the pedestrian will inevitably be killed, whose safety should the autonomous car prioritize? There can be cases in which sacrificing the driver would be the best solution to maximize lives and minimize deaths. And we also need to consider the possibility that the victim could be ourselves. In this cross-cultural study with participants from US, Japan, and China, we investigated the drivers' safety setting preferences and found some interesting cultural differences in such preferences.

Altruistic or Egocentric, or even Hypocritic? - A Cross-Cultural Study of the Safety Priority Choice of Autonomous Car

How should the autonomous car behave when faced with an unavoidable accident? In particular, in situations where either the driver or the pedestrian will inevitably be killed, whose safety should the autonomous car prioritize? There can be cases in which sacrificing the driver would be the best solution to maximize lives and minimize deaths. And we also need to consider the possibility that the victim could be ourselves. In this cross-cultural study with participants from US, Japan, and China, we investigated the drivers' safety setting preferences and found some interesting cultural differences in such preferences.

I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting

Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care, and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.

ANALISIS IKLIM KESELAMATAN KERJA DI PT. XYZ BALIKPAPAN 2021

This study was conducted to determine the safety climate, the safety climate reflects workers' perceptions of the true value of safety in an organization - as a contributing factor to the reduction of accidents due to accidents. The purpose of this study was to determine the level of health and safety scores in the company. This study uses a descriptive analytical method with a total of 100 respondents (total respondents) with a variable measuring the level of work safety using a questionnaire published by the National Research Center for the Danish work environment, namely the Nordic Climate Safety Questionnaire 50 (NOSACQ-50) which contains 50 statements and has been completed. tested and translated in 40 languages, one of which is Indonesian. This research was conducted at PT. XYZ Balikpapan which starts in January until March 2021,. The results of this study indicate that there are 3 dimensions that have an average value below 3.30, namely the management safety empowerment dimension, management safety justice dimension and worker’s safety priority and risk non-acceptance dimension. Suggested improvements include making decisions and receiving advice and input from workers regarding work safety and being fair to workers regarding occupational safety and health for management and prioritizing work safety and not taking risks even though the work is busy and reducing risk-taking behavior that is dangerous for workers.

Identifying Future Vehicle Safety Priority Areas in Australia for the Light Vehicle Fleet

Formulating priorities for future road safety strategies requires supporting analysis to predict what the future crash population will look like and to assess how the countermeasures either already in place or planned will address the crash problems forecast. This analysis aimed to identify future priority action areas for light vehicle safety by identifying crash types that will not be fully addressed in the future by projected improvements in active and passive safety in the Australian light vehicle fleet. The future crash profile was modelled from 2017 to 2030 using crash data from 5 Australian jurisdictions overlayed with available evidence on vehicle safety feature fitment and effectiveness. The methodology can be applied to larger sets of safety technologies when sufficient evidence and supporting crash data become available. Three future vehicle safety priority areas were identified from the analysis: (i) fatal pedestrian crashes, (ii) single vehicle frontal crashes with objects, and (iii) front-to-front vehicle crashes both at intersections and midblocks, and front-to-side impacts at intersections including straight crossing path and right turn across path crash types. These crash types were projected to be the largest contributors to fatalities by 2030. Projections showed that remaining crash types in 2030 will be poorly addressed by current vehicle safety technologies such as autonomous emergency braking, lane departure warning and electronic stability control. Future vehicle safety policy priorities should address these crash types through the development of additional or enhanced vehicle safety technologies and where vehicle safety technology proves inadequate other countermeasures such as road infrastructure treatments and appropriate speed limit setting for high risk environments that address the key crash types remaining in the system.

Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices

BackgroundDiagnostic error is a global patient safety priority.ObjectivesTo estimate the incidence, origins and avoidable harm of diagnostic errors in English general practice. Diagnostic errors were defined as missed opportunities to make a correct or timely diagnosis based on the evidence available (missed diagnostic opportunities, MDOs).MethodRetrospective medical record reviews identified MDOs in 21 general practices. In each practice, two trained general practitioner reviewers independently conducted case note reviews on 100 randomly selected adult consultations performed during 2013–2014. Consultations where either reviewer identified an MDO were jointly reviewed.ResultsAcross 2057 unique consultations, reviewers agreed that an MDO was possible, likely or certain in 89 cases or 4.3% (95% CI 3.6% to 5.2%) of reviewed consultations. Inter-reviewer agreement was higher than most comparable studies (Fleiss’ kappa=0.63). Sixty-four MDOs (72%) had two or more contributing process breakdowns. Breakdowns involved problems in the patient–practitioner encounter such as history taking, examination or ordering tests (main or secondary factor in 61 (68%) cases), performance and interpretation of diagnostic tests (31; 35%) and follow-up and tracking of diagnostic information (43; 48%). 37% of MDOs were rated as resulting in moderate to severe avoidable patient harm.ConclusionsAlthough MDOs occurred in fewer than 5% of the investigated consultations, the high numbers of primary care contacts nationally suggest that several million patients are potentially at risk of avoidable harm from MDOs each year. Causes of MDOs were frequently multifactorial, suggesting the need for development and evaluation of multipronged interventions, along with policy changes to support them.

Kajian Literatur: Faktor-Faktor yang Mempengaruhi Partisipasi Pasien dalam Keselamatan Pasien

Introduction: Patient participation is globally recognized as one of the main factors for promoting quality and safety of health services. Active patient participation is a patient safety priority for health care. Yet, patients and their preferences are less understood. Literature review related to determinants of patient participation last five years is limited. The aim of this study was to determine the factors that influence patients to participate in patient safety. Methods: This study used a literature review method by searching online data. Literature was searched through electronic database such as EBSCOhost, Science Direct, and Scopus. The inclusion criteria of article were respondent to the article found are inpatient and nurse, full text articles and publication years from 2015 to 2019.Results: Search results found four articles were eligible to be reviewed. This review indicates that there are two factors that influence patient participation in patient safety, including factors from the patient's side and factors from the nurse's side.Conclusion: These results reinforce that creating patient safety requires the collaboration of all parties, not only from the nurse but also from the patient. Patient involvement needs to be further investigated regarding the extent of patient participation in patient safety.

Assessment of Workplace Safety Climate among Healthcare Workers during the COVID-19 Pandemic in Low and Middle Income Countries: A Case Study of Nigeria

The COVID-19 pandemic has presented several organizations with the opportunity to review their operational strategies, as well as the existing safety climate within their establishments. The healthcare sector is not an exception, especially those in Low and Middle Income Countries (LMICs), where most safety systems are not robust when compared with developed countries. The study aim is to assess the occupational safety climate among healthcare workers (HCWs) in LMICs using Nigeria as a case study. A cross-sectional study was adopted to measure safety climate perception among professionals working in healthcare establishment during the COVID-19 pandemic using a validated Nordic Safety Climate Questionnaire (NOSACQ-50). At the end of the survey period, 83% (433) of the responses were adjudged to have met the threshold criteria and were used to inform the study outcome. Worker safety commitment within the healthcare facilities (M = 3.01, SD = 0.42) was statistically significantly higher than management safety priority, commitment, and competence (M = 2.91, SD = 0.46), t(130.52), p < 0.001. A significant effect of the management role was found in regards to management safety priority, commitment, and competence (F(1, 406) = 3.99, p = 0.046, η2 = 0.010). On the contrary, the managerial position does not have a significant effect on worker safety commitment (F(1, 417) = 0.59, p = 0.440, η2 = 0.001). The outcome from the study showed that, where there is active promotion of a positive safety climate in healthcare sectors in LMICs, employees are more likely to engage in positive safety behaviour. To help address the identified gaps, there is the need for more effort to be made towards promoting an effective and positive safety climate across the establishment, including management and healthcare worker commitments.

Relative Importance Analysis of Safety Climate Evaluation Factors Using Analytical Hierarchical Process (AHP)

Various studies have confirmed that the increasing quality of safety climate has a positive influence on reducing the occurrence of accidents. The quality of safety climate is comprehensively affected in three domains: management, site, and enterprise. At the company level, it is challenging to manage all areas at a high level due to limited managerial resources. Therefore, it is necessary to establish a strategy that improves the safety climate step by step. For the efficient execution of the strategy, it is necessary to analyze the relative importance of each evaluation factor of the safety climate and allocate managerial resources accordingly. Therefore, this study aims to analyze the relative importance of safety climate evaluation factors using the analytical hierarchical process (AHP) technique. For this study, AHP questionnaire and analysis are conducted, and the relative priorities of safety climate evaluation factors are derived. As a result, (E) workers’ safety priority and risk non-acceptance is the most important dimension among seven dimensions as the weight is 0.1900. In addition, (E1) compliance with safety regulations, even if the process is tight, is the most important one between items as the weight 0.6663. The results of this study will be used as basic data for institutional improvement and policy making for a high-quality safety climate at construction sites.