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Culture incidents

In some organizations, designated individuals have specific responsibility for eliciting detailed information from operational staff on the immediate and underlying causes of incidents. An example is the Human Performance Evaluation System (HPES) developed for the nuclear industry, which is described in Bishop and Larhette (1988). These coordinators provide a certain level of guaranteed irrununity from sanctions which allows individuals to be frank about the contributory causes that they may not be willing to discuss in an open forum. As discussed earlier, the need for this approach is a consequence of the fact that in many organizations a blame culture exists which is likely to inhibit a free flow of information about the causes of accidents. [Pg.266]

With regard to evaluating these factors, it is recommended that structured checklists be used, such as those provided by the HFAM method described in Chapter 2. These checklists provide an explicit link between the direct causal factors and management policies. Figure 2.12 shows how these checklists could be used to investigate possible procedures deficiencies, and the policies that led to the deficiencies, as part of the incident investigation. Similar checklists can be used to investigate possible culture problems (e.g., inappropriate trade-offs between safety and production) that could have been implicated in an accident. [Pg.288]

Workforce Support for Data Collection and Incident Analysis Systems Few of the incident investigation and data collection systems reviewed provide any guidelines with regard to how these systems are to be introduced into an organization. Section 6.10 addresses this issue primarily from the perspective of incident reporting systems. However, gaining the support and ownership of the workforce is equally important for root cause analysis systems. Unless the culture and climate in a plant is such that personnel can be frank about the errors that may have contributed to an incident, and the factors which influenced these errors, then it is unlikely that the investigation will be very effective. [Pg.288]

Biochemical Analysis> The second principal use of cultured amniotic fluid cells is to determine the biochemical status of the fetus. Again, it should be pointed out that the individual biochemical disorders are quite low in incidence, but many of them are very serious in their manifestations and can occur with relatively high frequencies in specific families. If two parents are carriers of a gene for an autosomal recessive condition, then the risk to each child of having the disorder is 25%. [Pg.81]

In these 500 cases, there were 26 culture failures, an Incidence of about 5% Nine women of this group underwent a second aminocentesls, and successful cultures were obtained The other 17, or 3 4% of the total, did not obtain any results, either because of spontaneous abortions prior to the time a second amniocentesis could be performed (In four) or because the family elected not to proceed There were no Instances of severe or significant fetal Injury, although small linear "scars" were noted on four fetuses Three fetuses had abnormalities which were not related to the procedure Itself, Including spina bifida, osteogenesis Imperfecta, and congenital heart disease ... [Pg.87]

Fig. 4 The effect of proteins on cell adhesion, (a) Kretschmann configuration for SPR. (b) Reflectance (R) as a function of incident angle (9), before (black) and after (red) the adsorption of substances, (c) Left. Time course of SPR angle shift during exposure to culture medium supplemented with 2% FBS (solid line) and the fraction of adherent cells determined by TIRFM (circles) on NH2-SAM. The dashed line is a manual fit to the symbols, included simply as a guide [42]. Right The concentrations of serum proteins in FBS... Fig. 4 The effect of proteins on cell adhesion, (a) Kretschmann configuration for SPR. (b) Reflectance (R) as a function of incident angle (9), before (black) and after (red) the adsorption of substances, (c) Left. Time course of SPR angle shift during exposure to culture medium supplemented with 2% FBS (solid line) and the fraction of adherent cells determined by TIRFM (circles) on NH2-SAM. The dashed line is a manual fit to the symbols, included simply as a guide [42]. Right The concentrations of serum proteins in FBS...
In many localities, newborn screening has become standard for this disorder, which in the general population has an approximate incidence of 1/250,000 live births. Carrier detection is possible, either by measurement of enzymatic activity in cultured fibroblasts or by study of restriction endonuclease fragments of DNA. Antenatal testing is also available. [Pg.672]


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See also in sourсe #XX -- [ Pg.142 , Pg.188 , Pg.194 , Pg.197 , Pg.337 ]




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