Incidents particular

Develop a list of in-context examples that illustrate high-learning-value incidents, particularly near misses. 

Acyclovir is the drug of choice for herpes simplex encephalitis. In patients with normal renal function, acyclovir is usually administered as 10 mg/kg intravenously every 8 hours for 2 to 3 weeks. Herpes virus resistance to acyclovir has been reported with increasing incidence, particularly from immunocompromised patients with prior or chronic exposures to acyclovir. The alternative treatment for acyclovir-resistant herpes simplex virus is foscarnet. The major toxicity of foscarnet is renal impairment, and doses must be individualized for renal function. The dose for patients with normal renal function is 40 mg/kg infused over 1 hour every 8 to 12 hours for 2 to 3 weeks. Ensuring adequate hydration is imperative. In addition, patients receiving foscarnet should be monitored for seizures related to alterations in plasma electrolyte levels. 

No one likes to be the bearer of bad news. Nevertheless, it is the responsibility of the incident investigation team to inform management as quickly as possible about their insights regarding the incident, particularly if the news is bad or if it is possible that the incident could repeat. The team should then continue to issue interim follow-up reports. 

The facility manager will usually require that he or she be kept up to date regarding any significant findings to do with the incident, particularly as he is likely to have to fund the report s recommendations, and will be expected to report any major findings and conclusions to senior management. 

Safety professionals caimot escape the fact that many of the corrective measures proposed in the past to reduce the number of overexeition incidents, particularly back injuries, were not effective. Improving employee selection, training, and behavior are ineffective solutions to work methods design problems. (It s recogifized that, in certain situations, they are the only measures that can be taken.)... 

The effectiveness of both lagging and leading indicators depends heavily on the quality of incident reporting. For lagging indicators this is not a major problem. As already noted, indices such as recordable events are widely understood and are quite consistent across industries. Nevertheless, anyone who has worked in a plant knows that many incidents, particularly the minor ones, are often not reported. Some reasons for not reporting minor events include ... 

An intake of several nutrients is associated with the incidence of arsenic-related keratotic skin lesions in Bangladesh. In addition to the previously published reports, recent study confirmed inverse relationship between low intakes of various nutrients (retinol, calcium, fibre, folate, iron, riboflavin, thiamine and vitamins A, C and E) and arsenic-induced skin lesions incidences, particularly for keratotic skin lesions [12 ]... 

Quantified Risk Assessment is valuable at all stages in the life of a plant All plants contain residual risk. Action to evaluate and reduce risk should continue throughout the life of a plant by seddng to eliminate the root cause of incidents particularly with re )ect to maintenance, external threats, procedures, information, information transfer and information processing, the abilities of personnel in the task, and the capabilities d management and organisation. 

It is therefore important that medical responders understand all aspects of the potential hazards of the release of toxic chemicals. The management of chemical releases is usually done by specialist arms of the fire and rescue services and the police and involves considerable detail about the properties of the agents involved. However, there is a need for medical teams to be aware of the principles of management of chemical incidents, particularly in the provision of emergency life support within a contaminated area. 

The development of safety systems is largely driven by lessons learned from incidents—particularly catastrophic events. Chapter 2 provides an overview of some of the incidents that have led to the development of new offshore safety standards and techniques. In addition to describing important offshore incidents, three events from other industries are also described because of the impact that they had on all industrial safety management programs. 

Safety programs are developed in response to incidents—particularly catastrophic events. Some of the events that led to the development of SMSs offshore are described in Chapter 2. An overview of some of the more important regulatory and standards-setting developments (offshore and onshore) is provided here. 

Workers may think they re doing you a favor by not mentioning an incident, particularly if THEY think it is minor. Stay diligent on keeping tabs of incidents in your work area and you could be heading off a potentially serious incident. 

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