Safety culture emerging

Self-regulatory systems become much mote developed and sophisticated Rules are enforced and disciplinary procedures instituted when necessary Monitoring procedures ate improved and reviews and audits are acted upon Safety culture emerges and becomes established... 

These university research programs have a dual role they both generate new information that will be beneficial to safety practice, and help to inculcate a safety culture into the nuclear practitioners and leaders of the next generation. As the NMSA unfolds, one can expect synergistic interactions to emerge between its laboratory-to-laboratory and university-to-university components that will even further enhance both of these objectives. 

From the literature it emerged that management was the key influence of an organization s safety culture. A review of the safety climate literature revealed that employee perceptions of management s attitudes and behaviors towards safety, production and issues such as planning, discipline, etc. was the most useful measurement of an organization s safety climate. (HSE, 2002, summary page)... 

Culture therefore is maintained and manifests in social processes and interactions. Everyone in an organization contributes, consciously or not, to its culture. What emerges may be positive and safety conscious or, over time, drift to a relentless negativity in which aU marmer of dangerous behaviour is tolerated or even encouraged. Maintaining a safety culture, indeed any kind of culture, requires leadership and ongoing work and commitment from everyone concerned. 

The ICI-MOND Fire Explosion and Toxicity Index (ICI 1985) was derived from DOW one and it is yet appreciated in process industry in many countries, including Italy. In ICI-MOND index method there are some ninety elementary questions, nested in a three levels tree. For many issues there is also a forth level of nested questions. About two thirds of the questions are for penalties and one third for credits accounting. For the most of the questions a quantitative answer is required. The questions are organized in chapters for penalties section the subjects are related to materials and quantities, processes and equipment, layout, health for credits section instead the method deals with containment, control, safety culture, fire engineering and emergency preparedness. Every issue weighs differently in overall risk levels accounting. Results are presented in a structured way, discriminat-iug fire, toxic, confined and unconfined explosion. 

Van Noord, L, De Bmijne, M. and Twisk, J. 2010. The relationship between patient safety culture and the implementation of oiganizational patient safety defences at emergency departments. International Journal of Quality in Health Care, 22, 162-9. 

Roqueta Egea, F., Tomas Vecina, S. and Chanovas Bonas, M R. 2011b. Patient safety culture in 30 Spanish hospital emergency departments Results of the agency for healthcare research and quality s hospital survey on patient safety culture. Emergencias, 23, 356-64. 

Improvement and momentum reconunendations, which typically emerge from workshops, are easier to make than to implement. Recommendations need to be carefuUy constructed, practicaUy-oriented and orily as many as necessary - having too many recommendations is counterproductive. Aftercare sessions with managers and staff (interviews are useful for this) help to track progress and other informal methods help to maintain momentum, such as the EUROCONTROL safety culture discussion cards (Shorrock 2012 SKYbrary 2013). 

We hope that this primer will help open doors to new considerations of the leader s work in creating a health care culture where inquiry into patient safety can emerge more fully. We need to understand and overcome the barriers in order to advance our understanding of complex adaptive systems and build our capability in safety. 

This well-produced video emphasizes management of change, permits to work, safety culture, disabling of safeguards, reluctance to shutdown, commrmications dining emergencies, and other process safety issues. It underscores the repereussions of a poor safety culture and weak operating discipline. 

Deserves a much higher place within all the elements of a safety management system. Because—The quality of incident investigation emerges as one of the primary markers in evaluating an organization s safety culture. 

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