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At least 145 records · Page 8Linked to original sources
PubMed2003

Environmental, health, and safety management systems and auditing programs: part I--The evolution.

Early auditing began as an effort to avoid fines or other action from governmental agencies, without being based on accepted standards. However, for EHS auditing to be accepted as credible in the business world, established standards were necessary. As companies expanded globally, the need for international EHS standards grew, international standards for quality management and environmental program management have now been universally accepted (ISO, 2002). Occupational health nurses increasingly are becoming involved in efforts to help their employers or clients develop management systems to handle EHS issues--whether ISO 9000 (or the automotive equivalent, QS-9000), ISO 14000, or other models are used as the basis for the management system. Many nurses are actively involved in ISO certification efforts. As an extension of those efforts, occupational health nurses are increasingly involved in EHS audits, whether audits are conducted by third parties, by company employees, or as part of a self audit. The next column in this series will focus on strategies to improve the management of occupational health programs so the programs will stand up to rigorous EHS audits.

Environmental Health↗
PubMed1998

Safety management of a patient undergoing thoracic aortic surgery by spinal evoked potential monitoring.

We have presented a patient (48 year-old male) in whom the evoked spinal potential monitor detected impending spinal ischemia after aortic cross-clamping, which allowed surgical intervention to be modified so as to restore the decaying evoked spinal potential. The patient received replacement of the dissecting aneurysm in the thoracic descending aorta with clamping of the aorta at the sites immediately proximal and distal to the aneurysm and initiation of femoro-femoral venoarterial bypass under normothermia. The evoked spinal potential was recorded via the T12/L1 epidural electrode in response to transdural electric stimulation of the spinal cord at the C7/T1 level. As the evoked spinal potential gradually decreased in amplitude without latency prolongation after aortic cross-clamping, the distal clamp was moved from the T6 vertebral level to the T4. The reduced spinal potential then returned to the baseline amplitude. This episode was repeated twice from surgical necessity. The patient was free from any neurological disorders postoperatively.

Aortic Dissection↗
PubMed2004

[A new role of pathologists in medical risk management].

Safety management is the prime issue for health professionals. How can we pathologists to improve their risk sense to prevent medical errors? Various autopsy cases such as drug adverse events, unexpected sudden deaths and/or multiple organ failures after operations have made us aware of faulty systems of health care. Thus, the scope of pathology must be extended from the traditional tissue and cell pathology to the implementation of preventive pathology, by participation in morbidity and mortality conferences.

Adult↗
PubMed2003

[Clinical safety data management in company non-sponsored trials].

There is currently no harmonized way in Japan to manage safety data which are obtained during clinical trials supported by Government funds. There are two types of clinical trials, 'sponsored trials(sponsored by industrial companies)' and 'non-sponsored trials(funded by the Government, etc.)'. The Japanese Ministry of Health and Welfare has issued many of pharmaceutical laws(GCP, GPMSP etc.) for the regulation of sponsored trials, while none has ever established for non-sponsored trials, thus leaving the most important quality control/assurance unregulated. In this manuscript we discuss that the simple application of pharmaceutical laws to government-sponsored trials can not be a proper answer because of the different nature of the two types of trials.

Aged↗
PubMedDate not supplied

Policies, guidelines, and recommendations for MR imaging safety and patient management. SMRI Safety Committee.

The following are policies, guidelines, and recommendations from the Safety Committee of the Society for Magnetic Resonance Imaging (SMRI) concerning various issues related to magnetic resonance (MR) imaging safety and patient management. These policies, guidelines, and recommendations were developed to provide standardized and consistent information for use by health practitioners involved in clinical MR imaging.

Humans↗
PubMedDate not supplied

Policies, guidelines, and recommendations for MR imaging safety and patient management. SMRI Safety Committee.

The following are policies, guidelines, and recommendations from the Safety Committee of the Society for Magnetic Resonance Imaging (SMRI) concerning various issues related to magnetic resonance (MR) imaging safety and patient management. These policies, guidelines, and recommendations were developed to provide standardized and consistent information for use by health practitioners involved in clinical MR imaging.

Humans↗
PubMed2005

An empirical investigation of safety climate in container terminal operators.

INTRODUCTION: This study empirically evaluates the crucial dimensions of safety climate from a container terminal operator's perspective, specifically in the Port of Kaohsiung. METHOD: Seven safety climate dimensions are identified based on factor analysis: (a) supervisor safety, (b) job safety, (c) coworkers' safety, (d) safety management, (e) safety training, (f) safety rules and special safety training, and (g) job pressure. Cluster analysis is subsequently performed to form worker groups. Respondents are categorized into four groups on the basis of their factor scores in safety climate dimensions: (a) safety management oriented terminal operators, (b) safety training and management oriented terminal operators, (c) job safety and supervisor safety oriented terminal operators, and (d) coworkers' safety oriented terminal operators. RESULTS: Results indicate that safety training and management oriented terminal operators have the best safety performance, followed by safety management oriented terminal operators, job safety and supervisor safety oriented terminal operators, and coworkers' safety oriented terminal operators. Theoretical and practical implications of the research findings are discussed.

Accident Prevention↗
PubMed2002

The Safety Case Management Committee: expanding the avenues for addressing patient safety.

BACKGROUND: The greatest gains in patient safety are likely to result from using a multifaceted framework of safety enhancement initiatives. The Safety Case Management Committee, which has been meeting at the VA Ann Arbor Healthcare System since early 1999, is one such initiative; it is directed at broadening organizational involvement in creating a safer clinical environment. The committee's objective is to address fundamental issues related to patient safety and quality of care. The committee aims to develop thematic approaches to improving major systems triggered by unsafe or risky incidents that demonstrate either iatrogenic harm or risk of harm to patients. COMMITTEE STRUCTURE AND FUNCTIONING: Committee members represent top management, middle management, and front-line employees, but membership is weighted toward those in direct patient care roles. The group also includes a consumer representative. Critical issues are addressed through rigorous case discussion, literature review, and expert consultation. RESULTS: In a 3-year period (Feb 1999 through Dec 2001), 85% of the group's 45 recommendations have been implemented. Topics have included reducing medication errors during emergency procedures, enhancing palliative care services, minimizing the risk of missed x-ray findings, optimizing anticoagulation management, reducing the risk of vascular catheter-related infection, and improving pain management. SUMMARY: The Safety Case Management Committee has successfully addressed actual and potential errors and has implemented strategic safety improvements. The dedicated efforts of highly motivated clinicians who serve on such a committee can augment and enhance risk management advances made through other channels.

Case Management↗
PubMed2005

Database management systems for process safety.

Several elements of the process safety management regulation (PSM) require tracking and documentation of actions; process hazard analyses, management of change, process safety information, operating procedures, training, contractor safety programs, pre-startup safety reviews, incident investigations, emergency planning, and compliance audits. These elements can result in hundreds of actions annually that require actions. This tracking and documentation commonly is a failing identified in compliance audits, and is difficult to manage through action lists, spreadsheets, or other tools that are comfortably manipulated by plant personnel. This paper discusses the recent implementation of a database management system at a chemical plant and chronicles the improvements accomplished through the introduction of a customized system. The system as implemented modeled the normal plant workflows, and provided simple, recognizable user interfaces for ease of use.

Database Management Systems↗
PubMed2005

Interface management: effective communication to improve process safety.

Failure to successfully communicate maintenance activities, abnormal conditions, emergency response procedures, process hazards, and hundreds of other items of critical information can lead to disaster, regardless of the thoroughness of the process safety management system. Therefore, a well-functioning process safety program depends on maintaining successful communication interfaces between each involved employee or stakeholder and the many other employees or stakeholders that person must interact with. The authors discuss a process to identify the critical "Interfaces" between the many participants in a process safety management system, and then to establish a protocol for each critical interface.

Chemical Industry↗