Development of the German version of the Hospital Survey on Patient Safety Culture: Dimensionality and psychometric properties

Despite the importance of safety climate assessment in healthcare, the psychometric properties of existing safety climate surveys have seldom been tested. We developed a German version of the HSOPSC and investigated its dimensionality and predictive validity. In adapting the survey we differentiated between the two management levels (hospital, unit) by duplicating dimensions of the HSOPSC. Based on a sample of n = 568, confirmatory and exploratory factor analyses (CFA, EFA) were applied. Relationships between safety climate and outcome variables were investigated by regression analyses. CFA did not replicate the proposed factor structure, supporting evidence from other European countries. EFAs revealed eight factors (instead of twelve proposed for the original instrument) and allowed for differentiating between management levels (hospital, unit). For physicians and nurses, different predictors were identified for overall safety climate perception. Further cross-cultural investigations of dimensionality are necessary for international comparisons of safety climate in healthcare. Our results highlight the importance of capturing the impact of different management levels, especially in large hospitals, and differences between professional groups in order to design interventions accordingly.     

From safety culture to safety orientation: Validation and simplification of a safety orientation scale using a sample of seafarers working for Norwegian ship owners

Measuring safety performance is becoming increasingly important in many high-risk industries such as atomic power, the chemical industry, offshore oil production, air traffic control and construction. Much has been done to study the antecedents/factors that shape the safety culture and safety climate in these types of industries, but almost no research has been conducted into another high-risk industry – shipping. Based on the safety orientation model (SOM) and a review of items and scales used in surveys of safety climate and safety culture, a safety orientation scale (SOS) was developed and refined through the use of multivariate statistics. This study was conducted with a sample of seafarers sailing on Norwegian-owned vessels. A total of 2558 questionnaires were returned from 141 vessels and 16 shipping companies, giving a calculated response rate of 70%.The study showed that replicating previous studies on the sample of seafarers demonstrated a large degree of stability in scales and items across both industries and nations.Exploratory factor analysis (EFA) is the most commonly adopted approach to the development of scales of safety climate and culture scale reported in the literature, and factor retention seems to be the most important decision in EFA. In the present study several rules to determine the number of factors and items retained are applied, and a comparison is made of a short form of latent root criterion (SFLRC) and parallel criterion (PC). SFLRC is found to be the superior method for the present data set.Confirmatory factor analysis (CFA) did not support the preliminary SOM of 12 dimensions (13 dimensions, since one of the 12 dimensions was split during the CFA procedure); however, a re-specification of the model on the basis of the CFA for four different behavioural measures gave a simplified and well-defined model with seven factors and 22 items.     

Measuring safety climate in elderly homes

IntroductionProvision of a valid and reliable safety climate dimension brings enormous benefits to the elderly home sector. The aim of the present study was to make use of the safety climate instrument developed by OSHC to measure the safety perceptions of employees in elderly homes such that the factor structure of the safety climate dimensions of elderly homes could be explored.MethodIn 2010, surveys by mustering on site method were administered in 27 elderly homes that had participated in the "Hong Kong Safe and Healthy Residential Care Home Accreditation Scheme" organized by the Occupational Safety and Health Council.ResultsSix hundred and fifty-one surveys were returned with a response rate of 54.3%. To examine the factor structure of safety climate dimensions in our study, an exploratory factor analysis (EFA) using principal components analysis method was conducted to identify the underlying factors. The results of the modified seven-factor's safety climate structure extracted from 35 items better reflected the safety climate dimensions of elderly homes. The Cronbach alpha range for this study (0.655 to 0.851) indicated good internal consistency among the seven-factor structure. Responses from managerial level, supervisory and professional level, and front-line staff were analyzed to come up with the suggestion on effective ways of improving the safety culture of elderly homes. The overall results showed that managers generally gave positive responses in the factors evaluated, such as "management commitment and concern to safety," "perception of work risks and some contributory influences," "safety communication and awareness," and "safe working attitude and participation." Supervisors / professionals, and frontline level staff on the other hand, have less positive responses. The result of the lowest score in the factors - "perception of safety rules and procedures" underlined the importance of the relevance and practicability of safety rules and procedures.ConclusionThe modified OSHC safety climate tool provided better evidence of structural validity and reliability for use by elderly homes' decision makers as an indicator of employee perception of safety in their institution.Impact on industryThe findings and suggestions in the study provide useful information for the management, supervisors/professionals and frontline level staff to cultivate the safety culture in the elderly home sector. Most important, elderly homes can use the modified safety climate scale to identify problem areas in their safety culture and safety management practices and then target these for intervention.     

Developing a competency model for safety professionals: Correlations between competency and safety functions

IntroductionPersonal competency is an important factor influencing individual performance. The objective of this study was to develop a competency model of safety professionals and investigate the factors contributing to their competency to achieve greater safety performance.MethodIn this study, 299 participants (153 safety professionals and 146 safety educators) completed self-administered questionnaires. The response rate was 75%.ResultsThe results of exploratory factor analysis and cluster analysis revealed that the competency scale for safety professionals comprised five factors. Additionally, the factor “safety and health training and management” explained most of the variance in the competency. The multivariate analysis of variance (MANOVA) results showed that the respondents’ perception of professional competency was significantly influenced by the following factors: occupation, age, job tenure, level of education, and work status. Additionally, the Pearson product–moment correlation coefficient analysis indicated that a safety professional's perceived competencies and safety functions were positively correlated.Impact on industryThis study discusses possible reasons for the influence of the factors previously mentioned and explains how the results can contribute to the development of safety competencies and curricula.     

Impact of individual resilience and safety climate on safety performance and psychological stress of construction workers: A case study of the Ontario construction industry

IntroductionThe construction industry has hit a plateau in terms of safety performance. Safety climate is regarded as a leading indicator of safety performance; however, relatively little safety climate research has been done in the Canadian construction industry. Safety climate may be geographically sensitive, thus it is necessary to examine how the construct of safety climate is defined and used to improve safety performance in different regions. On the other hand, more and more attention has been paid to job related stress in the construction industry. Previous research proposed that individual resilience may be associated with a better safety performance and may help employees manage stress. Unfortunately, few empirical research studies have examined this hypothesis. This paper aims to examine the role of safety climate and individual resilience in safety performance and job stress in the Canadian construction industry.MethodThe research was based on 837 surveys collected in Ontario between June 2015 and June 2016. Structural equation modeling (SEM) techniques were used to explore the impact of individual resilience and safety climate on physical safety outcomes and on psychological stress among construction workers.ResultsThe results show that safety climate not only affected construction workers' safety performance but also indirectly affected their psychological stress. In addition, it was found that individual resilience had a direct negative impact on psychological stress but had no impact on physical safety outcomes.ConclusionsThese findings highlight the roles of both organizational and individual factors in individual safety performance and in psychological well-being.Practical applicationsConstruction organizations need to not only monitor employees' safety performance, but also to assess their employees' psychological well-being. Promoting a positive safety climate together with developing training programs focusing on improving employees' psychological health — especially post-trauma psychological health — can improve the safety performance of an organization.     

Night club patrons who feel safe will return: Evidence to encourage management to address club violence

IntroductionThere is substantial evidence that heavy drinking is associated with aggression and violence. Most managers of drinking establishments are required to maintain a security staff to deal with disruptive patrons who threaten an organization's business or legal status. However, managers may focus little on minor instances of aggression even though these may escalate into more serious events. We hypothesize that proactive security efforts may positively affect patrons' perceptions of nighttime safety and influence their decisions to return to the club, thereby affecting the club's bottom line.MethodData for this study were collected from entry and exit surveys with 1714 attendees at 70 electronic music dance events at 10 clubs in the San Francisco Bay Area (2010–2012). Participants were asked to report on observations and experiences with aggressive behavior while in the club, their overall perception of club safety, and their plans to return to the same club in the next 30 days. Mediational multiple regression analysis was used to relate observations of club security to perceptions of personal safety and plans to return to the club.ResultsReported observations of an active club security staff were positively related to perceptions of personal safety. Safety perceptions, in turn, were significantly related to plans to return to the club. The indirect path between perceptions of security and plans to return was significant as well.ConclusionsThe results suggest that an active security presence inside clubs can encourage club attendance by providing an environment where minor altercations are minimized, contributing to the perception of club safety.Practical ApplicationsEvidence that proactive security efforts appear to increase return customers might motivate managers to implement better security policies.     

Impact of psychological capital on construction worker safety behavior: Communication competence as a mediator

IntroductionConstruction workers face a work environment of high risk and mental stress. Psychological capital (PsyCap) could influence employee's mental health and work performance. It would be helpful to determine whether PsyCap affects worker safety behavior. However, few studies empirically examined the impacts of the sub-dimensions of PsyCap on the safety behavior in construction settings, reducing the potential practicability of PsyCap to improve workplace safety performance. Thus, this study tested the relationship between sub-dimensions of PsyCap (self-efficacy, hope, resilience, optimism) and safety behaviors (safety compliance, safety participation), while the mediating role of communication competence was also explored. Method: Data were collected from 655 construction workers in China using a psychological capital questionnaire (PCQ). The theoretical model were tested with confirmatory factor analyses (CFA) and structural equation modeling (SEM) techniques. Results: Results show that: (a) the self-efficacy dimension of PsyCap positively affected safety compliance and safety participation, while the resilience dimension positively impacted safety participation; (b) the hope dimension was not directly related to safety behaviors, while the optimism dimension negatively associated with safety participation; and (c) communication competence mediated the relationships between the hope and optimism dimensions of PsyCap and safety participation. Conclusions: A multidimensional perspective on PsyCap should be taken while examining its effects on safety behavior and the individual communication competence helps to enhance construction safety. Findings of this study shed lights on safety behavior promotion practices based on the multidimensional model. Initiating flexible psychological capital training and intervention, and strengthening communication skills of construction employees are suggested to improve safety performance in the construction industry.     

Development of a multilevel health and safety climate survey tool within a mining setting

IntroductionThis study aimed to design, implement and evaluate the reliability and validity of a multifactorial and multilevel health and safety climate survey (HSCS) tool with utility in the Australian mining setting.MethodsAn 84-item questionnaire was developed and pilot tested on a sample of 302 Australian miners across two open cut sites.ResultsA 67-item, 10 factor solution was obtained via exploratory factor analysis (EFA) representing prioritization and attitudes to health and safety across multiple domains and organizational levels. Each factor demonstrated a high level of internal reliability, and a series of ANOVAs determined a high level of consistency in responses across the workforce, and generally irrespective of age, experience or job category. Participants tended to hold favorable views of occupational health and safety (OH&S) climate at the management, supervisor, workgroup and individual level.ConclusionThe survey tool demonstrated reliability and validity for use within an open cut Australian mining setting and supports a multilevel, industry specific approach to OH&S climate. Findings suggested a need for mining companies to maintain high OH&S standards to minimize risks to employee health and safety. Future research is required to determine the ability of this measure to predict OH&S outcomes and its utility within other mine settings.Practical applicationsAs this tool integrates health and safety, it may have benefits for assessment, monitoring and evaluation in the industry, and improving the understanding of how health and safety climate interact at multiple levels to influence OH&S outcomes.     

A comparative analysis of safety management and safety performance in twelve construction projects

IntroductionSafety management in construction is complicated due to the complex “nature” of the construction industry. The aim of this research was to identify safety management factors (e.g., risk management and site management), contextual factors (e.g., organisational complexity) and combinations of such factors connected to safety performance. Method: Twelve construction projects were selected to compare their safety management and safety performance. An analytical framework was developed based on previous research, regulations, and standards where each management factor was defined. We employed qualitative comparative analysis (QCA) to produce case knowledge, compare the cases, and identify connections between the factors and safety performance. The material collected and analyzed included, for example, construction planning documents, reports from OHS-inspections, safety indicators, and interviews with project leaders and OHS experts. Results and conclusions: The research showed that: (a) the average score on 12 safety management factors was higher among projects with high safety performance compared to projects with low safety performance; (b) high safety performance can be achieved with both high and low construction complexity and organizational complexity, but these factors complicate coordination of actors and operations; (c) it is possible to achieve high safety performance despite relatively poor performance on many safety management factors; (d) eight safety management factors were found to be “necessary” for high safety performance, namely roles and responsibilities, project management, OHS management and integration, safety climate, learning, site management, staff management, and operative risk management. Site management, operative risk management, and staff management were the three factors most strongly connected to safety performance. Practical implications: Construction stakeholders should understand that the ability to achieve high safety performance in construction projects is connected to key safety management factors, contextual factors, and combinations of such factors.     

Two discrete choice experiments on laboratory safety decisions and practices

IntroductionThe path toward enhancing laboratory safety requires a thorough understanding of the factors that influence the safety-related decision making of laboratory personnel. Method: We developed and administered a web-based survey to assess safety-related decision making of laboratory personnel of a government research organization. The survey included two brief discrete choice experiments (DCEs) that allowed for quantitative analysis of specific factors that potentially influence safety-related decisions and practices associated with two different hypothetical laboratory safety scenarios. One scenario related to reporting a laboratory spill, and the other scenario involved changing protective gloves between laboratory rooms. The survey also included several brief self-report measures of attitude, perception, and behavior related to safety practices. Results: Risk perception was the most influential factor in safety-related decision making in both scenarios. Potential negative consequences and effort associated with reporting an incident and the likelihood an incident was detected by others also affected reporting likelihood. Wearing gloves was also affected somewhat by perceived exposure risk, but not by other social or work-related factors included in the scenarios. Conclusions: The study demonstrated the promise of DCEs in quantifying the relative impact of several factors on safety-related choices of laboratory workers in two hypothetical but realistic scenarios. Participants were faced with hypothetical choice scenarios with realistic features instead of traditional scaling techniques that ask about attitudes and perceptions. The methods are suitable for addressing many occupational safety concerns in which workers face tradeoffs in their safety-related decisions and behavior. Practical Application: Safety-related decisions regarding laboratory practices such as incident reporting and use of PPE were influenced primarily by workers’ perceptions of risk of exposure and severity of risks to health and safety. This finding suggests the importance of providing laboratory workers with adequate and effective education and training on the hazards and risks associated with their work. DCEs are a promising research method for better understanding the relative influences of various personal, social, and organizational factors that shape laboratory safety decisions and practices. The information gained from DCEs may lead to more targeted training materials and interventions.     

Parental risk perceptions of childhood pedestrian road safety

Problem: Pedestrian injury is a major hazard to the health of children in most developed countries, including Australia. In a previous study it was found that parental road risk perception is a significant factor associated with their modeling of safe behavior as pedestrians. This study aimed to investigate factors that affect parental road risk perception. Method: This cross-sectional population-based randomized telephone survey aimed to study factors associated with risk perception on pedestrian road safety among parents with young children aged 4–12 years. Results: Five factors were found to be significantly associated with parental risk perception. They included age of child, sex of parent, employment of parent, living environment, and previous injury experience. The results suggested that the age of the child contributed greatest to the variance explained by the regression model. However, other factors remained significant even after adjusting for each other. Discussion: Results were discussed in light of the design and development of childhood pedestrian road safety campaigns. Impact on industry: Parental risk perceptions determine their safe road modeling behavior. In this study, significant factors that affect parental road risk perception have been identified. The information obtained can be used in the design of road safety programs that aim at changing the road risk perception of parents.     

Validation of the group nuclear safety climate questionnaire

IntroductionGroup safety climate is a leading indicator of safety performance in high reliability organizations. Zohar and Luria (2005) developed a Group Safety Climate scale (ZGSC) and found it to have a single factor.MethodThe ZGSC scale was used as a basis in this study with the researchers rewording almost half of the items on this scale, changing the referents from the leader to the group, and trying to validate a two-factor scale. The sample was composed of 566 employees in 50 groups from a Spanish nuclear power plant. Item analysis, reliability, correlations, aggregation indexes and CFA were performed.ResultsResults revealed that the construct was shared by each unit, and our reworded Group Safety Climate (GSC) scale showed a one-factor structure and correlated to organizational safety climate, formalized procedures, safety behavior, and time pressure.“Impact on IndustryThis validation of the one-factor structure of the Zohar and Luria (2005) scale could strengthen and spread this scale and measure group safety climate more effectively.     

Cross-sectional study of road accidents and related law enforcement efficiency for 10 countries: A gap coherence analysis

Objective: Road crashes are considered as the eighth leading causes of death. There is a wide disparity in crash severity and law enforcement efficiency among low-, medium-, and high-income countries. It would be helpful to review the crash severity trends in these countries, identify the vulnerable road users, and understand the law enforcement effectiveness in devising efficient road safety improvement strategies.

Method: The crash severity, fatality rate among various age groups, and law enforcement strategies of 10 countries representing low-income (i.e., India and Morocco), medium-income (i.e. Argentina, South Korea, and Greece), and high-income (i.e., Australia, Canada, France, the UK, and the United States) are studied and compared for a period of 5 years (i.e., 2008 to 2012). The critical parameters affecting road safety are identified and correlated with education, culture, and basic compliance with traffic safety laws. In the process, possible road safety improvement strategies are identified for low-income countries.

Results: The number of registered vehicles shows an increasing trend for low-income countries as do the crash rate and crash severity. Compliance related to seat belt and helmet laws is high in high-income countries. In addition, recent seat belt– and helmet-related safety programs in middle-income countries helped to curb fatalities. Noncompliance with safety laws in low-income countries is attributed to education, culture, and inefficient law enforcement.

Conclusion: Efficient law enforcement and effective safety education taking into account cultural diversity are the key aspects to reduce traffic-related injuries and fatalities in low-income countries like India.     

Reliability and validity of the Multidimensional Driving Style Inventory in Chinese drivers

Objective: The Multidimensional Driving Style Inventory (MDSI) has been widely used in assessing the associations between driving styles and traffic violations and accidents in different cultural contexts. Due to the lack of a valid instrument to assess driving style, studies concerning driving style and its influence factors are limited in China. Thus, this study aimed to adapt and validate a Chinese version of the MDSI.

Methods: Seven hundred and sixty drivers aged from 19 to 60 years old were asked to complete the MDSI and a personality scale (trait anger, sensation seeking, altruism, and normlessness). Exploratory factory analysis (EFA) and confirmatory factor analysis (CFA) were used to obtain the factorial structure of the MDSI. The external validity of the MDSI was then evaluated by examining the associations between driving styles and personality traits, demographic variables, and traffic violations and crashes.

Results: EFA revealed a 6-factor structure of the MDSI (i.e., risky, anxious, angry, distress reduction, careful, and dissociative driving styles). CFA confirmed that the model fit of the MDSI was acceptable. The MDSI factors were moderately or weakly correlated with trait anger, sensation seeking, altruism, and normlessness. Significant gender and age differences in driving styles were found. Moreover, drivers who had traffic violations or crashes in the past year scored higher on risky and angry driving styles and lower on careful driving style than those who had not have traffic violations or crashes.

Conclusions: The Chinese version of the MDSI proved to be a reliable, valid, and highly useful instrument. It could be used to assess Chinese drivers who are at risk due to their maladaptive driving styles.     

员工不安全行为意向的影响因子研究

为探究员工不安全行为意向的主要前因变量,基于计划行为理论(TPB),结合矿山企业安全管理实际,编制了包含21个项目的不安全行为意向量表。通过对240名煤矿一线作业人员进行调查和探索性因子分析(EFA),形成不安全行为意向的正式量表和探索性因子结构模型;再对7个煤矿735名一线作业人员进行调查并进行验证性因子研究(CFA)。结果表明:编制修订的不安全行为意向量表信度、效度较高;员工不安全行为意向受不安全行为态度、班组安全氛围、行为风险认知偏差等3个因子的影响;企业应从行为态度改变、班组安全氛围构建、行为风险认知偏差校正等方面,干预员工不安全行为意向,控制不安全行为的发生。     

Actual safety performance of the Malaysian offshore oil platforms: Correlations between the leading and lagging indicators

IntroductionThis study establishes the correlations between performance of a set of key safety factors and the actual lagging performance of oil platforms in Malaysia, hence the relevance of the key safety factors in evaluating and predicting the safety performance of oil and gas platforms. The key factors are crucial components of a safety performance evaluation framework and each key safety factor corresponds to a list of underlying safety indicators.MethodIn this study, participating industrial practitioners rated the compliance status of each indicator using a numbering system adapted from the traffic light system, based on the actual performance of 10 oil platforms in Malaysia. Safety scores of the platforms were calculated based on the ratings and compared with the actual lagging performance of the platforms. Safety scores of two platforms were compared with the facility status reports' findings of the respective platforms.ResultsThe platforms studied generally had good performance. Total recordable incident rates of the platforms were found to show significant negative correlations with management and work engagement on safety, compliance score for number of incident and near misses, personal safety, and management of change. Lost time injury rates, however, correlated negatively with hazard identification and risk assessment. The safety scores generally agreed with findings of the facility status reports with substandard process containment found as a contributor of hydrocarbon leaks.ConclusionsThis study proves the criterion validity of the safety performance evaluation framework and demonstrates its usability for benchmarking and continuous improvement of safety practices on the Malaysian offshore oil and gas platforms.Practical applicationsThis study reveals the applicability of the framework and the potential of extending safety reporting beyond the few conventional lagging safety performance indicators used. The study also highlights the synergy between correlating safety factors to streamline safety management on offshore platforms.     

Intersection AEB implementation strategies for left turn across path crashes

Abstract

Objective: Left turn across path with traffic from the opposite direction (LTAP/OD) is the second most frequent car-to-car intersection crash type after straight crossing path (SCP) in Germany and the United States. Intersection automated emergency braking (AEB) for passenger cars can address these crashes.

This study investigates 2 implementation strategies of intersection AEB addressing LTAP/OD crashes: (1) only the turning car is equipped with an intersection AEB and (2) turning and straight-heading cars are equipped with an intersection AEB. For each strategy, the influence of a safety zone around the vehicles that should not be entered is evaluated in terms of accident avoidance, injury mitigation, and change in velocity (delta-V) of remaining accidents. Results are given as a function of market penetration.

Methods: A total of 372 LTAP/OD crashes from the time series precrash matrix (PCM), a subsample of the German In-Depth Accident Study (GIDAS), were resimulated in the PRediction of Accident Evolution by Diversification of Influence factors in COmputer simulation (PRAEDICO) simulation framework. A Kudlich-Slibar rigid-body impact model and an injury risk curve derived from GIDAS were used to predict remaining moderate to fatal (Maximum Abbreviated Injury Scale [MAIS] 2?+?F) injuries among car occupants.

Results: With a safety zone of 0.2 m, when the turning vehicle only was equipped with an intersection AEB, 59% of the crashes were avoided at a 100% market penetration. With both vehicles equipped the percentage increased to 77%. MAIS 2?+?F injured occupants were reduced by 60 and 76%, respectively. Considering both the turning and the straight-heading vehicles, the delta-V decreased strongly with market penetration in remaining left-side impacts but only slightly in remaining frontal and right-side impacts. Eliminating the safety zone substantially decreases effectiveness in all conditions.

Conclusions: Implementation strategy and safety zone definition strongly influence the real-life performance of intersection AEB. AEB should be applied not only for the turning vehicle but also for the straight-going vehicle to benefit from the full potential. Situationally appropriate safety zone definitions, in line with human hazard perception, need more attention and are a key to balance true positive and false positive performance. Remaining delta-V does not decrease broadly; hence, there is no evidence that future LTAP/OD crashes will be generally of lower severity. This highlights the need for continuous development of in-crash protection.     

Did Child Restraint Laws Globally Converge? Examining 40 Years of Policy Diffusion

Objective: The objective of the current study is to determine what factors have been associated with the global adoption of mandatory child restraint laws (ChRLs) since 1975.

Methods: In order to determine what factors explained the global adoption of mandatory ChRLs, Weibull models were analyzed. To carry out this analysis, 170 countries were considered and the time risk corresponded to 5,146 observations for the period 1957–2013. The dependent variable was first time to adopt a ChRL. Independent variables representing global factors were the World Health Organization (WHO) and World Bank's (WB) road safety global campaign; the Geneva Convention on Road Traffic; and the United Nation's (UN) 1958 Vehicle Agreement. Independent variables representing regional factors were the creation of the European Transport Safety Council and being a Commonwealth country. Independent variables representing national factors were population; gross domestic product (GDP) per capita; political violence; existence of road safety nongovernmental organizations (NGOs); and existence of road safety agencies. Urbanization served as a control variable. To examine regional dynamics, Weibull models for Africa, Asia, Europe, North America, Latin America, the Caribbean, and the Commonwealth were also carried out.

Results: Empirical estimates from full Weibull models suggest that 2 global factors and 2 national factors are significantly associated with the adoption of this measure. The global factors explaining adoption are the WHO and WB's road safety global campaign implemented after 2004 (P <.01), and the UN's 1958 Vehicle Agreement (P <.001). National factors were GDP (P <.01) and existence of road safety agencies (P <.05). The time parameter ρ for the full Weibull model was 1.425 (P <.001), suggesting that the likelihood of ChRL adoption increased over the observed period of time, confirming that the diffusion of this policy was global. Regional analysis showed that the UN's Convention on Road Traffic was significant in Asia, the creation of the European Transport Safety Council was significant in Europe and North America, and the global campaign was in Africa. In Commonwealth and European and North American countries, the existence of road safety agencies was also positively associated with ChRL adoption.

Conclusions: Results of the world models suggest that the WHO and WB's global road safety campaign was effective in disseminating ChRLs after 2004. Furthermore, regions such as Asia and Europe and North America were early adopters since specific regional and national characteristics anticipated the introduction of this policy before 2004. In this particular case, the creation of the European Transport Safety Council was fundamental in promoting ChRLs. Thus, in order to introduce conditions to more rapidly diffuse road safety measures across lagging regions, the maintenance of global efforts and the creation of road safety regional organizations should be encouraged. Lastly, the case of ChRL convergence illustrates how mechanisms of global and regional diffusion need to be analytically differentiated in order better to assess the process of policy diffusion.     

Safety climate differences among job positions in a nuclear decommissioning and demolition industry: Employees’ self-reported safety attitudes and perceptions

This study examined group differences in safety climate among job positions in a nuclear decommissioning and demolition industry in the United States. Safety climate surveys were conducted at 10 locations. Survey responses totaled 1587 out of an available population of 3296 workers for an overall response rate of 48.1%. Significant differences (p < 0.05) in mean safety climate scores, factor scores, and item scores among job positions were observed. Most notably, foremen’s self-reported safety attitudes and perceptions indicate a lower safety climate and suggest the need to target safety improvements at this key organizational level.