加强安全生产监察队伍能力建设探讨

强化国家安全生产执法监察是建立我国安全生产法治体制和实现安全生产形势明显好转治本之策。安全生产监察员是代表国家意志对生产经营单位实行监督、检查和处罚，任务的严肃性和艰巨性对监察队伍素质提出很高要求，提高监察员的品质和能力是非常重要的基础建设。建议在国家安监系统内把机关行政管理和日常现场监察执法工作逐渐分离，最终实现监察队伍专业化和职业化；制定监察员基本业务素质标准，包括学历、专业背景和工作业绩等方面的要求；建立规范化的安全生产监察员选拔、聘用、考核和辞退管理程序；编制安全生产监察员执法工作手则与监察技术指南，规范执法行为，提高专业技术水平；同时还应加强对监察员的业务培训和知识更新，全面提高监察队伍的能力。     

A national safety stand-down to reduce construction worker falls

IntroductionFalls are the leading cause of death and third leading cause of non-fatal injuries in construction. In an effort to combat these numbers, The National Campaign to Prevent Falls in Construction began in April 2012. As the campaign gained momentum, a week called the National Safety Stand-Down to Prevent Falls was launched to draw attention to the campaign and its goals. The purpose of this paper is to examine the reach of the Stand-Down and lessons learned from its implementation.MethodsThe Occupational Safety & Health Administration offered a certificate of participation during the Stand-Down. To print the certificate, respondents provided information about their company and stand-down event. CPWR - The Center for Construction Research and Training conducted analyses on the data collected to assess reach and extent of participation.ResultsIn 2014, 4,882 stand-downs were reported. The total number reported in 2015 was 3,759. The number of participants, however, increased from 770,193 in 2014 to 1,041,307 in 2015.DiscussionThe Stand-Down successfully reached the construction industry and beyond. Respondents were enthusiastic and participated nationally and internationally in variety of activities. They also provided significant feedback that will be influential in future campaign planning.ConclusionNumbers of Stand-Downs and participants for both years are estimated to be substantially higher than the data recorded from the certificate database. While we cannot determine impact, the reach of the Stand-Down has surpassed expectations.Practical applicationsThe data gathered provide support for the continuation of the Stand-Down. Campaign planners incorporated findings into future Stand-Down planning, materials creation, and promotion. This analysis also provides insight on how organizations can partner to create targeted national campaigns that include activities stakeholders in the construction industry respond to, and can be used to replicate our efforts for other safety and health initiatives in construction and other industries.     

Self-reported falls and fall-related injuries among persons aged>or=65 years--United States, 2006

PROBLEM: In 2005, 15,802 persons aged>or=65 years died from fall injuries. How many older adults seek outpatient treatment for minor or moderate fall injuries is unknown. METHOD: To estimate the percentage of older adults who fell during the preceding three months, the Centers for Disease Control and Prevention (CDC) analyzed data from two questions about falls included in the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey. RESULTS: Approximately 5.8 million (15.9%) persons aged>or=65 years reported falling at least once during the preceding three months, and 1.8 million (31.3%) of those who fell sustained an injury that resulted in a doctor visit or restricted activity for at least one day. DISCUSSION: This report presents the first national estimates of the number and proportion of persons reporting fall-related injuries associated with either doctor visits or restricted activity. SUMMARY: The prevalence of falls reinforces the need for broader use of scientifically proven fall-prevention interventions. IMPACT ON INDUSTRY: Falls and fall-related injuries represent an enormous burden to individuals, society, and to our health care system. Because the U.S. population is aging, this problem will increase unless we take preventive action by broadly implementing evidence-based fall prevention programs. Such programs could appreciably decrease the incidence and health care costs of fall injuries, as well as greatly improve the quality of life for older adults.     

National Prevention through Design (PtD) Initiative

INTRODUCTION: The most effective means of preventing and controlling occupational injuries, illness, and fatalities is to "design out" hazards and hazardous exposures from the workplace. There is a long history of designing for safety for the general public and to a lesser degree for workers. METHOD: We now have the experience and insight from thoughtful, previous efforts to call for a comprehensive national strategy to implement a Prevention through Design (PtD) Initiative. RESULTS: This paper describes that initiative in terms of four overarching areas where action can be directed: practice, policy, research, and education. To obtain stakeholder input for issues in these four areas and to focus implementation efforts, eight sector divisions of the economy will be addressed. A seven year strategy is envisioned.     

The feasibility of encouraging inherently safer production in industrial firms

Inherent Safety is generally recognised as an important concept in the design of chemical plants. It is, however, often regarded as the sole province of engineers. Inspired by the successful development in the last decade from cleaner technology towards Cleaner Production, we explored in this research the feasibility of what we call Inherently Safer Production. Four pilot cases were carried out, two in the Netherlands and two in Greece; three in existing plants, one at the design stage. A methodology to generate inherently safer technological options was developed and tested. In all four cases, a number of options for inherently safer production were identified, while more traditional safety options were also identified. The great majority of options was shown to have pay back times of less than 2 years. Overall, 25% of the options were implemented during the project.In existing plants, the option generation process can be organised as a collective learning and inspiring effort. This can be of considerable value on its own, apart from the implementation of the (technological) options identified. We conclude that Inherently Safer Production is a feasible concept, that it has great potential for simultaneous improvement of safety and economic performance, and that it deserves to be further developed.     

计算机辅助海运安全管理系统技术研究

以海运安全管理的基本理论与机制 ,强调保障安全必须通过管理实现对“人 -机 -环境”系统的有效干预 ,指出已实行数年的海运安全管理体系 (SMS) ,因系统庞大不便使用而妨碍了安全管理效能的发挥 ,而现有的管理信息系统技术对此作为甚小。鉴此 ,以语义Web和RDF技术为核心 ,研发了计算机辅助海运安全管理系统 (CASMS) ,包括海运安全文档知识库系统 (RDMS)、海运安全管理体系文档管理系统 (SMDS)、计算机辅助海运安全审核系统 (EES) ,为实现全面高效准确的SMS文件管理与工作表管理 ,提高海运公司和政府的SMS审核质量 ,实现地区级、国家级网络化安全管理提供了新技术。该技术可普遍用于质量管理体系、职业安全与健康管理体系、环境管理体系等系统及其综合系统。     

Falls and fall prevention programmes in developing countries: environmental scan for the adaptation of the Canadian Falls prevention curriculum for developing countries

Problem

Falls in older persons in developing countries are poorly understood, and falls prevention and health promotion programmes for this population are largely lacking.

Methods

A systematic review was carried out of relevant literature on falls and prevention programmes, and falls prevention education, and a scan undertaken of health promotion programmes for older persons in a representative country - South Africa.

Results

Studies on the risk and prevalence of falls are largely retrospective and hospital-based, with varied methodology, including study period, sampling method and sample size. Falls prevalence is based largely on self-reports in studies on general trauma in all age groups. Falls incidence varies from 10.1% to 54%. No reports could be traced on sustained falls prevention or health promotion programmes.

Conclusion

Scant research has been conducted and little preventive education offered on falls in older persons. Adaptation of the Canadian Falls Prevention Curriculum for developing countries will help to fill gaps in knowledge and practice.

Impact on industry

With rapid increase in the populations of older persons in developing countries, research on age related disorders such as falls is required to guide policy and management of falls.     

Using the RE-AIM framework to translate a research-based falls prevention intervention into a community-based program: lessons learned

Problem

Exercise-based research interventions demonstrate reduced risk and rates of falls for community dwelling older adults; however, little is known about effective mechanisms for the translation, implementation, and maintenance of these interventions in community settings.

Method

The RE-AIM framework was used to assess the translatability of an effective exercise-based research intervention in a community setting. Questions included: Reach — Would the target population attend? Effectiveness — What was the adherence and compliance to the program? Were there individual improvements in falls risk factors? Adoption: Would staff at the center adopt the program and offer it past the funding period? Implementation — What adaptations, including optimal frequency and duration, should be made to meet the community needs, still adhere to core elements and achieve similar outcomes? Maintenance — Would the program be sustained by our community partners?

Discussion

The process of translating a controlled research intervention targeting older adults at risk of falls into a community setting was challenging. Licensed professionals developed the infrastructure to safely and effectively deliver the program. The end product was highly appealing program to our target audience, resulted in improved outcomes and was successfully adopted and maintained by the community partner.

Summary

Partnerships between community and healthcare providers are key to successful implementation of falls prevention interventions. Lessons learned from this experience can be applied to the translation of future exercise-based falls prevention interventions.     

The Ergonomic Program Implementation Continuum (EPIC): Integration of health and safety - A process evaluation in the healthcare sector

IntroductionThis article presents a health and safety intervention model and the use of process evaluation to assess a participatory ergonomic intervention.MethodThe effectiveness of the Ergonomic Program Implementation Continuum (EPIC) was assessed at six healthcare pilot sites in Ontario, Canada. The model provided a framework to demonstrate evaluation findings.ResultsParticipants reported that EPIC was thorough and identified improvements related to its use. Participants believed the program contributed to advancing an organizational culture of safety (COS). Main barriers to program uptake included resistance to change and need for adequate funding and resources. The dedication of organizational leaders and consultant coaches was identified as essential to the program's success.Impact on IndustryIn terms of impact on industry, findings contribute to the evidence-based knowledge of health and safety interventions and support use of the framework for creating a robust infrastructure to advance organizational COS and link staff safety and wellness with patient safety in healthcare.     

On prediction in road safety

Prediction is about potential outcomes: what will happen if and what would have happened if. The first question arises when safety targets are set, the second when the effect of an intervention on safety is to be evaluated. There are many ways to predict. For the same data different prediction methods produce different predictions. What targets are set and what estimates of intervention effect are produced will depend on what method of prediction is chosen. Therefore one has to determine what method tends to predict best. To do so empirically one asks what method would have predicted best had it been applied in the past and then one assumes, inductively, that the same would apply in the future. Quantitative measures of prediction quality are suggested and it is shown how these measures of prediction quality allow one to determine which of two prediction methods should be preferred.The suggested approach was applied to two data sets: The time series of motor vehicle accident fatalities in Province A and in Province B. On the basis of this analysis one may draw tentative conclusions for these jurisdictions and the methods tested; one can say what method seems preferable, what is the average size of bias than needs to be corrected and how accurate is the prediction likely to be. Broader conclusions will emerge once many additional methods of prediction are applied to data from many other jurisdictions and pertaining to a variety of circumstances.     

Reinforcing the rules or integrating behavioural responses into road planning

Road planning is based on technical rules, know-how acquired from experience and professional expertise. A more ergonomics approach to road planning and safety analyses the psychological procedures used by the drivers. Every intervention on road network has an influence on safety. Increasing the coherency of all the interventions in the same area is the only possible way of producing areas with a better level of security. This paper deals with safety procedures, diagnostics and tools which can be used at different levels of intervention.     

Translation of falls prevention knowledge into action in hospitals: what should be translated and how should it be done?

Introduction

Falls prevention evidence has changed and evolved over time with positive and negative studies revealing that a “one-size fits all” approach is not the solution. Care must be taken to critically appraise the evidence and the potential applicability of that evidence to the specific hospital setting.

Method

A narrative account of the evolution of research evidence in this field is first presented. How this evidence should be applied in clinical practice is challenging, with a lack of translational evidence for the hospital setting we draw on broader theory of translating knowledge to action.

Conclusions

The journey should begin with formation of a management and engagement committee. A review of existing practices and the difference between existing practice and evidence-based practice should be undertaken to identify the “evidence-practice gap.” Engagement with staff is recommended to inform a plan for practice change. Plans for resourcing, targeting, and evaluating these strategies should also be undertaken.

Impact on Industry

This paper will assist hospitals to identify and implement evidence based falls prevention strategies leading to an improvement in patient safety.     

CDC's research portfolio in older adult fall prevention: a review of progress, 1985-2005, and future research directions

PROBLEM: Falls are a leading cause of mortality and morbidity among adults age 65 and older. Population models predict steep increases in the 65 and older population bands in the next 10-15 years and in turn, public health is bracing for increased fall rates and the strain they place on health care systems and society. To assess progress in fall prevention, the Centers for Disease Control and Prevention conducted a research portfolio review to examine the quality, relevance, outcomes and successes of the CDC fall prevention program and its impact on public health. METHODS: A peer review panel was charged with reviewing 20 years of funded research and conducting a SWOT (strengths, weaknesses, opportunities, and threats) analysis for extramural and intramural research activities. Information was collected from grantees (via a survey instrument), staff were interviewed, and progress reports and products were reviewed and analyzed. RESULTS: CDC has invested over $24,900,000 in fall-related research and programs over 20 years. The portfolio has had positive impacts on research, policies and programs, increasing the public health injury prevention workforce, and delivering effective fall prevention programs. DISCUSSION: Public health agencies, practitioners, and policy makers recognize that while there are some evidence-based older adult fall prevention interventions available, many remain unused or are infeasible to implement. Specific recommendations across the public health model, include: additional research in gathering robust epidemiologic data on trends and patterns of fall-related injuries at all levels; researching risk factors by setting or sub-population; developing and testing innovative interventions; and engaging in translation and dissemination research on best practices to increase uptake and adoption of fall prevention strategies. CDC has responded to a number of suggestions from the portfolio review including: funding translation research of a proven Tai Chi fall intervention; beginning to address gaps in gender, ethnic, and racial differences in falls; and collaborating with partner organizations who share in CDC's mission to improve public health by preventing falls and reducing fall-related injuries. IMPACT ON INDUSTRY: Industry has an opportunity to develop more accessible and usable devices to reduce injury from falls (for example, hip protectors and force reducing flooring). By implementing effective, evidence-based interventions to prevent falls and reduce injuries from falls, significant decreases in health care costs can be expected.     

安全工程专业人才培养模式研究

多学科交叉渗透教育模式是培养复合型人才的重要途径,通过探讨文、理、工类学科的交叉、渗透机制,提出由多学科融合培养具有突出特长的复合型人才模式。在分析我校安全工程专业发展和研究现状的基础上,提出引入多学科交叉渗透的理念的必要性,具体分析了安全工程复合型人才的培养模式,包括培养目标的设定、基本素养的完善、相关课程的设置、复合式教学模式的建立和教与学的双向选择机制。这对安全专业学生的综合素质培养和创新能力的提升具有重要作用。     

STEADI: CDC's approach to make older adult fall prevention part of every primary care practice

IntroductionPrimary care providers play a critical role in protecting older adult patients from one of the biggest threats to their health and independence—falls. A fall among an older adult patient cannot only be fatal or cause a devastating injury, but can also lead to problems that can effect a patient's overall quality of life.MethodsIn response, the Centers for Disease Control and Prevention (CDC) developed the STEADI initiative to give health care providers the tools they need to help reduce their older adult patient's risk of a fall.ResultsCDC's STEADI resources have been distributed widely and include practical materials and tools for health care providers and their patients that are designed to be integrated into every primary care practice.ConclusionAs the population ages, the need for fall prevention efforts, such as CDC's STEADI, will become increasingly critical to safeguard the health of Americans.Practical applicationsSTEADI's electronic health records (EHRs), online trainings, assessment tools, and patient education materials are available at no-cost and can be downloaded online at www.cdc.gov/STEADI. Health care providers should look for opportunities to integrate STEADI materials into their practice, using a team-based approach, to help protect their older patients.     

Implementing falls prevention research into policy and practice in Australia: past, present and future

Introduction

Falls in older Australians are a significant public health issue with one in three older people falling one or more times each year.

Method

Many fall prevention randomized controlled trials have been conducted in Australia as well as across the world.

Results

The findings of these studies now constitute a substantial evidence base that can provide direction for health and lifestyle interventions for preventing falls in older people. This research evidence has contributed to health policy in Australia to some extent, but is yet to be widely implemented into practice. This opinion piece overviews previous policy initiatives and describes a new Partnership research program funded by the Australian National Health and Medical Research Council (NHMRC), which seeks to further influence health policy and address the ongoing research-practice gap.     

核电厂人因事故预防的定量化决策

人因事故的分析与预防是核电厂安全运行和管理的重要内容。笔者提出的系统安全性层次分析法主要从两种角度考虑系统的安全性:专家能力权值和安全性矩阵的建立。采用专家判断矩阵确定事故原因对系统安全性的重要度排序。举例某核电厂事故定量分析进行说明,在对事故进行原因分析基础上,构建事故影响因素层次模型,利用层次分析法分析得出事故原因重要度排序由高到低依次为组织管理、操作人员、人机界面、培训与设备状态,并据此提出了相应的预防与改进措施,为安全性要求较高的复杂工业系统提供事故预防的定量化决策依据。     

建筑基坑施工习惯性不安全行为干预研究

事故致因"2-4模型"提出习惯性行为是引发事故的间接原因,为了提高基坑作业人员安全知识、安全意识和安全习惯,防止基坑坍塌事故对工程施工造成的人员伤亡和财产损失,以西安某地铁施工现场为调查对象,同时根据跨理论模型(TTM)的行为干预方法,设立对照组和实验组,使用SPSS软件分析对调查对象进行对比分析.研究表明:基于TTM...     

基于改进贝叶斯神经网络的航空公司安全敏感性分析

针对当下航空公司安全质量管理体系(Quality Management System,SQMS)中风险识别与可靠性改进的问题,提出了基于区间数学改进的贝叶斯神经网络的灵敏度分析方法。利用区间数学理论分析贝叶斯神经网络中各指标与整体安全质量状况的扰动关系,实现指标灵敏度分析。通过东方航空公司的实例分析,发现在对指标进行人工干预时组合指标干预效果较好,且安全管理体系实施后指标的灵敏度有明显向好的方向变化的趋势。