Sea fog is a disastrous weather phenomenon,posing a risk to the safety of maritime transportation.Dense sea fogs reduce visibility at sea and have frequently caused ship collisions.This study used a geographically wei...Sea fog is a disastrous weather phenomenon,posing a risk to the safety of maritime transportation.Dense sea fogs reduce visibility at sea and have frequently caused ship collisions.This study used a geographically weighted regression(GWR)model to explore the spatial non-stationarity of near-miss collision risk,as detected by a vessel conflict ranking operator(VCRO)model from automatic identification system(AIS)data under the influence of sea fog in the Bohai Sea.Sea fog was identified by a machine learning method that was derived from Himawari-8 satellite data.The spatial distributions of near-miss collision risk,sea fog,and the parameters of GWR were mapped.The results showed that sea fog and near-miss collision risk have specific spatial distribution patterns in the Bohai Sea,in which near-miss collision risk in the fog season is significantly higher than that outside the fog season,especially in the northeast(the sea area near Yingkou Port and Bayuquan Port)and the southeast(the sea area near Yantai Port).GWR outputs further indicated a significant correlation between near-miss collision risk and sea fog in fog season,with higher R-squared(0.890 in fog season,2018),than outside the fog season(0.723 in non-fog season,2018).GWR results revealed spatial non-stationarity in the relationships between-near miss collision risk and sea fog and that the significance of these relationships varied locally.Dividing the specific navigation area made it possible to verify that sea fog has a positive impact on near-miss collision risk.展开更多
为了直观展现Near-miss在国内外的研究现状,把握其热点演化路径,同时预测今后的研究趋势,以Web of Science核心合集和CNKI中1995—2020年共计989篇相关文献为研究对象,借助Citespace软件,通过共现图谱、高频词统计、时区图和热词突现等...为了直观展现Near-miss在国内外的研究现状,把握其热点演化路径,同时预测今后的研究趋势,以Web of Science核心合集和CNKI中1995—2020年共计989篇相关文献为研究对象,借助Citespace软件,通过共现图谱、高频词统计、时区图和热词突现等方式对Near-miss在国内外的研究进展进行可视化对比分析。研究结果表明:国内外Near-miss研究在发展趋势、主要研究群体和机构、热点演化路径和前沿趋势等方面均存在一定差异,“风险管理”、“施工安全”和“事故防御”是Near-miss未来的研究趋势。展开更多
Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identify evidence of obstetric adverse events (AEs) and near-misses ...Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identify evidence of obstetric adverse events (AEs) and near-misses in the context of patient safety. We conducted a search of the published literature from Europe, Australia and the USA in the following databases: Cinahl, Cochrane, Maternity and Infant Care, Ovid, Pro-quest and PubMed, guided by PRISMA procedures. A total of 427 studies were screened, 15 full papers retrieved and nine studies included in the final thematic analysis. The selected papers address a broad spectrum of adverse patient safety events in obstetric care. The themes that emerged were: type of AEs, near-misses and their consequences, strategies to support and improve Patient Safety (PS) and domains related to the WHO Patient Safety competence outcomes. The findings of the first theme were grouped into the following categories: healthcare professionals’ perspectives on ethical conflicts, attributing blame and responsibility, and patients’ perspectives on lack of trust and involvement, as well as medication errors. The second theme, strategies to support interventions to improve PS, was based on two sub-themes: communicating effectively and gaining competence by learning from adverse events, while the third theme was domains related to the WHO Patient Safety competence outcomes. In conclusion, few studies have examined strategies for managing AEs despite the existence of programmes that target the implementation of changes, such as improved teamwork training. In addition to exploring strategies to make safety a priority for patients and healthcare professionals, it is of the utmost importance to improve communication with patients and between professionals in order to maintain and enhance safety. Efforts by organizations and individuals to continuously develop knowledge about the risk of AEs and the use of best practice guidelines are also essential.展开更多
Tricycles form an important part of the intra-city transport system, following the ban placed on motorcycles in Maiduguri, Nigeria. However, no previous studies have been conducted to assess the occurrence of accident...Tricycles form an important part of the intra-city transport system, following the ban placed on motorcycles in Maiduguri, Nigeria. However, no previous studies have been conducted to assess the occurrence of accidents among them. The objective of this study was to determine the prevalence of road accidents, near-misses, and their associated factors among commercial tricycle drivers in Maiduguri. A cross-sectional study was conducted among registered commercial tricycle drivers in Maiduguri who had been in the business for at least a year. Data was collected through face-to-face interviews, using a structured questionnaire, and was subjected to bivariate and multivariate analysis using SPSS. The prevalence of road accidents and near misses were 46% and 50.3% respectively. Only six (3.9%) of respondents who had experienced a near-miss mentioned that they occurred while they were fully awake;during clear weather;and on a smooth, broad, and non-congested road. All the others had experienced the near miss under an unfavourable weather, road, and/or while feeling sleepy. In the bivariate analysis, only psycho-active substance use (χ^2=3.941;df =1;p=0.047) and having experienced more than one near miss (χ^2=31.807;df =1;p<0.001) were significantly associated with having an accidents. However, in the multivariate analysis, having experienced more than one near miss was the only factor which significantly predicted having an accident (OR=2.89 95% CI: 1.64-5.09;p<0.001). There is a need to conduct further intervention studies to determine the effectiveness of intervention measures in reducing accident rates among these tricycle drivers.展开更多
Among the near-miss incidents related to the operation of training ship of the JMETS(Japan Agency of Maritime Education and Training for Seafarers),three characteristic cases were analyzed,extracting their circumstanc...Among the near-miss incidents related to the operation of training ship of the JMETS(Japan Agency of Maritime Education and Training for Seafarers),three characteristic cases were analyzed,extracting their circumstances and near-miss factors.Based on the results of these analyses,measures to prevent vessel collisions were studied,from which we proposed collision prevention training.The training entails(1)lookout training,(2)navigation planning training,(3)resource management training,and(4)false assumption prevention training.In future research,we aim to verify the effectiveness of the proposed training,improve the training’s effectiveness,and contribute to the development of effective anti-collision support devices.展开更多
目的系统评价护士经历的接近失误事件,为更好地开展相关管理工作提供参考依据。方法计算机检索PubMed、Cochrane Library、Web of Science、Embase、PsycInfo、Scopus、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关...目的系统评价护士经历的接近失误事件,为更好地开展相关管理工作提供参考依据。方法计算机检索PubMed、Cochrane Library、Web of Science、Embase、PsycInfo、Scopus、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中关于护士经历接近失误事件的质性研究,检索时限为建库至2023年12月30日。采用2016年澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心质性研究质量评价工具对纳入的文献进行质量评价,采用Meta整合方法对结果进行整合。结果共纳入7篇文献,提炼26个研究结果,归纳6个类别,形成3个整合结果:接近失误事件发生的原因包括个人因素和组织因素;接近失误事件给护士带来了负性和正性双重情感体验;接近失误事件的应对方式。结论护理管理者应多关注接近失误事件给护士带来的负性情感体验,完善接近失误事件上报流程,建立无责备、非惩罚式管理制度,从而促进护士积极主动上报接近失误事件,保障患者安全。展开更多
文摘Sea fog is a disastrous weather phenomenon,posing a risk to the safety of maritime transportation.Dense sea fogs reduce visibility at sea and have frequently caused ship collisions.This study used a geographically weighted regression(GWR)model to explore the spatial non-stationarity of near-miss collision risk,as detected by a vessel conflict ranking operator(VCRO)model from automatic identification system(AIS)data under the influence of sea fog in the Bohai Sea.Sea fog was identified by a machine learning method that was derived from Himawari-8 satellite data.The spatial distributions of near-miss collision risk,sea fog,and the parameters of GWR were mapped.The results showed that sea fog and near-miss collision risk have specific spatial distribution patterns in the Bohai Sea,in which near-miss collision risk in the fog season is significantly higher than that outside the fog season,especially in the northeast(the sea area near Yingkou Port and Bayuquan Port)and the southeast(the sea area near Yantai Port).GWR outputs further indicated a significant correlation between near-miss collision risk and sea fog in fog season,with higher R-squared(0.890 in fog season,2018),than outside the fog season(0.723 in non-fog season,2018).GWR results revealed spatial non-stationarity in the relationships between-near miss collision risk and sea fog and that the significance of these relationships varied locally.Dividing the specific navigation area made it possible to verify that sea fog has a positive impact on near-miss collision risk.
文摘为了直观展现Near-miss在国内外的研究现状,把握其热点演化路径,同时预测今后的研究趋势,以Web of Science核心合集和CNKI中1995—2020年共计989篇相关文献为研究对象,借助Citespace软件,通过共现图谱、高频词统计、时区图和热词突现等方式对Near-miss在国内外的研究进展进行可视化对比分析。研究结果表明:国内外Near-miss研究在发展趋势、主要研究群体和机构、热点演化路径和前沿趋势等方面均存在一定差异,“风险管理”、“施工安全”和“事故防御”是Near-miss未来的研究趋势。
基金supported by The Japan Society for Promotion of Science(ID No.S15190)and awards to Professor Elisabeth Severinsson for her work at the Department of Midwifery and Women’s Health at the University of Tokyo.
文摘Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identify evidence of obstetric adverse events (AEs) and near-misses in the context of patient safety. We conducted a search of the published literature from Europe, Australia and the USA in the following databases: Cinahl, Cochrane, Maternity and Infant Care, Ovid, Pro-quest and PubMed, guided by PRISMA procedures. A total of 427 studies were screened, 15 full papers retrieved and nine studies included in the final thematic analysis. The selected papers address a broad spectrum of adverse patient safety events in obstetric care. The themes that emerged were: type of AEs, near-misses and their consequences, strategies to support and improve Patient Safety (PS) and domains related to the WHO Patient Safety competence outcomes. The findings of the first theme were grouped into the following categories: healthcare professionals’ perspectives on ethical conflicts, attributing blame and responsibility, and patients’ perspectives on lack of trust and involvement, as well as medication errors. The second theme, strategies to support interventions to improve PS, was based on two sub-themes: communicating effectively and gaining competence by learning from adverse events, while the third theme was domains related to the WHO Patient Safety competence outcomes. In conclusion, few studies have examined strategies for managing AEs despite the existence of programmes that target the implementation of changes, such as improved teamwork training. In addition to exploring strategies to make safety a priority for patients and healthcare professionals, it is of the utmost importance to improve communication with patients and between professionals in order to maintain and enhance safety. Efforts by organizations and individuals to continuously develop knowledge about the risk of AEs and the use of best practice guidelines are also essential.
文摘Tricycles form an important part of the intra-city transport system, following the ban placed on motorcycles in Maiduguri, Nigeria. However, no previous studies have been conducted to assess the occurrence of accidents among them. The objective of this study was to determine the prevalence of road accidents, near-misses, and their associated factors among commercial tricycle drivers in Maiduguri. A cross-sectional study was conducted among registered commercial tricycle drivers in Maiduguri who had been in the business for at least a year. Data was collected through face-to-face interviews, using a structured questionnaire, and was subjected to bivariate and multivariate analysis using SPSS. The prevalence of road accidents and near misses were 46% and 50.3% respectively. Only six (3.9%) of respondents who had experienced a near-miss mentioned that they occurred while they were fully awake;during clear weather;and on a smooth, broad, and non-congested road. All the others had experienced the near miss under an unfavourable weather, road, and/or while feeling sleepy. In the bivariate analysis, only psycho-active substance use (χ^2=3.941;df =1;p=0.047) and having experienced more than one near miss (χ^2=31.807;df =1;p<0.001) were significantly associated with having an accidents. However, in the multivariate analysis, having experienced more than one near miss was the only factor which significantly predicted having an accident (OR=2.89 95% CI: 1.64-5.09;p<0.001). There is a need to conduct further intervention studies to determine the effectiveness of intervention measures in reducing accident rates among these tricycle drivers.
文摘Among the near-miss incidents related to the operation of training ship of the JMETS(Japan Agency of Maritime Education and Training for Seafarers),three characteristic cases were analyzed,extracting their circumstances and near-miss factors.Based on the results of these analyses,measures to prevent vessel collisions were studied,from which we proposed collision prevention training.The training entails(1)lookout training,(2)navigation planning training,(3)resource management training,and(4)false assumption prevention training.In future research,we aim to verify the effectiveness of the proposed training,improve the training’s effectiveness,and contribute to the development of effective anti-collision support devices.
