The main objective of the work presented in this paper was to develop a customized safety training program that can be incorporated into the demolition projects undertaken as part of blight reduction efforts in urban ...The main objective of the work presented in this paper was to develop a customized safety training program that can be incorporated into the demolition projects undertaken as part of blight reduction efforts in urban centers. A subsidiary objective was to devise and implement a safety program evaluation methodology, and gain insights on the relationships between knowledge acquisition through training and trainee demographics. Salient aspects of blight elimination efforts, as well as the main facets of building demolition practices and requirements, were reviewed. Information on various related safety and health hazards was studied in depth with a focus on demolition operations dealing with blighted properties. A unique safety hazard awareness training program was created for demolition workers, contractors and inspectors based on this research. In addition to devising a curriculum of relevant training topics along with traditional and online delivery systems to be employed, effectiveness evaluation instruments were formulated. Based on the limited data collected from the trainees it was concluded that the program was well-received by them and provided effective learning. It was also found that no statistically significant associations existed between the knowledge gain of the trainees, and either their experience level or union status, after taking this training.展开更多
[Objectives] To investigate the safety of intensive training for stroke recovery. [Methods] A systematic electronic search was conducted up to December 1 st , 2022, and the number of falls and fall-related injuries, a...[Objectives] To investigate the safety of intensive training for stroke recovery. [Methods] A systematic electronic search was conducted up to December 1 st , 2022, and the number of falls and fall-related injuries, as well as other adverse events, were extracted. Odds ratios (ORs) were calculated to assess the two intervention methods, and a 95% confidence interval (95% CI) was calculated for each of them to ensure the statistical accuracy of the results. The heterogeneity of the included studies was also tested. [Results] Five moderate to high quality studies comprising a total of 184 participants were included in this review. All five randomized controlled trials reported adverse events, including falls that did not result in injury, pain in the joints, back, muscle, or chest, and skin injuries such as cuts, bruises, and scrapes. The pooled analysis of these trials showed no statistically significant differences between the intensive training and control groups in terms of falls ( P =0.35) , pain ( P =0.07), or skin injuries ( P =0.90). [Conclusions] This review provides good evidence to suggest that intensive training is safe and feasible as a novel intervention during the stroke recovery.展开更多
Improving the quality of equipment training for the Heavy Equipment Operators(HEO)is a critical task in improving safety and eliminating equipment-related injuries in mining.One of major responsibilities for the HEOs ...Improving the quality of equipment training for the Heavy Equipment Operators(HEO)is a critical task in improving safety and eliminating equipment-related injuries in mining.One of major responsibilities for the HEOs is proper machine inspection.Traditional miner safety training includes the use of hardcopy documents and video instructions.However,modern mobile and computer technology offers tremendous potential to improve the training process.In this study,we apply a 360-degree camera,opensource platform WordPress^(TM),and the software Unity3D in order to create materials and tools for the HEOs safety training to help trainees better understand the pre-shift safety machine inspection.The computer-based safety task training developed in this research is tested and implemented at a surface mine in the southern United States.展开更多
Food safety,specifically in restaurants,is becoming a key public health priority because of the increased number of meals eaten outside the home.Foodborne illness prevention thus is a significant concern and a public ...Food safety,specifically in restaurants,is becoming a key public health priority because of the increased number of meals eaten outside the home.Foodborne illness prevention thus is a significant concern and a public health priority in the United Arab Emirates,particularly Dubai,because of the extensive tourism industry.The purpose of the study was to evaluate the effectiveness of using demonstrations in training sessions to improve food safety knowledge and practices amongst food handlers.A descriptive and quantitative approach has been applied to collect the quantifiable information related to the research study.This has been further analyzed using the correlation tests to gather the required data.On comparison of the pre-test scores between the intervention and the control group,the t-test analysis showed significant difference in the level of food safety knowledge between the two groups.Pre-test score for the control group was 78.33 and post-test score was 104.66.In the case of the intervention group,pre-test score was 91.37 and post-test score was 130.75.The scores of food handlers’food safety practice for control group:pre-treatment score was 470 and post-treatment score was 646.For intervention group:pre-test score was 723 and post-test score was 1,056.The study concluded that training with demonstration techniques is an effective way of improving compliance with food safety guidelines.It has been understood that training helps in improving the performance of the employees while reducing the foodborne diseases and maintaining hygiene in the food.The study recommends every restaurant needs to provide regular trainings to the employees so that the restaurants can maintain hygiene and food safety practices.展开更多
The safety production is critical to stable development of Chinese electric power industry. With the development of electric power enterprises, the requirements of its employees are also becoming higher and higher. In...The safety production is critical to stable development of Chinese electric power industry. With the development of electric power enterprises, the requirements of its employees are also becoming higher and higher. In this paper, an optical motion capture system based on the virtual reality technology is proposed to meet the requirements of the power enterprise for the qualified business ability. Electric power equipment, power equipment model entitative operating environment and the human model are established by electric power simulation unit, ZigBee technology and OpenGL graphics library. The problem of missing feature points is solved by applying the human model driven algorithm and the Kalman filtering algorithm. The experimental results show that it is more accurate to use Kalman filtering algorithm to extract the feature point in tracking process of actual motion capture and real-time animation display. The average absolute error of 3D coordinates is 1.61 mm and the average relative error is 2.23%. The system can improve trainees’ sense of experience and immersion.展开更多
Surgical management of diseases is recognised as a major unmet need in low and middle-income countries(LMICs). Laparoscopic surgery has been present since the 1980 s and offers the benefit of minimising the morbidity ...Surgical management of diseases is recognised as a major unmet need in low and middle-income countries(LMICs). Laparoscopic surgery has been present since the 1980 s and offers the benefit of minimising the morbidity and potential mortality associated with laparotomies. Laparotomies are often carried out in LMICs for diagnosis and management, due to lack of radiological investigative and intervention options. The use of laparoscopy for diagnosis and treatment is globally variable, with highincome countries using laparoscopy routinely compared with LMICs. The specific advantages of minimally invasive surgery such as lower surgical site infections and earlier return to work are of great benefit for patients in LMICs, as time lost not working could result in a family not being able to sustain themselves. Laparoscopic surgery and training is not cheap. Cost is a major barrier to healthcare access for a significant population in LMICs. Therefore, cost is usually seen as a major barrier for laparoscopic surgery to be integrated into routine practice in LMICs. The aim of this review is to focus on the practice, training and safety of laparoscopic surgery in LMICs. In addition it highlights the barriers to progress in adopting laparoscopic surgery in LMICs and how to address them.展开更多
该文作者所在大学与新西兰梅西大学合作开展了食品科学与工程专业国际化培养本科教育项目,全英文课程Food Microbiology and Safety是该项目的核心课程之一。该实验课以应用性为前提,以课程思政为引领,强调食品微生物学与食品安全学的融...该文作者所在大学与新西兰梅西大学合作开展了食品科学与工程专业国际化培养本科教育项目,全英文课程Food Microbiology and Safety是该项目的核心课程之一。该实验课以应用性为前提,以课程思政为引领,强调食品微生物学与食品安全学的融合,中外师资合作开展了系列教学探索与实践。课程设计以食品产品和食品生产为情境,以微生物安全为话题,模拟真实生产场景,丰富内涵和拓展外延;自主设计实验激发主观能动性、自主规划进程锻炼统筹能力、线上资源平台支撑自主学习与评价、随机分组培养团队合作能力。实践表明,课程有效实现了食品微生物学与食品安全学的有机融合,目标驱动型实验教学过程更利于激发学生的主动性,大量综合性和设计性实验提高了课程的两性一度。与同期对照班级相比,该项目所培养学生具有更强的专业素养和实践能力,为食品专业其他实验课程的教学改革提供了参考。展开更多
Safety training is the exercise normally conducted for all the current and future employees of a company to identify and recognize occupational hazards and diseases as well as determine the appropriate controlling met...Safety training is the exercise normally conducted for all the current and future employees of a company to identify and recognize occupational hazards and diseases as well as determine the appropriate controlling methods.Moreover,virtual reality(VR)is a technology developed to virtually simulate the surrounding envi-ronment to ensure immersive experience and interaction through artificial three-dimensional(3D)platforms.VR devices have been developed to be more compact,easy to use,and affordable to enable people to enjoy immersive virtual experiences and provide interactive and realistic content.This has made technology one of the most popular forms of media for different kinds of training,such as safety-related ones.Therefore,this study aimed to review the use of VR in safety training through the systematic literature review(SLR)method.The process focused on developing 4 primary questions(PQs)classified into 11 systematic research questions(SRQs)for discussion points concerning current developments in VR technology applications.These were further combined with the preferred reporting items for systematic reviews and meta-analyses(PRISMA)flow diagrams in selecting the relevant literature.The questions were also used to investigate the scenarios,methods,objectives,and outcomes of previous studies.The results showed the need for further studies on the application of VR technology in safety training in other fields such as firefighting,chemical industry,maritime,etc.Furthermore,several scenarios such as construction design,disaster response,rescue procedures,and others need to be included.This study also provides information on the gaps for future study,including the exploration of a broader range of industries and VR scenarios.展开更多
Endoscopic retrograde cholangiopancreatography training used to be in virtually all district general hospitals, resulting in a large number of trainees with an inadequate case load and achieving poor levels of skill. ...Endoscopic retrograde cholangiopancreatography training used to be in virtually all district general hospitals, resulting in a large number of trainees with an inadequate case load and achieving poor levels of skill. Training is now restricted to a small number of trai nees working in approved units. Continuous audit of outcomes and the appointment of a training lead in the unit are essential. Use of the global rating scale helps clinicians advise hospital administration on the prior it ies for a quality training program.展开更多
The operational safety characteristics of trains exposed to a strong wind have caused great concern in recent years.In the present paper,the effect of the strong gust wind on a high-speed train is investigated.A typic...The operational safety characteristics of trains exposed to a strong wind have caused great concern in recent years.In the present paper,the effect of the strong gust wind on a high-speed train is investigated.A typical gust wind model for any wind angle,named“Chinese hat gust wind model”,was first constructed,and an algorithm for computing the aerodynamic loads was elaborated accordingly.A vehicle system dynamic model was then set up in order to investigate the vehicle system dynamic characteristics.The assessment of the operational safety has been conducted by means of characteristic wind curves(CWC).As some of the parameters of the wind-train system were difficult to measure,we also investigated the impact of the uncertain system parameters on the CWC.Results indicate that,the descending order of the operational safety index of the vehicle for each wind angle is 90°-60°-120°-30°-150°,and the worst condition for the operational safety occurs when the wind angle reaches around 90°.According to our findings,the gust factor and aerodynamic side force coefficient have great impact on the critical wind speed.Thus,these two parameters require special attention when considering the operational safety of a railway vehicle subjected to strong gust wind.展开更多
Dynamic responses of a carriage under excitation with the German high-speed low-interference track spectrum together with the air pressure pulse generated as high-speed trains passing each other are investigated with ...Dynamic responses of a carriage under excitation with the German high-speed low-interference track spectrum together with the air pressure pulse generated as high-speed trains passing each other are investigated with a multi-body dynamics method.The variations of degrees of freedom(DOFs:horizontal movement,roll angle,and yaw angle),the lateral wheel-rail force,the derailment coefficient and the rate of wheel load reduction with time when two carriages meet in open air are obtained and compared with the results of a single train travelling at specifie speeds.Results show that the rate of wheel load reduction increases with the increase of train speed and meets some safety standard at a certain speed,but exceeding the value of the rate of wheel load reduction does not necessarily mean derailment.The evaluation standard of the rate of wheel load reduction is somewhat conservative and may be loosened.The pressure pulse has significan effects on the train DOFs,and the evaluations of these safety indexes are strongly suggested in practice.The pressure pulse has a limited effect on the derailment coefficien and the lateral wheel-rail force,and,thus,their further evaluations may be not necessary.展开更多
AIM:To investigate whether novel,non-technical skills training for Bowel Cancer Screening(BCS)endoscopy teams enhanced patient safety knowledge and attitudes.METHODS:A novel endoscopy team training intervention for BC...AIM:To investigate whether novel,non-technical skills training for Bowel Cancer Screening(BCS)endoscopy teams enhanced patient safety knowledge and attitudes.METHODS:A novel endoscopy team training intervention for BCS teams was developed and evaluated as a pre-post intervention study.Four multi-disciplinary BCS teams constituting BCS endoscopist(s),specialist screening practitioners,endoscopy nurses and administrative staff(A)from English BCS training centres participated.No patients were involved in this study.Expert multidisciplinary faculty delivered a single day’s training utilising real clinical examples.Pre and post-course evaluationcomprised participants’patient safety awareness,attitudes,and knowledge.Global course evaluations were also collected.RESULTS:Twenty-three participants attended and their patient safety knowledge improved significantly from43%-55%(P≤0.001)following the training intervention.12/41(29%)of the safety attitudes items significantly improved in the areas of perceived patient safety knowledge and awareness.The remaining safety attitude items:perceived influence on patient safety,attitudes towards error management,error management actions and personal views following an error were unchanged following training.Both qualitative and quantitative global course evaluations were positive:21/23(91%)participants strongly agreed/agreed that they were satisfied with the course.Qualitative evaluation included mandating such training for endoscopy teams outside BCS and incorporating team training within wider endoscopy training.Limitations of the study include no measure of increased patient safety in clinical practice following training.CONCLUSION:A novel comprehensive training package addressing patient safety,non-technical skills and adverse event analysis was successful in improving multi-disciplinary teams’knowledge and safety attitudes.展开更多
Crane operators control mobile or stationary cranes to lift, move and place objects at locations such as building and construction sites, wharves and shi<span>pyards. This activity occurs all over the world and ...Crane operators control mobile or stationary cranes to lift, move and place objects at locations such as building and construction sites, wharves and shi<span>pyards. This activity occurs all over the world and is a high risk task with many</span><span> noted examples of serious incidents and accidents. There are identifiable key causes that have been noted through analysis of the well documented cases </span><span>and many of these causes are preventable through effective training programs</span><span>. Internationally, there are not currently consistent approaches to crane operator training program content or duration. Leading causes of crane accidents are firstly discussed and identified as areas for inclusion in training programs. A number of current training approaches from a range of countries are then </span><span>considered and these are used to outline the basis of a generic competency </span><span>standard for crane operation, as it was found that there are not common standards</span><span> in place. The proposed competency standard can be adapted by training regulators, training providers, government agencies, industry bodies and </span><span>enterprises as a benchmark for the development of effective training pr</span><span>ograms.</span>展开更多
文摘The main objective of the work presented in this paper was to develop a customized safety training program that can be incorporated into the demolition projects undertaken as part of blight reduction efforts in urban centers. A subsidiary objective was to devise and implement a safety program evaluation methodology, and gain insights on the relationships between knowledge acquisition through training and trainee demographics. Salient aspects of blight elimination efforts, as well as the main facets of building demolition practices and requirements, were reviewed. Information on various related safety and health hazards was studied in depth with a focus on demolition operations dealing with blighted properties. A unique safety hazard awareness training program was created for demolition workers, contractors and inspectors based on this research. In addition to devising a curriculum of relevant training topics along with traditional and online delivery systems to be employed, effectiveness evaluation instruments were formulated. Based on the limited data collected from the trainees it was concluded that the program was well-received by them and provided effective learning. It was also found that no statistically significant associations existed between the knowledge gain of the trainees, and either their experience level or union status, after taking this training.
文摘[Objectives] To investigate the safety of intensive training for stroke recovery. [Methods] A systematic electronic search was conducted up to December 1 st , 2022, and the number of falls and fall-related injuries, as well as other adverse events, were extracted. Odds ratios (ORs) were calculated to assess the two intervention methods, and a 95% confidence interval (95% CI) was calculated for each of them to ensure the statistical accuracy of the results. The heterogeneity of the included studies was also tested. [Results] Five moderate to high quality studies comprising a total of 184 participants were included in this review. All five randomized controlled trials reported adverse events, including falls that did not result in injury, pain in the joints, back, muscle, or chest, and skin injuries such as cuts, bruises, and scrapes. The pooled analysis of these trials showed no statistically significant differences between the intensive training and control groups in terms of falls ( P =0.35) , pain ( P =0.07), or skin injuries ( P =0.90). [Conclusions] This review provides good evidence to suggest that intensive training is safe and feasible as a novel intervention during the stroke recovery.
文摘Improving the quality of equipment training for the Heavy Equipment Operators(HEO)is a critical task in improving safety and eliminating equipment-related injuries in mining.One of major responsibilities for the HEOs is proper machine inspection.Traditional miner safety training includes the use of hardcopy documents and video instructions.However,modern mobile and computer technology offers tremendous potential to improve the training process.In this study,we apply a 360-degree camera,opensource platform WordPress^(TM),and the software Unity3D in order to create materials and tools for the HEOs safety training to help trainees better understand the pre-shift safety machine inspection.The computer-based safety task training developed in this research is tested and implemented at a surface mine in the southern United States.
文摘Food safety,specifically in restaurants,is becoming a key public health priority because of the increased number of meals eaten outside the home.Foodborne illness prevention thus is a significant concern and a public health priority in the United Arab Emirates,particularly Dubai,because of the extensive tourism industry.The purpose of the study was to evaluate the effectiveness of using demonstrations in training sessions to improve food safety knowledge and practices amongst food handlers.A descriptive and quantitative approach has been applied to collect the quantifiable information related to the research study.This has been further analyzed using the correlation tests to gather the required data.On comparison of the pre-test scores between the intervention and the control group,the t-test analysis showed significant difference in the level of food safety knowledge between the two groups.Pre-test score for the control group was 78.33 and post-test score was 104.66.In the case of the intervention group,pre-test score was 91.37 and post-test score was 130.75.The scores of food handlers’food safety practice for control group:pre-treatment score was 470 and post-treatment score was 646.For intervention group:pre-test score was 723 and post-test score was 1,056.The study concluded that training with demonstration techniques is an effective way of improving compliance with food safety guidelines.It has been understood that training helps in improving the performance of the employees while reducing the foodborne diseases and maintaining hygiene in the food.The study recommends every restaurant needs to provide regular trainings to the employees so that the restaurants can maintain hygiene and food safety practices.
文摘The safety production is critical to stable development of Chinese electric power industry. With the development of electric power enterprises, the requirements of its employees are also becoming higher and higher. In this paper, an optical motion capture system based on the virtual reality technology is proposed to meet the requirements of the power enterprise for the qualified business ability. Electric power equipment, power equipment model entitative operating environment and the human model are established by electric power simulation unit, ZigBee technology and OpenGL graphics library. The problem of missing feature points is solved by applying the human model driven algorithm and the Kalman filtering algorithm. The experimental results show that it is more accurate to use Kalman filtering algorithm to extract the feature point in tracking process of actual motion capture and real-time animation display. The average absolute error of 3D coordinates is 1.61 mm and the average relative error is 2.23%. The system can improve trainees’ sense of experience and immersion.
文摘Surgical management of diseases is recognised as a major unmet need in low and middle-income countries(LMICs). Laparoscopic surgery has been present since the 1980 s and offers the benefit of minimising the morbidity and potential mortality associated with laparotomies. Laparotomies are often carried out in LMICs for diagnosis and management, due to lack of radiological investigative and intervention options. The use of laparoscopy for diagnosis and treatment is globally variable, with highincome countries using laparoscopy routinely compared with LMICs. The specific advantages of minimally invasive surgery such as lower surgical site infections and earlier return to work are of great benefit for patients in LMICs, as time lost not working could result in a family not being able to sustain themselves. Laparoscopic surgery and training is not cheap. Cost is a major barrier to healthcare access for a significant population in LMICs. Therefore, cost is usually seen as a major barrier for laparoscopic surgery to be integrated into routine practice in LMICs. The aim of this review is to focus on the practice, training and safety of laparoscopic surgery in LMICs. In addition it highlights the barriers to progress in adopting laparoscopic surgery in LMICs and how to address them.
文摘该文作者所在大学与新西兰梅西大学合作开展了食品科学与工程专业国际化培养本科教育项目,全英文课程Food Microbiology and Safety是该项目的核心课程之一。该实验课以应用性为前提,以课程思政为引领,强调食品微生物学与食品安全学的融合,中外师资合作开展了系列教学探索与实践。课程设计以食品产品和食品生产为情境,以微生物安全为话题,模拟真实生产场景,丰富内涵和拓展外延;自主设计实验激发主观能动性、自主规划进程锻炼统筹能力、线上资源平台支撑自主学习与评价、随机分组培养团队合作能力。实践表明,课程有效实现了食品微生物学与食品安全学的有机融合,目标驱动型实验教学过程更利于激发学生的主动性,大量综合性和设计性实验提高了课程的两性一度。与同期对照班级相比,该项目所培养学生具有更强的专业素养和实践能力,为食品专业其他实验课程的教学改革提供了参考。
文摘Safety training is the exercise normally conducted for all the current and future employees of a company to identify and recognize occupational hazards and diseases as well as determine the appropriate controlling methods.Moreover,virtual reality(VR)is a technology developed to virtually simulate the surrounding envi-ronment to ensure immersive experience and interaction through artificial three-dimensional(3D)platforms.VR devices have been developed to be more compact,easy to use,and affordable to enable people to enjoy immersive virtual experiences and provide interactive and realistic content.This has made technology one of the most popular forms of media for different kinds of training,such as safety-related ones.Therefore,this study aimed to review the use of VR in safety training through the systematic literature review(SLR)method.The process focused on developing 4 primary questions(PQs)classified into 11 systematic research questions(SRQs)for discussion points concerning current developments in VR technology applications.These were further combined with the preferred reporting items for systematic reviews and meta-analyses(PRISMA)flow diagrams in selecting the relevant literature.The questions were also used to investigate the scenarios,methods,objectives,and outcomes of previous studies.The results showed the need for further studies on the application of VR technology in safety training in other fields such as firefighting,chemical industry,maritime,etc.Furthermore,several scenarios such as construction design,disaster response,rescue procedures,and others need to be included.This study also provides information on the gaps for future study,including the exploration of a broader range of industries and VR scenarios.
文摘Endoscopic retrograde cholangiopancreatography training used to be in virtually all district general hospitals, resulting in a large number of trainees with an inadequate case load and achieving poor levels of skill. Training is now restricted to a small number of trai nees working in approved units. Continuous audit of outcomes and the appointment of a training lead in the unit are essential. Use of the global rating scale helps clinicians advise hospital administration on the prior it ies for a quality training program.
基金supported by the National Natural Science Foundation of China(Grant No.51705267)China Postdoctoral Science Foundation Grant(Grant No.2018M630750)+1 种基金National Natural Science Foundation of China(Grant No.51605397)Natural Science Foundation of Shandong Province,China(Grant No.ZR2014EEP002).
文摘The operational safety characteristics of trains exposed to a strong wind have caused great concern in recent years.In the present paper,the effect of the strong gust wind on a high-speed train is investigated.A typical gust wind model for any wind angle,named“Chinese hat gust wind model”,was first constructed,and an algorithm for computing the aerodynamic loads was elaborated accordingly.A vehicle system dynamic model was then set up in order to investigate the vehicle system dynamic characteristics.The assessment of the operational safety has been conducted by means of characteristic wind curves(CWC).As some of the parameters of the wind-train system were difficult to measure,we also investigated the impact of the uncertain system parameters on the CWC.Results indicate that,the descending order of the operational safety index of the vehicle for each wind angle is 90°-60°-120°-30°-150°,and the worst condition for the operational safety occurs when the wind angle reaches around 90°.According to our findings,the gust factor and aerodynamic side force coefficient have great impact on the critical wind speed.Thus,these two parameters require special attention when considering the operational safety of a railway vehicle subjected to strong gust wind.
基金the National Basic Research Program of China (973 program,Grant 2011CB711100)the National Natural Science Foundation of China (Project No.11372307)the Chinese Academy of Sciences (Grant KJCX2-EW-L03)
文摘Dynamic responses of a carriage under excitation with the German high-speed low-interference track spectrum together with the air pressure pulse generated as high-speed trains passing each other are investigated with a multi-body dynamics method.The variations of degrees of freedom(DOFs:horizontal movement,roll angle,and yaw angle),the lateral wheel-rail force,the derailment coefficient and the rate of wheel load reduction with time when two carriages meet in open air are obtained and compared with the results of a single train travelling at specifie speeds.Results show that the rate of wheel load reduction increases with the increase of train speed and meets some safety standard at a certain speed,but exceeding the value of the rate of wheel load reduction does not necessarily mean derailment.The evaluation standard of the rate of wheel load reduction is somewhat conservative and may be loosened.The pressure pulse has significan effects on the train DOFs,and the evaluations of these safety indexes are strongly suggested in practice.The pressure pulse has a limited effect on the derailment coefficien and the lateral wheel-rail force,and,thus,their further evaluations may be not necessary.
基金Supported by NHS Bowel Cancer Screening ProgrammeDrs.Matharoo and Sevdalis are affiliated with the Imperial Centre for Patient Safety and Service Quality(www.cpssq.org),affiliated with the Imperial Patient Safety Translational Research Centre,which is funded by the National Institute for Health Research
文摘AIM:To investigate whether novel,non-technical skills training for Bowel Cancer Screening(BCS)endoscopy teams enhanced patient safety knowledge and attitudes.METHODS:A novel endoscopy team training intervention for BCS teams was developed and evaluated as a pre-post intervention study.Four multi-disciplinary BCS teams constituting BCS endoscopist(s),specialist screening practitioners,endoscopy nurses and administrative staff(A)from English BCS training centres participated.No patients were involved in this study.Expert multidisciplinary faculty delivered a single day’s training utilising real clinical examples.Pre and post-course evaluationcomprised participants’patient safety awareness,attitudes,and knowledge.Global course evaluations were also collected.RESULTS:Twenty-three participants attended and their patient safety knowledge improved significantly from43%-55%(P≤0.001)following the training intervention.12/41(29%)of the safety attitudes items significantly improved in the areas of perceived patient safety knowledge and awareness.The remaining safety attitude items:perceived influence on patient safety,attitudes towards error management,error management actions and personal views following an error were unchanged following training.Both qualitative and quantitative global course evaluations were positive:21/23(91%)participants strongly agreed/agreed that they were satisfied with the course.Qualitative evaluation included mandating such training for endoscopy teams outside BCS and incorporating team training within wider endoscopy training.Limitations of the study include no measure of increased patient safety in clinical practice following training.CONCLUSION:A novel comprehensive training package addressing patient safety,non-technical skills and adverse event analysis was successful in improving multi-disciplinary teams’knowledge and safety attitudes.
文摘Crane operators control mobile or stationary cranes to lift, move and place objects at locations such as building and construction sites, wharves and shi<span>pyards. This activity occurs all over the world and is a high risk task with many</span><span> noted examples of serious incidents and accidents. There are identifiable key causes that have been noted through analysis of the well documented cases </span><span>and many of these causes are preventable through effective training programs</span><span>. Internationally, there are not currently consistent approaches to crane operator training program content or duration. Leading causes of crane accidents are firstly discussed and identified as areas for inclusion in training programs. A number of current training approaches from a range of countries are then </span><span>considered and these are used to outline the basis of a generic competency </span><span>standard for crane operation, as it was found that there are not common standards</span><span> in place. The proposed competency standard can be adapted by training regulators, training providers, government agencies, industry bodies and </span><span>enterprises as a benchmark for the development of effective training pr</span><span>ograms.</span>