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Mind the gap: a qualitative approach to assessing why different sub-cultures within high-risk industries interpret safety rule gaps in different ways
Measuring the distance between the performance of safety rules as imagined and safety rules as enacted in high-risk environments has been an area of great interest and debate in recent years. Yet a significant gap in our understanding remains. Some authors have even advised us to “stop bitching about the gap” and start closing it (Hale and Borys, 2013a, p. 218). In this paper, we follow this call by investigating the relationship between safety rules as imagined, and enacted, in a rule-driven organization working in the oil and gas industry in Norway. Specifically, we investigate how...
Reasons Why Physicians and Advanced Practice Clinicians Work While Sick
A Mixed-Methods Analysis Importance: When clinicians work with symptoms of infection, they can put patients and colleagues at risk. Little is known about the reasons why attending physicians and advanced practice clinicians (APCs) work while sick. Objective: To identify a comprehensive understanding of the reasons why attending physicians and APCs work while sick. Design, Setting, and Participants: We performed a mixed-methods analysis of a cross-sectional, anonymous survey administered from January 15 through March 20, 2014, in a large children's hospital in Philadelphia, Pennsylvania. Data...
Impact of Organizational Policies and Practices on Workplace Injuries in a Hospital Setting
Objective: This study aimed to assess relationships between perceptions of organizational practices and policies (OPP), social support, and injury rates among workers in hospital units. Methods: A total of 1230 hospital workers provided survey data on OPP, job flexibility, and social support. Demographic data and unit injury rates were collected from the hospitals' administrative databases. Results: Injury rates were lower in units where workers reported higher OPP scores and high social support. These relationships were mainly observed among registered nurses. Registered nurses perceived coworker...
Supervisor vs. employee safety perceptions and association with future injury in US limited-service restaurant workers
OBJECTIVES: Many studies have found management commitment to safety to be an important construct of safety climate. This study examined the association between supervisor and employee (shared and individual) perceptions of management commitment to safety and the rate of future injuries in limited-service restaurant workers. METHODS: A total of 453 participants (34 supervisors/managers and 419 employees) from 34 limited-service restaurants participated in a prospective cohort study. Employees' and managers' perceptions of management commitment to safety and demographic variables were collected...

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