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Search results for: PATIENT SAFETY, NURSES.
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The risk assessment of adverse events of nursing activities as the element of quality management in healhcare
PublicationThe purpose of the paper is to present MedCARVER+Shock method and Pareto analysis and its usability for the risk assessment of adverse events of nursing activities. 888 activities carried out by all 190 nurses working at the District Hospital X located in Poland were taken into account. During the research the qualitative approach was used. As the result sixteen groups of nursing activities causing the highest risk of adverse events...
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The role of rewards and demands in burnout among surgical nurses
PublicationObjective: Job rewards have both, an intrinsic and an extrinsic motivational potential, and lead to employees’ development as well as help them to achieve work goals. Rewards can balance job demands and protect from burnout. Due to changes on the labour market, new studies are needed. The aim of our study was to examine the role of demands and individual rewards (and their absence) in burnout among surgical nurses. Materials and...
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Superheroes or Super Spreaders? The Impact of the COVID-19 Pandemic on Social Attitudes towards Nurses: A Qualitative Study from Poland
PublicationThe social perception of the nursing profession in Poland is profoundly affected by social stereotypes that may discourage young people from entering the profession and lead to prejudice towards nurses. During the COVID-19 pandemic, nurses gained visibility, which caused the social image of nurses to likewise grow. In this study, we explore nurses’ experiences with respect to how the COVID-19 pandemic influenced the social image...
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Job Demands, Engagement, and Turnover Intentions in Polish Nurses: The Role of Work-Family Interface
PublicationBackground: Poland has lower ratios of employed registered nurses per 1,000 inhabitants than the EU average. Polish nurses work under miserable conditions without assisting personnel, and they reconcile their professional demands with responsibilities for their families; 96% of them are women. Rationale/Aims: This study uses Hobfoll’s conservation of resources (CORs) theory to explain the role of various resources in the improvement...
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Safety integrity level verification for safety-related functions with security aspects
PublicationThe article is devoted some important issues of the functional safety analysis, in particular the safetyintegrity level (SIL) verification of safety functions to be implemented within the distributed controland protection systems with regard to cyber security aspects. The procedure for functional safety man-agement includes hazard identification, risk analysis and assessment, specification of overall safetyrequirements and definition...
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Determining and verifying the safety integrity level of the safety instrumented systems with the uncertainty and security aspects
PublicationSafety and security aspects consist of two different group of functional requirements for the control and protection systems. In the paper it is proposed that the security analysis results can be used as a factor increasing or decreasing the risk level. It concerns a process of determining required safety integrity level of given safety functions. The authors propose a new approach for functional safety risk analysis. In this case...
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Security aspects in functional safety analysis
PublicationA security level of distributed control and protection system may have a significant impact on the results of functional safety analysis. However, the issue of integrating the safety and security aspects is difficult and usually is neglected during the functional safety analysis. This article presents a method of functional safety analysis which takes into consideration a concept of integrating these two aspects. It is based on...
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Determining required safety integrity level
PublicationOne of the most important stage of technical system functional safety analysis is defining the safety-related functions as well as determining safety integrity level (SIL) for each defined function. A properly carried out hazard identyfication process is the necessary condition for correct definition of the safety-related functions. Determining the safety integrity level (SIL) is based on risk assessment taking into account risk...
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Design and material selection for a patient transport device in field hospitals
PublicationACKGROUND: A major cause of patient and hospital worker injuries occurs transferring patients between two planes. The main aim of this paper was to propose a design of patient’s lift and transfer apparatus for use in field hospitals. The assumption was to design lightweight, durable and ergonomic device using innovative material. The authors concentrated on partial elimination of manual lifting in order to device could work both...
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Secukinumab for the Treatment of Psoriasis in Pediatrics: Patient Selection and Acceptability
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Attitudes of Polish physicians, nurses and pharmacists towards the ethical and legal aspects of the conscience clause
PublicationBackground: While healthcare professionals’ right to invoke the conscience clause has been recognised as a fundamental human right, it continues to provoke a heated debate in Polish society. Although public discourse is filled with ethical and legal considerations on the conscience clause, much less is known about the attitudes of healthcare professionals regarding that matter. The aim of this study was therefore...
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The work-family interface: Job demands, work engagement and turnover intentions of Polish nurses
PublicationA conflict between one's professional life and one's family life may lead to lower well-being both at work and home. Most nurses are women who have traditionally reconciled their professional life with family life. One aim of this study was to examine the relationships between the work-family conflict (WFC),the family-work conflict (FWC), and the perception of job demands (quantitative workload and interpersonal conflicts at work)....
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Ergonomic Aspects of Transport of Patient through the Operating Theatre
PublicationOne of the most crucial decisions to be made while designing and re-modernizing an operating theatre is selecting a method of transporting the patient through the hospital’s spatial arrangement. This decision, while irrelevant at first thought, implies numerous project and functional consequences. Designing an operating theatre within a hospital is related to numerous specialist requirements with an aim of minimizing the risk of...
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Delivering bad news: patient's perspective and opinions
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The design of an intelligent medical space supporting automated patient interviewing
PublicationThe article presents the architecture and results of implementing an application for the intelligent medical space UbiDoDo (Ubiquitous Domestic Doctor's Office). The main purpose of the application is real-time monitoring of the biomedical parameters of a patient in his domestic environment. It allows an immediate reaction to appearing symptoms and provides means to automatically interview the patient and deliver his results to...
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ROAD SAFETY WITHIN THE "INTEGRATED SYSTEM OF TRANSPORT SAFETY"
PublicationThe concept of the “Integrated System of Transport Safety” in Poland is a novel solution, built upon the best practices available from only a handful of countries in the world. In the last few decades, the extent of applying integrated transport safety systems to improve transport safety systems has varied; nevertheless, studying the experience of the safest countries in the world we can say that enormous progress has been achieved...
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Factitious Disorder - Patient Pretending to Long Stay at the Hospital
Publicationhttps://indianmentalhealth.com/pdf/2022/vol9-issue2/17-Case-Report-2.pdf
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Integrity level verification for safety-related functions
PublicationThis article describes methods for safety integrity level (SIL) verification of safety-related functions with regard to probabilistic criteria given international standards IEC 61508 and IEC 61511. These functions are to be realized using the electrical, electronic and programmable electronic (E/E/PE) systems or safety instrumented systems (SIS). Some methods are proposed for quantitative probabilistic modelling taking into account...
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Framework for RIDM within functional safety management process
PublicationThe functional safety management in life cycle is a complex process starting with identifying hazards and defining safety-related functions (SRFs) with risk assessment oriented at determining the safety integrity level. Another element of such life cycle is a verification of required SIL for designed safety-related system which implements safety function. Due to complexity of the problem, to overcome difficulties in safety-related...
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Violence at the workplace—a questionnaire survey of nurses
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Safety PL - a support tool for Road Safety Impact Assessment
PublicationPublished on 19 November 2008, the European Union's Directive 2008/96/EC is one of the most important EU documents setting out a road safety orientation, in particular, road infrastructure safety management. It identifies four main areas of activity: road safety impact assessment, road safety audit, ranking of high accident concentration sections and network safety ranking and road infrastructure safety inspection. The Directive...
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Road Safety Observatories within the Structure of Integrated Transport Safety Systems
PublicationAccurate knowledge about the causes, circumstances and place of transport accidents is the prerequisite to take the correct action to improve transport safety. Developing appropriate organizational structures, forms and methods of management and implementation of safety measures in the sectoral approach condition the success. Therefore the Safety Information System is one of the integral areas of the Integrated Transport Safety...
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Modelling selected road safety measures at the regional level in Europe
PublicationRegions are Europe’s basic levels of management. The literature was reviewed to identify regional safety analyses and some of the factors that are important for road safety in the regions. Next, data were collected atthe regional NUTS 2 level in Europe for the years 1999-2008. An analysis of the data helped identify f actors which have the strongest bearing on fatalities and other safety measures. This paper presents the initial...
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Knowledge-based functional safety management using ProSIL software
PublicationIn the article the ProSIL software for computer aided functional safety management is presented. The software consists of three modules for the determination of the required SIL level (ProSILen) and verification of the SIL level (ProSILver). In the ProSIL the calibrated knowledge-based risk graph method for determining the required safety integrity level (SIL) of the safety functions identified in hazard analysis is implemented....
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Towards systemic functional safety and security management in hazardous plants
PublicationThe aim of this article is to identify and discuss some issues related to functional safety and security management in hazardous industrial plants. The safety functions are to be realised using the electric / electronic / programmable electronic systems (E/E/PESs) or the safety instrumented systems (SISs) that are designed and operated respectively according to IEC 61508 and IEC 61511 requirements in life cycle. Although the role...
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Problems in designing and operating the functional safety solutions of higher integriity levels
PublicationThe aim of this article is to identify and discuss some problems that have been encountered in designing and operating the functional safety solutions of higher safety integrity levels (SIL 3 and SIL 4) in the light of analyses outlined in a new version of the international standard IEC 61508:2010. Examples of such solutions are the electric / electronic / programmable electronic systems (E/E/PESs) and the safety instrumented systems...
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Cognitive engineering and functional safety technology for reducing risks in hazardous plants
PublicationCognitive engineering is considered nowadays as interesting multidisciplinary domain that focuses on improving the relations between humans and the systems that are supervised and operated. The industrial automation and control systems (IACS) in hazardous plants are increasingly computerized and perform various safety functions. These are designed and implemented according to the functional safety concept. The objective is to maintain...
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Designing issues of the alarm system in context of functional safety and human factors
PublicationThis article addresses selected aspects of the alarm system and human factors that should be evaluated during the design and operation of an industrial hazardous installation. In such installations the layer of protection analysis (LOPA) methodology is often applied for simplified risk analysis based on defined accident scenarios. To reduce and control the risks the safety instrumented functions (SIFs) are identified and their...
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COMPOSITE MATERIAL SELECTION FOR A PATIENT TRANSFER ASSIST DEVICE
PublicationLaminates - layered composites containing at least two elements (matrix and reinforcement) widely used in industry have also found their usage in medicine. Their main feature is the ability to modify the material in order to obtain the required properties. Depending on the needs, we can modify reinforcement, type of resin or the method of bonding substrates. Commonly used fibers are: carbon fiber, glass and aramid fibers; resins...
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Functional safety with cybersecurity for the control and protection systems on example of the oil port infrastructure
PublicationSafety and cybersecurity aspects consist of two different group of functional requirements for the industrial control and protection systems in the oil port installation. It is the main reason why the analyses of safety and cybersecurity shouldn’t be integrated directly. These article presented some important issues of the functional safety analysis with regard to cybersecurity aspects in the oil seaport infrastructure. The proposed...
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Integrated approach for functional safety and cyber security management in maritime critical infrastructures
PublicationThe work is devoted important issues of the management in maritime critical infrastructure of functional safety analysis, in particular the safety integrity level (SIL) verification of safety functions to be implemented within the distributed control and protection systems with regard to cyber security aspects. A method based on quantitative and qualitative information is proposed for the SIL (IEC 61508, 61511) verification with...
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Integrated safety and security analysis of hazardous plants and systems of critical infrastructure
PublicationThis article addresses an integrated safety and security analysis approach of hazardous industrial plants and systems of critical infrastructure. Nowadays due to new hazards that emerge there are opinions among experts that these issues require an integrated approach in life cycle, from the design concept, through the design and operation of the plant, to its decommissioning. It is proposed to start from an interesting methodology...
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Safety Assessment of Tram Stops
PublicationThe safety of public transport stops is the subject of numerous studies in large agglomerations around the world. This is due to the fact that it is a passenger exchange zone where collisions and accidents involving people getting on or off public transport vehicles most often occur. For this reason, the purpose of the article is to present the results of the safety assessment of the stop zones for two selected tram lines in Wroclaw....
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UN DECADE OF ACTION FOR ROAD SAFETY IN THE NATIONAL ROAD SAFETY STRATEGY UNTIL 2020 – POLISH APPROACH
PublicationPoland continues to have the highest number of road deaths per one million population in the European Union, according to a 2012 European Commission report – in 2011 the rate in Poland was 109 fatalities compared to the EU average of 61 killed. Adopted by the government in 2005 Poland’s National Road Safety Programme GAMBIT 2005 was the response to the EU’s 3rd Road Safety Action Programme. Despite extensive road safety efforts,...
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Road safety performance indicators and their explanatory value: A critical view based on the experience of Central European countries
PublicationCounts of road crashes and their victims represent essential information for road safety practitioners allowing them to analyse their spatial and temporal aspects. However, they cannot provide details on the factors causing road crashes. As a result, various road safety performance indicators (RSPIs) were introduced, making it possible to gather information on the effectiveness of interventions on road safety in given areas. However,...
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Road safety analysis in Poland using time-series modelling techniques
PublicationA number of international studies argue that there is a correlation between the number of traffic fatalities and the degree of public activity. The studies use the unemployment rate to support that argument. As unemployment grows miles travelled fall, a factor known to affect road safety. This relationship seems to be true for Poland, as well. The model presented in the paper is intended to prove it. It is a structural time-series local...
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Functional safety and managing competence
PublicationSą nowe wyzwania związane z badaniami, edukacją i szkoleniem w obszarach bezpieczeństwa i ochrony systemów i sieci krytycznych. W rozdziale podkreśla się, że kompetencje specjalistów powinny być kształtowane w zintegrowanych procesach edukacji i szkolenia. Dlatego uzasadnione jest, aby opracować w Europie standardy i programy kształcenia na bazie odpowiednich prac badawczych i najlepszych doświadczeń z praktyki przemysłowej w celu...
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Methodological issues of functional safety and reliability assessment of critical systems in industrial hazardous plants
PublicationThe aim of this article is to identify and discuss some methodological issues that are of interest among functional safety specialists and experts after publication of the second edition of international standards IEC 61508 and IEC 61511, including the design and implementing the safety-related functions of higher safety integrity levels and protection layers. The basic role of safety-related systems is to reduce effectively and...
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Road Infrastructure Safety Management in Poland
PublicationThe objective of road safety infrastructure management is to ensure that when roads are planned, designed, built and used road risks can be identified, assessed and mitigated. Road transport safety is significantly less developed than that of rail, water and air transport. The average individual risk of being a fatality in relation to the distance covered is thirty times higher in road transport that in the other modes. This is...
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Fuzzy regresion approach to road safety analysis at regional level
PublicationRoad safety modelling on regional level of NUTS 2 in the EU is the complex issue and authors of this article indicate this in previous publications. NUTS 2 are basic regions for the application of regional policies (0.8-3 m inhabitants). During multivariate models development they discovered that it is difficult to make regression model well described all regions, even if they are from one country. In the first step Poisson model...
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HEALTH SAFETY OF BREAD IN SMALL BAKERIES
PublicationThe aim of the article is to present the safety and health risks in the production process of bread, supported by research in small bakeries located in the Pomeranian Voivodeship. Health safety of bread is one of the features that decide its quality. This article additionally presents other determinants influencing the quality of bread. It also demonstrates opinions showing food safety as a separate attribute of quality. The paper...
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Nurses' attitudes and beliefs concerning intraosseous access in pediatric patients
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Regional implementation of a road safety observatory in Poland
PublicationThe paper outlines the background and goals of the Road Safety Observatory in the Polish region of Warmia and Mazury. While created it was Poland’s first road safety Observatory, both at the regional and central level. Established in line with the methodology proposed in the European project SafetyNet, together with the planned National Road Safety Observatory it will form part of a Europe-wide network of observatories linked with...
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Logistics aspects in the group of health care accreditation standards associated with patient nutrition
PublicationMedical services are currently one of the more popular branches of the service sector, both in Poland and worldwide. Along with direct impact on human health and life, they have influence on the necessity of constant search for forms of their improvement. Actions taken for improvement of health services quality are implemented with diversity, both as an obligatory action imposed in all medical services units, as well as, actions...
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The role of observatories in the integrated transport safety systems
PublicationAccurate knowledge about the causes, circumstances and place of transport accidents is the prerequisite to take the correct action to improve transport safety. Developing appropriate organizational structures, forms and methods of management and implementation of safety measures in the sectoral approach condition the success. Therefore, the Safety Information System is one of the integral areas of the Integrated Transport Safety...
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Functional safety and human factors
PublicationRozdział przedstawia istotny problem uwzględnienia czynników ludzkich (H&OF) w analizie bezpieczeństwa funkcjonalnego, które wpływają istotnie na bezpieczeństwo przemysłowych obiektów podwyższonego ryzyka, nie ujęty jednak w normach bezpieczeństwa funkcjonalnego. Przedstawia się metody analizy niezawodności człowieka (HRA) w kontekście tych czynników, które wpływają na błędy człowieka. Czynniki ludzkie i organizacyjne powinny być...
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Integrated functional safety and cyber security analysis
PublicationThe chapter is devoted some important issues of the functional safety analysis, in particular the safety integrity level (SIL) verification of safety functions to be implemented within the distributed control and protection systems with regard to security aspects. A method based on quantitative and qualitative information is proposed for the SIL (IEC 61508, 61511) verification with regard of the evaluation assurance levels (EAL)...
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Safety assurance strategies for autonomous vehicles
PublicationAssuring safety of autonomous vehicles requires that the vehicle control system can perceive the situation in the environment and react to actions of other entities. One approach to vehicle safety assurance is based on the assumption that hazardous sequences of events should be identified during hazard analysis and then some means of hazard avoidance and mitigation, like barriers, should be designed and implemented. Another approach...
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Safety at railway level crossings and Vision Zero
PublicationIn this work, safety analysis at the railway level crossings is presented using advanced mathematical modelling. Resistivity of track subgrade panels is taken into account. The analysis does not refer to the assessment of the current regulations. Specific cases of generalized dynamic system are considered by introducing operations S=Δ, S=P defined in space C(N) of real sequences. In this model, generalized discrete exponential...
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Road safety inspection as a tool for road safety management – the polish experience
PublicationIn Poland, road inspections were implemented in June 2014 on all national roads. Previously conducted traffic surveys mainly related to the technical condition of roads, signs and markings; other safety issues were overlooked. The main problem that occurs during inspection is an inspector’s subjective qualitative assessment which affects the classification of the sources of hazard on the road.. The paper presents an analysis of...