INDUSTRIAL SAFETY HAZARD REDUCTION THROUGH PERFORMANCE FEEDBACK

A “feedback package” system, designed to prevent occupational accidents and to fit directly into the normal operations of an industrial organization, was analyzed. Eighteen hazardous conditions in six production departments were assessed during seven observation sessions over a 12-week period, plus four follow-up observations over 4 months. The “feedback package” was presented in multiple baseline fashion, across subjects (department supervisors). It consisted of presenting the supervisor with copies of observational data, accompanied by a note which congratulated good practices and suggested ways for improving safety conditions, along with occasional comments from a senior executive. The results indicated that during the feedback phase, hazard rates were lower and less variable than during the baseline phase. Baseline data were highly variable with peaks ranging from 20 to 55 hazards per department. Following intervention, hazard frequencies dropped by 60%, averaged across departments, with decreases ranging from 29% to 88%. During treatment, data stabilized, with the highest frequency reaching 33. A modified feedback system was implemented by the organization following termination of the study, validating the assumption that such a system would tend to maintain.     

Reduction of police vehicle accidents through mechaniically aided supervision

Tachograph recorders were installed in 224 vehicles of a metropolitan police department to monitor vehicle operation in an attempt to reduce the rate of accidents. Police sergeants reviewed each tachograph chart and provided feedback to officers regarding their driving performance. Reliability checks and additional feedback procedures were implemented so that upper level supervisors monitored and controlled the performance of field sergeants. The tachograph intervention and components of the feedback system nearly eliminated personal injury accidents and sharply reduced accidents caused by officer negligence. A cost-benefit analysis revealed that the savings in vehicle repair and injury claims outweighed the equipment and operating costs.     

"Flash for life": Community-based prompting for safety belt promotion

A community-based strategy for promoting safety belt use was field-tested in two adjacent rural communities, one populated by a preponderance of students, faculty, and staff of a major university. The intervention involved the front-seat passenger of a stopped vehicle displaying to the driver of an adjacent, stopped vehicle an 11 x 14 inch flash card that read, "PLEASE BUCKLE UP-I CARE." If the driver buckled up, the "flasher" flipped over the card and displayed the message, "THANK YOU." This flash card was shown to 1,087 unbuckled drivers; 82% of these drivers looked at the flash card and 22% of these complied with the buckle-up request. Compliance was not influenced by the age or gender of the "flasher" (young child vs. college student), nor by the gender of the driver; but significantly more drivers in the university town buckled up following the flash card presentation (25% mean compliance in the college town vs. 14% in the other community). To date, over 2,000 individuals have received a buckle-up flash card for their own use.     

Do supplementary signs distract the driver?

In 2005, the regulation of signage on German highways was changed and now allows supplementary signs. These signs are installed below direction signs and inform about the services offered on motorway service areas. Being advertisement, the supplementary signs bear the risk to distract drivers looking for directional information. To study the influence of supplementary signs, four experiments (N = 30) were conducted. Experiment 1 used the phenomenon of change blindness as an indicator for the allocation of attention. It could be shown that drivers searching for a specific direction direct nearly no attention to the supplementary signs. In experiment 2 and 3, the influence of the supplementary signs on perceptional threshold for directional information and on self-chosen perception times was measured. Neither the perceptional threshold nor perception times freely chosen by the participants were negatively affected by the supplementary signs. The last experiment analyzed the influence of supplementary signs on driver reaction in a critical driving situation in a driving simulator study. Here, supplementary signs had no negative impact on collision rate and reaction time. Based on the results, it is concluded that drivers use effective attentional strategies while searching for directional information. In the experiments no negative effects of the supplementary signs could be found.     

Gun attitudes on campus: United and divided by safety needs

All people share a need for safety. Yet people’s pursuit of safety can conflict when it comes to guns, with some people perceiving guns as a means to safety and others perceiving guns as a threat to safety. We examined this conflict on a U.S. college campus that prohibits guns. We distinguished between people (N = 11,390) who (1) own a gun for protection, (2) own a gun exclusively for reasons other than protection (e.g., collecting, sports), and (3) do not own a gun. Protection owners felt less safe on campus and supported allowing guns on campus. They also reported that they and others would feel safer and that gun violence would decrease if they carried a gun on campus. Non-owners and non-protection owners felt the reverse. The findings suggest that protection concerns, rather than gun-ownership per se, account for diverging perceptions and attitudes about guns and gun control.     

Pedestrian behaviour of 6th grade Estonian students: Implications of social factors and accident-prevention education at school

Children as pedestrians are one of the most vulnerable groups of road users. Therefore factors associated with risky pedestrian behaviour should be carefully studied. The aim of this article is to clarify how the traffic behaviour of 6th grade students as pedestrians is associated with the behaviour of their traffic companions and prevention activities at school, also taking gender into consideration. The research was conducted based on a randomly-selected sample of 1033 6th-grade students with the mean age of 12.77 ± 0.38 (SD) years. The results showed that compared to girls boys take significantly more risks as pedestrians: they rarely use reflectors during periods of darkness and often cross the road against the red light. The most important role models for adolescents in traffic behaviour are their parents. The role model behaviour with the strongest effect on adolescent high-risk behaviour in traffic is the role model not using crosswalks to cross the street. The results also showed that higher-risk traffic behaviour by adolescent pedestrians is predicted by higher-risk behaviour on the part of their companions (parents, teachers), walking alone on the street, as well as by an adolescent’s lower involvement in the less active prevention activities in the classroom. To improve adolescent pedestrians’ traffic behaviour social environment and school-based factors should be considered more thoroughly in prevention work at school.     

Designing road safety interventions for young drivers – The power of peer influence

Peer passengers are associated with risky driving behaviour and increased collision rate in young drivers, but the mechanism by which young drivers are influenced by their peers is not well understood. Here we report two studies that explore the effect of peer influence on young drivers. The first explored the relationship between susceptibility to peer influence and young drivers’ engagement in risky driving behaviour. 163 young drivers completed self-report measures of risky driving behaviour and susceptibility to different forms of peer influence. Results showed that young drivers who were influenced by their peers to attain social prestige and through peers intervening in their decisions committed more driving violations. The second study sought to utilise the susceptibility of young drivers to peer influence by using peers to design and deliver a safety intervention, following the ‘U in the Driver Seat’ model from the US. When compared to a traditional fear appeal and a control, the peer intervention group reported safer attitudes and intentions to drive safely at follow-up. Together these studies provide insight into how peers influence young drivers’ risky behaviour, and support the notion of using peer education tools in young driver safety interventions.     

Cyclist efficiency and its dependence on infrastructure and usual speed

Bicyclists are a heterogeneous group, with varying abilities, traffic education and experience. While efficiency was identified as an important factor on utility bicycle trips, it might be traded for experienced safety, for example by choosing different pathways in a given situation, or by relinquishing one’s right of way. In a semi-controlled study with 41 participants, a grouping was made according to self-reported riding speed in relation to other cyclists. The participants cycled twice along a 3 km inner-city route, passing four intersections with different priority rules. The cyclists were free to choose how to negotiate the intersections. Speed and the traffic surroundings were recorded via gps and cameras on the bike of the participant and of a following experimenter. For each cyclist, the ‘base’ speed on undisturbed segments was determined as reference. Based on this, the efficiency in different types of intersections was computed per cyclist group. It turned out that infrastructural aspects, cyclist group and the presence and behaviour of interacting traffic influenced cyclist efficiency. Faster cyclists were delayed more when the infrastructure required a stop regardless of the traffic situation, like at a red traffic light or a stop sign. The members of the so-called ‘comfort cyclists’ group were delayed the most in a roundabout with mixed traffic, where many chose to get off their bike and walk. In a society working for equality of access to the transport system, it is recommended to develop solutions that consider and accommodate the behaviours of different cyclist groups when planning bicycling infrastructure.     

自适应分组认知诊断测验设计及其选题策略

应用OMST在线装配模式,提出自适应分组认知诊断测验（CD-AMGT）。由于知识状态的先决关系是偏序关系,而且构成格（lattice),利用知识状态当前估计值在格中的上下确界对被试真实知识状态的可能范围进行界定,由此装配下一分组,分组中结合PWKL策略或SHE策略进行选题以兼顾诊断精度、效率和安全性。模拟实验表明,CD-AMGT与PWKL、SHE对比,当题目类型丰富时,以分类准确率略微降低为代价,其题库使用均匀性和计算用时均表现出较大优势。     

患者参与患者安全的国内外研究分析

患者是患者安全的主体和核心,保证患者安全,不仅是医护人员和医疗机构的责任,同时需要患者的参与。自1999年美国医学研究院发表了《孰能无错,构建更为安全的卫生保健体系》报告后,患者安全首次成为学术组织、公众媒体关注的焦点,其相关研究如雨后春笋般涌现,包括患者参与患者安全的研究。