Evidence map›Paper›PMID 29685147›Full record

ArticleBMC health services research2018

A study of leading indicators for occupational health and safety management systems in healthcare.

Joan M Almost, Elizabeth G VanDenKerkhof, Peter Strahlendorf, Louise Caicco Tett, Joanna Noonan, Thomas Hayes, Henrietta Van Hulle, Ryan Adam, Jeremy Holden, Tracy Kent-Hillis and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Joan M AlmostSchool of Nursing, Queen's University, Kingston, ON, Canada. joan.almost@queensu.ca.ORCID 0000-0001-6473-6138
Elizabeth G VanDenKerkhofSchool of Nursing, Queen's University, Kingston, ON, Canada.
Peter StrahlendorfSchool of Occupational and Public Health, Ryerson University, Toronto, ON, Canada.
Louise Caicco TettHealth & Safety Professionals Inc., Sault Ste. Marie, ON, Canada.
Joanna NoonanKingston General Hospital, Kingston, ON, Canada.
Thomas HayesThe Ottawa Hospital, Ottawa, ON, Canada.
Henrietta Van HullePublic Services Health and Safety Association, Toronto, ON, Canada.
Ryan AdamPublic Services Health and Safety Association, Toronto, ON, Canada.
Jeremy HoldenPublic Services Health and Safety Association, Toronto, ON, Canada.
Tracy Kent-HillisLennox and Addington County General Hospital, Napanee, ON, Canada.
Mike McDonaldHotel Dieu Hospital, Kingston, ON, Canada.
Geneviève C ParéSchool of Nursing, Queen's University, Kingston, ON, Canada.
Karanjit LachharSchool of Nursing, Queen's University, Kingston, ON, Canada.
Vanessa Silva E SilvaSchool of Nursing, Queen's University, Kingston, ON, Canada.
Queen's University · CAGroup Health Centre · CAHotel Dieu Hospital · CAKingston General Hospital · CAOttawa Hospital · CAToronto Metropolitan University · CA

Funding

Ontario Ministry of Labour 15-R-014
6 · The paper itself

Abstract

backgroundIn Ontario, Canada, approximately $2.5 billion is spent yearly on occupational injuries in the healthcare sector. The healthcare sector has been ranked second highest for lost-time injury rates among 16 Ontario sectors since 2009 with female healthcare workers ranked the highest among all occupations for lost-time claims. There is a great deal of focus in Ontario's occupational health and safety system on compliance and fines, however despite this increased focus, the injury statistics are not significantly improving. One of the keys to changing this trend is the development of a culture of healthy and safe workplaces including the effective utilization of leading indicators within Occupational Health and Safety Management Systems (OHSMSs). In contrast to lagging indicators, which focus on outcomes retrospectively, a leading indicator is associated with proactive activities and consists of selected OHSMSs program elements. Using leading indicators to measure health and safety has been common practice in high-risk industries; however, this shift has not occurred in healthcare. The aim of this project is to conduct a longitudinal study implementing six elements of the Ontario Safety Association for Community and Healthcare (OSACH) system identified as leading indicators and evaluating the effectiveness of this intervention on improving selected health and safety workplace indicators.

methodsA quasi-experimental longitudinal research design will be used within two Ontario acute care hospitals. The first phase of the study will focus on assessing current OHSMSs using the leading indicators, determining potential facilitators and barriers to changing current OHSMSs, and identifying the leading indicators that could be added or changed to the existing OHSMS in place. Phase I will conclude with the development of an intervention designed to support optimizing current OHSMSs in participating hospitals based on identified gaps. Phase II will pilot test and evaluate the tailored intervention. DISCUSSION: By implementing specific elements to test leading indicators, this project will examine a novel approach to strengthening the occupational health and safety system. Results will guide healthcare organizations in setting priorities for their OHSMSs and thereby improve health and safety outcomes.

Indexed as

AbsenteeismDelivery of Health CareFemaleHealth PersonnelHospitalsHumansLongitudinal StudiesMaleOccupational HealthOccupational Health ServicesOccupational InjuriesOntarioPilot ProjectsQuality Indicators, Health CareSafety ManagementSick LeaveHealth and safetyLeading indicatorsManagement systemsOccupational healthOccupational health nursingRisk managementSafety management

Identifiers

PMID29685147
PMCPMC5913872
OpenAlexW2806013538

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.