The role of latent and active failures in workplace slips, trips and falls: an information processing approach

The vast majority of the published workplace slips, trips and falls (STF) literature is exceedingly narrow in its focus and often ignores wider systems issues in workplace STF aetiology. There is little recognition within the published literature of the importance of latent failures or the upstream organisational and cultural contexts within which workplace STF occur. This is unfortunate, as a systems approach to workplace STF analysis, that is inclusive of latent design and work organisation factors that often shape worker behaviour patterns related to STF risk (e.g. rushing, risk taking), is fundamental to the development of effective prevention measures. The aims of this paper are to provide an understanding of workplace STF causation that is cognisant of the potential role of both active and latent failures in STF causation. The paper presents an ergonomics model for workplace STF analysis that highlights information processing in STF aetiology, the STF incident process and the interaction between latent and active failures in STF causation. The paper draws upon ergonomics research conducted in a range of occupational contexts to illustrate the key features of the model as it applies to workplace STF. Implications of the model for analysis and prevention of STF are discussed.     

National occupational research agenda (NORA) future directions in occupational musculoskeletal disorder health research

Musculoskeletal disorders are among the most costly health care problems facing society today. The scientific literature has indicated that psychosocial factors, individual factors, workplace physical requirements, and workplace organizational factors have been associated with risk. Since musculoskeletal risk is multi-dimensional, the magnitude of risk attributable to various factors can be of importance to scientists and policy makers in designing countermeasures to reduce injury incidence. Traditionally, the disciplines of biomechanics, physiology, and psychophysics have dominated the body of knowledge that has defined exposure limitations to work. However, recent research has explored the association of psychosocial and work organization factors with musculoskeletal problems. Advances have been made to better quantify the levels of occupational exposure by improved exposure metrics, quantification of three-dimensional loads experienced by certain joints (e.g. the spine), identification of tissue tolerance limits and tissue response to mechanical stresses, and the impact of psychosocial stresses. However, efforts to quantitatively link epidemiological, biomechanical loading, soft tissue tolerance, and psychosocial studies should be pursued to establish a better understanding of the pathways of injury and resultant preventive strategies. Although we are beginning to understand how the major risk factors influence the load-tolerance relationship of human tissue, how these risk factors interact is virtually unexplored. Since the impact of the interactions may be far greater than that of any individual factor, the impact of the interactions between risk factors must be delineated so that work-related risk can be better quantified. Efforts to quantitatively link epidemiological, biomechanical loading, soft tissue tolerance, and psychosocial studies should be pursued to establish a better understanding of the pathways of injury and resultant preventive strategies.     

Adventure tourism and adventure sports injury: the New Zealand experience

The primary aims of this study were to establish a client injury baseline for the New Zealand adventure tourism and adventure sport sector, and to examine patterns and trends in claims for injury during participation in adventure activities. Content analysis of narrative text data for compensated injuries occurring in a place for recreation and sport over a 12-month period produced over 15,000 cases involving adventure tourism and adventure sport. As found in previous studies in New Zealand, highest claim counts were observed for activities that are often undertaken independently, rather than commercially. Horse riding, tramping, surfing and mountain biking were found to have highest claim counts, while hang gliding/paragliding/parasailing and jet boating injuries had highest claim costs, suggesting greatest injury severity. Highest claim incidence was observed for horse riding, with female claimants over-represented for this activity. Younger male claimants comprised the largest proportion of adventure injuries, and falls were the most common injury mechanism.     

Spatial frequencies in aesthetic website evaluations--explaining how ultra-rapid evaluations are formed

This study investigates how aesthetic website evaluations, especially those formed after very brief presentations, depend on visual information that is encoded in low- or high-spatial frequencies. A total of 92 participants took part in the experiment. The study used a 3 × 3 mixed design in which presentation time (50, 500 and 10000 ms) and spatial filtering (low-pass filtered, high-pass filtered and unfiltered stimuli) were manipulated. First, we replicate prior results from online studies of high- and low-spatial frequencies. Second, we confirm a prediction from neurocognitive models that only low-spatial frequencies are relevant to aesthetic judgements in ultra-rapid presentation modes. Third, we demonstrate that stimulus repetitions lead to an overestimation of the importance of ultra-rapid stimulus presentations. Taken together, our results highlight the utility of neurocognitive models of visual processing to explain the rapid aesthetic evaluation of websites. PRACTITIONER SUMMARY: Using neurocognitive models we present an approach to explain how aesthetic impressions are formed. We show that ultra-rapid judgements are connected with low- but not with high-spatial frequencies, which are neurologically processed in different visual pathways. Furthermore we identify possible methodological problems in previous studies of ultra-rapid website perception.     

医用内窥镜系统体内驱动方式的研究

提出了一种新型的医用内窥镜系统的体内驱动方式和相应的驱动机构。此方式利用螺旋旋转时产生的牵引力推动医用内窥镜系统在人体内腔中运行，同时利用螺旋旋转时产生的动压效应建立起动压润滑粘液膜，使医用内窥镜系统在体内运行时不与内腔壁发生直接接触。避免对人体有机组织产生损伤。详细分析计算了用此方法驱动的医用内窥镜系统在不同半径、不同粘度粘液和不同弹性模量的内腔中的轴向运行速度和形成的粘液膜厚度，结果表明，用此方法驱动的医用内窥镜系统在人体内腔中运行时可以形成足够厚的粘液膜把医用内窥镜系统与内腔壁隔开，实现以较快速度的悬浮运行。上述分析结果已被实验研究所证实。     

Mapping commuter cycling risk in urban areas

Cycling is becoming an increasingly important transportation option for commuters. Cycling offers exercise opportunities and reduces the burden of motor vehicle travel on society. Mapping the risk of collision between cyclists and motor vehicles in urban areas is important to understanding safe cyclist route opportunities, making informed transportation planning decisions, and exploring patterns of injury epidemiology. To date, many geographic analyses and representations of cyclist risk have not taken the concept of exposure into account. Instead, risk is either expressed as a rate per capita, or as a count of events. Using data associated with the City of Hamilton, Canada, we illustrate a method for mapping commuter cyclist collision risk per distance travelled. This measure can be used to more realistically represent the underlying geography of cycling risk, and provide more geographically and empirically meaningful information to those interested in understanding how cycling safety varies over space.     

Day of the week lost time occupational injury trends in the US by gender and industry and their implications for work scheduling

While there is a growing body of research on the impact of work schedules on the risk of occupational injuries, there has been little investigation into the impact that the day of the week might have. The present research was completed to explore day of the week trends, reasons for such trends and the corresponding implications for work scheduling. Data for the number of injuries and illnesses involving days away from work (lost time; LT) in 2004 were provided by the US Bureau of Labor Statistics Office of Safety and Health Statistics. Data from the American Time Use Survey database were used to estimate work hours in 2004. From these two data sources, the rate of LT injuries and illnesses (per 200 000 work hours) by day of the week, industry sector and gender were estimated. The analysis revealed clear differences by day of the week, gender and major industry sector. Sundays had the highest rate overall – nearly 37% higher than the average of the remaining days, Monday to Saturday. Mondays had the next highest rate followed closely by Saturdays. This pattern was not the same for males and females. For males, Mondays had the highest LT rate (27% higher than the average of all other days) with all remaining days having essentially the same rate. For females, Sundays and Saturdays had much higher LT rates – 122% and 60% higher, respectively, than the average weekday rate. There were also differences by industry and differences between genders by industry. The present analysis suggests that several factors may be contributing to the weekend and Monday trends observed. Lower-tenured (and younger) workers on the weekends, lower female management/supervision and second jobs on the weekend seem to be contributors to the high Saturday and Sunday LT rates. Differences in day of the week employment by industry did not account for the trends observed. Fraud and overtime also could not be confirmed as contributing to these trends. Monday trends were more complex to explain, with possible explanations including non-work-related weekend injuries being reported on Mondays, soft-tissue symptoms becoming more noticeable on Mondays, greater Monday morning flexion risk and reduced supervision in the construction industry on Mondays. Interpretation of these trends and the implications for work scheduling are discussed.     

The development of risk assessment models for carpal tunnel syndrome: a case-referent study

The present study developed risk assessment models for carpal tunnel syndrome (CTS) which can provide information of the likelihood of developing CTS for an individual having certain personal characteristics and occupational risks. A case-referent study was conducted consisting of two case groups and one referent group: (1) 22 work-related CTS patients (W-CTS), (2) 25 non-work related CTS patients (NW-CTS), and (3) 50 healthy workers (HEALTHY) having had no CTS history. The classification of CTS patients into one of the case groups was determined according to the type of insurance covering their medical costs. Personal characteristics, psychosocial stresses at work, and physical work conditions were surveyed by using a questionnaire tailor-designed to CTS (reliability of each scale ? 0.7). By contrasting the risk information of each case group to that of the referent group, three logistic regression models were developed: W-CTS/HEALTHY, NW-CTS/HEALTHY, and C-CTS/HEALTHY (C-CTS, the combined group of W-CTS and NW-CTS). ROC analysis indicated that the models have satisfactory discriminability (d′ = ;1.91 to 2.51) and high classification accuracy (overall accuracy = 83 – 89%). Both W-CTS/HEALTHY and C-CTS/HEALTHY include personal and physical factors, while NW-CTS/HEALTHY involves only personal factors. This suggests that the injury causation of NW-CTS patients should be attributable mainly to their ‘high’ personal susceptibility to the disorder rather than exposure to adverse work conditions, while that of W-CTS patients be attributable to improper work conditions and CTS-prone personal characteristics in combination.     

The injury profile of a large telecommunication company: a statistical summary

Overexertion injuries have been a major concern to occupational safety and health professionals for quite some time. Over the years, these injuries have continued to increase despite ergonomic interventions to control their frequency of occurrence. It has been speculated that this increase may be due primarily to enhanced awareness and better record-keeping. Many occupational safety and health professionals also presume that overexertion injuries and occupational illnesses are confined to heavy manufacturing industries. This paper reports occupational injury and illness data from a large telecommunication industry, collected over a 7-year period. Three observations were made from the statistical summary: (1) better record keeping may be a reason behind the reported increase in injuries; workday losses decline as a result of improved ergonomic and occupational health interventions; (2) serious injuries are not just limited to heavy manufacturing industries; and (3) reduction in workday losses may not translate in injury cost savings.     

Does an on-road motorcycle coaching program reduce crashes in novice riders? A randomised control trial

ObjectivesMotorcycle riding is increasing globally and confers a high risk of crash-related injury and death. There is community demand for investment in rider training programs but no high-quality evidence about its effectiveness in preventing crashes. This randomised trial of an on-road rider coaching program aimed to determine its effectiveness in reducing crashes in novice motorcycle riders.MethodsBetween May 2010 and October 2012, 2399 newly-licensed provisional riders were recruited in Victoria, Australia and completed a telephone interview before randomisation to intervention or control groups. Riders in the intervention group were offered an on-road motorcycle rider coaching program which involved pre-program activities, 4 h riding and facilitated discussion in small groups with a riding coach. Outcome measures were collected for all participants via telephone interviews at 3 and 12 months after program delivery (or equivalent for controls), and via linkage to police-recorded crash and offence data. The primary outcome was a composite measure of police-recorded and self-reported crashes; secondary outcomes included traffic offences, near crashes, riding exposure, and riding behaviours and motivations.ResultsFollow-up was 89% at 3 months and 88% at 12 months; 60% of the intervention group completed the program. Intention-to-treat analyses conducted in 2014 indicated no effect on crash risk at 3 months (adjusted OR 0.90, 95% CI: 0.65–1.27) or 12 months (adjusted OR 1.00, 95% CI: 0.78–1.29). Riders in the intervention group reported increased riding exposure, speeding behaviours and rider confidence.ConclusionsThere was no evidence that this on-road motorcycle rider coaching program reduced the risk of crash, and we found an increase in crash-related risk factors.