Category: culture

Patient safety is also workplace safety

Rosalind McDougall wrote in The Age on 26 July 2010 about the excessive and dangerous workloads of junior doctors in Australia. Similar articles have appeared elsewhere in the world for years but the hazard persists. Part of the reason for the hazard’s persistence is evident in the article if one considers the hazard as a workplace hazard rather than a patient safety hazard or a matter of customer service.

McDougall states the impact of excessive workloads for doctors:

“While most hospitals now have policies advocating ”safe hours”, the reality is many junior doctors work shifts that fail to meet the guidelines.”

“Numerous studies (as well as commonsense) indicate that doctors’ technical skills are compromised when they work too long.”

“While certainly not universal, some practices make it almost impossible for junior doctors to work safe hours.”

Where is the OHS regulator?  Is workers’ compensation for stress, fatigue or psychosocial hazards ever invoked by junior doctors? Are there OHS guidelines for the safe operation or design of hospitals and emergency wards? Continue reading “Patient safety is also workplace safety”

Social change through worker dignity

The need for food parcels for those on workers’ compensation seems to continue in South Australia according to a 3 July 2010 report in Adelaide Advertiser.  SafetyAtWorkBlog mentioned the service being offered by Rosemary Mackenzie-Ferguson and others in March 2010.

There are many areas of society that are supported by privately provided social services and this situation is likely to persist but just as soup kitchens illustrate a problem of poverty, so the food service mentioned above indicates a problem with workers’ compensation.

As each Australian state reviews its workers’ compensation laws ahead of a national harmonisation, it seems absurd to focus on the laws but not on the social impacts of those laws.  It is common to refer to a “whole-of-government” approach to issues but “whole-of-society” seems to be a slower concept to embrace.

Much is being made in Australia’s OHS harmonisation process of the need to look at the enforcement policies that support new legislation.  There is also a (flawed) reliance on Courts to provide clarity to the legislation rather than producing clear laws in the first place.  But rarely does government look beyond the law, the Courts, or the enforcement policies to assess the potentially negative social impacts of the OHS and workers’ compensation laws. Continue reading “Social change through worker dignity”

New suicide report has something to say about workplace mental health

Work-related suicides have been in the press a lot in Australia over the last six months.  In June 2010, the Australian Government released a report into suicide called The Hidden Toll: Suicide in Australia.  It covers suicide as a social issue broadly but there are some mentions in the report about work-related suicides that are worth noting.

On social costs:

“Ms Dulcie Bird of the Dr Edward Koch Foundation argued that whole communities are often affected when a suicide occurs and described low estimates of the number of people effected by suicide as ‘a load of nonsense’. She gave the example of the suicide of a 16-year-old boy in a small town and noted her organisation had completed ’43 face-to-face interventions for that one suicide’. The Foundation commented that suicide results in the loss of the deceased person’s contribution to society as a whole. Continue reading “New suicide report has something to say about workplace mental health”

BBC podcast on UK’s OHS review

The BBC’s radio program, Politics UK, for 18 June 2010 includes an uncredited discussion on the OHS review announced by Prime Minister Cameron recently.  The discussion occurs at the 20 minute mark of the podcast which is available to download for a short time.

Much of the content seems to reflect the thoughts and comments of The Telegraph article by Philip Johnston but at least the BBC reporter acknowledges that the issue is not really health and safety but the “fear of litigation”.

There is an interesting reference to the “goldplating” of European Union directions and the issue of food safety and cheese is mentioned.  The impression given is that the more significant and, perhaps, the more difficult challenge for Lord Young is not OHS but the “compensation culture”.  If this is the case, OHS may come off the worse of the two as it may be given a secondary priority.

Kevin Jones

HSE and Lord Young test the waters of reform

The head of the UK’s Health & Safety Executive, Judith Hackitt has released part of a letter that she sent to Lord Young of Graffham on the announcement of his OHS review.  According to Hackitt’s media statement she advised

“The terms of reference of your review extend beyond HSE’s remit, which is concerned with addressing real risks and preventing death, injury and ill health to those at work and those affected by work related activities.

“However, we in HSE have been saying for some time that health and safety is being used by too many as a convenient excuse to hide behind.”

Hackitt welcomed the review and has released Lord Young’s response in which he says:

“Thank you for your letter of 14 June confirming your commitment to the review commissioned by the Prime Minister into Health and Safety and the growth of the compensation culture.   Continue reading “HSE and Lord Young test the waters of reform”

Yesmanship – the biggest threat to safety culture

The recent release of a new book on Operation Mincemeat has again raised the term “yesmanship” in  the media.  Online definitions explain the term as

“An atmosphere in which people claim to agree with leadership for political reasons, even when they don’t actually agree with leadership” .

The significance of the term in relation to the current trend of “safety culture” should not be underestimated.  Below are some definitions of safety culture that illustrate the similarities to or risk from yesmanship.

“The product of individual and group values, attitudes, perceptions, competencies, and patterns of behaviour that determine the commitment to, and the style and proficiency of, an organization’s health and safety management” Continue reading “Yesmanship – the biggest threat to safety culture”

Independent safety investigation into BP’s Gulf disaster requested by Congress

On 8 July 2010 the United States government asked its Chemical Safety Board (CSB) to consider investigating the Gulf of Mexico oil spill.  It would be good news for safety and the environment for the CSB to take on this role.

Primarily, CSB is well placed to consider any issues concerning the safety management structure and culture of BP that may have contributed to the environmental disaster and the deaths of 11 workers on the rig.  As the CSB media statement outlines

“The CSB thoroughly investigated the BP Texas City refinery explosion of 2005 and issued a lengthy report and hour-long CSB Safety Video following our investigation, and as the letter from the committee chairmen states, we would be in a unique position to address numerous questions about BP’s safety culture and practices, and to answer the questions outlined in the House committee letter today.”

The letter from the chairman of the US Congress’ Committee on Energy and Commerce, Henry Waxman, has asked the CSB to consider the following questions

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