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”

Workplace bullying needs prompt and concise action to be effective

It is very important to treat media reports of bullying with a great deal of scepticism.  An article in the Herald-Sun on 20 July 2010 is a good example of the collation of new and old information intended to generate alarm or outrage.

Werribee Secondary College has had several incidents of occupational violence and school violence.   All schools will have bullying incidents of student to student but these can be minimised and controlled with effort, commitment and vision.  Bullying between staff is different, although the controls are similar, and inhabits the  different legislative context of OHS.  WorkSafe Victoria has been involved with workplace bullying incidents in the education sector in the past.

The Herald-Sun builds on the myth that teachers have it easy because of the amount of leave that is scheduled. The current article entitled “Teacher seeks bullying payout” has a headline about workplace bullying but the article mixes up student bullying and workplace bullying as if they are the same issue but to different degrees and with different participants.

The Victorian Education Department has addressed the issue of workplace bullying to some extent.  The department has several sites devoted to bullying issues and occupational violence but much of it refers back to policies and reactionary responses.  Continue reading “Workplace bullying needs prompt and concise action to be effective”

I felt the job was driving me nuts: Stressors and Stress

For two decades now the occupational stressors/stress regulatory debate in Australia has limped along with the same arguments, same objections, same type of discussions.  The same largely impractical documents mentioning psychological effects, physical effects, ‘good stress’ and what is or isn’t a disease and, of course, finger-wagging advice about risk assessments.

Exactly how has all this benefited workers?  So far as I can see across many industries very little indeed.  I can actually identify individual workplaces where 20 year old stressors have still not been eliminated nor controlled, others are worse even though managers have come and gone.

There was a period in this debate when the bio-medical models were prominent (The Fluid Phase) with a focus on the ‘stress hormones’ – adrenaline, noradrenaline, cortisol and dopamine.  Melatonin and serotonin were also discussed, but not nearly as much.  Result?  No benefit to workers.  There was a period of debate about words (The Semantic Phase): what exactly did ‘stress’ mean?  What about ‘strain’?  Or ‘eustress’ (euphoric stress)?  What about ‘distress’?  Or the more insidious ‘good’ or ‘positive stress’ and ‘hardiness’, remember them?  Result?  No benefit to workers at the job.  Then there was forensic interest in ‘which exactly contributes more to occupational stress: life generally, genetics, personality or things at work’ (The Multiplex Phase)?

Changes in organisation, in numbers of workers, in rosters, in workloads (vis a vis process and machinery changes) have resulted in improvements, but these have been rare.  The matters of shorter shifts, longer breaks (say, at 3 am), genuine reductions in levels of fatigue and fear of job loss have generally become worse. Continue reading “I felt the job was driving me nuts: Stressors and Stress”

A radicalised OHS profession may meet future social needs

The Australasian Faculty of Occupational and Environmental Medicine (AFOEM) has uploaded to the internet an hour-long discussion of their Position Statement on “Realising the Health Benefits of Work“.

Firstly  AFOEM should be congratulated for sharing such a resource.  Although the paper itself was launched in May 2010, to have access in July 2010 is a great achievement and an indication of the openness of the organisation and the importance the organisation places on the document.

Dr Robin Chase, President of AFOEM, says in his launch introduction that the dominant social perspective is that work is somehow bad for one’s health.  This is a perspective that OHS professionals will struggle to counter as they are always on the look-out for hazard, the potential for harm, risks.  Similarly HR people often are seen as providing services to assist workers in coping with workloads and workplace issues. Continue reading “A radicalised OHS profession may meet future social needs”

ICAP Congress of Applied Psychology is a neglected OHS resource

In July 2010, Melbourne Australia is hosting the 2010 conference of the International Congress of Applied Psychology.  What was an OHS consultant at this conference?  The question should be why wasn’t OHS consultants at this conference?

This conference is not about workplace safety, per se.  It is about how people think and communicate.  It provides research (some would say evidence), often about how people relate to each other at work.  The exciting content of this ICAP Conference makes the Safety In Action Conference look like a history lesson.

The conference has made the full program and the speaker abstracts online, for free.  Both are big PDF files but are excellent resources for those OHS professionals looking for the latest research into bullying, driver safety, health & wellbeing, organisational behaviour, leadership, fatigue, stress and other issues. Continue reading “ICAP Congress of Applied Psychology is a neglected OHS resource”

Psychological advice on handling people that is broadly applicable

The latest edition of Lawyers Weekly includes an article ostensibly about managing bullies in the legal profession written by psychologist, Dr Chris Day.  The article provides some general tips, though, that are useful to any of us who need to make decisions refreshingly she reflects two options that I offer to my OHS clients on safety matters that do not include bullying.  Dr Day says that any problem can be solved by these actions

  1. “Leave…
  2. Change the situation…
  3. Accept the situation…
  4. Do nothing….”

Leave and change are included in the OHS Hierarchy of Control under different terminology.  Doing nothing is advice that few OHS consultants will give but is a strategy that many small businesses apply.  Their risk management strategy is to press their luck and in some cases this can work.   Continue reading “Psychological advice on handling people that is broadly applicable”

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”

Concatenate Web Development
© Designed and developed by Concatenate Aust Pty Ltd