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Objective: The purpose of this study was to describe procedural changes in hospital incident investigations and show the consequences of these changes over time. Methods: A two-stage method was used. First component of the study was a content analysis of 87 incident investigations conducted 1995-2014 by the regulatory authority after adverse events in a Swedish university hospital. Second compone
Popular Abstract in Swedish I högrisksystem såsom sjukvården är det frestande att härleda såväl framgång som motgång till enskilda individer. Vi prisar hjälten Dr. House för framgångssagor och vi drar syndabocken SOS-sköterskan inför domstol för att inte ha uppfattat allvaret i en specifik situation. Den enskildes professionalitet, erfarenhet och klokskap används som förklaringsmodeller för framgåThe main aim of the research is to explore different aspects of organisational resilience in escalating situations, with an investigation of both theoretical and practical implications. From the platform of an explorative approach, this study makes use of naturalistic research in the domain of health care and experimental simulation studies, in order to establish a broad theoretical framework vis-
Analyzes of the terrorist attack on Drottninggatan have begun to be published. The risk is now that the debate will be governed by the logic of hindsight, that politicians and the media will be on the stands, pointing out mistakes and demand responsibility. Such a climate jeopardizes in the long run the development of our ability to prevent terrorist attacks, write four security researchers.
Mountain communities are adapting their livelihoods to a complex combination of social, political and economic changes and associated risks. Despite recognition of adaption in response to multiple changes in sustainable livelihood and critical climate change literature, risks attributed to biophysical effects of climate change have increasingly assumed importance. Consequently, diversification is
This report is an analysis of the evacuation capabilities of COOP Forum Nyköping. COOP Forum is a 6800 square meter supermarket built in 1970. The building is fitted with a sprinkler system, but lacks an automatic detection system in the sales part of the building. Two likely scenarios were identified and then simulated in FDS 5. In case of a fire in the personnel department, the smoke quickly fil
This master’s thesis aims to investigate how pilotage contributes to maritime safety and if its criteria can be more risk-based in Sweden. The theory of Resilience Engineering was applied to maritime safety which has extended the concept further. Several aspects of how pilots contribute to maritime safety were identified within the literature and empirical studies. These aspects were the pilots
Background: Patient safety gained public notoriety following the 1999 report of the Institute of Medicine: To Err is Human – Building a Safer Health System which summarized a culminated decades' worth of research that had so far been largely ignored. The aim of this study was to analyze the report's impact on patient safety research in anesthesiology.Methods: A bibliometric analysis was performed
The performance of teams, with different levels of domain and crisis management experience, managing unexpected and escalating situations was observed using a mid-fidelity ship-bridge simulation and analysed by applying the central concepts of joint activity coordination as well as Woods’s theory building on data overload. The coordination strategies used by the teams were evaluated by applying coo
This study investigated the possibilities of identifying leading objective indicators of safety across shipping organisations. Leading objective indicators of safety are safety culture related metrics that are statistically correlated with safety performance data which enables a more proactive approach to safety management. The conclusion was that no indicators could be identified, at least no
The thesis explores the migration experiences of Syrian refugees who arrived in Sweden and Denmark by crossing the Mediterranean Sea in small, precarious boats. It aims to illuminate how these refugees managed the risks they faced during their journey to Europe and the meanings they associated with these risks. The research focuses on the socio-cultural and individual contexts within which risk is
There is widespread consensus that teamwork constitutes one of the key requirements in today’s multidisciplinary and highly complex system of delivering care. In recent years, increasing attention has been given to questions of how to define, teach, measure, and improve teamwork in healthcare. However, one cannot help but feel a certain disconnect between this ongoing trend in healthcare with an a
Although the development of physiologic monitors has improved the safety of patients undergoing anesthesia, a growing body of literature suggests that alarms function sub-optimally in supporting the human operator. A principle of cognitive systems engineering is that there is an image of the user “built in” to the design of any machine used in a joint cognitive (man-machine) system. This study exp
Gemensam debattartikel av företrädare för forskning, utbildning och samverkan på Campus Helsingborg om Lunds universitets betydelse för Helsingborgs utveckling. Publicerad i Helsingborgs Dagblad.
Järnvägen utgör grunden för pendeltrafiken inom region Stockholm och störningar i järnvägstrafiken påverkar många resenärer. En vanlig orsak till störningar i järnvägstrafiken är att obehöriga personer vistas vid spåren. Mellan 2010-01-01 och 2015-05-18 har närmare 1100 händelser med obehöriga vid spår rapporterats i region Stockholm, varav drygt 80 fall resulterat i personpåkörningar med dödligt
The Philippines are constantly challenged by the forces of nature. Typhoons make landfall on a yearly basis, making the island of Samar a disaster-prone area. This qualitative field study examines the risk perception of inhabitants and why they do live in this high-risk area. The thesis also strives to find out if education on DRR among children and youth affects the societal knowledge on disaster
Hotel fires in Sweden are a precarious issue since hotel guests are sleeping in unfamiliar surroundings and that the new legislation in 2004 clarified the owners’ responsibility for the safety of their guests. In 2004, two people were killed in a hotel fire and the owner was subsequently sentenced for unwillingly manslaughter. With an entirely qualitative approach, this analysis investigates how l
