This paper firstly proposes a modified human factor classification analysis system (HFACS) framework based on literature analysis and the characteristics of falling accidents in construction. Second, a Bayesian network (BN) topology is constructed based on the dependence between human factors and organizational factors, and the probability distribution of the human-organizational factors in a BN risk assessment model is calculated based on falling accident reports and fuzzy set theory. Finally, the sensitivity of the causal factors is determined. The results show that 1) the most important reason for falling accidents is unsafe on-site supervision. 2) There are significant factors that influence falling accidents at different levels in the proposed model, including operation violations in the unsafe acts layer, factors related to an adverse technological environment for the unsafe acts layer, loopholes in site management in the unsafe on-site supervision layer, lack of safety culture in the adverse organizational influence layer, and lax government regulation in the adverse external environment layer. 3) According to the results of the BN risk assessment model, the most likely causes are loopholes in site management work, lack of safety culture, insufficient safety inspections and acceptance, vulnerable process management and operation violations.
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http://dx.doi.org/10.3389/fpubh.2021.783537 | DOI Listing |
Background: To analyse the epidemiological characteristics of orthopaedic trauma patients and thereby optimize healthcare resource allocation and improve treatment efficiency.
Materials And Methods: Relying on the hospital information system (HIS) database, we retrospectively analysed the epidemiological characteristics of orthopaedic trauma inpatients in our hospital between 2013 and 2022, including patient demographic information, causes of injury, location of injury and hospitalization costs.
Results: The median age of the patients was 36 (26-47) years old; the age stratification of the patients was highest in the proportion of patients aged 40-50 years old (29.
BMC Geriatr
December 2024
Department of Ophthalmology, Juntendo Tokyo Koto Geriatric Medical Center, Shinsuna 3-3- 20, Koto-ku, Tokyo, 136-0075, Japan.
Background: Dizziness and unstable gait with resultant falls are common symptoms among the older adults. Most of studies have focused on statistical analysis regarding single factor related to dizziness and unstable gait. On the other hand, there are very few comprehensive studies using a large number of patients except several review papers.
View Article and Find Full Text PDFSci Rep
December 2024
School of Health Sciences, Western Sydney University, Campbelltown, NSW, Australia.
Given the higher fall risk and the fatal sequelae of falls on stairs, it is worthwhile to investigate the mechanism of dynamic balance control in individuals with knee osteoarthritis during stair negotiation. Whole-body angular momentum ([Formula: see text]) is widely used as a surrogate to reflect dynamic balance and failure to constrain [Formula: see text] may increase the fall risk. This study aimed to compare the range of [Formula: see text] between people with and without knee osteoarthritis during stair ascent and descent.
View Article and Find Full Text PDFAm J Case Rep
December 2024
Department of General Medicine, Saga University Hospital, Saga, Japan.
BACKGROUND Appropriate management of patients who have fallen is crucial for reducing damage and mortality. We report the case of a patient who fell from a seated position, which caused traumatic liver injury, with gastrointestinal symptoms as the primary patient concern. CASE REPORT A woman in her 80s who was living independently fell from a seated position during the daytime.
View Article and Find Full Text PDFNurs Rep
December 2024
Unit of Psychiatry and Eating Disorders, Department of Medicine (DMED), University of Udine, 33100 Udine, Italy.
The aim of this study was to investigate aggression-related work accidents in an inpatient psychiatric unit before and after implementing a no-restraint policy in Italy. Results revealed that, over the study period (2007-2022), 113 accidents occurred, mostly related to physical aggression (81.4%), with healthcare assistants and psychiatric nurses being the most affected and more accidents occurring during the morning shift (49.
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