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- Franca, Josue, 1979-, et al.
(författare)
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Analyzing organizational gaps in process accidents with FRAM : The case of the Imperial Sugar refinery explosion (2008)
- 2023
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Ingår i: Process safety progress. - : John Wiley & Sons. - 1066-8527 .- 1547-5913. ; 42:51, s. S87-S96
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Tidskriftsartikel (refereegranskat)abstract
- This study presents a reanalysis of the Imperial Sugar refinery accident that occurred in February 2008, in Georgia, USA, using functional resonance analysis method (FRAM) and based on technical-scientific materials and the official reports. This explosion was fueled by sugar dust in the packaging building of the refinery, causing 14 fatalities and injuring 38 workers. The purpose of this reanalysis is to seek factors and interactions that could not be well analyzed or evidenced using traditional accident investigation techniques, which are primally designed to analyze linear systems. This reanalysis with FRAM allowed us to perceive the influence of organizational elements, such as culture, in the accidental chain of the event, highlighting the need of a broader approach for accidents involving high-tech process industries. In this sense, FRAM enabled a more comprehensive analysis of the complex functioning of process plants, for both normal operation and in emergency. It was noticed that the greater the complexity of work systems, the greater the interaction and variability between personnel, equipment, and systems, requiring analysis techniques and methodologies capable of recognizing the real complexities that take place in these sociotechnical systems, especially in high-tech process plants, such as the sugar refinery in this case.
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| 2. |
- Rodrigues Coutinho, Brenda, et al.
(författare)
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Meeting the Challenges of Home Care in Small Residential Bathrooms : Creation of the Bathroom Aid Inventory
- 2022
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Ingår i: Conference Proceedings of the 51<sup>st</sup> NES Conference. ; , s. 176-177
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Konferensbidrag (refereegranskat)abstract
- Background and purposeOur society is facing major demographic challenges in healthcare. The growing population of older people is outpacing the creation of residential care facilities like nursing homes, meaning that more and more people are ‘aging in place’. ‘Aging in place’ means continuing to reside in a private residence in the community even as care needs intensify. It is an economically efficient option and often preferred by aging people, but it also brings substantial challenges. Eventually people require support from home careworkers with the vital and personal tasks that take place in the bathroom: toileting and bathing. However, residential bathrooms are often small and not designed to accommodate a care recipient, care worker, and mobility aids such as a walker or wheelchair. There is a growing need to update residential bathrooms to meet the evolving needs of older residents. Although there exist several aids and assistive devices intended to facilitate bathroom tasks, this can be hard for users and caregivers to navigate. This project was undertaken as part of a larger study funded by AFA Försäkring. The goal of this portion was to develop an inventory of currently-available bathroom assistance devices for use by residents and their family members, health care organizations, insurance agencies, and other stakeholders. The primary research question was: What type of bathroom assistive devices are currently available, either commercially or in prototype form, intended to assist users with the tasks of toileting, bathing, and handwashing?MethodologyThe primary method was web search and document review across several domains: regulations, assistive devices, and residential bathroom renovation examples. The first set of searches investigated the legislation and guidelines on bathroom design both for residential and healthcare settings; consistent and conflicting specifications were noted. The second set of searches was for assistive devices that could be used to facilitate bathing and toileting tasks in residential bathrooms. Examples of renovated residential bathrooms were solicited through authors’ networks.ResultsWhen it came to guidelines and specifications for bathroom design, there was substantial tension between the regulations set out by the Swedish Work Environment Authority and the National Board of Housing, Building and Planning. The inventory includes images of assistive devices as well as their main features: target task (bathing, toileting, personal care, handwashing), dimensions, weight ratings, colors, materials, store, website address, accessibility, and price. Documented assistive device categories include shower benches, toilet aids, support handles, showers, washbasins, taps, alarm buttons, contrast marks, and others, with approximately 20 examples for each.ConclusionsThis project developed an inventory of currently-available bathroom assistance devices, intended to inform users’ selection of devices for growing care needs in realistic (i.e. nonideal) settings. However, it is not the intention for the inventory represent an assessmentof the quality, safety, effectiveness, or usability of the devices. While it is hoped this list will represent the variety of available devices, it is also not intended to be exhaustive. Together with an introduction that includes the examples of renovated bathrooms, the inventory will be disseminated as a searchable web-based resource.
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