A Study of Leading Indicators for Occupational Health and Safety Management Systems in Healthcare

A Study of Leading Indicators for Occupational Health and Safety Management Systems in Healthcare

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Study Phases

The study will be implemented in three phases:

Phase I - Assessment and Intervention Development
Semi-structured interviews with members of the administrative and occupational health and safety (OHS) teams will be used to assess current OHSMSs and leading indicators in the participating hospitals.  Using the template of key leading indicators identified by Bennett and Foster (2005), questions have been developed based on the corresponding element found in the Ontario Safety Association for Community and Healthcare (OSACH) (2009) Assessment Tool.  Participants will also be asked to provide copies of documentation, such as minutes, messages, examples of each indicator to support their answers.  In addition, potential facilitators and barriers to changing the current OHS system will also be examined.  The information obtained from the interviews and documents will then be assessed to identify gaps and potential areas for the intervention. Phase I will conclude with the development of a tailored intervention designed to support optimizing current OHSMSs in participating hospitals, based on identified gaps. 
To evaluate the effectiveness of the tailored intervention, survey and administrative data will be collected at the beginning of Phase I, and near the end of phase II. Administrative data will include information on Absenteeism, Workers Compensation Composite, Manager/Supervisor Training, and Training & Professional Development. The Health and Safety Climate Assessment Tool Section 1, developed by PSHSA, will be used to assess the safety climate at each participating site. Surveys will be distributed to all employees and physicians to assess for overall changes pre- and post-intervention.
Bennett, J., & Foster, P. (2005). Predicting progress: The use of leading indicators in occupational health and safety. Policy and Practice in Health and Safety, 3(2), 77-90.Retrieved from? http://www.tandfonline.com/doi/abs/10.1080/14774003.2005.11667663
Bauman, A., Holness, L., Idriss, D., Norman, P., & Seren, S. (2009). A pilot project to evaluate the Health and Safety Management System (HSMS) developed by the Ontario Safety Association for Community and Healthcare (OSACH). Health Human Resource Series, (11). Retrieved from: http://tools.hhr-rhs.ca/index.php?option=com_mtree&task=att_download&lin...
 
 
Phase II - Implementation and Evaluation
Phase II will pilot test and evaluate the tailored intervention.  The tailored intervention will be implemented then monitored over 12 months. The intervention will deliver various elements of the leading indicators to each participating hospital; however the elements will vary depending on what has been identified as gaps, facilitators and barriers in phase I. 
Semi-structured interviews will be used to assess the feasibility and acceptability of the intervention. In order to assess the effectiveness of the intervention, survey and administrative data will be repeated at the end of the intervention. Surveys will be distributed to all employees and physicians to assess for overall changes pre- and post-intervention
 
Phase III - One-Day Symposium
A final one-day symposium will be held in Kingston with all team members and knowledge users across Ontario in April 2018 to present the study results and ensure the results are made available to all healthcare organizations and future government initiatives.