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COMMUNICATING RISK ASSESSMENT

COMMUNICATING RISK ASSESSMENT. LEARNING FROM LEONARDO. COMMUNICATING RISK ASESSMENT. A TEACHING PACKAGE FOR HEALTHCARE WORKERS. John Harrison Department of Environmental & Occupational Medicine University of Newcastle United Kingdom. Giuliano Franco Cattedra di Medicina del Lavoro

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COMMUNICATING RISK ASSESSMENT

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  1. COMMUNICATING RISK ASSESSMENT LEARNING FROM LEONARDO

  2. COMMUNICATING RISK ASESSMENT A TEACHING PACKAGE FOR HEALTHCARE WORKERS

  3. John Harrison Department of Environmental & Occupational Medicine University of Newcastle United Kingdom

  4. Giuliano Franco Cattedra di Medicina del Lavoro Dipartimento di Medicina Interna Universita di Modena e Reggio Emilia Italia

  5. OUTLINE • BACKGROUND TO THE “VIRTUAL HOSPITAL” • USE OF THE VIRTUAL HOSPITAL WEB SITE TO DEVELOP A TEACHING PACKAGE FOR HEALTHCARE WORKERS • FURTHER INTERACTION WITH THE “VIRTUAL HOSPITAL”

  6. An Internet website for discovering semantic relationships among jobs, hazards and risk prevention in health care settings Franco G, Pezzuto E, Fracchia G. Chair of Occupational Medicine, Occupational Health Service, University of Modena, Italy Nasi D, Fontana G. Centro Interdipartimentale di Calcolo Automatico e Informatica Applicata, University of Modena (Italy)

  7. Introduction • For a long time hospitals have been considered places designed to make diagnosis and treatment rather than working places • Hospitals are complex organisations with a workforce filling more than one hundred jobs exposed to a variety of hazards.

  8. Aim • To implement the Internet-based hypertext “Virtual Hospital” (VH), whose English version is accessible athttp://www.medlav.unimo.it/ov/eindex.htm • VH has been conceived with the aim of promoting workers’ awareness on the need of correct behaviour, assuming that knowledge of working activities and risk prevention are strictly linked.

  9. Content • The VH deals with health care settings activities, allowing the recognition of working situations at risk and the approach to preventive measures. • The VH includes 4 main areas: • the working environment, • the working activities, • the hazards, • the prevention.

  10. Information organisation • The VH includes both structured and unstructured pieces of information (text, bit-mapped images, graphics, videos) • Pieces of information of each area are embodied in “nodes” and are conceptually linked to consistent “nodes” of the other areas. • The elements are contained in a relational database and are managed by a software engine allowing the creation of the pages according to the appropriate relationship.

  11. Discovering semantic relationship between concepts • The informative elements can be accessed and added to the user’s knowledge, allowing • the discovery of the appropriate links • providing the awareness of the semantic relationship between the conceptually related information elements established according to the expert’s view. • Further information can be accessed by linkage with other appropriate web sites.

  12. Conclusion • Prevention of health risks is based upon their knowledge. • The VH is assumed to be a tool capable of making the • understanding of the working situations at risk easier and more interesting, • stimulating the awareness of the relationship between jobs and risks • offering preventive solutions to assure behavioural changes.

  13. Home Page Environment Environment Description List of Activities Activities Description List of Hazards and Risks Risks Description Prevention

  14. Home Page Environment Activities Risks Prevention

  15. THE TEACHING PACKAGE • OUTLINE OF CONCEPT • PILOT STUDY • PRESENTATION OF PROGRAMME • SMALL PILOT STUDY

  16. THE CONCEPT

  17. SELECTING GROUPS • CLINICAL WARDS • 13 TOPIC PAGES (HAZARDS & RISKS) • CHEMICAL, BIOLOGICAL, PHYSICAL, ERGONOMIC • ADMININISTRATIVE OFFICES • 10 TOPIC PAGES (HAZARDS & RISKS) • ERGONOMIC, CHEMICAL, INDOOR AIR QUALITY, STRESS

  18. QUESTION SHOULD TEACHING GROUPS BE UNI-PROFESSIONAL?

  19. TEACHING PACKAGE • OBJECTIVES • TO PROVIDE KNOWLEDGE TO WORKERS OF HAZARDS AND RISKS TO HEALTH ASSOCIATED WITH THEIR WORK ACTIVITY AND WORK ENVIRONMENT

  20. TEACHING PACKAGE • OBJECTIVES • TO PROVIDE KNOWLEDGE TO WORKERS ON PREVENTIVE ACTION TO BE TAKEN TO PROTECT THEM FROM IDENTIFIED WORKPLACE HAZARDS

  21. TEACHING PACKAGE • OBJECTIVES • TO FACILITATE THE DEVELOPMENT OF DECISION-MAKING PROCESSES BY WORKERS LEADING TO THE APPROPRIATE CHOICE OF PREVENTIVE ACTION FOR A PARTICULAR WORKPLACE HAZARD

  22. TEACHING PACKAGE • OBJECTIVES • TO INTRODUCE THE USE OF HYPERTEXT INFORMATION SOURCES AND INTERNET-BASED INFORMATION SOURCES AS PART OF ROUTINE HEALTH AND SAFETY MANAGEMENT

  23. THE PROGRAMME • LECTURE/DEMONSTRATION(30 MINUTES) • THE EXERCISE(30 MINUTES) • DISCUSSION AND FEEDBACK(30 MINUTES) • EVALUATION

  24. NAVIGATING THE SITE

  25. TASK 1 Visit the 4 main pages by clicking on the buttons (Left button of mouse). Return to the home page by clicking on the “back” button, or the “home” button at the top right-hand corner of the page. QUESTION: Define the terms hazard and risk. Define the three levels of prevention. HAZARD RISK PREVENTION VIRTUAL HOSPITAL

  26. TASK 2 Select the ENVIRONMENT and ACTIVITIES relevant to your job. ENVIRONMENT ACTIVITES VIRTUAL HOSPITAL

  27. TASK 3 Note the list of hazards and risk factors for each of the activities you have chosen, and the associated preventive measures. Choose the hazards that YOU think are relevant to your job and make a note of them. HAZARDS

  28. TASK 4 Study of a selected HAZARD. Choose a hazard from your list. E.G. For SEWAGE AND WASTE MANAGEMENT you might selectHOSPITAL TREATED WASTE Read the text describing the hazard

  29. TASK 4 NOTE WHERE DOES THE HAZARD EXIST IN THE HOSPITAL?HOW CAN IT AFFECT YOU? Now go to the prevention information (Click on the PREVENTION button at the BOTTOM of the page) LIST THE PREVENTIVE MEASURES TO BE TAKEN TO CONTROL THE RISK OF EXPOSURE TO THIS HAZARD

  30. TASK 5 Using the same approach as in task 4, analyse the other HAZARDS and RISKS that you have identified for your work activities. Use the “What”, “Where” and “How” technique: WHAT is the hazard? WHERE is it found? HOW can it effect me?

  31. TASK 6 Now carry out a full risk assessment of YOUR job. You will present your results to the group, in the plenary session, at the end of this exercise. Your assessment should include PROPOSALS to make any changes necessary to PREVENT the occurrence of ill health at work.

  32. PILOT STUDY PARTICIPANTS 4 FEMALE STAFF: ADMIN. & CLERICAL TIME IN POST: 1.5; 5; 14 YEARS; 5 WEEKS EDUCATION: UNIVERSITY DEGREE CERTIFICATE LEVEL (FE) HEALTH & SAFETY TRAINING: NONE

  33. PILOT STUDY

  34. PILOT STUDY

  35. POSITIVE COMMENTS • TITLES STRAIGHTFORWARD • ADDITIONAL INFORMATION, IF REQUIRED • RAISED AWARENESS OF HAZARDS ETC. BY WRITING INFORMATION DOWN

  36. IMPROVEMENTS • REDUCE REPETITION IN EXERCISE • EXPLANATION OF MEDICAL TERMS • MAKE MORE VISUALLY APPEALING • SHORTER PARAGRAPHS • USE TABLES • EXTEND THE EXERCISE • MORE SPACE ON EXERCISE SHEET

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