Journal of Health and Safety at Work

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Introduction: Provision of high quality nursing care for patients, has made patient safety culture as an important issue for improving the quality of health care in the country. This study aimed to determine the relationship between nurses’ job satisfaction and patient safety culture in hospitals of Rasht city, Iran.

Material and Method: This research is a descriptive-analytical, cross-sectional, and field data collection study. Nurses working in public and private hospitals in Rasht City comprised the study population, of whom 322 subjects were selected randomly as the study sample. The Wakefield questionnaire and the Agency for Healthcare Research and Quality questionnaire were employed to investigate nurses’ job satisfaction and patient safety culture, respectively. The Pearson correlation coefficient was used for statistical hypothesis testing, employing SPSS software version 19.

Result: The results showed that according to the respondents’ viewpoints, scores of job satisfaction (Mean(SD):3.59±0.68) and patient safety culture (Mean(SD):54/0±31/3) Rasht city hospitals were at the average level. Furthermore, there was a significant direct relationship between nurses’ job satisfaction and patient safety culture with the correlation coefficient of 0.643 at the 0.01 level of significance.

Conclusion: According to the findings, it is necessary to improve study nurses’ job satisfaction and patient safety culture. Moreover, according to statistical correlation between research variables, increasing nurses’ job satisfaction results in improvement of patient safety culture.

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Introduction: Positive safety attitude of employees is directly associated with workplace safety, and it can decrease occupational accidents through increasing the number of safety acts. Assessment of employees’ safety attitude in workplaces can be more helpful to identify underlying causes of unsafe acts. The main aim of this study was to assess safety attitude and its’ relationship with different personal and occupational variables in a number of manufacturing companies, located in Urmia City, Iran.  

Material and Method: In this study, the safety attitude of 194 employees was measured in 9 manufacturing companies using a questionnaire with acceptable validity and reliability. The questionnaire consisted of two parts: participants’ personal and job related information, as well as 46 safety attitude related questions. The questions of safety attitude was measured using a five-point Likert scale in form of ten main aspects. 
 
Result: The results indicated that majority of participants (78.9 %) had a moderate safety attitude level and the mean (±SD) score of total safety attitude was 3.19 (±0.25). “Commitment to safety and participation in safety activities” and “safety talk and risk information communication” obtained the highest and lowest scores of safety attitude factors, with mean (SD) of 3.97(±0.52) and 2.53(±0.58), respectively. In addition, the participants from private companies showed a better safety attitude than those of governmental companies (P-value<0.05). Managers and workers, who had previously received safety training, reported a different attitude toward various factors of safety attitude, in comparison with untrained groups.

Conclusion: Since the majority of participants had a moderate safety attitude, this research suggests the study companies to attempt in order to increase the quantity and quality of safety training courses, as well as safety communication of managers and supervisors with workers for improving their attitude toward safety and subsequently decreasing occupational accidents.

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Introduction: Annually, many accidents and preventable events happen for the patients hospitalized in treatment centers. Therefore, the related causing factors should be recognized in order to reduce the medical errors. Accordingly, the present study aimed to assess the relationship between patient’s safety culture elements and medical errors and also the ways to tackle them.

Material and Method: This cross-sectional study was conducted among 380 employees working in the education and treatment centers affiliated with Kermanshah University of Medical Sciences in 2015. The hospital version of patient safety culture questionnaire was used for data collection. Data were analyzed by SPSS software, version 19 using different statistical tests including multivariate analysis of variance and Pearson’s correlation.

Result: The patient safety culture was at an undesirable level in the study centers. Of the elements related to safety culture, the lowest positive scores belonged to ‘issues related to employees’, and ‘reporting’ with scores of 23% and 26%, respectively. On the other hand, ‘team working in the organizations’ (59%) and ‘organizational learning’ (57%) obtained the highest positive scores. Fifty-eight percent of the respondents did not report any errors.

Conclusion: The results of present study emphasize on creating a desirable organizational atmosphere, the need for staff participation in various levels of decision making, and creating the culture of reporting errors in order to recognize the causing factors and to promote patient safety culture.

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Introduction: Safety in construction needs not only operating the executive laws and instructions but also the safety culture of all the workers in workshops. Safety culture is a factor by which all the workers are committed to having a positive share in the safety of their coworkers and themselves. Therefore, the aim of this study is identification of safety culture factors and ranking occupations in jobsites in order to improve the safety condition and promote the safety culture of high-rise projects.

Material and Method: In this descriptive-analytical study, first, safety culture criteria in construction projects are identified by a literature review. Then, 8 factors of safety culture are weighted using fuzzy analytic hierarchy process. Finally, 10 different occupations in high-rise workshops are ranked from the point of view of safety culture using fuzzy TOPSIS method.  

Result: Results of ranking the criteria show that the most important criteria are safety attitude, supervision, policy of organization and safety training. Moreover, in high-rise construction the site superintendent and supervisor occupations have the highest and laborers have the lowest safety culture.

Conclusion: In this study, after evaluating different construction occupations by hybrid FTOPSIS-FAHP method, the results are compared with the results of previous researches. Here, it was found that the findings are consistent with previous studies. On the other hand, low level of safety culture of construction laborers among the investigated occupations shows weakness in safety training and attitude; hence, the factors such as more safety supervision and training must be considered in order to create a positive safety culture for the workers.

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Introduction: Population growth and urban fast development caused increase production of all kinds of solid waste. And, street sweepers are exposed to a variety of risks and toxins by nature of their job for actual and potential. The aim of this study was to identify and to assess the risk factors of accidents and diseases threatening the health and lives of street sweepers in Tabriz city, Iran, and to propose practical solutions to control and remove them in order to promote health and safety and better efficiency.

Material and Method: This study is a descriptive-analytical type, which was conducted over a period of three months in 1393 among 150 street sweepers working in five city areas (areas 2, 5, 6, 7 and 9) of Tabriz. Data was collected through customized questionnaire. Content validity of the questionnaire was performed in the form of quality using a panel of experts and reliability through Cronbach’s alpha. Data after collecting were analyzed by SPSS-16software.

Result: The results showed that 48/7% of people have experienced at least one incident in the past two years. Records of disease showed that back pain with 20/7% and then skin problems whit 7/10% whit highest prevalence and kidney/bladder disease and thyroid whit 0/7% had lowest incidence. Musculoskeletal disorders symptoms percent have, respectively, in the hands, waist, legs highest and in elbow and knee least amount. Research findings showed that 50/70% of the study population, with a mean score of 168/82 have poor health and safety conditions, 21/71% of people have moderate condition and 81/26% of people have unfavorable condition. Among the components of health and safety respectively, components of clothes and other personal protective equipment and psychological problems with a high percentage of 80 percent, one of the most undesirable components of safety and health and components of periodic medical examinations and safety and health training programs were desirable.

Conclusion: The results showed that more than half of street sweepers (70/50%) had undesirable health and safety condition. Shortages or lack of use of personal protective equipment and psychological problems among these workers was evident more than other issues and need for substantial measures in this regard

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Introduction: Application of inherently safety principle in the early phase of the design process is very efficient, as this approach is an economic and high efficiency method. While a complete information is not available in the initial phases of the process, the use of valid index to evaluate inherently safety can be efficient. In this case, the best route to design safer process can be selected by comparing the quantitative results.

Material and Method: The comprehensive index to evaluate the inherently safety design (ISD) and cost evaluation of the implementing inherently safety design (ISDC) were studied using a three-step hierarchical matrix screening in this research. Utilizing the proposed inherently safety index, Acetic acid production process and cost resulting from ISD were evaluated. Dimensions of the Matrix for ISD and ISDC included: 1) quadrature inherently safety design vector, 2) location vector of inherently safety design and 3) quantity parameter vector of inherently safety design.

Result: In order to optimize the implementation of inherently safety design and its cost, three hypotheses were used. From them, the idea of using two processes with half capacity and also using 50% Methanol were selected as a design with the highest level of inherently safety and a design with the lowest-cost process, respectively.

Conclusion: In these evalustions the total score for the assumptions of the inherently safety index 1, 2 and 3, were 55,70 and 135, respectively. And the total cost assumptions 1, 2 and 3, have been estimated 858,000, 746,000 and 803,000 US dollars, respectively. Therefore, this tool could show the impact of various scenarios in inherently safety design and also the contrast between the four principles of ISD and its impact on safety and cost factors can be analyzed using an alternative system supplier of methanol.

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Introduction: Despite the ongoing efforts to reduce human errors in various systems, errors and unsafe behavior are the main cause of accidents in the workplace. Many studies have been conducted to identify and improve human error in recent years. The number of studies about the human error with the variety of topics has made it an overall overview difficult for researchers. Therefore, a systematic review of previous studies can be the best way to share useful findings and make a trend for the future research in the field of human error.

Material and Method: After a systematic search of valid databases, the analysis was focused on the title, publication year, journal title / Congress, city/region, the level of organization, job search, type of organization and the methods used. And articles were evaluated based encryption.

Result: Three groups of human error studies were identified. The first group studies in safety management, safety assessment, and safety planning have investigated the human error. The second group has examined the influence of individual characteristics such as behavior, cognition, and education on human error. The third group has focused on data arise from the previous accident to improve behavior and reduce human error. To make a better orientation for next studies two essential aspects included chronological analysis and thematic analysis was considered.

Conclusion: This study made an attempt to identify the gaps in the studies related to human error and afford some appropriate strategies.

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Introduction: The Surgical Safety Checklist has been introduced by the World Health Organization (WHO) as a tool for reducing medical errors. Reviewing the results of the checklist application indicates significant reduction in mortality and complications in surgery. Thus, this study aimed to customize and validate surgical safety checklist in order to complying with the surgical protocol in Iran.
 

Material and Method: In this cross-sectional and descriptive study, the WHO Safety Surgery Checklist was first translated. Next, through interviews with specialists and direct observation of activities, those tasks that were susceptible to the incident, identified, prioritized and analyzed using Hierarchical Task Analysis (HTA) and the results presented in form of HTA charts. Then, using Tabulate Task Analysis (TTA) and based on the recommendation and modification commented by expert panel, some questions added to the checklist and a customized version of the Surgical Safety Checklist was provided.  Hence, the faced validity, content validity and reliability of the checklist have been evaluated.
 

Result: In the surgery, four major tasks identified for analyzing using the HTA chart. Accordingly, 41 subtasks obtained and analyzed by TTA. The Lavashe method was used to determine the content validity ratio (CVR) and the content validity index (CVI). The question from the checklist, in which, CVI was less than 0.79, modified and replaced with appropriate question. Also, the scores for 3 questions were less than 0.49, and they were removed from the checklist due to the low CVR score. In the reliability assessment, the intra-observer method is used, and the Kappa coefficient obtained was acceptable and it was higher than 0.6, which confirmed the validity of the checklist.
 

Conclusion: In this study, the surgical safety checklist customized in terms of content validity and reliability, in a field study. Considering the compliance of the checklist items with the surgical protocol in Iran, we hope to use it to improve the quality of teamwork and reduce the complications and mortality caused by surgical errors

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Introduction: Risk assessment is a main tool in safety management process as it can help managers to choose corrective actions by providing appropriate information. The purpose of this paper was to select the optimal corrective actions among the proposed ones by the experts based on mathematical modeling, taking into account the standards and also the limitations including the cost.

Material and Method: In this paper, a model was presented to find the optimal corrective actions regarding the organization goals (maximum in risk reduction value) and the limitations such as cost and level of acceptable risk. Due to extensive number of solutions, Genetic Algorithm (GA) is used for solving the problem.

Result: To show the capability of this method in an industrial environment, a power generation industry with 40 hazards was considered as the case study. Then, the risk of hazards was estimated and corrective actions were determined for each of them. Using the proposed model, corrective actions were selected optimally, with the least possible cost; all risks were reduced below the level of organizational acceptable risk.

Conclusion: It was shown that the optimal corrective actions using mathematical modeling are selected with high precision in acceptable time. This method is suggested as an alternative for conventional qualitative methods based on expert’s opinions.

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Introduction: Examining the effect of bus drivers’ demographic characteristics as well as workplace conditions on their traffic behavior and performance is important not only for drivers’ health and safety, but also for the safety of bus passengers. The aim of this study was to investigate the relationship between demographic variables and work shift schedule on the behaviors pertaining to “hazard monitoring”, “relax driving”, “fatigue proneness”, and “thrill seeking” among intercity bus drivers.

Material and Method: In this cross-sectional study a sample of 321 bus drivers were randomly selected from Tehran intercity bus terminals. The BDRI questionnaire was used to collect data. The Pearson’s correlation coefficient and the ANOVA and Tukey’s HSD tests were used to analyze the data.

Result: In general, the findings showed that age, driving experience and rest time period positively correlate to lower fatigue, lower thrill seeking and more relaxed driving. Drivers with higher vehicle age were found to perform worse than others in hazard monitoring and to be more prone to the stress and fatigue. Also, fatigue and relaxed driving were significantly related to the marital status and cigarette usage. In addition, drivers who were college graduate or above were found to perform worse than other drivers considering all of the four factors. Furthermore, those who drive in mountainous routes were found to perform worse than other drivers in hazard monitoring and fatigue proneness.

Conclusion: Since the age and driving experience were found to influence fatigue proneness, hazard monitoring and relaxed driving, thus, setting up specific training courses for different driver age groups aiming to enhance their awareness concerning on managing these factors might help drivers improve their performance in these factors. Furthermore, regarding the effect of rest period and route type on the drivers’ fatigue and hazard monitoring ability, appropriate regulations are needed to mitigate the effect of these factors on the performance of drivers.

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Introduction: Safety at workplaces is an important issue, and lack of effective and efficient safety management methods based on scientific studies could cost the construction industry. An effective accident investigation and root causes analysis could prevent the occurrence of incidents at minimum cost and time.
Material and Method: First, major accidents in road construction projects were identified by interview and literature reviewing techniques. Then, fault tree was drawn for each main risks. In the next step, in order to calculate occurrence probability and severity of each accident type, a questionnaire was designed and distributed among the participants. Fuzzy logic was employed in calculations, due to the existence of uncertainty in linguistic variables. Fuzzy Fault Tree Analysis (FFTA) was used for calculating the occurrence probability, and importance of each criterion was determined using Fuzzy Analytical Hierarchical Process (FAHP) to calculate the severity of each accident. Finally, risk factors for each accident type was calculated and the risks were ranked accordingly.
Result: Accidents related to crusher and asphalt plant, traffic accidents, heat exhaustion and lack of hygiene and hit by machinery were identified as the most important risks among the eleven investigated accident types.
Conclusion: The findings in this research and also implementing effective safety management techniques, could be helpful on reduction of the probability of accidents root causes and to mitigate related risks.

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Introduction: Todays, the improvement and optimization of the safety performance are essential and important for control and prevention of accidents in the industry. The purpose of this research was to assist a hybrid cycle power plant for identification and prioritization of the influencing factors in enhancing safety in order to reduce risks and to improve system performance.  
Material and Methods: In this descriptive-analytical study, influencing factors were classified within three main categories of human, equipment, and managment, and 14 sub-factors was screened and selected by experts using Fuzzy Delphi method. Then, fuzzy DEMATEL method was adopted to determine the relationships, the intensity of affecting and being affected factors, and the analytical network process method for weighting and prioritization the factors.
Results: The findings of the fuzzy DEMATEL method showed that “Managerial”, “equipment” and “human” factors are respectively influencing factors on the improvement of safety performance. “Managerial factors” is the most influencing and “Human factors” is the most influenced one. Based on the results of fuzzy analysis network process method, “human factors” is the first priority among the main factors, and “employee motivation”, “system of control and prevention”, “work team spirit”, “individual skills” and “Individual protection equipment” sub-factors are respectively the first to fifth priorities were according to their weight.
Conclusion: “Human factors” re the most influenced factor and the main problem of the organization, which can be improved by the most influencing “managerial” factor. The success or failure of the safety performance in the power plant depends on better management of the “human factors” and managers need to motivate employees to improve safety performance.

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Introduction: Throughout the world, many efforts have been made to provide suitable tools for achieving sustainable urban development and the achievement of a sustainable city. Establishing a Health, Safety and Environment Management System (HSE-MS) is one of the tools for achieving sustainable urban development. Measuring the performance of an organization in the HSE area is a precondition for continuous improvement, which is the spirit of the new HSE management systems. Therefore, the main purpose of this research was to provide a practical model for quantitative ranking of different areas of Tehran municipality in terms of HSE performance with using of multi-criteria decision-making method.  
Material and Methods: In this descriptive-applied study, after determining functional axis and performance evaluation indicators related to each of them (29 functional axis and 154 performance evaluation indicators), through designing a questionnaire and based on the views of the expert group, weight of functional axis and performance indicators were determined using a hierarchical process analysis technique.
Results:  In this study, the weighted value for functional axis of the process based HSE in comparison to the result based HSE were higher. “Commitment and Leadership” and “HSE Certificate of Occupations” for the process based HSE, “Safety” and “Health” for the result based HSE, and “Economic Sustainability” and “Architecture and Urbanism” for urban management had the higher and lowest weighted values.
Conclusion: The results of assessment and validation of selected indicators and functional axis showed that in designing and determining the HSE performance assessment model of municipalities, in addition to the axises and indicators of the HSE domain, factors affecting urban management can have a significant impact on the performance of municipalities in the field of HSE.

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Introduction: Patients’ safety culture indicates the extent to which the staffs prioritize the safety of patients. In medical centers, it is very important to pay attention to the patients’safety. Hence, the patients’safety culture should be examined and improved. One of the factors which lead to the improved patients’ safety culture is structural empowerment. Structural empowerment refers to adjusting workplace structures by managers and facilitating the staffs’ access to organizational facilities. In other words, structural empowerment refers to the staffs’ access to four environmental factors (i.e., opportunity, information, support, and resources) in the organization. The objective of the present study was to investigate the relationship between the dimensions of structural empowerment and patients’ safety culture.
Material and method: The current study was descriptive-correlational research method, and the population included all staffs (i.e., 275 individuals) in the nursing department of a public hospital in Ahvaz. The research sample included 221 staffs who were selected through stratified random sampling. The data were collected through standardized tools, including Effective Working Conditions (the second version), and Patients’ Safety Culture in Hospitals questionnaires. The reliability of the questionnaires was examined through Cronbach’s alpha. Pearson correlation coefficient, multiple regression analysis (simultaneous method) and one-way analysis of variance were used to analyze the data through SPSS software, version 16.
Results: The dimensions of opportunity, support and resources have a positive and significant relationship with the patients’ safety culture. However, the information dimension is not significantly related to the patients’ safety culture. The results of multiple regression analysis showed that the dimensions of structural empowerment predict 59% of the variance of the patients’ safety culture, and from among all dimensions of structural empowerment, opportunity and information in the model do not have a significant effect on the patients’ safety culture. In addition, support and resources are the most important predictors of the criterion variables. The results of one-way analysis of variance showed that the score of safety culture among the midwives has the highest value, and the lowest value is attributed to the sitters. In other words, midwives pay more attention to the safety of patients and patients’ safety culture.
Conclusion: Structural empowerment is one of the factors affecting patients’ safety culture which increases patients’ safety. Focusing on structural empowerment improves patients’ safety culture because when the staffs are structurally empowered, their accuracy and performance would improve, and they would provide more safe services to the patients. Therefore, hospital managers are advised to pay attention to the issue  of structural empowerment in order to strengthen the patients’ safety culture, and to provide the necessary training and equipment to improve the structural empowerment of their staffs, especially nurses.

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Introduction: Occupational health is one of the important issues that can affect productivity and economic development of an organization. This study aimed to determine the effect of didactic interventional Ergonomic-Safety program on workers’ productivity of an assembling industry.
Methods and Materials: This interventional study was conducted on 54 workers of assembling part of an electronic industry. Firstly, QEC method was used for Ergonomic assessment of work place and Hersey-Goldsmith questionnaire was applied for assessment of productivity. Then a comprehensive program was provided using findings of first stage assessment and identifying of existing failures. Second assessment of Ergonomic condition and productivity was done again by using QEC method and Hersey-Goldsmith questionnaire within three month of interventions. Data was analyzed by using of R software.
Results: Mean total productivity score and mean whole body score of QEC were 75.24 and 99.40 in before intervention phase respectively. In after intervention phase, Mean total productivity score and mean whole body score of QEC were 80.16 and 97.92 respectively. Data analysis by paired-samples t-test shows that difference of productivity score in before and after intervention phase was significant (P-value˂0.05). But difference of whole body score of QEC score in before and after intervention phase was not significant (P-value>0.05).
Conclusion: Accomplishment of Ergonomic-Safety intervention had a positive effect on productivity score whereas had not significant effect on general condition of body limbs.

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Introduction: Safety is a significant part of the public transportation. Suitable safety climate has a positive effect on safety performance and reduces accidents rate. The aim of this study was investigating safety climate status of Tehran subway drivers in 2013.
Material and method:  The present study was a descriptive and cross-sectional study. In this study, statistical population was all drivers of 1, 2 and 4 lines of Tehran Urban & Suburban Railway Operation company. Also, a questionnaire arranged by one of our researcher was used to collect demographics data of subjects. Safety climate was also investigated using standard Vinod Kumar's questionnaire. Data were analyzed by descriptive statistics and T-Student and ANOVA tests using SPSS21 software.
Results: Overall, 293 questionnaires were analyzed. Among the participants, 38.8% were line 1 derivers, 31.1% line 2 drivers and 33.1% line 4 drivers. The mean and standard deviation of the safety climate was 146.53±49.44, which is less than 147 (median). The results indicated that safety climate had a relation with the age group and education levels (P<0.01), while had no significant relationship with the deriving experience, and also marital status (P>0.05).
Conclusion: Safety climate status among subway drivers is not desirable. Among the various factors, commitment and performance of management in the safety area had the weakest status. Strengthening the structure of the health, Safety and Environment (HSE) management system in the Tehran Urban and Suburban Railway Operation company can enhance the level of safety climate among staff of this organization.

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Introduction: The world is currently facing an all-out crisis over the coronavirus disease 2019 (COVID-19). This review study aimed to determine the applications of the assistive intelligent technologies of the Fourth Industrial Revolution (Industry 4.0) in occupational safety and health (OSH) and response to COVID-19.
Material and Methods: The given review was carried out from May to June 2020 and the search strategy was fulfilled in the databases of Google Scholar, PubMed, and Scopus. The keywords were collected from the Medical Subject Headings (MeSH) database and searched individually or in combination. Accordingly, the articles with the term “COVID-19” in their titles or abstracts and some other keywords such as “smart hospital, Industry 4.0, or intelligent technology” were selected and reviewed. Next, the titles, abstracts, and keywords of these studies were examined. To augment the sensitivity of the search, the keywords and the references of the selected articles were also surveyed. Then, the related studies were separated from the irrelevant ones and the duplicates were removed. Finally, the full texts of the selected articles were reviewed.
Results: In this resepct, a total number of 175 studies, published in the databases of Google Scholar, PubMed, and Scopus in 2020 were retrieved. According to the inclusion and exclusion criteria and qualitative screening, 30 articles were included in this review. The assistive intelligent technologies such as artificial intelligence (AI), the internet of things (IoT), big data, virtual reality (VR), holography, cloud computing, autonomous robots (autorobots), three-dimensional (3D) scanning, 3D printing, and biosensors were established as useful ones to respond to COVID-19. In addition, AI and autorobots could be the most significant technologies of Industry 4.0 in the incoming articles.
Conclusion: These technologies can thus help governments to identify, track, monitor, and treat patients and increase resilience in society and workplace environments during the COVID-19 pandemic.

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Introduction: Road traffic accidents (RTAs) have always a major concern and human factor has been recognized as their leading cause. Since taxi drivers play a significant role in accidents, the main purpose of this study was to provide a valid and reliable version of the Dula Dangerous Driving Index (3DI) for taxi drivers working in the city of Zanjan, Iran.
Material and Methods: Based on the convenience sampling method, 316 taxi (including taxi, internet taxi, etc.) drivers were recruited in this descriptive study. The 3DI contained 28 items within three factors related to dangerous driving behavior. After linguistic validation, qualitative and quantitative face validity was determined for the given questionnaire. Consequently, content validity index (CVI) and content validity ratio (CVR) were assessed by a panel of 10 experts. Internal reliability was further calculated based on Cronbach’s alpha coefficient and test-retest method.
Results: The results revealed that face validity (1.60-3.82.), CVR (0.8-1), and CVI (0.891-1) were acceptable. Cronbach’s alpha coefficient was also 0.896 for the total reliability of the instrument and 0.95, 0.89, and 0.94 for each factor, respectively. In addition, Spearman’s rank correlation coefficient was 0.871 (P-value<0.001).
Conclusion: The results ultimately demonstrated that the Persian version of the 3DI had adequate reliability, as well as, face and content validity. However, construct validity remains.

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Introduction: Assessing health, safety, and environment (HSE) performance based on up-to-date analytical models like resilience engineering, especially in automobile manufacturing companies, affected by the trilogy of HSE factors and functions, is of crucial importance. Therefore, this study was to review the factors effectively involved in HSE management performance assessment based on resilience engineering in automobile manufacturing industries.
Material and Methods: To collect and classify the data, many relevant articles and procedures published in journals or presented at seminars were researched and cited. In this study, reliable online databases, including Google Scholar, Web of Science, Scopus, and PubMed were searched to meet this purpose. Other databases in Farsi such as Magiran, CIVILICA, and Scientific Information Database (SID) were also employed. Accordingly, a total number of 211 articles were extracted and filtered in terms of content and topic by a team of four HSE senior experts, whereby irrelevant studies were deleted, the full text of each relevant article was more closely considered, and finally 18 studies were selected and thoroughly examined.
Results: The findings from these 18 articles revealed that the HSE would be influenced in various industries by factors such as organizational culture, learning and training, political-economic variables, workforce qualifications and skills, strategic and large-scale programs of organization plus its assets and financial resources. In automobile manufacturing industries as well, circumstances might emerge because of some extra-organizational threats and intra-organizational weaknesses, whereby the appearance of deficiencies in various processes and even the functions of the HSE as a whole would be impaired. Of the many external factors, one could mention economic sanctions, large-scale socioeconomic problems, and lack of materials and production equipment. The internal problems would also range from production reduction and cuts in budgets earmarked for different management departments to a rise in the number of accidents and diseases, soaring medical treatment costs, as well as growing expectations in employees, which together impact the HSE management performance.
Conclusion: Regarding the studies conducted on various models presented so far in the area of resilience, it was concluded that the HSE performance of organizations intended to prevent and control risk factors were by no means distinct from other management factors and strategic decision-making in an organization. Rather, the HSE indicators could be impacted by many extra- and intra-organizational factors. Based on the models surveyed, it would be essential to consider the concept of resilience in HSE management. The reason for this is that the idea of the HSE would appear to be an issue of less virtue and importance in various stages and situations in the lifecycle of an organization, which is not consistent with the HSE management system and does not keep pace with the influencing factors.