Journal of Health and Safety at Work

---

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.

---

Introduction: Nosocomial infection (NI) is an infection occurring in a patient after 48 hours of hospitalization or up to 72 hours after discharge from the hospital, which was not present or incubating at the time of admission.  Hospital accreditation standards have a significant impact on the prevention and control of NI. Nevertheless, Iran’s hospital accreditation standards face challenges. The aim of this study was to compare the accreditation standards of NI prevention and control in Iran and leading countries.
Material and Methods: This research was conducted using the comparative review method in 2020. Hospital infection prevention and control (IPC) standards of Iran Hospital Accreditation Program was compared with those of international accreditation programs in the United States, Canada and Australia. Thematic analysis method was used to analyze the qualitative data.
Results: Iran and the United States had the highest share of nosocomial IPC standards. The Iranian Hospital IPC standards approximately comply with 62.1%, 46.6% and 49.9% of Hospital IPC standards of the United States, Canada and Australia, respectively. A hospital infection management system including constructs of NI leadership and management, NI planning, NI education, employee management, patient management, resource management, process management and outcomes is necessary for IPC. Iran Hospital Accreditation Program places great emphasis on process and resource management and less importance to leadership and management, planning, employee management, patient management and outcomes.
Conclusion: The Iranian Hospital Accreditation Program is progressing. However, its IPC standards need to be reviewed and updated. Using a systems approach including structures, processes and results in the development of hospital accreditation standards, leads to the optimal use of hospital resources and achieving better results.

---

Introduction: Risk assessment matrix is a tool used in a project’s risk assessment process to identify the probability of risks and evaluate the potential damages caused by those risks. Generally, a risk assessment matrix is drawn in a two-dimensional form, with two factors: the severity of the accident and the probability of its occurrence. So, the purpose of this study is to develop a specific risk assessment matrix in a three-dimensional form by using the accident severity grade (ASG) rating system, the accident probability, and taking into account the preventive approach that helps occupational injury risk assessment in the automobile industry.
Material and Methods: This cross-sectional study was conducted in 1402 (2023) in one of the automobile assembly industries. One hundred cases were randomly selected by examining the reports of this industry’s past accidents. The ASG scoring checklist was designed and completed by the experts to assess the severity of accidents. Then, considering the ASG score, the frequency of the accident, and its preventability, a three-dimensional risk assessment matrix specific to this industry was presented.
Results: According to the findings of the accident analysis, a total of 658 accidents and 15,019 lost working days were recorded in this period. The most influential factor in the occurrence of accidents is related to “surface condition” (influence factor = 0.6), and the least of them belongs to the “weather conditions” (influence factor = 0.028). The results of the three-dimensional matrix show that when the ability to prevent accidents increases, the risk of accidents decreases.
Conclusion: Using the accident severity grade (ASG) and preventability in the proposed three-dimensional risk assessment matrix, the accident severity can be quantified immediately after the accident. This approach allows monitoring workplaces during the accident, leading to timely control and risk management implementation.