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Since the publication of the report “To Err Is Human: Building a Safer Health System” by the US Institute of Medicine in 2000, much has changed with regard to patient safety. Many of the more recent initiatives to improve patient safety target the behavior of health care staff (e.g., training, double-checking procedures, and standard operating procedures). System-based interventions have so far received less attention, even though they produce more substantial improvements, being less dependent on individuals’ behavior. One type of system-based intervention that can benefit patient safety involves improvements to hospital design. Given that people’s working environments affect their behavior, good design at a systemic level not only enables staff to work more efficiently; it can also prevent errors and mishaps, which can have serious consequences for patients. While an increasing number of studies have demonstrated the effect of hospital design on patient safety, this knowledge is not easily accessible to clinicians, practitioners, risk managers, and other decision-makers, such as designers and architects of health care facilities. This is why the Swiss Patient Safety Foundation launched its project, “More Patient Safety by Design: Systemic Approaches for Hospitals,” which is presented in this chapter.

This study aims to explore occupants’ perceived importance and satisfaction with high-rise students’ housing facilities’ fire safety considerations (FSCs). The specific objectives are to explore the FSCs for high-rise students’ housing facilities and assess the level of importance and satisfaction with the FSCs provided in high-rise students’ housing facilities in controlling fire outbreaks.

The study uses an exploratory sequential design with an initial qualitative phase followed by a quantitative data collection phase. Twenty FSCs were identified through the qualitative phase via semistructured interviews. Their importance and satisfaction were revealed through survey questionnaires with 168 respondents who stayed in or were involved in the operation of high-rise students’ housing facilities. Data from the qualitative phase were analyzed thematically, and those obtained from the quantitative phase were analyzed descriptively and inferentially.

The study’s findings revealed that all the 20 FSCs identified via the qualitative phase and confirmed through the quantitative phase were perceived to be very important in fighting fires in high-rise students’ housing facilities. However, only 9 out of the 20 FSCs received some satisfaction among the respondents in fighting fires in the facilities.

This study offers insight into a rare study area, especially in sub-Saharan Africa. In addition, it grants insight into the occupants’ perspective regarding which FSCs they consider essential and their level of satisfaction with such FSCs in fighting fires in high-rise students’ housing facilities.

This research aims to examine the practice of design for safety (DfS) in the construction industry of Saudi Arabia.

The study has adopted a mixed-method approach through the use of questionnaire surveys administered to professionals in architecture and engineering firms, as well as follow-up interviews with selected participants. The participants consisted of architects, structural engineers and electromechanical engineers. The study investigated dimensions related to knowledge and awareness, attitude toward DfS implementation and critical success factors for DfS implementation. These various dimensions have been assessed accordingly through the mean ratings in the relevant section of this paper. The thematic responses obtained from the follow-up interviews have been summarized and presented.

The findings from this study reveal a high level of awareness of DfS in Saudi Arabia. It also revealed that the most influential critical success factors are legislation and awareness of stakeholders, whereas the major barrier is the fear of cost overruns by the clients and their representatives.

The design stage of construction projects is crucial to enhancing the safety performance of projects through effective control of hazardous situations. The concept of DfS is, however, immature in many countries, such as Saudi Arabia, due to lack of awareness, enabling policies and other barriers. The value of this study is that it shows the current level of knowledge and practice of DfS in architecture and engineering firms in Saudi Arabia and consequently triggers the interest of stakeholders in its adoption and implementation.

The prevention through design (PtD) concept has been widely recognized as one of the most effective approaches to eliminate or reduce construction site hazards. It encourages engineers and architects to consider occupational safety and health during the planning and design phases. Nevertheless, the implementation of PtD is often inhibited because designers lack adequate knowledge about construction safety and the construction process, and limited design-for-safety tools and procedures are available for designers to use. The purpose of this paper is to provide designers a tool for assessing construction risks during early phases of multistory building projects at an activity level and on a daily basis in a 4D environment. By using the tool, proactive measures could be taken in the design and planning phase to reduce site hazards.

The proposed method consists of four steps including risk quantification at a design element level, 4D model integration with risk values, risk assessment, and design alternative selection and model acceptance. A case study was carried out to test and verify the proposed method.

The proposed tool has the capability to assess the safety risk for an entire multistory project and visualize safety risk in a particular time period, work space and task prior to construction. It benefits designers in conducting risk assessments and selecting design alternatives concerning safety. Contractors could also utilize the visualization and simulation results of the 4D model for site safety planning so that a range of risk mitigation strategies could be implemented during construction.

The study provides an innovative PtD tool targeting designers as primary end-users. The proposed tool helps designers assess construction risks and has potential to incorporate the top levels of the hierarchy of risk controls.

With the rapid development of digital information and modelling software applications for construction, questions have arisen about their impact on construction safety. Meanwhile, recognition that designers can help reduce risks involved in construction, operation and maintenance via a prevention through design (PtD) approach (also known as design for safety) highlights the significance of digital technologies and tools to PtD. Thus, this paper aims to provide a systematic review of a wide range of digital technologies for enhancing PtD.

A five-stage systematic literature review with coding and synthesis of findings is presented. The review covers journal articles published between 2000 and 2020 related to the applications of various digital technologies, such as building information modelling (BIM), 4D, databases, ontologies, serious games, virtual reality and augmented reality, for addressing safety issues during the design phase in construction.

Analysis of the articles yielded a categorisation of the digital applications for PtD into four main areas: knowledge-based systems; automatic rule checking; hazard visualization; and safety training for designers. The review also highlighted designers’ limited knowledge towards construction safety and the possibility to address this by using gaming environments for educating designers on safety management and using artificial intelligence for predicting hazards and risks during design stage in a BIM environment. Additionally, the review proposes other directions for future research to enhance the use of digital technologies for PtD.

This paper contextualises current digital technology applications for construction health and safety and enables future directions of research in the field to be identified and mapped out.

Designers have a key role to play in the Prevention through Design (PtD) practices in construction projects. Nonetheless, previous studies indicated that the issue of competencies to perform and sustain such practices over time is of a significant concern. This study aims to explore the key attributes of designers' competencies for PtD practices in construction.

By using the Scopus database, a total of 86 papers related to PtD in construction published in peer-reviewed journals were reviewed and analysed using the well-established systematic literature review (SLR) methodology.

The review indicates that in order to be competent in PtD implementation, designers need to be equipped with tacit and explicit knowledge, technical and soft skills and experience related to PtD. Furthermore, the review identifies attributes of these competencies. Additionally, a framework that links key PtD elements/principles with the PtD competencies is presented.

The findings would enable contribution to the industry by providing the necessary references for design organisations to improve their designers' PtD competencies and hence, be able to meet their responsibility under relevant occupational safety and health (OSH) legislative framework.

This study extends the PtD literature in the construction context by providing deeper insights into the conceptualisation of relationship between competent designers and PtD elements. The novelty also lies in the consolidation of PtD competency attributes for designers in construction that could act as a reference for any future developments related to PtD competency assessment for designers.

The purpose of this paper is to examine the potential to use infographics to capture, represent and communicate important information to construction designers, such that it improves their ability to understand the implications of design choices for construction workers’ health and safety.

Drawing on information obtained through a photographic Q-sort, supplemented with a literature review, health and safety information related to the design of a façade was collected from subject matter experts. This information was used to develop infographics representing the subject matter knowledge. A facilitated workshop was then held with 20 design professionals to engage them in a hazard identification process using a case study scenario. The designers were provided with the infographics and asked to comment upon how the infographics changed their assessments of the health and safety risks inherent in the case study building design. A sub-set of participants was interviewed to explore their perceptions of the impact and usefulness of the inforgraphics.

Infographics were developed at different levels of detail, representing potential health and safety issues associated with the site location and surroundings, the construction site environment and the detailed façade design. Workshop participants identified a number of potential health and safety issues associated with the case study scenario. However, this number increased substantially once they had viewed the infographic. Further, the health and safety issues identified when participants had access to the infographic were more likely to be less visible issues, relating to ergonomic hazards, procurement or the organisation and sequencing of work. The workshop participants who were interviewed described how the infographics enabled them to make a more global assessment of the health and safety implications of the case study building design because it helped them to understand the design in the physical construction site context. Participants also favoured the visual nature of the infographics and suggested that this format may be particularly useful to communicate important health and safety information to novice designers with limited on-site experience.

The infographics developed in this research were relatively simple two-dimensional representations produced and presented in hard copy format. It is possible that more sophisticated forms of infographic could have produced different results. Thus, it is important that future research develops different types of infographics and rigorously evaluates their effectiveness in developing designers’ health and safety-related knowledge and improving decision making.

The results indicate that simple infographics can help design professionals to better understand the health and safety implications of design decisions in the context of the construction site environment. In particular, the infographics appear to have increased designers’ ability to recognize less visible health and safety-related issues. The designers interviewed also described the potential usefulness of the infographics in design workshops as a tool to stimulate discussion and develop a shared understanding of the health and safety aspects of a particular design decision or choice.

The value of the research lies in the development and evaluation of infographics as a tool supports the integration of health and safety into design decision making. The potential to develop these tools into digital or web-based resources is also significant.