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Occupational injury in the health care sector in the United States rates among the highest of all industries. Specific to hospital support service workers (e.g., Food & Nutrition, Environmental Services), studies have shown that injury rates for support service workers tend to be among the highest of hospital personnel, and yet there is a shortage of research investigating the safety climate of these workers. Therefore, the purpose of this study is to examine safety perceptions of support service workers. Surveys were used to measure safety climate leadership factors (per the AHRQ's Survey of Patient Safety Culture) to determine if they are related to individual safety perceptions, as well as ratings of work unit safety. Following established safety climate research, we examined the role of the work environment (e.g., supervisor support and work unit culture) on safety perceptions. We found that both supervisor and organizational safety leadership are positively related to individual safety perceptions and supervisor support. Organizational safety leadership and work unit culture were positively related to work unit safety rating. Our findings demonstrate that the antecedent factors and pathways that promote a positive safety climate among health care providers functions in a similar manner for support service workers. These findings contribute to a better understanding of occupational safety of this understudied work group and provide evidence to hospital administration that developing a strong safety climate among support service workers is not entirely different from what is required to promote a robust safety climate across an organization.

Hospitals in North America consistently have employee injury rates ranking among the highest of all industries. Organizations that mandate workplace safety training and emphasize safety compliance tend to have lower injury rates and better employee safety perceptions. However, it is unclear if the work environment in different national health care systems (United States vs. Canada) is associated with different employee safety perceptions or injury rates. This study examines occupational safety and workplace satisfaction in two different countries with employees working for the same organization.

Survey data were collected from environmental services employees (n = 148) at three matched hospitals (two in Canada and one in the United States). The relationships that were examined included: (1) safety leadership and safety training with individual/unit safety perceptions; (2) supervisor and coworker support with individual job satisfaction and turnover intention; and (3) unit turnover, labor usage, and injury rates.

Hierarchical regression analysis and ANOVA found safety leadership and safety training to be positively related to individual safety perceptions, and unit safety grade and effects were similar across all hospitals. Supervisor and coworker support were found to be related to individual and organizational outcomes and significant differences were found across the hospitals. Significant differences were found in injury rates, days missed, and turnover across the hospitals.

This study offers support for occupational safety training as a viable mechanism to reduce employee injury rates and that a codified training program translates across national borders. Significant differences were found between the hospitals with respect to employee and organizational outcomes (e.g., turnover). These findings suggest that work environment differences are reflective of the immediate work group and environment, and may reflect national health care system differences.

The purpose of this paper is to identify key tasks, tools, and equipment associated with maintenance and repair injuries at US mines and to provide some mitigation strategies to reduce these types of injuries.

This study analyzed incidents resulting in injuries reported to the US Mine Safety and Health Administration from 2002 to 2011. Incident reports were limited to those occurring at mining plants, shops, yards, and aboveground locations. Incident reports were analyzed to determine which activities contributed to injuries and were due to machine maintenance and repair, non-powered hand tools, and powered hand tools. An in-depth analysis of the root causes of these injuries was then performed.

Maintenance and repair in mining is associated with a significant number of hand and finger injuries with a range of severities and averaging over 20 amputated fingers, 180 fractured hands and fingers, and 455 hand and finger lacerations per year. Many of these injuries are caused by hands being struck by or caught in tools and equipment. Back and shoulder strains are found to be associated with the most days lost from work and are mostly attributed to materials handling.

Occupational injuries and fatalities still occur with high incidences in the mining sector. The mission of the Office of Mine Safety and Health Research (OMSHR; part of the National Institute for Occupational Safety and Health, NIOSH) is to “eliminate mining fatalities, injuries, and illnesses through research and prevention.” As part of this work, OMSHR acquires surveillance data from MSHA to quantify the types and sources of injuries at US mining facilities. The authors evaluated maintenance- and repair-related injuries at US mining sites (excluding underground coal mines). Results of this study suggest a need for improved design of machine guarding, improved hand protection through gloves and equipment design/redesign, and manual materials handling solutions.

The findings indicate that maintenance and repair in mining include occupational risks that may be managed through modifications to machines, proper usage of hand tools and hand protection, and improved manual materials handling processes.

Different organisations have developed policies and programmes to prevent workplace injuries and facilitate return to work. Few multiple workplace studies have examined workers’ perceptions of these policies and programmes. The purpose of this paper is to compare workers’ perception and experience of workplace policies and practices on injury prevention, people-oriented work culture, and return to work.

This study recruited 118 workers from three healthcare facilities through an online and paper survey.

Work-related musculoskeletal injury was experienced by 46 per cent of the workers, with low back injuries being most prevalent. There were significant differences in perception of policies and practices for injury prevention among occupational groups, and between workers who have had previous workplace injury experience and those without past injury.

Selection bias is possible because of voluntary participation. A larger sample could give stronger statistical power.

The perception of workplace policies can vary depending on workers’ occupational and injury status. Organisational managers need to pay attention to the diversity among workers when designing and implementing injury prevention and return to work policies.

Risks for workplace injuries are related to multiple factors, including workplace policies and practices on health and safety. Workers’ understanding and response to the policies, programmes, and practices can determine injury outcomes.

No previous study has reported on workers’ perceptions of workplace policies and practices for injury prevention and return in Manitoba healthcare sector.

Hospitals within the United States consistently have injury rates that are over twice the national employee injury rate. Hospital safety studies typically investigate care providers rather than support service employees. Compounding the lack of evidence for this understudied population is the scant evidence that is available to examine the relationship of support service employees’ perceptions of safety and work-related injuries. To examine this phenomenon, the purpose of this study was to investigate support service employees’ perceptions of safety leadership and social support as well as the relationship of safety perception to levels of reported injuries.

A nonexperimental survey was conducted with the data collected from hospital support service employees (n=1,272) and examined: (1) relationships between safety leadership (supervisor and organization) and individual and unit safety perceptions; (2) the moderating effect of social support (supervisor and coworker) on individual and unit safety perceptions; and (3) the relationship of safety perception to reported injury rates. The survey items in this study were based on the items from the AHRQ Patient Safety Culture Survey and the U.S. National Health Care Surveys.

Safety leadership (supervisor and organization) was found to be positively related to individual safety perceptions and unit safety grade as was supervisor and coworker support. Coworker support was found to positively moderate the following relationships: supervisor safety leadership and safety perceptions, supervisor safety leadership and unit safety grade, and senior management safety leadership and safety perceptions. Positive employee safety perceptions were found to have a significant relationship with lower reported injury rates.

These findings suggest that safety leadership from supervisors and senior management as well as coworker support has positive implications for support service employees’ perceptions of safety, which, in turn, are negatively related to lower odds of reporting injuries.

This study proposes targeted modernization of the Department of Defense (DoD's) Joint Forces Ammunition Logistics information system by implementing the optimized innovative information technology open architecture design and integrating Radio Frequency Identification Device data technologies and real-time optimization and control mechanisms as the critical technology components of the solution. The innovative information technology, which pursues the focused logistics, will be deployed in 36 months at the estimated cost of $568 million in constant dollars. We estimate that the Systems, Applications, Products (SAP)-based enterprise integration solution that the Army currently pursues will cost another $1.5 billion through the year 2014; however, it is unlikely to deliver the intended technical capabilities.

The subject of occupational safety and health (OSH) is increasingly gaining the interest of policy makers and researchers in European countries given that the economic and social losses from work‐related injuries and diseases are quite substantial. Under this light, this paper aims to present an overview of the Greek legislation framework regarding OSH issues, and the current status of empirical research on the subject in Greece. In addition, the paper seeks to identify the knowledge gaps and methodological shortcomings of the existing literature in order to contribute towards future research in the OSH field in Greece.

The authors conducted an extensive literature review of numerous publications, reports and institutions' databases.

The results suggest that empirical up to date research in Greece is rather inadequate, mainly because of the absence of econometric methods to validate the findings. The available Greek databases indicate that while the number of working accidents has decreased over time, the severity seems to be increasing. Males are more prone to accidents, diseases and negative working conditions. Work‐related stress is an aspect of occupational problems that has been the subject of many Greek studies.

Although the legal framework is quite adequate, there is a need for both prevention strategies and enforcement of the existing safety regulations. Furthermore, a substantial research gap is observed in Greece. Therefore, more systematic research is needed on the determinants of injuries and on their effects on job participation and productivity.

The paper presents a detailed review of the current state of research regarding OSH issues in Greece.

Work‐related musculoskeletal disorders following patient contact represent a major concern for health care workers. Unfortunately, research and prevention have been hampered by difficulties ascertaining true prevalence rates owing to under‐reporting of these injuries. The purpose of this study is to determine the predictors for under‐reporting work‐related musculoskeletal injuries and their reasons.

Multivariate analysis using data obtained in a survey of Veterans Administration employees in the USA was used to determine underreporting patterns among registered nurses, licensed practical nurses and nursing assistants. Focus groups among health care workers were conducted at one of the largest Veterans Administration hospitals to determine reasons for under‐reporting.

A significant number of workers reported work‐related musculoskeletal pain, which was not reported as an injury but required rescheduling work such as changing shifts and taking sick leave to recuperate. The findings indicate that older health care workers and those with longer service were less likely to report as were those working in the evening and night shifts. Hispanic workers and personnel who had repetitive injuries were prone to under‐reporting, as were workers in places that lack proper equipment to move and handle patients. Reasons for under‐reporting include the time involved, peer pressure not to report and frustration with workers' compensation procedures.

This study provides insights into under‐reporting musculoskeletal injuries in a major US government organization. The research indicates that current reporting procedures appear to be overtly cumbersome in time and effort. More flexible work assignments are needed to cover staff shortfalls owing to injuries. Health education on the detrimental long‐term effects of ergonomic injuries and the need for prompt attention to injuries should prove useful in improving rates of reporting.

Research shows that the risk of work-related disorders is higher among temporary agency workers than among other employees. The purpose of this paper is to describe the working conditions of temporary agency workers and explains which factors contribute towards work-related disorders for this group.

This paper is based on a survey responded to by 482 agency workers in Sweden. The dependent variable is the prevalence of work-related disorders. Independent variables include personal characteristics, job characteristics, employment characteristics and temporary agency work characteristics.

The study indicates several risk factors: holding a position as a blue-collar worker; being assigned to more physically demanding work tasks and having fewer opportunities to learn new things than client organization employees; lacking training for work tasks; and lacking clarity regarding which work tasks to do during an assignment.

The theoretical implications of this study are related to the dual employment-management relationship in temporary agency work where the temporary work agency and client organization follow different logics. The logic in the employment relationship is to contract temporary agency workers out to client organizations, thus there is no time for formal training. The logic in the management relationship lies in making temporary agency workers profitable as soon as possible, encouraging shortcuts in training and instruction; thus, temporary agency workers risk being left with a lack of clarity regarding what to do and how to do it.

Motor-vehicle-related events (MVEs) are the leading cause of on-duty death for law enforcement officers, yet little is known about how officers view this significant job hazard. The purpose of this paper is to explore officers’ motor-vehicle risk perception and examine how prior on-duty MVEs and the death or injury of a fellow officer influences this perception.

A state-wide random sample of 136 law enforcement agencies was drawn using publically accessible databases, stratified on type and size of agency. In total, 60 agencies agreed to participate and a cross-sectional questionnaire was distributed to 1,466 officers. Using six-point Likert scales, composite scores for motor-vehicle and intentional violence risk perception were derived. A linear regression multivariable model was used to examine factors affecting motor-vehicle risk perception.

Motor-vehicle risk perception scores were significantly higher than intentional violence scores. A prior on-duty motor-vehicle crash, prior roadside incident, or knowledge of fellow officer’s injury or death from a MVE significantly increased motor-vehicle risk perception scores. After controlling for potential confounders though, only prior on-duty crashes and roadside incidents impacted motor-vehicle risk perception.

The study comprised primarily small, rural agencies and generalizability may be limited. Also, although the data were collected anonymously, reporting and response biases may affect these findings.

This study involved a large and diverse cohort of officers and explored motor-vehicle risk perception. A better understanding of officers’ risk perceptions will assist in the development and implementation of occupational injury prevention programs, training, and policy.