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Article
Publication date: 8 July 2019

Survey of isolation room equipment and resources in an academic hospital

Brittany Telford, Ray Healy, Ellen Flynn, Emma Moore, Akshaya Ravi and Una Geary

The purpose of this paper, a point prevalence study, is to quantify the incidence of isolation and identify the type of communicable diseases in isolation. The paper…

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Abstract

Purpose

The purpose of this paper, a point prevalence study, is to quantify the incidence of isolation and identify the type of communicable diseases in isolation. The paper evaluates isolation precaution communication, availability of personal protective equipment (PPE) as well as other equipment necessary for maintaining isolation precautions.

Design/methodology/approach

A standardised audit tool was developed in accordance with the National Standards for the Prevention and Control of Healthcare Associated Infections (May 2009). Data were collected from 14 March 2017 to 16 March 2017, through observation of occupied isolation rooms in an academic hospital in Dublin, Ireland. The data were subsequently used for additional analysis and discussion.

Findings

In total, 14 per cent (125/869) of the total inpatient population was isolated at the time of the study. The most common isolation precaution was contact precautions (96.0 per cent). In all, 88 per cent of known contact precautions were due to multi-drug resistant organisms. Furthermore, 96 per cent of patients requiring isolation were isolated, 92.0 per cent of rooms had signage, 90.8 per cent had appropriate signs and 93.0 per cent of rooms had PPE available. Finally, 31 per cent of rooms had patient-dedicated and single-use equipment and 2.4 per cent had alcohol wipes available.

Practical implications

The audit tool can be used to identify key areas of noncompliance associated with isolation and inform continuous improvement and education.

Originality/value

Currently, the rate of isolation is unknown in Ireland and standard guidelines are not established for the evaluation of isolation rooms. This audit tool can be used as an assessment for isolation room compliance.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/IJHCQA-10-2018-0254
ISSN: 0952-6862

Keywords

  • Compliance
  • Isolation
  • Isolation precautions

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Article
Publication date: 1 December 2005

Exposure to pesticides, ill‐health and averting behaviour: costs and determining the relationships

Clevo Wilson

Farmers' exposure to pesticides is high in developing countries. As a result many farmers suffer from ill‐health, both short and long term. Deaths are not uncommon. Seeks…

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Abstract

Purpose

Farmers' exposure to pesticides is high in developing countries. As a result many farmers suffer from ill‐health, both short and long term. Deaths are not uncommon. Seeks to address this issue.

Design/methodology/approach

Field survey data from Sri Lanka are used to estimate farmers' expenditure on defensive behaviour (DE) and to determine factors that influence DE. The avertive behaviour approach is used to estimate the costs. Tobit regression analysis is used to determine factors that influence DE.

Findings

Field survey data show that farmers' expenditures on DE are low. This is inversely related to high incidence of ill health among farmers using pesticides.

Originality/value

The results of this study are useful, not only for Sri Lanka, but also for many countries in South Asia, Africa and Latin America in reducing the current high levels of direct exposure to pesticides among farmers and farm workers using hand sprayers. Farmers' exposure to pesticides is a major occupational health hazard in these countries.

Details

International Journal of Social Economics, vol. 32 no. 12
Type: Research Article
DOI: https://doi.org/10.1108/03068290510630980
ISSN: 0306-8293

Keywords

  • Pesticides
  • Developing countries
  • Public health

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Article
Publication date: 1 March 1990

Reasonable Precautions and Due Diligence

David Roberts

The area of consumer safety is focused on, with regard to foodmanufacturers′ and retailers′ responsibilities. A number of judgments incourt cases concerning contraventions…

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Abstract

The area of consumer safety is focused on, with regard to food manufacturers′ and retailers′ responsibilities. A number of judgments in court cases concerning contraventions of the Food and Drugs Acts, Consumer Safety Acts and Trade Descriptions Act are described together with their implications for food manufacturers and retailers. Some of the most significant provisions of the new Food Safety Act are addressed.

Details

British Food Journal, vol. 92 no. 3
Type: Research Article
DOI: https://doi.org/10.1108/00070709010005803
ISSN: 0007-070X

Keywords

  • Consumer protection
  • Food industry
  • Legal matters
  • Manufacturing
  • Retailing

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Book part
Publication date: 25 July 2011

Chapter 14 Innovation, Risk, Precaution, and the Regulation of GM Crops

Alan Randall

Purpose – New genetically modified (GM) crops are novel but risky interventions, offering a variety of potential benefits but also the possibility of serious unintended…

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Abstract

Purpose – New genetically modified (GM) crops are novel but risky interventions, offering a variety of potential benefits but also the possibility of serious unintended consequences. I address the regulatory framework for GM crops, seeking protection from disproportionate risks without unduly stifling innovation.

Approach – Conditions that may justify precautionary interventions are identified, and an idealized regulatory protocol (screening, pre-release testing, and post-release surveillance, STS) is developed to provide protection, encourage research and learning, and focus-in quickly on the cases that pose serious threats of harm. This protocol is adapted to the case of GM crops, and compared with current regulatory practice in the United States, the EU, and Canada, as well as international agreements exemplified by the Cartagena Protocol on Biosafety. Two real-world cases are considered, Starlink® corn and Roundup-Ready® canola, and some speculations are offered as to how the stylized protocol might have handled them.

Findings for policy – Pre-release, US regulatory practice is more fragmented and incomplete than the stylized protocol; EU practice is more systematic and streamlined, but some critics perceive over-regulation; and Canadian regulatory practice is more consistent with the protocol. Only the EU performs systematic post-release surveillance. International agreements have various weaknesses, beginning with fragmentation: for example, food safety and biosafety are regulated separately.

Implications for further research – Embracing the STS framework opens a broad new avenue of research about to how the mix of pre-release testing and post-release surveillance might be streamlined to provide adequate protection while reducing further the costs and delays entailed.

Details

Genetically Modified Food and Global Welfare
Type: Book
DOI: https://doi.org/10.1108/S1574-8715(2011)0000010019
ISBN: 978-0-85724-758-2

Keywords

  • Genetically modified crops
  • risk assessment
  • risk management
  • precaution
  • regulation

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Article
Publication date: 4 May 2010

Ethics among peers: file sharing on the internet between openness and precaution

U. Pagallo

The paper suggests overcoming the polarization of today's debate on peer‐to‐peer (P2P) systems by defining a fair balance between the principle of precaution and the…

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Abstract

Purpose

The paper suggests overcoming the polarization of today's debate on peer‐to‐peer (P2P) systems by defining a fair balance between the principle of precaution and the principle of openness. Threats arising from these file sharing applications‐systems should not be a pretext to limit freedom of research, speech or the right “freely to participate in the cultural life of the community”, as granted by the Universal Declaration of Human Rights from 1948. The paper aims to take sides in today's debate.

Design/methodology/approach

The paper adopts an interdisciplinary approach, including network theory, law and ethics. The method draws on both theoretical and empirical material so as to stress the paradox of the principle of precaution applied to P2P systems and why the burden of proof should fall on the party proposing that one refrain from action.

Findings

Censors and opponents of P2P systems who propose to apply the principle of precaution to this case deny the premise upon which that principle rests. “Levels of evidence” required by the precautionary principle show that – in many cases in which the outcomes of technology are ignored – another principle is needed for orienting action, namely, the principle of openness.

Social implications

Alarm about how P2P systems undermine crucial elements of the societies often led to the ban of this technology. The paper illustrates why it should not be the case: rather than shutting these networks down, they should be further developed.

Originality/value

The paper provides the comprehensive picture of a far too often fragmented debate.

Details

Journal of Information, Communication and Ethics in Society, vol. 8 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/14779961011040550
ISSN: 1477-996X

Keywords

  • Copyright law
  • Data security
  • Ethics
  • Privacy
  • Internet
  • Human rights

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Article
Publication date: 1 February 1967

A Look at Aircraft Fire Precautions and Protection: A review of current developments in fire protection and the problems associated with supersonic transports

T. Madgwick

THE need for serious attention to fire precautions is becoming increasingly important in satisfying the demand for improved overall flight safety. The need arises from a…

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Abstract

THE need for serious attention to fire precautions is becoming increasingly important in satisfying the demand for improved overall flight safety. The need arises from a number of considerations, of which the following are typical:

Details

Aircraft Engineering and Aerospace Technology, vol. 39 no. 2
Type: Research Article
DOI: https://doi.org/10.1108/eb034235
ISSN: 0002-2667

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Article
Publication date: 14 January 2019

Perceptions of risk on vacation among visitors to Istanbul

Mine Ozascilar, Rob I. Mawby and N. Ziyalar

The purpose of this paper is to focus on the perceptions of risk from specific crimes held by tourists at the start of their vacation in the Turkish city of Istanbul.

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Abstract

Purpose

The purpose of this paper is to focus on the perceptions of risk from specific crimes held by tourists at the start of their vacation in the Turkish city of Istanbul.

Design/methodology/approach

The paper describes findings from Phase 1 of a two-phase research programme, during which 210 arrivals at the Ataturk airport were asked about their perceptions of their safety from crime while in the city and their intentions vis-à-vis the adoption (or otherwise) of basic safety precautions, using a 32-question self-completion questionnaire.

Findings

The findings confirm those of earlier studies that tourists, unlike citizens in general, tend to have low expectations of their vulnerability to crime. However, variables associated with fear in conventional surveys were not generally related to the perceptions of risk. The clearest association was between prior knowledge of crime in Istanbul and perceptions of risk. The lack of any strong relationship between perceptions of risk and intent to adopt safety precautions is then discussed.

Research limitations/implications

The study is limited to visitors to one city and to English-speaking tourists.

Practical implications

The implication here is that if tourist centres wish to reduce crime it is not sufficient to focus on “educating” tourists on the dangers, but that more emphasis should be placed on crime prevention methods that put the onus on the host environment.

Social implications

From a criminological perspective, two points appear particularly important. First, the relationship between fear (in all its manifestations) and risk is not constant. It may differ in different physical and social contexts. Second, if, following routine activity theory, policy makers wish to focus on changing people’s behaviour in order to maximise their safety, in different contexts different publics may vary in their willingness or resistance to change.

Originality/value

This study is original as it focusses on tourists to a specific destination at the beginning of their holiday.

Details

Safer Communities, vol. 18 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/SC-06-2018-0017
ISSN: 1757-8043

Keywords

  • Crime prevention
  • Turkey
  • Tourists
  • Feelings of safety
  • Perceptions of risk
  • Precautionary behaviour

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Article
Publication date: 20 February 2009

Weighing foresight with due diligence and the precautionary principle

Jacques Richardson

The purpose of this paper is to demonstrate with examples the prudence of using or not using ample precautions before launching a strategy or plan of foresight.

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Abstract

Purpose

The purpose of this paper is to demonstrate with examples the prudence of using or not using ample precautions before launching a strategy or plan of foresight.

Design/methodology/approach

A series of practical episodes illustrate the effects of predetermined care and precaution, or their absence, in different fields of human endeavour.

Findings

With foresight and determination, pondered safeguards may spell out beforehand the success or failure of an undertaking.

Research limitations/implications

According to the span and scope of available historical experience, getting the future right often seems more difficult than getting it wrong,

Originality/value

Planners, strategists and designers should profit from the types of cases reviewed to ensure the solidity of their procedural foresight today for its implementation tomorrow.

Details

Foresight, vol. 11 no. 1
Type: Research Article
DOI: https://doi.org/10.1108/14636680910936413
ISSN: 1463-6689

Keywords

  • Plans
  • Risk management
  • Strategic evaluation

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Article
Publication date: 14 November 2008

Internalization of costs, liability and negligence, performance and reliance

Demetri Kantarelis

The purpose of this paper is to discuss incentive mechanisms and procedures for cost internalization by both potential defendants and plaintiffs.

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Abstract

Purpose

The purpose of this paper is to discuss incentive mechanisms and procedures for cost internalization by both potential defendants and plaintiffs.

Design/methodology/approach

The approach taken is to rely on the concepts of liability, negligence, precaution and methodologies for estimation of compensatory damages in conjunction with the Coase theorem.

Findings

The paper finds that the decision to internalize and minimize cost depends upon marginal precautionary costs and marginal expected harms.

Research limitations/implications

Research needs to be conducted from a law and economic perspective on developing procedures for estimating precautionary costs and expected harms.

Practical implications

This paper calls upon business firms and their stakeholders (primarily employees and customers) to use and pro‐actively manage their precautionary responsibilities and further refine the existing formulas. More specifically, it aims to help law and economics students as well as practitioners in law and regulation to better understand the implications of marginal precautionary costs and marginal expected harms in the process of cost internalization.

Originality/value

In exploring the precautionary responsibilities of firms and their stakeholders, this paper contributes to a better understanding of liability and negligence issues and, as a result, to the important intersection of law and microeconomics.

Details

International Journal of Law and Management, vol. 50 no. 6
Type: Research Article
DOI: https://doi.org/10.1108/17542430810919231
ISSN: 1754-243X

Keywords

  • Liability
  • Negligence
  • Damages
  • Law
  • Microeconomics

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Article
Publication date: 1 May 1989

THE LAW OF FIRE PRECAUTIONS

Jonathan Turton

Despite the increasingly sophisticated fire precautions required by legislation, and a heightened public awareness of its dangers, fire remains one of the main causes of…

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Abstract

Despite the increasingly sophisticated fire precautions required by legislation, and a heightened public awareness of its dangers, fire remains one of the main causes of death and serious injury in the community. Since the majority of these accidents occur in the home, fire service information concentrates very much on the domestic aspect of fire.

Details

Facilities, vol. 7 no. 5
Type: Research Article
DOI: https://doi.org/10.1108/eb006490
ISSN: 0263-2772

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