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对严重伤害或死亡事件中应用的系统事件调查方法的分析:一项快速系统评价。

An analysis of systemic incident investigation methodologies applied in serious injury or fatality events: A rapid systematic review.

作者信息

Porter Joanne E, Dabkowski Elissa, Smith Warren, Fernando Alex, Seaward Liz

机构信息

Director of the Collaborative Evaluation and Research Centre (CERC) Federation University Australia, Gippsland, Victoria, Australia.

Research Fellow Collaborative Evaluation and Research Centre (CERC) Federation University Australia, Gippsland, Victoria, Australia.

出版信息

Public Health Pract (Oxf). 2025 Feb 19;9:100598. doi: 10.1016/j.puhip.2025.100598. eCollection 2025 Jun.

Abstract

OBJECTIVE

This rapid review examines studies that have applied an accident causation analysis method building upon the seminal systematic review conducted by Hulme et al. (2019).

STUDY DESIGN

A rapid review of the literature.

METHODS

The following databases, Scopus, EBSCO, Academic Search Compete, CINAHL Complete, MEDLINE, APA PsycArticles, APA PyscINFO, Business Source Ultimate, Business Source Complete, Web of Science and Science Direct were searched for articles that were published from 2019 to June 2023. Eligible studies applied accident analysis modelling to serious injury and fatalities across a variety of industries.

RESULTS

A total of five papers met the inclusion criteria of the rapid review. The studies applied a variety of accident causation models from single large-scale accidents to multiple accident analysis originating predominately from manufacturing industries. The data continued to support the evidence of accident causation analysis models focus on errors, malfunctions, and deficiencies rather than a whole of systems approach and remained complex and difficult to interpret. Based upon the core elements of existing models and following the rapid review of the literature, a novel accident causation analysis approach called the SCALE® Process Model was introduced.

CONCLUSION

There is need to further explore research-based incident analysis reporting systems that can be applied across a variety of industries and disciplines. The SCALE® Process Model uses systemic techniques to provide a deeper understanding of how multiple factors contribute to the severity of an event aiding in reducing the incidence of serious injuries and fatalities.

摘要

目的

本快速综述考察了基于休姆等人(2019年)开创性系统综述所应用的事故因果分析方法的研究。

研究设计

文献快速综述。

方法

在以下数据库,即Scopus、EBSCO、Academic Search Compete、CINAHL Complete、MEDLINE、APA PsycArticles、APA PyscINFO、Business Source Ultimate、Business Source Complete、Web of Science和Science Direct中搜索2019年至2023年6月发表的文章。符合条件的研究将事故分析模型应用于各行各业的重伤和死亡事故。

结果

共有五篇论文符合快速综述的纳入标准。这些研究应用了多种事故因果模型,从单一的大规模事故到主要源自制造业的多重事故分析。数据继续支持事故因果分析模型侧重于错误、故障和缺陷而非整体系统方法的证据,且该模型仍然复杂且难以解释。基于现有模型的核心要素并在对文献进行快速综述之后,引入了一种名为SCALE®过程模型的新型事故因果分析方法。

结论

有必要进一步探索可应用于各行各业和各学科的基于研究的事件分析报告系统。SCALE®过程模型使用系统技术,以更深入地理解多种因素如何导致事件的严重性,有助于减少重伤和死亡事故的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be4f/11914981/82cdbdbfa756/gr1.jpg

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