Development of performance indicators for Occupational Health and Safety: a constructivist multicriteria approach for PPE

Riascos, Carmen Elena Martínez; Ensslin, Sandra Rolim; Merino, Eugenio Andrés Díaz

doi:10.1590/0103-6513.20200106

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Research Article • Prod. 31 • 2021 • https://doi.org/10.1590/0103-6513.20200106 copy

Development of performance indicators for Occupational Health and Safety: a constructivist multicriteria approach for PPE

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Paper aims

This study aims to develop indicators, using the Multi-Criteria Decision Aid - Constructivist methodology (MCDA-C), to assess the occupational prevention activities in a psychiatric hospital.

Originality

The application to the health sector of MCDA-C, in a case study during the supply of medicines to patients.

Research method

We use the ProKnow-C. Then, MCDA-C was applied in a case study.

Main findings

Four interest areas were defined, then the critical situations were identified to construct 126 specific indicators and finally the intervention strategies were defined. 26 indicators focused on PPE, 4 lagging and 22 leading. The model enabled the mapping of performance indicator levels. For that, 48 recommendations, and intervention strategies for each situation were defined.

Implications for theory and practice

The use of specific indicators, obtained through a participatory process, allowed the identification of accurate and reliable metrics to measure the actual performance of activities, critical situations, and strategies.

Keywords
Leading indicators. Lagging indicators. Performance measurement. Occupational health and safety. Multi-Criteria Decision Aid - Constructivist (MCDA-C).

LEADING	LAGGING
• Employee turnover rate	• Injury frequency and severity
• Number of third-party certifications achieved	• Near misses (frequency, trend)
• Percentage of employee training completed vs. expected	• Fatality or other accidents
• The frequency of completed inspections vs. scheduled inspections	• Lost workday rate
• Number of new or enhanced safety controls implemented	• Chemical releases
• Results of observations	• OSHA citations (number of citations and type)
• Accident investigation results	• Workers' compensation claims (trends and amounts)
• Risk or hazard assessments and job hazard analysis	• Experience modification rate (the rate and any changes)

Stakeholders	Decision-Maker	Nursing manager
Stakeholders	Intervenient	Health Care Workers
Facilitators		Researchers
Affected/involved		Hospital’s workers Psychiatric Patients

PEAs
1. Biohazard training
2. Occupational health examination programs - PCMSO
3. Internal Commission for Accident Prevention - CIPA
4. Emergency plan
5. PPE use
6. Workwear used
7. Standard Work Procedures - SWPs
8. Medical sufficiency
9. Handling of medicines
10. Medical transcription
11. Medical storage area
12. Psychiatric medication administration
13. Quality equipment
14. Patient’s chart
15. Work shift
16. Exposure to aggression by the patient or family member
17. Hospital Waste
18. Infect-contagious diseases

	PEA	Cod	Concepts oriented to action		Psychological opposite
5	PPE used	5.1	Have training in PPE use	...	Get occupational diseases
		5.2	Have PPE to infectious contagious patients’ attention	...	Get occupational diseases
		5.3	Have PPE according to replacement schedule	...	Get occupational diseases
		5.4	Ensure PPE use in all occupational activities	...	Have work accidents by lack of PPEs used
		5.5	Ensure PPE use for all patients’ attention	...	Acquire occupational diseases for lack of PPEs used
		5.6	Ensure quality check of PPE	...	Get occupational diseases due to the no use of PPE

Title	Description	Type	Temporality (months)	Result
SWP complete	% of occupational activities that have written SWPs including identified risks and PPE	Leading	12	0
SWP in process	% of SWPs in the process of updating that are including occupational risks, prevention activities and PPE write	Leading	12	10
Without SWP	% of occupational activities that do not have written SWP	Leading	12	0
Sufficiency	How many times, in the last month, that the activities with biological risk were carried out without PPE	Lagging	1	22
Right	% of delivered PPE that correctly protects from the risks of occupational activities	Leading	6	80
Validate	% of employees who use PPE during occupational activities	Lagging	1	70
Adequacy	% of employees who use PPE properly during occupational activities (validate the fit checking of PPE)	Lagging	1	40
Establish Training	% of training programmed for each PPE vs training required	Leading	6	75
Assess	% of workers who participated in the training, but misuse PPE	Leading	3	50
Validate	% of training conducted for each PPE according to requirement	Leading	6	35
Train	% of training included in the schedule vs training required for each PPE	Leading	6	60
Substitute	% of Employees summoned who do not participate in the required training, for each PPE, as there is no substitute in the workplace	Leading	3	60
Resources	% availability resources to purchase PPE	Leading	6	75
Replacement policy	When replacement of the PPE was taken	Lagging	1	+ 30 min
Replacement	% of stock available for each PPE	Leading	3	90
PPE storage	Quality of PPE storage (Heat, humidity, ventilation, weight)	Leading	1	Suitable
Proficiency	Number of people trained to verify that PPE materials offer the protection required according to the activity risk	Leading	6	Untrained person
PPE sheets	% of PPE that has a technical specification sheet to assess effectiveness	Leading	6	30
Protocol	% of protocols defined to validate PPE	Leading	6	20
Work Accident Investigations	% of accidents where it was verified whether the use of PPE influences contagion	Leading	6	55
Disease reports	% of investigated diseases where it was found that the use of PPE influences contagion	Leading	12	70
Selection	% of occupational risks, for each activity, with selected PPE	Leading	6	80
Comfortable	% of PPE where the comfort level was checked, last semester	Leading	6	40
Frequency	When it was held the last check of comfort in the use of PPE	Leading	6	Only when received
Check	% of times the worker checks the status of the PPE before using it	Leading	1	30
Actualization	When PPE research is held according to occupational activity	Leading	12	Not done

FPV	Indicator			Status		Competitive desired level		Actions to achieve the Competitive Level
Make sure employees make correct use of PPE	% of employees who use PPE properly during occupational activities (validate the fit checking of PPE)			40%		91-100%		Visual verification of the use of PPE during the activity.
Make sure employees make correct use of PPE				40%		91-100%		Provide feedback to employees who do not use PPE as established.
ACTION PLAN FOR COMPROMISED INDICATOR
What?		Who?	When?		Where?		Why?		How?
Visual verification of the use of PPE during the activity		Internal commission of accident prevention	3 months		Workplace		Prevention culture		Reinforce training in the use of PPE
Provide feedback to employees who do not use PPE as established.		Internal commission of accident prevention	3 months		Workplace		Prevention culture		Reinforce training in the use of PPE

Associação Brasileira de Engenharia de Produção Av. Prof. Almeida Prado, Travessa 2, 128 - 2º andar - Room 231, 05508-900 São Paulo - SP - São Paulo - SP - Brazil
E-mail: production@editoracubo.com.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] * carmen.elena88@gmail.com