Prioritization of hazards by means of a QFD-based procedure

Despite the evolution of regulations in the field of occupational health and safety promoted in EU countries, the number of accidents and victims has not significantly decreased in recent years, especially in constructions and agriculture sectors, as underlined by official reports of the Italian Workers' Compensation Authority. Main reasons of such a situation are due to the characteristics of working activities in these sectors. The variety of operations, the frequent exchange of tasks among workers within the same company, the continuous change of workplaces, the frequent exchange of workers for the same activity (e.g. seasonal workers), and the workers’ stress caused by seasonal jobs. For these reasons both risk assessment and safety management activities result in being more difficult than in other working sectors. Thus, it is important to provide methodologies and tools that allow companies to carry out these tasks more effectively. In such a context, the study proposed by Esra Bas in 2014 certainly represents an attempt to provide a supporting methodology for engineers engaged in risk assessment activities. This approach consists in the use of the Quality Function Deployment (QFD) method, and it is aimed at evaluating how specific tasks can be in relationship with specific hazards, which in turn are related to specific events, and finally at defining what preventive/protective measures can be introduced against those events. Based on this, we tried to further investigate such an approach, with the goal of providing an easier-to-use tool, which can be used in risk assessment activities of critical contexts as the agriculture one. With this aim in mind, a case study concerning the risk assessment of an agricultural machinery was carried out

A fuzzy-QFD approach for the enhancement of work equipment safety: a case study in the agriculture sector

The paper proposes a design for safety methodology based on the use of the Quality Function Deployment (QFD) method, focusing on the need to identify and analyse risks related to a working task in an effective manner, i.e. considering the specific work activities related to such a task. To reduce the drawbacks of subjectivity while augmenting the consistency of judgements, the QFD was augmented by both the Delphi method and the fuzzy logic approach. To verify such an approach, it was implemented through a case study in the agricultural sector. While the proposed approach needs to be validated through further studies in different contexts, its positive results in performing hazard analysis and risk assessment in a comprehensive and thorough manner can contribute practically to the scientific knowledge on the application of QFD in design for safety activities

Hazard function deployment: a QFD-based tool for the assessment of working tasks–a practical study in the construction industry

Despite the efforts made, the number of accidents has not significantly decreased in the construction industry. The main reasons can be found in the peculiarities of working activities in this sector, where hazard analysis and safety management are more difficult than in other industries. To deal with these problems, a comprehensive approach for hazard analysis is needed, focusing on the activities in which a working task is articulated since they are characterized by different types of hazards and thus risk levels. The study proposes a methodology that integrates quality function deployment (QFD) and analytic network process methods to correlate working activities, hazardous events and possible consequences. This provides more effective decision-making, while reducing the ambiguity of the qualitative assessment criteria. The results achieved can augment knowledge on the usability of QFD in safety research, providing a basis for its application for further studies

The Impact of Human Error in the Use of Agricultural Tractors: A Case Study Research in Vineyard Cultivation in Italy

Recently, standards and regulations concerning occupational safety have become more and more rigorous. Nevertheless, the number of accidents and victims has not decreased significantly, as reported by official statistics. In Italy, the agricultural sector is certainly one of the most affected by this situation, especially taking into account the occurrence of serious injuries and fatalities related to the use of tractors. The main reasons for such a situation can be ascribed to the peculiarities of agricultural operations. Therefore, when analyzing the root causes of agricultural accidents, a user-centered approach is needed in order to make the development of health and safety interventions easier and more effective. Based on this, the present paper proposes a practical case study research focused on integrating the factor of human error into the risk assessment procedures of agricultural activities in vineyard cultivation. Such an approach allowed us to consider the impact of human errorwhile performing work activities (e.g., the use of a tractor)on hazards and related hazardous events in a thorough manner. The proposed approach represents a novelty in the sector of the safety assessment of agricultural activities, providing a first valuable basis for further analysis and implementation by researchers and practitioners

Occupational Risk Assessment in Landfills. Research Outcomes from Italy

Industrial production has brought increased wellbeing in the last years, but the amount of solid waste has undoubtedly increased. Thus, open dumpsites and landfills have been created throughout the world, with serious impacts on the environment and public health. In such a context, occupational health and safety (OHS) issues related to workers that have to deal with landfill characterization or management have not been considered sufficiently. To reduce such a research gap, in 2019 a research project started in Italy on OHS risk assessment in landfills. In fact, in such facilities, workers can be subjected to direct contact with the polluted environment and might not be completely aware of the entity and type of pollution (e.g., in open dumpsites). Starting with the analysis of INAIL data on accidents at work which occurred in Italy during the period 2008–2019, a specific risk analysis was carried out with the goal of defining risk determinants and profiles by means of K-means cluster analysis. Such an analysis allowed us to recognize the use of work equipment and the work environment as the main determinants of the accidents on the one hand, and the “driver of the excavator” as the most risky activity on the other. The achieved results take a step forward towards the characterization of occupational health and safety issues in landfills. Accordingly, the research outcomes represent a basis on which to address further research work in this field

Long-Term Drug Survival and Effectiveness of Secukinumab in Patients with Moderate to Severe Chronic Plaque Psoriasis: 42-Month Results from the SUPREME 2.0 Study

Purpose: SUPREME, a phase IIIb study conducted in Italy, demonstrated safety and high efficacy of secukinumab for up to 72 weeks in patients with moderate-to-severe plaque-type psoriasis. SUPREME 2.0 study aimed to provide real-world data on the long-term drug survival and effectiveness of secukinumab beyond 72 weeks. Patients and Methods: SUPREME 2.0 is a retrospective observational chart review study conducted in patients previously enrolled in SUPREME study. After the end of the SUPREME study, eligible patients continued treatment as per clinical practice, and their effectiveness and drug survival data were retrieved from medical charts. Results: Of the 415 patients enrolled in the SUPREME study, 297 were included in SUPREME 2.0; of which, 210 (70.7%) continued secukinumab treatment throughout the 42-month observation period. Patients in the biologic-naïve cohort had higher drug survival than those in the biologic-experienced cohort (74.9% vs 61.7%), while HLA-Cw6–positive and HLA-Cw6–negative patients showed similar drug survival (69.3% and 71.9%). After 42 months, Psoriasis Area and Severity Index (PASI) 90 was achieved by 79.6% of patients overall; with a similar proportion of biologic-naïve and biologic-experienced patients achieving PASI90 (79.8% and 79.1%). The mean absolute PASI score reduced from 21.94 to 1.38 in the overall population, 21.90 to 1.24 in biologic-naïve and 22.03 to 1.77 in biologic-experienced patients after 42 months. The decrease in the absolute PASI score was comparable between HLACw6–positive and HLA–Cw6-negative patients. The baseline Dermatology Life Quality Index scores also decreased in the overall patients (10.5 to 2.32) and across all study sub-groups after 42 months. Safety was consistent with the known profile of secukinumab, with no new findings. Conclusion: In this real-world cohort study, secukinumab showed consistently high long-term drug survival and effectiveness with a favourable safety profile

The Role of Attitudes Toward Medication and Treatment Adherence in the Clinical Response to LAIs: Findings From the STAR Network Depot Study

Background: Long-acting injectable (LAI) antipsychotics are efficacious in managing psychotic symptoms in people affected by severe mental disorders, such as schizophrenia and bipolar disorder. The present study aimed to investigate whether attitude toward treatment and treatment adherence represent predictors of symptoms changes over time. Methods: The STAR Network \u201cDepot Study\u201d was a naturalistic, multicenter, observational, prospective study that enrolled people initiating a LAI without restrictions on diagnosis, clinical severity or setting. Participants from 32 Italian centers were assessed at three time points: baseline, 6-month, and 12-month follow-up. Psychopathological symptoms, attitude toward medication and treatment adherence were measured using the Brief Psychiatric Rating Scale (BPRS), the Drug Attitude Inventory (DAI-10) and the Kemp's 7-point scale, respectively. Linear mixed-effects models were used to evaluate whether attitude toward medication and treatment adherence independently predicted symptoms changes over time. Analyses were conducted on the overall sample and then stratified according to the baseline severity (BPRS < 41 or BPRS 65 41). Results: We included 461 participants of which 276 were males. The majority of participants had received a primary diagnosis of a schizophrenia spectrum disorder (71.80%) and initiated a treatment with a second-generation LAI (69.63%). BPRS, DAI-10, and Kemp's scale scores improved over time. Six linear regressions\u2014conducted considering the outcome and predictors at baseline, 6-month, and 12-month follow-up independently\u2014showed that both DAI-10 and Kemp's scale negatively associated with BPRS scores at the three considered time points. Linear mixed-effects models conducted on the overall sample did not show any significant association between attitude toward medication or treatment adherence and changes in psychiatric symptoms over time. However, after stratification according to baseline severity, we found that both DAI-10 and Kemp's scale negatively predicted changes in BPRS scores at 12-month follow-up regardless of baseline severity. The association at 6-month follow-up was confirmed only in the group with moderate or severe symptoms at baseline. Conclusion: Our findings corroborate the importance of improving the quality of relationship between clinicians and patients. Shared decision making and thorough discussions about benefits and side effects may improve the outcome in patients with severe mental disorders

The Impact of Human Error in the Use of Agricultural Tractors: A Case Study Research in Vineyard Cultivation in Italy

Recently, standards and regulations concerning occupational safety have become more and more rigorous. Nevertheless, the number of accidents and victims has not decreased significantly, as reported by official statistics. In Italy, the agricultural sector is certainly one of the most affected by this situation, especially taking into account the occurrence of serious injuries and fatalities related to the use of tractors. The main reasons for such a situation can be ascribed to the peculiarities of agricultural operations. Therefore, when analyzing the root causes of agricultural accidents, a user-centered approach is needed in order to make the development of health and safety interventions easier and more effective. Based on this, the present paper proposes a practical case study research focused on integrating the factor of human error into the risk assessment procedures of agricultural activities in vineyard cultivation. Such an approach allowed us to consider the impact of human error—while performing work activities (e.g., the use of a tractor)—on hazards and related hazardous events in a thorough manner. The proposed approach represents a novelty in the sector of the safety assessment of agricultural activities, providing a first valuable basis for further analysis and implementation by researchers and practitioners

NOSACQ-50 for Safety Climate Assessment in Agricultural Activities: A Case Study in Central Italy

Safety climate assessment has been recognized as a powerful tool to bring to light workers’ perceptions related to safety practices, attitudes and behaviors at the workplace. Accordingly, its investigation can provide useful information about safety problems within a company before accidents occur. In literature, numerous studies can be found investigating safety climates in different types of industry. However, safety climate assessment in agricultural activities is addressed scarcely, even though agriculture represents a very hazardous sector. To reduce this gap, the present study proposes an investigation of safety climate among farmers by means of the Nordic Safety Climate Questionnaire (NOSACQ-50). The results of the survey brought to light a low level of safety perception of the interviewed sample, especially as concerns safety commitment and risk-taking attitudes. In particular, a different attitude toward safety issues has been registered depending on both the position and gender of the interviewed farmers. Overall, the output of this cross-sectional analysis adds to the current literature by expanding knowledge of safety climate among farmers, representing a baseline for further investigations based on human-centered approaches to enhance safety in agriculture and consequently social and workplace aspects of sustainable agricultural systems