Systematic review of 68 articles shows systemic factors drive 51% of coal industry occupational accident risks.
This systematic review analyzes 68 peer-reviewed articles to identify occupational accident risks and synthesize risk management practices within the coal industry's post-extraction supply chain, covering transportation, handling, and storage. The study contrasts a systemic perspective against conventional linear attribution of accidents to individual negligence or isolated risk assessments. The primary outcome focuses on categorizing the nature of these risks and existing management practices.
The analysis reveals that human and organizational risk factors constitute the predominant hazard category, representing 51% of the identified risks. Mechanical and operational failures follow as a hazard category at 31%, while environmental and geological hazards account for 18%. The authors highlight a significant geographical concentration of the research in China, which comprises 66% of the included studies and influences the dominant risk management narrative.
The authors argue that effective accident prevention necessitates a paradigm shift from behavioral compliance to systemic resilience. They observe that recurrent 'unsafe acts' are frequently symptoms of deeper systemic deficiencies within the socio-technical environment, including excessive workload and psychosocial stress. A limitation acknowledged by the authors is the significant geographical concentration of research in China (66%), which influences the dominant risk management narrative. Safety data, including adverse events, were not reported in the source material.
View Original Abstract ↓
Low-use wrist-strap restraint strategy did not improve days free of delirium or coma compared with high-use strategy in mechanically ventilated adults.
ICU Wrist Restraints: The Surprising Truth About Using Fewer
Related in Emergency Medicine
From Other Specialties
