Veille février 2018 : Organisation de la SST

preventionVoici les nouvelles parutions qui portent sur différents aspects de l’organisation de la santé et la sécurité au travail. Elles sont triées par catégorie, soit la communication en SST, la formation, le leadership, l’identification ou l’évaluation des risques, l’organisation comme telle de la SST, la planification de la prévention, et les statistiques.

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Communication en SST
Formation en SST
Gestion / Leadership
Identification ou évaluation des risques
Organisation de la SST
Planification de la prévention
Statistiques en SST

Communication en SST

Perceived organizational support and moral distress among nurses.
Moral distress is prevalent in the health care environment at different levels. Nurses in all roles and positions are exposed to ethically challenging conditions. Development of supportive climates in organizations may drive nurses towards coping moral distress and other related factors. This study aimed at determining the level of perceived organizational support and moral distress among nurses and investigating the relationship between the two variables.

Source: Robaee, Navideh; Atashzadeh-Shoorideh, Foroozan; Ashktorab, Tahereh; Baghestani, Ahmadreza; Barkhordari-Sharifabad, Maasoumeh. (2018, 10 janvier). BMC Nursing, 17(2)

Properties for formally assessing the performance level of human-human collaborative procedures with miscommunications and erroneous human behavior.
Safety-critical systems have become more complex. Their safe operation depends not only on the individual skills and knowledge or human operators, but also effective and efficient team communication and collaboration. This paper presents a formal method for evaluating human-human collaborative procedure robustness and identifying formal specifications for proving if procedures achieve performance levels. Different versions of a realistic nuclear power plant procedure were evaluated with our method, which elucidated differences in the performance levels of the procedures.

Source: Pan, Dan; Bolton, Matthew L. (2018, 1 janvier). International Journal of Industrial Ergonomics, 63, 75-88.

The role of managers in addressing employees with musculoskeletal pain: a mixed methods study.
The degree of openness towards communicating about—and handling pain—in the organization (individual, collegial and managerial levels) influences how managers handle employees with pain. Awareness about employee health is a prerequisite for management to initiate relevant action towards supporting employees. Future workplace initiatives are likely to benefit from addressing openness in the organization to increase awareness and support employees with pain.

Source: Larsen, Anne Konring; Falkenstrøm, Signe; Jørgensen, Marie Birk; Rod, Morten Hulvej. (2018, 3 janvier). International Archives of Occupational and Environmental Health, Prépublication, 1-12.

Formation en SST

L’obligation de former.
Former ses employés aux bonnes pratiques en santé et sécurité du travail n’est pas seulement nécessaire pour assurer leur bien-être et leur capacité à accomplir leur travail à long terme; il s’agit d’une obligation légale. Voic comment concevoir et structurer des formations en SST qui auront un impact positif et durable.

Source: Boulé, Josette; Lemarier, Pierre. (2017). RH, la revue des CRHA et CRIA, 20(Hors-série Bonnes pratiques), 42-44.

Recommended Practices for Safety & Health Programs : A safe workplace is sound business.
Dedicated Web page to support the implementation of the OSHA recommended practices for effective safety and health programmes. This page includes both additional resources (articles and information sources related to each core element of the recommended practices as well as other topics discussed in the recommended practices) and tools such as downloadable templates, worksheets, and reference materials you can use as you develop your own safety and health program. OSHA will update the Web page and add resources and tools as they become available.

Source: Recommended Practices for Safety & Health Programs : A safe workplace is sound business. (2017). Occupational Safety and Health Administration.

Gestion / Leadership

Organizational factors associated with readiness for change in residential aged care settings.
Organizational change is inevitable in any workplace. Previous research has shown that leadership and a number of organizational climate and contextual variables can affect the adoption of change initiatives. The effect of these workplace variables is particularly important in stressful work sectors such as aged care where employees work with challenging older clients who frequently exhibit dementia and depression.

Source: von Treuer, Kathryn; Karantzas, Gery; McCabe, Marita; Mellor, David; Konis, Anastasia; Davison, Tanya E.; O’Connor, Daniel. (2018, 1 février). BMC Health Services Research, 18, 77.

Perspectives in Healthcare Safety : The Leader’s primer to developing a safety culture.
ressource disponible par abonnement (réseau ASSTSAS / CNESST)This feature article reviews the important role leaders have in effectively communicating, setting realistic expectations for, and recognizing and incentivizing safety behaviors, to promote safe conditions.

Source: Richards, Kim. (2017). Journal of the Association of Occupational Health Professionals in Healthcare, 37(4), 12-14.

Psychological barriers to safety: Cognitive shortcuts, senior leadership behaviours may be harming your culture.
Individuals make thousands of decisions on a daily basis. To save time and energy, adults use decision-making shortcuts. It happens that our decision-making becomes erroneous and biases set in. We aren’t necessarily aware that our decision has been impacted — until it leads to harmful results.

Source: Gendron, Renée. (2018, 2 février). Canadian Occupational Safety, 16(6).

Identification ou évaluation des risques

A Systematic, Thematic Review of Social and Occupational Factors Associated with Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak.
ressource disponible par abonnement (réseau ASSTSAS / CNESST)This systematic review identifies social and occupational factors affecting the psychological wellbeing of healthcare workers involved in the SARS crisis. Authors found psychological impact of SARS on employees to be associated with occupational role, training/preparedness, high-risk work environments, quarantine, role-related stressors, perceived risk, social support, social rejection/isolation and impact of SARS on personal or professional life. To minimise the psychological impact of future outbreaks of infectious diseases, healthcare workers should be prepared for the potential psychological impact; employers should encourage a supportive environment in the workplace and ensure that support is in place for those most at risk.

Source: Brooks, Samantha K.; Dunn, Rebecca; Amlôt, Richard; Rubin, G. James; Greenberg, Neil. (2018, 12 janvier). Journal of Occupational and Environmental Medicine, Prépublication.,_Thematic_Review_of_Social_and.98754.aspx

Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare.
Though healthcare is often exhorted to learn from ‘high-reliability’ industries, adopting tools and techniques from those sectors may not be straightforward. We sought to examine the hierarchies of risk controls (HoC) approach, used in high-risk industries to rank interventions according to supposed effectiveness in reducing risk, and widely advocated as appropriate for healthcare. The study classified risk controls proposed by clinical teams following proactive detection of hazards in their clinical systems, based on a widely used hierarchy developed by NIOSH. Results show that many risk controls introduced by clinical teams may cluster towards the apparently weaker end of an established hierarchy of controls. Less clear is whether the HoC approach as currently formulated is useful for the specifics of healthcare. Valuable opportunities for safety improvement may be lost if inappropriate hierarchical models are used to guide the selection of patient safety improvement interventions.

Source: Liberati, Elisa G.; Peerally, Mohammad Farhad; Dixon-Woods, Mary. (2018, 1 février). International Journal for Quality in Health Care, 30(1), 39-43.

Les blessures professionnelles et leurs déterminants – Mieux comprendre le rôle du secteur industriel et de la profession.
Cette recherche visait d’une part à établir la contribution de la profession et du secteur industriel à l’explication des blessures professionnelles et d’autre part à valider un modèle explicatif des blessures professionnelles, intégrant les déterminants individuels, environnementaux et contextuels des blessures professionnelles. L’analyse permet d’établir de manière probante la nature des déterminants des blessures professionnelles. Pour les accidents du travail, après ajustement des autres déterminants, l’utilisation des compétences, les demandes physiques ainsi que le nombre d’heures travaillées par semaine représentent des facteurs de risque dans le temps, alors que la présence d’une autorité décisionnelle pour le travailleur constitue un facteur de protection. Pour les troubles liés aux mouvements répétitifs, les demandes physiques ainsi que le nombre d’heures travaillées constituent également des facteurs de risque, alors que l’utilisation des compétences se révèle plutôt comme un facteur de protection. Enfin, tant pour les accidents du travail que pour les troubles liés aux mouvements répétitifs, la détresse psychologique ne s’est pas avérée significativement associée à aucun de ces types de blessures professionnelles.

Source: Durand, P., Beauregard, N., Marchand, A., & Demers, A. (2018, 24 février).  (Rapport No. R-978).

Lésions avec atteinte permanente à l’intégrité physique ou psychique – Analyse du risque au Québec.
Qui des hommes et des femmes risque davantage de subir une lésion professionnelle menant à une atteinte permanente à l’intégrité physique ou psychique ? Qu’en est-il des plus jeunes travailleurs ou des plus âgés ? Y a-t-il un lien entre la catégorie professionnelle, le secteur d’activité économique dans lequel ils évoluent et l’incidence des lésions ? Comment la situation a-t-elle changé au cours des 10 dernières années ? Voici les sur lesquelles les chercheurs de l’IRSST se sont penchés dans cette étude.

Source: Busque, M.-A., & Duguay, P. (2017, 12 octobre). (Rapport No. R-976).

Prediction of long-term absence due to sickness in employees: development and validation of a multifactorial risk score in two cohort studies.
This study aimed to develop and validate a risk prediction model for long-term sickness absence. Survey responses on work- and lifestyle-related questions from 65 775 public-sector employees were linked to sickness absence records to develop a prediction score for medically-certified sickness absence lasting >9 days and ≥90 days. For both sickness absence outcomes, a full model including 46 candidate predictors was reduced to a parsimonious model using least-absolute-shrinkage-and-selection-operator (LASSO) regression. The study demonstrates that individuals’ risk of a long-term sickness absence that lasts ≥90 days can be estimated using a brief risk score. The predictive performance of this score is comparable to those for established multifactorial risk algorithms for cardiovascular disease, such as the Framingham risk score.

Source: Airaksinen, Jaakko; Jokela, Markus; Virtanen, Marianna; Oksanen, Tuula; Koskenvuo, Markku; Pentti, Jaana; Vahtera, Jussi; Kivimäki, Mika. (2018, 24 janvier). Scandinavian Journal of Work, Environment & Health, Prépublication.

Rare or Unreported? HCW Injuries During Emergency Codes.
ressource disponible par abonnement (réseau ASSTSAS / CNESST)When a ‘code blue’ is called for immediate patient resuscitation, healthcare personnel rush to the bedside to instigate life-saving measures that may be physically demanding and go on for a prolonged time. How often are healthcare workers injured when performing a code, and what are the primary risks?

Source: Rare or Unreported? HCW Injuries During Emergency Codes. (2018, 1 janvier). Hospital Employee Health; The practical guide to keeping healthcare workers healthy, 37(1), 9-10.

Understanding – and avoiding – near misses.
“A near miss is an unplanned event that did not result in injury, illness or damage – but had the potential to do so,” according to the National Safety Council. NSC recommends implementing a near-miss reporting system, rather than waiting for losses to occur before taking steps to prevent them from reoccurring.

Source: Understanding – and avoiding – near misses. (2017, 26 novembre). Safety & Health: The official magazine of the NSC Congress & Expo.

Using the Electronic Health Record Data in Real Time and Predictive Analytics to Prevent Hospital-Acquired Postoperative/Surgical Site Infections.
Ressource en accès restreint (acheter à l'éditeur ou demandez un prêt entre bibliothèques)While all surgical patients have the potential to develop a postoperative infection, the main challenge is to identify key risk factors through an electronic early-warning system to reduce the likelihood of a postoperative infection from occurring. This article proposes that standardized indicators, both patient centered and operational, linked to the patient’s electronic health record could allow for implementation of real-time monitoring/surveillance to implement well-timed preventive interventions scaled to each patient and facility to assist caregivers in reducing the numbers of postoperative infections.

Source: Falen, Thomas; Noblin, Alice M.; Russell, O. Lucia; Santiago, Nonica. (2018, 5 janvier). The Health Care Manager, Prépublication.

Organisation de la SST

A new look at compliance with work procedures: An engagement perspective.
Ressource en accès restreint (acheter à l'éditeur ou demandez un prêt entre bibliothèques)This study examines how psychological and organizational factors influence two engaged behaviours by employees : investing personal effort into complying with procedures and voicing suggestions or concerns they have with the procedures. Supervisor helping behaviour had a significant positive effect on effort towards compliance and procedure-related voice, via its influence on perceived usefulness and job self-efficacy, respectively. By structuring the role of supervisors to ensure they have the capacity and availability to help their team members, organizations can encourage employees to perceive procedures as useful and themselves as capable of carrying out their job tasks.

Source: Hu, Xiaowen; Griffin, Mark; Yeo, Gillian; Kanse, Lisette; Hodkiewicz, Melinda; Parkes, Katharine. (2018). Safety Science, 105, 46-54.

How to Improve Lone Worker Safety.
Safety applications and audible alarms can help lone workers communicate in an emergency situation.

Source: How to Improve Lone Worker Safety. (2018, 1 février). EHS Outloud Blog

Impact of relational coordination on staff and patient outcomes in outpatient surgical clinics.
Ressource en accès restreint (acheter à l'éditeur ou demandez un prêt entre bibliothèques)This study explores whether relational coordination can contribute to both staff well-being and patient satisfaction in outpatient surgical clinics where time constraints paired with high needs for information transfer increase both the need for and the challenge of achieving timely and accurate communication. Authors conclude that even when patient–staff interactions are relatively brief, as in outpatient settings, high levels of relational coordination among interdependent workgroups contribute to positive outcomes for both staff and patients, and low levels tend to have the opposite effect. Clinical leaders can increase the expectation of positive outcomes for both staff and their patients by implementing interventions to strengthen relational coordination.

Source: Gittell, Jody Hoffer; Logan, Caroline; Cronenwett, Jack; Foster, Tina C.; Freeman, Richard; Godfrey, Marjorie; Vidal, Dale Collins. (2018, 5 janvier). Health Care Management Review, Prépublication.

Sondage national des infirmières du secteur des soins à domicile et du secteur des soins de longue durée.
La FCSII a mené un sondage national sur la perspective du personnel infirmier par rapport aux soins à domicile et aux soins de longue durée. Le sondage révèle un système surchargé au sein duquel l’acuité des besoins des patients augmente, ainsi que les risques pour les clients, les soignants et les fournisseurs de soins. Ces résultats illustrent le besoin de mettre en place des mesures pour assurer la sécurité des soins dispensés à domicile, ainsi que le besoin d’augmenter le personnel et d’établir des normes minimales de soins.

Source: Sondage national des infirmières du secteur des soins à domicile et du secteur des soins de longue durée. (2017). Repéré à

Using regulatory enforcement theory to explain compliance with quality and patient safety regulations: the case of internal audits.
Implementing an accredited quality and patient safety management system is inevitable for hospitals. Even in the case of an obligatory rule system, different approaches to implement such a system can be used: coercive (based on monitoring and threats of punishment) and catalytic (based on dialogue and suggestion). This study takes these different approaches as a starting point to explore whether and how implementation actions are linked to compliance. By doing so, this study aims to contribute to the knowledge on how to increase compliance with obligatory rules and regulations.

Source: Weske, Ulrike; Boselie, Paul; van Rensen, Elizabeth L. J.; Schneider, Margriet M. E.. (2018, 30 janvier). BMC Health Services Research, 18, 62.

Who is accountable for safety?.
Accountability needs to be specific and measurable. To move beyond everyone (read no one) being accountable, we must break safety down into some specific components and then assign accountability. We must also understand the close relationship between accountability, measurement and control.

Source: Fennell, Dave. (2018, 15 janvier). Canadian Occupational Safety, (December – January 2018), 14.

Planification de la prévention

A conceptual model for take-home workplace exposures.
ressource disponible par abonnement (réseau ASSTSAS / CNESST)The boundary between occupational and environmental exposures is often artificial, as occupational hazards can readily escape the workplace. One way that this occurs is when workers “take-home” occupational hazards, exposing family members. While take-home exposures have long been recognized, there is no comprehensive framework describing the pathways by which workers bring home workplace hazards. In this article, we provide such a conceptual model that includes three pathways for take-home exposures: external contamination, internal dose, and behavior change of workers. This conceptual model should help to describe the problems of take-home exposures more comprehensively in future research.

Source: Jones, Rachael M.; Burstyn, Igor. (2018, 1 janvier). Journal of Occupational and Environmental Hygiene, 15(1), D8-D11.

A systematic approach to quantifying infection prevention staffing and coverage needs.
Ressource en accès restreint (acheter à l'éditeur ou demandez un prêt entre bibliothèques)This article describes a large nonprofit health care system’s approach at quantifying the actual number of infection preventionist (IP) and relative support staff required to build and sustain effective infection prevention programs. Size, scope, services offered, populations cared for, and type of care settings all impact the actual need for IP coverage, making a comprehensive assessment of health care organization composition and structure necessary prior to determining the IP staffing needs for that organization.

Source: Bartles, Rebecca; Dickson, Angela; Babade, Oluwatomiwa. (2018, 4 janvier). American Journal of Infection Control, Prépublication.

Economic evaluation of occupational safety and health interventions from the employer perspective: A systematic review.
ressource disponible par abonnement (réseau ASSTSAS / CNESST)The aim of this systematic review was to evaluate the cost-effectiveness of occupational safety and health interventions from the employer perspective. A comprehensive literature search (2005–2016) in five electronic databases was conducted. Pre-2005 studies were identified from the reference lists of previous studies and systematic reviews, which have similar objective to those of this search. The present systematic review highlights the need for high-quality economic evidence to evaluate the cost-effectiveness of OSH interventions, especially at organizational-level, in all areas of worker health.

Source: Grimani, Aikaterini; Bergström, Gunnar; Casallas, Martha Isabel Riaño; Aboagye, Emmanuel; Jensen, Irene; Lohela-Karlsson, Malin. (2018, 4 janvier). Journal of Occupational and Environmental Medicine, Prépublication.

Plan Ahead for the Injured Returning to Work.
ressource disponible par abonnement (réseau ASSTSAS / CNESST)Injured healthcare workers returning to work may need alternate duties as they continue healing, so planning ahead in that regard is highly recommended,

Source: Plan Ahead for the Injured Returning to Work.. (2018, 1 mars). Hospital Employee Health, 37(3), 32-33.

Productivity estimation in economic evaluations of occupational health and safety interventions: a systematic review.
Occupational health and safety (OHS) interventions’ effect on worker productivity is an essential, but complex element of the value of these programs. This study aims to review the methods used to estimate productivity changes in recently published economic evaluations of OHS interventions. Of the 90 identified studies, 44 used a human capital approach, 17 a friction cost approach, 13 stated productivity in natural units, 7 made use of compensation expenses, 4 used output-based methods, 4 an « ad hoc » approach, and 1 study did not state its method. Different approaches were combined in 19 studies. Economic evaluation studies of OHS would benefit from more methodological standardization in their approach to quantifying productivity change. Future research should better account for the methodological uncertainty that occurs in estimating it in order to demonstrate the impact that particular choices and approaches to productivity estimation can have on cost-effectiveness results.

Source: Steel, Jonas; Godderis, Lode; Luyten, Jeroen. (2017). Scandinavian Journal of Work, Environment & Health, Prépublication.

Troubles musculosquelettiques – Les cinq composantes du succès d’un programme de réadaptation incluant une intervention en milieu de travail (Aide-mémoire).
Cet aide-mémoire constitue une synthèse des recommandations pragmatiques qui découlent du rapport de recherche R-942, publié en 2016. Il est destiné à faciliter le dialogue entre les différents acteurs ou parties prenantes du retour au travail, notamment : les professionnels de la santé contribuant au retour et au maintien au travail des travailleurs blessés dans le cadre de leur travail; le milieu de travail : le syndicat, les superviseurs, le service des ressources humaines et les collègues de ces travailleurs; les assureurs.

Source: Durand, Marie-José; Sylvain, Chantal; Fassier, Jean-Baptiste; Tremblay, Dominique; Shaw, William S.; Anema, Johannes; Loisel, Patrick; Richard, Marie-Christine; Bernier, Michael. (2017, décembre). IRSST.

Statistiques en SST

Exposition des travailleurs québécois à des cancérogènes : industries et groupes professionnels.
France Labrèche, chercheuse à l’IRSST, décrit les secteurs d’activité économique et les principaux groupes professionnels dans lesquels les travailleurs québécois sont exposés aux cancérogènes. Présentation basée sur le rapport scientifique du même titre.

Source: IRSST – Santé et sécurité du travail. (2018, 19 janvier). Exposition des travailleurs québécois à des cancérogènes : industries et groupes professionnels. Montréal : IRSST – Santé et sécurité du travail. Repéré à

Occupational health services: A supportive business case.
Occupational health services (OH service) must justify their position within, and the value offered to, the workplace. Developing a business plan, working it, and then, measuring and reporting on the service’s performance, are critical. Senior management teams may sometimes question the value of an OH service and its personnel, but a look at the numbers shows OH services and occupational health nurses (OHN) are beneficial to an organization.

Source: Dyck, D. (2017, 7 décembre). Canadian Safety Reporter.

Santé travail : enjeux & actions 2018, les affections psychiques.
Dans une étude inédite sur les affections psychiques liées au travail, l’Assurance Maladie révèle des chiffres inquiétants sur ces dernières : plus de 10000 affections psychiques reconnus au titre des accidents du travail en 2016 et près de 600 au titre des maladies professionnelles, soit sept fois plus qu’il y a cinq ans. Le secteur médico-social compte pour, 20% des accidents psychiques, alors qu’il n’emploie que 10% des salariés. Les femmes, très présentes dans les secteurs à risque, sont les plus touchées (60%). Déclenchées soit par un événement extérieur (agression, menaces…), soit par des conditions de travail difficiles entraînant dépression et anxiété, les affections psychiques occasionnent des arrêts de travail longs : 112 jours en moyenne pour celles reconnues en accident du travail (contre 65 jours pour les autres accidents du travail confondus) et 400 jours en moyenne pour celles reconnues en maladie professionnelle.

Source: Caisse nationale de l’assurance maladie des travailleurs salariés (France). (2018). Santé travail : enjeux & actions 2018, les affections psychiques. Paris : Caisse nationale de l’assurance maladie des travailleurs salariés (France).

The cost of occupational cancer in the EU-28.
Le cancer professionnel est la première cause de mortalité au travail dans l’Union européenne. C’est pourquoi l’Institut syndical européen (ETUI) a commandé une étude permettant d’estimer son incidence dans les 28 pays de l’UE et d’évaluer les coûts économiques pour les travailleurs, les employeurs et les gouvernements. Le rapport présente les estimations de l’incidence actuelle des cancers associés à des expositions passées à 25 agents cancérogènes et l’analyse des données selon le sexe des travailleurs.

Source: Vencovsky, D., Postle, M., & Kalberlah, F. (2017). Bruxelles : European Trade Union Institute (ETUI).

The cost of work-related stress to society: A systematic review..
ressource disponible par abonnement (réseau ASSTSAS / CNESST)The objective of this review was to collate, extract, and synthesize economic evaluations of the cost of work-related stress (WRS) to society. The total estimated cost of WRS was observed to be considerable and ranged substantially from US$221.13 million to $187 billion. Productivity related losses contributed the majority of the total cost of WRS (between 70 to 90%), with health care and medical costs constituting the remaining 10 to 30%. The observed range of cost estimates was understood to be attributable to variations in definitions of WRS; the number and type of costs estimated; and, in how production loss was estimated. Cost estimates identified by this review are likely conservative because of narrow definitions of WRS and the exclusion of diverse range of cost components.

Source: Hassard, Juliet; Teoh, Kevin RH; Visockaite, Gintare; Dewe, Philip; Cox, Tom. (2018). Journal of occupational health psychology, 23(1), 1.

Working conditions of workers of different ages: European Working Conditions Survey 2015.
This report analyses ageing and sustainable working conditions for the 28 EU Member States using data from the latest European Working Conditions Survey (EWCS 2015). The report also investigates the conditions of employment for different age groups, linking them to work life balance, health & well-being and career prospects. Key findings show that poor working conditions have a negative impact on sustainable work outcomes for all employees, regardless of age. Employees who are exposed to physical risks and quantitative demands are more likely to experience worse health and poorer work life balance.

Source: Vargas Llave, O., Wilkens, M., & Mullan, J. (2017). Luxembourg : Eurofound.

Workplace Safety in the U.S. (Infographic).
Every day, countless workers risk their lives in the performance of their duties. Many employers are now hiring workplace safety professionals to help develop accident-prevention strategies. This infographic presents emerging trends, history of industry-specific accidents, standards, challenges, and profiles of three workplace safety professions.

Source: Workplace Safety in the U.S. (Infographic). (2017). EKU Online


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