Prioritising of safety measures in land use planning: on how to merge a risk-based approach with a cost-benefit analysis approach

Abrahamsen, Eirik Bjorheim; Selvik, Jon Tømmerås; Berg, Hallvard

doi:10.1504/ijbcrm.2016.079007

Cited by 3 publications

(2 citation statements)

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“…A problem occurs when the perspectives provide contradicting decision support (Abrahamsen et al, 2016(Abrahamsen et al, , 2020aBedford and Cook, 2001; Engemann and Abrahamsen, 2020; Erkan et al, 2016; Sørskår and Abrahamsen, 2017). An example could be that, while high risk implies a need for protection and cannot be ignored (Hokstad and Steiro, 2006), it is important to consider that the resources available for risk management activities are usually scarce (Abrahamsen et al, 2013(Abrahamsen et al, , 2018b.…”

Section: Introductionmentioning

confidence: 99%

“…An example could be that, while high risk implies a need for protection and cannot be ignored (Hokstad and Steiro, 2006), it is important to consider that the resources available for risk management activities are usually scarce (Abrahamsen et al, 2013(Abrahamsen et al, , 2018b. Adopting one of the perspectives while ignoring the other cannot in general be considered a good basis for obtaining an appropriate balance (Abrahamsen et al, 2016(Abrahamsen et al, , 2018a; Kaplan and Garrick, 1981).…”

Section: Introductionmentioning

confidence: 99%

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Contributions to risk management : On the balance between value creation and protection

Langdalen¹

2020

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Background: Inadequate non-technical skills (NTSs) among employees in the Norwegian prehospital emergency medical services (EMSs) are a risk for patient and operational safety. Simulation-based training and assessment is promising with respect to improving NTSs. The frequency of simulation-based training in and assessment of NTSs among crewmembers in the Norwegian helicopter emergency medical service (HEMS) has gained increased attention over recent years, whereas there has been much less focus on the Norwegian ground emergency medical service (GEMS). The aim of the study was to compare and document the frequencies of simulation-based training in and assessment of seven NTSs between the Norwegian HEMS and GEMS, conditional on workplace and occupation. Method: A comparative study of the results from cross-sectional questionnaires responded to by employees in the Norwegian prehospital EMSs in 2016 regarding training in and assessment of NTSs during 2015, with a focus on the Norwegian GEMS and HEMS. Professional groups of interest are: pilots, HEMS crew members (HCMs), physicians, paramedics, emergency medical technicians (EMTs), EMT apprentices, nurses and nurses with an EMT licence. Results: The frequency of simulation-based training in and assessment of seven generic NTSs was statistically significantly greater for HEMS than for GEMS during 2015. Compared with pilots and HCMs, other health care providers in GEMS and HEMS undergo statistically significantly less frequent simulation-based training in and assessment of NTSs. Physicians working in the HEMS appear to be undergoing training and assessment more frequently than the rest of the health trust employees. The study indicates a tendency for lesser focus on the assessment of NTSs compared to simulation-based training. Conclusion: HEMS has become superior to GEMS, in terms of frequency of training in and assessment of NTSs. The low frequency of training in and assessment of NTSs in GEMS suggests that there is a great potential to learn from HEMS and to strengthen the focus on NTSs. Increased frequency of assessment of NTSs in both HEMS and GEMS is called for.

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Section: Introductionmentioning

confidence: 99%