Working from Inside and Outside Institutions: How Safety Audits Can Help Courts' Decision Making Around Domestic Violence and Child Maltreatment

As systems begin to work collaboratively to address the overlap of domestic violence and child maltreatment, systems‐analysis approaches are also being explored to test the effectiveness of collaborative interventions in meeting the needs of victims and their families. The institutional safety audit model is one such approach currently being explored in sites across the country. Under this model, case files of families receiving services are submitted to an analysis that compares the interventions received with the needs that were demonstrated. Though still in a formative stage, the institutional safety audit has the potential to be used by the courts as an innovative information‐gathering tool on the effectiveness of court‐ordered interventions. This article will provide a detailed overview of the safety audit model, describe how safety audits are currently being used in the field, and discuss how the courts can incorporate safety audit findings into decision‐making around domestic violence and child maltreatment.     

The Convergence of Social Policy and Criminal Justice

This article discusses the shift from crime as a problem of the police and judicial authorities to a subject of local policy. It will, in particular, examine the relationship between safety policy and social policy. Safety has become an important social theme in the last decades. There are at least three reasons to explain why this is the case: the increase of crime, increased attention for the victim and the legitimacy of the government. A concentric model is proposed to serve the development of a systematically set up local safety policy. In the Netherlands programmes such as Communities that Care and Justice in the neighbourhood (Jib) are important developments which stress the integral approach of the crime and safety problem. The article closes with a discussion on the convergence of criminal justice policy and social policy.     

From clinical integration to accountable care

Four key challenges to reforming health care organizations can be addressed by a clinical integration model patterned after Advocate Physician Partners (APP). These challenges are: predominance of small group practices, dominant fee-for-service reimbursement methods, weaknesses of the traditional hospital medical staff structure and a need to partner with commercial insurance companies. APP has demonstrated teamwork between 3800 physicians and hospitals to improve quality, patient safety and cost-effectiveness. Building on this model, an innovative contract with Blue Cross Blue Shield of Illinois serves as a prototype for a commercial Accountable Care Organization. For this contract to succeed, APP must outperform the market competition. To accomplish this, APP has implemented strategies to reduce readmissions, avoid unnecessary admissions and emergency room visits, expand primary care access, and enhance quality and patient safety.     

Safety in Intimate Partnerships: The Role of Appraisals and Threat

For most intimate partners, safety is an important goal and basic need. How a partner perceives safety has an impact on what happens in the relationship, and this will in turn affect the responses from the other partner. Lack of safety can provoke negative emotions and actions which can lead to relationship deterioration and violence. However, little is known about this process from the insider’s perspective. In this study, constructivist grounded theory methods were used to analyze interviews from individuals (n = 37) to better understand individual appraisals of relational safety. The results include a theory that illustrates the process of relational safety and threat. This model articulates how certain relational conditions precede a perception of safety or threat, which then leads to corresponding actions. Implications of the model include a focus on interaction and context when assessing for safety and abuse, as well as the importance of self regulation.     

Efforts to improve patient safety in large,capitated medical groups: description and conceptual model

Medical care should be safer. Inpatient problems and solutions have received the most attention; this outpatient qualitative case study addresses a gap in knowledge. We describe safety improvements among large physician groups, model the key influences on their behavior, and identify beneficial public and private policies. All groups were trying to reduce medical injury, which was part of the sample design. The most commonly targeted problems are those that are similar across groups: shortcomings in diagnosis, abnormal tests follow-up, scope of practice and referral patterns, and continuity of care. Medical group innovators vary greatly, however, in implementation of improvements, that is, in the extent to which they implement process changes that identify events/problems, analyze and track incidents, decide how to change clinical and administrative practices, and monitor impacts of the changes. Our conceptual model identifies key determinants: (1) demand for safety comes from external factors: legal, market, and professional; (2) organizational responses depend on internal factors: group size, scope, and integration; leadership and governance; professional culture; information-system assets; and financial and intellectual capital. Further, safety is an aspect of quality (the same tools, decision making, interventions, and monitoring apply), and safety management benefits from prior efficiency management (similar skills and culture of innovation). Observed variation in even simple safeguards shows that existing safety incentives are too weak. Our model suggests that the biggest improvement would come from boosting the demand for quality and safety from both private and public larger group purchasers. Current policy relies too much on litigation and discipline, which have sometimes helped, but not solved, problems because they are inefficient, tend to drive needed information underground, and complicate needed cultural change. Patients' safety demand is also weak for want of information and market power. Big purchasers' demands, however, quickly influence the internal environment of medical groups, helping managers advance quality safety toward the top of groups' congested decision-making "queues."     

Intervention for Abusive Fathers: Promising Practices in Court and Community Responses

Fathers who have abused their children or their children's mothers constitute a significant challenge to court and community service providers. Although legislation offers direction for court dispositions, resulting court orders are only the starting point for ensuring children's safety. This article begins with a rationale for expanding services to include intervention for abusive fathers. Using the Caring Dads program as an example, we identify four principles to guide appropriate intervention with abusive fathers and discuss their theoretical and practical implications. Throughout the article we contrast the model we are proposing with more traditional court and intervention program responses to abusive fathers.     

Eyewitness Testimony in Occupational Accident Investigations: Towards a Research Agenda

Accident investigation is frequently cited as the cornerstone of an effective occupational health and safety program. We suggest that the literature on accident investigation is based on a model of witnesses as neutral and accurate recording devices. The literature on eyewitness testimony and criminal investigation offers strikingly different conclusions. We review these findings and point to their implication for research on accident investigation in occupational health and safety contexts.     

The electoral budget cycle on municipal police expenditure

This paper analyzes the effects of electoral cycles on municipal police expenditure. We use a database with information on Spanish municipalities with more than 20,000 inhabitants for the period 2001–2008. Our data show that incumbents increase police spending 1 year before the elections, thus we confirm an electoral budget cycle on police expenditure in Spain. We also find that conservative parties are associated with increased spending on public safety. Population has a positive and significant impact on police expenditures per capita, which indicates diseconomies of scale. The theory on sub-national government spending shows that intergovernmental transfers per capita and taxes per capita are believed to impact local expenditures. Our model fits this assumption, showing a significant and positive influence of both variables on police expenditures. Finally, our model reports a positive impact of both immigration and economic level on police spending.     

Eyes wide shut: the police investigation of safety crimes

This article reports the results of an empirical research project on the police investigation of harms caused by occupational safety crimes in Finland. It begins with a theoretical discussion of how those harms are excluded from mainstream criminal justice discourse by a range of obscuring mechanisms and the role that policing plays in maintaining and constituting a social order that marginalises safety crime. The paper uses an empirical study of safety crimes reported to the police in Finland. The study, located in a rare case of a jurisdiction in which safety crimes are the responsibility of mainstream policing agencies, will be used to explore the possibilities for stretching the legitimate parameters of criminal justice intervention. In order to do so, the analysis explores features of the ‘structural’ readiness of the state and the ‘conceptual’ readiness of police officers to criminalise those harms. The paper concludes on the value of those findings for understanding how safety crimes might be mainstreamed into policing systems more generally.     

基于B/S架构的安全生产监督管理信息系统

本文在分析了安全生产监督管理信息系统构成的基础上,结合信息管理技术的发展趋势,设计了B/S架构系统模型,实现了基于B/S架构的安全生产监督管理信息系统的总体架构设计方案,并阐述了B/S架构在系统中的优势。     

铁路食品安全风险管理体系构建与实施探讨(综述)

目的:利用风险管理与控制的基本原理,采取风险控制措施,确保铁路食品安全。方法:分析铁路食品安全管理中存在的风险因素,利用风险管理相关方面理论加以控制和消除。结果:通过查找铁路食品安全管理中存在的风险,分别在对内、对外、风险控制体系得出风险点位。结论:在新的形势下摸索出一条适应我国法律又符合自身管理要求的铁路食品安全特色模式,从而来确保铁路食品安全管理。     

Image construction versus empirical evaluations: automobile safety

The present study expands upon earlier work examining advertising as it relates to the construction of safety-related images in the automobile industry. Comparisons are made between automaker portrayal of vehicle safety in magazine advertising and their real-world safety-related performances. Such an analysis enables suggestions regarding, whether or not, the extent to which particular automakers demonstrate a misleading concern for safety and potentially produce false advertisements that violate the standards of law. In this sense, misleading claims related to automobile safety could be considered corporate deviance, particularly in relation to false advertising practices. This paper examines safety and vehicle marketing, a noted gap in recent literature, by looking at three magazine publications over the course of five?years and comparing the marketing strategies and assessing the extent to which automaker crash test evaluations correspond with their socially constructed, safety-based image. Our findings suggest that automakers are largely accurate in their advertising practices with regard to promoting and supporting safety claims.     

Neoclassical Difficulties: Tort Deterrence for Latent Injuries*

Economists often claim that the tort system leads firms to provide consumers and workers with the socially optimal level of safety. Moreover, in the case of work-related hazards, employers are alleged to have another source of incentives to take precautions. If wages are sensitive to job-related risks, employers should spend money to reduce such risks when, by doing so, they can save more in wage costs than the costs of the precautions taken. Whatever their merits in other settings, in the case of latent injuries such as workplace exposure to asbestos neither tort nor market are likely to provide an optimal level of safety; indeed, they have failed to do so in the examples we discuss. We find that the introduction of a long delay between the exposure to a hazard and the onset of symptoms introduces a variety of empirical complications that overwhelm the assumptions on which the neoclassical model rests. Our conclusion is thus that comparisons between tort and alternative systems of deterrence/compensation should start from an empirical assessment of how the tort system actually works (and doesn't work), rather than beginning with misleading theoretical claims about the system's optimality.     

论食品安全规制中的企业主体责任——以日韩食品安全监督员为例

为了应对食品安全风险,进一步发挥企业主体责任,在企业内部设置食品安全监督员,是一种有效的措施。虽然我国2009年制定的《食品安全法》引入了食品安全员制度,但规定得过于原则。目前,我国《食品安全法》修订在即,最近的《食品安全法(修订草案送审稿)》规定了食品安全员资格,但是,我国在食品安全监督员的任职资格、责任等领域仍然需要进一步规定。日本、韩国的食品安全监督员制度比较成熟,可资借鉴;通过对比分析两种不同的制度背景和运作模式,有助于完善我国《食品安全法》中的食品安全员制度。     

Association for Conflict Resolution Guidelines for Eldercaring Coordinators

On November 6, 2014, the AFCC Board of Directors endorsed the Association for Conflict Resolution (ACR) Guidelines for Eldercaring Coordination, including ethical principles for Eldercaring Coordinators, training protocols, and court pilot project template. The collaboration between Task Forces created by ACR and the Florida Chapter of AFCC, composed of twenty U.S./Canadian and twenty Florida‐wide organizations, produced both an overarching guide to assist in the development of programs and a more detailed model addressing state/province‐specific needs and characteristics. Eldercaring coordination is a dispute resolution option specifically for high‐conflict cases involving the care, needs, and safety of elders.

Key Points for the Family Court Community:
• There are currently no dispute resolution options for parties involved in high‐conflict cases regarding the care, needs, and safety of an elder.
• The ACR Guidelines for Eldercaring Coordination address the discrepancies between dispute resolution options available for parents in conflict regarding their minor children and mature families with unresolved concerns about the care, needs, and safety of an elder.
• The ACR Guidelines for Eldercaring Coordination provide information regarding the ethical practice of eldercaring coordination including a specific definition, recommended qualifications, ethical practices, grievance procedures, training protocols, and a court pilot project template.
• The practice of eldercaring coordination will address the influx of court cases expected as baby boomers continue to age, reducing delays in court hearings, as parties will have the opportunity to resolve their concerns without continuous court attention.
• As of June 2015, five states began Pilot Projects on Eldercaring Coordination, which will be studied by an independent research group to enhance the progress of the process and to develop the best practices for initiating the programs elsewhere.

     

Promoting the Safe and Strategic Use of Technology for Victims of Intimate Partner Violence: Evaluation of the Technology Safety Project

The Technology Safety Project of the Washington State Coalition Against Domestic Violence was designed to increase awareness and knowledge of technology safety issues for domestic violence victims, survivors, and advocacy staff. The project used a “train the trainer” model and provided computer and Internet resources to domestic violence service providers in order to (1) increase safe computer and Internet access for domestic violence survivors in Washington; (2) reduce the risk posed by abusers by educating survivors about technology safety and privacy; and (3) increase the ability of survivors to help themselves and their children through information technology. Evaluation of the project suggests that the program is needed, useful, and effective. Consumer satisfaction was high and there was perceived improvement in computer confidence and knowledge of computer safety. Areas for future program development and further research are discussed.     

Using iPhones? to Enhance and Reduce Face-to-face Home Safety Sessions within SafeCare?: An Evidence-based Child Maltreatment Prevention Program

Innovative handheld technologies are changing the possibilities for public health interventions. The present research describes a preliminary examination of the iPhone? when used as an assessment tool and an enhancement to an evidence-based, in-home child safety intervention. Three families with young children received an augmented version of the Safety module of SafeCare, a home-visiting child maltreatment prevention program. Specifically, parents were trained to use an iPhone to video rooms in their homes, as well as communicate feedback, logistics, and safety content between the home visitor and parent. The effectiveness of iPhone and video was examined using a multiple baseline design across in-home settings replicated across families. Home hazards were reduced dramatically across rooms and across participants. Face-to-face time of the home visitor was progressively reduced and replaced by video data collection. These data suggest smartphones are promising for data collection and for augmenting face-to-face interactions. Implications for reducing costs as smartphones become increasingly ubiquitous and for engaging and retaining participants are discussed.     

Inside the Black Box: How do OSHA Inspections Lead to Reductions in Workplace Injuries?*

We examine different models of employers’ responses to OSHA inspections. The “detection/correction” model assumes that responses are limited to correcting the violations that inspectors cite. The “behavioral shock” model assumes that firms respond by paying more attention to safety issues, even those unrelated to OSHA standards. We test whether some injury types are more affected by inspections than others, or by citations of particular OSHA standards. We conclude that, although citing particular standards can reduce injury types specifically related to those hazards, inspections also affect a wider range of injuries, suggesting a broader impact on managerial attention to safety.     

Cybersecurity,safety and robots: Strengthening the link between cybersecurity and safety in the context of care robots

This paper addresses the interplay between robots, cybersecurity, and safety from a European legal perspective, a topic under-explored by current technical and legal literature. The legal framework, together with technical standards, is a necessary parameter for the production and deployment of robots. However, European law does not regulate robots as such, and there exist multiple and overlapping legal requirements focusing on specific contexts, such as product safety and medical devices. Besides, the recently enacted European Cybersecurity Act establishes a cybersecurity certification framework, which could be used to define cybersecurity requirements for robots, although concrete cyber-physical implementation requirements are not yet prescribed. In this article, we illustrate cybersecurity challenges and their subsequent safety implications with the concrete example of care robots. These robots interact in close, direct contact with children, elderly, and persons with disabilities, and a malfunctioning or cybersecurity threat may affect the health and well-being of these people. Moreover, care robots may process vast amounts of data, including health and behavioral data, which are especially sensitive in the healthcare domain. Security vulnerabilities in robots thus raise significant concerns, not only for manufacturers and programmers, but also for those who interact with them, especially in sensitive applications such as healthcare. While the latest European policymaking efforts on robot regulation acknowledge the importance of cybersecurity, many details, and their impact on user safety have not yet been addressed in depth. Our contribution aims to answer the question whether the current European legal framework is prepared to address cyber and physical risks from care robots and ensure safe human–robot interactions in such a sensitive context. Cybersecurity and physical product safety legal requirements are governed separately in a dual regulatory framework, presenting a challenge in governing uniformly and adequately cyber-physical systems such as care robots. We conceptualize and discuss the challenges of regulating cyber-physical systems’ security with the current dual framework, particularly the lack of mandatory certifications. We conclude that policymakers need to consider cybersecurity as an indissociable aspect of safety to ensure robots are truly safe to use.