Authors (including presenting author) :
Yiu TY(1), Cheung KC(1), Ho SM(1)
Affiliation :
(1)Ward 13A, Isolation Ward, United Christian Hospital
Keyword 1: :
Behavior-Based Safety (BBS)
Keyword 2: :
Workplace Violence
Keyword 3: :
Injuries on Duty (IOD)
Introduction :
A behavior-based safety (BBS) program aims to foster a safety climate to reduce incidents and sustain improvement in the workplace. According to the KEC Occupational Safety and Health (OSH) Team Injuries on Duty (IOD) Statistics in 2025, there has been an increasing trend of workplace violence, resulting in a higher risk of IOD among nursing staff, particularly during routine care of restrained patients. To address this issue, a pilot BBS program focused on diaper changes and repositioning procedures for restrained patients was implemented.
Objectives :
-To reduce staff injuries during routine patient care
-To enhance the alertness among staff when managing restrained patients
-To foster a safety climate among frontline staff continuously
Methodology :
A bundle of assessments, observation checklists and evaluations were conducted with reference to the principles of BBS. A workgroup was formulated, which include the ward manager and the OSH team members from the isolation ward. Critical safety behaviors were identified during diaper changes and repositioning procedures for restrained patients. Daily observations and assessments were carried out in a month, with timely feedback and recommendations provided to staff. Staff were encouraged to express their thoughts and discuss the difficulties they encountered during these tasks. Additional feedback and enhancement training were arranged to empower staff and strengthen the compliance.
Result & Outcome :
The safety compliance rate for diaper changes and repositioning procedures among restrained patients reached approximately 90% within a short period of time. Staff expressed satisfaction towards the program, reporting increased confidence and heightened sense of security when performing routine care for restrained patients. They showed willingness to join similar safety program in the future.
