Respiratory diseases associated with finger clubbing include chronic obstructive pulmonary disease (COPD), lung cancer, cystic fibrosis (thick mucus in the throat and digestive tract), and bronchiectasis (destruction of the large airways).
Safety culture is fundamentally a local problem, in that wide variations in the perception of safety culture can exist within a single organization. The perception of safety culture might be high in one unit within a hospital and low in another unit, or high among management and low among frontline workers. Research also shows that individual provider burnout negatively affects safety culture perception.
From public enquiries it has become evident that a broken Safety Culture is responsible for many of the major Process Safety disasters that have taken place around the world over the past 20 years or so. 1  Typical features related to these disasters are where there had been a culture of: