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Safety

Safety is an international, peer-reviewed, open access journal on industrial and human health safety published bimonthly online by MDPI.

Quartile Ranking JCR - Q3 (Public, Environmental and Occupational Health)

All Articles (762)

Background: Fire emergency management in healthcare facilities represents a complex challenge, particularly in historic buildings subject to architectural preservation constraints, where progressive horizontal evacuation is objectively difficult. This study analyzes the effectiveness of an evacuation sheet employed by Hospital Policlinico San Martino to improve the speed of evacuating non-self-sufficient patients in these buildings. Methods: This study involved evacuation simulations in wards previously selected based on structural characteristics. Healthcare personnel (male and female, aged between 30 and 55 years) conducted both horizontal and vertical patient evacuation drills, comparing the performance of the S-CAPEPOD® Evacuation Sheet (Standard Model) with the conventional method (hospital bed plus and rescue sheet). This study focused on the night shift to evaluate the most critical scenario in terms of human resources. Results: The use of the evacuation sheet proved more efficient than the conventional method throughout the entire evacuation route, especially during the first 15 min of the emergency (the most critical period). Indeed, with an equal number of available personnel, the evacuation sheet enabled an average improvement of 50% in the number of patients evacuated. Conclusions: The data support the effectiveness of the device, confirming the theoretical premise that the introduction of the evacuation sheet—also due to its ease of use—can be an improvement measure for the evacuation performance of non-self-sufficient patients, despite limitations related to structural variability and the simulated nature of the trials.

24 December 2025

Trends in fire incidents and incipient fire at Hospital Policlinico San Martino. The dashed line corresponds to the average of the events.

As the deployment of Automated Driving Systems (ADS) and Advanced Driver Assistance Systems (ADAS-L2) expands, understanding their real-world safety performance becomes essential. This study examines the severity and contributing factors of crashes involving vehicles equipped with ADS and ADAS-L2 technologies using NHTSA data. Using machine learning models on crash datasets from 2021 to 2024, this research identifies patterns and risk factors influencing injury outcomes. After data preprocessing and handling missing values for severity classification, four models were trained: logistic regression, random forest, SVM, and XGBoost. XGBoost outperformed the others for both ADS and ADAS-L2, achieving the highest accuracy and recall. Variable importance analysis showed that for ADS crashes, interactions with other road users and poor lighting were the strongest predictors of injury severity, while for ADAS-L2 crashes, fixed object collisions and low light conditions were most influential. From a policy and engineering perspective, this study highlights the need for standardized crash reporting and improved ADS object detection and pedestrian response. It also emphasizes effective human–machine interface design and driver training for partial automation. Unlike previous research, this study conducts comparative model-based evaluations of both ADS and ADAS-L2 using recent crash reports to inform safety standards and policy frameworks.

23 December 2025

Severity by System Type.

Women in mining face unique health and safety challenges due to anatomical and physiological differences, making the assessment and management of ergonomic risks in underground coal mines critical. This study examines the ergonomic experiences of female mineworkers through six focus-group discussions, each comprising eight participants, using a qualitative research design involving women actively engaged in core mining activities at three South African mines. Findings reveal that mining equipment and work environments often fail to accommodate the physiological needs of female workers, exposing them to a range of ergonomic hazards. Beyond physical risks, the study highlights organizational and systemic shortcomings, including inadequate implementation of existing policies and regulations. Poor hygiene in toilet facilities was also reported, with three out of eight participants taking medication for urinary tract infections, underscoring gaps in occupational health provision. The findings emphasize the urgent need for mine-specific ergonomic programs developed through participatory approaches, as part of a broader strategy to prevent musculoskeletal injuries and improve working conditions for female mineworkers. The establishment of the Women in Mining Forum further indicates that the industry is not yet fully prepared to support women in underground mining, highlighting the need for targeted interventions to create a safer, more inclusive work environment.

19 December 2025

Distribution of female participants.

Vulnerable Road Users in Romania: Forensic Autopsy-Based Analysis of Child and Elderly Fatalities

  • Ştefania Ungureanu,
  • Camelia-Oana Mureșan and
  • Alexandra Enache
  • + 6 authors

Background: Vulnerable road users (VRUs), including children and older adults, face a high risk of fatal road traffic accidents (RTAs) due to limited protection and greater injury susceptibility. Romania reports some of the highest child and elderly RTA mortality rates in the European Union. This study analyzed medico-legal autopsies from the Timisoara Institute of Legal Medicine (TILM) between 2017 and 2021 to compare fatalities in these two groups and identify key risk factors. Methods: A retrospective analysis was conducted on autopsy records of children (0–17 years) and older adults (>70 years) who died in RTAs during the study period. Data on demographics, type of road user, traumatic injuries, cause of death, and accident circumstances were extracted and supplemented by police reports. Comparative statistical analyses were performed for categorical and continuous variables. Results: Among 395 RTA autopsies, 23 (5.8%) involved children and 51 (12.9%) older adults. Most child victims were passengers (56.5%), whereas elderly fatalities occurred mainly among pedestrians (33.3%) and cyclists (25.5%), with statistically significant differences between age groups. Polytrauma was the leading cause of death in both categories, though isolated cranio-cerebral trauma was proportionally more frequent in children. Crash circumstances also showed age-related patterns, with children more involved in high-energy collisions and older adults more frequently struck as pedestrians. Survival intervals showed a similar distribution across groups. Conclusions: Child and elderly RTA fatalities in Romania share common determinants, primarily driver-related behaviors and insufficient safety measures, while also exhibiting distinct age-related vulnerabilities. Autopsy-based data highlights these patterns and can guide targeted interventions such as stricter law enforcement, public education, and infrastructure improvements.

15 December 2025

Distribution of victims regarding the type of road users for children (age below 18) and older people (age above 70) based on medico-legal autopsy records at TILM in Timis county, Romania, in a 5-year period (2017–2021).

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Volume III: Industrialisation, Sustainability, Resilience and Health & Safety
Editors: Srinath Perera, Albert P. C. Chan, Dilanthi Amaratunga, Makarand Hastak, Patrizia Lombardi, Sepani Senaratne, Xiaohua Jin, Anil Sawhney

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Safety - ISSN 2313-576X