Jennifer Wilby

Bio: Jennifer Wilby is an academic researcher. The author has contributed to research in topics: Patient safety. The author has an hindex of 1, co-authored 1 publications receiving 37 citations.

Scoping Review of Sabotage and/or Tampering in the NHS

Abstract: A scoping review on sabotage or tampering (within the NHS) with intent to injure was commissioned by the National Patient Safety Agency (NPSA) This followed reports of blocked anaesthetic tubing during surgical procedures, which could have been the result of deliberate sabotage OBJECTIVES: To undertake a scoping review of the literature relating to: 1 sabotage or tampering, with intent to injure, of equipment or medical products by staff, patients, carers or anyone else with access 2 solutions that help to minimise the risk of sabotage or tampering Literature from fields other than healthcare were considered relevant The aim of the scoping review was to map the literature relating to sabotage or tampering

People in Public Health - a study of approaches to develop and support people in public health roles

Abstract: ‘People in Public Health’ is a study about approaches to develop and support lay people in public health roles. The use of participatory approaches in public health programmes, both in national and international contexts, is well established and seen as necessary to deliver sustainable improvements in public health (Bracht and Tsouros, 1990; Rifkin et al., 2000; World Health Organization, 2002). Indeed a central argument in the Wanless reviews was that a ‘fully engaged scenario’ with high levels of public engagement in health would result in lower levels of public expenditure and better health outcomes (Wanless, 2002; Wanless, 2004). Government policy supports greater community engagement in health as a means of addressing public health priorities and tackling health inequalities (Department of Health, 2003). The health agenda on community involvement resonates with arguments for citizen empowerment and greater democratisation of services, not only in the NHS but across the public sector, in national agencies and local authorities (Campbell et al., 2008). Recent national guidance on community engagement noted the wide variety of approaches, indicating that those approaches based on higher levels of participation and greater community control were more likely to lead to increased health and social outcomes1 (National Institute for Health and Clinical Effectiveness, 2008). There was a recommendation to recruit what were termed ‘agents of change’ in communities who become involved ‘to plan, design and deliver health promotion activities and to help address the wider social determinants of health’ by taking on roles such as peer educators, health champions or neighbourhood wardens (National Institute for Health and Clinical Effectiveness, 2008:28). The concept of empowerment, the process of individuals and communities being enabled to undertake local action to effect change, is seen as core to health promotion (Tones and Tilford, 2001; World Health Organization, 1986; Wallerstein, 2006). Government policy on community empowerment advocates increased citizen involvement in planning and running services (Secretary of State for Communities and Local Government, 2008) and this agenda is linked to the personalisation of health and social services and patient and public involvement (Department of Health, 2005b; Department of Health, 2006; Secretary of State for Health, 2006). More evidence is required, however, about effective mechanisms for lay engagement and how public services can best enhance, support and sustain community involvement.

Evaluation of physical protection system effectiveness

Abstract: The ability of physical protection system (PPS) to withstand a possible attack and prevent an adversary from achieving his objectives is generally characterized as PPS effectiveness. The evaluation of effectiveness serves then as a basis for assessing whether a relevant PPS meets an intended aim. The article presents the selected results of an extensive analysis tackling the present state of PPS system effectiveness evaluation. There has been determined the achieved state of the development of a PPS efficiency evaluation theory, and also the possibilities of practical application of known algorithms, analyses, models, program products, tests and exercises which might be used for evaluating the PPS effectiveness. The authors of the paper have proposed that a couple of ways can be selected to develop these methods more when following the results of the performed analysis.

Assessment of foodservice managers' awareness of food tampering hazards and evaluation of a food tampering risk reduction program for managers of foodservice facilities

Abstract: approved: Margy JI/Woodburn, PhD Food tampering in foodservice facilities, especially with self-serve foods, can result in consumer illness or injury and adversely affect the foodservice organization. This study explored foodservice managers' awareness and perceptions of risk and evaluated a Hazard Analysis Critical Control Point (HACCP)-based program of food tampering hazard reduction developed for managers. The study had two phases, descriptive and experimental. The purpose of phase one was to determine food tampering awareness and opinions, to obtain descriptive information about foodservice managers and their facilities, and to identify the population for phase two. The purpose of phase two was to evaluate an educational workbook, which had been developed by the researcher, using a post-test for the experimental and control samples. One thousand foodservice managers in commercial and non-commercial foodservices were contacted by mailed questionnaires in phase one; 376 continued on to phase two, one-half received both a food tampering risk reduction self-instructional workbook and a post-test; 238 completed the study. The post-test included a food tampering hazard inspection form used to evaluate facilities. The managers' changes in opinions and actions to reduce food tampering hazards and their understanding of a HACCP-based program were identified and comparisons made through chi square analyses. More non-commercial foodservice managers than commercial managers had college degrees, but there was no significant association between education level and food tampering concern. Managers with self-serve foods reported greater concern than those without; managers aware of food tampering reported greater concern. Managers who had received the self-instructional workbook had greater ability to identify food tampering hazards through floor plan evaluation. No significant changes in food tampering concern or intent to take action to reduce risk were found after the post-test. However, increased awareness led to a trend of increased concern. It was concluded that the questionnaire and post-test both had educational effects on the participants. The workbook and the inspection form are suggested as an educational program to increase awareness and concern for food tampering and the intent to reduce food tampering hazards by foodservice managers. c Copyright by Victoria E. Look April 29, 1993

Tamper-indicating devices and safeguards seals evaluation test report. Volume 1

Abstract: Sandia National Laboratories was asked to evaluate the seals used as tamper-indicating devices (TIDs) at DOE facilities. Initially, a survey determined what seal manufacturers were being used and what similar seal types were available. Once the required specifications for TIDs were defined, a test plan measured the currently available seals against the requirements. Environmental and physical type tests stressed the seals under two broad categories: (1) handling durability and (2) tamper resistance. Results of the testing provide comparative ratings for the various seals, recommendations for using currently available seals, and a new tamper-indicating technology.