title: Study of the Continuous Improvement Trend for Health, Safety and Environmental Indicators, after Establishment of Integrated Management System (IMS) in a Pharmaceutical Industry in Iran.
abstract: BACKGROUND
  Nowadays, organizations try to improve their services and consequently adopt management systems and standards which have become key parts in various industries. One of these management systems which have been noticed in the recent years is Integrated Management System that is the combination of quality, health, safety and environment management systems.
  
  
  OBJECTIVE
  This study was conducted with the aim of evaluating the improvement trend after establishment of integrated management system for health, safety and environment indicators, in a pharmaceutical industry in Iran.
  
  
  METHODS
  First, during several inspections in different parts of the industry, indicators that should have been noted were listed and then these indicators were organized in 3 domains of health, safety and environment in the form of a questionnaire that followed Likert method of scaling. Also, the weight of each index was resulted from averaging out of 30 managers and the viewpoints of the related experts in the field. Moreover, by checking the documents and evidence of different years (5 contemplation years of this study), the score of each indicator was determined by multiplying the weight and score of the indices and were finally analysed.
  
  
  RESULTS
  Over 5 years, scores of health scope indicators, increased from 161.99 to 202.23. Score in the first year after applying the integrated management system establishment was 172.37 in safety part and in the final year increased to 197.57. The changes of environmental scope rates, from the beginning of the program up to the last year increased from 49.24 to 64.27.
  
  
  CONCLUSIONS
  Integrated management systems help organizations to improve programs to achieve their objectives. Although in this study all trends of health, safety and environmental indicator changes were positive, but at the same time showed to be slow. So, one can suggest that the result of an annual evaluation should be applied in planning future activities for the years ahead.
authors.affiliation: Msc of Health, Safety and Environment Management, Islamic Azad University of Science and Research of Tehran , Tehran, Iran .
authors.forename: Pegah
authors.initials: P
authors.lastname: Mariouryad
authors.affiliation: Professor, Department of Occupational Health, School of Public Health, Tehran University of Medical Sciences , Tehran, Iran .
authors.forename: Farideh
authors.initials: F
authors.lastname: Golbabaei
authors.affiliation: Professor, Department of Occupational Health, School of Public Health, Tehran University of Medical Science , Tehran, Iran .
authors.forename: Parvin
authors.initials: P
authors.lastname: Nasiri
authors.affiliation: Associate Professor, Department of Occupational Health, Hamadan University of Medical Sciences . Hamadan, Iran .
authors.forename: Iraj
authors.initials: I
authors.lastname: Mohammadfam
authors.affiliation: Professor Assistant, Department of Environment and Occupational Health, Social Determinants of Health Research Center, Yasuj University of Medical Sciences , Yasuj, Iran .
authors.forename: Hossein
authors.initials: H
authors.lastname: Marioryad
keywords: Industrial safety; Occupational health; Quantitative indicators; Standards