• Title/Summary/Keyword: 안전 의사소통

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Research on Enhancing Reliability of IT Convergence Technology Applied Emergency Management Information System (IT 융합 기술을 적용한 응급관리 정보 시스템의 신뢰성 향상 방안에 관한 연구)

  • Cho, Gyoun-Yon;Lee, Seo-Joon;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.395-401
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    • 2013
  • In a situation of crisis, an ambulance is dispatched according to the given emergency management information system(EMIS). However, the problem of past EMIS is that they did not concentrate on the reliable communication between the ambulance and medical specialists, thereby causing some needless casualties. This paper presents HEMIS, a highly-reliable emergency management information system, to solve such flaws. The effects showed that HEMIS was superior in data packet size, data safety and quality of service(QoS) to that of typical EMIS. Therefore, HEMIS is expected to increase the quality of medical service in ambulances, thereby decreasing casualties of patients carried in ambulances.

Patient Safety Education: Team Communication and Interprofessional Collaboration (환자안전 교육에서 팀 의사소통과 전문직 간 협업)

  • Park, Kwi Hwa;Park, Kyung Hye
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.22-30
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    • 2019
  • Team communication, teamwork, and interprofessional collaboration are critical and the basis for patient safety in a more diverse and complex clinical environment. This study explored the current status of teamwork, team communication, and interprofessionalism in the context of patient safety within undergraduate medical education. A scoping review of the literature published since 2010 was undertaken. Fifteen papers were included for final review. The most commonly used educational methods were off-line lectures and simulations. Standard team communication tools suggested in TeamSTEPPS (team strategies and tools to enhance performance patient safety) were covered in some of the research. Knowledge, skills, and teamwork attitudes, interprofessional collaboration, and/or patient safety were improved in most of the papers. In the previous studies of team communication, the content and method of education, and the change in knowledge and attitudes of the individuals have been widely reported, but more research is needed regarding the method of evaluating the teamwork itself. In addition, education on team communication as well as patient safety and interprofessionalism is lacking. As the importance of team communication in patient safety increases, more attention is needed on this topic in undergraduate medical education.

The Policing of the G20 Seoul Protests: A Case Analysis on the Death of Ian Tomlinson (G20 서울 정상회의 관련 집회시위 경비방안 : 이안 톰린슨(Ian Tomlinson) 사망사건 분석을 중심으로)

  • Lee, Ju-Lak
    • Korean Security Journal
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    • no.24
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    • pp.125-146
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    • 2010
  • The G20 summit is the premier forum for international economic cooperation and it will be held in Seoul in November 2010. However, protests are expected during the Seoul summit, as a part of the deepening global war against capitalism. The Korean Police need to deal with these protests effectively in order to provide security to the participating leaders and make the meeting run on wheel as planned. The current study attempts to analyze the death of Ian Tomlinson who died in the context of a heavily policed protest during 2009 G20 London summit. There are number of unique features regarding this incident, such as the public scrutiny of police conduct through video footage, the police use of excessive force, and the process to hold the police to account for misconduct. This incident caused serious damages to the public's faith in the British police. Based on the analysis, this study found that during the G20 London summit British police had the problems such as the lack of the clear standards on the use of force, improper training in the use of force, poor communications with the media and protesters, inappropriate use of the close containment tactic, and the failure to display police identification. Therefore, this study suggests the inducement of peaceful protests, the adoption of a set of standards on the use of force, public order training that is more directed and more relevant to the public order challenges facing the Korean police, improvement of the communication with the media and protesters, enhancement of individual officer's accountability as public order policing strategies for G20 Seoul summit meeting. However, the most fundamental principle is that Korean police must place a high value on tolerance and winning the consent of the public.

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Literature Review of Therapeutic Milieu of Psychiatric Patient and Suggestion for Changing Environment of Psychiatric Wards in Korea (치료적 환경에 대한 문헌적 고찰 및 정신과병동 환경변화에 대한 몇가지 제언)

  • Lee, So-Woo
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.80-90
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    • 1976
  • 정신과 영역의 환자를 위해 간호원의 역활을 필요로 한 이래 여러 가지 간호의 개념으로 간호원의 역할이 변화되어오고 있다. 정신과 환자의 안전만이 가장 큰 치료의 중심일 때는 병동열쇠의 위엄에 곁따라 보호관리에만 치중해 왔으며 정신의학에서 약물요법, 전기요법의 치료과정이 생기면서 간호원의 역할 변화 및 지식의 요구를 필요로 하게 되었으며, 환경과 개인의 밀접한 관계를 중시해오면서 치료적 환경속으로 환자의 인간적 치료가 강조되었을 때 의사소통과 대인관계의 인적 환경으로써 또한 간호원의 역활이 중요시 되어왔다. 이런 관점에서 치료적 환경에 대한 정확한 이해는 간호행위과정의 불완전을 제거하며 보다 활발한 정신과 환자간호에 기여하는 일 일 것이다. DR. Bartom은 병실 환경이 비생산적이고 비 치료적일때 성격의 변화는 물론 행동적 특성의 변화까지 가져올 수 있다고 말했다. 즉 무감동적이고, 무조건적 순종이 있으며 솔선하여 행하는 행위가 줄고 장래 계획에 대한 자극이 줄어들고 될대로 되어 가는 상태 그 자체에 머물러 있어 인간의 특징적 의미와 가치를 상실하게 된다는 것이다. 정신과 병실은 잠정적 체류지로 보아야 하겠고 이 체류지에서의 영향이 환자에게 보다 유익하게 끼칠려면 간호원이 지속적으로 치료적 분위기를 유지해야 할 것이다. 치료적 입장으로서의 간호의 활동 초점은 대인관계에서 환자의 의식수준과 자아관련 수준에서의 취급이 무의식 수준에서의 탐구조사보다 바람직하다. 치료적 가치로써 치료적 환경의 이론적 근거를 DR. Sullivan 은 인간의 상호관련 문제에 두고 있다. 즉 상호작용이 존재하는 환경은 어떠한 곳이든 성격에 영향이 있고 이 성격은 대인관계의 복잡성으로부터 결코 떨어질 수 없다는 얘기다. 자아구성 또한 환경의 영향을 받는데 Cumming은 병동환경과 자아구성 재동기간에 밀접성을 시사한바 있다. Visher와 O'sullivan은 정신과적 치료중에서 일상생활에서 경험되어지는 의사소통과 대인관계속에서 학습되어지는 여러 가지가 있기 때문에 매일의 활동획이 치료적 방향으로 계획되어 져야 한다고 말했다. Maxwell Jones 또한 치료적 환경의 유용한 가동은 전 직원의 기여에 있으며 이는 정신건강을 최적으로 올려 줄 것이다. 라고 말했다. 이러한 상황에서 간호원은 의미 없이 환자의 감정 욕구를 깨닫지 못하고 감정지지를 주지 못하며 정서적 긴장을 예방하지 못한 체 환자와의 관계를 유지한다면 현대간호의 개념에서 이탈되어지고 발달되어지지 못한 미숙아 현상이 유지 될 것이다. 보다 바람직한 치료적 환경 유지는 간호로써 환자에게 기여해 주는 일이다. 간호의 역활과 더불어 전문적 태도는 따뜻하고 포용성 있게 그리고 융통성 있게 대함은 물론 간호인 자신의 "자기이용"을 깊이 그리고 치료적으로 이용할 것을 깨달아야 할 것이다. 즉 정신과 병실에서의 간호원 존재 자제가 환자에게 미치는 영향도 고려해야 한다는 것이다. 덧붙여 환자를 위한 일주일 병동 행사표를 Model로 제시하였고 그 안에서의 간호원의 역활을 약술하였다.

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Analyzing Disaster Response Terminologies by Text Mining and Social Network Analysis (텍스트 마이닝과 소셜 네트워크 분석을 이용한 재난대응 용어분석)

  • Kang, Seong Kyung;Yu, Hwan;Lee, Young Jai
    • Information Systems Review
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    • v.18 no.1
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    • pp.141-155
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    • 2016
  • This study identified terminologies related to the proximity and frequency of disaster by social network analysis (SNA) and text mining, and then expressed the outcome into a mind map. The termdocument matrix of text mining was utilized for the terminology proximity analysis, and the SNA closeness centrality was calculated to organically express the relationship of the terminologies through a mind map. By analyzing terminology proximity and selecting disaster response-related terminologies, this study identified the closest field among all the disaster response fields to disaster response and the core terms in each disaster response field. This disaster response terminology analysis could be utilized in future core term-based terminology standardization, disaster-related knowledge accumulation and research, and application of various response scenario compositions, among others.

Analysis of the educational status of gerontological nursing subjects - Focusing on the American gerontological nursing competency- (노인간호 교과목 교육현황 분석 - 미국노인간호역량 중심으로 -)

  • Park, Sung Ji;Kim, Eun Mi;Yu, Myeong Hwan;Kang, Ji Sook
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.583-590
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    • 2021
  • This study was attempted to identify the current status of education of gerontological nursing at nursing colleges across the country and to check whether 19 senior nursing competencies suggested by the American Association of Nursing Colleges are reflected in the courses. The subjects of this study were 198 nursing education institutions accredited by KABONE, and each university's website, department homepage, university handbook, admission-related information, curriculum table, and syllabus were collected and analyzed through an internet search engine. The collected syllabus and the most recent curriculum table of the elderly nursing course were checked and analyzed using SPSS 23.0. The current status of gerontological nursing management was presented by calculating the frequency and percentage, and the educational contents presented in the syllabus were analyzed based on 19 geriatric nursing competencies presented by AACN. 185 institutions (93.43%) operated the geriatric nursing subjects, 98 institutions (49.49%) offered theory subject, and 84 institutions (42.42%) offered both theory and practice. In the case of compulsory majors, 52.92% had the most, 27.84% for the first semester of the 4th year, and 53.54% for 2 credits. As a result of analyzing the lesson plan, communication-related educational competency was included in 40% of cases. As AACN gerontological nursing competency 'effective information provision ability for the elderly', 'ethical and non-coercive decision-making', 'care without restraint', 'safe and effective transition across levels of care' was not included in the education content. In conclusion, gerontological nursing education has been focused on disease, and effective information provision capabilities including communication with the elderly need to be reflected.

Comparative studies in Perception of Patient safety culture of Nurses and Dental hygienist (간호사와 치위생사의 환자안전문화 인식수준 비교연구)

  • Kim, Mi-Young;Kim, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5196-5205
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    • 2012
  • Purpose: The Purpose of this study were to compare the level of perception and to identify factors associated with perception on patient safety culture by nurses and hygienists. Method: The data were collected from september to December, 2010 using Hospital survey on patient safety culture questionnaires. The subjects were 399 Nurses, hygienists, recruited from the hospital in Busan & Kyungnam. The collected data were analyzed using SPSS descriptive statistics, mean and standard deviation, t-test and ANOVA, Spearman rank coefficient. Result: The perception level of nurses on patient safety culture was 3.48. In case of hygienists, the level was 3.51. Compared to nurses, hygienists showed a significantly difference on the items "Staff arrangement"(t=2.841, p<.01) and "Administator attitude"(t=-2.471, p<.05), "Feedback and communication in accident"(t=-3.356, p<.01). Nurses and hygienists' age and career, working hour per week were identified as factor associated with patient safety culture. Conclusion: The perception level of hospital health providers on patient safety culture was moderate. and identified factors associated with patient safety culture were age and career, working hour per week.

Confidence Improvement of Disposal Safety by Development of a Safety Case for High-Level Radioactive Waste Disposal (고준위방사성폐기물 처분 Safety Case 개발을 통한 처분안전성 신뢰도 향상)

  • Baik, Min Hoon;Ko, Nak-Youl;Jeong, Jongtae;Kim, Kyung-Su
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.14 no.4
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    • pp.367-384
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    • 2016
  • Many countries have developed a safety case suitable to their own countries in order to improve the confidence of disposal safety in deep geological disposal of high-level radioactive waste as well as to develop a disposal program and obtain its license. This study introduces and summarizes the meaning, necessity, and development process of the safety case for radioactive waste disposal. The disposal safety is also discussed in various aspects of the safety case. In addition, the status of safety case development in the foreign countries is briefly introduced for Switzerland, Japan, the United States of America, Sweden, and Finland. The strategy for the safety case development that is being developed by KAERI is also briefly introduced. Based on the safety case, we analyze the efforts necessary to improve confidence in disposal safety for high-level radioactive waste. Considering domestic situations, we propose and discuss some implementing methods for the improvement of disposal safety, such as construction of a reliable information database, understanding of processes related to safety, reduction of uncertainties in safety assessment, communication with stakeholders, and ensuring justice and transparency. This study will contribute to the understanding of the safety case for deep geological disposal and to improving confidence in disposal safety through the development of the safety case in Korea for the disposal of high-level radioactive waste.

A Study on Hazards to Pilotage Safety in a Pilotage Area in the Busan Gamcheon Port (부산 감천항 도선구의 도선안전위해요소에 관한 연구)

  • Sei-hun Kim;Bong-kwon Choi;Ji-ung Choi;Tae-Seok Song;Young-soo Park;Dae-won Kim
    • Journal of Navigation and Port Research
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    • v.47 no.6
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    • pp.341-349
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    • 2023
  • Gamcheon Port, which is one of three major harbors in the Port of Busan, is being operated to load, discharge and transport a wide range of cargoes, including general cargo, fisheries, steel products, cement, etc,. The harbor, designated as a compulsory pilotage area, provides pilotage services in compliance with relevant laws and regulations for arrival and departure of vessels in the Gamcheon Port area. Some academic research on the marine traffic environment in Gamcheon Port has been conducted. However, the pilotage environment and hazards to pilotage safety in the port have yet to be studied. Therefore, in this research, the pilotage environment and hazards to pilotage safety were identified, and it was confirmed that there are hazards to pilotage safety, such as vessels installed poor facilities including damaged pilot boarding arrangements, vessels blocking pilot's view by her structures and fishing nets, vessels unable to communicate in English, vessels not following VTS's order. The hazards to pilotage safety were also stratified, and the importance of the hazards was verified in accordance with a survey based on Analytic Hierachy P rocess(AHP) for Busan Harbor pilots, and safety measures to secure pilotage safety were examined to secure the safety of vessels calling Gamcheon Port.

Formal Verification of Digital Power Plant System Designed by STATECHART (STATECHART 로 설계한 Digital Plant Protection System 의 정형 검증)

  • Kim, Il-Gon;Kim, Jin-Hyun;Nam, Won-Hong;Lee, Na-Young;Kwak, Hee-Hwan;Choi, Jin-Young
    • Proceedings of the Korea Information Processing Society Conference
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    • 2001.04a
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    • pp.185-188
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    • 2001
  • 원자력 발전소 내장형 시스템과 같이 시스템 오작동으로 인하여 엄청난 재난을 불러올 수 있는 시스템은 시스템을 구축하기 이전에 완전한 설계 및 검증이 절대적으로 필요하다. 이에 따라 원자력 발전소의 비상 차단 시스템과 같이 고도의 안정성을 요하는 부분에 대해 정형 명세 언어인 STATECHART 를 이용하여 명세하고 테스팅하는 연구가 있어 왔다. 하지만 테스팅 기법만으로는 시스템에서 생길 수 있는 예기치 못한 오류들을 정확히 검출해 낼 수 없다. 그래서 본 논문에서는 시스템의 보다 높은 안전성과 신뢰성을 제공하기 위해 원자력 발전소 비상 차단 시스템인 DPPS(Digital Plant Protection System)를 분석하여 이를 시각적 기반의 설계 명세 언어인 STATECAHRT를 이용하여 명세함으로써 설계자와 구현자간의 의사 소통을 원활하게 전달함은 물론 모델 체킹 검증 도구인 SMV 로 검증함으로써 실제 원자력 발전소 비상 차단 시스템의 신뢰성과 안전성을 높이고자 한다.

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