• Title/Summary/Keyword: 환자안전 사고

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A Convergence Study on the Hospital Nurse's Perception of Patient Safety Culture and Safety Nursing Activity (병원간호사의 환자안전문화인식과 환자안전간호활동의 융합연구)

  • Cho, Soon-Duck;Heo, Seong-Eun;Moon, Deog Hwan
    • Journal of the Korea Convergence Society
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    • v.7 no.1
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    • pp.125-136
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    • 2016
  • In this study, the convergent relation between perception of patient safety culture and safety nursing activity was investigated to prevent safety accidents and prepare data of nursing intervention for patient safety. Nurses in B City who signed on the written consent participated in this study between February 16 and 28, 2015. A total of 266 copies were collected and were analyzed using the SPSS 20.0 program. The mean score of patient safety culture was 3.60 on a scale of 0 to 5, and safety nursing activity, 4.28. The subcategory of perception of patient safety culture, which included the accident report frequency and patient safety level positively (+) influenced safety nursing activity. Therefore, effective communications and report systems in hospitals may be necessary to enhance patient safety culture. Education programs of patient safety should be developed and provided to nurses in hospitals to enhance the levels of patient safety management and their services.

Analysis of doctors' cognition of patient safety at general hospitals (일개 상급종합병원 의사들의 환자안전문화에 대한 인식 분석)

  • Yu, Eun-Yeong;Jung, Sang-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2607-2616
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    • 2012
  • This study was designed to figure out patient safety culture of medical institutions and try to utilize the study results as basic data for analyzing doctor's awareness of patient safety culture. To this end, questionnaire survey was conducted from August 1st to September 5th, 2011, targeting doctors working at senior general hospitals located in G city, and 194 questionnaires were utilized for final analysis. The research results are as follows. First, there was a difference in awareness of deployment of staffs depending on gender, age, term of service in the hospital, contact with patients and working hours per week in relationship between subjects, wards and hospital safety culture, and organizational learning and teamwork in the ward turned out to be significant in accordance with working hours per week, and all sub-areas of the ward safety culture by departments. Second, feedback about the malpractice, communication, report on malpractice frequency and overall safety awareness were found to be significant by departments in relationship of subjects, medical incident reporting system, patient safety evaluation and overall level of consciousness, and the overall safety awareness showed significant results according to contact with patients and working hours per week. Third, there was a positive corelation in sub-areas of the ward and hospital safety culture awareness, overall recognition and patient safety evaluation, and a positive corelation with medical incident reporting system was found in all areas except for attitude of managers/immediate supervisors and that of hospital executives. Fourth, sub-areas of patient safety culture which has a effect on patient safety showed significant results in organizational learning, openness of communication, overall safety awareness, systematic cooperation between departments, feedback/communication and non-punitive response. In conclusion, to increase the level of the ward and hospital patient safety culture of doctors and implement medical incident reporting system faithfully, it is necessary to activate teamwork through organizational learning in the ward based on the adequate staffing and working hours, promote open communication between departments and provide feedback on medical malpractice, thereby establishing a cooperative system by departments and active support of hospital executives for patient safet.

The Analytic Study Of the Traffic Accident's Injury by Epidemiological Method (역학적 방법에 의한 교통 상해사고 분석 연구)

  • 홍창의;임평남;김진현
    • Journal of Korean Society of Transportation
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    • v.16 no.2
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    • pp.91-98
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    • 1998
  • 본 논문에서 교통 상해사고 위험요인들을 정량화하고, 위험요인들 중 교통 상해사고 원인에 가장 근접한 것이 무엇인가를 밝히려고 했다. 사례-조사 연구방법으로는 의학분야에서 많이 사용되는 환자-대조군 방법론을 채택하였다. 서울, 양평, 천안지역을 대상으로 1007년 중 입원환자를 중심으로 채혈조사와 설문조사를 통해 환자국 총 117건과 도로상에서의 일반운전자를 중심으로 호기 알콜테스트와 설문조사를 통한 대조군 총 483건을 수집하여 분석하였다. 승용차의 경우, 교통 상해사고 발생 위험요인으로 27개 항목들이 추출되고, 그 중 '도로의 부적합' 항목(RRR 값:4.057)을 포함 14개 항목이 교통 상해사고 원인에 가장 근접한 것으로 나타났다. 오토바이의 경우, 마찬가지 방법으로 최종적으로 '면허 보유기간' 항목(RRR값:3.733)을 선두로 하여 총 11개 항목이 교통 상해사고를 일으키는 원인에 가깝다는 결과를 얻었다. 또한, 두 경우 모두 인적 요인에 의한 결과피가 크기 때문에 이에 대한 경찰의 지속적인 단속이 필요함을 알 수 있었고, 상대위험도가 높게 나타난 순서대로 교통안전투자 우선순위에 정하면, 효율적인 교통 상해사고 감소를 기할 수 있으리라는 결론에 도달했다.

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Designing a Universally Accessible Shower Booth to Enhance Bathing Safety for Elderly and Patients with Mobility Impairments (노인 및 거동 불편 환자들의 안전한 목욕을 위한 유니버설 디자인의 샤워 부스 개발)

  • Jung-Hyun Kim;Jin-Hyun Kim;Jun-Ho Pyo;Jae-Hun Lee
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.984-985
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    • 2023
  • 노인 및 거동 불편 환자들이 목욕 중 낙상 사고 등을 당하는 비율은 매년 증가하고 있다. 특히 국내 65세 이상 1인 가구 197만 가구는(22년 기준) 가족의 돌봄 없이 혼자 생활하고 있어, 이들이 목욕 중에 사고를 당하는 경우, 빠른 구호가 어려운 상황이다. 이에 본 논문에서는 독거노인의 증가와 낙상 사고의 위험성에 초점을 맞추어 거동이 불편한 환자라도 혼자서 목욕이 가능한, 모든 사용자로부터 접근성을 높인 샤워 부스를 개발 및 연구한다. 요양보호사 두 명과 인터뷰를 하여 실제 상황에서의 문제점을 파악한다. 인터뷰 내용을 바탕으로 사용자의 안전을 1순위로 고려하고, 사용 편의성 및 청결을 유지하는 방안을 고려한다.

Analysis of Ambulance Traffic Accident During Driving (국내 구급차량의 운행 중 사고 분석에 관한 조사 연구)

  • Shin, Dong-min;Yoon, Byung-gil;Han, Yong-taek
    • Fire Science and Engineering
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    • v.30 no.1
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    • pp.130-137
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    • 2016
  • The purpose of this study is to investigate the circumstances surrounding collisions involving ambulances with an aim to improving the safe operation of emergency services. Collisions are relatively common within paramedic emergency services. We analyzed the time, injury site, and any other specific factors of 908 collisions occurring within four cities. Within our study 29.6% of paramedics have been involved in accidents while responding to an emergency call, with the main cause of the accident being signal violation (35.7%), and is the other party's negligence (22.2%). 92.1% of these accidents occurred while the emergency lights were being operated. XX% of accidents took place in the afternoon, while xx% took place within the hours of xx:xx and xx:xx, during which time there is generally lower levels of traffic, which can cause severe brain and neck damage of 14.4% but the other part is 62.1%. (Ed note; this is not clear at all. 14.4% of collisions resulted in severe head and neck injuries, while 23.5% of collisions resulted in no injury. According to the respondents, defensive driving (xx%), observance of traffic laws (xx%), safe driving habits (xx%)to paramedics were the most critical factors in evading collision. Signal passes were identified as the most common cause of collision (70.1%). Although the majority of collisions occurred while the emergency lights were operational, the damage can cause severe damage at the time of accident occurred.

The Knowledge and Confidence in Performance on Patient Safety among Health-Related Majors : Convergent Approach (보건계열 학생의 환자안전 지식 및 수행 자신감 : 융복합적 접근)

  • Lee, Mi Hyang;Park, Jung Hee;Bae, Seok Hwan
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.219-227
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    • 2019
  • The purpose of this study was to investigate the knowledge on patient safety and performance confidence for the subject of health-related major students. Participants were 349 Health-related majors. Data were analyzed using SPSS 21.0. According to the study results, correct answer rate for patients' knowledge on safety was 65.7% in average. Average point of performance confidence was $7.11{\pm}1.74$. Considering in terms of question, patient identification was high, while effective communication was shown to be low. Patient identification, communication, surgery procedure, fall, patient's safety accident report as the lower domain for patients' knowledge on safety and performance confidence had a positive correlation, while knowledge and infection management, facility environment had a negative correlation for health-related major students, development of patients' safety education program is needed to enhance importance of patients' safety before clinical practice and to allow implementation of safe clinical practice.

소련 체르노빌 원자력발전소 사고원인과 교훈

  • 강종권
    • Journal of the Korean Society of Safety
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    • v.3 no.1
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    • pp.47-54
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    • 1988
  • 소련의 체르노빌 원자력 발전소에서 1986년 4월26일 발생된 전리방 사선누설 사고는 원자력 개발사상 미증유의 것이었다. 이 사고로 많은 사상자를 냈을뿐 아니라 향후 수 10년간 계속해서 막대한 인명피해가 일어날 것이라고 예견한 소련의 미생물학자가 있는가 하면, 서독의 한 과학자는 서독에서만도 4천명에서 2만3천명의 암환자가 새로 발생하고 9만명의 유전장해자가 생길 것으로 염려하고 있을 정도로 그영향은 지구 북반구 전체에 미치게될 것으로 예상되고 있다. 체르노빌 발전소는 소련 우크라이나 공화국의 키에프시 북동쪽 130km에 위치하고 있으며 그 주변 30km안에 약13만명의 주민이 살고 있었다.

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A Research on the Korean Ambulance Color Design and Trend Analysis (한국형 구급차 색상 디자인 연구 및 동향분석)

  • Park, Min-Jung;Kim, Hyung-wook;Jung, Jae-Han;Han, Yong-Taek
    • Fire Science and Engineering
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    • v.30 no.3
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    • pp.138-147
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    • 2016
  • As services for citizens' security and protection offered at the national and social levels become more widely recognized across society, the more frequent use of ambulances by patients with both minor and major injuries is being observed. However, the number of safety accidents during transport by ambulances, which are responsible for the prompt transport of patients, has been rising in tandem with the increase in their use. This is due not only to their inconspicuousness both on the road and in other environments where these vehicles are exposed, but also to the high chance of secondary accidents, putting the lives of both patients and emergency responders at risk. It is important to study and develop designs that guarantee protection against safety accidents, noting that ambulances are completely exposed and unprotected on the road on cloudy days and at night-time. In addition, by identifying colors and design motives that enhance the conspicuity of ambulances from a distance and increase their security, emergency responders and patients can be safely protected, the identity of the ambulances can be reinforced and modernized, and the sense oppression which can be visually imposed on patients in a psychologically unstable condition can be eased. Against this backdrop, this study presents the process involved in deriving the exteriors of ambulances in Korea, including their colors and patterns, by examining the established global best practices and identifying the need for more studies into colors, even unconventional ones, that improve their safety.

Factors Influencing Confidence in Patient Safety Management in Nursing Students (간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인)

  • Jeong, Hyun-Sook;Kong, Jeong-Hyeon;Jeon, Mi-Yang
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.121-130
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    • 2017
  • The purposed of this study was to identify the factors that affect Confidence in Performance Patient Safety Management targeted nursing students. The study subjects were 228 nursing students. The nursing students experienced patientl safety accidents in the fall (50.0%), needle puncture (18.5%), Patient identification error (12.0%), injection medication error (7.5%) and oral medication errors (4.3%). In the logistic regression analysis, Attitude of Patient Safety Management(t=6.09, p<.001), Clinical Decision Making(t=3.97, p<.001) and gender(t=2.56, p=.011) were significant factors related to Confidence of Performance Patient Safety Management. Based on the results of this study, we propose to develop a convergence education program that considers patient safety management attitude, clinical decision making ability, and gender in order to improve confidence of performance patient safety management of nursing students.

The Effects of Patient Safety Culture Perception and Patient Safety Competencies on Patient Safety Management Activities in Nurses (간호사의 환자안전문화 인식과 환자안전역량이 환자안전관리활동에 미치는 영향에 대한 융복합 연구)

  • Choi, Eun-A;Kwon, Young-Eun
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.281-288
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    • 2019
  • The purpose of this study is to identify the impact on patient safety management activities. In this study, 134 nurses from three local hospitals were investigated for patient safety culture recognition, patient safety capacity, and patient safety management activities, and the impact on patient safety management activities was thus attempted. The patient safety culture recognition level was 4.25/5, the patient safety capacity was 4.37/5, the patient safety management activity was 4.26/5, and the patient safety awareness and patient safety capability(r=.765, p<.001) and Patient Safety Capacity and Patient Safety Management Activity (r=.837, p<.001) and Patient Safety Capacity and Recognition of Patient Safety Culture(r=.728, p<.001) had a significant amount of correlation. Factors affecting patient safety management activities(β=.582, p<.001), Patient Safety Culture Recognition(β=.3632, p<.001), position(β=-.132, p=.009) Patient safety requires strengthening the capabilities of nurses and systematic training and evaluation of continuous patient safety activities.