• The Korean Journal of Health Service Management
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• v.13 no.3
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• pp.13-26
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• 2019

Objectives: To investigate whether medical institutions can prevent accidents by analyzing the root cause of a medical accident and identifying the tendencies. Methods: A total of 345 medical cases were used for the RCA(Root Cause Analysis). The root causes were classified using the SHELL model. The suitability of the model was confirmed by SPSS's MDPREF and Euclidean distance. An SPSS20.0 hierarchical regression analysis was used as an influencing factor on the degree of injury resulting from medical accidents. Results: The SHELL model was suitable for classification. The rates of accident causes were LS49%, L34%, LL10.2%, LE3.7%, LH2.3%. The order in which the degree of a patient's injury was affected were: Risk Threshold (${\beta}=.180$), Time (${\beta}=.175$), Surgical stage (${\beta}=-.166$), Do not use procedure (${\beta}=.147$). Conclusions: Health care institutions should remove priorities through system improvement and training. For patients' safety, the five factors of the SHELL model should be managed in harmony.

• Fire Science and Engineering
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• v.30 no.3
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• pp.110-116
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• 2016

The major aim of this study was to provide information on the chemical accidents that occurred in laboratories over the last 3 years. The total incidence of laboratory chemical accidents was 30 cases; 25 cases occurred at educational institutions. Most accidents (19 cases) occurred due to spills and leaks. The main cause of the accidents analyzed was worker carelessness (21 cases). Twenty-two accidents were related to hazardous chemical substances. In addition, general chemical substances as well as waste liquid contributed 26% to the incidents related to the laboratory. Among the 22 hazardous chemical substances involved in laboratory chemical accident, 67% of accident substances were accident preparedness substances.

• Nuclear Engineering and Technology
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• v.48 no.1
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• pp.26-32
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• 2016

Research and development (R&D) methodology for the practical use of accident tolerant fuel (ATF) in commercial light water reactors is discussed in the present review. The identification and quantification of the R&D-metrics and the attribute of candidate ATF-concepts, recognition of the gap between the present R&D status and the targeted practical use, prioritization of the R&D, and technology screening schemes are important for achieving a common understanding on technology screening process among stakeholders in the near term and in developing an efficient R&D track toward practical use. Technology readiness levels and attribute guides are considered to be proper indices for these evaluations. In the midterm, the selected ATF-concepts will be developed toward the technology readiness level-5, at which stage the performance of the prototype fuel rods and the practicality of industrial scale fuel manufacturing will be verified and validated. Regarding the screened-out concepts, which are recognized to have attractive potentials, the fundamental R&D should be continued in the midterm to find ways of addressing showstoppers.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.726-738
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• 2016

This study selected the Marine Corps camp accident in 2013 as its subject and analyzed it in order to explore the relevance of media framing on discourse on the safety of outdoor experience activities. Data were collected from search sites provided by news coverage data from March 26, 2010 when the sinking of the South Korean Navy corvette Cheonan occurred in South Korea, which had seen a surge in Marine Corps experience camps, to July 21, 2013, a few days after the Marine Corps camp accident. Data about a total of 211 cases 138 cases before the Marine Corps camp accident, and 73 cases after the accident were inductively analyzed. According to the results, news coverages on the Marine Corps camp were largely divided into positive framing that glamorized outdoor experience activities before the accident and negative framing after the accident. To put it concretely, the framing before the accident tended to glamorize outdoor experience activity as the best educational program which helped the participants to enhance their patience and sense of independence through boot camp experience, thereby increasing their self-esteem and arousing their cooperative spirit as members of society. However, after the accident media framing tended to publicize insensitivity to safety. The media framing characterized by dualistic coverage is considered to be an obstacle to the spread of safety culture, which is required in South Korean society. Therefore, media need to maintain more cool-headed and objective attitudes when reporting news.

• Journal of Korean Clinical Nursing Research
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• v.27 no.1
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• pp.109-119
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• 2021

Purpose: The purpose of this study was to identify and analyze the characteristics of nurses' medication errors during three years. Methods: Retrospective survey study design was used to analyze medication errors by nurses among patient safety accidents. Data were collected for three years from January, 2017 to December, 2019. Data were analyzed using frequency, percentage, 𝑥²-test, and logistic regression with SPSS 26.0 program. Results: Of a total 677 medication errors, 40.6% were caused by nurses. Among the medication errors, near miss (n=154, 56.0%), intravenous bolus injection (n=170, 61.8%), wrong dose (n=102, 37.1%) and carelessness for repetitive work (n=98, 35.6%) were the most common. Medication errors differed by department, and nurses' career, and patient safety accident type. The results of the logistic regression analysis showed that the risk factors of adverse events were medication of fluids (OR=3.93, 95% CI: 1.26~12.27), insulin subcutaneous injection (OR=39.06, 95% CI: 4.58~333.18), and occurrence of extravasation/infiltration (OR=7.26, 95% CI: 1.85~28.53). Conclusion: The simplest and most effective way to prevent medication errors is to keep 5 right, and a differentiated education program according to department and nurse career is needed rather than general education programs. Hospital-level integrated interventions such as a medication barcode system or a team nursing method are also necessary.

• The Journal of Pediatrics of Korean Medicine
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• v.26 no.2
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• pp.35-46
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• 2012

Objectives The purpose of this study was to find out the characteristics of children patients who had been treated in the Oriental Medical Hospital due to traffic accidents. Methods The study was carried out with 121 children patients who visited the Oriental Medical Hospital from April 2011 to March 2012 and was analyzed by reviewing the patients' charts. Results In the distribution of sex the ratio between boys and girls were similar, but regarding the age, 0~6 year-old group was more than that of 7~15 year-old group. In the traffic accident patterns, 87.6% of the entire children patients were injured by car crash. The highest type in the collision between cars was rear-ending impact. The most patients (48.8%) visited our hospital for oriental medical treatment in less than 3 days after the traffic accident. The number of the first visitors in the Oriental Medical Hospital were 77 (63.6%) and those who visited other western hospitals before and were 44 (36.4%). The most frequent duration of admission and treatment in OPD was less than 7 days. Sleeping disorders (37.1%) were diagnosed the highest in 0~6 year-old group and C-spine sprain (49.0%) was diagnosed the highest at 0~7 years-old group. Herb medications were prescribed to relieve anxiety for 0~6 year-old group and for 7~15 year-old group, those were prescribed to activate blood eliminating phlegm and to normalize Qi flow. The highest effective treatment period was less than 7 days. Conclusions This data suggested that the oriental medical care could be more effective in treating children victims of traffic accidents by confirming many different symptoms depending on the age.

• Journal of the Korean Institute of Gas
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• v.26 no.4
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• pp.36-40
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• 2022

Recently, the biggest topic in the industry is the area of industrial safety and health management. Since city gas is flammable gas and has a high risk of fire and explosion, much effort is required to prevent serious industrial and citizenry disasters. As part of city gas safety management, this study attempted to quantitatively predict the scope and degree of damage in the event of an explosion accident caused by city gas leakage through the Consequence Analysis. As a result, there was a difference in the accident result value according to various leakage conditions such as pressure and weather conditions. Through this study, a scenario of explosion due to city gas leakage will be prepared when performing city gas safety management work and used to prepare more effective accident prevention and emergency action plans.

• Journal of Society of Preventive Korean Medicine
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• v.26 no.3
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• pp.49-58
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• 2022

Objectives : The purpose of this study is to analyze the factors affecting the intention of traffic accident patients, who had visited Korean medicine clinics for the purpose of treating traffic accidents, on revisiting and recommending those clinics to others. Methods : This study conducted the frequency analysis, Rao-scott chi-square test, and logistic regression analysis on 389 people, who answered that they had once visited Korean medicine clinics for treatment in traffic accidents, using data from the 2020 Korean Medicine Utilization and Herbal Medicine Consumption Survey. Results : As a result of the analyses, it was revealed that the significant influencing factors entailed marital status, job status, the attitude of medical staff, and access to the Korean medicine clinics, while only access to the Korean medicine clinics was a significant influencing factor for the intention to recommend to others. Especially, the intention of to revisit and to recommend in case of satisfying access to the Korean medicine clinics were 8.476 times and 6.784 times higher than when it is not the case. Conclusions : The results of this study reflect the characteristics of automobile insurance, and indicate that both further study and policy establishment on the operation of the automobile insurance system are required to ensure sufficient treatment for traffic accident patients.

• Journal of Fisheries and Marine Sciences Education
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• v.27 no.6
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• pp.1734-1744
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• 2015

Majority of marine accidents that occur on fishing vessels are engine accidents. This comprises more than 26 % of the total annual fishing vessel marine accident cases. Large numbers of engine accidents happen in the cooling water system, which are mostly caused by negligence on regular check-up and repair. Notably, small-sized ships have higher engine accidents occurrence rate compared to medium-and large-sized ships. Based on the Report of the Korea Ship Safety Technology Authority, engine accident cases reached 3,032 out of the total 3,081 cases. This study researches on the differences between the small-sized ship pilot, an operator of a vessel engine of less than 200 tons, and a 6th level marine engineer, in terms of the relationship between management forms and what causes the marine accidents in association with the cooling water system. It also studies and analyzes the differences in frequency of the accident occurrence between the two groups. ${\chi}^2$ qualification was imposed through the SPSS statistical analysis program and it got qualified at the significance level of 5%. The research shall be utilized as one of the base line data for the reduction of marine accidents.

• Nuclear Engineering and Technology
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• v.53 no.3
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• pp.741-751
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• 2021

There has been a deep interest in trying to find better-performing fuel clad motivated by the desire to decrease the likelihood of the reactor barrier failure like what happened in Fukushima in recent years. In this study, the effect of move towards accident tolerant fuel (ATF) cladding as the most attracting concept for improving reactor safety is investigated for SMART modular reactor. These reactors have less production cost, short construction time, better safety and higher power density. The SiC and FeCrAl materials are considered as the most potential candidate for ATF cladding, and the results are compared with Zircaloy cladding material from reactor physics point of view. In this paper, the calculations are performed by generating PMAX library by DRAGON lattice physics code to be used for further reactor core analysis by PARCS code. The differential and integral worth of control and safety rods, reactivity coefficient, power and temperature distributions, and boric acid concentration during the cycle are analyzed and compared from the conventional fuel cladding. The rod ejection accident (REA) is also performed to study how the power changed in response to presence of the ATF cladding in the reactor core. The key quantitative finding can be summarized as: 20 ℃ (3%) decrease in average fuel temperature, 33 pcm (3%) increase in integral rod worth and cycle length, 1.26 pcm/℃ (50%) and 1.05 pcm/℃ (16%) increase in reactivity coefficient of fuel and moderator, respectively.