• Title/Summary/Keyword: Accident Falls

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Effects of Health Belief of Falling on Fall Prevention Activities of Nursing Students (간호대학생의 낙상에 대한 건강신념이 낙상예방행위에 미치는 영향)

  • Ko, Young Ji;Uhm, Ju-Yeon
    • Journal of muscle and joint health
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    • v.26 no.1
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    • pp.54-61
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    • 2019
  • Purpose: This study was performed to identify nursing students' fall prevention activities, health beliefs of falling and factors associated with fall prevention activities among nursing students. Methods: 149 nursing students from a university completed self-administered questionnaires including participants' characteristics, fall prevention activities, and health belief of falling. Hierarchical multiple regression analysis was used to determine significant independent factors of fall prevention activities. Results: The score for fall prevention activities was $62.40{\pm}9.78$, which was relatively high. The regression model had an adjusted $R^2$ of .16, which indicated that perceived susceptibility was a factor affecting fall prevention activities of nursing students. Conclusion: To increase perceived susceptibility, repetitive fall prevention education including various examples of falls could help nursing students to promote fall prevention activities. Nursing faculty should develop contents to increase recognition of obligation and responsibility regarding fall prevention in curriculum for nursing students.

Structural Analysis of Variables related to Fall Prevention Behavior of Registered Nurses in Small-to-Medium Sized Hospitals (중소병원 간호사의 낙상예방행위와 관련 변인 간의 구조 분석)

  • Park, Ji Hyun;Son, Jung Tae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.4
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    • pp.269-281
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    • 2018
  • Purpose: The purpose of this study was to build a model to predict the fall prevention behavior of nurses in small and medium sized hospitals. Methods: Participants were 382 nurses from 13 hospitals who responded to the structured self-reported questionnaire. The research model was based on previous study of fall prevention, theory of planned behavior, and the health belief model. Results: The modified model generally showed higher levels than recommended level of model fit indices and acceptable explanation. Of 17 hypothetical paths, 14 were supported. Predicting variables explained 51.6% of fall prevention behavior. The fall prevention behavior of nurses showed a direct influence of fall prevention expectations, fall prevent threats, perceived behavioral control for fall prevention, and intention to prevent falls and an indirect of influence of patient safety culture, attitude toward fall prevention, and the subjective norm. Conclusion: Findings show a need to identify a range of barrier factors to increase the benefits of fall prevention behavior and enhance the perceived control of fall prevention so that nurses will be able to promote fall prevention behavior in hospitals. Also, it is critical to increase awareness of patient safety culture among nurses.

Analysis and Experimental Study of Strength Change according to Fixed Knot Method of Fiber Rope for High Altitude Work (고소 작업용 섬유로프의 고정 매듭법에 따른 강도 변화의 해석 및 실험적 연구)

  • Song, S.M.;Kim, M.S.;Shin, D.Y.;Lim, S.H.;Kwon, O.H.;Park, W.R.
    • Journal of the Korean Society of Safety
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    • v.37 no.3
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    • pp.1-8
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    • 2022
  • Workplace accidents are common while working at elevations. Thus, various safety measures such as safety handrails and horizontal safety nets are implemented to prevent falls. The minimum safety measure is the lifeline installation. However, because its standards have not been clearly established, it is often misused, resulting in inappropriate knot methods that increase the chance of accidents while working at elevations. Therefore, clarifying the appropriate usage methods or criteria for the various lifelines is required in the field. This study proposed an appropriate installation method by experimentally and numerically evaluating the change in strength according to the fixed knot lifeline method. In addition, three knot methods were specified for each material. The results obtained are expected to contribute to lessening falls through the establishment of lifeline installation standards and the development of appropriate parts.

ICECI Based External Causes Analysis of Severe Pediatric Injury (ICECI (International Classification of External Causes of Injuries)를 이용한 중증 소아외상의 분류)

  • Ahn, Ki Ok;Kim, Jae Eun;Jang, Hye Young;Jung, Koo Young
    • Journal of Trauma and Injury
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    • v.19 no.1
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    • pp.1-7
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    • 2006
  • Purpose: Injury is a leading cause of morbidity and mortality for children. As an injury prevention measure, the differences in external causes of severe pediatric injuries based on ICECI were analyzed according to age groups. Methods: A retrospective study was performed for pediatric patients under 15 years of age, who had been admitted to the emergency department with severe injuries from January 1998 to December 2004. The external causes of injury were investigated according to the ICECI: intent, mechanisms, places of occurrence, objects/substances producing injury, and related activities. The patients were divided into four groups based on age: infant (<0 year), toddler (1~4 years), preschool age (5~8 years), and school age (9~15 years). Results: The injury mechanisms, the places of occurrence and the related objects/substances vary with the age groups. The most common subtype of traffic accidents was pedestrian injury in pre-school age group. Falls most frequently occurred in the toddler group. But falls from a height of less than l meter height (6 patients) occurred only in the infant group. The most common place of occurrence in the infant group was the home, and that of other groups was the road. The related objects/substances for falls, for example, household furnitures and playground equipment depended on the age group. Conclusion: The age-group specific characteristics of severe pediatric injury were analyzed successfully through the ICECI. Therefore, when establishing a plan for the prevention of pediatric injury, consideration must be given to the differences in the external causes of injuries according to age group.

Study of the Optimal Mesh Size for a Safety Net for Preventing Falls from Wave-dissipating Blocks (소파블록 낙상사고 방지를 위한 안전망 그물코 크기 산정에 관한 연구)

  • Yoon, Han-Sam;Kim, Min-Su;Jang, Sung-Chul;Lee, Hieung-Sin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.7
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    • pp.834-840
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    • 2019
  • Recently, due to increased tourism and leisure activities, falls by fishers from coastal wave-dissipating blocks (breakwaters) in Korea have been rising. We investigated the optimal mesh size for use in safety nets designed to cover Tetrapod (TTP) breakwaters to prevent casualties from falls. This is a prerequisite for considering the scale and economics of safety net facilities. The optimal mesh size was determined based on the fisher gender and age, and the bodily features of Koreans. The optimal mesh size was found to be 18.6-27.0 cm, derived based on the femoral length and chest circumference.

Reduction of Fall Incidence through Operation of the Staff Nurse-Centered Peer Review Group (낙상 peer review group 운영을 통한 낙상발생률 감소)

  • Sung, Il Soon;Song, Mi Ra;Kim, Hee Sun;Kim, Eun Sook;Jung, Mi A;Lee, Su Mi;Sung, Young Hee;Ha, Kook Hee;Kim, Seong Hwa;Lee, Hye Ran;An, Kyoung Jin;Shim, Mi Ok;Kim, Nag Hee;Sung, Young Hee
    • Quality Improvement in Health Care
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    • v.14 no.1
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    • pp.49-54
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    • 2008
  • Background : This study was to reduce incidence of falls by analyzing actual problem and drawing out improvement plan applicable to the clinical practice through operation of the staff nurses-centered fall peer review group. Method : The fall peer review group was composed of 8 nurses having patient nursing experience for over 5 years, and each of fall cases was reviewed and the root cause was analyzed. As a result, it was found that the patients and their families did not fully understandthe content of the education, and the staff nurses did not completely inspect the risk factors of falls and perform immediate intervention when patient's condition changed. Based on the above-mentioned results, improvement activity was conducted for the purposes of consolidating patients education method and supplementing computerized system to support nurses' decision making as well as devices and facilities. Result : As a result of conducting improvement activity in the aspects of education for patients, support of nurse's decision-making, and devices and facilities through operation of the staff nurses-centered fall peer review group, falls decreased by 9.5% compared to before improvement activity. Conclusion : It is concluded that operation of the clinical nurses-centered fall peer review group played a role of promoter to draw out practical and applicable improvement plan to the clinical practice and apply directions of the field-centered, and increased nurses' interest in falls and ultimately, reduced incidence of falls. Therefore the Center will continue to operate the staff nurses-centered peer review group, and recommends participation of nurses who actually take the charge of nursing patients in further analysis of patients' safety accidents.

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Study on the Accident of Kitchen Food Service Industry Employees in Accordance with the Safety and Environment Awareness and Accident Experience (안전 환경 인식과 사고 경험에 따른 외식산업 주방 종사원의 안전사고에 관한 연구)

  • Oh, Suk-Tae
    • Culinary science and hospitality research
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    • v.21 no.2
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    • pp.85-102
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    • 2015
  • The purpose of this study was to present the direction of the safety manual in the food service industry kitchen. The accident rate in food industry kitchens is around 87.2%, it meaning nearly 9 workers have accident among 10, considered to be very high. The most common accident is a knife cut wound (84.7%). And burns caused by hot water and oil (74.4%), then shown slip and falls (28.1%). The degree of fulfillment of kitchen safety awareness and safe environment varied based on gender, in which male are considered more likely to suffer from accidents than women. The level of safety perception varies between workers at different career points. Workers with 1~3 years of experience suffer the highest rate of accident, while workers with 7~10 years and more of experience are believed to be at lower risk of accident. Restaurant type did not exhibit a significant influence on accidents cases, although differences in the adoption of personal safety, even partially, were discovered, at significance of 0.01 < 0.027 < $0.05^*$. Based on these results, this paper has suggested preventive safety management validation model the food service industry based on kitchen management and incident management, and presented steps necessary.

Development of Smart Safety Sensors to Prevent Falling and Contact Accidents at Construction Sites (건설현장의 추락 및 접촉사고 방지를 위한 스마트 세이프티 센서 개발)

  • Lee, Juhee;Ahn, Joseph
    • Korean Journal of Construction Engineering and Management
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    • v.22 no.1
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    • pp.47-54
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    • 2021
  • According to the Korea Occupational Safety and Health Agency's (KOSHA) report on industrial accident statistics over the past four years, the number of casualties at construction sites from 2017 to June 2020 was about 93,158 and the number of deaths was about 1,977, showing a high trend of safety accidents among the eight major occupational groups, with the construction industry ranking third in total and the death rate being the highest in total. Among them, the number of deaths caused by falls in the entire occupational category is about 1,267, the highest rate of deaths due to contact is about 522, which is a frequent safety accident among the top three accident types. This paper aims to help reduce the overall proportion of construction safety accidents by developing smart safety sensing devices using ultrasonic sensors to prevent two types of safety accidents, which have the highest rate of occurrence among various types of safety accidents occurring at construction sites.

Navigation Trajectory Control of Security Robots to Restrict Access to Potential Falling Accident Areas for the Elderly (노약자의 낙상가능지역 진입방지를 위한 보안로봇의 주행경로제어)

  • Jin, Taeseok
    • Journal of Institute of Control, Robotics and Systems
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    • v.21 no.6
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    • pp.497-502
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    • 2015
  • One of the goals in the field of mobile robotics is the development of personal service robots for the elderly which behave in populated environments. In this paper, we describe a security robot system and ongoing research results that minimize the risk of the elderly and the infirm to access an area to enter restricted areas with high potential for falls, such as stairs, steps, and wet floors. The proposed robot system surveys a potential falling area with an equipped laser scanner sensor. When it detects walking in elderly or infirm patients who in restricted areas, the robot calculates the velocity vector, plans its own path to forestall the patient in order to prevent them from heading to the restricted area and starts to move along the estimated trajectory. The walking human is assumed to be a point-object and projected onto a scanning plane to form a geometrical constraint equation that provides position data of the human based on the kinematics of the mobile robot. While moving, the robot continues these processes in order to adapt to the changing situation. After arriving at an opposite position to the human's walking direction, the robot advises them to change course. The simulation and experimental results of estimating and tracking of the human in the wrong direction with the mobile robot are presented.

A Study on the Occurrences and Policy Development for Accident Prevention (한국의 사고발생 실태와 사고예방을 위한 정책 연구)

  • 이경자;이정렬;강규숙;한정석
    • Journal of Korean Academy of Nursing
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    • v.25 no.2
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    • pp.362-371
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    • 1995
  • There is no national system to manage, evaluate, and analyse the information about accidents, even though it is necessary for accident prevention policies and health promotion of the general public. The existing studies are, also limited as they focus only on particular group(for example : inpatients, emergency room patients) or on particular geographic areas. Thus the results of the studies cannot be ap-plied to the general public. In order to overcome these limitations, this research focuses on data collection and analysis from accident information for the general population. By providing the analysis on types and causes af accidents, this research aims to produce the basic data necessary for accident prevention policy development. The specific aims of this research are to : 1. Analyse the actual occurrences and characteristics of accidents. 2. Suggest for the accident prevention policies and safety education. Accident report form three major newspaper printed in Korea between January 1, 1989 and December 31, 1993 were collected, and the cause, place, time, and personal injury related to the accidents were classified and then analyzed by de-scriptive statistics. The results of this research conclude : 1. The number of accidents reported by the three newspapers were 2155. 2. The highest proportion of accidents were as follows ; occurred during the June-August(31.2%), Sunday(24.8%), and 5 p.m. (7.6%) of the day. 3. The highest proportion of the accident occurred in Seoul(33. l%), Kyunggi province(14.5%), Kangwon province (7.8%), and Kyungnam prov-ince(6.7%) were next highest. 4. The main causes include car accidents(32.4%), drowning(10.9%), falls(8.8%), explosion(7.1%), and poisoning(5.8%). 5. Slightly more than half of injuries(50.5%) and about two fifths of deaths(40.3%) were caused by car accidents. Therefore, the most serious type of accidents were car accidents. 6. The number of males in accidents were almost three times higher than that of females(males 72.3%, females : 27.7%). 7. The age group from 10 to 19 years old represents the highest proportion(21%) of accidents. 8. The number of the accidents in Korea, based on the information collected from the newspapers, is estimated to be 14, 367 per year. The number of in-juries is estimated to be 88, 480 persons, and the number of deaths 29, 007 respectively. It is said that ninety percent of accidents can be prevented. Several accidents prevention policies are suggested here. 1. Safety education should be done more actively throughtout life, with special emphasis on safety education for children. 2. Safety measures for children(halmets for cycling, children car seats, seats belts, and so on) should be emphasized. 3. An injury surveillance system should be initiated. The initiation of injury reporting system in each factory and school could contribute considerably to the reduction of accidents.

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