• Title/Summary/Keyword: Accident Rates

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The characteristics and clinical outcomes of trauma patients transferred by a physician-staffed helicopter emergency medical service in Korea: a retrospective study

  • Myung Jin Jang;Woo Sung Choi;Jung Nam Lee;Won Bin Park
    • Journal of Trauma and Injury
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    • v.37 no.2
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    • pp.106-113
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    • 2024
  • Purpose: Helicopter transport with medical teams has been proven to be effective, with improvements in patient survival rates. This study compared and analyzed the clinical characteristics and treatment outcomes of trauma patients transported by doctor helicopters according to whether patients were transferred after a clinical evaluation or without a clinical evaluation. Methods: This study retrospectively reviewed data from the Korean Trauma Data Bank of trauma patients who arrived at a regional trauma center through doctor helicopters from January 1, 2014, to December 31, 2022. The patients were divided into two groups: doctor helicopter transport before evaluation (DHTBE) and doctor helicopter transport after evaluation (DHTAE). These groups were compared. Results: The study population included 351 cases. At the time of arrival at the trauma center, the systolic blood pressure was significantly lower in the DHTAE group than in the DHTBE group (P=0.018). The Injury Severity Score was significantly higher in the DHTAE group (P<0.001), and the accident to trauma center arrival time was significantly shorter in the DHTBE group (P<0.001). Mortality did not show a statistically significant between-group difference (P=0.094). Surgical cases in the DHTAE group had a longer time from the accident scene to trauma center arrival (P=0.002). The time from the accident to the operation room or from the accident to angioembolization showed no statistically significant differences. Conclusions: DHTAE was associated with significantly longer transport times to the trauma center, as well as nonstatistically significant trends for delays in receiving surgery and procedures, as well as higher mortality. If severe trauma is suspected, air transport to a trauma center should be requested immediately after a simple screening test (e.g., mechanism of injury, Glasgow Coma Scale, or Focused Assessment with Sonography in Trauma), which may help reduce the time to definitive treatment.

A Predictive Preventive Maintenance Data Base System Design for Safety (안전성 확보를 위한 예측.예방설비보전 데이터베이스 시스템 설계)

  • Yang, Sung-Hwan;Park, Peom
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.20 no.44
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    • pp.123-128
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    • 1997
  • A data base design framework for predictive a preventive-maintenance system is presented in this paper in order to effectively control machines and reduce accident rates in the workplace. The data base is designed to meet general management requirements to evaluate different maintenance strategies. There are seven data files: the equipment list maintenace pesonnel, maintenance history, maintenance specification, spare part, maintenance equipment, and maintenance schedules. Each data base file has several record based upon data acquisition.

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Ventilation Effects on Smoke Behavior in Rescue Station for Tunnel Fires (철도터널 화재시 구난역 내의 연기거동에 미치는 배연효과에 관한 수치연구)

  • Jang, Won-Cheol;Kim, Dong-Woon;Ryou, Hong-Sun;Lee, Seong-Hyuk
    • Proceedings of the KSR Conference
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    • 2008.06a
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    • pp.2130-2138
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    • 2008
  • The present study investigates the ventilation effects on smoke spreading characteristics in railway tunnels with the rescue stations. Experiments were carried out for n-heptane pool fires with a square length 4 cm at different fire locations, and the heat release rates (HRR) were obtained by the measurement of burning rates. In addition, using the commercial code (FLUENT), the present article presents numerical results for smoke behavior in railway tunnels with rescue station, and it uses the MVHS (Modified Volumetric Heat Source) model for estimation of combustion products resulting from the fire source determined from the HRR measurement. As a result, it is found that smoke propagation is prevented successfully by the fire doors located inside the cross-passages and especially, the smoke behavior in the accident tunnel can be controlled through the ventilation system because of substantial change in smoke flow direction in the cross-passages.

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The study of development of quantitative risk assesment program for the road tunnel (도로터널 위험도 평가프로그램 개발에 관한 연구(I))

  • Yoo, Ji-Oh;Shin, Hyun-Jun;Rie, Dong-Ho
    • Proceedings of the SAREK Conference
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    • 2006.06a
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    • pp.460-467
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    • 2006
  • Some large accidents in tunnels in recent years, such as Mont Blanc, Gotthard and Tauern tunnels, have lead to an increasing attention for tunnel safety and necessity of tool for quantitative risk assesment of road tunnel. And the purpose of this study is to develop the quantitative risk assesment tool for the application of road tunnel. The objectives of this paper are as follows : (1) analyze of traffic accident rates in tunnel, (2) make out scenario for fire accidents, (3) develop the evacuation model and FED calculation model, (4) Present the results from quantitative risk assesment for the model tunnel according with the fire heat release rates and distances of cross passage.

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Level of Service of Signalized Intersections Considering both Delay and Accidents (지체와 사고를 고려한 신호교차로 서비스수준 산정에 관한 연구)

  • Park, Je-Jin;Park, Seong-Yong;Ha, Tae-Jun
    • Journal of Korean Society of Transportation
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    • v.26 no.3
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    • pp.169-178
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    • 2008
  • Level of Service (LOS) is one of ways to evaluate operational conditions. It is very important factor in evaluation especially for the facility of highways. However, some studies proved that ${\upsilon}/c$ ratio and accident rate is appeared like a second function which has a U-form. It means there is a gap between LOS and safety of highway facilities. Therefore, this study presents a method for evaluation of a signalized intersection which is considered both smooth traffic operation (delay) and traffic safety (accident). Firstly, as a result of our research, accident rates and EPDO are decreased when it has a big delay. In that reason, it is necessary to make a new Level of Service included traffic safety. Secondly, this study has developed a negative binominal regression model which is based on the relation between accident patterns and stream. Thirdly, standards of LOS are presented which is originated from calculation between annual delay costs and annual accident cost at each intersection. Lastly, worksheet form is presented as an expression to an estimation step of a signalized intersection with traffic accident prediction model and new LOS.

A Study on the Development of a Preventive Index Based on the Statistical Data of Ship Accidents (사고 통계기반 선박사고 예방지수 개발에 관한 연구)

  • Bae, Jun-Ki;Lee, Eun-Bang
    • Journal of Navigation and Port Research
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    • v.38 no.3
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    • pp.247-252
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    • 2014
  • Despite the facts that navigation technology and educational programs were developed, and that maritime law has been enforced strictly, the number of maritime accidents has not dropped significantly. Accident prevention is emphasized because of the extreme life, property, and environmental losses that accompany maritime accidents. Even though there are a variety of preventive activities, their performance is not satisfactory. In order to promote preventive activities and to organize safety management, a Preventive Index of Ship Accident(PISA) and a Preventive Level of Ship Accident(PLSA) which are abstracted from the statistical data of ship accidents (2009~2013) are proposed. The survey module by which these variables can be calculated is composed of preventive domains such as education, engineering, enforcement and information, and is applied for the preventive indexes measurement of cargo, passenger, tanker, tugboat and fishery ships. We compared and analyzed measured result with statistical accident rates and cases to confirm the index utilities. It was found that there is some correlation between the index value and the ship accident rate. It is expected that this index will become useful to evaluate a preventive status for the prevention of ship accidents and for the maritime safety culture.

Estimation of Freeway Traffic Accident Rate using Traffic Volume and Trip Length (교통량과 통행길이를 고려한 고속도로 교통사고 예측 연구)

  • Baek, Seung-Geol;Jang, Hyeon-Ho;Gang, Jeong-Gyu
    • Journal of Korean Society of Transportation
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    • v.23 no.2
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    • pp.95-106
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    • 2005
  • Road accidents are considered as the result of a complex interplay between road, vehicle, environments, and human factors. Little study, however, has been carried out on the attributes of human factor compared to the road geometric conditions and traffic conditions. The previous researches focused on mainly both traffic and geometric conditions on specific location. Therefore, it's hard to explain phenomenon of the high traffic accident rates where road and traffic conditions are good. Because of these reasons, accident analysis has contributed on geometric improvement and has not contributed on traffic management such as selection of attention section, driver napping alert, etc. The freeway incident management is also associated with reliable prediction of incident occurrences on freeway sections. This paper presents a method for estimating the effect of trip length on freeway accident rate. A PAR (Potential Accident Ratio), the new concept of accident analysis, considering TLFDs (Trip Length Frequency Distributions) is suggested in this paper. This approach can help to strengthen freeway management and to reduce the likelihood of accidents.

Studying the Comparative Analysis of Highway Traffic Accident Severity Using the Random Forest Method. (Random Forest를 활용한 고속도로 교통사고 심각도 비교분석에 관한 연구)

  • Sun-min Lee;Byoung-Jo Yoon;WutYeeLwin
    • Journal of the Society of Disaster Information
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    • v.20 no.1
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    • pp.156-168
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    • 2024
  • Purpose: The trend of highway traffic accidents shows a repeating pattern of increase and decrease, with the fatality rate being highest on highways among all road types. Therefore, there is a need to establish improvement measures that reflect the situation within the country. Method: We conducted accident severity analysis using Random Forest on data from accidents occurring on 10 specific routes with high accident rates among national highways from 2019 to 2021. Factors influencing accident severity were identified. Result: The analysis, conducted using the SHAP package to determine the top 10 variable importance, revealed that among highway traffic accidents, the variables with a significant impact on accident severity are the age of the perpetrator being between 20 and less than 39 years, the time period being daytime (06:00-18:00), occurrence on weekends (Sat-Sun), seasons being summer and winter, violation of traffic regulations (failure to comply with safe driving), road type being a tunnel, geometric structure having a high number of lanes and a high speed limit. We identified a total of 10 independent variables that showed a positive correlation with highway traffic accident severity. Conclusion: As accidents on highways occur due to the complex interaction of various factors, predicting accidents poses significant challenges. However, utilizing the results obtained from this study, there is a need for in-depth analysis of the factors influencing the severity of highway traffic accidents. Efforts should be made to establish efficient and rational response measures based on the findings of this research.

A Study on Prevention of Accident in Korean Security Industry (경호산업의 재해예방에 관한 연구)

  • Cho, Han-Bong
    • Korean Security Journal
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    • no.2
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    • pp.259-289
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    • 1999
  • The Security Industry has dynamic working conditions. So this study intends to find the advisable direction for the reduction of accidents. To achieve the aim, the investigation of documents and the examinations of actual proofs have been done to figure the theoretical background and to see the basic knowledge of security industry. The questionnaire was composed of two question sheets to search real data and actual proofs, with making targets of pure security organization and personnel. The one consists of 9 questions to find the scale and extent of security organizations and the population and character of security personnel, and the other 25 questions in 3 major areas to analyze the causes, the frequency rates, the factors, and the condition of accidents. The period of survey was July 15th to October 15th in 1997 by mail/telephone/interview. The questionnaires were efficiently returned from 102 different organizations including the public security groups of Seoul Metropolitan Police Bureau and so on, with the information of 8,222 persons having worked for Korean Security Industry in 1996. So being based on the reality, some meaningful facts were found, and were compared with the national statistics of the Government. This study is made up of 5 chapters : in the 1st chapter the motivation, the object, the method, the direction and the limitation of the approach were presented ,in the 2nd chapter the theoretical background were inferred ; in the 3rd chapter the collected data of accidents in Korean Security Industry were analyzed and explained on the base of the questionnaires , in the 4th chapter the advisable facts connected with preventing accidents were mentioned ; in the last the conclusion were stated. With the replies of 102 different organizations including the information of 8,222 persons in 1996, the main facts found or analyzed through this study are as follows. Firstly, accident is an unpredictable and occasional event. It occurs to man and/or thing, but the frequency rate of accidents in Korean Government and other Institutes has been calculated and evaluated only in the point of the accident related with man. Secondly, the factors of accidents are firstly relevant to the way preventing accidents in Security Industry in Korea. However the frequency rate is academically calculated and evaluated by at once man(population) and hour(time). But the Government has done the rate only by man(population). This can be improper and inaccurate rates. Thirdly, the confused concept of security is used in Korean Government, academic society, corporation and so on. Therefore the detailed formation of the concept is needed for the development of Security Industry in Korea. Fourthly, security organizations can be classified into 'public security(public law enforcement)' and 'private security' according to its identification, and furthermore 'private security' can be divided into 'facilities-guard service', 'body-guard service', and 'patrol service' according to its major role. Fifthly, in the viewpoint of the number of both organization and population,'facilities-guard service' is centered in Korean 'private security'. According to the analyzed results of the questionnaires in this study, the frequency rate of accidents of Korean Security Industry is 0.43(%) totally in 1996 : 'facilities-guard service' 0.54(%), 'body-guard service' 0.12(%), and 'patrol service' 0.21(%) in 'private security', and 'public security' 0.20(%). With regard to the accident frequency rate of organization and population, 'facilities-guard service' is the highest. The accident frequency rate of population in 'facilities-guard service' organization ranges dispersively from 0.20(%) to 11.11(%). Sixthly, the accidented rate of workers having serviced for under one year is 57.6(%). This can mean that the main factor of accidents in Korean Security Industry is the lack of role-understanding and training/education. And another factor can be found on the time of accident occurrence. Many accidents have been occurred on the relaxed points like as just after lunch and morning rush-hour. Lastly, the major advisable facts related to preventing accidents are as follows : The workers who are over fifty years old in 'facilities-guard service' organization need to be educated for preventing accidents ; It is desirable that the training and education to prevent accidents should be practiced in the time of pre-service ; As the style of accidents and the age of the accidented are not same according to major service area('public security' and 'private security' : 'facilities-guard service', 'body-guard service', and 'patrol service'), the plans to prevent accidents must be different and various. However fracture and bruise are general accidents in Korean Security Industry ; Workers must care about traffic accident and violent fall ; It seems that the grouped working with other two persons will reduce accident occurrence possibility rather than individually single working.

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Distribution of Occupational Safety and Health Management Costs (OSHMC) by Project Size and Activity Type with the Consideration of Accident Rates (공사규모 및 공종별 위험도에 따른 산업안전보건관리비 차등 분배 방안에 관한 연구)

  • Jeong, Hoyun;Chae, Jeonghyeun;Kang, Youngcheol
    • Korean Journal of Construction Engineering and Management
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    • v.24 no.4
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    • pp.44-51
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    • 2023
  • Occupational safety and health management cost (OSHMC) is helpful for managing safety in construction sites. However, OSHMC has been criticized for various aspects, including the fact that OSHMC cannot reflect features of individual constructions when counting up and executing OSHMC. This study proposes the approach to distribute OSHMC by project size and activity type with the consideration of accident rates for various activities. Using 1,046 data obtained from Construction Safety Management Integrated Information (CSI), this study calculated the relative risk factors for each activity. The distribution of OSHMC is proposed based on the risk factors. The results were validated by industry expert interviews. The distribution proposed in this study will help construction managers establish and execute OSHMC usage plan effectively.