• 제목/요약/키워드: Assessment of safety

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우리나라 병원의 환자안전 향상을 위한 활동 현황 (Patient safety practices in Korean hospitals)

  • 황수희;김명화;박춘선
    • 한국의료질향상학회지
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    • 제22권2호
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    • pp.43-73
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    • 2016
  • Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

4M 위험성평가 기법을 이용한 앗차사고의 효과적인 발굴기법 (Effective Detection Technique of Near Miss using 4M Risk Assesment Methodology)

  • 서성화;원종일;우흥식
    • 한국안전학회지
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    • 제27권5호
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    • pp.164-170
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    • 2012
  • In this study, a new technique for detecting near miss using 4M risk assessment method is suggested. Until now, the safety education with instances of near miss has just been progressed in most industrial settings, without any systematic guideline. By menas of appling 4M risk assessment method, the organized technique, which could effectively manage the fundamental prevention of industrial accident in advance, is developed. The organized technique of near miss-management suggested in this study will take an effective role in basically expanding the application of risk assessment method, as well as in contributing the activity of zero-accident as a safety guideline in hazardous workshops.

기업 안전직무교육 평가 시스템 설계에 관한 연구 (A Study on the Design for the Assessment System of Safety Job Skill Training in the Enterprise)

  • 우태희;양광모
    • 대한안전경영과학회지
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    • 제16권1호
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    • pp.11-19
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    • 2014
  • Prevention of the disasters is the best welfare to workers and it brings the growth and stability of an enterprise, finally uplifts the national competitiveness. Because small-scale businesses do not have safety and health managers, the government provides a wide range of safety and health management supports to small-scale businesses. However despite of this government's effort, the industrial accident rate of small-scale businesses does not decline, which is mainly because the projects are not differentiated according to the risk level of individual business. Therefore, this paper aims to obtain implications concerning a plan to conduct a reliable assessment of education through a safety job assessment, and to build a framework which may improve a technical area through the AHP analysis.

유도탄 사출시 연소 생성물의 인체 안전성 평가에 관한 연구 (A Study of the Safety Assessment for Combustion Products in the Exposure Human Bodies Rounding Missile Ejection)

  • 송기혁;정성학
    • 산업경영시스템학회지
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    • 제37권4호
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    • pp.269-273
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    • 2014
  • The objective of this study is to safety assessment for human body on the guided missile combustion products. This study is to verify the safety assessment when operating the interior missile ejection take on verify the safety of the human body. During the missile ejection of combustion products, this study is analyzed combustion products. Result are accepted NIOSH and KOSHA of the safe guideline, and 6 exposure gas to the specified values 42% (CO), 22% ($CO_2$), not detected (others) are within minimal exposures criteria of the reference value respectively. Contribution of these results supported that interior missile ejection during combustion products may have been ensured human safely. Therefore, the future for improving the environmental safety of the shooting projectile steel plate round, dust collector, ventilation and other facilities is to improve environmental safety and efficient renovated design needed by target focused areas.

FDS를 활용한 성능위주 화재위험성평가 프로그램개발에 관한 연구 (A Study on the Development of Performance Based Fire Risk Assesment Program)

  • 이동호
    • 한국안전학회지
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    • 제23권5호
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    • pp.1-6
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    • 2008
  • `SOS', Simulator Of Safety assessment for fire, was developed to simulate fire safety assessment for a structure which is geometrically complex. The program(SOS) is intended to use for searching as well as designing tools to analyse the evacuation safety through a wide range of structure conditions. The computer program has a function which importing FDS's calculating results to each individual resident in the structure. These attributes include a walking speed reduction by producing visibility reduction for each person on the fire. $A^*$ pathfinding algorithm is adopted to calculate the simulation of escape movement, overtaking, route deviation, and adjustments individual speeds in accordance with the proximity of crowd members. This SOS program contributes to a computer package that evaluates the fire safety assessment of individual occupants as they walk towards, and through the exits especially for building, underground spaces like a subway or tunnel.

연속 프리스트레스트 콘크리트 빔교의 안전성 평가에 관한 연구 (A Study on the Safety Assessment of the Continuous Prestressed Concrete Beam Bridge)

  • 채원규
    • 한국산업안전학회:학술대회논문집
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    • 한국안전학회 1997년도 춘계 학술논문발표회
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    • pp.31-36
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    • 1997
  • In this thesis, the safety assessment method of the continuous prestressed beam bridge using the service load were studied. From the field test results of the continuous prestressed beam bridge, CAE(composite action factor) and $P_{n}$(capacity load of bridge) were assessed, and these factors were applied to safety assessment of the continuous prestressed beam bridge.

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옥탑에 설치된 광고탑 구조물의 안전성 평가 기법에 관한 연구 (A Study on the Safety Assessment Method of the Adversiting Pillar Tower on the Penthouse)

  • 채원규
    • 한국산업안전학회:학술대회논문집
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    • 한국안전학회 1998년도 춘계 학술논문발표회 논문집
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    • pp.221-226
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    • 1998
  • In this thesis, the safety assessment method of tile adversiting pillar tower on the penthouse were studied. From the structural analysis results of the adversiting pillar tower, the bending stress, the shearing stress and the axial stress were calculated, and these member forces were applied to the safety assessment of the adversiting pillar tower and the penthouse, respectively.

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공식안전평가(Formal Safety Assessment)를 이용한 선박의 안전성 평가 (The Evaluation Ship Safety by Formal Safety Assessment)

  • 김종호
    • Journal of Advanced Marine Engineering and Technology
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    • 제33권2호
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    • pp.362-367
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    • 2009
  • Formal Safety Assessment(FSA) was introduced by the IMO as "a rational and systematic process for accessing the risk related to maritime safety and the protection of the marine environment and for evaluating the costs and benefit of IMO's options for reducing these risks". FSA can be used as a tool or a rule making process to help develope new rules and regulations. The purpose of this paper is to conduct a general review of the FSA methodology and to propose ways to use it in rule making process of machinery parts.

지하 발전소 환기설비에 대한 안전성 평가 (The Safety Assessment for Ventilation Facilities of Underground Power Plant)

  • 고원경;강승규;정영대;김영구
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2014년도 제49회 KOSCO SYMPOSIUM 초록집
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    • pp.331-332
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    • 2014
  • Underground power plant is required the strict safety management and safety assessment. Because it is the high risk of explosion by characteristic of enclosed space. In case gas leak of enclosed space, the ventilation facilities is very important in order to prevent explosion by the maintain less than the LEL(lower explosive limit). Thus, Through a safety assessment of ventilation volume is to reduce the risk for ventilation facilities in Underground power plant.

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