• The Korean journal of internal medicine
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• 제39권3호
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• pp.477-487
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• 2024

Background/Aims: Risk factors for progression to critical illness in hospital-acquired coronavirus disease 2019 (COVID-19) remain unknown. Here, we assessed the incidence and risk factors for progression to critical illness and determined their effects on clinical outcomes in patients with hospital-acquired COVID-19. Methods: This retrospective cohort study analyzed patients admitted to the tertiary hospital between January 2020 and June 2022 with confirmed hospital-acquired COVID-19. The primary outcome was the progression to critical illness of hospital-acquired COVID-19. Patients were stratified into high-, intermediate-, or low-risk groups by the number of risk factors for progression to critical illness. Results: In total, 204 patients were included and 37 (18.1%) progressed to critical illness. In the multivariable logistic analysis, patients with preexisting respiratory disease (OR, 3.90; 95% CI, 1.04-15.18), preexisting cardiovascular disease (OR, 3.49; 95% CI, 1.11-11.27), immunocompromised status (OR, 3.18; 95% CI, 1.11-9.16), higher sequential organ failure assessment (SOFA) score (OR, 1.56; 95% CI, 1.28-1.96), and higher clinical frailty scale (OR, 2.49; 95% CI, 1.62-4.13) showed significantly increased risk of progression to critical illness. As the risk of the groups increased, patients were significantly more likely to progress to critical illness and had higher 28-day mortality. Conclusions: Among patients with hospital-acquired COVID-19, preexisting respiratory disease, preexisting cardiovascular disease, immunocompromised status, and higher clinical frailty scale and SOFA scores at baseline were risk factors for progression to critical illness. Patients with these risk factors must be prioritized and appropriately isolated or treated in a timely manner, especially in pandemic settings.

• The Journal of Asian Finance, Economics and Business
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• 제8권2호
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• pp.309-315
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• 2021

Risks and uncertainty are unavoidable problems in management of projects. Therefore, project managers should not only prevent risks, but also have to respond and manage them. Risk management has become a critical interest subject in the construction industry for both practitioners and researchers. This paper presents critical risk factors of office building projects in the construction phase in Ho Chi Minh City, Vietnam. Data was collected through a questionnaire survey based on the likelihood and consequence level of risk factors. These factors fell into five groups: (i) financial risk factors; (ii) management risk factors; (iii) schedule risk factors; (iv) construction risk factors; and (v) environment risk factors. The research results showed that critical factors affecting office building projects are natural (i.e., prolonged rain, storms, climate effects) and human-made issues (i.e., soil instability, safety behaviors, owner's design change) and the schedule-related risk factors contributed to the most significant risks for office buildings projects in the construction phase in Ho Chi Minh City. They give construction management and project management practitioners a new perspective on risks and risk management of office buildings projects in Ho Chi Minh City and are proactive in the awareness, response, and management of risk factors comprehensively.

• 중환자간호학회지
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• 제12권1호
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• pp.57-70
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• 2019

Purpose : The purpose of this study was to identify the risk factors for falls in tertiary hospital inpatients and to suggest data for developing a nursing intervention program for preventing falls. Methods: Data were collected between January 1, 2017, to December 31, 2017. Kaplan-Meier estimation was used to measure the survival rate, and the log-rank test was used for the differences between the fall group and the non-fall group. The Cox proportional hazards model was used to identify the risk factors for falls. Results: The incidence rate of falls for the inpatients was 1.2 cases per 1,000 days of hospitalization. The risk factors for falls were more likely to be found among those who were aged ${\geq}81$, had not undergone surgery, had poor joint motion, had unsteady gait, needed help or supervision, used assistive devices, had comorbidity, and took at least two drugs. Conclusion: For the inpatients, the risk factors for falls included age, surgery, comorbidity, medication that could change mobility, joint motion, and use of patient care equipment. It is necessary to give special attention to inpatients who have any of these risk factors and to develop a falls risk assessment tool.

• 한국정보시스템학회지:정보시스템연구
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• 제13권1호
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• pp.1-20
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• 2004

Most of the software development projects bear risks that need analysis and management. Risk management plays a critical role for the success of software project management. In this study, we have used delphi method to delineate critical risk factors. The study pulls out 20 project risk factors from 21 project managers. It is certainly clear that certain features are more risky than others. Our study shows that unrealistic cost estimation and changes in scope and objective are more risky than other features.

• Industrial Engineering and Management Systems
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• 제14권3호
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• pp.221-235
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• 2015

Risk assessment is an important phase of risk management. It is the stage in which risk is measured thoroughly to achieve effective management. Some factors such as probability and impact of risk have been used in the literature related to construction projects. Because in high-rise projects safety issues are paramount, this study has tried to develop a quantifying technique that takes into account three factors: probability, impact and Safety Performance Index (SPI) where the SPI is defined as the capability of an appropriate response to reduce or limit the effect of an event after its occurrence with regard to safety pertaining to a project. Regarding risk-related literatures which cover an uncertain subject, the proposed method developed in this research is based on a fuzzy logic approach. This approach entails a questionnaire in which the subjectivity and vagueness of responses is dealt with by using triangular fuzzy numbers instead of linguistic terms. This method returns a Risk Critical Point (RCP) on a zoning chart that places risks under categories: critical, critical-probability, critical-impact, and non-critical. The high-rise project in the execution phase has been taken as a case study to confirm the applicability of the proposed method. The monitoring results showed that the RCP method has the inherent ability to be extended to subsequent applications in the phases of risk response and control.

• Journal of Information Processing Systems
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• 제10권1호
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• pp.132-144
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• 2014

Information always comes with security and risk problems. There is the saying that, "The tall tree catches much wind," and the risks from cloud services will absolutely be more varied and more severe. Nowadays, handling these risks is no longer just a technology problem. So far, a good deal of literature that focuses on risk or security management and frameworks in information systems has already been submitted. This paper analyzes the causal risk factors in cloud environments through critical success factors, from a business perspective. We then integrated these critical success factors into a business model for information security by mapping out 10 principles related to cloud risks. Thus, we were able to figure out which aspects should be given more consideration in the actual transactions of cloud services, and were able to make a business-level and general-risk control model for cloud computing.

• 한국정보시스템학회지:정보시스템연구
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• 제19권1호
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• pp.97-116
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• 2010

Failures of super large projects like IT Upgrade of Shinhan Financial Group can be a heavy blow not only to the company but even to the national economy. Research on the practices of risk management in those projects will provide invaluable lessons, enhancing capabilities and chances of successfully executing mission critical projects of the companies and the national economy as a whole. This paper analyzes the risk management of the Core Systems Reconstruction which was the most critical component of IT Upgrade. The analysis covers risk management plans, and identification and evolution, and control and monitoring of risk factors. This study confirms the major results of previous research on risk management in Korea. However, the analysis found as well some discrepancies of practices from the previous research results. This research also tracked the trajectories of evolution of risk factors and management. In particular, in depth analysis of control and monitoring is the first research in Korea on the "management" of risks in IT projects. The result of this research is expected to be a useful guide for theory development and practices of risk management in the future.

• Journal of Construction Engineering and Project Management
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• 제3권2호
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• pp.21-34
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• 2013

Various risk factors affect construction projects. Due to the uncertainties created by risk factors, actual activity durations frequently deviate from the estimated durations in either favorable or adverse direction. For this reason, evaluation of schedule uncertainty is required to make decisions accurately when managing construction projects. In this regard, this paper presents a new computer simulation model - the Repetitive Schedule Risk Analysis Model (RSRAM) - to evaluate unit-based repetitive building project schedules under uncertainty when activity durations and risk factors are correlated. The proposed model utilizes Monte Carlo Simulation and a Critical Path Method based repetitive scheduling procedure. This new procedure concurrently provides the utilization of resources without interruption and the maintenance of network logic through successive units. Furthermore, it enables assigning variable production rates to the activities from one unit to another and any kind of relationship type with or without lag time. Details of the model are described and an example application is presented. The findings show that the model produces realistic results regarding the extent of uncertainty inherent in the schedule.

• Journal of Information Technology Applications and Management
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• 제14권3호
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• pp.79-94
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• 2007

Cases of botched information systems implementation have been surfaced due to poor IS project management and control. One major source of such failures is the perceptual difference between the participants of IS projects who should define potential risk factors well before considered IS projects are launched. Based on risk factors cited from prior works, this paper empirically examines the risk factors associated with IS service project management to analyze perceptual differences between the IS service providers and customers in Korea. Data analyses found significant differences in the area of scheduling/resource, technological newness, communications, and sponsorship/ownership while statistically significant differences were observed in eleven individual factors out of forty six risk factors. Risk factors are also ordered in terms of perceived importance to highlight the critical differences.

• 한국건축시공학회지
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• 제19권5호
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• pp.467-475
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• 2019

Delay is one of the most critical issues for construction projects and leads to huge losses in both developing and industrialized countries. The construction sector in Rwanda, a rapidly-developing nation, is no exception. Delays can be mitigated only once we have identify their primary causes, and these may not be the same in each region. This study aims to ascertain the main critical factors responsible for delays in building construction in Rwanda through an intensive literature review and questionnaire survey. A total of 40 delay causative factors were obtained from a literature review and were further classified into nine major categories. The questionnaire survey was distributed to about 80 respondents from clients, contractors, and consultants. From the list of 40 different factors, the top twelve most critical causes were identified as stoppage of work due to cash flow constraints, delay in approving design documents, confidentiality of physical plan, price fluctuations and delay in approving significant change, change orders, delay in performing inspections, Ineffective project planning, inadequate drawing details, unqualified labor, lack of materials on the market and dishonesty.