• 제목/요약/키워드: Critical risk factors

검색결과 351건 처리시간 0.024초

원자력 발전소 종사자들의 리스크 인식 조사 (A Survey on the Risk Perceptions of Employees in Nuclear Power Plants)

  • 이희환;박달재
    • 한국안전학회지
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    • 제32권1호
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    • pp.134-139
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    • 2017
  • This study has been performed to investigate the risk perceptions of employees in nuclear power plants. A representative sample of 473 employees was surveyed(about 79% response rate). The questionnaire included scales on both risk perceptions of critical five hazards that could be occurring in the nuclear power plants and two psychometric attitudes. Higher risk perceptions between managers and non-managers to five hazards used in this study were entirely obtained from the managers. It was also found that the perceived higher hazards were in the following order: radiation exposure, radioactive release, explosion, fire and radioactive waste. For the controllability, higher risk perceptions to the all factors were obtained from the managers, and higher ones were non-managers in the dread.

외과계 중환자실의 섬망 발생 위험요인 조사연구 (Risk Factors related to Delirium Development in Patients in Surgical Intensive Care Unit)

  • 이은준;심미영;송숙희;이미미;김혜미;강봉선;양은진;임지영;김진아;이미나
    • 중환자간호학회지
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    • 제3권2호
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    • pp.37-48
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    • 2010
  • Purpose: The purpose of this study was to examine the frequency and the course of delirium, and identify risk factors for the development of delirium in surgical intensive care unit (SICU). Methods: Subjects older than 19 years admitted to the SICU were recruited. After informed written consent, enrolled subjects had baseline cognitive and functional assessments. Subjects were assessed daily for delirium using the Confusion Assessment Method-ICU (CAM-ICU). Results: During the study period, 110 patients were enrolled. The overall incidence of delirium was 20% (22/110). The average time to onset of delirium was 3.04(${\pm}1.25$) days. Several variables were associated with an increased risk of delirium including older age (p<.05), higher admission APACHE II score (p<.001), use of opioid and analgesics (p<.01), using physical restraints (p<.001), and intraoperative hypotension (p<.05). In a multivariate logistic regression model, using physical restraints (p<.001), intraoperative hypotension (p<.05), and older age (p<.05) remained significant predictors of the delirium development. Conclusion: Using physical restraints, intraoperative hypotension and older age was strongly associated with development of delirium in the SICU. Prevention measures need to focus on identifying patients at higher risk for delirium development.

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Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

  • Lee, Kangho;Ryu, Dongyeon;Kim, Hohyun;Jeon, Chang Ho;Kim, Jae Hun;Park, Chan Yong;Yeom, Seok Ran
    • Journal of Trauma and Injury
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    • 제35권1호
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    • pp.25-33
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    • 2022
  • Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation analysis. Methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analyzed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score, serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and Injury Severity Score) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). Results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, P<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the generalized estimating equation in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio, 1.027; 95% confidence interval, 1.018-1.036; P<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high-risk of post-traumatic mortality.

EVALUATING CRITICAL SUCCESS FACTORS FOR ACCURATE FIRST COST ESTIMATES OF LARGE-SCALE CONSTRUCTION PROJECTS

  • Jin-Lee Kim;Ok-Kyue Kim
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.354-360
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    • 2009
  • The demands for large-scale construction projects such as Mega-projects are largely increasing due to the rapid growth of increasing populations as well as the need to replace existing buildings and infrastructure. Increasing costs of materials, supplies, and labors require the first cost estimates at the preliminary planning stage to be as accurate as possible. This paper presents the results obtained from the survey on evaluating nine critical success factors that influence the accurate first cost estimates for large-scale projects from practical experiences. It then examines the current cost structures of construction companies for large-scale projects, followed by the causes for cost and schedule overrun. Twenty completed surveys were collected and the Analytic Hierarchy Process was applied to analyze the data. The results indicate that technology issues, the contract type, and social and environmental impacts are the significant leading factors for accurate first cost estimates of large-scale construction projects.

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건축물 안전관리 실태분석을 통한 중점안전관리 대상 및 요소 설정에 관한 연구 (A Study on the Critical Safety Management Buildings and factors by Analyzing the Actual State of Building Safety Management)

  • 김은희
    • 대한건축학회논문집:계획계
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    • 제35권4호
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    • pp.37-44
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    • 2019
  • According to the statistical surveys and studies, insufficient maintenance in the use of existing buildings caused fire and collapse accidents. In this respect, I analyzed the data managed by the current building maintenance and inspection system to find out the actual state of safety management and proposed two significant results. First, regarding the state of the buildings, the safety management status of the small-sized ones, where 20 years or more passed after construction, is the worst and a priority improvement plan is required. Second, there are eight deeply concerning factors for the fire incidents and collapse accidents of buildings. In the order of high risk, these factors are structural strength (seismic design), exterior wall finishing material, basement floor, interior finishing materials, other evacuation facilities, corridors stairs entrances, rooftop, fire partition. We need to have more special designs and management plans regarding high-risk factors as a system to prevent accidents in the building.

위험인식의 특성과 의미: 한국인의 기술위험 인지도에 대한 Psychometric 분석 (A Study on Risk Perception and Policy Implication : A Psychometric Analysis of Korean Perception for Technological Risks)

  • 정익재
    • 한국안전학회지
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    • 제29권1호
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    • pp.80-85
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    • 2014
  • A survey of risk perception in South Korea was conducted in 2007 to evaluate relative riskiness of typical industrial and technological risks. This article summarizes the characteristics of risk perception using psychometric analyses. The survey with a sample size of 1,194 reviews the perceived level of 25 risk items in the areas of transportation, chemicals, environment, industry, nuclear power generation, and newly-introduced risks. Six categories of risk identified by a factor analysis show that the level of perceived risk does not correspond to the statistical level. Psychometric analyses including voluntariness, severity, effect manifestation, exposure pattern, controllability, familiarity, benefit and necessity demonstrate that voluntary, familiar and immediate risks are perceived as less risky than involuntary, unfamiliar and delayed ones. Risk communication is critical in reducing the discrepance between objective and subjective level of risk. However, the amount of risk information does not always justify a successful risk communication. A safety policy, risk communication strategy in particular, should take into account diverse dimensions of risk reviewed by psychometric analyses in the study. Social policy toward safety can be improved by integrating policy, human, and social factors as well as technological advances.

ASP Outsourcing 위험의 효율적인 통제를 위한 실물옵션 적용 가능성에 대한 연구 (An Empirical Study on the Control Mechanism of ASP Outsourcing Risks using Real Option Approach)

  • 남승현;양희동
    • 한국산업정보학회:학술대회논문집
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    • 한국산업정보학회 2008년도 추계 공동 국제학술대회
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    • pp.365-384
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    • 2008
  • Many studies on ASP outsourcing area have focused on the Critical Success Factors(CSFs) of ASP outsourcing projects or on the service quality of ASP Service. But these studies have limitations to explain how to succeed in doing ASP outsourcing project. The objective of this research is to overcome this limitation by using the concept of "IT Risk" in Outsourcing. The effective control of the risks-caused during the IS outsourcing process-gives (ASP service using) users a powerful tool to minimize the risks and thus maximizes the possibility of ASP outsourcing project success. In order to perform this objective, this research set up the research model which is composed of three concepts. The three concepts are 1. Undesirable Outcomes(:UO) as IT outsourcing Risks, 2. The Source of Risks(:SOR) influencing the UO, and 3. the intention to get/execute Real Option Portfolio to control the risk level of SORs and UOs. This research has some important and interesting implications on the ASP outsourcing area. First, this research classifies the risk factors as three concepts and finds the interactions among them. Second, Using Real Option portfolio can control the risks effectively occurred during outsourcing projects. Third, Vendors(ASP service providers) can offer users IN TIME the options which can minimize the occurrence of risks.

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Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study

  • Dae Hyun Kim;Jae-Hyug Woo;Yang Bin Jeon;Jin-Seong Cho;Jae Ho Jang;Jea Yeon Choi;Woo Sung Choi
    • Journal of Trauma and Injury
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    • 제36권3호
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    • pp.187-195
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    • 2023
  • Purpose: This study aimed to determine the risk factors associated with the severity of fall-related injuries among patients who suffered a fall from similar heights and analyze differences in injury sites according to intentionality and injury severity. Methods: The Emergency Department-based Injury In-depth Surveillance (EDIIS) data collected between 2019 and 2020 were used in this retrospective study. Patients with fall-related injuries who fell from a height of ≥6 and <9 m were included. Patients were categorized into the severe and mild/moderate groups according to their excessive mortality ratio-adjusted Injury Severity Score (EMRISS) and the intention and non-intention groups. Injury-related and outcome-related factors were compared between the groups. Results: In total, 33,046 patients sustained fall-related injuries. Among them, 543 were enrolled for analysis. A total of 256 and 287 patients were included in the severe and mild/moderate groups, respectively, and 93 and 450 patients were included in the intention and non-intention groups, respectively. The median age was 50 years (range, 39-60 years) and 45 years (range, 27-56 years) in the severe and mild/moderate groups, respectively (P<0.001). In multivariable analysis, higher height (odds ratio [OR] 1.638; 95% confidence interval [Cl], 1.279-2.098) and accompanying foot injury (OR, 0.466; 95% CI, 0.263-0.828) were independently associated with injury severity (EMR-ISS ≥25) and intentionality of fall (OR, 0.722; 95% CI, 0.418-1.248) was not associated with injury severity. The incidence of forearm injuries was four (4.3%) and 58 cases (12.9%, P=0.018) and that of foot injuries was 20 (21.5%) and 54 cases (12.0%, P=0.015) in the intention versus non-intention groups, respectively. Conclusions: Among patients who fell from a similar height, age, and fall height were associated with severe fall-related injuries. Intentionality was not related to injury severity, and patients with foot injury were less likely to experience serious injuries. Injuries in the lower and upper extremities were more common in intentional and unintentional falls, respectively.

우유의 HACCP 시스템에서 Predictive Food Microbiology Model 이용 (Application of Predictive Food Microbiology Model in HACCP System of Milk)

  • 박경진;김창남;노우섭;홍종해;천석조
    • 한국식품위생안전성학회지
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    • 제16권2호
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    • pp.103-110
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    • 2001
  • 예측식품미생물학(PFM)은 1980년대 후반 이후 식품미생물학 분야에서 새롭게 발생한 신학문 분야이다. PFM은 특별한 환경적 요인에 따른 미생물 특히, 병원성미생물의 반응(사멸과 생존)을 예측하기 위하여 수학적인 모델을 이용한 것이다. 현재까지 개발된 PFM모델중 완전한 것은 없지만, 어떤 특정 조건하에서는 신속하고 객관적으로 미생물의 반응을 예측하는데 이용될 수 있다는 장점 때문에, HACCP시스템, Risk Assessment 등에서 응용 가능성이 커지고 있다. 본 연구는 PFM 모델중 PMPwin5.1을 이용하여, 우유 저장에 대한 HACCP시스템 중 미생물학적 위해요소 분석, CCP 및 CL설정에 대한 방법론적 예를 제시하였다. 모델에 대한 초기조건으로 우유와 동일한 물리화학적 조건인 pH 6.7, Aw 0.993, NaCl 1.3%을 고정변수로 하고, 저장온도(4~15$^{\circ}C$)를 변이변수로 선정하여, 온도에 따른 주요 병원성미생물의 generation time, lag phase duration, infective dose에 도달하는데 걸리는 시간을 산출하였다. 이 결과를 바탕으로 온도의 변화에 따른 각 병원성미생물의 성장을 안전정도에 따라 “안전온도범위(Safe temperature zone)”, “주의온도범위(Caution temperature zone)”, “위험온도범위(Danger temperatue zone)”로 분류하였으며, 이들 분류는 우유의 유통기간인 5일을 기준으로 각 병원성미생물의 lag phase duration, infective dose에 도달하는 시간에 따라 결정하였다. 이러한 결과는 우유의 HACCP시스템에 있어, 위해요인 분석시 위해요인의 분류 및 위해요소간의 위해 정도의 우선순위 부여에 보조적인 수단으로 이용될 수 있다. 또한 유통.저장단계에서 병원성미생물의 상징에 대한 온도수준을 나타내므로, 이 단계를 CCP로 설정할 수 있고, CCP에 대한 CL은 주위온도범위내에서 설정할 수 있다. 그리고 허용수준에 대한 온도의 범위를 제시하므로 모니터링이나 검증에서도 이용할 수 있다.

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Distributed Prevention Mechanism for Network Partitioning in Wireless Sensor Networks

  • Wang, Lili;Wu, Xiaobei
    • Journal of Communications and Networks
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    • 제16권6호
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    • pp.667-676
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    • 2014
  • Connectivity is a crucial quality of service measure in wireless sensor networks. However, the network is always at risk of being split into several disconnected components owing to the sensor failures caused by various factors. To handle the connectivity problem, this paper introduces an in-advance mechanism to prevent network partitioning in the initial deployment phase. The approach is implemented in a distributed manner, and every node only needs to know local information of its 1-hop neighbors, which makes the approach scalable to large networks. The goal of the proposed mechanism is twofold. First, critical nodes are locally detected by the critical node detection (CND) algorithm based on the concept of maximal simplicial complex, and backups are arranged to tolerate their failures. Second, under a greedy rule, topological holes within the maximal simplicial complex as another potential risk to the network connectivity are patched step by step. Finally, we demonstrate the effectiveness of the proposed algorithm through simulation experiments.