• Title/Summary/Keyword: Emergency & Safety Management

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Perception of the Patient Safety Risk Factors and Safety Management by Nurses in Emergency Service, Hospitals (응급실 간호사의 환자안전 위험요인에 대한 위험성 인식과 안전 간호활동)

  • Yun, Jung MI;Park, Hyoung Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.4
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    • pp.380-391
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    • 2014
  • Purpose: This was a descriptive research study to examine the patient safety risk factors and the level of safety management of nurses in emergency service, hospitals and to analyze the relationship between the two factors. Method: Data for analysis were collected from 232 nurses in emergency service, hospitals in Busan and Gyeongnam from July 30 to September 7, 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients. Results: Therapeutic agents showed the highest risk level. The prevention of transfusion errors showed the highest performance. As the nurses were working in regional emergency medical centers and received education more than 7 sessions on patient safety, they readily recognized the riskiness of the safety risk factors. In addition, as the nurses were older than 40, married, having more education about safety and understood the incident report registration system well, they performed safety management better. There were significant correlations between perception of the patient safety risk factors and performance for safety management. Conclusion: Nurses in emergency service, hospitals should try to improve safety management to reduce the risk factors shown to be higher based on the results and ensure the patient safety.

A Study on Developing the Training Program for the Emergency Response against Railroad Emergency Accidents (철도 비상사고 비상대응 훈련 프로르갬 개발에 관한 연구)

  • Park, Min-Kyu;Kim, Si-Gon
    • Journal of the Korea Safety Management & Science
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    • v.11 no.2
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    • pp.33-40
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    • 2009
  • The Railroad Safety Act was implemented in 2005 due to the increased concerns regarding railroad safety since the Daegu subway fire in 2003. In line with this, the Act became a standard to build the total railroad safety systems which has been overlooked compared to the quantitative growth of the railroad business. The minister of the ministry of Land, Transportation and Maritime Affairs lays down the Act for railroad Companies to conduct emergency programs in response to the emergency occurring on the railroad such as fire, explosion, derailment, etc. By enacting the Safety Act, the nation's construction of the contingency management system for railroad emergency increased", and it made the railroad company prepare the Emergency SOP by establishing 'The guideline on the Establishment of the railroad Emergency Plan' in order to support the efficiency of the Act. In line with this, I would like to analyze a matter of system development and the main function of the "railroad Emergency Training Program" for activation improvement of standardized operation procedure developed through the 'Total capitalize Safety Technology development'.

Emergency Room Nurses' Recognition of Patient Safety Culture and their Safety Management Activity (응급실 간호사의 환자안전문화에 대한 인식과 환자안전관리활동)

  • Lee, Ji-Eun;Lee, Eun-Nam
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.44-56
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    • 2013
  • Purpose: The purpose of this study was to investigate emergency room nurses' recognition of patient safety culture and their performance of safety management activity. Methods: Data were collected from July 1 to August 31, 2012 on 292 emergency room nurses working at 25 general hospitals located in B city in G province. The Hospital Survey on Patient Safety Culture was used to measure patient safety culture, and an 82-item questionnaire was developed to measure safety management activity. Results: the performance of safety management activity were significantly associated with the total career years, whether the nurses had undergone safety training, and whether the nurses has been working in the regional emergency care facility. Of 6 subcategories of the patient safety culture, the perception of a directly commanding senior/manager, frequency of accident reports, and hospital environment were associated with the performance of safety management activity. Conclusion: For improving performance of safety management activity among emergency room nurses, it is necessary to develop an educational program of safety management activity by their level of performance.

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Application of GIS Technology for Developing Emergency Management System on High-Speed Lines

  • Kim, Sang-Ahm;Hong, Seon-Ho;Wang, Jong-Bae
    • Journal of the Korean Society for Railway
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    • v.6 no.3
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    • pp.156-162
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    • 2003
  • Due to almost all tracks of new Kyoungbu high-speed lines(HSL) consisting of bridges and tunnels, HSR operational safety management is very important factor for passenger safety and preventing catastrophic event. Especially, it is important to approach the scene of the accident and assist in saving lives as soon as possible under emergency conditions. Therefore it is essential to prepare access methods and available resources in advance in order to support emergency correspodances promptly and effectively. This paper persents an application of geographical information system(GIS) for developing emergency management system as well as batabase system on tracks and facilities, electric/communication equipment and safety equipment required to support emergencies. The on-site information on the proximity of HSL is expressed on the numerical map, which can be helpful to call external supports such as medical service, local authorities, police offices, fire brigades, and etc. for the emergency situations.

Knowledge, attitude and confidence on patient safety management among emergency medical technician students (응급구조과 학생의 환자안전에 대한 지식 및 태도가 환자안전관리 자신감에 미치는 영향)

  • Ham, Young-Lim;Park, Mi-Jeong;Lee, Hae-Young
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.1
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    • pp.75-85
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    • 2017
  • Purpose: This study evaluated the effects of knowledge and attitude on confidence about patient safety management among emergency medical technician (EMT) students. Methods: A self-reported questionnaire was completed by 174 EMT students in two cities from May to June 2016. Data were analyzed using PASW WIN 20.0 for descriptive statistics, t-test, one way analysis of variance, and hierarchical multiple regression. Results: The students' confidence about patient safety management was 3.33 (on a 5-point scale). Confidence varied according to average academic grade (p=.015), experience in patient safety education, and experience in writing medical error reports. After adjusting for sex, average academic grade, and experience in patient safety education, knowledge and attitudes about patient safety increased a student's confidence in patient safety management by 19%. Conclusion: Patient safety education should be included in programs on health promotion and be provided as basic information in intervention programs for EMTs.

Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation

  • Renschler, Lauren A.;Terrigino, Elizabeth A.;Azim, Sabiya;Snider, Elsa;Rhodes, Darson L.;Cox, Carol C.
    • Safety and Health at Work
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    • v.7 no.2
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    • pp.166-170
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    • 2016
  • A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams - focusing on both employee and management roles. They then applied the presentation information to assess their own organization's emergency preparedness level. Participants possessed significantly (p < 0.05) higher perceptions of their organization's level of emergency preparedness than non-participants. It is recommended that an assessment of organizational preparedness level supplement emergency planning educational presentations in order to immediately apply the material covered and encourage employees to become more involved in their organization's emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace's operations and risk level for emergencies should be implemented.

Reorganization of Disaster Management Systems for Effective Emergency and Disaster Response: The Pivotal Role of The National Emergency Management Agency (NEMA) (대형 재난의 효율적 대응을 위한 소방조직 중심의 재난대응체계 개편 방안)

  • Mun, Gi-Sik
    • Journal of the Korea Safety Management & Science
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    • v.19 no.1
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    • pp.1-8
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    • 2017
  • The current study aims to propose a reorganization plan for the national emergency management system to improve the current organizational structure for responding to national disasters and emergency situations. As a theoretical framework, the current study identified four key elements of successful disaster response systems: responsiveness, controllability, expertise, and devotedness. On the basis of the four key elements of disaster response systems, this study critically reviewed the current state of the organizational structure of the Korean national emergency response system by discussing the issues inherent in the current structure and by doing a comparative analysis of two high-profile national disaster cases-the Sewol ferry disaster in 2014 and the Gwangsan Rescue of buried people in 2013. Then, this study proposed the reorganization plan for the national disaster response system in which the NEMA is under direct control of the Prime Minister of Korea. It coordinates and controls the related government departments, such as the police, maritime police, and military during the national disaster and emergency situation. This study also proposed a reorganizational plan for the regional disaster response system in Korea. Finally, it was suggested that the status of firefighters should be elevated to the national public servant level in order to achieve organizational efficiency and solve existing problems that come from the current separated systems.

Study on Developing Emergency Response Procedure in Laboratory accident with Wireless Detecting System (무선 감시 시스템을 활용한 연구실 사고의 비상대응체계 개발에 대한 연구)

  • Lee, Man Soo
    • Journal of the Korea Safety Management & Science
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    • v.17 no.2
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    • pp.139-145
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    • 2015
  • In these days, hazards in laboratories are consistently increasing due to high technological advance in modern science. Efforts to prevent accidents in laboratories became law named [ACT ON THE ESTABLISHMENT OF SAFE LABORATORY ENVIRONMENT]. The law made laboratories more safely but it's not enough to keep up laboratory safety in advanced countries. To improve laboratory safety, this study reformed laboratory emergency response flow chart based on each emergency scenarios and its evaluated hazards in laboratories applied wireless hazard detecting equipments.

The Impact of Emotional Labor and Job Stress on the Patient Safety Management Activities among Emergency Room Nurses in Small-Medium Sized General Hospitals (중소병원 응급실 간호사의 감정노동, 직무스트레스가 환자안전관리활동에 미치는 영향)

  • Lee, San-Na;Kim, Seon-Ha
    • The Journal of the Korea Contents Association
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    • v.22 no.3
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    • pp.222-235
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    • 2022
  • The purpose of this study is to investigate the effect of emotional labor and job stress on patient safety management activities in emergency room nurse. Data were collected using self-report questionnaires from 143 nurses working in the emergency room of small and medium-sized hospitals. As factors influencing patient safety management activities, emotional labor, job stress, demographic characteristics, and work characteristics were investigated. Stepwise multiple regression analysis were used for factors affecting patient safety management activities. There were significant differences in patient safety management activities by age, experience in emergency room, position, work pattern, and intention to move to another department. In the regression analysis, the factors that had a significant effect on patient safety management activities were job stress and choice to work in the emergency room, and the explanatory power of these variables was 27%. It was found that the higher the job stress, the lower the patient safety management activity. In conclusion, it is necessary to manage job stress arrange departments according to individual needs to improve patient safety management activities of nurses in the emergency room of small and medium-sized hospitals.

Numerical simulation of electrokinetic dissipation caused by elastic waves in reservoir rocks

  • Zhang, Xiaoqian;Wang, Qifei;Li, Chengwu;Sun, Xiaoqi;Yan, Zheng;Nie, Yao
    • Geomechanics and Engineering
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    • v.19 no.1
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    • pp.11-20
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    • 2019
  • The use of electrokinetic dissipation method to study the fluid flow law in micro-pores is of great significance to reservoir rock microfluidics. In this paper, the micro-capillary theory was combined with the coupling model of the seepage field and the current field under the excitation of the harmonic signal, and the coupling theory of the electrokinetic effect under the first-order approximation condition was derived. The dissipation equation of electrokinetic dissipation and viscous resistance dissipation and its solution were established by using Green's function method. The physical and mathematical models for the electrokinetic dissipation of reservoir rocks were constructed. The microscopic mechanism of the electrokinetic dissipation of reservoir rock were theoretically clarified. The influencing factors of the electrokinetic dissipation frequency of the reservoir rock were analyzed quantitatively. The results show that the electrokinetic effect transforms the fluid flow profile in the pores of the reservoir from parabolic to wavy; under low-frequency conditions, the apparent viscosity coefficient is greater that one and is basically unchanged. The apparent viscosity coefficient gradually approaches 1 as the frequency increases further. The viscous resistance dissipation is two orders of magnitude higher than the electrokinetic effect dissipation. When the concentration of the electrolyte exceeds 0.1mol/L, the electrokinetic dissipation can be neglected, while for the electrolyte solution (<$10^{-2}M$) in low concentration, the electrokinetic dissipation is very significant and cannot be ignored.