• 시큐리티연구
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• 제34호
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• pp.279-311
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• 2013

이 연구는 우리나라 국가위기관리체계의 문제점을 분석하여 발전방안을 제시하는데 목적이 있다. 이를 위해 위기, 위기관리의 개념과 국가위기관리 조직체계, 국가위기관리 조직관련 법령 등을 살펴보았다. 우리나라의 국가위기관리 개념은 위기와 안전, 보안, 위험, 재난 등의 개념이 혼재된 가운데 용어가 혼용되어 사용되고 있다. 게다가 개별적으로 발전해온 법령으로 인하여 국가위기관리 조직은 분야별로 분산되고, 각각의 조직 운영으로 중복되어 효율성이 제한되며, 한정된 국가위기관리 자원이 비효율적으로 운용되고 있다. 결국 개별 법령에 규정된 다수의 국가위기관리 조직을 효율적으로 통합 관리하는 데에는 법체계상 한계가 있으며, 컨트롤 타워가 미흡한 가운데 관련부처간의 조정 통제가 곤란한 실태에 있다. 이에 따라 이 연구에서는 개념의 불명확성에 대한 문제점의 발전방안으로 위기의 개념을 명확히 하고, 조직과 법령이 분산된 문제점에 대해서는 국가 통합위기관리체계(IEMS)를 제시하였다. 이를 통하여 궁극적으로는 한국의 국가위기관리체계의 발전을 위한 조직적 법적 통합방안을 제시하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제25권4호
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• pp.17-25
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• 2019

Purpose: Despite the fact that the needs for disaster emergency medical facilities to minimize casualties are increasing, research for emergency medical facilities is insufficient compared to research for DMAT investment. A management strategy for emergency medical facilities in disaster site needs to be proposed. Methods: Recently there was introduction of mobile hospital system using unit modular method, but it was found out to be used only in disaster emergency training. Emergency medical facilities in disaster site require various tasks. Examination for our research was carried out through consultations with emergency medical and mobile hospital expert because there is no practical use case to apply Emergency Medical Facilities in Korea. Result: In this research we proposed a management strategy to manage and operate emergency medical facilities composed of tent, unit module and container in the aspects of management efficiency. Implications: It is highly expected to establish a foundation for fast and accurate disaster emergency medical facilities deployment by applying the results of our research to Emergency response manual of disaster emergency medical service.

• Journal of Yeungnam Medical Science
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• 제19권2호
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• pp.92-98
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• 2002

Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

• 한국응급구조학회지
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• 제18권2호
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• pp.21-33
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• 2014

Purpose: A descriptive study design was used to investigate infection management awareness and infection management performance for clothing management in 119 emergency medical technicians (EMTs). Method: 188 paramedics and basic EMTs completed questionnaires between March 1 and April 30, 2013 in Jeollabuk-do. Results: Participants' average score for infection control awareness was 2.69 and that for performance was 1.58, with the differences being statistically significant (t = 931.455, p = .003). Participants' general characteristics resulted in differences in infection management performance. Women (1.63) have scored higher than men (1.28), and the difference was statistically significant (t = 11.174, p = .001). Participants who had clinical experience (1.63) had higher scores than participants who did have clinical experience before (1.53) and, again, the difference was significant (t = 7.167, p = .009). Conclusion: Education program for infection management is need to be developed for more effective infection management.

• 시큐리티연구
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• 제50호
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• pp.11-32
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• 2017

영국은 2004년 국가재난관리법(Civil Contingencies Act 2004)을 통하여 "Emergency"라는 결과중심의 단일 재난개념을 확립하고 있으며, 이를 통하여 유형과 관계없이 다양한 위험에 대비/대응할 수 있는 시스템을 구축하고 있다. 역사적으로 볼 때는, 평시 재난관리체계와 민방위 체계가 서로 합쳐져 오늘날의 통합형 재난관리체계(Integrated Emergency Management)로 이어진 것이다. 영국의 재난관리체계는 지역단위에서의 대비 및 대응을 원칙으로 하고 있으며, 이를 위하여 각 대응기관 간의 상호협력과 정보공유를 강조하고 있다. 또한 지역사회 및 영국 전체에서 재난위험성을 진단하고 평가하는 제도, 즉 지역사회 위험목록(Community Risk Register) 및 국가위험목록(National Risk Register) 제도가 잘 구축되어 있으며, 그 평가결과 역시 국민들에게 공개되어 있다. 본 연구에서는 이러한 재난위험성 평가 제도를 비롯하여 영국 재난관리체계의 전체 특징 및 특히 최근 변화를 종합적으로 살펴보고, 이를 바탕으로 우리나라의 재난관리체계가 나갈 방향에 대한 정책적 함의를 도출하고자 하였다. 본 연구에서는 (1) (영국에서 기이 이루어진) 완전 통합형 재난관리체계의 도입 그리고 이에 따른 민방위 조직의 발전적 해체 및 단일 재난개념의 사용, (2) 경찰을 비롯한 각 긴급대응기관 간 상호운용성(Inter-operability) 확보를 위한 법제도 개선, (3) (영국의 지역사회 위험목록 및 국가위험목록과 같은) 지역 및 국가단위의 재난위험성을 평가할 수 있는 제도의 도입이라는 세 가지 정책적 함의를 제시해보았다.

• 대한안전경영과학회지
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• 제11권2호
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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'.

• Safety and Health at Work
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• 제7권2호
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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.

• Journal of Preventive Medicine and Public Health
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• 제47권6호
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• pp.309-316
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• 2014

Objectives: This study aimed to test our hypothesis that a raise in the emergency fee implemented on March 1, 2013 has increased the proportion of patients with emergent symptoms by discouraging non-urgent emergency department visits. Methods: We conducted an analysis of 728 736 patients registered in the National Emergency Department Information System who visited level 1 and level 2 emergency medical institutes in the two-month time period from February 1, 2013, one month before the raise in the emergency fee, to March 31, 2013, one month after the raise. A difference-in-difference method was used to estimate the net effects of a raise in the emergency fee on the probability that an emergency visit is for urgent conditions. Results: The percentage of emergency department visits in urgent or equivalent patients increased by 2.4% points, from 74.2% before to 76.6% after the policy implementation. In a group of patients transferred using public transport or ambulance, who were assumed to be least conscious of cost, the change in the proportion of urgent patients was not statistically significant. On the other hand, the probability that a group of patients directly presenting to the emergency department by private transport, assumed to be most conscious of cost, showed a 2.4% point increase in urgent conditions (p<0.001). This trend appeared to be consistent across the level 1 and level 2 emergency medical institutes. Conclusions: A raise in the emergency fee implemented on March 1, 2013 increased the proportion of urgent patients in the total emergency visits by reducing emergency department visits by non-urgent patients.

• 기본간호학회지
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• 제21권4호
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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.

• 대한안전경영과학회지
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• 제19권1호
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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.