• 제목/요약/키워드: Facility risk

검색결과 544건 처리시간 0.07초

노인요양시설 요양보호사의 환자안전문화, 환자안전관리 중요성 인식 및 환자안전관리활동: 혼합연구방법 적용 (Patient Safety Culture, Perception of Importance on Patient Safety Management, and Patient Safety Management Activities of Care Workers in Nursing Homes: Mixed-method Approach)

  • 김순옥;김정아
    • 한국보건간호학회지
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    • 제34권3호
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    • pp.473-489
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    • 2020
  • Purpose: This study investigated the patient safety culture (PSC), the perception of importance on patient safety management (PIPSM) and the patient safety management activities (PSMA) of care workers in nursing homes. This was a descriptive study that attempted to provide basic data for the patient safety education program of care workers. Methods: Data were collected using questionnaires and interviews from July 1 to 31 in 2020. One hundred and seventy-four care workers participated in quantitative research. The collected data were analyzed by the SPSS/WIN 25.0 program using descriptive statistics, t-test, ANOVA, Bonferroni, and Pearson's correlation. The qualitative data were collected through semi-structured, audio-recorded interviews with six representatives and six care workers from six nursing homes. Content analysis was performed to analyze the data. Results: Positive correlations were observed between PSC and PIPSM, and between PIPSM and PIPSM. Care workers' experience in patient safety management was in the following six categories: "Safety accident risk factors", "Type of safety accidents", "How to prevent safety accidents", "Effective safety management education", "Emphasis on occupational ethics of care workers", and "Needs for standard protocol" Conclusion: These findings indicate that considering the care workers' age and facility size, nurses should enhance patient safety education for care workers and establish a management activity system.

개방형 클라우드 환경의 지능형 영상감시 인큐베이팅 보안 메커니즘 구조 (Intelligent Video Surveillance Incubating Security Mechanism in Open Cloud Environments)

  • 김진수;박남제
    • 한국정보기술학회논문지
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    • 제17권5호
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    • pp.105-116
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    • 2019
  • 국내 대다수의 공공장소 및 사유건물은 범죄 예방 및 사후 조치, 내부자 보안, 시설안전 및 화재 예방 등을 위해 CCTV(Closed Circuit Television)를 설치하고 있으며, 매년 설치 대수는 늘어나는 추세이다. 늘어나는 CCTV에 대하여 진행된 설문에서는 다수의 반응이 CCTV의 촬영으로 인한 프라이버시 침해 등의 부정적 시선보다 설치로 인해 발생할 수 있는 범죄의 예방적 측면에서 긍정적으로 보고 있다. 하지만 CCTV는 프라이버시 측면에서 많은 위험성을 내포하고 있으며, 클라우드를 이용하여 영상 데이터를 수집할 경우 피사체의 개인정보가 유출될 수 있다. 인세캠은 각국의 CCTV 감시 영상을 실시간으로 중계하였으며, 중계 대상에는 노트북의 전면카메라까지 포함되어 큰 이슈를 불러일으켰다. 본 논문에서는 CCTV를 통해 영상정보에 대한 프라이버시 기법 처리를 통한 개인정보 유출 방지 및 클라우드 시스템 보안성 강화를 위한 시스템을 소개하기로 한다.

정보보호 관점에서의 오픈뱅킹 수용도에 대한 영향요인 (Factors to Affect Acceptance of Open Banking from Information Security Perspectives)

  • 고정현;이원부
    • 한국IT서비스학회지
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    • 제20권6호
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    • pp.63-81
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    • 2021
  • Joint financial network of Korea Financial Telecommunications and Clearings Institute, which is an essential facility with a natural monopoly, maintained its closedness as monopoly/public utility model, but it has evolved in the form of open banking in order to obtain domestic fintech competitiveness in the rapidly changing digital financial ecosystem such as the acceleration of Big Blur. In accordance with digital transformation strategy of financial institutions, various ICT companies are actively participating in the financial industries, which has been exclusive to banks, through the link technology called Open API. For this reason, there has been a significant change in the financial service supply chain in which ICT companies participate as users. The level of security in the financial service supply chain is determined based on the weakest part of the individual components according to the law of minimum. In addition, there is a perceived risk of personal information and financial information leakage among the main factors that affect users' intention to accept services, and appropriate protective measures against perceived security risks can be a catalyst, which increases the acceptance of open banking. Therefore, this is a study on factors affecting the introduction of open banking to achieve financial innovation by developing an open banking security control model for financial institutions, as a protective measures to user organizations, from the perspectives of cyber financial security and customer information protection, respectively, and surveying financial security experts. It is expected, from this study, that effective information protection measures will be derived to protect the rights and interests of financial customers and will help promote open banking.

지하수 오염우려지역 실태조사 보고서 기반의 사전 부지개념모델 구축 (Construction of a Preliminary Conceptual Site Model Based on a Site Investigation Report for Area of Concerns about Groundwater Contamination)

  • 김주희;배민서;권만재;조호영;이순재
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제27권spc호
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    • pp.64-74
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    • 2022
  • The conceptual site model (CSM) is used as a key tool to support decision making in risk based management of contaminated sites. In this work, CSM was applied in Jeonju Industrial Complex where site investigation for groundwater contamination was conducted. Site background information including facility types, physical conditions, contaminants spill history, receptor exposure, and ecological information were collected and cross-checked with tabulated checklist necessary for CSM application. The CSM for contaminants migration utilized DNAPL transport model and narrative CSMs were constructed for source to receptor pathway, ecological exposure route, and contaminants fate and transport in the form of a diagram or flowchart. The component and uncertainty of preliminary CSM were reviewed using the data gap analysis while taking into account the purpose of the survey and the site management stage at the time of the survey. Through this approach, the potential utility of CSM was demonstrated in the site management process, such as assessing site conditions and planning follow-up survey work.

LSTM 기반 배수지 수위 변화 예측모델과 적합성 평가 연구 (A Study on LSTM-based water level prediction model and suitability evaluation)

  • 이은지;박형욱;김은주
    • 스마트미디어저널
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    • 제11권5호
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    • pp.56-62
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    • 2022
  • 배수지는 정수처리 된 물을 급수하기 위해 정수물을 모아두는 저장소로서, 물의 수요량에 따라 급수량을 조절하여 안정적으로 물을 공급하기 위해 배수지의 수위 관리는 매우 중요하다. 현재 배수지 내에 수위 계측 센서를 설치하여, 가압장의 펌프운영을 통해 배수지의 최적 수위를 관리하고 있으나, 센서의 오작동 및 통신두절 등 사고대응을 관리자 감시에 의존하고 있어, 사고의 위험을 안고 있다. 본 연구에서는 배수시설의 안정적 운영을 위하여, 배수지의 수위 변화 예측 인공지능 모델을 제안하였으며, 배수지 수위 변화 예측모델의 현장적용에 대한 안정성을 확인하기 위하여 수위 데이터의 결측 상황에 대한 시뮬레이션을 통하여, 실제 수위 변화값과 예측된 수위 변화값의 비교를 통하여 모델의 유용성을 확인하였다.

소규모 분산자원의 효율적 운용을 위한 가상발전소 플랫폼 개발 (A study on the development of a virtual power plant platform for the Efficient operation of small distributed resources)

  • 김희철;홍호표
    • 디지털융복합연구
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    • 제19권11호
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    • pp.365-371
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    • 2021
  • 본 연구에서 고찰되는 가상발전소(VPP; Virtual Power Plant) 솔루션 플랫폼은 전력회사가 발전·송전설비 등의 건설에 소요되는 비용과 이와 관련된 투자리스크를 최소화 한다. 또한, 소비자의 전력 수요를 충족할 수 있도록 수요대응(DR; Demand Response) 프로그램운영 기능을 포함시켜 VPP도입으로 발전 및 송·배전부문에 대한 대규모 설비투자 없이 현존하는 발전기와 DR 프로그램 등을 통해서 소비자의 부하변화에 실시간으로 대처하여 보다 친환경적이고 효율적인 전력공급이 가능하도록 한다. 태양광 및 ESS 연동 장치에 통신 Device를 연동하기 위해서는 Device 장치와 Edge System간 제어·상태에서 데이터를 전달하고 IoT Device 및 연동 플랫폼 개발(OneM2M)이 필요하다.

3D 레이저 스캐닝과 BIM 연동을 통한 건축물 노후 상태 정보 시각화 프로세스 (Integration of 3D Laser Scanner and BIM Process for Visualization of Building Defective Condition)

  • 최문영;김상용;김승호
    • 한국건축시공학회지
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    • 제22권2호
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    • pp.171-182
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    • 2022
  • 주기적인 건축물 안전진단은 구조적 안전성 및 잠재적 위험을 조기에 파악할 수 있다. 하지만 기존의 수집 방식은 비정형화된 형태의 주관적 데이터가 주로 사용되며, 노동집약적이고 시간 소모적이기 때문에 신뢰성이 떨어진다. 이에 본 연구는 3D 레이저 스캐너를 이용하여 건축물 노후 상태 정보를 수집하고 Building Information Modeling(BIM)으로 통합하여 시각화하는 방안을 제안하며, 순서는 다음과 같다: (1) 3D 레이저 스캐너와 파이썬 스크립트를 통한 데이터 수집, (2) Scan-to-BIM 프로세스, (3) 다이나모를 이용한 상태 데이터 시각화 및 정보 통합. 이를 통해 데이터 저장과 보고서 및 도면 작성 과정의 생략에 따른 시간 단축 효과를 확인하였다. 또한 시각화된 3D 모델은 건축물 유지관리자가 효율적인 결정을 할 수 있도록 한다. 이를 통해 유지관리 업무 효율성이 향상될 것으로 예상된다.

A Regionalization Model to Increase Equity of Access to Maternal and Neonatal Care Services in Iran

  • Daniali, Zahra Mohammadi;Sepehri, Mohammad Mehdi;Sobhani, Farzad Movahedi;Heidarzadeh, Mohammad
    • Journal of Preventive Medicine and Public Health
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    • 제55권1호
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    • pp.49-59
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    • 2022
  • Objectives: Access to maternal and neonatal care services (MNCS) is an important goal of health policy in developing countries. In this study, we proposed a 3-level hierarchical location-allocation model to maximize the coverage of MNCS providers in Iran. Methods: First, the necessary criteria for designing an MNCS network were explored. Birth data, including gestational age and birth weight, were collected from the data bank of the Iranian Maternal and Neonatal Network national registry based on 3 service levels (I, II, and III). Vehicular travel times between the points of demand and MNCS providers were considered. Alternative MNCS were mapped in some cities to reduce access difficulties. Results: It was found that 130, 121, and 86 MNCS providers were needed to respond to level I, II, and III demands, respectively, in 373 cities. Service level III was not available in 39 cities within the determined travel time, which led to an increased average travel time of 173 minutes to the nearest MNCS provider. Conclusions: This study revealed inequalities in the distribution of MNCS providers. Management of the distribution of MNCS providers can be used to enhance spatial access to health services and reduce the risk of neonatal mortality and morbidity. This method may provide a sustainable healthcare solution at the policy and decision-making level for regional, or even universal, healthcare networks.

의료진 교차감염을 낮추기 위한 음압격리병동 내 개인보호구 탈의구역의 공간구성 (Space planning about Personal Protective Equipment(PPE) Doffing Area to reduce cross-infection among healthcare workers)

  • 박도은;이현진;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제29권3호
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    • pp.37-44
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    • 2023
  • Purpose: To decrease cross-infection, it's essential to analyze the spatial composition of the 'PPE doffing area'. Instead of solely relying on manpower standards, we should focus on responding to infectious diseases within the context of space planning. By doing so, we can lower the risk for healthcare workers' infection and ensure a level of safety in various environmental changes or new manpower input situations. Methods: This analysis is conducted specifically for facilities with negative pressure isolation wards. Additionally, interview surveys to obtain feedback from healthcare workers and incorporate their expertise into the design of the 'PPE doffing area' have been carried. Results: In a PPE doffing area, the standard spaces include a PPE doffing room, a shower room, and a clothing room. Depending on the facility environment or the level of infectious diseases, a Decontamination room or Anteroom can be optionally added. Healthcare workers who remove their PPE in the PPE doffing room should avoid re-entering the Negative pressure room. The shower room is often underutilized. When planning for a future PPE doffing area, an aisle space or passageway must be included even if a shower room is planned. Implications: This study examined the space used by healthcare workers rather than patients, with a focus on infection prevention through architectural planning rather than individual efforts. However, the investigation was limited to facilities that have been converted from general wards to negative pressure isolation wards, so it cannot be generalized to all infectious disease facilities.

외래 급성 방광염 환자에서 잠재적으로 불필요한 위장약 사용 (Potentially Unnecessary Gastrointestinal Drug Use in Patients with Acute Cystitis)

  • 김태연;전송현;제남경
    • 한국임상약학회지
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    • 제33권1호
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    • pp.8-21
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    • 2023
  • Background: Gastrointestinal (GI) drugs are often co-prescribed with other medications to prevent GI complications. This study aimed to evaluate the prescribing pattern of potentially unnecessary GI drugs in patients with acute cystitis who were prescribed oral antibiotics and investigate the influencing factors affecting this. Methods: We identified female patients ≥20 years with acute cystitis who visited the outpatient clinic and were prescribed oral antibiotics between July and December by analyzing Health Insurance Review and Assessment Service (HIRA)-National Patients Sample (NPS)-2019 data. Patients with no prior history of GI disorders within 180 days prior to acute cystitis, excluding or including the date of diagnosis of acute cystitis, were selected (Group A and B). Multiple logistic regression analysis was performed to estimate the factors affecting the prescription of potentially unnecessary GI drugs. Results: A total of 1,544 in Group A and 552 patients in Group B were included for the final analysis. Potentially unnecessary GI drugs were prescribed in 1,176 patients in Group A (76.2%) and 231 patients in Group B (41.8%). Third generation cephalosporines and sulfonamides showed the lower odds ratio for prescribing GI drugs than penicillins. Prescribers from Urology clinics showed more than twice odds ratio for the prescription of GI drugs compared to prescribers from internal medicine clinics. Conclusion: The results of this study showed that potentially unnecessary GI drug prescriptions for patients with acute cystitis were high in South Korea. The positive risk factors affecting the prescription of unnecessary GIs were not patient-related factor but healthcare facility and prescriber-related factors.