• The Journal of Korean Academic Society of Nursing Education
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• v.30 no.2
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• pp.170-181
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• 2024

Purpose: This study aims to assess the importance and performance of patient safety activities for inpatients in small- and medium-sized hospitals. The objective is to identify the need for patient safety education by analyzing differences in importance and performance ratings. Methods: The study involved 300 patients hospitalized in three small- and medium-sized hospitals. Data collection took place in October 2023, focusing on investigating the importance and performance of patient safety activities. Descriptive statistics and an Importance-Performance Analysis (IPA) were conducted using the IBM SPSS statistics 25.0 program. Results: The average importance of patient safety activities was 3.51±0.41, and the average performance was 3.37±0.43, indicating that the importance of patient safety activities was higher than their performance. According to the IPA, the components of patient safety activities that fell into the second quadrant of high importance but low performance included three medication-related items and one test/procedure/surgery-related item. Conclusion: In this study, it was found that inpatients in small- and medium-sized hospitals had a higher importance on patient safety activities than performance and needed ways to increase their performance. Therefore, it is necessary to develop a customized educational program that can increase the practical performance of inpatients' patient safety activities based on the contents that were determined to need improvement.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.2
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• pp.216-224
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• 2022

Purpose: This study aimed to investigate the influence of the perception of the importance of patient safety management and culture on employees' safety performance in small and medium -sized hospitals. Methods: The participants comprised 119 hospital employees, including nurses, doctors, and medical technicians. Data were analyzed through descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using the SPSS program. Results: The mean safety performance was 4.09±0.34, mean safety compliance was 4.12±0.44, and safety participation was 4.06±0.38. There were significant differences in safety performance by gender and job. Safety performance and its assocation with both perception of importance on patient safety management and, perception of patient safety culture showed a positive correlation. Safety performance was influenced by the perception of patient safety culture. The explanatory power was 15.7%. Conclusion: Based on these results, improving the perception of patient safety culture is necessary to increase safety performance. To this end developing and applying an interprofessional safety performance education program for employees in small and medium-sized hospitals is vital.

• Journal of Korean Biological Nursing Science
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• v.26 no.1
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• pp.60-69
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• 2024

Purpose: This descriptive research study attempted to determine how general hospital nurses' awareness of the importance of patient safety management and patient safety competency affected patient safety management activities. Methods: From September 13 to 26, 2022, a survey was administered to 230 ward nurses who provided direct care to patients at five non-accredited general hospitals being evaluated for accreditation located in metropolitan cities. The collected data were analyzed with descriptive statistics, the t-test, one-way analysis, the Scheffé test, Pearson correlation coefficients, and hierarchical regression using SPSS for Windows version 26.0. Results: In total, 221 (96.1%) respondents were female. The average age was 32.2 years, and the average clinical experience was 3.5 years; 196 participants (85.2%) were general nurses. Patient safety competency (β = .44, p < .001), awareness of the importance of safety management (β = .31, p < .001), and medication error experience (β = -.15, p = .002) all had statistically significant associations with patient safety management activities. The explanatory power of these variables for patient safety management activities was 50.7%. Conclusion: This study confirmed that patient safety competency, awareness of the importance of patient safety management, and experience with medication errors significantly influenced patient safety management activities.

• Journal of The Korean Society of Agricultural Engineers
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• v.64 no.5
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• pp.17-26
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• 2022

In this study, in order to establish the criteria for evaluation of importance by the type of facility specialized for agricultural reservoirs, an expert group consisting of a total of 167 members who were in management, or specialized in the fields of design, research, and diagnosis were organized, and the importance for facilities was set with application of the AHP technique. The importance of dam body, spillway, and intake structure composing a reservoir were set at 59%, 24%, and 17%, and the importance of dam crest, upstream slope, and downstream slope constituting a dam body was set at 32%, 31%, and 37%, respectively. In addition, the importance of approach channel, regulated channel, chute channel, and stilling basin consisting a spillway was set at 15%, 44%, 26%, and 15%, and the importance of inclined conduit and outlet conduit consisting an intake structure was set at 35% and 65%, respectively. The safety grade of the reservoirs evaluated by applying the newly presented importance values in this study showed the rearrangement of the grades with a change of 11% compared to the previous grades. In this way, the newly established criteria are expected to be utilized as basic data with strategic importance in reservoir safety management and disaster prevention as well as the operation of systems in the future.

• Journal of Korean Critical Care Nursing
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• v.12 no.2
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• pp.85-96
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• 2019

Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

• Korean Journal of Health Education and Promotion
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• v.17 no.2
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• pp.87-98
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• 2000

In this paper, an effective curriculum for the department related to industrial safety and health is developed through task analysis by the following approaches. The first approach is DACUM. The method is reflected the demand of industrial fields on subjects in curriculum. In this paper, DACUM workshop involves a trained DACUM facilitator and a committee of 6 expert workers from industrial safety and health area. 21 subjects which are necessary in the industrial fields have been selected by the DACUM analysis. The other is to understand the relative importance among each subject by AHP method. The relative importance of the subject is shown in the order of safety management, mechanical safety, construction safety, human factors engineering and system safety, chemical safety, electric safety by AHP analysis. The competition of department can be improved, if the result of this research is adapted to the department curriculum related to industrial safety and health.

• Proceedings of the Korean Nuclear Society Conference
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• 1998.05a
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• pp.838-843
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• 1998

Risk importance measures are widely wed to rank risk contributors in risk-based applications. Typically, Fussell-Vesely (F-V) importance and risk achievement worth (RAW) are used in the component importance raking for the reliability centered maintenance (RCM) analysis of safety system in nuclear power plants (NPPs). This study was performed as part of feasibility study on RCM for domestic NPPs, which is focused on the component importance ranking approach the maintenance recommendation. The approach of modulizing faulting tree basic events was applied in the simplification process of the PSA model and the validity of the approach was evaluated As a result of the case study, this paper included the importance and the maintenance recommendations for the safety-related equipments associated with safety injection and containment spray in large loss of coolant accident sequences.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.2
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• pp.184-192
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• 2015

Purpose: This study was done to assess nursing students' practice of patient safety management (PSM), identify factors affecting PSM and provide basic data to develop education programs to strengthen students' competencies for patient safety. Methods: In this descriptive research the practice of PSM by nursing students was examined and predictive factors were identified. Participants were junior and senior nursing students from 7 universities in 7 cities. Self-report questionnaires were used for data collection. Results: Significant positive correlations were found between knowledge of PSM, perception of the importance of PSM and practice of PSM. In multivariate analysis, women students, participation in patient safety education in school, knowledge of PSM, and practice of PSM predicted high perception of the importance of PSM. In multivariate analysis, senior year and participation in patient safety education in school predicted higher knowledge of PSM. In multivariate analysis, perception of the importance of PSM predicted high practice of PSM. Conclusion: In this study, knowledge was not found to directly affect PSM practice, but was found to affect the perception of the importance of PSM, a significant predictive variable. Thus, the importance of PSM should be strongly emphasized during education.

• Journal of the Korea Institute of Building Construction
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• v.20 no.1
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• pp.73-81
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• 2020

The main purpose of the study is to reduce the accident death rate in the construction industry. To achieve this goal, the safety planning tasks were analyzed and assessed in terms of the importance and preventive effects of the tasks. Through the extensive literature reviews, the safety planning tasks were identified and reviewed by safety managers. based on the safety planning tasks developed in the previous stage, a survey was conducted in order to receive responses by experts with knowledge on the effects and importance of preventive measures for safety. Then, the Importance Performance Analysis(IPA) method was employed to identify the safety manager's tasks that have an effect on performance indicators. Advice and guidance on making the employment rules, etc. (#18) and details about participation and consultation at the Occupational Safety and Health Committee (#16) were found to require revision and improvement of details and guidelines. The effective safety tasks identified are expected to have a critical role in reducing the accident death rate in the construction industry.

• Nuclear Engineering and Technology
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• v.51 no.1
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• pp.138-145
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• 2019

With the application of digital technology to safety-critical infrastructures, cyber-attacks have emerged as one of the new dangerous threats. In safety-critical infrastructures such as a nuclear power plant (NPP), a cyber-attack could have serious consequences by initiating dangerous events or rendering important safety systems unavailable. Since a cyber-attack is conducted intentionally, numerous possible cases should be considered for developing a cyber security system, such as the attack paths, methods, and potential target systems. Therefore, prior to developing a risk-informed cyber security strategy, the importance of cyber-attacks and significant critical digital assets (CDAs) should be analyzed. In this work, an importance analysis method for cyber-attacks on an NPP was proposed using the probabilistic safety assessment (PSA) method. To develop an importance analysis framework for cyber-attacks, possible cyber-attacks were identified with failure modes, and a PSA model for cyber-attacks was developed. For case studies, the quantitative evaluations of cyber-attack scenarios were performed using the proposed method. By using quantitative importance of cyber-attacks and identifying significant CDAs that must be defended against cyber-attacks, it is possible to develop an efficient and reliable defense strategy against cyber-attacks on NPPs.