• Title/Summary/Keyword: Medical accidents

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Problems in the Medical Dispute Medication System and Improvement Plan (의료분쟁조정제도 운영상의 문제점 및 개선방안)

  • Choi, Jang Seop
    • The Korean Society of Law and Medicine
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    • v.15 no.2
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    • pp.91-122
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    • 2014
  • For a variety of reasons, the number of medical disputes is continuously rising. Due to the intrinsic qualities of medical treatments, one would find it more apt to subject medical disputes to general conflict resolution procedures rather than to once-for-all decisions under legal suits. To address the increasing medical disputes with greater professionalism and efficiency, the Medical Disputes Mediation Act was enacted and a medical dispute mediation system put in place, while drawbacks have been blamed to both. The current mediation procedures require the respondent's agreement as a disclosure requirement. A reasonable improvement to this would be to amend the regulation of agreement supposition, or to enforce procedural participation only to public health facilities managed by the national or regional government. Furthermore, small claims cases of 20 million KRW or less in claim may be considered for conciliation-prepositive principle. The concentration on small claim medical disputes is a phenomenon that can be addressed by carrying out maximum authentication commissions or similar measures, one of the solutions by enhancing the public trust in the Korea Medical Dispute Mediation and Arbitration Agency. The proper management of medical authentication teams is one way to address the existing problems in the authentication system. For this, the number of team members shall be increased under more flexible authentication procedures. All indemnity resources for medical accidents of force majeure must be borne by the Government, for it is the body principally responsible for social compensation. Placing this cost on the establisher of the subject medical facility holds the possibility of violating fundamental rights. While the costs for subrogation payment system for damages may be borne by the healthcare facility establisher, a deposit-based system must be created for cases in which the facility shuts down, without holding the responsibility for accident cause. Such change to a deposit-based system will evade the controversies of unconstitutionality, etc.

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Development of Educational Content for Nurses to Prevent Safety Accidents of Hospitalized Children: Delphi Approach

  • Lee, Yun Sil;Oh, Won-Oak
    • Child Health Nursing Research
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    • v.25 no.1
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    • pp.74-84
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    • 2019
  • Purpose: The purpose of this study was to develop content for safety education to prevent hospital safety accidents among hospitalized children and to investigate the status of safety education performed by nurses. Methods: First, the Delphi method was used, with 18 experts, to develop educational contents for preventing safety accidents. Second, an exploratory survey was performed of the actual status of safety education for preventing safety accidents among hospitalized children using a questionnaire developed based on the Delphi method. The participants of this study were 159 nurses with at least 6 months of work experience. Results: The educational content developed through the Delphi method for preventing safety accidents among hospitalized children contained seven domains (falls, injury, electric shocks/burns, suffocation/aspiration, poisoning/abuse, kidnapping, medical devices) with 44 topics. The item mean of nurses'perceptions of the importance of child safety education was 4.18, and the actual performance score was 3.72, which was a statistically significant difference (t=11.58, p<.001). Conclusion: These seven comprehensive domains of accident prevention education for hospitalized children are expected to be useful for interventions to support the safety of hospitalized children.

Theoretical Model for Accident Prevention Based on Root Cause Analysis With Graph Theory

  • Molan, Gregor;Molan, Marija
    • Safety and Health at Work
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    • v.12 no.1
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    • pp.42-50
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    • 2021
  • Introduction: Despite huge investments in new technology and transportation infrastructure, terrible accidents still remain a reality of traffic. Methods: Severe traffic accidents were analyzed from four prevailing modes of today's transportations: sea, air, railway, and road. Main root causes of all four accidents were defined with implementation of the approach, based on Flanagan's critical incident technique. In accordance with Molan's Availability Humanization model (AH model), possible preventive or humanization interventions were defined with the focus on technology, environment, organization, and human factors. Results: According to our analyses, there are significant similarities between accidents. Root causes of accidents, human behavioral patterns, and possible humanization measures were presented with rooted graphs. It is possible to create a generalized model graph, which is similar to rooted graphs, for identification of possible humanization measures, intended to prevent similar accidents in the future. Majority of proposed humanization interventions are focused on organization. Organizational interventions are effective in assurance of adequate and safe behavior. Conclusions: Formalization of root cause analysis with rooted graphs in a model offers possibility for implementation of presented methods in analysis of particular events. Implementation of proposed humanization measures in a particular analyzed situation is the basis for creation of safety culture.

Comparison of Fear and Prevention Behavior on Accident between Mother and Teacher in Family Childcare Center (어머니와 가정보육시설 보육교사의 안전사고에 대한 두려움과 안전 예방 행동에 대한 비교 연구)

  • Kim, Hye-Gum
    • Journal of the Korean Home Economics Association
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    • v.48 no.3
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    • pp.43-53
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    • 2010
  • This study aimed to compare fear and prevention behaviors on accidents between mothers and teachers in family childcare centers. The participants were 117 mothers whose children were 0~2 year-olds and 121 teachers. Based on Hendrickson(2008) and Reichert & Henricks(1996), the scale was developed by the researcher, and it was composed of fear and prevention behaviors on accident. The data were analyzed using descriptive statistics and $x^2$ analysis. Results showed that mothers feared fall accidents and step-on-accidents while teachers feared suffocation accidents and liability for injury medical fee. Also, mothers did more prevention behaviors on use of car seats than teachers, whereas teachers did more behaviors on walk safety, custody of drugs and dangerous articles, and food safety.

Evaluation of Severity Measures of Accidents Associated with Industrial Machines and Devices (산업용 기계 및 기구 관련 재해강도 지표의 평가)

  • Choi, Gi Heung
    • Journal of the Korean Society of Safety
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    • v.34 no.2
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    • pp.1-6
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    • 2019
  • This study focuses on the evaluation of severity measures used for accidents associated with industrial machines and devices. In particular, duration of medical treatment, duration of work loss, number of deaths in an individual accident associated with industrial machines and devices are evaluated in various ways to assess the severity of the accident. The number of accidents with work loss of longer than 1 year as the severity measure and the number of accidents as the frequency measure appeared to be the most discriminating information and allow risk assessment based on these frequency and severity measures for grouping of industrial machines and devices. Results of such risk assessment further confirmed the re-classification of industrial machines and devices that are currently subject to safety certification (SC) and self-declaration of conformity (SDC) or selection of those machines and devices that are newly subject to SC and SDC.

Analysis of external environmental factors affecting patient transport time

  • LEE, Hyeryeong;PARK, Sang Woong;YUN, Eunjeong;KIM, Dakyeong;CHOI, Hea Kyung
    • The Korean Journal of Food & Health Convergence
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    • v.8 no.6
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    • pp.11-17
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    • 2022
  • Emergency transport is directly related to the life of the patient, and rapid transport to the hospital is crucial. However, external environmental factors such as traffic or weather, interfere with hospital transport. In this study, we investigated the external environment affecting hospital transport time. We examined the transfer time and patient treatment time of emergency patients in an area of northern Gyeonggi-do from 2018 to 2020. Diagnosis after arrival at the hospital was used, and on-site treatment time was measured from paramedic arrival time at the scene to departure. Furthermore, we examined whether there was a correlation between the time paramedics left the scene and hospital arrival time through the reason for the delay as recorded in the emergency log. Traffic jams had the greatest impact on patient transport, while transport delays occurred due to heavy rain, but not snow. Among injured patients, electrical accidents were the most problematic in terms of on-site treatment time. This was because a lot of first aid is needed in electrical accidents. It must be necessary to mobilize two ambulances in an emergency through the expansion of infrastructure, prepare a plan for rapid transport in heavy rain, and implement strong laws against transport obstruction.

Review of the necessity of first responders in industrial sites - Focusing on the industrial accident in the construction site - (산업현장의 최초반응자 필요성에 대한 검토 - 건설업 산업재해를 중심으로 -)

  • Youngseok, Bak;Jun, Ho, Kim;Seung-Hak, Cho
    • The Korean Journal of Emergency Medical Services
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    • v.26 no.3
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    • pp.201-208
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    • 2022
  • Purpose: The purpose of this study is to analyze the current status of disasters and initial first aid in the construction industry, and to suggest the deployment of emergency medical technicians and reinforcement of first aid training in the construction industry. Methods: Among industrial accidents in 2020, the accident characteristics and initial first aid that occurred at construction sites were analyzed, and the emergency dispatch of 119 paramedics was analyzed through the SPSS method. Results: The incidence of serious accidents was high at small and medium-sized construction sites with less than 50 workers, and the incidence of falls was high, and there were few first responders who could provide first aid in the beginning. Therefore, it is necessary to improve first aid response capabilities at small construction sites. Conclusion: In order to improve the ability to respond to first aid at construction sites, it is necessary to deploy first responders and strengthen first aid education.

Clinical Study of Old-aged Patients in Traffic Accidents and Admitted For Emergency Treatment (도심 지역에 위치한 일개병원의 고 연령 교통사고 환자에 대한 임상적 연구)

  • Lee, Young Hwan;Song, Hyoung Gon
    • Journal of Trauma and Injury
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    • v.19 no.1
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    • pp.74-80
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    • 2006
  • Purpose: For prevention and suitable administration, the effect of age on the severity of injuries in traffic accidents should be considered when evaluating a patient, but there have not been enough epidemiological studies that evaluate the age factor in traffic accidents. For that reason, we investigated old-aged patients who were involved in traffic accidents (65 years old or more) and who were admitted to the emergency department of a college hospital in an urban city of Korea. Methods: We collected data from traffic-accident patients who came to the emergency room of a university hospital in Seoul from Jan.1, 2004 to Dec.31, 2005. We compared their abilities to ambulate and the RTSs (Revised trauma scores) by using a LSD (least significant difference), linear regression. Results: A total of 1460 patients were included. The mean RTS of all traffic-accident patients was $7.77{\pm}0.280$. The scores for drivers and passengers, motor-cycle drivers and passengers, bicycle drivers and passengers, and pedestrians were $7.79{\pm}0.21$, $7.78{\pm}0.22$, $7.54{\pm}0.25$, $7.77{\pm}0.20$, and $7.80{\pm}0.21$ respectively (p=0.000). There was no statistically significant difference between the RTS of patients over 65 years and that of other patients. In a regression analysis, the number of patients over 45 ages who were able to ambulate was lower than that of younger people, independently of other influencing factors (B=-0.330, R-square = 0.243, p=0.000). Conclusion: We expected that RTS of old age group more than 65 years old will significantly lower than that of others, but there was no statistically significant difference.