• 한국응급구조학회지
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• 제22권1호
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• pp.35-47
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• 2018

Purpose: The purpose of this study was to investigate both the occurrence status of emergency vehicles traffic accidents and contents of the experiences of emergency medical technicians (EMTs) in fire station. Methods: A self-reported questionnaire was completed by 451 EMTs in fire stations in 6 cities provinces from February 9, 2017 to February 27, 2017. Results: Of 451 EMTs, 207 (45.9%) had traffic accidents experience. Regarding environment-related features, results indicated hour (12~18 hours), place (national highway), traffic flow (smooth), weather (clear), season (winter), and day (Friday). Regarding correlation analysis of differences in the number of ambulance traffic accidents pursuant to general features of accident-experienced drivers as a human factor, there were no significant differences in recruitment, driving careers of regular cars, driving careers of fire engines, and class but there were significant differences in fire-fighting careers. Accident experience in the group with careers over 6 years and less than 10 years higher than in the other groups. Conclusion: Efforts to expand fire engine driving education programs for the prevention of traffic accidents involving 119 emergency vehicles are required.

• 대한치과의사협회지
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• 제38권11호통권378호
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• pp.1082-1089
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• 2000

Currently medical accidents suits are growing with increase of concern to oral health and dental office utility. Nevertheless this increase of medical accidents suits, the study on their cures are few. The purpose of this study was to investigate causes and preventive methods using case study of medical accidents. Cases were collected by the interview with dental practitioners in dental office. Collected cases were classified to seven fields of dental practice, four steps of dental practice, several causes, and methods of solution. Medical accident cases in field of oral and maxillofacial surgery were 58 cases, 53.4%. The accident cases in dental care step of dental practice were 78 cases, 70.3%. Also technical insufficiency and carelessness of dental practitioner during dental care were 26 cases, and 25 cases, 56 cases were solveded by reconciliation between dental patient and dentist.

• Safety and Health at Work
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• 제10권3호
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• pp.305-313
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• 2019

Background: The oil and gas industry is one of the riskiest industries for confined space injuries. This study aimed to understand an overall picture of the causal factors of confined space accidents through analyzing accident reports and the use of a qualitative approach. Methods: Twenty-one fatal occupational accidents were analyzed according to the Human Factors Analysis and Classification System approach. Furthermore, thirty-three semistructured interviews were conducted with employees in different roles to capture their experiences regarding the contributory factors. The content analyses of the interview transcripts were conducted using MAXQDA software. Results: Based on accident reports, the largest proportions of causal factors (77%) were attributed to the organizational and supervisory levels, with the predominant influence of the organizational process. We identified 25 contributory factors in confined space accidents that were causal factors outside of the original Human Factors Analysis and Classification System framework. Therefore, modifications were made to deal with factors outside the organization and newly explored causal factors at the organizational level. External Influences as the fifth level considered contributory factors beyond the organization including Laws, Regulations and Standards, Government Policies, Political Influences, and Economic Status categories. Moreover, Contracting/Contract Management and Emergency Management were two extra categories identified at the organizational level. Conclusions: Preventing confined space accidents requires addressing issues from the organizational to operator level and external influences beyond the organization. The recommended modifications provide a basis for accident investigation and risk analysis, which may be applicable across a broad range of industries and accident types.

• 의료법학
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• 제21권1호
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• pp.153-185
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• 2020

불가항력 의료사고 보상사업의 근거 법률인 현행 「의료사고 피해구제 및 의료분쟁 조정 등에 관한 법률」 제46조제1항에서는, 보건의료인이 충분한 주의의무를 다하였음에도 불구하고 불가항력적으로 발생한 '분만에 따른 의료사고'를 사업의 대상으로 정하고 있다. 또한, 동법 시행령에서 보건의료기관개설자 중 분만실적이 있는 자가 보상재원의 30%를 부담하게 규정하고 있는바, 이에 대하여 헌법재판소에서는 2015헌가13 결정을 통해 의료분쟁조정법에서 위 사업의 분담금 납부의무자의 범위와 보상재원의 분담비율을 시행령에 위임하였다고 하여 헌법에 위반되지 않는다고 결정한 바 있다. 그러나 이는 의료진으로 하여금 의료과실이 없는 분만사고에 대하여 금전적으로 보상하게 하는 것으로 과실책임주의를 배제한 것인바, 이 제도의 본질이 사회보상적 성격을 갖는 사회보장제도의 일종이라면, 보건의료개설자의 비용분담 규정을 삭제하고 국가가 비용 전부를 부담하는 방법을 고려할 수 있을 것이다. 다만, 이와 더불어 의료사고 원인분석 및 재발방지 조치 등 의료기관의 노력을 강화하기 위한 제도적 장치를 함께 검토할 필요가 있다. 더불어, 의료분쟁조정법상 보건의료개설자가 부담하여야 할 보상재원의 분담비율의 상한을 정하는 것이 포괄위임금지원칙의 취지에 부합할 것이다. 한편, 의료사고 보상심의위원회의 분담금 지급기준과 관련하여, 시행령에서 보상의 기준이 되는 재태주수, 출생체중 등을 적시하고, 그 세부기준을 의료사고 보상심의위원회에서 정함이 타당하다. 마지막으로 불가항력 의료사고 보상사업에서 보상의 회색지대를 방지하기 위함은 물론, 의료'과실'이 규범적 판단임을 고려할 때 위 동법 제48조 제1항의 규정에서 '보건의료인의 과실이 인정되지 않는다는 취지의 감정서가 제출되고'의 요건은 삭제하는 것이 바람직하며, 반드시 의료중재원 조정·중재절차가 선행되어야 하는 현행의 규정을 개선할 필요가 있을 것이다.

• 대한치과의사협회지
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• 제53권2호
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• pp.82-95
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• 2015

Background: Interest in medical malpractice claims and accidents is a day-to-day social issue to general public as well as medical personnel. Related laws and regulations already have been established, and institutions based on the laws and regulations also have been founded. However, in our dental community, interest and response to the issue seem insufficient. Methods: We searched four medical literature databases that are mainly cited in the medical community. Keywords including 'dental malpractice claims', 'patient safety' and 'medical accident' were used for the search. Among the selected literatures, we chose specific ones separately whose content is authentic and easily approachable. Results: Medical malpractice claims and accidents tend to increase around the world. As the cost or the difficulty level of surgery increases, the dispute rate also increases, which appears even more apparent in developed countries. Preventive measures to prevent the disputes and accidents are not significantly different. Three critical of them include relationship of doctor with patient, the informed consent and medical record. Conclusion: Tools for accident occurrence or communication improvement have been introduced. All of those cost time and money. However, education or professional request of liability insurance companies, self-education and provision of guidelines can be immediately implemented. To implement those, dentists' promotion at the regional or national level is imperative. rhBMP-2 is widely used at sinus augmentation, alveolar bone defect, and socket preservation.

• 한국응급구조학회지
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• 제25권2호
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• pp.99-112
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• 2021

Purpose: The study aimed to analyze the current status of traffic accident victims who were transported by 119 ambulances within the administrative district of Chungnam province and provide essential data for accident prevention. Methods: The pre-hospital care records of patients who called the 119 emergency service in 2019 were obtained from the Chungnam Fire Department. Data pertaining to 13,663 traffic accident victims who were transported to hospitals were analyzed. Results: Patients in those aged ≥60 years accounted for 49.8% of the total cases. In patients aged ≥80 years(n=2,154), motor cycle accidents were highest as 28.3%. In addition, cultivator (n=135) and buggy car (n=79) accident victims were the highest in aged ≥80 years as 66.7% and 67.1%, respectively. Traffic accident victims-population ratio in Chungnam was 0.65%, wherein 2.03% included population aged ≥80 years. Conclusion: It was clear that accidents varied across administrative districts depending on the age group of population distribution. Thus, safety measures for preventing motorcycle, cultivator, and buggy car accidents are necessary for areas with many older people aged ≥80 years.

• Journal of Information Technology Applications and Management
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• 제26권2호
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• pp.75-87
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• 2019

Currently, the nation's medical industry is changing due to the rapid development of technology. In addition, medical accidents occurring in the medical industry are gradually increasing amid the drastic changes. Therefore, a possible solution to medical accidents in the changing health care industry is needed. Accordingly, this study uses network-centrality analysis to examine the business ecosystem of smart surgical medical systems to find ways to increase the efficiency of surgery as well as the resolution of medical accident problems, and to suggest the direction of development of the medical system in the future from a systematic business ecosystem perspective.

• 한국직업건강간호학회지
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• 제20권1호
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• pp.93-103
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• 2011

Purpose: This study was conducted to assess reported industrial accidents and non-reported industrial accidents that took place in 63 small and medium sized manufacturing industries located in Daegu and Gyeongsangbuk-do in the year of 2009. Methods: During the period from January to December 2009, the number of industrial accidents that happened each month was examined according to the characteristics of industry, industrial accidents, workers with industrial accidents, treatment, as well as causes and treatment of the non-reported. Results: The total incidence rate of industrial accidents was 3.48%, of which only 0.31% reported. The incidence rate in packing and distribution among manufacturing workplace, and in the industry with 50~99 employees, was higher than the other groups. Of the non-reported, over 80% in required under 10 days of medical treatment, and 56% in required cost of less than 100,000 won. Kappa values were 0.771 concurrence in opinions for causes of non-reported, and 0.571 concurrence in opinions for management termination of non-reported between the employees and employer. Conclusion: It is suggested that more supportive policy and precise, nationwide survey on the actual state of industrial accidents, including non-reported cases, be implemented to efficiently manage industrial accidents.

• 혜화의학회지
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• 제25권1호
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• pp.165-171
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• 2016

Objectives : The objective of this study is to report a treated case with elderly gravida who suffered from two-times of traffic accidents during pregnancy. Methods : The patient, 39-year-old, was hospitalized to care pain and symptoms caused by traffic accidents during pregnancy. The patient was treated with herbal medicine, acupuncture, moxibustion, cupping therapy and physical treatment during the admission period. We investigated the clinical management of Korean obstetrics and gynecology in an elderly gravida during pregnancy. Results & Conclusions : Despite of hard conditions such as elderly gravida and two-times of traffic accidents, pregnancy was well maintained through medical treatment. It is suggested that medical treatment of Korean medicine is effective to manage pregnancy of symptoms after accident.

• 대한한의정보학회지
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• 제11권2호
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• pp.49-56
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• 2005

Objectives To evaluate the treatment effect of Bee-venom Acupuncture on Neck Pain by Traffic Accidents, which is well known for anti-inflammatory effect and function of activating immune system. Methods We investigated 33 cases of patients with Neck Pain by Traffic Accidents by soft tissue injury. One group was treated by Bee-venom Acupuncture therapy, the other group was treated by General Acupuncture therapy . We evaluated the treatment effect of each group by Treatment Days & Number of Times, Distribution of Clinical evaluation grade, Visual Analog Scale before and after Treatment.