• Title/Summary/Keyword: Medical accidents.

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Medical Dispute and the Proper Guideline for Medical Practice in Korean Medicine (한방 의료분쟁과 한의사의 적절한 진료 가이드라인에 대한 고찰)

  • Lee, Hai-Woong;Kim, Hoon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1749-1762
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    • 2006
  • Medical disputes are increasing year by year in korean medical institutions as the frequency of patient's visiting korean medical institutions goes high and the reliability relations between korean medical doctors and patients are getting worse than the past. Frequently occurring accidents in korean medical acts fall into some categories such as medical treatment of acupuncture${\cdot}$moxibustion${\cdot}$cupping, korean herbal medication, korean medical physical therapy, wrong diagnosis. Frequently occurring accidents include these cases. Infection due to improper treatment process of acupunctrue or wet-cupping ; skin-burns caused by moxibustion, infrared therapy or haet therapy ;toxic hepatitis or kidney dysfunction induced by herbal medication ; progression of disease or missing of opportunity of timely transfer because of wrong diagnosis. It will prevent medical accidents to a great extent for korean medical doctors to have scientific diagnostic techniques and lab. test results at hand in korean medical institutions.

A Study on the Drunken Safe Accident Patterns and Behavior (일부지역 성인들의 음주 안전사고 유형 및 행태)

  • Park, Sang-Sub;Baek, Hong-Sok
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.2
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    • pp.67-86
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    • 2007
  • This study is about the drunken drivers' accident patterns and behavior and aims at providing basic data for developing measures to secure safety against accidents by drunken drivers and programs to cultivate good drinking habits. For this purpose, this study conducted a questionnaire of 800 persons over 20 years of age in the selected 20 companies with more than 30 employees in the 4 regions(Daegu, Masan, Changwon, and Jinhae) and analysed the 653 sheets except invalid ones among the returned 673 survey sheets in total(return rate 84.13%), and the researcher conducted a man-to-man interview with each subject from June 20th to July 31st 2006. The result are as the following. As the experience of causing an accident by drinking, the 79.1% of them had the experience, and in case of the subjects with excessive drinking over 4 times a year, the rate of the accident by drinking showed as high as 90.5%. As the patterns of accidents, in male subjects, violence(38.5%) and traffic accidents(37.1%) showed high, while in the female, hurts from falls and fall accidents(40.2%) were found be high. In case of the traffic accidents among the accidents by drinking, the rate of causing serious damage to the life was found to be 89.3%, so it showed that the traffic accidents caused by drinking were influencing on the life much. In conclusion, the drinking problem may be controlled by each individual's will, but without change of social environment and system around people, the problem can not be eradicated. Therefore there should be social infrastructure which can help people to actively live their life with exercises and hobbies, and in order to prevent the reoccurrence of a drink accident, and social structure in which there are education programs for drink accident causers and one can change the perception about drinking culture, should be formed.

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Comparative Study of Hospital Architecture Design Guidelines and Frameworks for the Patient Safety - Focused on the US and UK (환자안전을 위한 병원건축 설계지침과 디자인 기본구조 비교조사 - 미국과 영국을 중심으로)

  • Kim, Youngaee;Lee, Hyunjin;Song, Sanghoon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.3
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    • pp.27-37
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    • 2021
  • Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

X-band EPR dosimetry using minimum mass of tooth enamel for use in radiological accidents

  • Jae Seok Kim;Byeong Ryong Park;Han Sung Kim;In Mo Eo;Jaeryong Yoo;Won Il Jang;Minsu Cho;HyoJin Kim;Yong Kyun Kim
    • Nuclear Engineering and Technology
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    • v.56 no.1
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    • pp.123-131
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    • 2024
  • Electron paramagnetic resonance (EPR) dosimetry for a tooth from an individual exposed is well known as retrospective dosimetry in radiological accidents. A major constraint of the conventional X-band tooth-EPR dosimetry is the necessity to extract the tooth of the exposed patient for dose assessment. In this study, to conduct the dose assessments of exposed patients through part-extraction of tooth enamel, the minimum detectable dose (MDD) of the tooth enamel was evaluated based on the amount of mass. Further, a field test was conducted via intercomparison using various dose assessment methods to verify the feasibility of X-band tooth-EPR dosimetry using the minimum mass of tooth enamel. The intercomparison results demonstrated that effective dose determination via X-band tooth-EPR dosimetry is reliable. Consequently, it was determined that the minimum mass of tooth enamel required to evaluate an absorbed dose above 0.5 Gy is 15 mg. Thus, EPR dosimetry using 15 mg of tooth enamel can be applied in the triage and initial medical response stages for patients exposed during radiological accidents. This approach represents an advancement in managing radiological accidents by offering a more efficient and less invasive method of dose assessment.

Legislation Trend Referring to Burden of Proof in Medical Malpractice Lawsuit (의료과오소송 입증책임 관련 입법의 동향)

  • Cho, Hyong-Won
    • The Korean Society of Law and Medicine
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    • v.9 no.1
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    • pp.129-162
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    • 2008
  • Nowadays it is important for us to resolute medical disputes. Because a high incidence of medical accidents may be brought about according to many chances of treatment in the operation of health insurance and increasing concern of patient health. Patients and medical doctors have plenty of difficulty in uncomfortable treatment circumstances of a high incidence of medical accidents. It is especially desirable that our society should prevent medical accidents and resolute speedy, fairly and rationally the happened medical disputes. Many legislations were suggested to resolute medical dispute. But legal issue points stress only speedy medical dispute resolution procedure and don't compromise fair and professional procedure. Accordingly these legal arguing points had not been accepted by the National Assembly and people. If the speedy resolution of medical dispute was demanded to solve unsafe treatment circumstances, it is necessitated that the legislation containing legal issue points to procedure is enacted. Of course the interest of patients and doctors to legal issue points must be balanced. Because an arguing points to the reversal of proof burden is consisted of the entity judgement in connection with setting the basis of resolution of medical dispute, the legislation to these is checked carefully.

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Dental accidents and malpractice disputes survey (치과의사의 설문을 통해 본 치과의료사고 및 분쟁)

  • Park, Seon Gyu;Kim, Sun-Mi;Shin, Ho Sung
    • The Journal of the Korean dental association
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    • v.53 no.2
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    • pp.103-110
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    • 2015
  • The dental accidents and disputes among Korean dentists have been on the increase with time. The main purpose of this study is to figure out the actual status of the dental accidents and malpractice disputes based on a questionnaire survey. The findings showed that 64.8% of respondents had been experienced the dental accidents, and 52.9% of respondents had been locked into the disputes. Within 5 years from the start of dental practice, the nearly half of the dentists responded the experience of the dental accidents and disputes. The amount of compensation for dental accidents and disputes wereindentalimplant, prosthodontics, and oral surgery treatments in descending order. The highest incident type was wrong process/treatment/procedure problem in clinical process/procedure.

A Study on the Morbidity and the Types of Accident among the Workers of Limestone Industry (석회석 가공 산업 근로자들의 상병 상태 및 사고 유형)

  • Lee, Kyoung Hee
    • The Korean Journal of Emergency Medical Services
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    • v.8 no.1
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    • pp.161-168
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    • 2004
  • The workers of limestone industry have relatively higher rate of accident and injury than other industry workers. This survey was conducted to provide the informations for the planning of safety and health educations to prevent the accident and injury. The purpose of this study is to identify the morbidity rate per month and to determine the related health factors, and to find accident experiences of the limestone workers and to analyze the reasons and types of that accidents. The study design was a descriptive survey. Self reporting questionnaires developed by researcher were used for data collection. The subjects of this study were 225 workers in limestone industries in Jecheon city. The statistical methods utilized for data analysis were frequency analysis, $x^2$-test with SPSS-pc(ver.9.0). The results are as follows, 1. The workers morbidity rate per month was 22%, and morbid factors were Flu., G-I trouble, hypertension, orthopedic trauma, external wound, burn, etc., and the related health factors are self-assessment for health, exercise, accessability for medical facilities. 2. 40% of the subjects have experienced the accidents during last 6 months. The types of the accidents were safety violations, traffic accidents and fire accidents. Injury types were external wounds, fracture/amputation and burn. The workers of limestone industry have higher morbidity rate and experiences of accidents. Therefore the more increased safety and health educations than now for both the workers and the managers are needed. And this study could be helpful to increase the quality and the quantity of the educations needed.

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An Observation on the Mortality Rates of Transport Accidents in Korea (우리나라의 교통사고사상률(交通事故死傷率)(WHO $E_{800{\sim}866}$)에 관(關)하여)

  • Chu, In-Ho;Park, Jung-Ja;Oh, Suk-Hwan;Han, Jae-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.1 no.1
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    • pp.1-8
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    • 1968
  • This paper describes the incidence of transport accident for the period, 1955-1965. Transport accidents were classified into three categories, viz. railway(WHO Classification of Diseases, E-802), watercraft (E 550-E 858) and motor vehicle accidents(E810-E835, E840-E841, E844-E845). Crude data on the subject were collected from the various souces of Government Statistical Books including Statistical Year Books edited by the Central Office of Economic Planning Board, Annual Police Reports by the Ministry of Home Affairs, and the national and local associations for road traffic safety. From the data incidence and mortality rates by year, month and local province were computed and other variables relevant to the epidemiology of accidents were observed. The following summary could be drawn: 1. Death rates due to transport accidents per 100,000 population were 12.3 for 1955 and 9.7 for 1965. The incidence of injury due to the same cause were 34.0 for 1955 and 35.9 for 1965. 2. Death rates by transportation vehicle showed 9.0 due to motor vehicle accidents, 1.7 due to water-crafts, and 1.6 due to railway trains for 1955. In 1965 death rates were 6.0 due to motor vehicles, 1.2 to water-crafts and 2.4 to railway. 3. Seasonal distribution of transport accidents revealed that car accidents occur more frequently in spring and fall fall seasons while ship accidents do in winter and train accidents more in summer. 4. Both car and ship accidents slightly decreased during the past decade, 1955-1965, whereas the accidents of railway trains showed a tendency of increase. 5. Although the survey on railway accidents excluded the injuries of passengers or railway employees corresponding to WHO classification of diseases, E 801, due to inaccuracy of data, it is roughly estimated that the same number of casualities as the incidence among pedestrians or any other than passengers or employees assumed to be at work(E 802).

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A Study on Accidents for the Aged (노인에게 발생하는 안전사고에 관한 연구)

  • Park, Sang-Sub
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.1
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    • pp.41-49
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    • 2006
  • Purpose: It can be said that the aged belong to the group vulnerable to safety accidents. The purpose of this study was to investigate safety accidents to old people and provide basic data to prevent them from being in a safety accident. Result : 1. The number of the aged of traffic accident fatalities per 100,000 persons was 57.8, which was significantly higher than other OECD countries. 2. trauma for the aged, falling accounted for 60.6%, which was relatively higher than other wounds, probably because of decreased capacity of movement and reduced faculty of sensation. 3. accidents to the aged at home, 43.9% occurred in a room, which shows great risk of safety accidents to the aged in a room. 4. the aged generally showed negative awareness of social safety. Suggestion : 1. it is necessary to provide regular education about accidents through the mass media and at social welfare facilities in order for aged people to consolidate safety consciousness repeatedly. 2. it is necessary to make a brief and clear guide to prevention of accidents. 3. the Ministry of Construction and Transportation and the Ministry of Health and Welfare should give priority to designing a building for aged people and authorize construction according to the standards for establishing safety facilities for the aged. 4. it is necessary to change social consciousness. since transportation accidents can be caused not by aged people's insufficient safety consciousness but by that of all the people, it is necessary to provide society-wide education programs against dangerous driving in order to guarantee aged people's safety. 5. legal procedure to secure aged people's safety should be strengthened to reinforce legal protection for them.

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Housing Approach for Safety in Dwellings ( II ) - Analysis on Actual Conditions of Home Accidents of City of P - (주택 내의 안전을 위한 주거학적 접근 ( II ) - P시의 주거 안전 사고의 실태 분석 -)

  • 신경주
    • Journal of the Korean housing association
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    • v.4 no.2
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    • pp.23-31
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    • 1993
  • In order to provide the basic data for planning of housing safety, the actual conditions of home accidents were analyzed. As research data, the medical charts of patients on the general hospital in the large city in two years 1987 and 1992 were used. The rate of home accidents increased in 1992. Children had more accidents than others and single family dwellings were the predominant place of accidents. The accidents slip frequently occured(21.1%), with respect to the place, room was the main place of accidents(40.5%), the accidents in a living room and a kitchen increased in 1992. 59.2% of the total patients were slightly injured, the faulty design was the main cause of the accidents and the acciednts by the personal factor increased in 1992. In the next study(III), I'm going to analyze the relationships among types of accidents, places of accidents, defrees of accidents, causes of accidents, and the personal characteristics of patients.

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