• 대한안전경영과학회지
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• 제11권3호
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• pp.33-40
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• 2009

Steel and iron manufacture works exist that many latency risk as melting liquid of high temperature, work of high place, and so on. Once in a while, the accident case make use of basic data for latency risk analysis in a place of business. In this paper, we investigated the cause of the accident in steel an iron works. The result, we came across that many latency risk in steel and iron manufacture works. The main type of risk are fall, narrow, come flying, etc. Most of the latency risk type are repetition and conventional accident. Accordingly, steel and manufacture works must prevent to repetition and conventional accident.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2013년도 춘계학술대회
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• pp.169-171
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• 2013

The ships always have had the risk of collision. There are also a number of near-miss situations especially in the congested area such as port entrance, restricted waters and crossing point of the ship's route. In those areas, the navigator might have more stress than other areas. If the collision risk of decided area is calculated, it might be possible to analyse the human factors by using this data. It is also helpful for deciding a position of aids to navigation or any other system for the safety navigation. For this purpose, the model of collision risk with AIS data has been explained in this paper. The calculated result from the proposed model has been examined by using the simulation.

• 한국안전학회지
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• 제37권2호
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• pp.28-34
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• 2022

This study analyzes the impact that accidents and near misses have on clients' and contractors' awareness of safety culture. Due to the unique characteristic of employment structure in Korea, the occurrence of accidents differs by company size, which has relevant implications for the establishment of safety culture. Attention has been drawn to the importance of the management of accidents and near misses, with safety awareness acting as a core factor. A positive effect on the prevention of accidents could be achieved by noting the difference in safety awareness between clients and contractors and suggesting an associated suitable safety management system. In support of this study, a survey was distributed to workers in the automobile manufacturing industry (May-August 2020), and data from a total of 574 workers was collected and analyzed, including 399 clients' worksers and 175 contractors' workers. The questionnaire addressed participants' experiences of accidents and near misses as well as 50 items from the Nordic Occupational Safety Climate Questionnaire. Analysis of the responses was conducted using the methods of frequency analysis, Fisher's exact test, t-test, correlation analysis, and regression analysis. The results demonstrated that clients had more experiences with accidents and near misses compared to contractors. Additional differences between clients and contractors were noted in terms of the safety culture factors of learning, communication, and trust. A correlation was observed between the experience of accidents and safety justice management: for clients and contractors who experienced accidents, safety justice management was 9.4 times higher. Furthermore, clients' and contractors' awareness of employees' commitment to safety was determined to be 28.5 times higher in those who had experienced near misses This study concludes that, in order to improve accident prevention through the management of accidents and near misses, clients must focus on overseeing safety justice management and aspects of safety culture factors, while contractors must focus efforts on managing employees' commitment to safety. In further applications, this study could provide baseline data for health and safety activities in terms of the safety culture of clients and contractors. Further study on the establishment of safety culture as related to employment structure is proposed for future research.

• 한국의학물리학회지:의학물리
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• 제25권4호
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• pp.298-303
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• 2014

방사선치료안전보고시스템(ROSIS)을 기반으로 방사선치료 중 발생하는 사고의 경향성 및 유형별 빈도를 살펴보고 빈발사고의 유형과 발생원인, 발견 방법에 따라 향후 사고 유발인자 제어방법 연구의 발전방향을 살펴보고자 한다. 이에 따라 본 연구에서는 2003년부터 2013년까지 최근 11년간 1163건에 달하는 ROSIS 사고 자료에 대하여 분석을 수행하였다. 분석을 위하여 치료법, 발견 시점, 발견 방법, 발견자의 직종 등으로 규격화한 후, 각 항목별로 분류 및 백분율화 하였다. 근접사고(Near Miss)를 포함한 1163건의 사고 사례에 대하여 외부방사선치료가 97%이고 근접방사선치료가 2%로 조사되었으며 그 외 기타로 1%가 분류되었다. 계획 선량이 잘못 전달된 사례가 44% (497건)에 달했고 이중 대부분을 차지하는 429건(86%)이 3회 분할치료이전에 발견되었고 13건의 경우는 11회 분할치료 이후에 발견된 것으로 조사되었다. 또한, 발견 시점은 다양하게 분포되는 것으로 조사되었는데, 약 42%가 환자 치료 중에 발견되었고 29%는 차트 검사 중에 발견되었다. 방사선 사고 발견빈도가 가장 높은 직업군은 치료실에서 근무하는 방사선사(53%)인 것으로 조사되었다. 1163건의 사고 사례 중에서 환자치료 이전에 오류를 발견한 경우가 24% (273건)로 조사 되어 대부분의 사고(70%, 813건)는 사고가 발생한 이후에 발견된 것으로 조사되었다. ROSIS 분석을 통해 획득한 이러한 경향은 한국의 경우에서도 크게 다르지 않을 것으로 사료되므로 사고 예방과 조기 발견을 위한 보다 다양하고 체계적인 연구가 필요할 것으로 예상된다.

• 해양환경안전학회지
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• 제23권3호
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• pp.287-293
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• 2017

The purpose of this study is to keep the safety of the car ferry passengers and vessels by investigating and analyzing vessel safety management systems in Korea and China. To this end, we investigated Korea-China car ferries and the current status and causes of global marine accidents corresponding to the sizes of the vessels from Korea and China. Furthermore, we investigated car ferries' crew management and safety management. As a result of the analysis of the ferry accident, the causes of human error and ship's age were the greatest, but the ship's companies showed a negative stance regarding the age restriction. It seems that it is necessary to utilize the near-miss accident reporting system and differentiate the management of ship's aging. Also, it was analyzed that both the ship company and the crew of the ship need to strengthen their awareness of safety management.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2006년도 추계학술대회 논문집(제2권)
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• pp.13-17
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• 2006

Almost every day close passage or near miss events happens in south part of Istanbul Strait between the vessel runs in the local area and pass strait transit. The vessels run in the local area pass close bow or aft of transit vessel or come close and wait for transit vessel because of inexperienced or incompetent skipper or because of time limitation or failure in technical equipment or lack of technical equipment or old equipment. This close passages create profound dangers for the surroundings. By the this research has been aimed to point out mentioned dangers by the concrete as number. For this purpose has been utilized JMS Ship Handling Simulator which has been settled in ITU Maritime Faculty and Environmental Stress Model which has been built up and improved in Inoue Laboratory. Has been put in the senarios which been played during simulation implementations transferred to the numerical risk occured during passage of South Part of Istanbul Strait by the Environmental Stress Model . Thus so, the riskwhich Istanbul Strait face everyday has been expressed as numerical and concrete.

• 대한치과기공학회지
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• 제22권1호
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• pp.79-88
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• 2000

The objective of this finite element method study was to analyze the stress distribution induced in a maxillary central incisor Ni-Cr base metal coping ceramic crowns with various margin design. Margin designs of crown in this experiment were knife-edge metal margin on chamfer finishing line of tooth preparation(M1), butt metal margin on shoulder finishing line(M2), reinforced butt metal margin on shoulder finishing line(M3), beveled metal margin on bevelde shoulder finishing line(M4). Two- dimensional finite element models of crown designs were subjected to a simulated biting force of 100N which was forced over porcelain near the lingual incisal edge. Base on plane stress analysis, the maxium von Miss stresses(Mpa) in porcelain venner was 0.432, in metal coping was 0.579, in dentin abutment was 0.324 for M1 model, and M2 model revealed in porcelain was 0.556, in metal coping was 0.511, in dentin was 0.339, and M3 model revealed in porcelain was 0.556, in metal coping was 0.794, in dentin was 0.383 for M4 model. All values of each material in metal-ceramic crown were much below the critical failure values.

• 대한안전경영과학회지
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• 제17권4호
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• pp.105-112
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• 2015

Sawmilling industry remained a high risk with the average 4.73% of industrial accidents in 2010-2012 that was eight times that of general manufacturing. Sawmilling industry had 200 industrial accidents victim in average. Manufacturing process in sawmill industry contained dangerous machinery such as conveyors, roller, saw ( band saw, circular saw) etc. It may be effective to figure out the type of industrial accidents occurred in the past and extend risk assessment which can predict hazard such as near miss when implementing exposure or potential dangers in sawmill industry. This study conducted research on the actual condition on the place of industrial accident occurrence, detailed work and contact object when injured, and injured part targeting 643 businesses which had industrial accidents in 2010-2012. As the results, RPN of general sawmill industry was the highest 'ganglip saw' with 36,157. RPN of the following order were 'moving truck' with 25,454, 'special machining operations' with 22,283. Also, probability of general sawmill industry was a lots within 1 year, while risk appeared a lots within 5 years. So, risk assessment shall be needed to emphasis on accident prevention of sawmill industry. And additional work will be needed on the risk assessment in hazard prevention work of supervisors.

• 대한안전경영과학회지
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• 제17권3호
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• pp.173-183
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• 2015

The study conducted questionnaire analysis on 607 host company employee and 404 subcontractor employee in order to examine the difference in the safety culture cognition of host company and subcontractor. As a result, host company had higher recognition in all safety culture factors compare to that of subcontractor, and there were bigger gap of cognition in the 'cognition in safety status and culture', 'accident and near-miss', 'immediate superior's concentration degree in safety and health' than that of other cognition factors. Furthermore, team leaders showed the highest cognition in both host company and subcontractor, and employees with above 20 year career had the highest cognition in both host company and subcontractor. There is high relationship between host company and subcontractor in the correlations in safety culture cognition factors. Through this study, we identified the difference in the safety culture cognition factor of host company and subcontractor.

• 임상간호연구
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• 제27권1호
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• pp.109-119
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• 2021

Purpose: The purpose of this study was to identify and analyze the characteristics of nurses' medication errors during three years. Methods: Retrospective survey study design was used to analyze medication errors by nurses among patient safety accidents. Data were collected for three years from January, 2017 to December, 2019. Data were analyzed using frequency, percentage, 𝑥²-test, and logistic regression with SPSS 26.0 program. Results: Of a total 677 medication errors, 40.6% were caused by nurses. Among the medication errors, near miss (n=154, 56.0%), intravenous bolus injection (n=170, 61.8%), wrong dose (n=102, 37.1%) and carelessness for repetitive work (n=98, 35.6%) were the most common. Medication errors differed by department, and nurses' career, and patient safety accident type. The results of the logistic regression analysis showed that the risk factors of adverse events were medication of fluids (OR=3.93, 95% CI: 1.26~12.27), insulin subcutaneous injection (OR=39.06, 95% CI: 4.58~333.18), and occurrence of extravasation/infiltration (OR=7.26, 95% CI: 1.85~28.53). Conclusion: The simplest and most effective way to prevent medication errors is to keep 5 right, and a differentiated education program according to department and nurse career is needed rather than general education programs. Hospital-level integrated interventions such as a medication barcode system or a team nursing method are also necessary.