• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2017년도 추계학술발표회
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• pp.118-118
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• 2017

• Neonatal Medicine
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• 제28권3호
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• pp.124-132
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• 2021

Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city. Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro's pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI). Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02). Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

• 한국안전학회지
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• 제35권2호
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• pp.34-46
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• 2020

Unlike research focused on existing technologies and individual errors to analyze the causes of incidents, this study approached them from an organization and culture. And this study is not a one way study but cyclical study what can track cause down using causal loop diagram methodology. Four diagnostic criteria for the negative state of the safety culture : secretive, blame, failure to learning, and incremental learning, combine literature study and expert opinion to derive 41 variables. Connecting these variable make 4 causal loop diagrams and total causal loop diagram. Case accumulation in secretive, accident report in blame, knowledge accumulation in failure to learning, near miss discovery in incremental learning are the main variables. Safety incident is the objective variable by classifying them into 4 stages in total loop, leading track as the most affect is case accumulation, and Step 4 as you can see accident report and near miss discovery are the result of tracking down the cause. This study can be used as a basis for improving the management priority and the system in incident prevention.

• 한국건설관리학회논문집
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• 제20권4호
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• pp.69-76
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• 2019

본 연구는 토사운반작업이 실행되는 현장에 충돌위험구역을 설정하고 작업자의 불안전한 행동을 아차사고수준에서 식별하는 영상분석 방법론을 제시한다. 컴퓨터 비전기술을 건설안전관리에 활용하는 데 있어 큰 걸림돌이 되어 온 위험발생 이벤트를 연구자가 원하는 시나리오대로 재현하기 용이하도록 게임엔진을 활용하는 방법을 제시한다. 본 연구는 기존 연구들이 불안전한 조건을 결정론적으로 가정하는 접근방식과 달리, 현장여건에 따라 위험구역이 변화되는 상황을 현실적으로 반영하는 방법을 제시한다. 본 방법론은 선행연구들이 간과한 불안전한 조건과 행동을 구분하는 방법을 제시하고 사고가 발생되는 인과관계를 반영하였다. 사례연구는 덤프트럭에 의해 제공된 불안전한 조건하에서 작업자의 불안전한 행동을 아차사고 수준에서 관측하는 방법과 중점관리 대상이 되는 위험구역을 결정하는 방법을 규명하였다.

• 한국시뮬레이션학회논문지
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• 제27권1호
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• pp.119-126
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• 2018

본 연구는 철도관제사의 인적오류를 유발하는 요인이 무엇인지를 AMOS 구조방정식 모형을 활용하여 탐색적으로 검증하려는 목적에서 시도되었다. 관제사와 관련된 문헌연구를 토대로 피로와 스트레스를 외생변인, 정보처리과정에서의 오류(인지, 기억, 저장 및 실행오류)를 내생변인, 그리고 종속변인으로 책임사고와 아차사고를 설정하였다. 여러 기관의 현직관제사 201명의 설문을 분석한 결과, '스트레스 ${\rightarrow}$ 기억오류 ${\rightarrow}$ 저장오류 ${\rightarrow}$ 아차사고 ${\rightarrow}$ 책임사고'의 인과관계 고리가 성립한다는 것을 발견하였다. 이 같은 연구결과는 인적오류와 관련하여 관제사의 사고 저감을 위해서는 그 선행요인인 스트레스를 효과적으로 관리하여 정보처리과정에서의 기억 및 실행오류를 저감시킬 필요가 있다는 것을 시사한다.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2017년도 추계학술발표회
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• pp.119-119
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• 2017

• Safety and Health at Work
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• 제15권2호
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• pp.213-219
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• 2024

Background: The design, implementation, and evaluation are three important stages of occupational safety and health (OSH) interventions. Historically, there has been a tendency to prioritize implementation, often neglecting detailed design and rigorous outcome evaluation. Currently, much has changed, and contemporary approaches recognize the interdependence of these stages, considering them integral to the success of any intervention. This work presents a comprehensive procedure for implementing interventions, not only to ensure short-term effectiveness but also their long-term sustainability through continuous monitoring. The focus is on a national OSH project introducing a near-miss management system (NMS) in Italy. Methods: Initial meetings were convened among project partners, complemented by interviews with diverse stakeholders, to plan implementation steps and test the NMS. Tailored questionnaires were designed for diverse stakeholder groups - initial promoters, company managers and employers, and employees - facilitating targeted implementation, and three case studies were started in Italian regions to assess the structured implementation, involving intervention promoters and collaborating companies. Results: The primary outcome is the development of practical tools, specifically three questionnaires, which are considered valuable for establishing an effective human-centered implementation strategy, meticulously designed to facilitate ongoing monitoring of processes and continual enhancement of instruments intended for NMS integration within companies. Conclusions: This work lays the foundation for successful NMS implementation in Italy and, although the outlined procedure had specific objectives, it also provides valuable insights applicable in enhancing the effectiveness and sustainability of interventions across diverse contexts. It underscores the importance of comprehensive planning, stakeholder engagement, and continuous evaluation in achieving lasting OSH interventions.

• 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.

• 한국임상약학회지
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• 제28권1호
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• pp.51-56
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• 2018

Objective: An automated process for medication preparation and dispensing is essential to improve the quality of work. To reduce night pharmacy workload, a new automated dispensing cabinet system was implemented in a hospital emergency medical center. The purpose of this study is to verify that implementation of an automated dispensing cabinet system will influence the efficiency of night pharmacy work. Methods: To evaluate the new system implementation, a retrospective study and survey was performed in the Ewha Womans University medical center. We compared the dispensing and near-miss error rates between the automated dispensing cabinet system and a night pharmacy. The degree of satisfaction of night shift workers with the new system was surveyed. Results: This study showed significantly reduced dispensing rates of night medications (56.1% and 37.3%; p < 0.01) and near-miss night medications (0.27% and 0.17%; p<0.01). Thirty-two persons responded to the survey, and the satisfaction score for the new system was 4.0 (${\pm}0.8$). The scores were high in order of efficiency, management, and convenience. Time requirement was also reduced because of the simple step of only reviewing in the pharmacy with the new system. Conclusion: Due to system implementation, workload was reduced and time was saved for not only night shift workers but also patients receiving emergency discharge medicine. It was suggested that this will have a positive effect on pharmacist medical service and patient safety.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2005년도 추계학술대회
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• pp.74-82
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• 2005

안전사고 원인에 대하여 Near-Miss Report 분석을 근거로 하여, 재해원인에 대하여 접근해 보고, 이 Data를 참고로 첨단산업에서의 재해 유형을 분석해보고, 유형에 따른 기여인자를 기존 Human-ware, Hard-ware, System-ware를 구성요소로 해서 첨단산업에서의 각각의 수행인자의 비율 분석을 통한 판단한 결과는 Human-ware와 Hard-ware 비율은 4:1로 나타났고, 첨단사업장에서의 5년간의 사고건수를 근거로 원인에 대한 수행인자의 ANOVA로 분석하여 4개인자에 대한 분산 분석을 도출하였고 이에따른 Loss와 Time과 Accident 관계와 Effect of Intervention관계와 Reason's Accident Causation Model과 Perrow's Normal Accident Theory Model를 연관시켜서 첨단산업에서의 사고이론 Model를 추출해서 첨단산업에서의 안전사고에 대한 유형을 분석해서 사고를 사전에 제거키 위한 새로운 모델을 제시하고자 한다.