• Safety and Health at Work
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• 제5권1호
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• pp.1-6
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• 2014

Background: Workflow interruptions during surgery may cause a threat to patient's safety. Workflow interruptions were tested to predict failure in action regulation that in turn predicts near-accidents in surgery and related health care. Methods: One-hundred-and-thirty-three theater nurses and physicians from eight Swiss hospitals participated in a cross-sectional questionnaire survey. The study participation rate was 43%. Results: Structural equation modeling confirmed an indirect path from workflow interruptions through cognitive failure in action regulation on near-accidents (p < 0.05). The indirect path was stronger for workflow interruptions by malfunctions and task organizational blockages compared with workflow interruptions that were caused by persons. The indirect path remained meaningful when individual differences in conscientiousness and compliance with safety regulations were controlled. Conclusion: Task interruptions caused by malfunction and organizational constraints are likely to trigger errors in surgery. Work redesign is recommended to reduce workflow interruptions by malfunction and regulatory constraints.

• 한국산학기술학회논문지
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• 제18권4호
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• pp.570-577
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• 2017

일개요양병원에 입원한 호스피스 환자에게 제공되고 있는 직종별 호스피스 완화의료 서비스 행위와 빈도를 파악하여 향후 요양병원 호스피스 완화의료 수가 개발의 기초자료를 마련하는데 목적이 있다. 본 연구는 후향적 연구로 요양병원에 사망한 12명의 말기암환자에 대한 의무기록을 자료 로 임종 전 6개월 동안 1개월 간격으로 호스피스 완화의료 서비스 행위를 조사하였다. 직종별 호스피스 완화의료 서비스 행위를 살펴보면 의사는 수혈, 보호자 면담, 투약설명 등, 간호인력은 석션, 산소공급, 환자상태관찰, 투약 간호, 위관영양 등을, 그 외 사회복지사는 개별프로그램적용, 물리치료사는 전기신경자극치료, 영양사는 영양평가와 영양관리, 요양보호사는 식사 및 영양보조, 기저귀교체 등을 수행하는 것으로 나타났다. 조사대상 요양병원을 분석한 결과 요양병원의 호스피스 완화의료 서비스는 미흡한 실정으로 급성기 중환자에게 제공되는 공격적이며 적극적인 서비스가 중심이 되고 있어 편안하고 존엄한 임종 돌봄이 제공되지 못한 것으로 나타났다. 따라서 요양병원에서 제공되는 호스피스 완화의료 서비스 질을 향상시켜 노인들이 삶의 마지막 순간을 존엄하고 평화롭게 맞이할 수 있도록 호스피스 완화의료 수가적용 등의 제도적 방안을 마련할 필요가 있다.

• 한국산업보건학회지
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• 제29권2호
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• pp.226-235
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• 2019

Objectives: The purpose of this study was to investigate whether there were differences in manufacturing industry worker's health issues depending on job stress, fatigue, and health and safety services. Methods: The purpose of the questionnaire survey and its contents were explained to manufacturing industry health personnel, and the questionnaires were collected from 666 workers from 17 manufacturing workplaces. Questionnaires with missing data were excluded from the analysis so a total of 632 questionnaires were included. Results: Overall, 74.1% of the respondents had experienced health issues during the preceding month. The factors affecting worker health were number of workers(OR=1.000034, p=.013), job demand(OR=1.82, p=.009), MFS(OR=1.85, p=.003), provision of safety & health information(OR=1.85, p=.048), wearing protector(OR=2.58, p=.021). Conclusion: It is necessary to strengthen the safety and health education to mitigate hazardous and risk factors. Employers should provide health managers in charge of safety and health education to control workplace risk factors. In case of small businesses, it may be necessary to strengthen safety and health education in existing worker health centers and government support projects.

• 한국직업건강간호학회지
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• 제32권3호
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• pp.111-120
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• 2023

Purpose: The gradual increase in the number of children with disabilities in Korea highlights the necessity for further research on the role of school health teachers in their care. This study explored the specific experiences of school health teachers in special schools through individual in-depth interviews. Methods: In this study, 11 school health teachers participated, and data were collected through individual in-depth interviews. Thematic analysis was employed to analyze the collected data. Results: The experiences of health teachers at special schools were classified into 5 themes and 13 subthemes. These included "concerns about working in special schools and attachment after working," "management of diverse diseases and ongoing, careful observation," "ambivalence regarding students with disabilities," "competences needed to care for students with disabilities," and "enhancing care education for students with disabilities: demanding institutional support." Conclusion: Effective student health management depends on open communication channels and the establishment of strong connections among health teachers, school personnel, and parents of impaired students. To enhance the quality of care for children with disabilities, specialized education programs to improve teachers' healthcare competency should be developed. Additionally, specific guidelines for the range of medical treatments provided by health instructors, should be devised.

• 보건행정학회지
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• 제15권1호
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• pp.1-29
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• 2005

This study examined the antecedents of psychological empowerment at hospital organizations, and also examined their differential effects among occupational groups within hospitals: doctors, nurses, engineers, and administrative workers. Various variables for multi-level factors were examined as antecedents: tenure, income, work centrality, and career goal as personal factors, job variety, job clarity, job significance, and job fitness as job factors, and security, reward justice, and organizational support as organizational factors. Data were collected from 8 national university hospitals, and 1,289 data were used for final analysis. For the whole groups, all antecedents except reward justice had significant effects on, and explained large amount of variance of empowerment. Results from the analysis for each occupational group showed that income, career goal, and job significance had significant effects on empowerment at all occupational groups, while reward justice had not at any groups. The effects of other variables depended on occupational groups. 1bis study found some important antecedents of empowerment which have been less considered in previous research: career goal, work centrality, security, and organizational support. The finding that differential effects of antecedents on empowerment by occupational groups suggests that group characteristics should be considered for studying empowerment. In this study, for example, personal factors rather than both job factors and organizational factors were more effective for empowerment in the engineering group whose job is relatively simple and clear, while job factors were most effective in other groups. The differential effects of antecedents on empowerment by occupational groups also have practical implications for improvement of empowerment at hospitals. For empowerment, personnel management efforts would be more required for administrative workers than other occupational groups, because they perceived least job clarity, job significance, job fitness among the groups, all of which were found to be important determinants of empowerment for them.

• 한국산업보건학회지
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• 제4권1호
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• pp.117-126
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• 1994

Some of the important and vital roles performed by the Health Care Center of Pohang Iron & Steel Co., Ltd.(POSCO) are the periodic monitoring of the work sites as well as regular medical check-ups for each workers to ensure both pleasant and safe working conditions and to protect employees' health. Pohang Steel Works, which has 42 plants, 26 facilities and 12,000 employees, has an annual crude steel production capacity of 9,670,000 using 24,500,000 ton of raw materials. We have measured lots of areal and personal working environment according to Occupational Safety and Health Law semiannually. All data collected on industrial hygiene is stored and managed by personal computer. The developed of a computerized industrial hygiene control system linked to the company's main computer system will provide efficient evaluation of the working environment as well as critical informations on employees' health. Development of this system had begun in May, 1992 and was completed in March, 1994. The computerized industrial hygiene control system can; 1. store industrial hygiene data, providing key pertinent to the diagnosis of occupational related illnesses, and if necessary, the basis for improving the working environment, 2. decide type and time of medical examination of each work for exposure to specific agents, and supply proper protection periodically, 3. prevent occupational related illnesses through evaluation of environmental and biological monitoring, and performance of epidemiological surveillance, 4. facilitate proper job placement through linking of industrial hygiene control and personnel information systems, 5. monitor job processes. levels of chemical agents used, and new agents introduced, 6. and increase productivity by saving time resulting from the implementation of the computerized sysyte,

• Safety and Health at Work
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• 제9권3호
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• pp.352-355
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• 2018

Hazardous work zones (i.e., hot, warm, and cold) are typically established by emergency response teams during hazardous materials (HAZMAT) calls but less consistently for fire responses to segment personnel and response activities in the immediate geographic area around the fire. Despite national guidelines, studies have documented the inconsistent use of respiratory protective equipment by firefighters at the fire scene. In this case-series report, we describe warm zone gas levels using multigas detectors across five independent fire incident responses all occurring in a large South Florida fire department. Multigas detector data collected at each fire response indicate the presence of sustained levels of volatile organic compounds in the "warm zone" of each fire event. These cases suggest that firefighters should not only implement strategies for multigas detector use within the warm zone but also include respiratory protection to provide adequate safety from toxic exposures in the warm zone.

• 한국직업건강간호학회지
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• 제29권2호
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• pp.140-149
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• 2020

Purpose: This study analyzed the effects of a health policy capacity development education program as a publicprivate partnership (PPP) model in official development assistance (ODA) for health policy administrators. Methods: Between October 2015 and September 2017, 41 participants from underdeveloped countries completed the three-week education program at K university, following the official selection process of the Korea International Cooperation Agency (KOICA) and each country's embassy. Results: The effects of the health policy capacity development education program differed significantly according to participants' age (p=.043), country region (p=.045), and academic or professional degree (p=.007). Academic or professional degree significantly predicted the effects of the program (β=.41, p=.007), explaining 21.7% of the variance in the regression model. Conclusion: The current selection process for ODA program participants considers recommendations from each country's embassy to determine eligible candidates. The hosting institution's opinions or suggestions regarding participants' professional expertise or work experience, country region, or demographic characteristics should also be considered in the participant selection process.

• 디지털융복합연구
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• 제10권11호
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• pp.449-457
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• 2012

본 연구의 목적은 PET/CT 검사시 공간선량을 측정 비교함으로써 방사선 발생원과 종사자간 선량의 상관관계를 규명하고 효율적인 관리를 통해 피폭선량을 감소시키는데 있다. 최근 PET/CT 검사의 증가는 동위원소 사용량의 증가와 더불어 종사자의 피폭 증가의 원인이 되고 있다. 따라서 각 방사선 발생원에서의 공간선량을 비교 분석하고 개인방호복과 차폐체 사용에 관한 연구를 수행하였다. 양전자 방출핵종인 $^{18}F$ 방출 감마선 고에너지(511 keV)에서 개인방호복(0.5 mm pb) 사용은 미사용 시 보다 더 많은 피폭을 초래함을 확인하였다.

• Safety and Health at Work
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• 제6권4호
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• pp.353-356
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• 2015

Background: In 2012, the Alaska Section of Epidemiology investigated personnel potentially exposed to a Brucella suis isolate as it transited through three laboratories. Methods: We summarize the first implementation of the United States Centers for Disease Control and Prevention 2013 revised recommendations for monitoring such exposures: (1) risk classification; (2) antimicrobial postexposure prophylaxis; (3) serologic monitoring; and (4) symptom surveillance. Results: Over 30 people were assessed for exposure and subsequently monitored for development of illness. No cases of laboratory-associated brucellosis occurred. Changes were made to gaps in laboratory biosafety practices that had been identified in the investigation. Conclusion: Achieving full compliance for the precise schedule of serologic monitoring was challenging and resource intensive for the laboratory performing testing. More refined exposure assessments could inform decision making for follow-up to maximize likelihood of detecting persons at risk while not overtaxing resources.