• 제목/요약/키워드: Prevention System

검색결과 4,794건 처리시간 0.031초

환자안전 관리자가 인식한 투약오류예방 시스템 구축실태에 따른 투약오류관리풍토 및 활용인식 (Medication Error Management Climate and Perception for System Use according to Construction of Medication Error Prevention System)

  • 김명수
    • 대한간호학회지
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    • 제42권4호
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    • pp.568-578
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    • 2012
  • Purpose: The purpose of this cross-sectional study was to examine current status of IT-based medication error prevention system construction and the relationships among system construction, medication error management climate and perception for system use. Methods: The participants were 124 patient safety chief managers working for 124 hospitals with over 300 beds in Korea. The characteristics of the participants, construction status and perception of systems (electric pharmacopoeia, electric drug dosage calculation system, computer-based patient safety reporting and bar-code system) and medication error management climate were measured in this study. The data were collected between June and August 2011. Descriptive statistics, partial Pearson correlation and MANCOVA were used for data analysis. Results: Electric pharmacopoeia were constructed in 67.7% of participating hospitals, computer-based patient safety reporting systems were constructed in 50.8%, electric drug dosage calculation systems were in use in 32.3%. Bar-code systems showed up the lowest construction rate at 16.1% of Korean hospitals. Higher rates of construction of IT-based medication error prevention systems resulted in greater safety and a more positive error management climate prevailed. Conclusion: The supportive strategies for improving perception for use of IT-based systems would add to system construction, and positive error management climate would be more easily promoted.

해안침식 관리시스템과 그 적용 (Disaster Overall Prevention System for Beach Erosion and its Applications)

  • 김규한;유형석;정의진
    • 한국해안·해양공학회논문집
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    • 제20권6호
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    • pp.602-610
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    • 2008
  • 백사장은 해안방재는 물론, 친수공간의 제공 그리고 연안생태계 유지 등의 기능을 가지고 있다. 우리 나라는 이러한 중요한 기능을 가지고 있는 백사장이 1990년대부터 침식되기 시작하여 1990년대 후반부터는 사회적인 문제로까지 발전되기에 이르렀으며, 현재는 전국적으로 약 400여 개소에 달하는 많은 해수욕장들이 침식되는 것으로 보고되어지고 있다. 본 연구에서 제안하는 해안침식 종합방재시스템(DOPS)은 침식된 해안을 효과적으로 보호하는 대책의 선정과 장기적인 관리를 위해 수립된 해안관리시스템으로서 특히, 경제적인 평가와 유지를 위한 순응적 관리가 포함되어 있다. 또한 본 연구에서는 해안침식 종합방재시스템을 남애해수욕장에 적용한 사례를 소개하고자 한다. 이 지역은 해안침식 종합방재시스템을 수행한 결과 양빈이 주요 대책공법으로 제안되어졌으며, 인공리프와 인공암이 피복된 돌제가 동시에 제안된 하이브리드공법이 대책으로 제안되어졌다. DOPS에 의해 도출된 이러한 침식대책은 이 지역의 경제성과 환경적 측면을 고려한 최선의 해안침식 방지대책이 될 것으로 기대된다.

요양병원 간호사의 낙상예방행위에 미치는 영향요인 (Factors Affecting Fall-Prevention Behavior of Long-Term Care Nurses)

  • 최주연;이가언;전혜정
    • 한국직업건강간호학회지
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    • 제31권4호
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    • pp.157-166
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    • 2022
  • Purpose: The purpose of this study was to identify factors influencing fall-prevention behaviors of nurses working in long-term care hospitals. Methods: Participants included 147 nurses working in 10 long-term care hospitals in B city. Data were collected from September 20-October 12, 2016. SPSS/WIN 21.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression. Results: It was found that attitude toward fall (r=.29, p<.001) and patient safety culture (r=.25, p=.002) had a significant positive correlation with fall-prevention behaviors of nurses working in long-term care hospitals. The factors influencing fall-prevention behaviors in participants were clinical career and patient safety culture (β=.21, p=.012), contributing to 19% of the total variance in fall- prevention behaviors. Conclusion: The findings showed that systematic delivery of differentiated fall prevention education is preferred to nurse's clinical career as a private factor to improve fall-prevention behaviors of nurses in long term care hospital. Particularly, it is imperative to conduct periodical and practical fall-prevention education for nurses to prevent career discontinuity. An independent report system and open communication system as well as a scheme that can disseminate patient safety culture in individual departments to implement patient direct nursing are required to encourage patient safety culture in organizations.

통합재난관리체계 구축 및 활성화를 위한 소방공무원 의식조사 연구 (A Study on the Consciousness of Fare-fighting Officers for the Establishment and Pevitalization of Integrated Disaster Management System)

  • Bae, Young-Son;Koo, Won-Hoi;Shin, Ho-Joon;Baek, Min-Ho
    • 한국재난정보학회 논문집
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    • 제10권1호
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    • pp.151-158
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    • 2014
  • 본 논문에서는 국내 재난관리체계를 검토하여 문제점을 알아보고 재난현장 일선에 있는 소방공무원을 대상으로 통합재난관리체계에 대한 의식조사를 실시하여 발전방안을 모색하였다. 이를 바탕으로 통합재난관리체계 구축 및 활성화를 위한 방안을 제시하였으며 결론은 다음과 같다. 통합재난관리체계 구축 및 활성화를 위해서는항목별로 다음과 같은 대책이마련되어야 한다. 조직적인 측면으로는 기관별 협조체계가 잘 이루어져야 하며 이에 따른 정보 공유 및 전달이 원활해야 한다. 법 제도적인 측면으로는 기관별 특성을 고려하되 협조상의 혼선이 없도록 개선이 요구되고 기관별 협업을 통한 공동작전계획 수립이 실시되어야 한다. 또한 시스템적 측면으로는 급변하는 재난에 대응하기 위해 장비의 지속적인 유지관리 및 업데이트를 실시해야 하고 조직, 법 제도, 시스템 등을 체계적이고 균형적으로 유지해야한다. 그리고 선진국 통합재난관리체계 장단점을 세부적으로 파악하여 국내에 특성에 맞게 적용할 수 있도록 세부적인 대책이 마련하고 유관기관의 통합상황관리체계 구축, 효율적인 통합재난관리체계 구축을 통한 상황실 일원화 등 세부적인 대책이 수립되어야 한다.

Prevention in the United States Affordable Care Act

  • Preston, Charles M.;Alexander, Miriam
    • Journal of Preventive Medicine and Public Health
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    • 제43권6호
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    • pp.455-458
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    • 2010
  • The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.

어업허가 일제정비제도 도입에 따른 효과분석 (Effectiveness analysis about Readjustment of Fishery Permit)

  • 이광남;정진호
    • 수산경영론집
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    • 제42권2호
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    • pp.97-112
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    • 2011
  • The coastal and offshore fishery to manage from a fishery permit system in our country at present seems to be a sign of lots problem, which are illegal fishing, a permit rent, non fishing vessel the purpose of vessel reduction, fishery compensation, tax exemption oil, the excessive occurrence of administrative cost due to differences during a period of a fishery permit. All the readjustment system for the permit has suggested an effective solution for a fishery permit management, the maintenance of a fishery order(the prevention of illegal fishery), the prevention of unused fishery, the entrance of new vessel in coastal fishery and it's system has prevent this problems in ahead. This paper has estimated an prevention convenience for an illegal spill of the tax exemption oil, actual effects of vessel reduction, the conservation of fishery resource for the future value and carried out an economic analysis to estimate compliance cost for the system introduction. Also, this study have analyzed throughly the coastal fishery situation and catched lots of issues on the management for the permit system. Especially, the problems improving the readjustment introduction for the permit have estimated the social and economic effects quantitatively and qualitatively with a calculated technique to classify various scenarios. This paper has judged correctly the term of validity for the permit to shorten as a result of the estimation and it will be to take the net convenience cost 1,655thousand million won. The results of this study have expect to provide a basic data to introduce the readjustment system for the permit.