• Journal of the Society of Disaster Information
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• v.14 no.3
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• pp.325-333
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• 2018

Purpose: There have been terrorist attacks all over the world, causing massive damage. In Korea, there are few cases of terrorist damage, but the lack of the on-site response experience lead to constraints on the opportunity to verify capabilities against terrorism. Therefore, in this study, the chemical terrorism on-site countermeasures is considered as a concept of service, it was possible to draw up improvement alternatives for each element by reviewing at once the interactions between the concerned organizations and citizens in the field and the utilization of the equipment and facilities in the invisible area. Results: It had been evaluated the service process of the counterpart manager from the viewpoint of the victim citizen, who is the beneficiary of the final security service. It has found out the waiting point(W.P) between the victim's civilian incident management, and the element of failure(F.P). Conclusion: In this way, comparing chemical terror incident response manuals belonged to each related organization by fusion of service design approach and scenario technique, It is expected that it will be able to find out more specific problems and to find improvement alternatives.

• Quality Improvement in Health Care
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• v.27 no.1
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• pp.2-9
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• 2021

Patient safety remains one of the most important health care issues in Korea. To improve patient safety, we have introduced concepts from the field of safety science such as the Swiss cheese model, and adopted several methodologies previously used in other industries, including incident reporting systems, root cause analysis, and failure mode and effects analysis. This approach has enabled substantial progress in patient safety to be made through undertaking patient safety improvement activities in hospitals that are systems-based, rather than individual-based. However, these methods have the shared limitation of focusing on negative consequences of patient safety. Therefore, the paradigm shift from Safety I to Safety-II in safety science becomes the focus of our discussion. We believe that Safety-II will complement, rather than replace, Safety-I in the discipline of patient safety. In order to continuously advance patient safety practices in Korea, it is necessary that Korea keeps abreast of the recent global trends and development in safety science. In addition, more focus should be placed on testing the feasibility of new patient safety approaches in real-world situations.

• Journal of Advanced Navigation Technology
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• v.22 no.3
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• pp.198-204
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• 2018

In this paper, It proposed the development of integrated data management's prototype system for aviation accident and incident system. With the recent development of the aviation accident investigation equipment, accident investigation system should collect and manage the various types of jpg, avi, and wav data files. However, the ECCAIRS system does not have a separate database for managing the various generated data during the accident investigation. And the Korea aviation accident management system also has the same problem. Therefore, in this paper, we analyze the aviation accident report system of major foreign countries and prepare a method to apply it to the domestic environment. Through the prototype of the integrated data management system, we confirmed the performance through inputting the existing data and the recently investigated data. We will use this result as basic data for completion of final integrated data management system.

• Journal of the Korean GEO-environmental Society
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• v.12 no.12
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• pp.13-20
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• 2011

The main objective of this paper is finding the influence factors and their degree of importance to steel liner's safety by investigating and evaluating the buckling incidents of steel tunnel liner under external water pressure. The study was based on the detailed investigation to the design conditions and incident shapes at 2m diameter waterway tunnel with a partially buckled internal steel liner and concrete backfilled lining as the raw water transmission pipe line of regional water supply project. Appropriate buckling theory capable of applying this incident points was selected by referring the existing literature and compared with the results of investigation. Also, hydrogeological characteristics of this site on buckling pressure was evaluated. The result of this study was shown that both the hydrogeological characteristics of upper geologic layers and proper tunnel construction are important factors on buckling at steel liner, and hydraulic gradient level should be decided according to the hydrogeological characteristics. This incident case analysis on steel liner of pressurized waterway tunnel was expected to provide more information for realizing the problems and improvements at each design, construction and maintenance stages.

• Proceedings of the KSR Conference
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• 2008.11b
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• pp.1907-1915
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• 2008

Recently the assurance of railroad safety is very important issue in KOREA because there are lots of changes in the railroad industries. The Railway Safety Act was established in order to cope with these changes effectively and prevent the railroad transportation accidents. According to this law, Korea Transportation Safety Authority (KOTSA) has been entrusted with 'Integrated Railroad Safety Audit (IRSA)'. Even though newly introduced IRSA is conducted smoothly, it is necessary to study the methodology and criteria of the state's safety audit system in other fields to improve the efficiency. In ICAO (International Civil Aviation Organization) Safety Management Manual, a state's safety programme embraces those regulations and directives for the conduct of safe operations from the perspective of aircraft operators and those providing air traffic services(ATS), aerodromes and aircraft maintenance. The safety programme may include provisions for such diverse activities as incident reporting, safety investigations, safety audits and safety promotion. To implement such safety activities in an integrated manner requires a coherent SMS(Safety Management System). In this paper, to improve the efficiency of IRSA, we investigated the ICAO's the State's Aviation Safety Audit Systems and ICAO Safety Management Manual. And through the result of investigation, we proposed the improvement concept of IRSA.

• Journal of radiological science and technology
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• v.41 no.5
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• pp.445-450
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• 2018

We aim to evaluate safety of radiation by measuring leakage dose and patient(phantom) incident dose of ZEN-PX II dental portable equipment developed by G company. Measurement for leakage dose of equipment is conducted on the top, at the bottom, on the left, on the right and at the back. Dose measurement incident on the subject with the area dosimeter when using the phantom and measurement the leakage dose of equipment when using the phantom are evaluated. Comparing the right with the highest leakage dose as a 0 cm, 25 cm, 50 cm, 75 cm and 100 cm dose measurement at the measurement height of 100 cm, 64.2 uR was reduced to 47.3 uR in the senser mode 0.32sec. Even in film mode it was measured at 414.4 uR and about 27% lower at 162.6 uR. As the result of this study, when the irradiation time is 2 sec the right side dose is 290.5 uR and sensor mode is 0.32 sec the right side dose is 64.2 uR.

• Journal of the Korean Institute of Gas
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• v.11 no.4
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• pp.98-103
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• 2007

Likelihood analysis was used for the revision of release probability/frequency in chlorine Injection facilities used in chlorine process. Typically these facilities consist of pressure cylinder, vaporizer, pipeline, measuring equipment and safety equipment. This paper described the incident scenarios considered, likelihood analysis procedure and the selection and application of basic events and for failure rates of mechanical components. Human errors were also considered. The major objective of this paper is to estimate the likelihood of each determined incident scenarios. We estimated failure rates of mechanical components based on likelihood analysis procedure. Human errors were also considered. It was estimated to have $5.73{\times}10^{-5}$ $Cl_2$ leak per year during the major $Cl_2$ handling process. The probability of failure in scrubber system was$4.11{\times}10^{-2}$/demand.

• Journal of the Korean Society of Safety
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• v.13 no.3
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• pp.102-111
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• 1998

This study was concerned with the development of a heavy duty rust-converting agent, the function of which is to form metal complex coatings, containing vinyl halide-acrylic terpolymer emulsion, defoamer, emulsifying agent, glass flakes, chelating agent such as gallotannic acid, gallic acid, and pyrogallic acid, and other additives. The resulted emulsion products(Sample No.1~No.5) were characterized through test either in the forms of emulsions, which include Viscosity, Penetration rate, Acidity and Film drying rate test, or in the forms of coated layer on rusty steel substrates by FT-IR, which include hardness, gloss, salt spray, adhesion and flame retardant test. The test results are as follows ; Penetration rate(0.1~0.4 mm/min), Solid content(70%), Acidity (pH 1.8~2.0), Specific gravity(1.30~1.35), Film drying rate(108min, RH 40% ; 150min, RH 80%), Gloss(83~92, incident angle $60^{\circ}$; 88~97, incident angle $85^{\circ}$), Pencil hardness(4H~5H), Adhesion (100/100), Salt spray test(>720Hr), LOI(%) value(38%), Vertical burning test(UL 94-v-l). According to the various performance of specimens show above, the evaluation of the availability of this heavy duty rust-converting agent can be concluded that all the samples(No.1~No.5) are capable of being used in the field of chemical plant and in the hazard areas of fire and explosion potential. It was observed that the properties of sample No.2, especially gloss and hardness, were much better than that of the other samples.

• Nuclear Engineering and Technology
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• v.51 no.1
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• pp.104-115
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• 2019

Since the Fukushima Daiichi accident, there has been an emphasis on the risk resulting from multi-unit accidents. Human reliability analysis (HRA) is one of the important issues in multi-unit probabilistic safety assessment (MUPSA). Hence, there is a need to properly identify all the human and organizational factors relevant to a multi-unit incident scenario in a nuclear power plant (NPP). This study identifies and categorizes the human and organizational factors relevant to a multi-unit incident scenario of NPPs based on a review of relevant literature. These factors are then analyzed to ascertain all possible unit-to-unit interactions that need to be considered in the multi-unit HRA and the pattern of interactions. The human and organizational factors are classified into five categories: organization, work device, task, performance shaping factors, and environmental factors. The identification and classification of these factors will significantly contribute to the development of adequate strategies and guidelines for managing multi-unit accidents. This study is a necessary initial step in developing an effective HRA method for multiple NPP units in a site.

• Journal of Korean Clinical Nursing Research
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• v.19 no.1
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• pp.152-167
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• 2013

Purpose: The purpose of this study was to develop a website-based patient safety culture promotion program that could be implemented by nurses in real work scenarios. Methods: This study was a methodological study. A patient safety culture promotion program, called 'Safe Culture, Save Patients' was developed, based on structuration theory and performance engineering approaches. Results: This program was delivered in the form of a website containing contents about changes in the work environment, information about accidents and the improvement process details, as well as a program for motivation. The program was tested about the validity on contents and usability - a panel of 14 experts confirmed its validity using the contents validity index (CVI), with a resulting S-CVI of .980. Usability was evaluated by 11 nurses, which allowed finalize the program. Conclusion: The 'Safe Culture, Save Patients' program was a valid program that could be applied in clinical practice immediately. The results of this study warrant further studies to evaluate the effects of this patient safety culture promotion program.