• Title/Summary/Keyword: Safety Incident

Search Result 419, Processing Time 0.029 seconds

Current Status of Patient Safety Regulations, Guidelines and Support Mechanisms in Korean Hospitals

  • Lee, Jae Ho;Kim, Jeong Eun;Kim, Suk Wha;Lee, Sang Il;Jung, Yoen Yi;Kim, Moon Sook;Jang, Seon Mi
    • Perspectives in Nursing Science
    • /
    • v.10 no.2
    • /
    • pp.158-166
    • /
    • 2013
  • Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

  • PDF

항공안전규제를 위한 제도개선 방안에 관한 연구

  • Yu, Gwang-Ui;Kim, Ung-Lee
    • The Korean Journal of Air & Space Law and Policy
    • /
    • v.12
    • /
    • pp.210-245
    • /
    • 2000
  • This study is to review the problem concerned with aviation safety in Korea and suggest the solution to secure the aviation safety, in respect of regulation. At first, the definition and characteristics of aviation safety are studied, and then the endeavor for the aviation safety of ICAO and FAA are reviewed. All the fields of aviation safety area are included in the scope of this study; airworthiness in aircraft production and maintenance, flight operation, airport operation and air traffic control. The level of safety can be estimated by the frequency of accidents and seriousness. The causes of air accidents can be summarized as five factors; human factor, traffic environment. aircraft, weather, and unexpected incident. The activities to protect accidents are also can be summarized as five areas; man, machine, medium, mission and management. ICAO established the standards and recommends for the aviation safety, and adopted strategic action plan for 21st century. Federal Aviation Administration of USA also contributes for the aviation safety of world wide. Nowadays, ICAO and FAA tries to coordinate each other to set up efficient and effective ways for the aviation safety. ICAO developed safety oversight manual and FAA developed model regulations, individually. However, there has been trials to merge the results of each institute's studies. The direction of this endeavor is to meet the new environment related to globalization of air transport industry. It is necessary for our government to improve the aviation safety regulation system to address the new wave of aviation safety system pursued by international organization. A systematic and comprehensive measure should be devised by cooperation of all the related field and area.

  • PDF

A Study on the Improvement of Crisis Alerts of Disaster-related Crisis Management Standardized Manuals (재난 관련 표준매뉴얼의 위기경보 개선방안에 관한 연구)

  • Kim, Yong-Soon;Choi, Don-Mook
    • Fire Science and Engineering
    • /
    • v.32 no.6
    • /
    • pp.126-133
    • /
    • 2018
  • Korea has been preparing and operating crisis management standardized manuals so that over 30 disaster types that need to be managed at the national level can be selected and systematically managed. This study analyzed the crisis alert levels of two standard manuals related to the case with reference to the contents of the Framework Act on the Management of Disaster and Safety and National Crisis Management Basic Guidelines. According to the Act and Guidelines, crisis alerts are issued before a crisis or disaster, but the criteria of crisis alerts of the two manuals showed that the national crisis had already occurred and the disaster occurred due to a marine vessel accident at the serious level. In addition, the results of timing of issuance of crisis alert were reviewed. If the signs can be identified, a crisis alert may be issued prior to the occurrence of the incident, but a crisis alert cannot be issued when an incident occurs without a sign. In the case of an incident where there are no signs, but there is a possibility of spreading to a national level disaster, the disaster management supervision agency could issue a crisis alert.

Safety Culture, A New Challenge to Human Factors Engineering for 21st Century

  • Lee, Yong-Hee
    • Journal of the Ergonomics Society of Korea
    • /
    • v.35 no.6
    • /
    • pp.473-492
    • /
    • 2016
  • Objective: This paper discusses the recent challenges to human factors engineering due to the safety culture. Background: As incidents occurring in specific fields such as logistics, plant, energy and medical sectors in Korea, as well as in the public sectors including railway, road, aviation and shipping, are recently raised as social issues from the disaster dimension, those incidents are dealt with as man-made disasters in many cases. The trend regarding all accidents as man-made disasters has been expanded in the active perspective that the controllability of all incidents should be ensured in technology development, due to change from a fatal point of view regarding disasters as random occurrence of uncertainties in the past. Method: Man-made disasters are concluded as human errors, and safety culture stands out as a cause of human errors or a new cause item recently. Because safety culture, however, is a very comprehensive term, of which true nature is obscure, although many definitions of safety culture have been presented, the safety culture may make avoid the true nature and responsibility of an incident, or make the main player and subject obscure. Raising safety culture as a cause without presenting a specific countermeasure will be just a wisdom of hindsight. Results and Conclusion: This study reviews the fundamental discussions on "Is safety culture a task of human factors engineering?" and the existing approach carried out from various perspectives in order to seek an effective approach on the new task of safety culture in the human factors engineering field. This study discusses an engineering approach to meet a precondition that safety culture is not just an added factor through a review of the approaches in the proactive fields such as nuclear power and aviation, and the traditional approaches of human factors engineering. Application: This study especially defines the perspective of socio-technological system that has expanded the existing man-machine system, and discusses a systemic approach embracing various interactions, and several overriding tasks.

Improvement Study abroad School Safety Analysis (국내외 학교안전 실태분석을 통한 개선방안 연구)

  • Kim, Teahwan
    • Journal of the Society of Disaster Information
    • /
    • v.11 no.3
    • /
    • pp.385-392
    • /
    • 2015
  • In hosting outdoor activities and school trips, safety issues are gaining serious attention lately. In addition to Sewol ferry tragedy and an incident at Kyungjoo Mauna Resort, there have been grown problems related to this crucial factor. This research analyzes negligent accidents occurred from domestic and foreign schools and aims to provide effective safety education and policy through comparative analysis between domestic and foreign cases. We mainly relied on documents such as newspapers, internet articles and legal papers to investigate cases and cooperated with relevant government departments for collecting references and setting agenda for safety supervision. The analysis on both domestic and foreign cases revealed that students abroad receive opportunities for first-hand experience regarding safety and systematic education, as safety maintenance is prioritized. Based on this culture, safety education should be habituated domestically, while participatory safety programs that students can actively involve must also be devised. Moreover, through preparation of entertaining contents such as SNS game programs, skits and activities employing multiple facilities and vehicles at school safety education, we must induce students to actively participate in the program with interests.

Research on the Prevention of Major Industrial Accident By Integrated Risk Management System (중대산업사고 예방을 위한 종합위험관리체제(IRMS) 구축에 관한 연구)

  • Kwon, Hyuck-Myun;Seong, Dae-Hyun;Kim, Jae-Hyun;Yim, Dae-Sik;Kim, Gi-Young;Pyeon, Mu-Wook;Moon, Il;Ko, Jae-Wook;Lee, Young-Soon;Yoon, En-Sup
    • Journal of the Korean Society of Safety
    • /
    • v.18 no.3
    • /
    • pp.88-93
    • /
    • 2003
  • The Process Safety Management (PSM) by the Law of Industry, Safety and Health has been performed for preventing major accidents of chemical plants since 1996. In terms of preventing chemical accidents more precisely, it is essential to develop a tool for quantitative risk assessment. For this, KOSHA (Korea Occupational Safety and Health Agency) developed an Integrated Risk Management System (IRMS). The system is designed to assimilate data on chemical plant hazards from external database, to integrate these data with location information(topographic and demographic), and to make them user-friendly accessible. The system consists of several main functions: display of five major Korean petrochemical complex layout display of equipment layout with its information utilizing the external database, zonation of the hazard effected area with consequence analyses, the most probable accident scenario generation, accident/incident database and calculation of frequency of accident using equipment reliability database, etc. The highlight of IRMS is to provide the risk contours using GIS(Geographical Information System) technology. IRMS is intended to manage hazardous installation more systematically and effectively, to reduce the number of accident remarkably, further minimizing production loss in the plant. The system is now under application to about 500 PSM sites as well as and emergency authorities in Korea by KOSHA (Korea Occupational Safety and Health Agency)

Determination of Focal Laws for Ultrasonic Phased Array Testing of Dissimilar Metal Welds

  • Jing, Ye;Kim, Hak-Joon;Song, Sung-Jin;Song, Myung-Ho;Kang, Suk-Chull;Kang, Sung-Sik;Kim, Kyung-Cho
    • Journal of the Korean Society for Nondestructive Testing
    • /
    • v.28 no.5
    • /
    • pp.427-435
    • /
    • 2008
  • Inspection of dissimilar metal welds using phased array ultrasound is not easy at all, because crystalline structure of dissimilar metal welds cause deviation and splitting of the ultrasonic beams. Thus, in order to have focusing and/or steering phased array beams in dissimilar metal welds, proper time delays should be determined by ray tracing. In this paper, we proposed an effective approach to solve this difficult problem. Specifically, we modify the Oglivy's model parameters to describe the crystalline structure of real dissimilar metal welds in a fabricated specimen. And then, we calculate the proper time delay and incident angle of linear phased array transducer in the anisotropic and inhomogeneous material for focusing and/or steering phased array ultrasonic beams on the desired position.

Risk Management for PX Plant Through Revalidation of Process Hazard Analysis (PX 공장에서의 공정위험성 재평가에 의한 위험관리)

  • Lim, Jong Woo;Woo, In Sung
    • Journal of the Korea Safety Management & Science
    • /
    • v.19 no.3
    • /
    • pp.35-42
    • /
    • 2017
  • Process Hazard Analysis(PHA) have been performed for a risk management of process (petrochemical) industry for nearly 50 years. There are many PHA methods for application in the process industry, Hazop Study method has been recognized as a good method used typically in most of phase of process plant. And also there was inconvenient opinion that Hazop Study is too resource (man power, time etc.) consuming comparing its result performance (a quality of recommendations) for a good operating and existing plant. In this study, two types of PHA method - checklist and K-PSR - were performed respectively for a new para-xylene(PX)plant and 30 year old PX plant. Past history and experience of incident, operation, maintenance and so on are very important in PHA by those two methods. The higher effectiveness were realized in PHA by a checklist and K-PSR Method than prior Hazop study. And also some suggestions including PHA cycle determination, RBPS application, Follow-up plan of PHA result etc. were proposed about PHA improvement measures for a best risk management.

A Study on the Fire Hazards of Puzzle Mats in Group Day Care Home (놀이방 퍼즐매트의 화재위험성에 관한 연구)

  • Park, Hyung-Ju
    • Journal of the Korean Society of Safety
    • /
    • v.23 no.5
    • /
    • pp.73-78
    • /
    • 2008
  • The fire hazards and combustion heat of puzzle mats in group day care home were analysed using variable external irradiation level. The fire hazards such as ignition time, ignition temperature, mass loss rate, and flame temperature profile were measured. Incident heat fluxes of $15kW/m^2$, $20kW/m^2$, $25kW/m^2$, $35kW/m^2$, $50kW/m^2$ and $75kW/m^2$ were selected for these experiments. All samples were tested in the horizontal orientation and were wrapped in a single layer of aluminium foil. Each sample was nominally 20mm thick and 100mm square. Five samples of puzzle mat were tested in the study : Type A, B, C, D and E. Type A, B and C are all general grades whereas Type D and E are both Flame retardant grades. As results, Type E of FR-grade showed the best characteristics in safety of the early fire from ignition time, critical heat flux, and ignition and flame temperature data of this study. All specimen of G-grade(Type A, B and C), however, showed the weak in safety of fire.

Large Steel Tank Fails and Rockets to Height of 30 meters - Rupture Disc Installed Incorrectly

  • Hedlund, Frank H.;Selig, Robert S.;Kragh, Eva K.
    • Safety and Health at Work
    • /
    • v.7 no.2
    • /
    • pp.130-137
    • /
    • 2016
  • At a brewery, the base plate-to-shell weld seam of a $90-m^3$ vertical cylindrical steel tank failed catastrophically. The 4 ton tank "took off" like a rocket leaving its contents behind, and landed on a van, crushing it. The top of the tank reached a height of 30 m. The internal overpressure responsible for the failure was an estimated 60 kPa. A rupture disc rated at < 50 kPa provided overpressure protection and thus prevented the tank from being covered by the European Pressure Equipment Directive. This safeguard failed and it was later discovered that the rupture disc had been installed upside down. The organizational root cause of this incident may be a fundamental lack of appreciation of the hazards of large volumes of low-pressure compressed air or gas. A contributing factor may be that the standard piping and instrumentation diagram (P&ID) symbol for a rupture disc may confuse and lead to incorrect installation. Compressed air systems are ubiquitous. The medium is not toxic or flammable. Such systems however, when operated at "slight overpressure" can store a great deal of energy and thus constitute a hazard that ought to be addressed by safety managers.