• Journal of the Korean Institute of Gas
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• v.21 no.3
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• pp.1-8
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• 2017

The purpose of this study is to suggest the rupture disk design(size) and application at the two phase(gas-liquid) flow by runaway reaction at batch reactor. The definition of runaway reaction is abnormally exothermic reaction by the uncontrolled cooling water or deviated operating condition. As a result, the temperature of reactor is rapidly increasing. The causes of runaway reaction are either self-heating reaction or sleeper reaction. General methods of rupture disk size or safety valve are not suitable in the runaway reaction, because of temperature and pressure increasing rapidly in the reactor and the phases of relieving fluid is 2-phase flow. This study case of the reactor incident, the depressurization system such as safety valve and vent installed, however, the system did not relieved the pressure of reactor suitably. The orifice size of the safety valve were designed too small because the size had not been considered the phenomena and character of reaction. The batch reactor design should be considered by referring to the possibility of runaway reaction proposed in this study and the size of rupture disk design method considering 2-phase flow.

• Safety and Health at Work
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• v.15 no.1
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• pp.24-32
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• 2024

Background: Learning from incidents for accident prevention is a two-stage process, involving the investigation of past accidents to identify the causal factors, followed by the identification and implementation of remedial measures to address the identified causal factors. The focus of past research has been on the identification of causal factors, with limited focus on the identification and implementation of remedial measures. This research begins to contribute to this gap. The motivation for the research is twofold. First, previous analyses show the recurring nature of accidents within the Ghanaian mining industry, and the causal factors also remain the same. This raises questions on the nature and effectiveness of remedial measures identified to address the causes of past accidents. Secondly, without identifying and implementing remedial measures, the full benefits of accident investigations will not be achieved. Hence, this study aims to assess the nature of remedial measures proposed to address investigation causal factors. Method: The study adopted SMARTER from business studies with the addition of HMW (H - Hierarchical, M - Mapping, and W - Weighting of causal factors) to analyse the recommendations from 500 individual investigation reports across seven different mines in Ghana. Results: The individual and the work environment (79%) were mostly the focused during the search for causes, with limited focus on organisational factors (21%). Forty eight percentage of the recommendations were administrative, focussing on fixing the problem in the immediate affected area or department of the victim(s). Most recommendations (70.4%) were support activities that only enhance the effectiveness of control but do not prevent/mitigate the failure directly. Across all the mines, there was no focus on evaluating the performance of remedial measures after their implementation. Conclusion: Identifying sharp-end causes leads to proposing weak recommendations which fail to address latent organisational conditions. The study proposed a guide for effective planning and implementation of remedial actions.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.374-382
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• 2018

The aim of this study was to identify how information media about patient safety incidents influences nursing students' knowledge, perception, and confidence in performance toward patient safety. A total of 337 nursing students agreed to participate in this study. Data were collected from the participants between June 4 and June 12, 2018. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficient with SPSS 21.0. Participants' scores for knowledge, perception, and performance confidence toward patient safety were $6.43{\pm}1.92$, $41.02{\pm}4.35$, and $39.61{\pm}5.89$, respectively. Patient safety knowledge was significantly different according to age, grade, and patient safety education experience. Patient safety perception was significantly different according to satisfaction with the major, patient safety performance confidence showed statistically significant differences according to grade, patient safety education experience, and major satisfaction. Information media exposure to patient safety incidents on TV and knowledge (r=.32, p<.000) and performance confidence (r=.21, p<.000) toward patient safety had positive correlations. Information media exposure to patient safety incidents on the internet and knowledge (r=.34, p<.000), perception (r=.12, p=.028), and performance confidence (r=.24, p<.000) toward patient safety also had positive correlations. This study provides basic data for nursing education and program development for patient safety management.

• Journal of the Korean Society of Marine Environment & Safety
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• v.23 no.4
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• pp.365-375
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• 2017

Approximately 250 marine pollution accidents involving oil and HNS spills are reported every year in the Republic of Korea. It is necessary that a strengthen of specialization of marine pollution response personnel on marine pollution response due to a diminution of damage when a major oil and HNS spill incident occurred, as in the case of the M/V Heibei Spirit and the M/V Maritime Maisie. In regard to this, the International Maritime Organization (IMO) has planned to revise the OPRC Model Training Course to strengthen expertise for oil spill incident responses. Through a comparison of curriculum with the Korea Coast Guard Academy (KCGA) program, a revised IMO Model Course and the OSRL training institute, this study recommends the following improvements for the education program of the KCGA in response to oil spills. This study suggests several options in line with this approach to revise the oil spill response education curriculum, exercise, discussions and making materials. Accreditation of the KCGA as an institute that provides an IMO Model training course developed according to the revised IMO Model Course material is proposed.

• Journal of Digital Convergence
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• v.12 no.2
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• pp.423-430
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• 2014

Patient safety culture for the general hospital to investigate the perception of radiological technologists, managing of the patient safety provides the Foundation for the safety activities as a basis to develop a program for providing. Patient safety culture for the general hospital to investigate the perception of Radiological technologists, the duration of the survey of the study on June 13, 2012 to June 20, and five general hospitals worked on Radiological technologists workers were material and analyzed the target of 198 (SPSS ver. 19.0). Patient safety activities within the Department, the factors affecting direct care, communication, medical malpractice, hospitals rated, safe for the patient safety culture and the reported accidents, dangerous and caused an accident, most feel that patient safety incident reporting system according to the results of evaluating medical accidents patient safety culture regarding recognition, work appeared in more than 25 years, even the most highly evaluated, the working period of 10 patient safety to 15 years the most highly. Therefore, General Hospital, Director of the patient safety culture improvement of radiation in order to have sufficient staffing, aggressive approach to patient safety issues, and safe working period of relapse prevention of accidents to the radiation as well as giving systematic consideration of mission medical accident reporting system will be active.

• Journal of the Korean Institute of Gas
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• v.21 no.4
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• pp.62-69
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• 2017

Chemical accidents are systematically managed by the Chemicals Control Act. However, the definition and case studies of violent incidents by hazardous chemical substances need to be adequately organized. In this study, we focused on suggesting improvement directions of the legal and institutional system to prevent the violent incidents of hazardous chemical substances by studying the problems of current legislation and drawing up implications through domestic and foreign cases. The suggestions for improvement are as follows: 1) Strengthening prevention through amendment of laws (1) Selection of the competent department; 2) Enforcing regulations on online and offline commerce (1) Setting personal purchase amount; and 3) Increasing public awareness and public education (1) Improvement of the continuous system through the Chemical Evaluation Committee.

• Journal of Navigation and Port Research
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• v.41 no.2
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• pp.39-46
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• 2017

This study represents a fundamental research for a passenger-ship escape guidance system that is a ship-borne agent, and it is for the support of escape decision-making by providing accurate maritime safety information in real time. We conducted a passenger escaping experiment on a training ship, SAEYUDAL, using the situation-aware escape guidance system, which has been developed for on-board application based on products for buildings. It is shown that the system contributes to the shortening of the escape duration and the dispersion of the escaping persons by generating and guiding the safe escape routes which dangerous areas are considered. From the experiment on ship's heeling condition, it is revealed that the heeling angle is linearly related to the escape duration. Therefore, this study shows that the shortening of the escape duration enables a safe and rapid mustering that is the most important process under emergency and appropriate incident responses to minimize loss of lives.

• Journal of the Korean Society of Marine Environment & Safety
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• v.5 no.2
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• pp.1-14
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• 1999

To find characteristics and areas of greater risk of oil spill at the coastal waters in Korea, some of risk factors were analyzed with historical data of oil spill and marine traffic. As a result, it is characterized that frequency of oil spill is increasing year by year and greatest percentage of spill source is fishing boat. It is proposed that the ports of Ulsan, Yeosu, Incheon and Pusan will be designated as primary area of risk as they have a higher risk of oil spills and its response authority is required to maintain appropriate regional response capability for prompt and effective response to a future spill incident. In addition, the regional response equipments at Ulsan are examined under a assumption of a medium size spill and it is found that the use of chemical dispersant can be an alternative when mechanical containment and recovery is not feasible in this area, and the existing response equipments may be appropriate to address that size of spill. However, the response authority is required to maintain more numbers of stronger boom for unsheltered waters and more quantity of concentrate dispersant to disperse all spilled oils on the water, furthermore the response authority should be prepared for a possible future catastrophic spill with sufficient equipments.

• Journal of the Korean Institute of Gas
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• v.6 no.4 s.18
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• pp.1-7
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• 2002

Human errors can take place in all levels that include the design, production, construction, operation and maintenance of plant facilities. It was found that the causes were concerned with the effects of human error. This study verified characteristics of the on-site operators and error mechanism, and used the classifying sheet to analyze human error that occurred in process. Also, by applying the ASEP(Accident Sequence Evaluation Program) HRA(Human Reliability Analysis) procedure, the algorithm to estimate the HEP and the ASEP HEP program to analyze human error in the plant were developed. If it is built in on-site, possible human error incident will be prevented and the systematic human error prevention strategy will be devised.

• Journal of the Korean Society of Marine Environment & Safety
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• v.5 no.1
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• pp.9-18
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• 1999

To predict the oil spill dispersion phenomena in the ocean, the oil spill response model, which can be used for strategic purpose on the oil spill site, based on Lagrangian particle-tracking method was formulated and applied to the neighboring area with Pusan port where the oil spill incident occurred when the tanker ship No.1 Youil struck on a small rock near the Namhyungjeto on September 21, 1995. The real-time tidal currents to be required as input data of the oil spill model were obtained by the two-dimensional hydrodynamic model and the tide prediction model. Evaluation of tidal currents using observation data was successful. For wind data, other input data of oil spill model, observed data on the spot were used. To verify the oil spill model, the oil spill modelling results were compared with the field data obtained from the spill site. Compared the modelling results with the observation data, there exist some discrepancies but the general pattern of modelling results was similar to that of field observation. The modelling results on 7 days after spill occurred showed that the 40% of spilled oil is in floating, 36% in evaporated, 23% at shore, and 1% in out of boundary, respectively. According to the evaluation of weighting curves of effective components to the dispersion of oil, the winds make a 37% of contribution to the dispersion of oil, turbulent diffusion 39.5%, and tidal currents 23.5%, respectively. Provided the more accurate wind data are supported, more favorable results might be obtained.