• Title/Summary/Keyword: Safety Incident

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Change of safety consciousness of passengers onboard ship after the Sewol ferry incident (세월호 사고 발생에 따른 여객선 승객의 안전의식 변화)

  • Hwang, Kwang-Il
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.9
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    • pp.1156-1162
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    • 2014
  • To prevent the Sewol incident again, by which the victims are 294 dead and still 10 missing, this study analyzed the change of safety consciousness of passengers onboard ship comparatively before and after the Sewol incident. The survey had performed 2 times at Jeju coastal cruise terminal at February 2014 and May 2014, and effective respondents were 394 and 401, respectively. After the Sewol incidents, the answers' ratio that they would follow the routes that the crews show and they would follow the crews' evacuation guides are decreased 24.5% and 18.5%, respectively. This means that the reliability on the crew members were decreased. Although 77.6% passengers responded that they felt nervousness onboard ship, 60% did not take safety lesson(s) and 45% did not know how to wear a life jacket. And also over 50% did not check the evacuation route map and the location of lifeboat, respectively. Meanwhile, 86.9% respondents answered the system of safey lesson should be changed, which has normally done by TV set.

Application and Evaluation of the Pilot Program for the Education Nurse System in a Medical Institution (교육전담간호사 제도 시범사업 적용에 따른 일 의료기관에서의 성과)

  • Sim, Won Hee;Park, Ji Sun;Lim, Hyo Min;Kim, Eun Hye;Kim, Jin Hyun
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.3
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    • pp.242-250
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    • 2022
  • Purpose: This study was conducted to evaluate the performance following the application of the pilot program for the education nurse system of the Ministry of Health and Welfare in a medical institution. Methods: This study was employed a non-homogeneous comparative group design by comparing new nurses who entered the medical institution after the pilot project from December 2019 to April 2020 with new nurses who entered before the pilot project during the same period. Satisfaction, academic achievement, job adaptation, personal turnover within one year, and patient safety incident rate were investigated as performance indicators. Results: After the pilot project, the overall satisfaction among new nurses, preceptors, and fellow nurses increased, but there were no significant changes in academic achievement and job adaptation in new nurses. The personal turnover rate decreased from 15.6% to 9.1%, and the patient safety incident rate also decreased from 26.3% to 15.7%. Also, the preceptor overtime also decreased from 3.67 to 0.66 hours. Conclusion: The performance of the pilot project for the education nurse system was related to improvements in satisfaction, turnover rate of new nurses, patient safety incident rate, and preceptor overtime. Above all long-term monitoring of each performance indicator is necessary through the continuation of the education nurse system of the Ministry of Health and Welfare.

A Study on How to Deal with the Accident/Incident for High-Speed Train Crew (고속열차 승무원의 사고/장애 처리 방안에 관한 연구)

  • 전한준;홍선호;왕종배;임승수
    • Proceedings of the KSR Conference
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    • 2002.10a
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    • pp.367-375
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    • 2002
  • In this paper the cases in developed countries on how to deal with the accident/incident for high-speed train crew, and their training and exercises for filed application will be reviewed, and the plan on how to deal with accidents/incidents for crew, which is helpful for preparing the high-speed railway operation in Korea and it's safety, will be presented.

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A Study on the Development of Assessment Index for Catastrophic Incident Warning Sign at Refinery and Pertrochemical Plants (정유 및 석유화학플랜트 중대사고 전조신호 평가지표 개발에 관한 연구)

  • Yun, Yong Jin;Park, Dal Jae
    • Korean Chemical Engineering Research
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    • v.57 no.5
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    • pp.637-651
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    • 2019
  • In the event of a major accident such as an explosion in a refinery or a petrochemical plant, it has caused a serious loss of life and property and has had a great impact on the insurance market. In the case of catastrophic incidents occurring in process industries such as refinery and petrochemical plants, only the proximate causes of loss have been drawn and studied from inspectors or claims adjustors responsible for claims of property insurers, incident cause investigators, and national forensic service workers. However, it has not been done well for conducting root cause analysis (RCA) and identifying the factors that contributed to the failure and establishing preventive measures before leading to chemical plant's catastrophic incidents. In this study, the criteria of warning signs on CCPS catastrophic incident waning sign self-assessment tool which was derived through the RCA method and the contribution factor analysis method using the swiss cheese model principle has been reviewed first. Secondly, in order to determine the major incident warning signs in an actual chemical plant, 614 recommendations which have been issued during last the 17 years by loss control engineers of global reinsurers were analyzed. Finally, in order to facilitate the assessment index for catastrophic incident warning signs, the criteria for the catastrophic incident warning sign index at chemical plants were grouped by type and classified into upper category and lower category. Then, a catastrophic incident warning sign index for a chemical plant was developed using the weighted values of each category derived by applying the analytic hierarchy process (pairwise comparison method) through a questionnaire answered by relevant experts of the chemical plant. It is expected that the final 'assessment index for catastrophic incident warning signs' can be utilized by the refinery and petrochemical plant's internal as well as external auditors to assess vulnerability levels related to incident warning signs, and identify the elements of incident warning signs that need to be tracked and managed to prevent the occurrence of serious incidents in the future.

Developing national level high alert medication lists for acute care setting in Korea (국내 급성기 의료기관 고위험 의약품 목록 도출)

  • Han, Ji Min;Heo, Kyu-Nam;Lee, Ah Young;Min, Sang il;Kim, Hyun Jee;Baek, Jin-Hee;Rho, Juhyun;Kim, Sue In;Kim, Ji yeon;Lee, Haewon;Cho, Eunju;Ah, Young-Mi;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.2
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    • pp.116-124
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    • 2022
  • Background: High-alert medications (HAMs) are medications that bear a heightened risk of causing significant patient harm if used in error. To facilitate safe use of HAMs, identifying specific HAM lists for clinical setting is necessary. We aimed to develop the national level HAM list for acute care setting. Methods: We used three-step process. First, we compiled the pre-existing lists referring HAMs. Second, we analyzed medication related incidents reported from national patient safety incident report data and adverse events indicating medication errors from the Korea Adverse Event Reporting System (KAERS). We also surveyed the assistant staffs to support patient safety tasks and pharmacist in charge of medication safety in acute care hospital. From findings from analysis and survey results we created additional candidate list of HAMs. Third, we derived the final list for HAMs in acute care settings through expert panel surveys. Results: From pre-existing HAM list, preliminary list consisting of 42 medication class/ingredients was derived. Eight assistant staff to support patient safety tasks and 39 pharmacists in charge of medication safety responded to the survey. Additional 44 medication were listed from national patient safety incident report data, KAERS data and common medications involved in prescribing errors and dispensing errors from survey data. A list of mandatory and optional HAMs consisting of 10 and 6 medication classes, respectively, was developed by consensus of the expert group. Conclusion: We developed national level HAM list for Korean acute care setting from pre-existing lists, analyzing medication error data, survey and expert panel consensus.

A Study on the Effectiveness and Safety Comparison of Dispersants (유처리제 방제 효용성 및 안전성 비교 연구)

  • Jin, Young-Min;Lee, Joon-Hyuk;Jo, Young-Hyuk;Lee, Soon-Hong
    • Journal of the Korean Society of Safety
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    • v.30 no.6
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    • pp.148-155
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    • 2015
  • Using dispersants is known to be an effective solution to accelerate the natural dispersion and being an appropriate oil spill response strategy. By breaking up large oil chunks into small droplets, dispersants are generally intended to help reducing further oil exposures and slicks. Collecting property data of circulating crude oil in South Korea and understanding the interaction between crude oils and dispersions need to be preceded for the effective dispersant use. This paper provides an property analysis of three selected oils which have the same composition of spilt oils from the Herbei Spirit Incident and conducts an emulsification and toxicity experiment with selected domestic and foreign dispersants. Results will present a direction of future domestic dispersants' development which aimed at eco-friendly and safety.

The "Warm Zone" Cases: Environmental Monitoring Immediately Outside the Fire Incident Response Arena by Firefighters

  • Caban-Martinez, Alberto J.;Kropa, Bob;Niemczyk, Neal;Moore, Kevin J.;Baum, Jeramy;Solle, Natasha Schaefer;Sterling, David A.;Kobetz, Erin N.
    • Safety and Health at Work
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    • v.9 no.3
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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.

A Study on the Improvement of Air Traffic Safety Information Management (관제 안전정보 관리체계 개선을 위한 연구)

  • Shin, Oksig;Kim, Ilyoung
    • Journal of Aerospace System Engineering
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    • v.2 no.3
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    • pp.7-11
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    • 2008
  • This is a study to research the effective way to enhance the performance of safety management by gathering and analyzing the information of undesirable occurrences that may result in accident or serious incident. This includes the way to identify the potential hazards related with the proactive activities. As detailed improvements, this paper introduces the mandatory and voluntary reporting system, normal operation safety survey, ATC quality assurance and the encouragement of just culture.

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The Analysis of Food Safety Incidents from 1998 to 2008 in Korea (1998 - 2008 발생한 식품안전관련 사건.사고 분석)

  • Bahk, Gyung-Jin
    • Journal of Food Hygiene and Safety
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    • v.24 no.2
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    • pp.162-168
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    • 2009
  • This study was conducted the analysis of food safety incidents between January 1998 and October 2008 using media reports. Total number of food safety incident was 569 through the study period. The average of food safety incident per year and month was 51.7and 4.9, respectively. The top 10 food types involved in the lists of food safety incidents were as follows; marine products, meat and meat products, confectionaries, beverages, special nutritional food, teas, noodles, soy and bean paste sauces, and milk and milk products etc. The top 10 single foods also were as follows; ready-to eats, meat, confectionary, health support foods, steeping tea, infant formula, meat products, ginseng products, foods for body weight control etc. Of the total 569 incidents, 247 (43.4%) were related with chemical hazards involving pesticide, food additives etc, biological hazards were 126 (22.1 %), and physical hazards were 97 (17.0%) incidents. In analysis stage in the food chain at which breakdown in food safety occurred, primary production were the most common stage with 364 (64%) incidents, and incidents at the manufacture handling and distribution stages were with 151 (26.5%), and 44 (7.7%), respectively. The results of this study can be used as a better data for risk analysis or food safety strategies.

Analysis of Disaster with Casualty Caused by Malfunction of the Water Level Monitoring System in Imjin River (임진강 경보제어시스템 오동작으로 인한 인명피해 사고 사례 분석)

  • Song, Jae-Yong;Nam, Jung-Woo;Kim, Jin-Pyo;Kim, Eui-Soo;Park, Nam-Kyu
    • Journal of the Korean Society of Safety
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    • v.25 no.3
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    • pp.40-44
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    • 2010
  • North Korea's discharge of water from a dam into the Imjin River that flows through the inter-Korean border swept away a riverside camping site early Sunday morning, killing six people. This tragic incident might have been prevented if the North had given prior notice of the release from its Hwanggang Dam to the South. Investigations are under way to determine the reasons behind the unexpected act. This incident was a man-made disaster not least death of six people. A water level monitoring system(WLMS) of the Imjin River was installed the bridge of Pilseung that operate three public institutions. The WLMS of the A institution set up warning siren and broadcasting as the water level has been rising the bridge of Pilseung in the Imjin River. But the A institution's system was already out of side before discharged of water a dam into the Imjin River and the operators were culpable negligence. The B institution's office employee on charges of negligence that might have contributed to the tragedy and one of the A institution's employees ignored 26 warning messages on the WLMS. This tragic incident was a man-made disaster not least death of six people and might have been prevented if the WLMS was normally operated and the system operators must be worked a tight.