• 한방재활의학과학회지
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• 제28권1호
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• pp.61-72
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• 2018

Objectives The authors propose a new checklist model adapted for safety miniscalpel acupuncture procedure of cervical and lumbar spine. Methods On the basis of available literature and expert opinion, a prototype checklist was developed. The checklist was adapted on the basis of observation of daily practice. Results The checklist has three parts: 1. prevention and management of healthcare associated infections, 2. verification list before and after miniscalpel acupuncture treatment, 3. adverse event monitoring after procedure. We presented a summary checklist based on the above contents. Conclusions We propose the first patient safety checklist for minicalpel acupuncture treatment of cervical and lumbar spine. The checklist will be complemented using further research methodologies.

• 한국안전학회지
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• 제34권3호
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• pp.42-49
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• 2019

This study statistically analyzed the laboratory accidents by investigating 806 laboratory accident survey reports which were officially submitted to government from 2013 to June 2017. After comparing domestic and foreign accident classification criteria, the laboratory accidents were classified using KCD7(Korean Standard Classification of Diseases) and OIICS(Occupational Injury and Illness Classification System) criteria. For the type and part of injury, KCD7 classification criteria was adopted. And, for the cause and occurrence type of accidents, OIICS was adopted to analyze the laboratory accidents. Most of injuries happened to the wrist and hand caused by sharp materials or chemical materials. The analysis of accident cause showed that accidents resulted in medical practice and accidents from handtools and chemical materials such as acid and alkali frequently occurred. The major occurrence types of laboratory accidents was body exposure to the chemical materials such as hydrochloric acid and sulfuric acid. In addition, the accidents resulted in destroy of grasped object or falling object were frequently reported.

• 대한안전경영과학회지
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• 제11권2호
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• pp.111-115
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• 2009

As shown in the accident analysis from 2007, it has been found that causes of accidents on large-scale projects are different from those found in general construction projects. A 300-question survey regarding systematic and practical aspects of safety problems at construction sites was distributed to ten (10) different companies. Participants were to respond subjectively, so that the results could be used to assemble the first formal questionnaire survey. They were collected and compiled by an advisory committee for this study. The resulting surveys were then sent to the division chiefs of the top 100 construction companies in Korea, in order to improve the response rate. The Department of Safety & Health Direction, and the :Ministry of Labor, ROK sent the same sheets to medium and small construction companies that placed within 101-200th of all Korea construction companies. The above safety engineers were classified into four (4) levels, from 1st to 4th, followed by the project dollar amount and risk level. Formulae were developed to assign safety engineers to construction sites by engineer level, the project dollar amount, and the project risk level. Conclusions are summarized as follows: 1) Reviewing the assignment system of experienced safety engineers to large scaled projects - The more experienced the engineers assigned to a project, the higher the level of accident prevention. 2) Enforcing the assignment of advanced level safety engineers to large-scaled sites - At least one advanced-level safety engineer should be assigned to construction sites with projects valued at $15million USD (15,000,000,000). 3) For assigning safety engineers by risk level - Twenty models have been developed to calculate the number of safety engineers to be assigned by risk level. In the future, risk level for each job should be established by the government (as is now the practice in Germany).

• Perspectives in Nursing Science
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• 제10권2호
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• pp.158-166
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• 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.

• 한국건설관리학회논문집
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• 제9권3호
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• pp.175-184
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• 2008

안전교육은 작업장 위험에 대해 자기 스스로 보호할 수 있는 기본적인 방법이라고 안전교육 전문가들이 언급한 것처럼 안전교육은 재해예방에 별다른 제한 없이 효율적으로 사용될 수 있는 중요한 안전대책이다. 그러나 건설현장에서의 안전교육은 매우 형식에 치우쳐 교육을 위한 교육일 뿐이며 근로자들에게 안전교육 시간은 지루하고 따분한 시간일 뿐이다. 이러한 이유는 자기와 상관없는 교육내용과 개인적 특성을 무시한 일괄교육에서 기인하며 이는 더 이상 근로자의 자발적 참여를 유도하지 못한다. 따라서 건설근로자들의 개인적 특성에 맞는 다양한 안전교육모델 개발이 필요하다. 이에 본 연구는 건설근로자의 개인적 특성에 맞는 안전교육 모델을 구축하는데 필요한 기초자료를 제공하기 위해 선행연구 분석 및 면담조사를 통해 건설근로자들의 대표적인 개인적 특성 요소와 안전교육 요소를 도출하여 각각의 분류체계를 구축하였으며 마지막으로 건설현장의 근로자에 대한 사례적용을 통해 건설 안전교육의 개선방향을 제시하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.69-73
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• 2013

Background: An increasing trend of cytotoxic drug use, mainly in cancer treatment, has increased the occupational exposure among the nurses. This study aimed to assess the change of nurses' safety-related knowledge as well as attitude levels and subsequently to assess the change of cytotoxic drug handling practices in wards after a series of pharmacist-based interventions. Materials and Methods: This prospective interventional study with a before and after design requested a single group of 96 nurses in 15 wards actively providing chemotherapy to answer a self-administered questionnaire. A performance checklist was then used to determine the compliance of all these wards with the recommended safety measures. The first and second assessments took 2 months respectively with a 9-month intervention period. Pharmacist-based interventions included a series of technical, educational and administrative support measures consisting of the initiation of closed-system cytotoxic drug reconstitution (CDR) services, courses, training workshops and guideline updates. Results: The mean age of nurses was $32.2{\pm}6.19$ years. Most of them were female (93.8%) and married (72.9%). The mean knowledge score of nurses was significantly increased from $45.5{\pm}10.52$ to $73.4{\pm}8.88$ out of 100 (p<0.001) at the end of the second assessment. Overall, the mean practice score among the wards was improved from $7.6{\pm}5.51$ to $15.3{\pm}2.55$ out of 20 (p<0.001). Conclusions: The pharmacist-based interventions improved the knowledge, attitude and safe practices of nurses in cytotoxic drug handling. Further assessment may help to confirm the sustainability of the improved practices.

• Safety and Health at Work
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• 제2권2호
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• pp.87-96
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• 2011

In 1967, the problem of occupational lead exposure came to public attention in Korea. Since then, regular progress has been made in lowering workplace lead exposures, instituting new workplace controls, and implementing health examinations of exposed workers. Past serious lead poisoning episodes made it possible to introduce biological monitoring programs on a voluntary basis in high-lead-exposure facilities in Korea. Industry-specific occupational health services for lead workers in Korea during the last 22 years can be categorized into three phases. During the first phase (1988-1993), efforts were directed at increasing awareness among workers about the hazards of lead exposure, biological monitoring of blood zinc protoporphyrin began, and a respiratory protection program was introduced. During the second phase (1994-1997), a computerized health management system for lead workers was developed, blood-lead measurement was added to biologic monitoring, and engineering controls were introduced in the workplace to lower air-lead levels to comply with air-lead regulations. Finally, during the third phase (1998-present), a new biomarker, bone-lead measurement by X-ray fluorescence, was introduced. Bone-lead measurement proved to be useful for assessing body burden and to demonstrate past lead exposure in retired workers. Occupational health service practice for lead workers, including the industry-specific group occupational health system, has brought considerable success in the prevention of lead poisoning and in reducing the lead burden in Korean lead workers during the last several decades. The successful achievement of prevention of lead poisoning in Korea was a result of the combined efforts of lead workers, employers, relevant government agencies, and academic institutes.

• Safety and Health at Work
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• 제3권1호
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• pp.43-49
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• 2012

In recent years, various international organizations have raised awareness regarding psychosocial risks and work-related stress. European stakeholders have also taken action on these issues by producing important documents, such as position papers and government regulations, which are reviewed in this article. In particular, 4 European models that have been developed for the assessment and management of work-related stress are considered here. Although important advances have been made in the understanding of work-related stress, there are still gaps in the translation of this knowledge into effective practice at the enterprise level. There are additional problems regarding the methodology in the evaluation of work-related stress. The European models described in this article are based on holistic, global and participatory approaches, where the active role of and involvement of workers are always emphasized. The limitations of these models are in the lack of clarity on preventive intervention and, for two of them, the lack of instrument standardization for risk evaluation. The comparison among the European models to approach work-related stress, although with limitations and socio-cultural differences, offers the possibility for the development of a social dialogue that is important in defining the correct and practical methodology for work stress evaluation and prevention.

• 한국안전학회지
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• 제23권3호
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• pp.71-78
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• 2008

This study aims to identity the age group where driving performance significantly decreases based on the data collected from the Korea Transportation Safety Authority's driver aptitude tests in 2006. The test includes following six driving simulator-based tests: estimation of moving objects' speed, estimation of stopping distance, three tests for drivers' multi-task ability, and kinetic depth perception. These six test results were utilized for the identification of the age threshold applying the CART technique, suggesting driving ability significantly be decreased over 50s. This finding was confirmed by two analyses using the accident history data containing the information of accident and non-accident drivers and the degree of accident severity. The results of this study imply that accident prevention efforts should be enhanced over a wider range of age group than the current practice where the age of 65 is generally applied for the threshold dividing senior and non-senior driver groups.

• 한국기계가공학회지
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• 제19권1호
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• pp.43-48
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• 2020

At present, 24 nuclear power plants are in operation nationwide as the main power source responsible for about 27% of Korea's electricity, and five nuclear power plants are currently under construction. Issues of nuclear safety and reliability have always existed, but after the Fukushima accident, ensuring reliability has become an even more important issue for safety. Compared to other kinds of accidents, the initial response after a nuclear accident is more important than any other accident. Prior to accidents, it is important to be able to predict and judge the accident in advance for the sake of prevention. In this research, non-destructive inspection methods for existing pipe welds include radiographic, ultrasonic, magnetic particle practice, and liquid penetration testing. For this experiment, carbon steel pipes like that of the material used in nuclear pipes were adopted, and specimen welded to the flange (Flange) were manufactured. After testing, the weld specimen were not damaged through the infrared thermography (IRT) experiment. This study attempted to improve the safety of carbon steel pipes through a comparative analysis of finite element analysis.