• Safety and Health at Work
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• 제12권1호
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• pp.66-73
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• 2021

Background: The objective was to assess the knowledge level, attitude, and practice of health care workers towards standard precautions, and to identify the related factors. Furthermore, it was attempted to identify the proportion of having the experience of needle stick injuries (NSIs) and associated factors among participants. Methods: A cross-sectional study was conducted in a teaching hospital among 233 health workers using a self-administrated questionnaire. The questionnaire included eight knowledge items, seven practice items, and five attitude items. Based on the mean score of each category, responses were grouped into "satisfactory" and "unsatisfactory". Univariate, bivariate, and multivariable logistic regression analyses were done. Results: The mean age of the participants 32.95 (SD ± 9.70) and 62.2% of them were women. 57.5% of the staff had a satisfactory level of correct knowledge (>5 correct answers), 37.3% had a satisfactory positive attitude (>3 correct answers), and 30.9% had a satisfactory practice (>3 correct answers) towards standard precautions. The occupation was one of the predictors as doctors were less likely to have satisfactory knowledge and practice compared to nurses (OR = 0.269, 95% CI: 0.10-0.70 and OR = 0.248, 95% CI: 0.08-0.77, respectively). Out of 174 participants, 31.6% of them reported experiencing NSIs and support staff were 71% less likely to experience NSIs compared to nurses & paramedics. Conclusion: The findings revealed a substandard adherence of standard precautions among participants, which highlighted the necessity of the provision of a periodic, tailored training program based on the occupation and risk exposure.

• 해양환경안전학회지
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• 제28권1호
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• pp.54-63
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• 2022

해양사고의 조사 및 심판 제도는 유사 사고의 재발을 방지하기 위한 공신력 있는 해결책을 제공하기 위한 것이다. 우리나라의 경우 해양사고가 발생하면 해양안전심판원은 사고의 과정을 정밀하게 분석하여 사고 원인을 공표함으로써 재발방지대책 개발에 기여하고 있다. 그러나 해양사고의 원인으로 제시된 내용이 모호하다면 소기의 목적을 달성하는 데는 어려움이 있을 수 있다. 이러한 관점에서 해양안전심판원의 재결을 살펴보면 일부 사고의 원인으로 적시한 내용을 재발방지대책으로 직접 대입하기 곤란한 몇 몇 경우가 있다. 대표적으로 '선원의 상무로서 준수하여야 할 주의의무를 태만히 한 경우'라는 표현을 들 수 있다. 또한 '선원의 상무'가 정확한 사고원인을 밝히기 어려운 경우에도 선원의 책임으로 돌리기 위하여 관용적으로 사용되고 있다는 비판도 있다. 선원의 상무는 국제해상충돌예방규칙 제2조에 나오는 용어로서 그 사용을 엄격히 하고자, 이 연구에서는 원문에 대한 체계적인 분석을 제공함으로써 선원의 상무와 주의의무에 대한 개념을 비교·정립하고자 한다. 이를 위해 주의의무를 행정적, 민사적, 형사적 시각에서 살펴보고 관련된 판례를 제시하였다. 이에 따라 선원의 상무가 유사 해양사고 재발방지에 기여하는 합목적적인 재결을 위한 용도로 사용되기를 기대하였다.

• Translational and Clinical Pharmacology
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• 제26권3호
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• pp.118-127
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• 2018

The safety and efficacy of fimasartan have been evaluated through post-marketing surveillance in real world clinical practice. The multi-center, prospective, open-label and non-interventional study. A total of 3,945 patients (3,729 patients for safety assessment and 3,473 patients for efficacy assessment) were screened in patients with essential hypertension in 89 study centers from 9 September 2010 through 8 September 2016. Among the total patients, 2,893 patients (77.6%) were administered fimasartan for 24 weeks or longer and were classified as 'patients with long-term follow-up', and the additional safety and efficacy analysis were performed. The improvement was defined as systolic blood pressure (SBP) controlled to ${\leq}140mmHg$ or decreased SBP differences ${\geq}20mmHg$ after treatment or diastolic blood pressure (DBP) controlled to ${\leq}90mmHg$ or decreased DBP differences ${\geq}10mmHg$ after treatment. Adverse drug reactions (ADRs) were reported in 3.8% patients; dizziness, and hypotension were the most frequently reported ADRs in total patients. The results of patients with long-term follow-up were comparable with total patients. The overall improvement rate in all efficacy assessment at the last visit was 87.1% (3,025/3,473 patients). The overall improvement rate of the patients with long-term follow-up was 88.9%. Fimasartan was well tolerated, with no new safety concerns identified and an effective treatment in the real world clinical practice for Korean patients with hypertension.

• Journal of Evidence-Based Herbal Medicine
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• 제1권1호
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• pp.19-28
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• 2008

Consumers have been requiring more higher level of food and agricultural products safety. The system of Good Agricultural Practice(GAP) has been spreaded over the world. Korea also introduced the GAP system in agricultural industry. GAP is related to the production side in the whole traceability system. The establishment of GAP system is a prerequisite to secure food safety. This study reviewed the concept of GAP and necessities and backgrounds of introducing the GAP system. Also, this study analyzed the problems which have been appeared in the GAP program and proposed the policy strategies and directions for the Korean GAP system. So issues for the GAP system are as follows; computerizing of traceability system, forming the cooperative works among the related governmental departments, establishing a certification system to relate with crop features, efficient management, ensuring distribution channel and the research for estimating GAP consumer surplus is need to analyze GAP program more efficient. In addition, It is necessary to keep the records of the data to analyze the GAP program more accurately.

• 대한치과기공학회지
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• 제33권1호
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• pp.65-77
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• 2011

Purpose: The purposes of this study were to provide information about safe actions during the practice of dental technology, promote belief in safe actions among the students of dental technology, and reinforce their knowledge about how to act safety. Methods: Open questions were asked to 120 sophomores majoring dental technology to understand the target group's belief about safe actions. Following the instructions by Ajzen & Fishbein, the collected data were grouped according to similar beliefs. Those beliefs of the highest frequency were given a priority and got to represent the belief level of the target group. Even with belief changes, however, they would not be able to practice safe actions if they had no knowledge about how to do safe actions. For desirable behavioral changes among the students, the students were then asked to discuss the current state of safety accidents and issues focusing on the materials and processes used in the practice and give presentations regarding the subjects to identify risk factors. Then the identified risk factors were used to devise the program contents so that the students could practice safe actions through accurate behavioral approaches and belief changes by educating them about how to act safely by the practice processes and the involved materials and devices. Results: Not only do the students of Dept. of Dental Technicians have difficulties with the complex practice processes while practicing to make dental prosthesis, but they are exposed to the risk of accidents as they're poor at dealing with the materials and devices. Although there is a definite need for accident prevention education programs before practice, the reality is that the school doesn't the schoosuch education. Based on the judgment that an education program designed to reinforce belief for behavioral changes would generate effgrams results, an education program was developed by applying the Theory of Planned Behavior(TPB). Along with their beliefs, the current state of accidents n. Basepractice, demand for safety education, and practice level of safe actions were used to device the contents of accident prevention education and to develop an accident prevention education program for dental technology. Conclusion: The study presents an accident prevention education program developed to reinforce dental technology students' beliefs and knowledge and to help them do safe actions during practice.

• 간호행정학회지
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• 제20권2호
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• pp.215-226
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• 2014

Purpose: This study was done to suggest policies for nurse workforce based on patient safety. Methods: The two steps in developing the items were items related to what would be desirable policies and items on how the policies should be developed for patient safety regarding nurse workforce. A literature review was done and suggestions from experts through two rounds using the Delphi technique were outlined. The fifteen experts who participated in this study were six representatives of service consumers and nine representatives of service providers (four medical doctors and fives nurses). Results: To guarantee patient safety, accreditation of nursing practice and nursing education were found to be necessary, and to prevent medical and nursing accidents in clinical practice, the professional judgement of the nurses was found to be pivotal to the provision of safe nursing services. Conclusion: Polices on nursing for the nurse workforce based on patient safety in clinical settings should be established to ensure that nursing care is provided according to the nurses' clinical judgements based on their professional knowledge and assessment skills.

• 한국항행학회논문지
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• 제20권1호
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• pp.1-7
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• 2016

국토교통부는 2014년부터 한국형 위성보강항법시스템 (SBAS; satellite based augmentation system)인 KASS (Korea augmentation satellite system) 개발 구축 사업을 진행 중이다. KASS는 실제 운영 중 문제가 발생할 경우 인명 및 재산피해와 연결될 수 있어 시스템 개발을 위한 안전성 평가가 매우 중요하다. 안전성 평가의 핵심은 위해 식별과 심각도 판정에 따른 개발보증레벨 (DAL; design assurance level) 할당이다. 본 연구에서는 항공시스템의 안전성 평가 방법론을 제시하는 국제표준인 SAE (society of automotive engineers) ARP4761 (aerospace recommended practice)을 기반으로 KASS 및 그 하위시스템에 대해 개발보증레벨 할당을 수행한다. 이것은 전체 시스템 안전성 평가의 첫 단계이므로 향후 KASS 개발 구축 사업의 안전성 평가에 활용될 수 있다.

• 디지털융복합연구
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• 제17권8호
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• pp.131-139
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• 2019

본 연구는 지적장애 특수학교 교사들의 안전사고 실태 및 예방교육에 관한 연구를 효과적인 안전교육 방안의 목적이다. 그 결과를 요약하면 지적장애 특수학교 교사의 안전교육활동, 안전교육환경, 안전교육인식, 안전교육지식, 안전자원 및 연수경험, 내 외부요인 간에는 통계적으로 유의미한 정(+)적 상관관계가 있는 것으로 나타나 상호 보완적인 관계에 있음을 알 수 있다. 전체적으로 교사의 안전사고 경험이 기대이상 높고 교실, 계단, 강당, 놀이기구 등 장소, 시간, 유형에 따라 다양하게 발생되고 있음을 알 수 있다, 이를 예방하기 위한 안전교육 실천도 또한 안전자료와 연수경험에 안전교육 지식과 인식도, 교육활동 순으로 나타내 특수학교 교사의 안전자원과 연수경험의 기회 제공이 보다 확충되어야 할 것을 시사해 주었다.

• 대한안전경영과학회지
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• 제14권3호
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• pp.193-205
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• 2012

Since manufacturing and supplying corporations today come to view their practice of SCM as important, it becomes essential to analyze and control the structural relationship between the information sharing among corporations and the performances resulting from their practice of SCM. It is thus the purpose of this paper to examine the factors that may prompt corporations to implement SCM by means of analyses into the relationship between information sharing and practice of SCM which corporations should lay stress on as well as the relationship between financial and non-financial performances of corporations. The findings of the study can be summed up as follows: First, as for the relationship between information sharing among and practice of SCM by corporations, information sharing among corporations turned out to affect such factors of implementing their SCM as trust, commitment mutual dependence. Consequently, corporations are requested to endeavor to implement SCM itself faithfully if they really aim to achieve their performances by practice of SCM and, at the same time, to make efforts to obtain understanding and support for information sharing among themselves. Second, from the analysis of the relationship between SCM and financial as well as non-financial performances of corporations, it was found that trust, a factor of SCM practice, had influence upon non-financial performances of corporations, but not upon their financial performances, while commitment and mutual dependence affected both financial and non-financial achievements of corporations. Therefore, it was made clear from the analysis that the decision and systematic control of SCM activities which best suit to a corporation play an important role in improving its financial and non-financial performances, because they greatly depend on the implementing extent of SCM factors such as trust, commitment and mutual dependence among corporations.

• 디지털융복합연구
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• 제16권12호
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• pp.511-521
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• 2018

본 연구의 목적은 간호대학생의 비판적 사고성향과 임상의사결정능력 및 환자안전 지식, 태도가 임상실습 시 환자안전수행능력에 미치는 영향을 조사하고 이들 변수간의 관련성을 파악하여 환자안전수행능력의 향상을 위한 중재 프로그램 개발의 기초자료를 마련하기 위함이다. 자료분석은 SPSS 21.0 프로그램을 이용하여 t-tests, one-way ANOVA 등을 실시하였다. 연구결과, 대상자의 환자안전 수행능력은 비판적 사고성향(r=.278, p=.001)과 양적 상관관계,. 임상의사결정능력(r=.202, p=.014)과 양적 상관관계, 환자안전 태도(r=.421, p<.001)와 양적 상관관계가 있었다. 환자안전 수행능력에 미치는 영향요인은 성별(${\beta}=.175$, p=.031), 환자안전 교육(${\beta}=-2.266$, p=.025), 비판적 사고성향(${\beta}=3.354$, p=.001), 환자안전 태도(${\beta}=.368$, p<.001)로서 설명력은 31.5%의 영향력을 보였다(R2=.561, F=4.56 p<.001). 간호대학생의 임상실습 교육에 필요한 환자안전 수행능력을 증진하기 위해서 비판적 사고성향, 임상의사결정능력, 환자안전교육에 대한 교과 과정의 수립이 필요하다.