• 한국콘텐츠학회논문지
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• 제16권11호
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• pp.308-320
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• 2016

본 연구의 목적은 노인요양시설에서 위험의 예방과 대응을 위해 구축한 위험관리시스템의 실제 수행 활동인 액션 플랜의 실행 과정과 성과를 제시하는 경험적 사례 연구이다. 이를 위해 국내 최초로 위험 예방 및 대응을 위해 위험관리시스템을 구축하여 수행 활동을 해온 A노인요양시설이 2년간 실시(2014년~2015년)한 액션 플랜 실행 과정과 성과를 분석하였다. 본 연구의 결과 첫째 위험관리시스템 액션 플랜은 위험관리시스템 구축 4단계 과정 중 세 번째 단계인 위험 예방 및 대응처리 방법의 선택과 수행 단계에서 수립이 되었다. 둘째 위험관리시스템 액션 플랜 실행에 따른 성과로서 2년간(2014년~2015년)의 위험의 변화를 조사를 파악한 결과 2014년에 비해 2015년에 위험이 28% 감소하여 액션 플랜에 수행에 따른 위험관리 활동이 효과가 있는 것으로 나타났다. 이러한 결과를 바탕으로 노인요양시설에서 효과적인 액션 플랜 수립과 실행을 위해 액션 플랜은 독자적으로 수립되는 것이 아니라 비전과 전략을 바탕으로 전략, 성취목표와 성취과제 등이 잘 연계될 수 있도록 체계적인 추진일정을 수립해야 하고, 책임소재를 분명히 해야 하며, 간트 도표 등의 기법을 활용하여 실행되어야 할 모든 내용들이 한눈에 쉽게 알아 볼 수 있도록 도식화하여 구체적으로 작성하는 것이 중요하다.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2007년도 춘계학술발표회
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• pp.101-108
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• 2007

예부선은 항만 개발 및 매립, 해상교량 건설, 항로 준설 등 우리나라 해양 산업 건설에 핵심적인 공헌과 역할을 수행하여 왔다. 또한 국내 등록 척수로는 가장 많은 비중을 차지하고 있고, 부선의 경우 전용화와 대형화가 꾸준히 진행되어 일반 상선과 동급의 부선이 운항되고 있다. 이로 인한 해양사고의 증가에도 불구하고 예부선에 대한 국가적인 차원에서의 안전운항 대책이 미흡한 실정이다. 본 연구는 최근 빈번하게 발생하고 있는 해상교량과 관련된 예부선의 사고에 대한 안전 운항 대책을 제안하고자 한 것으로, 해양사고의 통계 자료와 사례 분석, 예부선 운항 실태를 운송계약 측면과 인원 구성을 검토하여 해상교량의 안전 통항을 위해 선박 자체적으로 점검해야 하는 항해계획과 운항점 검표를 일례로 제시하고, 예부선의 안전운항 향상을 위한 전자차트시스템 기반의 안전항행지원시스템을 제안한다.

• 한국보건간호학회지
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• 제1권1호
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• pp.45-61
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• 1987

This Study was an attempt to estimate the optimum numbers of Operating Room Nursing Manpower by measuring the amount of service hours required by the patients in Operating Room in relation to the service amount actually provided by the nurses. The major concern of this study was placed on the measurement of Nursing Service Requirements by using the Operating Room (O. R) Patient Acuity System recently developed by M. M. Hart to classify the O. R. patients into four groups according to the degree of the complexity of operative procedure and some other elements which increase nursing activities in respect of patient care; Acuity IV group is the one requires nursing services most, on the other hand Acuity I requires least. nu sing The objectives of this study were as follows; 1. To analyze functions of the nursing personnel in O. R. by time unit and to estimate the average time a nurse can activate for productive functions. 2. To measure the actual amount of nursing times provided by nurses to the surgical patients. 3. To develop a patient classification system in order to measure the amount of Nursing services required by the patients. 4. To calculate an appropriate number of nursing manpower to meet the needs of the patients. In order to conduct the research both selected nurses and patients in 'S' University Hospital were Studied by utilizing the O. R. Patient Acuity System as well as the Classification Chart developed by Association of Operating Room Nurses (A. O. R. N) as a means of classifying functions of O. R. nurses. That is; Functions of the 10 selected O. R. nurses observed during the period of June 30 to July 4, 1986, whereas the amount of nursing services required by or provided to the 974 patients who had received surgeries during the period of June 9 to July 4, 1986. The results of this study were as follows; 1) The actual working hours per a nurse averaged 6.7 hours a day. 2) Each nurse's daily routine schedule consists of $71.4\%$ for Technical Functions, $16.1\%$ for Nonprodective Functions, $6.6\%$ for Assessment and Evaluation, $3.9\%$ for Overseeing and Supervision and the rest $2.0\%$ for Patient Preparation respectively. 3) Preoperative waiting time per a patient was 24.1 minutes on the average; for the first case was 10.7 minutes, whereas for the following cases was 32.0 minutes. 4) Total Operation time for the 974 patients during the period of observation for this study amounted to 2759.6 hours, weekly hour was equivalent to 689.9 hours, Whereas daily operation time averaged 130 hours. Meanwhile the average operation time per patient was 2.8 hours ; for the case of Acuity IV was 5.6 hours, 5. 1 hours for the case of Acuity III, 2.3 hours for Acuity II and 1.1 hours for Acuity I. 5) According to the O. R. Patient Acuity System, $64.5\%$ of the whole patients belonged to Acuity II, $23.7\%$ to Acuity III, 11. $3\%$ to Acuity IV and $0.7\%$ to Acuity I respectively. 6) Required amount of nursing times based on the preoperative waiting time and operation time was 7167.8 person hours, which showed that $5.5\%$ of them needed for preoperative nursing care, whereas the rest $94.5\%$ for intraoperative nursing care. In terms of the O. R. Patient Acuity System, $49.7\%$ of total nursing service requirements was needed for Acuity II patients, $27.4\%$ for Acuity III patients, $17.2\%$ for Acuity IV patients and $0.2\%$ for Acuity I patients. 7) The rate of the nursing services provided against the required nursing times was about $81.4\%$ on the average; some departments, like those of Plastic Surgery, Otolaryngology and Ophthalmology whose patients mostly belonged to Acuity II recorded hegher provision rate than average, whereas other departments of Thoracic Surgery. Neurosurgery and Orthopedic Surgery whose patients belonged to Acuity III and Acuity IV as well as Acuity II recorded lower provision rate than average. 8) Subsequently, required numbers of nursing manpower was 10.7 nurses additionally. Based on the above findings the following recommendations will be made; 1) this study recommends, develops. and adopts an accurate and realistic O. R. Patient Acuity System which can help measure the nursing service requirements objectively to elicit the rationales of allocation of nursing personnels. 2) this study proposes storongly place nurses who take the role of preoperative nursing care exclusively for the waiting patients in O. R. and shortening their waiting time by close communication between the designated O. R. and the ward.