• 제목/요약/키워드: cause of accidents

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의료사고의 근본원인 분석: 의료사고 판례문 이용 (Root Cause Analysis of Medical Accidents -Using Medical Accident Cases)

  • 김선녀;조덕영
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.13-26
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    • 2019
  • Objectives: To investigate whether medical institutions can prevent accidents by analyzing the root cause of a medical accident and identifying the tendencies. Methods: A total of 345 medical cases were used for the RCA(Root Cause Analysis). The root causes were classified using the SHELL model. The suitability of the model was confirmed by SPSS's MDPREF and Euclidean distance. An SPSS20.0 hierarchical regression analysis was used as an influencing factor on the degree of injury resulting from medical accidents. Results: The SHELL model was suitable for classification. The rates of accident causes were LS49%, L34%, LL10.2%, LE3.7%, LH2.3%. The order in which the degree of a patient's injury was affected were: Risk Threshold (${\beta}=.180$), Time (${\beta}=.175$), Surgical stage (${\beta}=-.166$), Do not use procedure (${\beta}=.147$). Conclusions: Health care institutions should remove priorities through system improvement and training. For patients' safety, the five factors of the SHELL model should be managed in harmony.

소형어선을 위한 VDR 시스템에 관한 연구 (A Study on VDR System for a Small Fishing Vessel)

  • 유남현
    • 한국전자통신학회논문지
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    • 제11권11호
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    • pp.1025-1030
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    • 2016
  • 어선에 의한 해양사고의 가장 큰 문제점은 경계소홀로 충돌, 접촉, 좌초, 전복, 및 침몰 등의 사고가 발행한다. 또한 사고가 발생하더라도 목격자가 없거나, 있다고 하더라도 사고 당시의 상황으로 인한 혼란으로 정확한 증거로써 활용되기 어려워 대부분의 사고 원인이 밝혀지는데 어려움이 많다. 사고가 발생한 후에 정확한 사고 규명을 위해서는 운항 기록을 기록하는 VDR(: Voyage Data Recorder) 시스템을 설치하여 하나 가격이 비싸고 어선에 적합하지 않아 잘 이용되지 않고 있다. 이에 본 논문에서는 어선에 적합한 운항 영상 보관을 위한 VDR 시스템을 설계 및 개발하였다. 이를 활용하는 경우, 어선에 의한 해양사고가 발생하더라도 신속하게 사고 규명이 가능하고, 사고 원인에 따른 적절한 조치를 취할 수 있기 때문에 해양사고 예방에도 많은 도움이 될 것으로 예상된다.

선박 충돌사고 분석을 위한 시뮬레이터 구축 (Building of a Simulator for Analyzing Vessel Collision Accidents)

  • 천대일;박계각
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2003년도 춘계학술발표회
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    • pp.99-104
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    • 2003
  • Vessel collision accidents have been investigated by means of questioning the persons involved and plotting manually the stated situation. But the repetitive plotting by hand can cause the investigator to make some errors, and it can be connected to a wrong judgement. In this paper, we proposed a simulator for reconstructing and analyzing vessel collision accidents at sea, where the given situation is plotted automatically on it. We verified validity of the system by applying it to some collision accidents.

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중소형 보일러의 안전성 향상에 관한 연구 (A Study on safety enhancement of Medium and small boilers)

  • 김대룡;이근오
    • 에너지공학
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    • 제22권3호
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    • pp.294-301
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    • 2013
  • 보일러 폭발 등의 사고에 심각한 영향을 미치는 결함이 높은 위험도가 있음으로 사고가 발생되는 것이다. 보일러의 사고발생은 78년도부터 06년까지 총 100건 사고에 379명의 사상자가 발생하였고, 그 규모가 줄지 않고 지속적이고 대형화하고 있다. 보일러 사고의 원인 결함을 분석한 결과 관리부주의로 인한 사고가 54건으로 저수위로 인한 사고 18건 제외한 총 82건 사고의 72%를 차지하고 있다. 외국의 사고내용을 분석한 결과도 또한 비슷한 수치이다. 손상이나 사고원인의 대부분이 취급과 유지 보수 불량에서 기인되는 것은 예전이나 지금이나 변함이 없었다. 검사를 받은 보일러도 사고내용을 분석한 결과 자동제어장치, 안전장치 등의 취급부주의 및 관리부실에 의한 것으로 분석 되었으며, 대형 파열사고에서는 가장 큰 원인결함은 저수위사고가 가장 큰 영향을 미친다는 것을 확인할 수 있었다.

Inequalities in External-Cause Mortality in 2018 across Industries in Republic of Korea

  • Lim, Jiyoung;Ko, Kwon;Lee, Kyung Eun;Park, Jae Bum;Lee, Seungho;Jeong, Inchul
    • Safety and Health at Work
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    • 제13권1호
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    • pp.117-125
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    • 2022
  • Background: External-cause mortality is an important public health issue worldwide. Considering its significance to workers' health and inequalities across industries, we aimed to describe the state of external-cause mortality and investigate its difference by industry in Republic of Korea based on data for 2018. Methods: Data obtained from the Statistics Korea and Korean Employment Information System were used. External causes of death were divided into three categories (suicide, transport accident, and others), and death occurred during employment period or within 90 days after unemployment was regarded as workers' death. We calculated age- and sex-standardized mortalities per 100,000, standardized mortality ratios (SMRs) compared to the general population and total workers, and mortality rate ratios (RRs) across industries using information and communication as a reference. Correlation analyses between income, education, and mortality were conducted. Results: Age- and sex-standardized external-cause mortality per 100,000 in all workers was 29.4 (suicide: 16.2, transport accident: 6.6, others: 6.6). Compared to the general population, all external-cause and suicide SMRs were significantly lower; however, there was no significant difference in transport accidents. When compared to total workers, wholesale, transportation, and business facilities management showed higher SMR for suicide, and agriculture, forestry, and fishing, mining and quarrying, construction, transportation and storage, and public administration and defense showed higher SMR for transport accidents. A moderate to strong negative correlation was observed between education level and mortality (both age- and sex-standardized mortality rates and SMR compared to the general population). Conclusion: Inequalities in external-cause mortalities from suicide, transport accidents, and other causes were found. For reducing the differences, improved policies are needed for industries with higher mortalities.

분기기에서의 사고사례조사 및 사고원인분석 연구 (A study for investigation and analysis of accidents or hazzards on the turnout)

  • 양대권;장봉춘;이대형;신순호;김만철
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2006년도 추계학술대회 논문집
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    • pp.91-97
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    • 2006
  • Currently, approx. 10,532 turnouts were installed on the KR line, of which 3,644 turnouts were installed in the main line where high speed operation is performed. This shows that it is necessary to improve the performance of turnout as one of vulnerable areas for the safe operation of a train. Even though the number of railway accidents is decreasing every year due to the renewal of railway facilities, there are still many factors that cause the occurrence of an accident. In particular, an incident in turnout area does not only have a high risk of a serious accident but also affect the operation of a train on the adjacent track in most cases, and consequently a big social loss is expected due to the delay in train operation as well as the loss of life and property. The objective of this study is to examine the accidents occurred in turnout area that is one of typical vulnerable areas over the past ten years, on the basis of the results, and to take an appropriate measure by finding out the major cause of accidents in turnout area so that a systematic safety system can be established to prevent or reduce accidents in turnout area.

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산업용 위험기계 및 기구관련 산재예방 정책 연구 (Safety Policies on Prevention of Industrial Accidents Associated with Industrial Machines and Devices)

  • 최기흥
    • 한국안전학회지
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    • 제30권6호
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    • pp.26-33
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    • 2015
  • This study suggests systematic procedures to improve safety policies on prevention of industrial accidents associated with industrial machines and devices. Specifically, new method of cause analysis of industrial accidents associated with industrial machines and devices is suggested and the related accident data are re-analyzed. Effectiveness of direct safety regulations such as safety certification, self-declaration of conformity, safety device regulation and safety inspection of industrial machines and devices are also analyzed. Based on those analysis results, transition from the current user-oriented safety device regulation to more balanced direct regulations on both manufacturer and user is suggested. Together with severity and frequency of industrial accidents, unit severity and unit frequency need to be taken into account to further assess the risk associated with a particular industrial machine or device. Balance between safety regulations will be realized by proper adjustment of lists of safety certification and inspection, and certification and inspection standards. This will also guarantee the maximum benefit over cost in such safety regulations.

소규모 사업장의 산업재해 특성과 예방대책에 대한 연구 (The Characteristics of Occupational Injury in Small Manufacturing Factory)

  • 김유창
    • 한국안전학회지
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    • 제13권2호
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    • pp.145-150
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    • 1998
  • The production activity by human is accompanied by various accidents which resulted in human and property loss. If information on these industrial accidents could be collected and analyzed for the purpose of preventing industrial accidents, we would be able to get rid of industrial accidents. The accidents which involved absence from work at least 4 days in small manufacturing factories were considered in this study. 84 accidents which occurred in 1995 were investigated. These accidents were analyzed in terms of employment sector, work period, cause of accident and form of accident. The accidents of small manufacturing factories are numerous and are often serious and worthy of greater attention than they have received. Successful strategies for accident prevention depend on effective analysis.

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건설현장에서의 사고유형별 원인 분석 및 재해예방대책에 관한 연구 (A study on the Causes Analysis and Preventive Measures by Disaster types in Construction Fields)

  • 조재환
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2011년도 추계학술대회
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    • pp.23-34
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    • 2011
  • Recently, carelessness on safety management in construction sites has caused a sharper upward trend in accidents and disasters, compared to the past. Therefore, this study analyzes the causes of accidents that occurred on construction sites in the year of 2010, and proposes preventive measures. The construction industry had a heavy death rate with 279 out of 418 deaths from falls in all industrial sites, accounting for 66.7%. And the causation analysis found a particularly high incidence of temporary structure-related accidents, with falling off scaffolding as the most common cause of accidents. According to the causation analysis of fall-down accident cases, accidents induced by protrusion on construction sites are a big contributor resulting in the deaths of 312, accounting for 74.8%, which is deemed to be due to site disorderliness. And to remove floor protrusions and to secure workers' traffic line and safety, neat and thorough site arrangement is necessary. Against collision, efforts must be made to prevent equipment-pedestrian crashes on site, which necessarily requires emergency lamps, alarm bells, and safety poles and blocks to be installed, lighting systems to be improved, obstacles to be removed, site supervisors to be assigned to construction equipment works, and workers to be more intensely trained and supervised.

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건설현장에서의 재해유형별 원인 분석 및 예방대책에 관한 연구 (A study on the Causes Analysis and Preventive Measures by Disaster types in Construction Fields)

  • 조재환
    • 대한안전경영과학회지
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    • 제14권1호
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    • pp.7-13
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    • 2012
  • Recently, carelessness on safety management in construction sites has caused a sharper upward trend in accidents and disasters, compared to the past. Therefore, this study analyzes the causes of accidents that occurred on construction sites in the year of 2007, and proposes preventive measures. The construction industry had a heavy death rate with 279 out of 418 deaths from falls in all industrial sites, accounting for 66.7%. And the causation analysis found a particularly high incidence of temporary structure-related accidents, with falling off scaffolding as the most common cause of accidents. According to the causation analysis of fall-down accident cases, accidents induced by protrusion on construction sites are a big contributor resulting in the deaths of 312, accounting for 74.8%, which is deemed to be due to site disorderliness. And to remove floor protrusions and to secure workers' traffic line and safety, neat and thorough site arrangement is necessary. Against collision, efforts must be made to prevent equipment-pedestrian crashes on site, which necessarily requires emergency lamps, alarm bells, and safety poles and blocks to be installed, lighting systems to be improved, obstacles to be removed, site supervisors to be assigned to construction equipment works, and workers to be more intensely trained and supervised.