• Title/Summary/Keyword: experience accident

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Perception on the Nursing Accident Experience of the Nurses and Its Cause (간호사(看護師)들의 간호사고(看護事故) 경험(經驗)과 사고원인(事故原因)에 관한 지각(知覺))

  • Lee, Soon-Bok;Moon, Heui-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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    • pp.246-267
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    • 1995
  • Recently the request of the patients to participate in the medical courses has been expanding due to the elevated sense of right on the people's health, merchandised medical treatment by mass supply, human right declaration of the patients, generalized medical informations by the mass media and the change of human relation between the medical personnels and the patients. Under these phenomena the patients have been in the thought of solving such accidents only by regulation of the laws which they think to be all powerful, Such trends are same in the area of nursing service. Also today the accident by the nurses have been increasing by the area of the nurses having been expanded and their independent roles having been increased. Such nursing accidents are the important subject which the professional occupation of the nurse has been facing but legal protective capability of the nurses has been very weak. Therefore this study has examined the degree of the experience of the nursing accident that happens in the clinical nursing scenes in the general hospital to provide the basic materials for the protection and the counter measures of the nursing accident. The following is the conclusion based by the above examination. 1) The experience degree of the whole nursing accidents has been appeared as 1.90 in average. And the degree according to service area has been 1.77 in the area of supervising management of patients, 1.54 in the area of the same management of patients by head-nurses, 1.84 in the area of doctors' treatment performances, 14 in the enforcement and education areas of the nursing technology, 2.04 in the area of observing patients and judgement and 2.07 in the area of nursing records and maintaining confidentials. Accordingly there has been higher degree of accidental experiences in the independent service areas of the patients than in the dependent ones directed by the doctors. 2) The perception of the nurses showed that the cause of the nursing accident has been due to the heavy work of the nurses with the 60.4% of the response rate, the highest rate. They report the accident to the head nurse first by 2/3 nurses after accident. And the hour of the accident has been frequently happened regardless of service hours with 48.1% in response rate, the highest rate, and the nursing accident happens in the night more than the daytime with the rate of 37.5% at night while 14. 4% daytime. 3) The nurses are in the perception that the patients are responsible for the accident with 48.2% response rate while 43.9% rate in response showed that it has been caused by many people. They are in the perception that 41.7% when the nursing power was lacking, 46.7% lower recognition of actual state about indivitual patient in the section of technical speciality and 35.8% when the patients were not cooperative and 37.8% when the wards were dirty and in disorder. 4) the attitude of the patients after the various nursing accidents has been violent words in 72.7%, violence in 17.4% and 3.9% in attending the court by the sue of the patient's side(18 nurses). 5) The action of the hospital has been : requesting the submission of the story of the accident in 22.8%, the report of the accidents in 14.4%, thus the written statement disposal was most, 4.5% was the transfer to the other departments when the accident was larger or the patients' guardians protested strongly and 0.6% of the dismissals of the nurses. 6) In regard to the responsiblity of the nurse accidents, 78.9% was the highest rate of supplying the nursing manpowers, 48.4% of mutual cooperation of the medical personnels, 37.2% of strengthening the education for the nurses and hospital facilities reformation in 32.7%. 7) The review of relation between the general characters of the object of the study and the degree of experience of nursing accidents showed the significant differences in ages (F=4.04, p=0.000).

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Development of an Accident Sequence Precursor Methodology and its Application to Significant Accident Precursors

  • Jang, Seunghyun;Park, Sunghyun;Jae, Moosung
    • Nuclear Engineering and Technology
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    • v.49 no.2
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    • pp.313-326
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    • 2017
  • The systematic management of plant risk is crucial for enhancing the safety of nuclear power plants and for designing new nuclear power plants. Accident sequence precursor (ASP) analysis may be able to provide risk significance of operational experience by using probabilistic risk assessment to evaluate an operational event quantitatively in terms of its impact on core damage. In this study, an ASP methodology for two operation mode, full power and low power/shutdown operation, has been developed and applied to significant accident precursors that may occur during the operation of nuclear power plants. Two operational events, loss of feedwater and steam generator tube rupture, are identified as ASPs. Therefore, the ASP methodology developed in this study may contribute to identifying plant risk significance as well as to enhancing the safety of nuclear power plants by applying this methodology systematically.

Development of logical structure for multi-unit probabilistic safety assessment

  • Lim, Ho-Gon;Kim, Dong-San;Han, Sang Hoon;Yang, Joon Eon
    • Nuclear Engineering and Technology
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    • v.50 no.8
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    • pp.1210-1216
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    • 2018
  • Site or multi-unit (MU) risk assessment has been a major issue in the field of nuclear safety study since the Fukushima accident in 2011. There have been few methods or experiences for MU risk assessment because the Fukushima accident was the first real MU accident and before the accident, there was little expectation of the possibility that an MU accident will occur. In addition to the lack of experience of MU risk assessment, since an MU nuclear power plant site is usually very complex to analyze as a whole, it was considered that a systematic method such as probabilistic safety assessment (PSA) is difficult to apply to MU risk assessment. This paper proposes a new MU risk assessment methodology by using the conventional PSA methodology which is widely used in nuclear power plant risk assessment. The logical failure structure of a site with multiple units is suggested from the definition of site risk, and a decomposition method is applied to identify specific MU failure scenarios.

A Study on the Application of Operational Experience in the Stage of Aircraft System Design and Safety Assessment (항공기 시스템 설계와 안전성평가에 운영경험 반영 사례 연구)

  • Koo, Min-Sung
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.22 no.2
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    • pp.34-39
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    • 2014
  • Airworthiness authorities specify the technical standards of airworthiness that propose minimum requirement of the commercial transport category and apply the rules in the certification process to ensure the safety of the aircraft. The Federal Aviation Administration and other national airworthiness authorities define the fatal accident risk levels for the safety assessment of the aircraft system and establish standard procedures to apply both qualitative and quantitative analysis techniques. However, an accident or incident may occur by the combination of various factors, although the aircraft is designed in accordance with the strict standards and approval by the Airworthiness Authorities. There are some key factors, such as human error, unpredictable complex system failures, degradation of the components reliability, improper maintenance task and intervals. Risk can be reduced by reflecting aircraft operational experience with similar types of aircraft in the process of aircraft development and safety assessment. Result of the root cause analysis for the Airbus A300-600 incident in which the aircraft engine reverser was deployed in the air have been introduced to reflect the design of system and related components. Also, this paper suggests to create a big-database in order to provide a feed-back to the FAR Part 25 transport category design and safety assessment of the operational experience.

Analysis of Health Conditions Influencing on Industrial Accidents by Cornell Medical Index (Cornell Medical Index에 의(依)한 산업재해(産業災害) 요인(要因)의 분석(分析))

  • Chang, Im-Won
    • Journal of Preventive Medicine and Public Health
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    • v.12 no.1
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    • pp.31-37
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    • 1979
  • By evaluating the health status of 152 male workers engaged in a metal-product factory by Cornell Medical Index in conjunction with their experience of industrial accident, I attempted to find out whether any health condition may effect on the occurence of industrial accident. Differences in frequency of complaints in each section of CMI between control workers and accident workers were statistically tested by T-test. On the other hand, influence of neuropsychiatric factors (section M-R) on the occurence of accidents was analyzed by $X^2-test$ with Fukamachi's classification. The followings were the results obtained in this study. 1. The average number (26.42) of physical complaints in accident group is significantly more than in control group (18.70). 2. The average number (17.70) of mental complaints in accident group is very significantly more than in control group (11.70). 3. Differences in frequencies of complaints by sections between accident group and control group was all significant except C (cardiovascular system), H (genitourinary system), I (fatigue) & J (frequency of disease). 4. frequency rate of neurotic workers who were identified by Fukamachi's classification was significantly higher in accident group (72%) than in control group (51%).

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Analysis of traffic accidents involving 119 emergency (119 구급대 구급차 교통사고 현황 분석)

  • Lee, Jeong-Ho;Shin, Dong-Min
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.1
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    • pp.35-47
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    • 2018
  • Purpose: The purpose of this study was to investigate both the occurrence status of emergency vehicles traffic accidents and contents of the experiences of emergency medical technicians (EMTs) in fire station. Methods: A self-reported questionnaire was completed by 451 EMTs in fire stations in 6 cities provinces from February 9, 2017 to February 27, 2017. Results: Of 451 EMTs, 207 (45.9%) had traffic accidents experience. Regarding environment-related features, results indicated hour (12~18 hours), place (national highway), traffic flow (smooth), weather (clear), season (winter), and day (Friday). Regarding correlation analysis of differences in the number of ambulance traffic accidents pursuant to general features of accident-experienced drivers as a human factor, there were no significant differences in recruitment, driving careers of regular cars, driving careers of fire engines, and class but there were significant differences in fire-fighting careers. Accident experience in the group with careers over 6 years and less than 10 years higher than in the other groups. Conclusion: Efforts to expand fire engine driving education programs for the prevention of traffic accidents involving 119 emergency vehicles are required.

Realities of experience in the place of safety experience education and propose the reform measure (대국민 안전체험교육장의 체험교육 실태 및 개선방향)

  • Kim, Tae-Hwan
    • Journal of the Society of Disaster Information
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    • v.2 no.1
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    • pp.81-89
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    • 2006
  • As the quality of the rising the desire for safety life and the need of safety education to prevent disasters or big safety accident have been shown. Therefore the superintendent of education for safety experience carry out a policy for set up. However, it is unclear the appropriateness of safety education program and safety standard of facilities of introductions in the safety experience center. therefore, in the result of this study will be the basic information for the realities of experience in the place of safety experience education and propose the reform measure.

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A Study on Safety Management Development Plan of Domestic City Gas Facility (국내 도시가스 시설의 안전관리 발전방안에 관한 연구)

  • 정원익;양광모;강경식
    • Journal of the Korea Safety Management & Science
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    • v.6 no.2
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    • pp.23-33
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    • 2004
  • Domestic city gas is supplying in an about 10 million household on present 34 city gas companies because is begun to supply regularly after two 1980 years middle. But, result that focus on city gas supply spread and stable supply for supply area and neglects about safety problem, hundreds casualties such as Ahyun explosion accident and Deagu city gas explosion accident were reached in situation that occurred large size calamity occurs it is dizzliness. In the case of advanced nation, can see that accomplish system and progress that in technology after experience major accident. Therefore, grasp problem investigating safety actual conditions for city gas institution and study about solvable plan is required this. Also, must guide reform and level elevation of a domestic company safety technology through induction and development of safety technology that is suitable in supply, domestic real condition etc. Must help in power positivity that is full text executing high-quality safety education about step High firing mechanism safety technology than present safety education.