• 제목/요약/키워드: fall accident analysis

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Evaluation of a Fall Risk Assessment Tool to Establish Continuous Quality Improvement Process for Inpatients' Falls (낙상예방 활동의 지속적 질 관리 프로세스 확립을 위한 위험 사정도구 평가)

  • Park, Ihn-Sook;Cho, In-Sook;Kim, Eun-Man;Kim, Min-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.484-492
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    • 2011
  • Purpose: The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. Methods: A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital’s Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. Results: At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. Conclusion: The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.

Laboratory and Full-scale Testing to Investigate the Performance of Rock Fall Protection System with Hexagonal Wire Net (육각 낙석방지망의 성능평가를 위한 실내 및 실대형실험)

  • Youn, Ilro;Oh, Sewook;Kwon, Youngcheul
    • Journal of the Korean GEO-environmental Society
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    • v.15 no.9
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    • pp.69-75
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    • 2014
  • Rock fall protection system installed against rock slope is one of the most conventional way to protect nearby infra structures. Despite of wide application of typical rectangular nets, virtually installed to protect rock slope face, several problems have also been pointed out up to date. Rectangular draped nets are vulnerable to a sudden external shock such as rock fall, because it doesn't have any systematical buffers or shock absorbers. Furthermore, it has been widely recognized from the some cases of rock fall accident in Korea that rock fall protection nets cause wide range of failure in the rock slope faces due to insufficient pullout bearing capacity of fixing parts. Therefore, in this study, we tried to make a consideration about the problems of existing standard rock fall protection nets in Korea, and develop a new type of hexagonal net with a shock absorber based on design rock fall energy. In this paper, laboratory and full scale test procedure is described to analysis the performance of newly developed hexagonal rock fall net, and the key results are presented and discussed.

Study on Status of Safety Accidents and Related Factors of the Cooks for School Foodservice in Daegu (대구 지역 학교 급식 조리사의 안전사고 실태 및 영향 요인에 관한 연구)

  • Shin, Sun-Jung;Kim, Hyochung;Kim, Meera
    • The Korean Journal of Food And Nutrition
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    • v.30 no.6
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    • pp.1299-1309
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    • 2017
  • The aim of this study was to investigate status of safety accidents of school foodservice cooks in Daegu and to analyze the factors affecting the occurrence of the accidents in order to seek effective ways for preventing safety accidents in school foodservice. The survey showed that the most frequent safety accidents were 'bruises', followed by 'burns', 'contact with harmful substances such as disinfectants', 'fall-off ' and 'sprains'. The mental fatigue perception of the respondents was generally lower than the physical fatigue perception. The means of the perception levels of work intensity, cooking environment of the foodservice place, and safety-related behaviors, and consciousness were 3.15, 2.99, and 4.06 out of 5 points, respectively. In addition, the annual average of the number of participating in the accident prevention training per person was 17.34 times, that is, the respondents received the training at least once a month on average. A multiple regression analysis was conducted to investigate the variables affecting the occurrence of safety accidents that happened to foodservice cooks. It revealed that the work intensity perception and the cooking environment perception influenced the frequency of safety accidents.

Reduction of Fall Incidence through Operation of the Staff Nurse-Centered Peer Review Group (낙상 peer review group 운영을 통한 낙상발생률 감소)

  • Sung, Il Soon;Song, Mi Ra;Kim, Hee Sun;Kim, Eun Sook;Jung, Mi A;Lee, Su Mi;Sung, Young Hee;Ha, Kook Hee;Kim, Seong Hwa;Lee, Hye Ran;An, Kyoung Jin;Shim, Mi Ok;Kim, Nag Hee;Sung, Young Hee
    • Quality Improvement in Health Care
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    • v.14 no.1
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    • pp.49-54
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    • 2008
  • Background : This study was to reduce incidence of falls by analyzing actual problem and drawing out improvement plan applicable to the clinical practice through operation of the staff nurses-centered fall peer review group. Method : The fall peer review group was composed of 8 nurses having patient nursing experience for over 5 years, and each of fall cases was reviewed and the root cause was analyzed. As a result, it was found that the patients and their families did not fully understandthe content of the education, and the staff nurses did not completely inspect the risk factors of falls and perform immediate intervention when patient's condition changed. Based on the above-mentioned results, improvement activity was conducted for the purposes of consolidating patients education method and supplementing computerized system to support nurses' decision making as well as devices and facilities. Result : As a result of conducting improvement activity in the aspects of education for patients, support of nurse's decision-making, and devices and facilities through operation of the staff nurses-centered fall peer review group, falls decreased by 9.5% compared to before improvement activity. Conclusion : It is concluded that operation of the clinical nurses-centered fall peer review group played a role of promoter to draw out practical and applicable improvement plan to the clinical practice and apply directions of the field-centered, and increased nurses' interest in falls and ultimately, reduced incidence of falls. Therefore the Center will continue to operate the staff nurses-centered peer review group, and recommends participation of nurses who actually take the charge of nursing patients in further analysis of patients' safety accidents.

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A Study of the Evaluation of the Spinal Cord Injuries (척수 손상 환자에 관한 실태 조사)

  • Kim, Myung-Hoon
    • Journal of Korean Physical Therapy Science
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    • v.3 no.2
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    • pp.1011-1019
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    • 1996
  • The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

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The actual type of domestic safety accident of children and the safety knowledge according to variables of parents (가정내 유아의 안전사고 유형과 부모의 변인에 따른 안전지식)

  • Kim, Ji-Young;Kim, Na-Rim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.454-461
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    • 2017
  • The purpose of this study is to investigate the types of domestic safety accidents involving children and to verify the difference of safety knowledge according to variables of parents. Subjects include 226 parents who have 3-5 year old infants enrolled in kindergartens and day care centers in I-city, Jeollabuk-do. The study tools are modified and complemented questionnaire for the study purpose referred to the preceding research data and the literature. For the processing of collected data, frequency analysis, descriptive statistics, one-way ANOVA, and the Duncan post-test were utilized using the SPSS program. The results of this study are as follows: First, safety accidents occurred at the majority of homes which have infant children. On average, the occurrence frequency was 1.78 times per six months. The accidents involving infants occurred in the order of drop or slip, crash or impact, stricture or jamming, fall, stab or cut, burn, swallow or inhalation. Second, both parents had an average level of safety knowledge. There was a distinction in the areas of 'fall' and 'first aid' according the mother's age. In addition, stay-at-home mothers had the higher level of safety knowledge compared with working mothers in the areas of 'general safety knowledge' and 'fire'. There was a distinction in the area of 'fire' according to the father's age. Given these findings, safety training programs for parents to improve safety knowledge needs to be developed.

Big Data Analytics Applied to the Construction Site Accident Factor Analysis

  • KIM, Joon-soo;Lee, Ji-su;KIM, Byung-soo
    • International conference on construction engineering and project management
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    • 2015.10a
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    • pp.678-679
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    • 2015
  • Recently, safety accidents in construction sites are increasing. Accordingly, in this study, development of 'Big-Data Analysis Modeling' can collect articles from last 10 years which came from the Internet News and draw the cause of accidents that happening per season. In order to apply this study, Web Crawling Modeling that can collect 98% of desired information from the internet by using 'Xml', 'tm', "Rcurl' from the library of R, a statistical analysis program has been developed, and Datamining Model, which can draw useful information by using 'Principal Component Analysis' on the result of Work Frequency of 'Textmining.' Through Web Crawling Modeling, 7,384 out of 7,534 Internet News articles that have been posted from the past 10 years regarding "safety Accidents in construction sites", and recognized the characteristics of safety accidents that happening per season. The result showed that accidents caused by abnormal temperature and localized heavy rain, occurred frequently in spring and winter, and accidents caused by violation of safety regulations and breakdown of structures occurred frequently in spring and fall. Plus, the fact that accidents happening from collision of heavy equipment happens constantly every season was acknowledgeable. The result, which has been obtained from "Big-Data Analysis Modeling" corresponds with prior studies. Thus, the study is reliable and able to be applied to not only construction sites but also in the overall industry.

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Breaking Strength Analysis for Bolt Connection of Anchor Bracket (Anchor bracket 체결 볼트에 대한 절단 강도 해석)

  • Lee, Bong-Ju;Yang, Hun-Suk;Oh, Hyeung-Sik
    • Proceedings of the KSR Conference
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    • 2011.05a
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    • pp.55-60
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    • 2011
  • For the bolster type bogie, bolster anchor body connections are proviede to transmit the longitudinal loads for traction or braking between the carbody and the truck. The bolster anchor body connection is generally composed of anchor rod bracket, anchor rod and its fastening devices. The bolster anchor body connection shall be basically capable of withstanding a longitudinal load resulting from excessive braking case or impact. Additionally the north America standard requires that the anchor rod bracket shall be frangible, I.e. the anchor rod bracket shall fail and fall away under load before the carbody structure is damaged since to protect the cabody structure in the event of unexpected accident. This paper describes the shear connection design using the optimized mechanical fasteners in the bolster anchor body connection to satisfy these Northe America requirements.

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Improvement for practical application of Risk Assessment in shipbuilding industry (조선업 위험성평가 실용을 위한 개선 방안)

  • Shin, Woonchul
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.273-277
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    • 2014
  • Subcontracting business than the contracting business in shipbuilding industry is a lot of hazardous job and highly accident because of highly work intensity. In order to prevent the accidents, there is a need to analyze characteristic. of shipbuilding, to apply measures of risk assessment. In this paper, I suggested an improvement of the risk assessment through the actual condition research in shipbuilding industry. In the research method, I analysed accidents occurred until 2011-2013. Carried out the actual site survey while two weeks in May 2014. As a result, 1) The main pattern were caught-in or between, fall on the high level according to analyzed accidents. 2) To apply the weight show clear of magnitude for risk assessment. 3) Risk estimation of risk assessment is desirable to be quantization by accidents analysis, and to be greater than or equal to 4 steps.

Structural Stability Study of C/GFRP Composite material Traffic Light Fixture and Wind Load (인발 성형법을 이용한 C/GFRP 복합소재 신호등 부착대의 구조적 안정성에 관한 연구)

  • Na, Kyoung-Su;Kwac, Lee-Ku
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.20 no.11
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    • pp.9-16
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    • 2021
  • As the climate changes rapidly due to warming, it is becoming very important to ensure the stability of environmental structures. It is necessary to choose a material that withstands repeated external forces (wind loads) and satisfies members and joints that have energy absorbing power. Even if the strength of the traffic light attachment is sufficient, if the rigidity is insufficient, there is a limit to the displacement during strong winds. Excessive deformation may cause damage and fall, resulting in a safety accident. The author intends to study mechanical properties and resistance to external environment as a structural material capable of withstanding wind load (50m/sec) by fabricating a C/GFRP composite traffic light attachment using the pultrusion method (Pultrusion).