• 한국병원경영학회지
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• 제spc호
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• pp.85-95
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• 2016

This study is to introduce a comprehensive framework of a crisis management system developed at a prominent hospital in South Korea. Throughout recent decades, especially in the recent years, the way in which to cope with both internal and external challenges has been one of the most critical issues. Since the incident management system in the U.S. is acknowledged as the most advanced crisis management model in the world, a portion of this study refers to the Hospital Incident Command System(HICS) provided by the California Emergency Medical Services Authority(EMSA). Nevertheless, the framework suggested in this article was designed based on a distinctive Korean hospital setting. The main contents of this study are as follows; categorization of each type of crisis, organization of a crisis management team in a non-crisis or crisis state, crisis assessment by life cycle stage, and establishment of crisis management protocol. Even though many types of crises are unspecified, those can be categorized into external crisis, medical crisis, and utility & activity failure. A crisis management organization should be operated and consisted differently- depending on a crisis or non-crisis situation. From a life-cycle perspective, the range by which the crisis should be managed extends from pre-stage to post-stage of the crisis. It is important to set proper scenarios and manuals by crisis type to develop a crisis management framework of high quality. With continuous efforts, hospitals can prepare for the uncertainty to better concentrate on core business operations.

• 대한교통학회지
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• 제20권3호
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• pp.17-30
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• 2002

반복정체와 함께 돌발상황은 고속도로 교통혼잡의 주요 원인이 되고 있다. 발생된 돌발상황에 대해 즉각 정보를 제공하고 신속히 교통류를 관리하는 정도는 그 교통류관리시스템의 수준을 의미하는 것으로, 돌발상황에 의해 차로가 차단될 시간을 속히 예측하는 것은 돌발상황관리에서 매우 기본적인 사항이라 하지 않을 수 없다. 돌발상황에 따라 교통류관리대책을 수립·실시하고 교통정보를 제공하자면 돌발상황으로 인한 교통영향(지체와 대기행렬 길이)을 먼저 산정해 보아야 하며 그러기 위해서는 지속시간의 예측이 반드시 필요하다. 통상 돌발 상황의 지속시간은 그 유형 및 심각도에 따라 다양해지며 교통, 도로, 환경 등과 같은 복합적인 조건에 영향을 받는다. 따라서 돌발상황 지속시간 예측모형에 사용되는 독립변수는 돌발상황 확인시점에서 수집 가능한 변수이어야 하며 모형의 현장적용을 위해서는 해당도로의 교통관제시스템의 수준과 함께 정보원(CCTV, 순찰반 등)의 특성을 고려하여야 한다. 본 연구는 고속도로 돌발상황 지속시간 예측모형 개발을 목표로 하며, 한국도로공사 수원지사의 교통사고발생 속보 21개월 분의 자료를 정리하여 본선에서 발생한 각종 돌발상황 168건을 사용자료로 추려냈다. 이를 DB화하여 통계분석을 수행하였으며 고속도로에서의 돌발상황 지속시간 예측을 위한 다중선형회귀모형을 구축하였다. 그리고 모델링에 사용되지 않은 자료를 이용해 개발모형의 정확성 평가를 수행하였다.

• 근관절건강학회지
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• 제26권1호
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• pp.35-45
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• 2019

Purpose: This study aimed to investigate perception of patient safety culture, incident reporting, and safety care activities among clinical nurses and to identify factors associated with the safety care activities. Methods: Structured questionnaires were used to collect data from 155 nurses who were involved in direct patient-care. Results: Descriptive statistical anaylses revealed that the mean score of patient safety culture was $3.26{\pm}0.32$ and $4.19{\pm}0.41$ was for the safety care activities. In incident reporting, reporting intention ($3.56{\pm}0.68$), belief in improvement ($3.42{\pm}0.60$), worry about appraisal ($3.37{\pm}0.65$) and reporting knowledge ($3.36{\pm}0.72$) respectively. Correlational analyses showed that perceived patient safety culture (r=.36), reporting intention (r=.34), belief in improvement (r=.32), and the knowledge (r=.38) in incident reporting were positively correlated with safety care activities, while the worry about appraisal in incident reporting attitude was negatively correlated. The factors associated with safety care activities were incident reporting knowledge (${\beta}=.31$, p<.001), supervisor/managers' attitudes toward patient safety culture (${\beta}=.29$, p<.001), belief in improvement of incident reporting attitude (${\beta}=.16$, p=.041). Conclusion: These results suggest that to improve safety care activities among hospital nurses, it is necessary to educate nurses on incident reporting. Also, a system-level approach is needed to support leadership in patient safety and to provide positive feedback on incident reporting.

• 한국의학물리학회지:의학물리
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• 제27권3호
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• pp.131-138
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• 2016

We analyzed the terminology and classification related to the risk management of radiation treatment overseas to establish the terminology and classification system for Korea. This study investigated the terminology and classification for radiotherapy risk management through overseas research materials from related organizations and associations, including the IAEA, WHO, British group, EC, and AAPM. Overseas risk management commonly uses the terms "near miss", "incident", and "adverse event", classified according to the degree of severity. However, several organizations have ambiguous terminologies. They use the term "near miss" for events such as a near event, close call, and good catch; the term "incident" for an event; and the term "adverse event" for the likes of an accident and an event. In addition, different organizations use different classifications: a "near miss" is generally classified as "incident" in most cases but not classified as such in BIR et al. Confusion might also be caused by the disunity of the terminology and classification, and by the ambiguity of definitions. Patient safety management of medical institutions in Korea uses the terms "near miss", "adverse event", and "sentinel event", which it classifies into eight levels according to the severity of risk to the patient. Therefore, the terminology and classification for radiotherapy risk management based on the patient safety management of medical institutions in Korea will help in improving the safety and quality of radiotherapy.

• 한국ITS학회 논문지
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• 제9권1호
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• pp.9-18
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• 2010

산악지형이 많은 우리나라는 자연환경 여건상 터널 수요가 많고 안전한 운영을 보장 할 수 있는 터널 유고감지 시스템에 대한 필요성도 커지고 있다. 본 논문에서는 터널 내 유고 상황을 실시간으로 감지하여 터널 사무소에 전달 터널의 안전한 운영을 도울 수 있는 터널 유고감지 시스템을 제안 하였다. 제안한 시스템은 차 영상 기법과 같은 단순한 영상 분석 알고리즘을 사용하여 시스템의 신속성을 높였으며 유고의 종류 보다는 유고상황의 발생여부를 정확히 판단하데 중점을 두어 시스템의 정확성도 확보하였다. 또한 영상 분석 장치 한 대당 네 대의 카메라를 수용할 수 있게 함으로써 시스템의 비용적인 측면도 고려하였다. 그리고 카메라의 대수에 따라 영상분석 장치를 추가함으로써 카메라 대수에 관계없이 시스템의 확장성을 용이하게 하였으며 터널 유고상황 정보를 웹에서도 접근 가능하게 하여 원격지의 다른 터널 시스템과의 연동 등의 추가 확장성도 고려하였다. 구현된 시스템을 실제 터널에서 실험한 결과 터널 내에서 발생한 장애물, 정지 사고차량, 차량 정체 지체, 사람 이륜차, 연기 화재, 조명 이상, 역 주행 등의 유고상황을 모두 실시간으로 정확히 감지하였다.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.15.1-15.6
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• 2016

A number of absurdities surrounding the humidifier disinfectant (HD) incident may have occurred because 1) a judicial system operates on the underlying false assumption that the involved parties are equals in knowledge, information and resource mobilization capabilities, regardless of respective real status as company or individual; 2) there is a lack of a system that mandates a company to prevent and actively manage possible catastrophes; 3) the regulatory scheme makes companies believe that as long as they are complying with the existing regulations, they have satisfied all of their responsibilities. I believe that this issue is an opportunity to bring about changes in the judicial redress system, the system of internal management of manufacturers, and the regulatory system of the government. The following regulation amendments are needed to move towards the changes stated above. First, legislation relating to victim relief that is applicable to the HD incident must be established. Second, a risk management system must be formed within the manufacturing company and to this end an institutional environment for the system must be established within regulatory framework. Furthermore, legislation must be passed that could punish companies themselves that have caused severe damage to individuals because they had failed to take necessary actions to avoid foreseeable harm. Finally, the framework of regulation must be changed so that the company, who has the necessary information regarding the product and the component chemicals used in the product, must self-directed experiment and assessment of the safety of their own products.

• 전자공학회논문지
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• 제51권2호
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• pp.23-29
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• 2014

지능형 교통 시스템(Intelligent Transportation Systems)의 첨단 교통 관리 시스템(Advanced Traffic Management System)은 고화질 카메라, 고성능 레이더 센서와 같은 향상된 인프라를 통하여 도로 상의 차량 속도, 통행량, 돌발 상황 등의 교통 상황을 실시간으로 분석하며 관련 업무를 자동화하고 있다. 특히 도로 이용자의 안전을 위해서는 돌발 상황 자동 검지 및 2차 사고 방지를 위한 시스템이 필요하다. 이러한 유고 검지 및 관리 시스템에서는 CCTV 기반 영상 검지와 레이더를 이용한 물체검지가 주로 사용된다. 본 논문은 다중 감시용 카메라를 사용한 실시간 고속도로 돌발 상황 검지 시스템에서 모자이크(mosaic) 동영상을 구성하는 방법과 다양한 각도에서 촬영된 움직이는 객체를 보다 정확하게 추적할 수 있는 배경 모델링에 기반한 알고리즘을 제안하였다. 실험결과 영상검지는 레이더검지의 근거리 음영 영역과 원거리 검지한계 영역을 보완해 줄 수 있을 뿐만 아니라 악천후를 제외한 주간 검지에서 보다 나은 분류 특징들을 갖고 있음을 확인 할 수 있었다.

• 항공우주시스템공학회지
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• 제2권3호
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• pp.7-11
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• 2008

This is a study to research the effective way to enhance the performance of safety management by gathering and analyzing the information of undesirable occurrences that may result in accident or serious incident. This includes the way to identify the potential hazards related with the proactive activities. As detailed improvements, this paper introduces the mandatory and voluntary reporting system, normal operation safety survey, ATC quality assurance and the encouragement of just culture.

• 한국안전학회지
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• 제36권2호
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• pp.58-67
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• 2021

Incident investigation is regarded as a means to improve safety performance. For the prevention of industrial accidents, measures such as providing safety education, enhancing management interest and participation, establishing a safety management system, and conducting inspection of the work site are necessary. In particular, accident investigation activities, which are an important element of safety management, help to prevent similar accidents, thereby minimizing damage and enhancing work safety. They are critical for understanding business-related incidents and the vulnerabilities and opportunities associated with them. Therefore, it is clear that accident investigation activities are important for accident prevention. The primary focus of many incident investigation processes is on identifying the cause of an event. While considerable research has been conducted on potential accident investigation tools there has been little research on including the views and experiences of practitioners in the accident investigation process. In this study, a questionnaire survey was conducted among safety managers in the domestic manufacturing/construction industry to understand the practice of accident investigation. The investigation pertained to companies' accident investigation systems, the competence of investigators, and the identification and recommendations of the cause of accidents. From the analysis results of accident investigations, investigators' competence, the difficulty level of investigations, and the root causes of accidents were identified from the viewpoint of the participants of the accident investigations. In particular, the development of standardized and simple accident investigation methods and their dissemination to companies were found to be necessary for activating the root cause of accidents. Based on this, it can be used as basic data for the development of root cause analysis investigation techniques that are easily applicable to organizations.

• 한국가스학회지
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• 제2권3호
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• pp.96-100
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• 1998

Chemical plants with high-technological equipments and complex processes are continually increasing potential hazards that may result in huge industrial accidents. If an incident breaks out, it will have a hazardous effect on in-plant workers, neighboring inhabitants or the surrounding environment. Therefore, it is necessary to develop a safety management system that can pre-evaluate the safety and reduce the risk of a chemical plants. The safety management evaluation program developed in this study can implement an effective loss control management in chemical plants. It integrates important lists in safety management lists and legal measures to analyze elements systematically. It also includes incident case analysis and the required components in domestic laws.