• Title/Summary/Keyword: incident management system

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A Study on the Development of Preliminary Hazard Analysis Model for Railway System (철도시스템 기본위험분석모델 개발 방안에 관한 연구)

  • Wang Jong-Bae;Park Chan-Woo;Park Joo-Nam
    • Proceedings of the KSR Conference
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    • 2005.11a
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    • pp.1-6
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    • 2005
  • To improve safety management of railway and cope with the factors to threat technical and social safety, we need to establish railway safety management system based on analysis of hazards and assessment of risk for railway system. So we have to conduct PHA(Preliminary Hazard Analysis) first to understand weak points and factors to possibly threat safety using analysis of related data such as past accident/incident data and safety regulation and classification standards of hazards/causes of railway accidents. Therefore in this research, we led types/dangerous events/causes of risks/factors of risks from hazard log developed based on railway accident classification and hazards of railway accident. PHA model for domestic railway system will be used in risk analysis and risk assessment of railway accident.

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A Study on Enhancing Institutionalization of the Fire Proofing and the Safety Management for Architectural Buildings as Cultural Properties (문화재 건축물의 화재예방 및 안전관리 제도개선 방안 연구)

  • Yi, Waon-Ho;Park, Byung-Cheol;Kim, Hee-Kyu;Park, Sang-Hyun;Lee, Jung-Han
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2008.04a
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    • pp.325-328
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    • 2008
  • The fire ravage of Sungnyemun in 10th Feb 2008 gave an opportunity to overview an existing management system regarding cultural assets, which have been out of disaster and safety management. According to this consideration, we could provide enhanced plans of safety management policy with regard to cultural properties. The incident has taught us the important experiences in terms of the safety management in normal and the cultural assets; moreover, we should do our best through dispassionate reflection and consistent efforts to inherit priceless cultural assets to the next generation.

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Implementation of the Web-Based K-LOSA Program for the Safety Observation in Normal Operation (정상운항에서 안전 관찰을 위한 웹 기반 K-LOSA 프로그램 구현)

  • Choi, Youn-Chul;Hong, Seung-Beom
    • Journal of Advanced Navigation Technology
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    • v.18 no.4
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    • pp.319-324
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    • 2014
  • Line operation safety audit (LOSA) is the proactive data collection system to capture the accident and serious incident caused by flight crew and is the safety management program for collecting threat error management (TEM) and crew resource management (CRM) during normal operations. The typically LOSA is written by hand, manages and archives the LOSA Observation Worksheet. But, this method is not easy to archive and ensure confidentiality of the LOSA worksheets. As we implemented the K-LOSA of the web-document type instead of the existing LOSA archive method and change the TEM category code. we yields to archive the efficient data management and confidentiality. In this paper, we introduce the LOSA and to configure the K-LOSA program.

A Study on the Analysis and Classification of Types and Causes of Railway Accidents (철도사고 위험분류 및 원인분석에 관한 연구)

  • Park Chan-Woo;Park Joo-Nam;Wang Jong-Bae;Cho Yun-ok
    • Proceedings of the KSR Conference
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    • 2005.11a
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    • pp.599-604
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    • 2005
  • As a public transportation possible to convey a large quantity, the railway is safe and keeps time, but it has hazards to cause a disaster if the accidents such as collision, derailment, and fire occur. So advanced countries carry out System Safety Plan with various program activities which have connected orders to maintain or improve safety level by finding hazards, evaluation, taking measures and practice, and improving problems. Especially they systematically manage hazards to cause railway accidents and the factors which possibly threat safety, using national classification of risk and causes with analysis of the related data such as establishing accident/incident data and safety regulations/standards. As executing railway safety regulations, domestic railway is currently trying to improve railway safety management system. The research of classification system of accidents/incidents is one thing to make railway safety management systems better. In this research, we reviewed hazardous factors of railway systems and classification of the causes as the beginning of system safety management, and we conducted study on development of railway accident classification based on findings of this research. The results are able to be used in identifying hazards and activities of systemic safety management at the step of railway accident report and investigation.

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Analysis of Risk Factors for Patient Safety Management (환자안전 관리를 위한 위험요인 분석)

  • Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.373-384
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    • 2006
  • Purpose: This is a pilot study to identify patient safety risk factors and strategies for patient safety management perceived by nurses. Methods: Data were collected and analyzed with an open questionnaire from April to May 2005, targeted on 100 nurses working in two hospitals. The issues were 'what are risk factors for patients, nurses, and other medical practitioners? How do they prevent with the aftermath of risk factors, causes of incidents?' For data analysis, types and frequency of risk factors were worked out, using the Australian Incident Monitoring System Taxonomy. Results: The types of patient safety risk factor perceived by nurses were as follows ; therapeutic devices or equipment, infrastructure and services (29.5%), nosocomial infections (16.3%), clinical processes or procedures (15.4%), behavior, human performance, violence, aggression, security and safety (12.2%), therapeutic agents (9.7%), injuries and pressure ulcers (8.7%), logistics, organization, documentation, and infrastructure technology (5.6%). Strategies for patient safety included training of prevention of infection, education about safety management for patients and medical professionals, establishment of reporting system, culture of care, pre-elimination of risk factors, cooperative system among employees, and sharing information. Conclusion: These results will be used to provide evidences for patient safety management and educational program.

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Trends in infection-related patient safety incident reporting before and during the COVID-19 pandemic in Korea (COVID-19 대유행 시기 전후 국내 감염관련 환자안전 사고 보고 현황 분석)

  • Eun-Jin Kim;Yeon-Hwan Park
    • Journal of Korean Biological Nursing Science
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    • v.25 no.2
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    • pp.95-104
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    • 2023
  • Purpose: The purpose of this study was to analyze the trends and characteristics of infection-related patient safety incident reporting before and during the coronavirus disease 2019 (COVID-19) pandemic in Korea, and to provide basic data for preventing infection-related patient safety incidents and improving their management. Methods: A cross-sectional analysis of secondary national data (Patient Safety Reporting Data) was conducted. In total, 517 infection-related patient safety incidents reported from 2018 to 2021 were analyzed. Changes in the number of reports before and during the COVID-19 pandemic and differences in variables related to infection-related patient safety incidents were analyzed using the chi-square test and independent t-test in SPSS 29.0. Results: This study found that infection-related patient safety incidents decreased during the COVID-19 pandemic compared to before the pandemic. Furthermore, incident-related characteristics, such as the type of healthcare organization, severity of harm, and post-incident actions, changed during the COVID-19 pandemic. Conclusion: The many changes in the infection control system and practices during the COVID-19 pandemic may have contributed to a decrease in the reporting of infection-related patient safety incidents. It is hoped that longitudinal studies on patient safety incidents related to the pandemic and analytical studies on factors influencing patient safety incidents will continue to be conducted to prevent and improve patient safety incidents.

Developing a Product Risk Assessment Model for Korea Using Injury Data (위해정보를 활용한 한국형 제품 위험성 평가 모델 개발에 관한 연구)

  • Bae, Jinhan;Song, HaeGeun;Park, Young T.
    • Journal of Korean Society for Quality Management
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    • v.41 no.4
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    • pp.623-635
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    • 2013
  • Purpose: The recent major recalls of hazardous products caused consumer product safety acts to be strengthen worldwide. Although the recall system of hazardous products in Korea has been operating based on Framework Act on Product Safety since 2011, the evaluation of product risk has been relied on not the results of objective incident data but the results of illegal product investigations. The purpose of this paper is to propose a product risk assessment model for Korea using injury data. Methods: The authors derived Korea's risk assessment method by analysing the advantages and disadvantages of the most widely used models in advanced countries such as EU's RAPEX RAG and Janpan's R-MAP. In this study, the level of relative frequency and severity of injury are determined based on the objective incident data and the length of hospitalization respectively. In addition, the injury data occurred during 2011 is applied to the proposed risk assessment model for case study. Results: The data analysed in this paper can be classified as high risk, medium risk, low risk, acceptable risk, and safe products through the matrix f rom the combination of the relative frequency and the severity derived. Conclusion: The proposed risk assessment model in this study has advantage obtaining reliable objective results because it uses actual injury data and redeems the drawbacks of the existing models used in advanced countries. Furthermore, because the proposed model shows the high risk products among many, it is expected to be useful especially for customs whose main job is inspecting the imported goods and the government when selecting the target product groups for safety investigation.

Effects of Accidents on Railroad Operations in Korea (철도사고가 철도경영에 미치는 영향)

  • Kim, Tae-Gil;Park, Sung-Ha
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.33 no.4
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    • pp.187-192
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    • 2010
  • Korean railway has run about 110 years since 1989 and played a great role of industrialization in Korea. It is known that rail transport systems have many advantages of being more safe, energy-efficient, and environment-friendly, as compared to other transportation systems. However, railway incidents are often attributed to the failure of safety management and critical to the efficiency of railroad industry. This study reviewed economic, financial, and general statistical information on Korea Railroad. Based on the statistical data, the effect of accidents on railroad management was analyzed. Correlation analysis revealed that railway accident had a negative effect on the gross profit of Korea Railroad. In order to reduce potential risks and incident rate, some recommendations are proposed. Actual or potential applications of this research include safety guidelines for improving efficiency of railroad industry.

Roles of Safety Management System (SMS) in Aircraft Development

  • Lee, Won Kwan;Kim, Seung Jo
    • International Journal of Aeronautical and Space Sciences
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    • v.16 no.3
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    • pp.451-462
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    • 2015
  • Safety is the first priority in civil aviation, and so the International Civil Aviation Organization (ICAO) has introduced and mandated the use of Safety Management Systems (SMS) by airlines, airports, air traffic services, aircraft maintenance organizations, and training organizations. The aircraft manufacturing industry is the last for which ICAO has mandated the implementation of SMS. Since SMS is a somewhat newer approach for most manufacturers in the aviation industry, they hardly believe in the value of implementing SMS. The management of safety risk characteristics that occur during early aircraft development stages and the systematic linkage that the safety risk has to do with an aircraft in service could have a significant influence on the safe operation and life cycle of the aircraft. This paper conducts a case analysis of the McDonnell Douglas MD-11 accident/incident to identify the root causes and safety risk levels, and also verified why aircraft manufacturing industry should begin to adopt SMS in order to prevent aircraft accident.