• 한국철도학회:학술대회논문집
• /
• 한국철도학회 2004년도 추계학술대회 논문집
• /
• pp.240-245
• /
• 2004

It is necessary to analyze the railway accidents and incidents for the purpose of understanding present safety state and enhancing its system. Korea National Railroad has its accident/incident reporting codes, but it is relatively not sufficient for detail classification and investigation of accident and incident compared with foreign countries. This paper suggests how to classify the railway accident/incident, and describes the analysis result for domestic recent railway accidents and incidents according to the new suggested classifying system.

• 한국항공운항학회지
• /
• 제21권1호
• /
• pp.80-86
• /
• 2013

In an effort to decrease aviation accident worldwide, development of aviation safety management has been sought through aviation index and standardization, both by establishing SMS(Safety Management System). It also needs to be done in the domestic. both study on SMS which ICAO recommends and setting the top priority safety goal, each differently classified by nations. Accordingly, defining safety index and developing continuous monitoring approach. Aircraft accident reporting system in Air Force does not operate in a open approach method due to its uniqueness related to mission achievement. Therefore, limits of utilizing the recent worldwide aircraft data sharing and analyzing results to prevent accident is inevitable. This paper introduces an overview of ECCAIRS 5 which become the standard for the recent worldwide aviation safety reporting and data exchange system. Also using ECCAIRS 5, aircraft accident cases of the Air Force are classified such as accident type, year, month, occurrence category, and flight phase. The result of the study will provide a guide line for utilizing the civil system in prevention of future military aviation accidents.

• 해양환경안전학회지
• /
• 제26권1호
• /
• pp.39-46
• /
• 2020

사고는 사후조치보다 사전예방이 더 중요하며 이는 하인리히의 법칙을 그 이론적 배경으로 들 수 있다. 준해양사고제도는 유사사고를 사전에 방지할 수 있는 매우 의미 있는 제도로 국제해양사고조사코드(CI Code)의 발효에 따라 우리나라에서는 2010년에 도입되어 오늘에 이르고 있다. 이에 선박소유자나 선박운항자는 준해양사고 발생 시 지정된 통보서식에 따라 중앙수석조사관에게 통보하도록 되어있으나 아직까지 자발적인 통보건수는 미미한 실정이다. 이에 본 연구에서는 이러한 문제의 한 원인으로 현재 준해양사고제도의 통보절차와 통보서식이 미흡하다는 점에 주목하여 이를 심층적으로 분석하여 개선방향을 제시하고자 한다. 이를 위하여 관련규정, 영국과 싱가포르 등 선진해운국의 사례, 항공 및 철도 등 국내 유사교통기관의 사례와 국내 주요 해운선사의 준해양사고 통보절차 및 통보서식을 분석하였고, 이를 바탕으로 개선방향을 제안하였다. 통보절차의 주요개선방안에는 준해양사고의 자율보고로의 전환, 보고주체의 확대, 통보자의 신분보장의 명기 등이 포함되며, 통보서식 개정의 주요내용은 통보라는 용어대신 보고라는 용어의 사용, 통보서식에 신분보장의 대한 내용 반영, 선택형 기입항목의 확대를 통한 통계적 가치 증대 등이 포함된다.

• Journal of Contemporary Eastern Asia
• /
• 제12권2호
• /
• pp.19-34
• /
• 2013

Previous research assessed media reporting on nuclear accidents and risks, whilst studies about the Fukushima accident focused on the impact of the Internet on coverage of the incident. However, little research has addressed news framing or comparisons of the perceptions of journalists in relation to reporting nuclear accidents. The aim of this study is to apply framing analysis to news content in The New York Times, the Los Angeles Times, and USA Today about the Fukushima accident. It explores the question of how journalists view reporting on complex events. Content analysis of these three newspapers shows that conflict, responsibility, and economic consequences were the most frequently used frames. According to the journalists interviewed, the biggest problem was the inability to assess information due to contrary positions held by experts. It is argued that the Fukushima accident was framed as a conflict of experts and officials' opinions, utility and government officials' responsibility, and economic consequences for the United States. Adherence to professional norms of objectivity and impartiality was signified as the best approaches to risk reporting.

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

• 해양환경안전학회:학술대회논문집
• /
• 해양환경안전학회 2017년도 추계학술발표회
• /
• pp.126-126
• /
• 2017

• 해양환경안전학회:학술대회논문집
• /
• 해양환경안전학회 2017년도 추계학술발표회
• /
• pp.120-120
• /
• 2017

• 한국철도학회:학술대회논문집
• /
• 한국철도학회 2002년도 추계학술대회 논문집(I)
• /
• pp.357-366
• /
• 2002

In this paper the cases on accidents/incidents and the reporting/responding procedures of high-speed rail operating countries will be reviewed and what these suggest us will be identified, and those countries' efforts to secure the prompt rescue system will be reviewed and the plan to secure the more customized rescue and rehabilitation system taking account into circumstances of our high-speed railway accident/incident will be presented.

• 한국의학물리학회지:의학물리
• /
• 제27권3호
• /
• pp.139-145
• /
• 2016

With the development in field of industry and medicine, new machines and techniques are being launched. Moreover, the complexity of the techniques is associated to an increasing risk of incident. Especially, a small error in radiotherapy can lead to a serious patient-related incident, risk management is necessary in radiotherapy in order to reduce the risk of incident. However, in field of radiotherapy, there are no legally binding clauses for risk management and there is an absence of risk management systems at an institutional level. Therefore, we analyzed institutional status of risk management, reporting & classification systems, and risk assessment & analysis in 31 countries. For risk management and reporting systems, 65% of countries investigated had legislation or regulations; however, only 35% of countries used classification systems. It was found that 43% more countries had legislation for risk management in healthcare than those for radiotherapy; 19% more countries had reporting systems for healthcare than those for radiotherapy. For classification systems, 60% more countries had legislation, recommendation, and guidelines in the field of radiotherapy than those for healthcare. Recently, international institutes have published several reports for risk management and patient safety in radiotherapy, owing to which, countries adopting risk management for radiotherapy will gradually increase. Before adopting risk management in Korea, we should precisely understand the procedures and functions of risk management, in order to increase efficiency of risk management because classification & reporting system and risk assessment & analysis are connected organically, and institutional management is needed for high quality of risk management in Korea.

• 한국의료질향상학회지
• /
• 제27권2호
• /
• pp.57-72
• /
• 2021

Purpose: At present, there are a variety of serious patient safety incidents related to problems in health information technology (HIT), specifically involving electronic medical records (EMRs). This emphasizes the need for an enhanced electronic medical record system (EMRS). As such, this study analyzed both the nature of and potential to prevent incidents associated with HIT/EMRS based on data from the Korea Patient Safety Reporting and Learning System (KOPS). Methods: This study analyzed patient safety incidents submitted to KOPS between August 2016 and December 2019. HIT keywords were used to extract HIT/EMRS incidents. Each case was reviewed to confirm whether the contributing factors were related to HIT/EMRS (HIT/EMRS-related incidents) and if the incident could have been prevented (HIT/EMRS-preventable incidents). The selected reports were summarized for general clarity (e.g., incident type, and degree of harm). Results: Of the 25,515 obtained reports, 2,664 incidents (10.4%) were HIT-related, while 2,525 (9.9%) were EMRS-related. HIT/EMRS-related incidents were the third largest type of incident followed by 'fall' and 'medication incidents.' More than 80% of HIT/EMRS-related incidents were medication-related, accounting for approximately one-third of the total number of medication incidents. Approximately 10% of HIT/EMRS-related incidents resulted in patient harm, with more than 94% of these deemed as preventable; further, sentinel events were wholly preventable. Conclusion: This study provides basic data for improving EMR use/safety standards based on real-world patient safety incidents. Such improvements entail the establishment of long-term plans, research, and incident analysis, thus ensuring a safe healthcare environment for patients and healthcare providers.