• Title/Summary/Keyword: incident reporting

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The Effect of Difference between Reporting Terms of Government and Media on Risk Communication in Major Food Safety Incidents (주요 식품안전사건에서 정부와 언론이 사용한 보도용어의 차이가 리스크 커뮤니케이션에 미치는 영향)

  • Oh, Se-Ra;Shin, Won-Jung;Park, Tae-Gyun;Kim, Renee;Kim, Ho-Sik;Lee, Jeong-Ho;Hwang, Seong-Hwi;Ha, Sang-Do
    • Journal of Food Hygiene and Safety
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    • v.27 no.3
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    • pp.203-208
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    • 2012
  • In the present study, we collected the information of the 18 major food safety incidents and conducted a delphi survey with 10 experts to analyze the effect of difference between terms used in reporting of the major food safety incidents on risk communication. In the result of the analysis of information from the major food safety incidents, discord of terms used from government, local government, media and consumer groups had a tremendous effect on the socioeconomic losses and caused the expansion of the incidents. The survey with 10 experts showed that there was a high correlation between the difference in ripple effect of reporting terms and the difference in reporting terms. A correlation coefficient was 0.865. Therefore, ripple effect of incidents was significantly affected by reporting terms and we concluded that standardization of term is necessary in reporting of the food safety incidents. These results can be used as a basic material for successful risk communication among the government, enterprises and consumers.

A Study on the Status and the Perception of Near Miss Reporting Activities in Domestic Manufacturing Industry (국내 제조업의 아차사고 발굴활동 현황 및 인식에 관한 연구)

  • Lee, Seok Ki;Park, Jungchul
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.287-294
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    • 2021
  • A near miss is an unplanned event that did not result in injury/illness, or property damage, but had potentials to do so. The importance of the near miss has been emphasized by many researchers and organizations. However, only a few studies have quantitatively approached the near miss from the viewpoint of safety culture. The purpose of this study is to investigate the current status of near miss reporting activities in manufacturing workplaces in Korea. It also aims to understand how the activities related with the safety culture and the occurrence of industrial accidents. To this end, a survey was conducted on manufacturing workplaces and the results were analyzed. As a result, there was a marked difference in the perception on near miss according to whether or not the near miss reporting activity was conducted. However, it was found that only 56% of the workplaces were carrying out the reporting activities. It was found that the number of near misses reported varied depending on the reward. Although no correlation could be found between whether or not the near miss reporting activities were carried out and the history of industrial accidents occurred, it was found that safety culture level was hier at the workplaces conducting the activities.

The Trend Analysis about Aviation Accident and Incident in Korea Using the ECCAIRS Data (ECCAIRS Data에 의한 한국의 항공사고·준사고에 대한 경향 분석)

  • Hong, Seung-Beom;Kim, Woong-Yi;Choi, Youn-Chul
    • Journal of Advanced Navigation Technology
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    • v.16 no.4
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    • pp.687-696
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    • 2012
  • Recently, despite of the development of aviation safety, there has not been any significant decline of the aviation accident rate. Therefore, in the international society, it is more focused on removing risk factors based on data collected and analyzed, in order to improve the aviation safety. This research introduces ECCAIRS, which is a program developed by European Union to collect and analyze data regarding risk factors. This is used in Korea since 2010. Moreover, using national aviation accident data collected through ECCAIRS, this research analyzes the distribution of the aviation accidents/incidents, annual and monthly aviation accident rate, flight phase, and division system. The analyzation regarding the tendency of aviation accident/incident will give the direction to approach the quantitative safety management.

Development of Integrated Data Management Prototype System for Aviation Accident and Incident Investigation (국내 항공사고조사를 위한 항공사고 통합 데이터 관리시스템의 프로토 타입 개발)

  • Kim, Do-Hyun;Hong, Seung-Beom
    • Journal of Advanced Navigation Technology
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    • v.22 no.3
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    • pp.198-204
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    • 2018
  • In this paper, It proposed the development of integrated data management's prototype system for aviation accident and incident system. With the recent development of the aviation accident investigation equipment, accident investigation system should collect and manage the various types of jpg, avi, and wav data files. However, the ECCAIRS system does not have a separate database for managing the various generated data during the accident investigation. And the Korea aviation accident management system also has the same problem. Therefore, in this paper, we analyze the aviation accident report system of major foreign countries and prepare a method to apply it to the domestic environment. Through the prototype of the integrated data management system, we confirmed the performance through inputting the existing data and the recently investigated data. We will use this result as basic data for completion of final integrated data management system.

Impact of 12-hour Shifts on Job Satisfaction, Quality of Life, Hospital Incident Reporting, and Overtime Hours in a Pediatric Intensive Care Unit (일 소아 중환자실에서의 12시간 교대근무가 간호사의 직무만족도, 삶의 질, 안전사건 보고 및 시간 외 근무에 미치는 영향)

  • Lim, Eun Young;Uhm, Ju-Yeon;Chang, Eun Ji;Kim, Na Yeon;Ha, Eun Joo;Lee, Sun Hee;Kim, Hee Kyung;Kim, Yeon Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.4
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    • pp.353-361
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    • 2014
  • Purpose: The aim of this study was to compare job satisfaction, quality of life (QOL), incident report rate and overtime hours for 12-hour shifts and for 8-hour shifts in a pediatric intensive care unit (PICU). Methods: A descriptive survey was conducted with a convenience sample of 36 staff nurses from a PICU in a regional hospital in Korea. Data were collected using self-administrated questionnaires regarding job satisfaction and QOL at 6 months before and after the beginning of 12-hour shifts. Incident report rate and overtime hours for both 12-hour and 8-hour shifts were compared. Comparisons were made using $x^2$-test, paired t-test and Mann-Whitney U test. Results: After 12-hour shifts were initiated, job satisfaction significantly increased (t=3.93, p<.001) and QOL was higher for nurses on 12-hour shifts compared to 8-hour (t=7.83, p<.001). There was no statistically significant change in incident report rate ($x^2=0.15$, p=.720). The overtimes decreased from $36.3{\pm}34.7$ to $17.3{\pm}34.9$ minutes (Z=-8.91, p<.001). Conclusion: These results provide evidence that 12-hour shifts can be an effective ways of scheduling for staff nurses to increase job satisfaction and quality of life without increasing patient safety incidents or prolonged overtime work hours.

Development of Website-based Patient Safety Culture Promotion Program (Website를 이용한 환자안전문화 증진 프로그램의 개발)

  • Kim, Kyoung Ja
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.152-167
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    • 2013
  • Purpose: The purpose of this study was to develop a website-based patient safety culture promotion program that could be implemented by nurses in real work scenarios. Methods: This study was a methodological study. A patient safety culture promotion program, called 'Safe Culture, Save Patients' was developed, based on structuration theory and performance engineering approaches. Results: This program was delivered in the form of a website containing contents about changes in the work environment, information about accidents and the improvement process details, as well as a program for motivation. The program was tested about the validity on contents and usability - a panel of 14 experts confirmed its validity using the contents validity index (CVI), with a resulting S-CVI of .980. Usability was evaluated by 11 nurses, which allowed finalize the program. Conclusion: The 'Safe Culture, Save Patients' program was a valid program that could be applied in clinical practice immediately. The results of this study warrant further studies to evaluate the effects of this patient safety culture promotion program.

A Study on the Detailed Classification and Empirical Analysis of Human Error (인적오류의 세부적 분류와 실증분석에 관한 연구)

  • Kim, Y.K.;Kim, C.Y.;Choi, Y.C.
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.10 no.1
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    • pp.9-20
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    • 2002
  • In aviation, it is important to analyse and classify human error in detail. Because human error has been implicated in 70 or 80% of aviation accidents in literature review. But, there is little detailed classification and research of human error. In this study, Objectives are to establish human error model by classifying types of human error in detail and also to analyse human factors by using the established model. Analysis of the data uses Korea Aviation Incidents Reporting System(GYRO). The resulting from actual analysis, there is a some difference between flight steps for human error occurrence and types of human error are different according to the aviation personnel(pilot, ATC controller).

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A Study on the Development of New Tools for Investigation the Potential Accident Factors (사고잠재요인 조사도구개발에 관한 연구)

  • Kim, Chil-Yeong;Song, Byeong-Heum;Mun, Bong-Seop
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.8 no.1
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    • pp.41-56
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    • 2000
  • In the Aircraft Incident Reporting System(AIRS), It is important to collect and gather date about aircraft incidents by means of systemic methods and make it materials for study in the view point of aircraft accident in the future. Especially, the development of such effective tools can be one of main factors determining whether the investigation of potential accident factors succeeds or fails. For such a reason and the purpose of aircraft accident prevention, the AIRS compatible to each county has been developed early and been adopting now in several countries involving USA. First this study examine the actual condition about investigation method tools of potential accident factors used in several countries and investigation and analyze them, finally present the method which can improve more acceptable forms to flight crew used at the KAIRS(Korean AIRS).

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Actual Analysis of the Interrelationship between Evaluation Indicators of Communicable Disease Control and Prevention Activities and Communicable Disease Incidence Data (법정감염병 발생자료와 감염병관리사업 평가지표와의 관계 실증분석)

  • Kim, Min-Jun;Hong, Jee-Young;Lee, Moo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.12
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    • pp.7179-7186
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    • 2014
  • This study examined the interrelationship between the evaluation indicators of communicable disease control and prevention activities, and the communicable disease incidence data. This study analyzed the incidence data of communicable disease in local governments of south Korea and evaluated the data of communicable disease control and prevention activities by the Ministry of Health of the central government in South Korea during 2004-2005. Frequency analysis was carried out to understand the character of the participant, t-test to compare the mean value between the two groups and stepwise multiple regression analysis to understand the significance between the dependent and independent variables. In this study, the finance related to communicable diseases (group I diseases in both city and rural center), keep rate of periodic reports on notifiable communicable diseases based on the law for communicable disease control and prevention (group II in city), the level of education on personal hygiene (group II in rural center), level of education on AIDS prevention and the reporting rate of cases of tuberculosis (group III in city), and reporting rate of incident cases of tuberculosis (tuberculosis and Hansen disease in both rural and city) were significant indicators. The level of education on AIDS prevention and the reporting rate of the cases of tuberculosis (in city), and number of adverse reactions after immunization (in rural area), reporting rate of cases of tuberculosis (in total center) were significant indicators in total communicable disease and all types of public health centers. The authors verified core evaluation indicators as actual proof. This study provides useful data for a summative evaluation, standardization, and guidelines on communicable disease control and prevention activities of public health centers and local government.

Analysis of doctors' cognition of patient safety at general hospitals (일개 상급종합병원 의사들의 환자안전문화에 대한 인식 분석)

  • Yu, Eun-Yeong;Jung, Sang-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2607-2616
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    • 2012
  • This study was designed to figure out patient safety culture of medical institutions and try to utilize the study results as basic data for analyzing doctor's awareness of patient safety culture. To this end, questionnaire survey was conducted from August 1st to September 5th, 2011, targeting doctors working at senior general hospitals located in G city, and 194 questionnaires were utilized for final analysis. The research results are as follows. First, there was a difference in awareness of deployment of staffs depending on gender, age, term of service in the hospital, contact with patients and working hours per week in relationship between subjects, wards and hospital safety culture, and organizational learning and teamwork in the ward turned out to be significant in accordance with working hours per week, and all sub-areas of the ward safety culture by departments. Second, feedback about the malpractice, communication, report on malpractice frequency and overall safety awareness were found to be significant by departments in relationship of subjects, medical incident reporting system, patient safety evaluation and overall level of consciousness, and the overall safety awareness showed significant results according to contact with patients and working hours per week. Third, there was a positive corelation in sub-areas of the ward and hospital safety culture awareness, overall recognition and patient safety evaluation, and a positive corelation with medical incident reporting system was found in all areas except for attitude of managers/immediate supervisors and that of hospital executives. Fourth, sub-areas of patient safety culture which has a effect on patient safety showed significant results in organizational learning, openness of communication, overall safety awareness, systematic cooperation between departments, feedback/communication and non-punitive response. In conclusion, to increase the level of the ward and hospital patient safety culture of doctors and implement medical incident reporting system faithfully, it is necessary to activate teamwork through organizational learning in the ward based on the adequate staffing and working hours, promote open communication between departments and provide feedback on medical malpractice, thereby establishing a cooperative system by departments and active support of hospital executives for patient safet.