• 보건행정학회지
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• 제15권4호
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• pp.110-135
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• 2005

The objectives of this study were (1) to describe doctors' perception and attitudes toward patient safety culture and medical error reporting in their working unit and hospitals, (2) to examine whether these perception and attitudes differ by doctors' characteristics, such as sex, position, and specialties, and (3) to understand the relationship between overall perception of patient safety in their working unit and each sub domain of patient safety culture. A survey was conducted with 135 doctors working in a university hospital in Korea. After descriptive analyses and chi-square tests of subgroup differences, a multivariate-regression of overall perception of patient safety in their unit with sub-domains of patient safety culture was conducted. Overall, a significant proportion of doctors expressed negative perception of their working units' patient safety culture, many reporting potentials for patient safety problems to occur in their unit. They also negatively viewed their hospital leadership's commitment on patient safety. Regarding the patient safety in their working unit, doctors were most worried about staffing level and observance of safety procedures. Most doctors did not know how and which medical error to report. They also perceived that medical errors would work against them personally and penalize them. About 22 percent of respondents believed that even seriously harmful medical errors were not reported.

• 국제학술발표논문집
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• The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
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• pp.249-255
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• 2011

Poor safety management in construction management may adversely affect cost, schedule and quality of a project. Heavy fines upon safety offence becomes a burden to the budget; losing working hours as a result of safety incident impacts on the schedule, and compromising quality is always an indirect consequence when workers perform duties in an unsafe site environment. Therefore, promotion of safety management becomes the top priority in any construction manager's agenda. Working safely will benefit construction project and lead to a "real" success. This paper is a case study, based upon "Geller's 10 principles for achieving a total safety culture", reviewing how a Hong Kong leading construction company fosters the safety culture and possesses a pleasant safety record over years. Its safety performance is not only well ahead the local industry, but also ranges top within the Asia Pacific region and comparable to those mature Western industries. The review concluded that safety culture is one of the major components in construction management and collaboration is the essence to realize this positive culture within an organization. Safety management is not merely a "top down" approach, but requires the positive "bottom up" actions from the other end. The successful story of this company can demonstrate the contribution of safety management in construction management.

• 한국항공운항학회지
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• 제25권2호
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• pp.48-62
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• 2017

The purpose of this study was to analyze the influence of self-leadership of Korean aircraft mechanics on organizational effectiveness and to investigate whether safety culture has mediating effect. The theory of leadership, which has emerged since the 1940s, has been an important and key research issue in the social sciences for the last decade and has evolved as a brand-new theory through the theory of characteristics, the theory of behavior, and the theory of situation. The new leadership theory has been extended to charismatic leadership, transformative leadership, empowerment leadership, super leadership, and self-leadership of organizational members as a new flow leadership. On the other hand, there was a precedent study on the relationship between leadership and safety culture, and this study started with interest in the relationship between self-leadership, safety culture and organizational effectiveness. As a result, safety culture has been proved to play an moderating variable in the relationship between self-leadership of Korean aircraft mechanics and organizational effectiveness. Especially, among the sub-factors of the self-leadership, self-goal setting, self-reward, and natural reward have been shown to affect organizational effectiveness in combination with the sub-factors of the safety culture, learning culture and flexible culture.

• Nuclear Engineering and Technology
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• 제51권6호
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• pp.1696-1707
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• 2019

This paper conducts a qualitative policy analysis of current challenges to safety culture and security culture in Southeast Asia and emerging best practices in Northeast Asia that are aimed at strengthening both cultures. It analyses lessons, including strengths and limitations, that can be derived from Northeast Asian states, given the long history of nuclear energy in South Korea, China and Japan. It identifies and examines best practices from Northeast Asia's Nuclear Security Centres of Excellence in terms of boosting nuclear security culture and their relevance for Southeast Asia. The paper accentuates the important role of the State in adopting policy and regulatory frameworks and in institutionalising nuclear education and training programmes to deepen the safety-security cultures. Best practices in and challenges to developing a nuclear safety culture and a security culture in East Asia are examined using three frameworks of analysis (i) a comprehensive nuclear policy framework; (ii) a proactive and independent regulatory body; and (iii) holistic nuclear education and training programmes. The paper argues that Southeast Asian states interested in harnessing nuclear energy and/or utilising radioactive sources for non-power applications must develop a comprehensive policy framework on developing safety and security cultures, a proactive regulatory body, and holistic nuclear training programmes that cover both technical and human factors. Such measures are crucial in order to mitigate human errors that may lead to radiological accidents and nuclear security crises. Key lessons from Japan, South Korea and China such as best practices and challenges can inform policy recommendations for Southeast Asia in enhancing safety-security cultures.

• 대한안전경영과학회지
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• 제15권3호
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• pp.19-28
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• 2013

While the reduction of industrial accidents has been stagnant, many researchers have been studying and focusing on safety behaviors including safety perception, attitude and safety culture as a new solution as well as a turning-point of this issue. However, we do not pay attention to those studies and researches in Korean construction. Therefore, this study is to introduce preceding researches and case studies in other countries and suggest a new direction to Korean construction. This study found out the current situation and problems in Korean construction studies after tracing the safety perception, attitude and safety culture in Korea and reviewing the background and trend of overseas studies and researches with regard to safety behaviors. Fundamental researches and systematic studies must be conducted in Korean construction with the reference and research data of this study.

• 한국직업건강간호학회지
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• 제17권2호
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• pp.239-249
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• 2008

Purpose: This study intended to investigate how health and safety organization, management, activities and safety culture of healthcare industries are different from other industries (food, lodging, gas, and electricity industries). Method: Data were analyzed using '2005 The National Survey for Occupational Safety and Health Tendency'. Results: For health and safety training, both new training and regular training time of healthcare sector was lower than comparison sectors. For health and safety manager assigning form, there were many case in healthcare sector to assign a safety manager as a deputy and a health manager as an additional job, there were some differences from comparison sectors. It was found that establishment of countermeasures by cause investigation and analysis execution for occupational accidents in the healthcare sector was lower than comparison sectors. For health and safety activities and safety culture awareness, they were estimated in healthcare sector to be lower than comparison sectors. Conclusion: Healthcare sector had relatively lower health and safety activities and safety culture awareness compared with comparison sectors. So, it is required business owner's concerns and efforts to assign exclusively responsible health and safety manager and to activate health and safety training and occupational accident prevention.

• Nuclear Engineering and Technology
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• 제55권10호
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• pp.3628-3638
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• 2023

This paper uses 135 Licensed Operator Event Reports (LOER) from Chinese nuclear plants to analyze how safety culture affects unsafe behaviors in nuclear power plants. On the basis of a modified human factors analysis and classification system (HFACS) framework, structural equation model (SEM) is used to explore the relationship between latent variables at various levels. Correlation tests such as chi-square test are used to analyze the path from safety culture to unsafe behaviors. The role of latent error is clarified. The results show that the ratio of latent errors to active errors is 3.4:1. The key path linking safety culture weaknesses to unsafe behaviors is Organizational Processes → Inadequate Supervision → Physical/Technical Environment → Skill-based Errors. The most influential factors on the latent variables at each level in the HFACS framework are Organizational Processes, Inadequate Supervision, Physical Environment, and Skill-based Errors.

• 한국의료질향상학회지
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• 제24권1호
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• pp.23-29
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• 2018

Background: The purpose of this study was to examine undergraduate medical students' perceptions and intentions regarding patient safety during clinical clerkships. Methods: Cross-sectional and self-administered questionnaire survey was conducted on 34 students from one medical school using a modified version of the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS). We assessed $4^{rd}-year$ medical students' perceptions of the cultures ('safety', 'teamwork', and 'error disclosure'), 'behavioural intentions' concerning patient safety issues and 'overall patient safety'. The overall response rate was 66.4%. Results: Among safety domains, "teamwork culture" was rated highest. "Error disclosure culture" received the lowest ratings. Regarding the error disclosure domain, only 10% of respondents reported that they have received education or training on how to disclose medical error to patients. Independent of survey domains, when students were asked "Overall, do you think your hospital is safe based on your clinical rotation?", 61.8% reported that the hospital was safe. Conclusions: Assessing students' perceptions of safety culture can provide clerkship directors and educators with information that enhances the educational environment and promotes patient safety. Discussions of medical errors, patient safety, and how best to incorporate an analysis of these issues into the existing curriculum are needed.

• 한국방사선학회논문지
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• 제17권4호
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• pp.615-623
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• 2023

본 연구는 조직 안전 문화가 방사선사의 환자 안전에 대한 인식도와 안전 행동에 미치는 영향을 살펴보고자 진행된 연구이다. 연구는 설문조사 결과를 바탕으로 진행하였으며 설문조사는 일반적 특성, 환자 안전을 위한 노력, 환자 안전 문화의 3개 요인으로 나누어 진행하였다. 연구 결과 환자 안전에 대한 인식의 차이를 나타내는 요인은 일반적 특성에서 연령, 업무경력, 업무에 대한 만족도가 영향 요인으로 나타났고 성별이나 학력, 근무 형태는 환자 안전에 대한 인식도의 차이에 영향을 주는 요소로 포함되지 않았다. 환자 안전을 위한 노력으로는 병원의 지원 및 교육, 환자 안전 활동 및 오류에 대한 대응 방식 모두 영향 요인으로 나타났으며 특히 오류에 대한 대응 방식이 다른 항목에 비하여 더 높은 연관성을 나타내었다. 환자 안전 문화는 팀워크와 개방적인 의사소통 두 가지 항목에 대해 분석하였으며 연구 결과 두 항목 모두 방사선사의 환자 안전에 대한 인식도와 높은 관련성을 나타내었다.

• 보건의료산업학회지
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• 제7권4호
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• pp.81-92
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• 2013

This research was conducted to analyze the perception of the dental hygienists who work in ordinary dental clinics regading patient safety culture and to analyze the related elements. As for the research subjects and methods, 233 dental hygienists who work at the dental clinics located in Daegu, Gyeongbuk and Jeonnam were targeted from February 6, 2012 to March 5, 2012 to administer survey by utilizing patient safety culture recognition tool. Collected data was subjected to the SPSS 18.0 program to calculate average and standard deviation, and to carry out t-test, ANOVA and multiple regression analysis. Dental hygienists' level of perception towards patient safety culture was mid level, and it was demonstrated that there is a correlation with age, work experience at department, title and type of department that affect level of perception towards patient safety culture. In conclusion, Since this research targeted only a limited number of dental hygienists, it is necessary to be cautious about over-interpreting the results. Above anything, it is necessary to carry out repetitive research by targeting medical professionals of diverse jobs.