• Title/Summary/Keyword: safety outcomes

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A study on the effects of continuing business intent of third party logistics company on logistics outcomes (제3자 물류기업의 지속적 거래의도가 물류성과에 미치는 영향에 관한 연구)

  • Yang, Hong-Jun;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.18 no.4
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    • pp.123-130
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    • 2016
  • In global competition composition changing rapidly, domestic industry faces changes and logistics industry, one of service industries, is recognized as an important factor for development of domestic industry and national economy. At this moment, companies must suggest differentiated service, strategies, etc. so as to create and maintain competitive advantages in comparison with other companies. The requirements preannounce big movement of third party logistics market. Therefore, government, logistics industry and academic world have suggested lots of studies so as to vitalized third party logistics market. The purposes of this research are to verify that innovative changes are necessary to be existing in fierce competition of third party logistics market and analyze the effects of third party logistics on logistics outcomes so as to form continuous relations with shipper.

Determination of Sample Sizes of Bivariate Efficacy and Safety Outcomes (이변량 효능과 안전성 이항변수의 표본수 결정방법)

  • Lee, Hyun-Hak;Song, Hae-Hiang
    • The Korean Journal of Applied Statistics
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    • v.22 no.2
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    • pp.341-353
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    • 2009
  • We consider sample-size determination problem motivated by comparative clinical trials where patient outcomes are characterized by a bivariate outcome of efficacy and safety. Thall and Cheng (1999) presented a sample size methodology for the case of bivariate binary outcomes. We propose a bivariate Wilcoxon-Mann-Whitney(WMW) statistics for sample-size determination for binary outcomes, and this nonparametric method can be equally used to determine sample sizes of ordinal outcomes. The two methods of sample size determination rely on the same testing strategy for the target parameters but differs in the test statistics, an asymptotic bivariate normal statistic of the transformed proportions in Thall and Cheng (1999) and nonparametric bivariate WMW statistic in the other method. Sample sizes are calculated for the two experimental oncology trials, described in Thall and Cheng (1999), and for the first trial example the sample sizes of a bivariate WMW statistic are smaller than those of Thall and Cheng (1999), while for the second trial example the reverse is true.

Comparison of Early Complications of Oral Anticoagulants after Totally Thoracoscopic Ablation: Warfarin versus Non-vitamin K Antagonist Oral Anticoagulants

  • MuHyung Heo;Dong Seop Jeong;Suryeun Chung;Kyoung Min Park;Seung Jung Park;Young Keun On
    • Journal of Chest Surgery
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    • v.56 no.2
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    • pp.90-98
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    • 2023
  • Background: Atrial fibrillation (AF) is the most common type of cardiac arrhythmia. Totally thoracoscopic ablation (TTA) is a surgical treatment showing a high success rate as a hybrid procedure with radiofrequency catheter ablation to control AF. This study compared the early complications of warfarin and non-vitamin K antagonist oral anticoagulants (NOACs) in patients who underwent TTA. Methods: This single-center retrospective cohort study enrolled patients who underwent planned TTA for AF from February 2012 to October 2020. All patients received postoperative anticoagulation, either with warfarin or a NOAC (apixaban, rivaroxaban, dabigatran, or edoxaban). Propensity score matching was performed for both groups. Early complications were assessed at 12 weeks after TTA and were divided into efficacy and safety outcomes. Both efficacy and safety outcomes were compared in the propensity score-matched groups. Results: Early complications involving efficacy outcomes, such as stroke and transient ischemic attack, were seen in 5 patients in the warfarin group and none in the NOAC group. Although the 2 groups differed in the incidence of efficacy outcomes, it was not statistically significant. In safety outcomes, 11 patients in the warfarin group and 24 patients in the NOAC group had complications, but likewise, the between-group difference was not statistically significant. Conclusion: Among patients who underwent TTA, those who received NOACs had a lower incidence of thromboembolic complications than those who received warfarin; however, both groups showed a similar bleeding complication rate. Using a NOAC after TTA does not reduce efficacy and safety when compared to warfarin.

The Impact of Adverse Employment and Working Conditions on the Risk of Workplace Injury in Canada

  • Nadalin, Victoria;Mustard, Cameron;Smith, Peter M.
    • Safety and Health at Work
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    • v.12 no.4
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    • pp.471-478
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    • 2021
  • Background: Employment standards (ES) include having a regular payday, regular breaks, the right to paid sick or vacation time, and paid wages. Inadequate ES contribute to the labour market vulnerability of workers; however, they are not typically considered to be risk factors for workplace injury. In a sample of Canadian workers, we examine the risk of injury associated with inadequate ES, independent of, and combined with inadequate workplace protections from workplace hazards. Methods: Data from 2,803 adults working 15 hours or more/week in workplaces with at least five employees were analysed. We explored associations between exposure to workplace hazards with inadequate protections [termed occupational health and safety (OHS) vulnerability] and inadequate ES on workplace injury (physical or mental injury; injury requiring time off). Additive interaction models were used to examine the independent and combined effects of these exposures. Results: Occupational health and safety vulnerability and inadequate ES were independently associated with increased injury outcomes. Adjusted models showed an additive relationship for all injury outcomes between OHS vulnerability and inadequate ES. Statistically significant superadditive relationships were observed for physical injury risk with policy and procedure vulnerability plus inadequate ES [synergy index (S) 1.50, 95% CI: 1.13-2.00] and for overall OHS vulnerability plus inadequate ES (S 1.53, 95% CI: 1.16-2.02), suggesting a combined effect greater than independent effects. Conclusion: Occupational health and safety vulnerability and inadequate ES are independently associated with workplace injury. For certain injury outcomes, the combined effect of OHS vulnerability and inadequate ES is greater than the independent effects of each individual exposure.

Effects of Personal Protective Equipment Practice Education on the Effectiveness of Repeated Learning and Satisfaction (개인보호구 실습교육의 반복학습 효과와 만족도에 미치는 영향)

  • Dae Jin Jo;Won Souk Eoh
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.2
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    • pp.156-170
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    • 2023
  • Objectives: This study conducted practical training to improve the proper usage of personal protective equipment(PPE), which greatly impacts workplace safety and health management. Personal protective equipment education was conducted through active participation, without theoretical modules, and aimed to identify the effects of repeated practical education and determine ways to increase participant satisfaction. Methods: Study data were analyzed using the IBM SPSS Statistics ver.29 software. First, participants' general characteristics were analyzed with frequency analysis. Second, the normality and equality of variances (Leven's test) were tested for the dependent variables prior to statistical analyses to determine the use of parametric tests. In general, normality is assumed when the sample size is 30 or more per the central limit theorem (Park et al., 2014). As our sample size of health management workers was 43, normality can be assumed. However, to ensure rigor of the study, we examined skewness and kurtosis. The results confirmed that the data were normally distributed. Third, the effects of repeated PPE training were analyzed using paired t-tests. Fourth, differences in satisfaction with PPE training according to the safety and health job position and safety and health certification were analyzed with t-test and Welch's t-test. For parameters that did not meet the assumption of equal variances, the Welch's t-test was performed. Results: Repeated PPE training improved the educational outcomes, and the improvements were significant in the 1st and 2nd respiratory PPE and safety and hygiene PPE training evaluations (p<.001). In terms of safety and health job position, repeated training led to improvements in educational outcomes, with significant improvements observed among supervisors and specialized health management institution workers in the 1st and 2nd training evaluations (p<.005). In terms of safety certification, repeated training led to improvements in educational outcomes, with significant improvements observed among both certified and non-certified individuals (p<.005). Regarding satisfaction with PPE training according to safety and health job positions, specialized health management institution workers showed greater satisfaction than supervisors, with significant differences in the satisfaction for expertise of lecture, work relevance, and lecturer's attitude (p<.001). Regarding satisfaction with PPE training according to safety and health certification, satisfaction was higher among certified individuals, with significant differences in satisfaction for work relevance and lecture attitude (p<.05) Conclusions: PPE education should be recommended to be provided as practical training. Repeated training can enhance educational outcomes for individuals with inadequate knowledge and understanding of PPE prior to education. For individuals with high levels of pre-existing knowledge and understanding of PPE, the results show that various training experiences should be provided to enhance their satisfaction. Therefore, it suggests that the workplace should actively seek educational media and methods to acquire expertise and skills in wearing personal protective equipment and improve the ability to use

Review on the Changes of Liver Function Parameters after Administration of Herbal Medicine (간기능 정상자 또는 불특정 환자를 대상으로 한 한약 복용 후 간기능 지표 변화에 대한 문헌적 고찰)

  • Han, Deok-Jin;Park, Sang-Moo;Kang, Baek-Gyu;Lee, Jung-Wook;Na, Ran-Hee;Bang, Chang-Ho;Jang, Seok-O;Kim, Kang-San
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1390-1396
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    • 2008
  • The aim of this study is to analyze literatures researching changes of liver function parameters after administration of herbal medicine and the safety of herbal medicine on hepato-biliary system. Eight Korean databases were searched for researches on the safety of oriental herbal medicine. According to inclusion criteria, nineteen studies were selected and analyzed. As a result, seventy outcomes in five parameters(aspartate transaminase, alanine transaminase, gamma(${\gamma}$)-glutamyl transferase, alkaline Phosphatase, total bilirubin) were obtained. After administration, parameters decreased or sustained in fifty seven outcomes. In thirteen outcomes, parameters slightly increased. In two outcomes, parameters increased but not severely. The change of liver function parameters after administration of herbal medicine is expected to be harmless. But it requires additional large scale studies and modification in method to corroborate the safety of herbal medicine.

Influence Factors and the Introducing Outcomes over IT Outsourcing in the Government Offices (공공기관의 정보시스템 아웃소싱에 미치는 영향 요인과 도입 성과)

  • Jun, Je-Man;Yi, Seon-Gyu
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.339-351
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    • 2013
  • In this research, we analyzed the influence factors and introducing outcomes empirically. The influencing factors over IT Outsourcing set up organizational factors(maturity of information system, the support of CEO), dealing factors(asset speciality, uncertainty, degree of using of information system), and risk factors(risk of safety/security. cost increase, loss of autonomy). The result of this study are as follows. In the organizational factors, degree of a maturity of the information system and the support of CEO were analyzed as the variables affecting the introducing outcomes positively. In the dealing factors, however, the degree of using information system was only analyzed as the variables affecting the introducing outcomes positively, while the speciality of asset and the uncertainty factors were analyzed as the variables not affecting the introducing outcomes. In the risk factors, the risk of safety/security and the increase of cost were only analyzed as the variables affecting the introducing outcomes positively, therefore loss of autonomy, was not analyzed as the affecting variables.

The Relationships Among Occupational Safety Climate, Patient Safety Climate, and Safety Performance Based on Structural Equation Modeling

  • Aghaei, Hamed;Asadi, Zahra Sadat;Aliabadi, Mostafa Mirzaei;Ahmadinia, Hassan
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.6
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    • pp.447-454
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    • 2020
  • Objectives: The aim of the present study was to investigate the relationships among hospital safety climate, patient safety climate, and safety outcomes among nurses. Methods: In the current cross-sectional study, the occupational safety climate, patient safety climate, and safety performance of nurses were measured using several questionnaires. Structural equation modeling was applied to test the relationships among occupational safety climate, patient safety climate, and safety performance. Results: A total of 211 nurses participated in this study. Over half of them were female (57.0%). The age of the participants tended to be between 20 years and 30 years old (55.5%), and slightly more than half had less than 5 years of work experience (51.5%). The maximum and minimum scores of occupational safety climate dimensions were found for reporting of errors and cumulative fatigue, respectively. Among the dimensions of patient safety climate, non-punitive response to errors had the highest mean score, and manager expectations and actions promoting patient safety had the lowest mean score. The correlation coefficient for the relationship between occupational safety climate and patient safety climate was 0.63 (p<0.05). Occupational safety climate and patient safety climate also showed significant correlations with safety performance. Conclusions: Close correlations were found among occupational safety climate, patient safety climate, and nurses' safety performance. Therefore, improving both the occupational and patient safety climate can improve nurses' safety performance, consequently decreasing occupational and patient-related adverse outcomes in healthcare units.

Application of Discrimination Information (Cross Entropy) as Information-theoretic Measure to Safety Assessment in Manufacturing Processes

  • Choi, Gi-Heung;Ryu, Boo-Hyung
    • International Journal of Safety
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    • v.4 no.2
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    • pp.1-5
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    • 2005
  • Design of manufacturing process, in general, facilitates the creation of new process that may potentially harm the workers. Design of safety-guaranteed manufacturing process is, therefore, very important since it determines the ultimate outcomes of manufacturing activities involving safety of workers. This study discusses application of discrimination information (cross entropy) to safety assessment of manufacturing processes. The idea is based on the general principles of design and their applications. An example of Cartesian robotic movement is given.