• 제목/요약/키워드: safety responsibilities

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의료급여관리사의 재가전환관리 경험 (Experiences of Transitional Care for Medicaid Case Managers)

  • 황윤희;이가언
    • 대한간호학회지
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    • 제53권5호
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    • pp.556-569
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    • 2023
  • Purpose: This phenomenological study tried to understand the essence of the transitional care experience of medicaid case managers and its structural meaning. In addition, it was attempted to establish a system of transitional care and seek support measures for medicaid case managers. Methods: The participants of this study were 7 medicaid case managers who had spent more than 1 year and 6 months in medicaid pilot project. Data were collected with individual in-depth interviews from June to December 2021. The data were analyzed by Giorgi's phenomenological analysis method. Results: The seven constituents derived from the results of this study were 'struggle to establish a living environment', 'dedication to supporting independent living', 'anxiety about safety', 'pressure on care responsibilities', 'distress in building the pilot project', 'pride in role', and 'expectation for improvement'. Conclusion: The study results provide a comprehensive understanding of the transition care reality for medicaid case managers. They also shed light on managers' perceptions and attitudes. These findings can serve as fundamental information for establishing support measures for medicaid case managers and transitional care systems.

병원감염 사건에서 사실상 증명책임 전환의 필용성 및 그 근거로서 안전배려의무에 관한 검토 (Review of the Need for Conversion of Proving Responsibility in Hospital Infection and the Duty of Safety Management as the Basis of it)

  • 유현정
    • 의료법학
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    • 제15권2호
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    • pp.123-163
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    • 2014
  • As results of analyzing judicial precedents about infection in hospitals in connection with mistakes and causality in medical litigations shows that the Mitigation of Law Principles To Prove responsibility in medical litigation has not been able to play its role compared to its intended purposes. And Major sentiment from those judgments is that a mistake can't be proved only by the fact that certain infection in hospital occurred in connection with hospital infection. Therefore, the number of indirect facts to deny estimation is overwhelmingly high. Like this, especially for hospital infection which is difficult to prove indirect facts themselves to estimate mistake, major sentiment from those judgments have a problem that impute sharing of losses caused by hospital infection to patient. In accordance with the Principles of equitable and proper sharing of losses, it's required to prepare legal interpretation and theoretical methods to largely mitigate patient's responsibility to prove medical mistakes compared to other medical litigations in connection with existing Mitigation of Law Principles To Prove responsibility and conventional theory of estimation. In connection with this, the results of review that duty of safety management in hospital infection cases can be the base of conversion of proving responsibility, the duty that prevent hospital infection, corresponding the duty of safety management in hospital infection is not conventional duty of safety management based on duty of good faith but secondary obligation of medical contract. The breach of duty preventing hospital infection is the violation of medical contract, but there is no logical necessity that convert proving responsibility from the obligation of contract itself. Therefore, the duty of preventing hospital infection from the obligation of medical contract, corresponding the duty of safety management in hospital infection cases cannot be the base of conversion of proving responsibility alone. But, it's still required to conversion of proving responsibility in hospital infection, we need further studies on cases of Germany which applies legal estimation of proving responsibilities in hospital infection.

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선원의 사고책임으로 상무(常務)의 유효한 적용을 위한 재결 사례 분석 및 제안 (Case Analysis and Proposal for the Effective Application of "Ordinary Practice of Seaman" as Seafarers' Responsibility for Marine Accidents)

  • 김인철
    • 해양환경안전학회지
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    • 제28권1호
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    • pp.64-71
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    • 2022
  • 선원의 상무라는 용어는 해양사고관련자인 선원에게 사고에 대한 책임을 물을 때 사용되는 용어이다. 그러나 선원의 상무에 따른 책임을 부과함에 따라 오히려 책임이 불분명해지기도 하며, 국제해상충돌예방규칙에 명백히 규정되어 있는 항법을 위반한 경우에도 선원의 상무에 따른 책임을 부과함으로써 개선이 필요한 부분이 희석되기도 한다. 해양안전 심판제도가 유사 사고의 재발을 방지하기 위하여 이미 발생한 사고의 원인을 철저하게 분석하는 과정을 거친다는 사실을 상기할 때 유사 사고의 재발방지에 기여하지 못하는 원인분석으로써 실행 가능한 한 선원의 상무는 배제하는 것이 적절할 것이다. 이에, 해양사고 조사심판 기관의 존재 이유와 선원의 상무에 대한 학설을 전체적으로 살펴보고 법원 판결 및 재결서에서 주의의무 사용례를 함께 분석함으로써 관습적·불문적 항법으로 인식되고 있는 선원의 상무에 대한 적용을 어떻게 개선할 수 있는지를 검토하였다. 그리고 해양사고 재발 방지라는 관점에서 '선원의 상무'를 '선원의 통상적인 업무'라고 바꾸어 쓸 것을 제안하였으며, 합목적적인 적용을 위한 현대적 해석을 제시하였다.

어업노무관리에 관한 조사연구 - 근해어업을 중심으로 (On the Problems of Labor Management in the Adjacent Seas Fishing Industries)

  • 장수호
    • 수산경영론집
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    • 제5권2호
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    • pp.1-47
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    • 1974
  • This is the report of a study carried out during the months of April to July in 1974, on the fisheries in regard to its labor management. At here the word of adjacent seas fisheries in Korea denotes the fisheries carried out by fishing boats for one or two boats trawling, purse seinning, shrimp trawling, and whale catching. For the objective of this above study the auther randomly selected 257 crew-members for the questionaires and direct interviews and, with this method, proceeded surveys and investigations on the following factors such as the organization and its functions, personel administration in regard to placement and merit system, regulations and rules of working, wages and salaries, welfare facilities or considerations, safety and sanitation, human relations within organization and cooperation, and thus covered the whole important factors with the modern management system. The results of the studies are; The factors above the standard level are only on those of organization and functions, merit system and placement and human relations and for the rest the judgement are to be laid as below the standard level. And particularly revealing the problems on the following factors; 1) Wages and salary particulary on the payment upon laid out, and the payment of wages in advance. 2) Welfare facilities such as of the insurance and crew members' welfare for the good use of leisure time. 3) Placement and merit system in regard to ite method of appointing or empioying 4) Regulations and rules of working in regard to the vacation or leave of absence. 5) Safety problem particularly on the matter of sanitation or hygene. 6) Coopertion on the matter of participation on the interested problems on both parties. The above points indicated are, methinks, all derived out of the out dated method of management. Therefore, for the improvement of the labor management, first of all, nothing is more urgent than to adopt the modern labor management method as well as to encourage and enlighten the social responsibilities burdened on the enterprise.

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기관생명윤리위원회(IRB)와 연구윤리 (Institutional Review Board and Research Ethics)

  • 김종빈;김종수
    • 대한소아치과학회지
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    • 제41권2호
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    • pp.187-192
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    • 2014
  • 연구윤리는 학문을 탐구하는 사람이 갖추어야 할 가장 근본적인 자세라고 할 수 있다. 많은 선학들의 훌륭한 연구 업적 덕분에 지금의 학문 체계가 마련될 수 있었다. 최근 증가되고 있는 결과 중심의 연구 풍토와 업적을 중시하는 평가 시스템은 일부 학자로서의 양심을 벗어난 연구를 부추기는 부작용을 낳을 수 있다고 사료된다. 이에 저자는 뉘른베르크 강령과 헬싱키 선언으로 시작된 연구윤리의 개념을 되짚어보고, 이를 강조하는 주체에 대한 각국의 입장과 국내 실정을 소개하며, 최근 개정된 "생명윤리 및 안전에 관한 법률"에 따른 기관생명윤리위원회의 역할, 심의면제 그리고 심의절차 등에 관해 검토해보고, 향후 연구자가 숙지해야할 내용을 점검해 보았다. 또한 연구 객관성의 확보와 연구부정행위에 대한 검증 및 대비를 위해 연구노트의 적극적인 활용을 고려해 보는 것을 제안하는 바이다.

A risk management methodology for maritime logistics and supply chain applications

  • Mokhtari, Kambiz;Ren, Jun
    • Ocean Systems Engineering
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    • 제4권2호
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    • pp.137-150
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    • 2014
  • In the marine industry although there has been significant growth towards safety, security and risk assessments or risk-based strategies such as marine insurance and regulations to avoid the risks of damage to properties and the environment or the prospect of premature death caused by accidents etc, the moves toward managing the risks which are linked directly to the business functions and decision making processes have been very slow. Furthermore in the marine industry most perceptions, methodologies and frameworks of dealing with hazards, risks, safety and security issues are for their assessment rather than their management. This trend reveals the fact that in different marine industry sectors such as logistics and shipping there is a lack of coherent risk management framework or methodology from which to understand the risk-based decisions especially for the purpose of design, construction, operation, management and even decommissioning of the marine related applications. On the other hand risk management is not yet viewed holistically in the marine industry in order to, for example, assign a right person, i.e. risk manager, who can act as a coordinator and advisor with responsibilities that are only specific to risk management. As a result this paper, by examining the present physical borders and risk-based activities in the marine industry, aims to propose an appropriate risk management methodology in addition to the emergent role of risk managers which will enable the industry users initially to become familiar with the concept of risk management at its holistic level. In the later stages this eventually can lead to development of risk management capabilities at an exclusive level and its integration into the marine industry functions in future.

수면비행선박의 통항항법에 대한 고찰 (A Study on the Navigation Rules of Wing-In-Ground Effect Craft)

  • 윤귀호
    • 해양환경안전학회지
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    • 제19권5호
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    • pp.491-496
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    • 2013
  • 수면비행선박의 지위가 국제해사기구(IMO)에서 선박으로 분류하는 것으로 결론지은 이후, 국내외적으로는 몇몇 규칙과 권고 사항들이 개정 및 승인되었다. 하지만 정작 수면비행선박의 종류 및 운항특성을 고려한 항법에 관해서는 규정이 미비하고, 수면비행선박간 항법에 관련해서는 규정이 되어 있지 않다. 이러한 상황에서, 현행 법령상에 다른 선박들과 수면비행선박간의 책임 관계를 명확히 하기 위하여 서로 시계에 항법상의 수면비행선박 관련 규정을 모든 시계로의 항법상으로 이동할 것과 수면비행선박간 안전통항을 확보하기 위하여 타입 'B'와 'C'의 수면비행선박이 타입 'A'의 수면비행선박을 피항해야 한다는 규정이 신설되어야 한다고 판단된다.

가습기살균제 참사와 미나마타병 사건의 비교 고찰 (A Comparative Study of the Humidifier Disinfectant Disaster and Minamata Disease)

  • 최예용;이인현
    • 한국환경보건학회지
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    • 제45권4호
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    • pp.326-339
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    • 2019
  • Objectives: Minamata disease was an environmental health disaster of worldwide notoriety that occurred in Japan. The acknowledged patients total roughly 3,000, and the relieved victims currently include 77,099 cases. Still, many cases await acknowledgment or relief. The humidifier disinfectant issue is an environmental health catastrophe that took place in Korea. Over 9.98 million products spanning 43 brands of humidifier disinfectant have been sold and 835, cases have been recognized to date as relevant victims by the government. So far, 2,144 cases have been relieved by the fund of the producing companies. Four million consumers and 560,000 victims are estimated. Finding hints as to how to develop solutions in terms of fact-finding and prevention are the objectives of this study. Methods: Fields visits, interviews, and workshops as well as reference reviews have been conducted. A comparison was attempted to show the similarities and differences between the two disasters on 38 items. Results: Apparent similarities in the two disasters are the failure of industrial safety measures and governmental safety systems as well as relief systems for the victims. No comprehensive investigation was performed for all of the affected areas in Japan and all of the consumers in Korea. Both governments have tried to hide the faults and responsibilities of the companies and minimize the scale of the victims. Only after the government was changed through a general election did the new governments apologize and attempt to find political and social solutions through special relief laws. Conclusions: Over the process of each event, in the beginning, debates took place regarding the cause and the heath damages involved. For both, medical and toxicological relations are the keys while afterward finding a social solution became the subsequent issue.

Factors Affecting Night-Time Economic Development: Research in Hanoi, Vietnam

  • Ngoc Son NGUYEN;Vu Hiep HOANG;Quoc Dung NGO;Van Hoa HOANG
    • Asian Journal of Business Environment
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    • 제13권2호
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    • pp.1-7
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    • 2023
  • Purpose: The purpose of the study is to explore the factors which influence the night-time economic development in Hanoi, Vietnam. The results can help policymakers achieve a scientific basis to plan the development of night-time economy in Hanoi. Research design, data and methodology: The research model is developed from literature review with 7 independent variables, including natural conditions and resources, infrastructure, safety, environmental issues, promotion and international integration, development of sharing economy, and institution and policy. This model is then adjusted by exploratory factors analysis to have 4 new variables: Institution and environment, Infrastructure and safety, Promotion and sharing, and Nature and resources. The model is regressed based on the data of 463 observations of night-time economy in Hanoi, Vietnam. Results: Consistent with the current literature addressing night-time economy, the results show positive impacts of all of the independent variables studied. Conclusions: It is recommended for the local authorities to strengthen advertising and promoting investment for NTE development in Hanoi city and also enhance the role of state management in NTE activities by raising awareness of the state management apparatus towards a more open-minded multi-dimensional view of the NTE, developing the NTE to overcome the barrier of thinking "if it cannot be managed, it is forbidden" in state management agencies, and defining responsibilities and authority among state management agencies in the management of NTE activities and strengthening decentralization and decentralization of powers for localities in the management and development of NTE.

사업체 급식의 HACCP 제도 도입을 위한 인지도 조사 (Recognition Study on Introduction of HACCP to Industry Foodservice)

  • 이헌옥;심재영;신현아;정덕화;엄애선
    • 한국식품조리과학회지
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    • 제18권3호
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    • pp.355-364
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    • 2002
  • 본 연구는 서울 시내 사업체 급식소의 영양사 및 급식 관리 책임자를 대상으로 HACCP 제도 도입에 따른 사업체 급식 위생 관리에 대한 인지 및 HACCP 시스템 적용을 위해 조성되어야 할 선결 문제와 장애 요인을 알아봄으로써 효율적인 사업체 급식 위생 관리 제도를 정착, 확대시키기 위한 기초자료를 제공하고자 실시되었으며, 그 결과는 다음과 같았다. 1. 사업체 급식의 현 위생 관리 상태에 대한 조사대상자의 만족도는 대체로 만족하는 수준이었으며, 급식 관리 책임자가 영양사에 비해 만족도가 약간 높은 것으로 나타났다. 2. HACCP 제도에 대한 인지는 조사 대상자 대부분이 '알고 있다'고 응답하였으며, HACCP 적용 업소로 지정되지 못한 이유는 '우대 조치가 미약해서' 라는 응답이 가장 많아 사업체 급식에서 HACCP 적용 확대를 위해서는 여러 종류의 지원책이 필요함을 시사하였다. 또한 영양사와 급식관리 책임자 대부분이 HACCP 제도에 대한 적용 의사가 있다고 답하였으나 그 도입 시기는 '단계적으로 도입해야 한다'가 많았다. 사업체 급식에서 HACCP 제도를 도입 못하는 이유로는 두 집단 모두 '시설, 설비 부족'을 가장 큰 이유로 꼽았으며, HACCP 제도 도입시 예견되는 문제점으로는 '급식실의 시설, 설비상 문제'와 '교차 오염' 및 '온도 관리'를 지적했다. 3. 사업체 급식 식중독 사고의 주요 원인에 대한 인식에서는 영양사와 급식 관리 책임자 모두 '온도-소요시간 관리의 부재'를 각각 23.9%와 26.9%로 가장 많이 지적했다. 4. 사업체 급식에서 위생 관리가 어려운 항목은 영양사의 경우는 '가열 조리 후 온도 측정 및 소요시간 기록'을, 급식 관리 책임자는 '주방 바닥 건조 유지' 및 '작업이 바뀔 때마다 손 세척'으로 응답하였으며, 사업체 급식 위생 관리에서 가장 우선적으로 개선이 필요한 사항으로 영양사는 '기기, 시설 및 설비 개선'을, 급식 관리 책임자는 '재원 확보'라고 답하였으나 전체적으로 볼때 영양사의 개선에 대한 인식이 급식 관리 책임자에 비해 모든 항목에서 유의적으로 높게 나타났다. 사업체 급식에서 위생 관리가 잘 수행되지않는 주된 이유로 영양사는 '인식 부족'(6문항)에, 급식 관리 책임자는 '시간 부족'(9문항)에 가장 많이 응답하였다.