Purpose: Communication in hospitals is one of the major factors in patient safety. So, the purpose of this study was to identify the relationship between intra-organizational communication satisfaction and the safety attitude of nurses in hospitals. Method: A descriptive survey design with convenience sampling was used. Data collection was done using a self-report questionnaire answered by 278 nurses from one university hospital located in Kyeoung-gi Province, Korea. Result: Intra-organizational communication satisfaction positively correlated with safety attitude (r=.747, p<.01). Among the 6 sub dimensions of safety attitude, perceptions of management (r=.675, p<.01), job satisfaction (r=.640, p<.01) and teamwork climate (r=.600. p<.01) were strongly related to intra-organizational communication satisfaction. Multiple regression analysis was done to identify explanation power of intra-organizational communication satisfaction against safety attitude. The model was significant (F=48.540, p<.01). Intra-organizational communication satisfaction accounted for 60.9% of variance in safety attitude (Adj $R^2$=.609). Conclusions: The results of this study indicate that higher levels of intra-organizational communication satisfaction promote positive safety attitude in hospital nurses and that communication media quality is an important factor in patient safety attitude. Therefore, developing interventions to revitalize intra-organizational communication level based on communication media quality will help in the construction of positive safety attitude in nurses.
The purpose of this study was to survey a perception of frequency & importance level of job performance, from 249 paramedics who were working at fire station. The job related activities of 4 duties, 18 tasks and 145 task elements were checked by 4 rating scale. The data were analyzed using a SPSS program for descriptive statistics. The results of the study were as follows ; 1. Some of the most frequent tasks were medical tx, managing people & organization, trauma care, pt assessment, general coping skill 2. Some of the most frequent task elements were preparation of written reports, operation of pt lifting supplies, transportation of patients on stretchers, administration of cervical collar and utilization of scoop stretcher. 3. Some of the highest level of importance in task were resuscitation of circulation, surgical tx, safety & infection control, environmental emergency care, trauma care. 4. Some of the highest level of importance in task elements were administration of cervical collar, adult CPR, infant CPR, child CPR, and AED. 5. The highest level of task elements in perception of frequency & importance were administration of cervical collar, infection control after pt care, utilization of long back board, disinfection of ambulance after ride a long, care of chest pain pt, care of unconscious pt, tx of asthma. 6. A difference between frequent & importance score were due to lack of supplies(41%), structural problems(30%) and medical control system(16%), lack of skills(10%), Suggestion; 1. This paper would be more reliable and confirm through wilder range of survey. 2. It would be necessary of more depth survey through dacom study from paramedic. 3. Development of field oriented protocol & curriculum that based on task elements which have high score of both frequency & importance level is required.
Background: Musculoskeletal disorders (MSDs) in the health industry are quite common, however, there have only been a few studies regarding physiotherapists, while in Greece, there is an apparent lack of research and data. The aim of this study is to investigate MSDs experienced by physiotherapists in Greece, their causes and specific measures, and good practices followed. Additional emerging risk factors will be examined. Methods: A questionnaire of MSDs followed by individual and workplace characteristics was completed by 252 physiotherapists. It covered the major workplace categories such as public hospitals, private rehabilitation centers, and private practices. Results: Analysis indicated that 89% of the respondents had experienced a work-related MSD; 32.2% of those injuries occurred within the first 5 years of working. The most lumbered physiotherapists were those working as private practitioners and almost half of the injured respondents chose to work while injured. The most common measure taken to tackle work related MSDs was found to be physical therapy sessions. Job satisfaction and psychosocial issues were also identified as side-effects of the economic slowdown. Conclusion: Physiotherapists in Greece were found to suffer from MSDs; workplace musculoskeletal injuries were quite common but under-reported. The body parts most affected were the lower back, the upper back, the shoulders, and the neck. There was a strong correlation between the workplace setting and the number of MSDs. A well-defined occupational safety and health management system and strict administration steering were found to reduce MSDs. The economic slowdown experienced in Greece during the execution of this study placed additional pressure on physiotherapists.
Chi-Yun Back;Dae-Sung Hyun;Sei-Jin Chang;Da-Yee Jeung
Safety and Health at Work
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제14권1호
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pp.71-77
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2023
Background: This study investigated the relationship between trauma exposure and suicidal ideation. Moreover, this study examines the moderating roles of organizational climate on the association between trauma exposure and suicidal ideation in Korean male firefighters. Methods: A total of 15,104 male firefighters who completed a questionnaire were analyzed. The data were obtained using an online self-administered questionnaire from the Firefighter Research on Enhancement of Safety and Health Study. Poisson regression analysis was performed to determine the effects of trauma exposure on suicidal ideation and the moderating effect of organizational climate. Results: The results showed that 389 firefighters (2.6%) responded that they had experienced suicidal ideation. In the final model, trauma exposure was positively related to suicidal ideation (adjusted risk ratio [aRR], 1.076; 95% confidence interval [CI]: 1.051-1.103), and organizational climate was negatively associated with suicidal ideation (aRR, 0.772; 95% CI: 0.739-0.806). Additionally, the interaction term (trauma exposure × organizational climate) was related to suicidal ideation (aRR, 1.016; 95% CI: 1.009-1.023). Conclusions: This study suggests that trauma exposure might play a significant role in developing suicidal ideation and that positive organizational climate moderates the negative effects of trauma exposure on suicidal ideation among firefighters. It is necessary to perform a follow-up study of various intervention strategies to maintain a healthy organizational climate or work environment. Such interventions should promote lasting trust within teams, provide social support and belonging, and nurture job value.
Ali, Ahmed Khairadeen;Khan, Numan;Lee, Do Yeop;Park, Chansik
국제학술발표논문집
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The 8th International Conference on Construction Engineering and Project Management
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pp.313-322
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2020
The recognition of the risk hazards is a vital step to effectively prevent accidents on a construction site. The advanced development in computer vision systems and the availability of the large visual database related to construction site made it possible to take quick action in the event of human error and disaster situations that may occur during management supervision. Therefore, it is necessary to analyze the risk factors that need to be managed at the construction site and review appropriate and effective technical methods for each risk factor. This research focuses on analyzing Occupational Safety and Health Agency (OSHA) related to risk zone identification rules that can be adopted by the image recognition technology and classify their risk factors depending on the effective technical method. Therefore, this research developed a pattern-oriented classification of OSHA rules that can employ a large scale of safety hazard recognition. This research uses joint reasoning of risk zone Identification and numeric input by utilizing a stereo camera integrated with an image detection algorithm such as (YOLOv3) and Pyramid Stereo Matching Network (PSMNet). The research result identifies risk zones and raises alarm if a target object enters this zone. It also determines numerical information of a target, which recognizes the length, spacing, and angle of the target. Applying image detection joint logic algorithms might leverage the speed and accuracy of hazard detection due to merging more than one factor to prevent accidents in the job site.
Objectives : This study was designed to develop and standardize a checklist for ergonomic risk factors, and to provide ergonomic guidelines for managing cumulative trauma disorders (CTDs) in automobile assembly lines. Methods : The Checklist for Ergonomic Risk Factors (CERF-1) was developed based on the results of previous studies, and then modified after performing pilot study. Information on the symptoms possibly related with CTDs was obtained using a self-reported Questionnaire from 465 automobile assembly workers. Their job conditions were examined to assess risk factors through both direct observation and video analysis. Results : Rate of detecting risky job through CERF-1 was 85.6%, and was similar to that (88.8%) by Occupational Safety and Health Adminstration(OSHA) checklist but higher than that (63.7%) by American National Standards Institute(ANSI) Z-365. Relationship of the exposure scores derived from CERF-1 with levels of symptom was greater (r=0.49) than OSHA (r=0.28) and ANSI Z-365 (r=0.22). Considering the relationship, jobs scoring higher than 16 could be classified as the Risk Job. and lower than 16 as the Low Risk Job. Sensitivity and specificity of the Risk Job were 92.5 % and 31.5 %, respectively. Odds ratio (OR) after age adjustment was 5.69 (95 % confidence interval 3.15-10.29) for the Risk Job, and these ORs were significantly different from those of the Low Risk Job. The exposure scores were Quite valid, in that the scores at the main survey were significantly correlated with those at the follow-up survey, as suggested by test-retest(r=0.88) and inter-rater reliability(r=0.80). Conclusions : The CERF-1, developed in this study, will be an efficient tool for evaluation of risk jobs for CTDs in automobile assembly lines, and can be used easily by health care providers.
The Fukushima-Daiichi accident shook the world, as a well-known plant design, the General Electric BWR Mark I, was heavily damaged in the tsunami, which followed the Great Japanese Earthquake of 11 March 2011. Plant safety functions were lost and, as both AC and DC failed, manoeuvrability of the plants at the site virtually came to a full stop. The traditional system of Emergency Operating Procedures (EOPs) and Severe Accident Management Guidelines (SAMG) failed to protect core and containment, and severe core damage resulted, followed by devastating hydrogen explosions and, finally, considerable radioactive releases. The root cause may not only have been that the design against tsunamis was incorrect, but that the defence against accidents in most power plants is based on traditional assumptions, such as Large Break LOCA as the limiting event, whereas there is no engineered design against severe accidents in most plants. Accidents beyond the licensed design basis have hardly been considered in the various designs, and if they were included, they often were not classified for their safety role, as most system safety classifications considered only design basis accidents. It is, hence, time to again consider the Design Basis Accident, and ask ourselves whether the time has not come to consider engineered safety functions to mitigate core damage accidents. Associated is a proper classification of those systems that do the job. Also associated are safety criteria, which so far are only related to 'public health and safety'; in reality, nuclear accidents cause few casualties, but create immense economical and societal effects-for which there are no criteria to be met. Severe accidents create an environment far surpassing the imagination of those who developed EOPs and SAMG, most of which was developed after Three Mile Island - an accident where all was still in place, except the insight in the event was lost. It requires fundamental changes in our present safety approach and safety thinking and, hence, also in our EOPs and SAMG, in order to prevent future 'Fukushimas'.
Lucas, Devin L.;Lee, Jennifer R.;Moller, Kyle M.;O'Connor, Mary B.;Syron, Laura N.;Watson, Joanna R.
Safety and Health at Work
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제11권2호
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pp.165-172
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2020
Background: To gain a better understanding of nonfatal injuries in Alaska, underutilized data sources such as workers' compensation claims must be analyzed. The purpose of the current study was to utilize workers' compensation claims data to estimate the risk of nonfatal, work-related injuries among occupations in Alaska, characterize injury patterns, and prioritize future research. Methods: A dataset with information on all submitted claims during 2014-2015 was provided for analysis. Claims were manually reviewed and coded. For inclusion in this study, claims had to represent incidents that resulted in a nonfatal acute traumatic injury, occurred in Alaska during 2014-2015, and were approved for compensation. Results: Construction workers had the highest number of injuries (2,220), but a rate lower than the overall rate (34 per 1,000 construction workers, compared to 40 per 1,000 workers overall). Fire fighters had the highest rate of injuries on the job, with 162 injuries per 1,000 workers, followed by law enforcement officers with 121 injuries per 1,000 workers. The most common types of injuries across all occupations were sprains/strains/tears, contusions, and lacerations. Conclusion: The successful use of Alaska workers' compensation data demonstrates that the information provided in the claims dataset is meaningful for epidemiologic research. The predominance of sprains, strains, and tears among all occupations in Alaska indicates that ergonomic interventions to prevent overexertion are needed. These findings will be used to promote and guide future injury prevention research and interventions.
As contemporary building construction type is getting higher and deeper,construction equipment usage is getting more, and related fatal accidents are on an increasing trend. In these days, due to the deteriorating construction business circumstance, job finding problem of equipment operator, and dumping contract, equipment lease suppliers are putin jeopardy. In high-rise building construction, especially tower crane, mobile elevated work platform and other High place operation cars among construction equipment cause many critical accidents because of drop supply of construction biding bringing out dumping contract could cause unsafe and poor construction management. Because of this, a method was drawn which could grasp the present state of construction equipment management and manage safety of the equipment more easily for accident prevention by choosing 2 kinds of Construction equipment which cause safety accident frequently among the equipment mainly used in construction site. This study suggested a method about construction equipment safety management using "smart phone" base which could be used in safety management for construction equipment by whomever in construction site. After attachment of QR code included safety checklist, It became possible that site managers could check more efficiently by scanning with their smart phone when they inspect equipment. Moreover, by the construction interested who didn't know what and how they have to inspect could point out unsafe condition in the early stage of equipment entering or take unsafe one out of the site by using new smart phone safety checking system is installed, it became possible that critical accident caused by construction equipment was prevented in advance.
건설현장에서의 안전사고는 근로자의 생명을 앗아가는 중대한 사고로 이어질 수 있고, 정부차원에서 산업재해 감소를 위해 많은 노력을 기울이고 있는 만큼 건설현장에서 재해발생과 밀접한 관련이 있는 안전관리자의 역할이 중요해지고 있다. 하지만 현행 건설업 안전관리에 있어 안전관리자가 담당하는 업무량이 과도하게 많고, 효율적이지 못한 업무들로 인해 직무 스트레스가 많이 발생하고 있다. 따라서 업무내용의 개선 및 간소화가 필요한 실정이다. 본 연구의 주된 목적은 안전관리자 안전관리 단계의 업무들을 난이도와 예방효과에 대해 전문가 의견과 설문조사를 통해 2×2 Matrix 분석 기법을 활용해 비효율적인 업무의 간략화 및 개선이 필요한 업무들을 파악하고 개선방향을 제시함으로써, 궁극적으로 건설현장의 안전사고 발생을 줄이는 데 기여하고자 한다.
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