• Quality Improvement in Health Care
• /
• v.19 no.2
• /
• pp.50-64
• /
• 2013

Objectives : Suicide is a serious sentinel event in healthcare organization. Suicide and suicidal attempt are fatal and long lasting mental and physical damage to themselves, family, and medical staffs. To develope the system to prevent suicidal accident in hospital, we reviewed and analysed one case of suicidal sentinel event. Methods: The risks of suicidal sentinel event were evaluated and analysed through the root cause analysis and failure mode effects analysis. Result: We found several root causes such as initial assessment of oldest patient and security issues. Couple of action plans to fix the problems were done immediately. According to failure mode, we evaluate the risk priority number to modify the action plans. Conclusion: To reduce the risk of sentinel events, we reviewed the suicidal event and established the new system and action plan to prevent sentinel events.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2023.05a
• /
• pp.175-175
• /
• 2023

Detection and monitoring of wildfires are essential for limiting their harmful effects on ecosystems, human lives, and property. In this research, we propose a novel method running in the Google Earth Engine platform for identifying and characterizing burnt regions using a hybrid of Sentinel-1 (C-band synthetic aperture radar) and Sentinel-2 (multispectral photography) images. The 2022 Uljin wildfire, the severest event in South Korean history, is the primary area of our investigation. Given its documented success in remote sensing and land cover categorization applications, we select the Random Forest (RF) method as our primary classifier. Next, we evaluate the performance of our model using multiple accuracy measures, including overall accuracy (OA), Kappa coefficient, and area under the curve (AUC). The proposed method shows the accuracy and resilience of wildfire identification compared to traditional methods that depend on survey data. These results have significant implications for the development of efficient and dependable wildfire monitoring systems and add to our knowledge of how machine learning and remote sensing-based approaches may be combined to improve environmental monitoring and management applications.

• Korean Journal of Remote Sensing
• /
• v.38 no.4
• /
• pp.375-386
• /
• 2022

The city of Khartoum, the capital of Sudan, was heavily damaged by the flood of the Nile in 2020. Classification using satellite images can define the damaged area and help emergency response. As Synthetic Aperture Radar (SAR) uses microwave that can penetrate cloud, it is suitable to use in the flood study. In this study, Random Forest classifier, one of the supervised classification algorithms, was applied to the flood event in Khartoum with various sizes of the training dataset and number of images using Sentinel-1 SAR. To create a training dataset, we used unsupervised classification and visual inspection. Firstly, Random Forest was performed by reducing the size of each class of the training dataset, but no notable difference was found. Next, we performed Random Forest with various number of images. Accuracy became better as the number of images in creased, but converged to a maximum value when the dataset covers the duration from flood to the completion of drainage.

• Journal of Gastric Cancer
• /
• v.20 no.3
• /
• pp.245-255
• /
• 2020

Purpose: Recently, non-exposure simple suturing endoscopic full-thickness resection (NESS-EFTR) was developed to prevent tumor exposure to the peritoneal cavity. This study aimed to evaluate the feasibility of NESS-EFTR with sentinel basin dissection for early gastric cancer (EGC). Materials and Methods: This was the prospective SENORITA 3 pilot. From July 2017 to January 2018, 20 patients with EGC smaller than 3 cm without an absolute indication for endoscopic submucosal dissection were enrolled. The sentinel basin was detected using Tc^99m-phytate and indocyanine green, and the NESS-EFTR procedure was performed when all sentinel basin nodes were tumor-free on frozen pathologic examination. We evaluated the complete resection and intraoperative perforation rates as well as the incidence of postoperative complications. Results: Among the 20 enrolled patients, one dropped out due to large tumor size, while another underwent conventional laparoscopic gastrectomy due to metastatic sentinel lymph nodes. All NESS-EFTR procedures were performed in 17 of the 18 other patients (94.4%) without conversion, and the complete resection rate was 83.3% (15/18). The intraoperative perforation rate was 27.8% (5/18), and endoscopic clipping or laparoscopic suturing or stapling was performed at the perforation site. There was one case of postoperative complications treated with endoscopic clipping; the others were discharged without any event. Conclusions: NESS-EFTR with sentinel basin dissection is a technically challenging procedure that obtains safe margins, prevents intraoperative perforation, and may be a treatment option for EGC after additional experience.

• Korean Journal of Remote Sensing
• /
• v.37 no.1
• /
• pp.139-151
• /
• 2021

By the end of December 2020, an earthquake with Mw about 6.4 hit Sisak-Moslavina County, Croatia. The town of Petrinja was the most affected region with major power outage and many buildings collapsed. The damage also affected neighbor countries such as Bosnia and Herzegovina and Slovenia. As a light of this devastating event, a deformation map due to this earthquake could be generated by using remote sensing imagery from Sentinel-1 SAR data. InSAR could be used as deformation map but still affected with noise factor that could problematize the exact deformation value for further research. Thus in this study, 17 SAR data from Sentinel-1 satellite is used in order to generate the multi-temporal interferometry utilize Stanford Method for Persistent Scatterers (StaMPS). Mean deformation map that has been compensated from error factors such as atmospheric, topographic, temporal, and baseline errors are generated. Okada model then applied to the mean deformation result to generate the modeled earthquake, resulting the deformation is mostly dominated by strike-slip with 3 meter deformation as right lateral strike-slip. The Okada sources are having 11.63 km in length, 2.45 km in width, and 5.46 km in depth with the dip angle are about 84.47° and strike angle are about 142.88° from the north direction. The results from this modeling can be used as learning material to understand the seismic activity in the latest 2020 Petrinja, Croatia Earthquake.

• Archives of Plastic Surgery
• /
• v.41 no.3
• /
• pp.258-263
• /
• 2014

Background For early breast cancer patients, skin-sparing mastectomy or nipple-sparing mastectomy with sentinel lymph node biopsy has become the mainstream treatment for immediate breast reconstruction in possible cases. However, a few cases of skin necrosis caused by methylene blue dye (MBD) used for sentinel lymph node localization have been reported. Methods Immediate breast reconstruction using a silicone implant was performed on 35 breasts of 34 patients after mastectomy. For sentinel lymph node localization, 1% MBD (3 mL) was injected into the subareolar area. The operation site was inspected in the postoperative evaluation. Results Six cases of immediate breast reconstruction using implants were complicated by methylene blue dye. One case of local infection was improved by conservative treatment. In two cases, partial necrosis and wound dehiscence of the incision areas were observed; thus, debridement and closure were performed. Of the three cases of wide skin necrosis, two cases underwent removal of the dead tissue and implants, followed by primary closure. In the other case, the breast implant was salvaged using latissimus dorsi musculocutaneous flap reconstruction. Conclusions The complications were caused by MBD toxicity, which aggravated blood disturbance and skin tension after implant insertion. When planning immediate breast reconstruction using silicone implants, complications of MBD should be discussed in detail prior to surgery, and appropriate management in the event of complications is required.

• Progress in Medical Physics
• /
• v.27 no.3
• /
• pp.131-138
• /
• 2016

We analyzed the terminology and classification related to the risk management of radiation treatment overseas to establish the terminology and classification system for Korea. This study investigated the terminology and classification for radiotherapy risk management through overseas research materials from related organizations and associations, including the IAEA, WHO, British group, EC, and AAPM. Overseas risk management commonly uses the terms "near miss", "incident", and "adverse event", classified according to the degree of severity. However, several organizations have ambiguous terminologies. They use the term "near miss" for events such as a near event, close call, and good catch; the term "incident" for an event; and the term "adverse event" for the likes of an accident and an event. In addition, different organizations use different classifications: a "near miss" is generally classified as "incident" in most cases but not classified as such in BIR et al. Confusion might also be caused by the disunity of the terminology and classification, and by the ambiguity of definitions. Patient safety management of medical institutions in Korea uses the terms "near miss", "adverse event", and "sentinel event", which it classifies into eight levels according to the severity of risk to the patient. Therefore, the terminology and classification for radiotherapy risk management based on the patient safety management of medical institutions in Korea will help in improving the safety and quality of radiotherapy.

• Perspectives in Nursing Science
• /
• v.13 no.1
• /
• pp.1-9
• /
• 2016

Purpose: The purpose of this study was to identify the current state of research on healthcare professionals who make medical errors, who are known as "second victims", and support systems for them. Methods: An extensive search was conducted in electronic databases, Google, and websites related to patient safety using search terms such as "second victims", "medical errors", "adverse events", and "sentinel events". Results: Research to date in Korea has rarely focused on healthcare professionals' experiences after making medical errors. Abroad, there are comprehensive and systematic reviews of the impact of medical errors on healthcare professionals, their coping responses, and support systems for these second victims. Additionally, several institutes related to patient safety provide official guidelines and accessible support systems to support second victims in the aftermath of medical errors, especially serious adverse events. Conclusion: The impact of medical errors on healthcare professionals is profound and complex. Although systematic support systems for second victims are imperative, this has been overlooked in Korea. Thus, more research about the experiences of healthcare professionals after medical errors needs to be conducted prior to developing support systems or programs. Additionally, further efforts are required to raise awareness of the necessity of supporting healthcare professionals in healthcare systems.

• Journal of the Korean Association of Geographic Information Studies
• /
• v.24 no.4
• /
• pp.41-54
• /
• 2021

It is very essential to estimate the water body area using remote exploration for water resource management, analysis and prediction of water disaster damage. Hydrophysical detection using satellites has been mainly performed on large satellites equipped with optical and SAR sensors. However, due to the long repeat cycle, there is a limitation that timely utilization is impossible in the event of a disaster/disaster. With the recent active development of Micro satellites, it has served as an opportunity to overcome the limitations of time resolution centered on existing large satellites. The Micro satellites currently in active operation are ICEYE in Finland and Capella satellites in the United States, and are operated in the form of clusters for earth observation purposes. Due to clustering operation, it has a short revisit cycle and high resolution and has the advantage of being able to observe regardless of weather or day and night with the SAR sensor mounted. In this study, the operation status and characteristics of micro satellites were described, and the water area estimation technology optimized for micro SAR satellite images was applied to the Daecheong Dam basin on the Korean Peninsula. In addition, accuracy verification was performed based on the reference value of the water generated from the optical satellite Sentinel-2 satellite as a reference. In the case of the Capella satellite, the smallest difference in area was shown, and it was confirmed that all three images showed high correlation. Through the results of this study, it was confirmed that despite the low NESZ of Micro satellites, it is possible to estimate the water area, and it is believed that the limitations of water resource/water disaster monitoring using existing large SAR satellites can be overcome.