• 제목/요약/키워드: Incident reporting

검색결과 63건 처리시간 0.025초

한국의 항공안전 데이터베이스 분류체계에 관한 연구 (A Study on the Aviation Safety Information System in Korea - With the Comparative Analysis of the ICAO, the United States and EU system)

  • 이강석
    • 항공우주정책ㆍ법학회지
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    • 제25권2호
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    • pp.113-137
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    • 2010
  • 국제 사회에서는 그 동안 항공안전의 향상을 위하여 많은 노력과 활동을 전개하여 왔다. 새로운 첨단기술과 시스템, 그리고 전 세계 어디서나 보다 정밀한 항행을 할 수 있도록 도와주는 항법장비의 발전은 항공안전의 수준을 상당히 향상시켜 왔다. 그러나 전 세계의 항공 사고율은 1980년대 이후부터 별다른 감소 추세 없이 계속해서 정체현상을 보이고 있다. 이는 기존의 항공안전 향상을 위한 노력만으로는 이제 더 이상 항공기의 안전 운항을 보장해 줄 충분한 수준의 안전 확보가 어렵다는 것을 의미하며, 결국 사고예방을 위한 새로운 방법이 필요하게 되었다. 이러한 점을 주목하여 전 세계 항공국들은 항공기 사고로 인명 또는 재산상의 손실이 발생하기 전에 전 항공시스템 내에서 초기 위험요소들을 사전에 인지하여 그에 대한 적절한 개선 대책을 개발할 수 있는 새로운 방식에 관심을 가지게 되었는데 그것은 항공안전정보시스템의 구축을 통한 안전정보의 수집 분석 공유를 하는 것이다. 세계적인 항공안전정보시스템을 구축하기 위해서는 각 나라의 정보들을 수집하고 분석할 수 있는 항공사고 준사고 보고시스템 구축을 기본으로 이용자간에 자유스럽게 교환이 이루어져야 한다. 또한 시스템을 구성하는 항공안전 데이터들의 분류체계가 표준화되어 이용자간의 정보가 원활히 소통될 수 있어야 하겠다. 이 연구에서는 항공안전 정보를 효과적으로 분석하고 필요한 예방활동을 결정할 수 있는 각 나라의 항공사고 준사고 데이터베이스 분류체계를 조사를 통하여 세계 항공안전 강화에 기여함은 물론 국가 항공 외교력 증진에도 도움이 되고자 한다.

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친족에 의한 아동 성폭력 실태 - 영남권역 해바라기 아동센터의 경험 - (The Child Sexual Assaults by Kin -The Experience of YoungNam District Sunflower Center for Prevention of Child Sexual Assaults-)

  • 서순기;이상한
    • 대한수사과학회지
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    • 제2권2호
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    • pp.21-29
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    • 2007
  • 아동 성폭력 중에서도 친족에 의한 성폭력은 어린 시절부터 시작되어 청소년기를 거쳐 성인에 이르기까지 지속되는 경향이 있고, 가장 신뢰하는 사람으로부터 피해를 입기 때문에 신체적, 심리적, 사회적으로 심각한 후유증을 겪는다. 영남권역 해바라기 센터는 13세 미만의 성폭력 피해아동을 위해 법의학적 증거물 채취에서부터 신체적, 정신적, 심리적 치료를 원스톱으로 할 수 있는 성폭력 전문센터로 2005년 6월 대구에 개소되었다. 본 연구는 영남권 역 해바라기 아동센터 개소 이래 2006년 12월까지 상담한 사례 180건 중 친족에 의한 아동성폭력 사례 36건을 대상으로 하여 그 특성을 분석하였다. 피해 아동은 여아가 32건 (88.9%), 남아가 4건(11.1%)이었고, 연령별로는 7세 이하의 유아 20건(5.6%), 어린이 16건(44.4%)이었다. 피해 유형으로는 성추행이 28건(78%), 강간이 8건(22%)이었다. 가해자는 친부가 58.3%(21건)으로 가장 많았고, 조부(3건), 사촌오빠(3건), 의부(2건)의 순이었다. 가해자의 연령별로는 성인이 32건(88.9%), 청소년 2건(5.5%), 어린이 2건(5.5%)이었다. 피해 장소는 피해자의 집이 31건(86.1%)으로 대부분을 차지하였고, 피해기간별로는 지속적인 피해가 25건(69.4%), 1회가 6건(16.6%), 모름(3건), 3-4회(2건)의 순이었다. 피해사실에 대해 신고나 처벌을 원치 않는 경우가 22건(61.1%), 경찰에 신고(7건), 고려 중(6건)의 순이었고, 실제 고소 고발된 사례는 1건이었다. 이상의 결과를 바탕으로 단일 기관의 통계라는 한계는 있지만 친족에 의한 아동 성폭력은 주로 친부에 의해 피해자의 집에서 이루어지며, 단회에 그치기보다는 지속적으로 피해가 발생하며, 유아기부터 일찍 발생하는 것으로 나타났다. 친족에 의한 성폭력을 예방하기 위해서는 사회 전반에 걸친 지속적인 홍보와 교육이 절실하며, 피해자 치료 외에도 단순한 가정내 문제라는 잘못된 인식을 과감히 버리고 피해 사실에 대한 경찰 신고를 의무화하고 해바라기 아동센터와 같은 전문 센터의 확충이 요구된다고 생각한다.

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심혈관계질환의 발병 위험을 선별할 수 있는 적정 허리둘레의 임계점 (Optimal Waist Circumference for the Prevention of Cardiovascular Disease)

  • 백인경;신철
    • 대한지역사회영양학회지
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    • 제15권2호
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    • pp.275-283
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    • 2010
  • There are few studies reporting optimal waist circumference that can be utilized to prevent the incidence of cardiovascular disease (CVD). We evaluated the association of waist circumference and waist and hip circumference ratio (WHR) with incident cases of CVD developed over 6 years in a population-based prospective study including Korean adults. Analyses for receiver-operating characteristic (ROC) curve were performed with data for 1,733 men and 1,579 women who were aged 40 to 69 years and were free of a physician-diagnosis of CVD at baseline. Information on the diagnosis of CVD was periodically reported using interviewer-administered questionnaires and anthropometric measures were obtained by biennial health examinations. We newly identified 77 cases of CVD during a follow-up period between 2003 and 2008. On the basis of measures of diagnostic accuracy including minimum distance to ROC curve and Youden index, waist circumference of 85 cm for men, in particular for male nonsmokers, and of 80 cm for women and WHR of 0.88 to 0.90 for men and of 0.83 for women were found to be optimal cutoff points to identify individuals at CVD risks. The study also found that the use of the suggested optimal values for waist circumference show higher sensitivity and lower specificity compared with 90 cm for men and 85 cm for women, which are waist cutoff points given by the Korean Society for the Study of Obesity to define abdominal obesity for Korean adults. Although lower cutoff points of waist circumference (83 cm) and WHR (0.87) were observed to be optimal for male smokers compared with male nonsmokers, whether suggesting waist cutoff points specific to smokers is needed warrants further studies. After taking into account other cardiovascular risk factors including smoking, men with waist circumference of 85 cm or greater and women with 80 cm or greater were at an increased risk of CVD. Thus, these cutoff points of waist circumference may be able to capture more individuals at CVD risks contributing to the prevention of future development of CVD.

Occupational Injury Statistics in Korea

  • Kang, Seong-Kyu;Kwon, Oh-Jun
    • Safety and Health at Work
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    • 제2권1호
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    • pp.52-56
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    • 2011
  • Objectives: The occupational accident rate was officially reported to be 0.77 per 100 workers in 2001 and 0.70 in 2009. The stagnant decrease in accident rate raises a question about the effectiveness of prevention activity because there have been active prevention efforts in the past 10 years. It is also necessary to know the exact status of occupational injuries to direct a prevention strategy. Methods: The author re-analyzed occupational injury statistics to find the reason for stagnant decreases in occupational injuries. Compensated occupational injuries cases were used to calculate fatal and non-fatal injury rates. Injuries from commuting accidents and sports activities were excluded as well as occupational diseases. The number of workers was adjusted to that of full time equivalent employees. Results: The fatal injury rate excluding injuries associated with commuting accidents, sports activities, and occupational diseases decreased from 12.59 in 2001 to 8.20 in 2009. In 2007, 67.5% of accidents that involved being caught in objects, which are mostly caused by machines and equipment, occurred in the manufacturing industry; this type of incident has decreased since 2001. The fatal and non-fatal injury rates in the manufacturing industry have continuously decreased while the rates in the service industry have not changed from 2001 to 2009. Non-fatal injuries might not be reported in many cases. The number of insured workers was underestimated as long working hours were not adjusted for in the reporting system. Conclusion: The occupational fatal injury rate has decreased and the non-fatal injury rate might have decreased during the last 10 years, although the statistics show stagnancy. The decrease of the injury rate was countervailed by various factors. Hence, the current accident rate does not reflect the actual situation of accidents in Korea. Korea needs to develop an improved system to more accurately calculate occupational fatal and non-fatal injury rates.

일개 종합병원 입원환자의 낙상 실태 및 관련 요인 (Falls in the General Hospital Inpatients: Incidence, Associated Factors)

  • 양화미;천병철
    • 한국의료질향상학회지
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    • 제15권2호
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    • pp.107-120
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    • 2009
  • Background : To estimate fall incidence rate and associated factors in inpatients from a general hospital. Method : The data were collected from 104 fall incident reports developed by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristics of patients, factors related to fall, types, places, circumstances and outcomes of fall. Result : The incidence rate of fall, which was 4.4 per 1,000 total discharged patients and 0.5 per 1,000 patient-days, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting system of each hospital. Fall-prone patients were, in general, $$\geq_-$$65 years of age, had an alert mental status, were ambulatory with some assistance, and were dependent on and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall events usually occurred in bed or at the bedside in the patient's room, and occurred more often during the night than during the day or evening. Risk factors of fall were use of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly high bed height, surrounding objects, inadequate fitness shoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injury and treatment such as suturing. Risk factors for repeated falls were use of a neuropsychiatric drug (odds ratio=13.9) and gait disturbance (odds ratio=91.2). Risk factors for fall-related injury were alert mental status (odds ratio=3.3 times more likely to fall than those who were drowsy or in a stupor) and general weakness(odds ratio=3.3 times more likely to fall than those who were not generally weak). Conclusion : Medical and nursing staff should be aware of the fall risk factors of hospitalized patients and should intensively pursue preventative strategies. Development of fall prevention education based on these results is recommended.

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가정용 인공호흡기 관련 안전사고 특성 및 손상 영향 요인 분석: 상급종합병원 일반병동 환자 중심으로 (Factor Associated with Injury Related to Home Mechanical Ventilation in General Ward Patients: A Retrospective Study)

  • 김향숙;최모나;양용숙
    • 임상간호연구
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    • 제26권2호
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    • pp.131-140
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    • 2020
  • Purpose: This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital. Methods: This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients' electronic medical records were investigated. In order to compare group differences, independent t-test and χ2 test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender. Results: A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient's injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient's injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019). Conclusion: In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

Discrepancies Between Implementation and Perceived Effectiveness of Leading Safety Indicators in the US Dairy Product Manufacturing Industry

  • Derlyke, Peter Van;Marin, Luz S.;Zreiqat, Majed
    • Safety and Health at Work
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    • 제13권3호
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    • pp.343-349
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    • 2022
  • Background: In the United States, the dairy product manufacturing industry has consistently had higher rates of work-related nonfatal injuries and illnesses compared to the national average for industries in all sectors. The selection and implementation of appropriate safety performance indicators are important aspect of reducing risk within safety management systems. This study examined the leading safety indicators implemented in the dairy product-manufacturing sector (NAICS 3115) and their perceived effectiveness in reducing work-related injuries. Methods: Perceptions were collected from individuals with safety responsibilities in the dairy product manufacturing facilities. OSHA Incident Rate (OIR) and Days away, restricted and transferred (DART) rates from 2013 to 2018 were analyzed. Results: The perceived most effective leading were safety observations, stop work authority, near miss reporting, safety audits, preventative maintenance, safety inspections, safety training attendance, and job hazard analysis/safety analysis, respectively. The 6-year trend analysis showed that those implementing all eight top indicators had a slightly lower rates than those that did not implement all eight. Production focused mentality, poor training, and lack of management commitment were perceived as the leading causes of injuries in this industry. Conclusion: Collecting leading indicators with the unique interest to meet the regulatory requirements and to document the management system without the actual goal of using them as input to improve the system most probably will not lead to an effective reduction of negative safety outcomes. For leading indicators to be effective, they should be properly selected, executed, periodically evaluated and actions are taken when necessary.

병원 내 언어폭력에 노출된 임상 간호사의 경험: 현상학적 연구 (Clinical nurses' experiences of workplace verbal violence: a phenomenological study)

  • 우민수;김형숙;김증임
    • 여성건강간호학회지
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    • 제28권2호
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    • pp.154-164
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    • 2022
  • Purpose: This study aimed to describe clinical nurses' lived experiences of workplace verbal violence through qualitative research using descriptive phenomenology. Methods: Six female Korean nurses who had less than 5 years of clinical experience and had experienced verbal violence in the workplace within the past year participated in the study. Data were collected through one-on-one in-depth interviews with the participants and analyzed using Colaizzi's phenomenological method. Results: A total of 27 codes, eight themes, and four theme clusters were derived from the participants' statements. The four theme clusters of the clinical nurses' experiences of verbal violence in the workplace were as follows: "tip of the iceberg," "beyond me and my control," "fear and resignation," and "personal burden." The participants recognized that nurses experienced verbal violence daily, and that the causes of and responses to verbal violence were determined by external situational factors rather than nurses' individual problems. This suggests that nurses felt that they had no choice but to personally cope with verbal violence and bear the consequences due to systematic indifference and silence about verbal violence experienced by clinical nurses. Conclusion: The findings show that verbal violence was pervasive and unmerited, yet often endured at the cost of a personal burden to nurses. A clear definition of verbal violence and education for employees are needed, and a reporting system should be established to report all forms of violence regardless of the severity of the incident.

미확인비행물체(UFO)에 대한 우리나라 신문 보도의 특징: 과학저널리즘의 관점에서 (Unidentified Flying Objectivity: The Rhetoric of Pseudo-Science in Four Major Newspapers in Korea)

  • 신순철
    • 한국언론정보학보
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    • 제62권
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    • pp.244-263
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    • 2013
  • 소위 황우석 사태 이후 과학저널리즘에 대한 필요성이 크게 대두되었으나 괄목할만한 성과가 있었다는 연구결과를 찾아보기 어렵다. 그 후 발생한 광우병 파동, 조류 독감, 신종 플루, 각종 먹거리 안전 문제, 그리고 일본의 핵사고와 방사능 피해 등 과학저널리즘이 역할을 발휘해야 할 사안들은 많았으나, 문헌 연구를 통해 우리나라의 과학저널리즘은 황우석 사태 이후 큰 발전이 없었던 것으로 보인다. 이 논문은 미확인비행물체(UFO)를 보도하는 우리나라 주요 신문의 논조와 보도태도를 통해 과학저널리즘의 일면을 분석했다. <경향신문>, <동아일보>, <한국일보>, <한겨레>의 지난 18년간의 기사를 분석한 결과 대개의 UFO기사는 외신 보도를 번역한 기사거나, 목격담을 피상적으로 다루는 사회면 기사가 많았고, 질적으로도 언어의 혼란, 후속보도의 부재, 정보원의 비과학성, 기본적 사실의 오류, 의혹 부풀리기 식의 보도가 대부분이었다. 결론으로 우리나라의 과학저널리즘은 아직도 사이비과학의 수준에 있으며 개선의 여지가 많다는 결론에 이르렀다. 외신에 대한 의존을 낮추고 자급기사를 늘이는 것, 과학과 언론에 대한 이해를 모두 지닌 언론인의 육성, 언론사 자체의 규정 마련, 정확한 인용과 사실 확인, 정상과학의 범주 안에서 이루어지는 균형보도를 통해 과학 저널리즘이 한 단계 도약해야 할 시점이다.

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국내 위성추락상황실 운영 (Operation of Official Satellite Re-entry Monitoring Room in Korea)

  • 조중현;최영준;임홍서;최진;손주영;전현석;배영호;문홍규;김명진;박장현;임여명;김지혜;현성경
    • 한국위성정보통신학회논문지
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    • 제8권4호
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    • pp.150-158
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    • 2013
  • 국내에서 위성이나 잔해물이 대기권으로 진입하는 상황을 공식적으로 감시한 것은 1983년 1월 23일에 본체가, 동년 2월 7일에 핵연료 코어가 추락한 구 소비에트 연방의 위성 코스모스 1402호의 상황주시를 위해 구)과학기술처가 구성한 추락상황대책반 운영이 최초이다. 이 후에 2001년 대기권에 재진입한 러시아 우주정거장 미르의 폐기대책반이 구)과학기술부 주관으로 한국천문연구원과 한국항공우주연구원 등 관련기관의 지원으로 운영되었고, 2011년 9월 24일에 있었던 미국의 고층대기기상위성인 UARS (Upper Atmosphere Research Satellite)의 추락이 한국천문연구원에 의해서 분석되었다. 빈번해진 폐기위성 및 우주잔해물의 대기권 재진입 상황에 따라 2011년 10월 14일 구)교육과학기술부와 우주 관련 기관인 한국천문연구원과 한국항공연구원의 관련 전문가 그룹이 대책회의를 거쳐서 위성추락상황실을 한국천문연구원 내에 설치하고 한국천문연구원 주관으로 운영하기로 결정하였다. 그 결과 이 위성추락상황실은 2011년 10월에는 독일 뢴트겐 위성, 2012년 1월에는 러시아 화성 탐사선 포브스 그룬트, 2013년 1월에는 러시아 위성 코스모스 1484, 그리고 2013년 11월에는 유럽연합의 측지위성 고체 (GOCE)의 대기권 재진입을 감시, 자료 분석, 관련기관 보고, 언론 자료 배포 및 대국민 상황 전파를 실시하였다.