• Title/Summary/Keyword: Medical safety

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Recognition of scene activity risks among the firefighters (소방공무원의 현장 활동 위험도 인식)

  • Kim, Jong-Seo;Seong, Dong-Won;Hyeon, Seong-Min;Gal, Won-Mo;Lee, Dong-Ho;Park, Jong-Tae
    • Journal of the Korea Safety Management & Science
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    • v.15 no.4
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    • pp.105-111
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    • 2013
  • This study aimed to identify the recognition of fire risks on their field operations among firefighters and contribute to setting up safety measures accordingly. A self-administered questionnaire were used to evaluate their recognition of job risks. About 93.4% of respondents answered they have exposed to job risks and 73.4% answered that they had high safety awareness. Our study showed that the lower service years and ranks the fire officers had, the lower relevance in statistics their awareness of the risk of the field operations and safety concerns had. The vulnerable group is those aged 20 to 39, with under 10 years of service, at a lower rank of senior fire sergeant. The study suggests coming up with the measures to motivate the officers to perform safe operations by improving their safety awareness.

A literature review of patient safety in Korea: focused on domestic studies (환자안전에 관한 문헌 연구: 국내연구를 중심으로)

  • Hwang, Ji-Young;Kim, Jin-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.1
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    • pp.1-8
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    • 2018
  • Objectives: The purpose of this study is to provide basic data on the continuous management and institutional measures in the future by understanding the research trends of patient safety in healthcare field. Methods:The data were extracted from 2011-2016 KoreaMed, KMBase, KISS, NDSL and KISTI. Data were analysis by frequency analysis using the SPSS 14.0 program. Results: 87.0% of the studies were quantitative studies. As for the method of sampling, 'No use' was the highest at 56.5%. Most of the participants in the study were 'nurses' (50.7%). 19 hospitals (35.8%) were the most common. The subjects of the study consisted of 35 (51.5%) patients' safety culture (awareness) and 20 (29.4%) 'safety nursing activities'. Conclusions: Patient safety and patient safety should be maintained. Further, a mature patient safety culture should be settled through cooperation management among medical staff.

Framework for Continuous Assessment and Improvement of Occupational Health and Safety Issues in Construction Companies

  • Mahmoudi, Shahram;Ghasemi, Fakhradin;Mohammadfam, Iraj;Soleimani, Esmaeil
    • Safety and Health at Work
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    • v.5 no.3
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    • pp.125-130
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    • 2014
  • Background: Construction industry is among the most hazardous industries, and needs a comprehensive and simple-to-administer tool to continuously assess and promote its health and safety performance. Methods: Through the study of various standard systems (mainly Health, Safety, and Environment Management System; Occupational Health and Safety Assessment Series 180001; and British Standard, occupational health and safety management systems-Guide 8800), seven main elements were determined for the desired framework, and then, by reviewing literature, factors affecting these main elements were determined. The relative importance of each element and its related factors was calculated at organizational and project levels. The provided framework was then implemented in three construction companies, and results were compared together. Results: The results of the study show that the relative importance of the main elements and their related factors differ between organizational and project levels: leadership and commitment are the most important elements at the organization level, whereas risk assessment and management are most important at the project level. Conclusion: The present study demonstrated that the framework is easy to administer, and by interpreting the results, the main factors leading to the present condition of companies can be determined.

A Study on Behavioral Factors for the Safety of Ambulance Driving by Coefficiecial Structural Analysis - focus on Gwangju Metropolitan City- (일부지역의 구급차 안전사고에 영향을 주는 요인 분석)

  • Jo, Jean-Man;Oh, Yong-Gyo;Kim, Jung-Hyun
    • The Korean Journal of Emergency Medical Services
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    • v.6 no.1
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    • pp.199-207
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    • 2002
  • This is a study to evaluate the effects of the safety of ambulance driving and the occurrence of ambulance traffic accidents and to provide basic information for the description of various factors to reduce the ambulance traffic accidents. The major instruments of this study were Korean Self-Analysis Driver Opinionnaire. Questionnaire contains 8 items which measure driver's opinions or attitudees: driving courtesy, emotion, traffic law, speed, vehicle condition, the use of drugs, high-risk behavior, human factor. To take the analysis of data, the total of 187 drivers were investigated ambulance drivers in Gwangju Metropolitan City from 2002. 1. September to 2002. 20. September. The data were analyzed by the path analysis SPSS program. The result are as follows : 1. There was desirable attitude group(58.4%) and undesirable attitude group(41.7%) on safety ambulance driving. 2. It have suggested that rist factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = -2.00 + 0.6 X1(Emotion Control) + 0.4 $X_2$(Speed control) + E). 3. Almost 92.1% of respondents have agreed to necessity of emergency medical technics for ambulance drivers.

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Changes of Ward Modules according to the 2017 Revision of Medical Law (2017 의료법 개정에 따른 병실 모듈변화 연구)

  • Lee, Hyun-jin;Ju, Youn-Ock
    • KIEAE Journal
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    • v.17 no.1
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    • pp.55-61
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    • 2017
  • Purpose : As the necessity of reinforcement of infections management in medical facilities after MERS increased, Ministry of Health and Welfare promulgated the enforcement regulations of medical law on February 3, 2017. Its main objective is to improve patients' safety and medical-care quality through the establishment of isolation facilities from infectious diseases and the set-up of standards for In-patient and ICU facilities. The purpose of this study is necessarily to propose a standardized spatial composition model for ward modules by analyzing changing environments of in-patient facilities according to the strengthened medical law. Method: Theoretical studies will be undergone of Evidence-based Designs to improve patients' safety, medical quality, and domestic/overseas in-patient room guidelines. With reference to the status of 24 general hospitals over 500 beds, the spatial compositions of the in-patient rooms and the types of multi/single bed room modules will be analyzed. The directions of future in-patient room module changes through the study of the minimum ward module types and various ward types will be presented. Result: This paper will hopefully provide guidelines for hospitalization rooms that can be applied to the revised rules of medical law enforcement and provide a basis for a comprehensive study of patients' safety and efficient infection control as well.

Software Risk Management and Cyber Security for Development of Integrated System Remotely Monitoring and Controlling Ventilators (인공호흡기 원격 통합 모니터링 및 제어 시스템 개발을 위한 소프트웨어 위험관리 및 사이버보안)

  • Ji-Yong Chung;You Rim Kim;Wonseuk Jang
    • Journal of Biomedical Engineering Research
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    • v.44 no.2
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    • pp.99-108
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    • 2023
  • According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software development standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can identify hazardous situations and evaluate potential hazards and confirms the implementation of cybersecurity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.

Complex impact of Patient Safety and Medical Quality on Hospital Management Activities due to Healthcare Accreditation Adoption (의료기관인증제 도입에 따른 환자안전과 의료의 질이 병원경영활동에 미치는 복합영향)

  • Yoo, Jin-Yeong;Lee, Jong-Hwa
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.283-292
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    • 2015
  • The purpose of this study was to confirm the complex relationship between patient safety-medical quality and hospital management activities to observe the mediating effect of organizational culture in the relationship due to healthcare accreditation adoption. For this, we conducted a 4 weeks survey, from September 22, 2014 to October 17, 2014 to the employees of 6 hospitals that could accommodate less than 300 patients or more than 300 patients located in Daegu and Gyeongbuk. The study includes 377 participants who have worked for more than one year in the hospital. All of hospital with less than 300-beds or more than 300-beds, such as patient safety-medical quality, organizational culture, hospital management activities found a positive correlation among variables. The mediating effect of organizational culture in the relationship between patient safety-medical quality and hospital management activities was shown by the partial mediating effect and high causal effect. Therefore, these study suggest that patient safety-medical quality due to healthcare accreditation adoption has the potential to improve hospital management activities.

Evaluation of Respiratory Protection Program in Petrochemical Industries: Application of Analytic Hierarchy Process

  • Kolahi, Hadi;Jahangiri, Mehdi;Ghaem, Haleh;Rostamabadi, Akbar;Aghabeigi, Mandana;Farhadi, Payam;Kamalinia, Mojtaba
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.95-100
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    • 2018
  • Background: Respiratory protection equipment (RPE) is the last resort to control exposure to workplace air pollutants. A comprehensive respiratory protection program (RPP) ensures that RPE is selected, used, and cared properly. Therefore, RPP must be well integrated into the occupational health and safety requirements. In this study, we evaluated the implementation of RPP in Iranian petrochemical industries to identify the required solutions to improve the current status of respiratory protection. Methods: This cross-sectional study was conducted among 24 petrochemical industries in Iran. The survey instrument was a checklist extracted from the Occupational Safety and Health Administration respiratory protection standard. An index, Respiratory Protection Program Index (RPPI), was developed and weighted by analytic hierarchy process to determine the compliance rate (CR) of provided respiratory protection measures with the RPP standard. Data analysis was performed using Excel 2010. Results: The most important element of RPP, according to experts, was respiratory hazard evaluation. The average value of RPPI in the petrochemical plants was $49{\pm}15%$. The highest and lowest of CR among RPP elements were RPE selection and medical evaluation, respectively. Conclusion: None of studied petrochemical industries implemented RPP completely. This can lead to employees' overexposure to hazardous workplace air contaminants. Increasing awareness of employees and employers through training is suggested by this study to improve such conditions.

Leading for Safety: A Question of Leadership Focus

  • Molnar, Malin Mattson;Schwarz, Ulrica Von Thiele;Hellgren, Johnny;Hasson, Henna;Tafvelin, Susanne
    • Safety and Health at Work
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    • v.10 no.2
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    • pp.180-187
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    • 2019
  • Background: There is considerable evidence that leadership influences workplace safety, but less is known about the relative importance of different leadership styles for safety. In addition, a leadership style characterized by an emphasis and a focus on promoting safety has rarely been investigated alongside other more general leadership styles. Methods: Data were collected through a survey to which 269 employees in a paper mill company responded. A regression analysis was conducted to examine the relative roles of transformational, transactional (management-by-exception active; MBEA), and safety-specific leadership for different safety behavioral outcomes (compliance behavior and safety initiative behaviors) and for minor and major injuries. Results: A safety-specific leadership contributed the most to the enhanced safety of the three different kinds of leadership. Transformational leadership did not contribute to any safety outcome over and above that of a safety-specific leadership, whereas a transactional leadership (MBEA) was associated with negative safety outcomes (fewer safety initiatives and increased minor injuries). Conclusion: The most important thing for leaders aiming at improving workplace safety is to continuously emphasize safety, both in their communication and by acting as role models. This highlights the importance for leadership training programs aiming to improve safety to actually focus on safety-promoting communication and behaviors rather than general leadership. Furthermore, an overly monitoring and controlling leadership style can be detrimental to attempts at achieving improved workplace safety.

Development of a 2-axis Delta Robot for Upper-limb Rehabilitation with Considering User Safety (사용자 안전요소를 고려한 상지 재활치료용 2축 델타로봇 개발)

  • Seung-Hwan Baek;Jun-Sik Lee
    • Journal of the Korean Society of Industry Convergence
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    • v.26 no.1
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    • pp.15-26
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    • 2023
  • In this study, an end-effector robot which is a two-axis delta robot type for upper-limb rehabilitation is designed. It is not only rehabilitation functions that has designed robot but also mechanical and electrical safety devices were constructed to ensure patient safety. By constructing the two-axis delta robot is combined with an LM guide, the operating range and rigidity required for rehabilitation were secured. The electrical safety system which is required for the medical robot was designed, and a safety strategy was established to ensure patient safety and it is applied in the integrated safety circuit. The safety is considered in whole design process from the robot's mechanical design to the electric control unit.