• Title/Summary/Keyword: Medical safety

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The Factors Affecting Unsafe Behaviors of Iranian Workers: A Qualitative Study Based on Grounded Theory

  • Malakoutikhah, Mahdi;Jahangiri, Mehdi;Alimohammadlou, Moslem;Faghihi, Seyed Aliakbar;Kamalinia, Mojtaba
    • Safety and Health at Work
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    • v.12 no.3
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    • pp.339-345
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    • 2021
  • Background: Some researchers state that they are not yet able to provide a deep understanding of the underlying causes of unsafe behaviors (UBs). Therefore, the present study was conducted to investigate the attitudes and experiences of Iranian workers of UBs. Methods: This present study was conducted in 35 industries using a semistructured interview based on grounded theory. Forty participants were interviewed, including 13 industrial safety and health experts and 27 workers and supervisors. The analysis of the present study consisted of a three-step coding process including open, axial, and selective coding. Results: The results showed that the factors affecting UBs could be classified into three categories: organizational, individual, and socioeconomic factors. Organizational factors were divided into 6 parts: procedure and environmental conditions, communications, monitoring, organizational safety culture, resource allocation, and human resources. Socioeconomic factors had three subcategories: community safety culture, type of organizational ownership, and economic problems. Finally, the individual factors were classified into two categories of personality traits and individual competence. Conclusion: The results showed that organizational factors were the most categorized, and it is estimated that this factor has a more important role in the UBs. Of course, to better understand the close relationship between these factors and find the weight and importance of each factor, it needs to measure it with multicriteria decision systems.

A Study on Recognition Level of the People on Oriental Medical Services and the Need for its Improvement (한방의료서비스에 대한 인식도 및 개선요구도)

  • Yoo Wang-Keun
    • Journal of Society of Preventive Korean Medicine
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    • v.7 no.2
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    • pp.45-64
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    • 2003
  • This study was conducted to examine the recognition level of the people on oriental medical Services and the need for it's improvement. Data were collected from 1174 residents in Daegu metropolitan city and Gyungbuk province. According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. In regarding to the priority of improvement of oriental medical system, 'expansion of insurance benefit package' ranked first. Followed by 'safety of herbal medicine(heavy metal/pesticides)', 'improvement of scientific methods and diagnostic technique' etc. For the further development of oriental medical services in the consumer - focused and evidenced-based health care environment, much attention to implement relevant health policy reflecting user's need positively should be made.

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Advanced medical devices and regulatory innovations in new health technology assessments (의료기기 발전과 신의료기술평가 규제혁신)

  • Lee, You Kyoung
    • Journal of the Korean Medical Association
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    • v.61 no.12
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    • pp.702-705
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    • 2018
  • Advances in technology lead to advances in medical devices, and these advances have the positive effect of creating opportunities for beneficial developments in healthcare, such as innovating traditional healthcare processes or expanding opportunities for diagnosing and treating diseases. Nonetheless, device developers, suppliers, users, insurers, and patients all face the challenge of balancing patient safety and health effectiveness with a reasonable profit. In Korea, the New Health Technology Assessment system aims to introduce safe and effective health technology, but this is only effective for the entry of devices onto the healthcare market. This system is not enough for creating a healthy ecosystem in which high-quality technologies and devices survive in the market and naturally exit from the market if not successful. The nation must not lag in the rapid development of medical devices, but the concomitant requirement for patient safety is like two rabbits moving in different directions. There is not enough time to resolve each source of uncertainty for both developers and users. The early adoption of health technologies, including medical devices, offers new opportunities for treatment and diagnosis, but also poses unexpected health risks. Thus, we need to design a plan to generate scientific evidence related to medical devices after they introduced into practice. Additionally, regarding the use of individual medical devices, we believe that the creation of a healthy ecosystem for medical devices by implementing medical device surveillance culture is a way to manage the opportunities and risks of the early introduction of innovative medical devices.

Guidelines for Risk Management and Analysis (리스크 관리 및 분석 지침)

  • Choi Sung-Woon
    • Proceedings of the Safety Management and Science Conference
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    • 2006.04a
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    • pp.513-523
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    • 2006
  • This paper is to introduce guidelines for risk management and analysis. International tandards such as IEC 60300-3-9, IEC 61511-3, ISO 14971-1 and ISO/IEC Guide 73 are considered. This study is to discuss risk analysis of technological systems, and guidelines in the application of hazard and risk analysis for functional safety instrumented system, and risk management of medical devices, and guidelines for use in risk management standards.

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Biochemical Safety of Duplex Stainless Steel Acupuncture Needle (Duplex Stainless Steel(DSS) 침의 생화학적 안전성)

  • Yook, Keun-Yung;Lee, Seung-Ho;Kim, Young-Kon;Lee, Seung-Heon;Hong, Sang-Min;Lim, Sabina
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.195-206
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    • 2007
  • Objectives : The aim of this study is to investigate the safety of Acupuncture needles made from duplex stainless steel. Methods : In order to check the safety concern of the DSS Acupuncture needle, we employed biochemical measures, DSS and SS304 Acupuncture needles were tested for pH level, heavy metals and UV absorbance spectrum along with cytotoxicity and hemolysis. As a guideline, we have referred to the 'standards for acupuncture needles', 'standards for disposable needles' and 'standards and experimental procedures for stents' for the Korean Food & Drug Administration(KFDA). Results & Conclusions : The DSS Acupuncture needle extract satisfied these requirements. There was no significant difference between the DSS and SS304 Acupuncture needle extract. In conclusion, the DSS Acupuncture needle displayed biochemical safety.

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A Survey of Medical Environments in Regional Public Hospitals Respond to Disasters (지역거점공공병원의 재난 대비 안전한 의료환경 실태조사 연구)

  • Lee, Hyunjin;Song, Sanghoon;Kim, Taeyun;Kim, Youngaee
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.30 no.2
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    • pp.35-46
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    • 2024
  • Purpose: It is the responsibility of public healthcare to respond quickly to infectious disease outbreaks and disasters such as MERS, COVID-19, the Syrian earthquake, and the Miryang Sejong Hospital fire accident. It is very important to secure safe medical facilities and protect lives through emergency medical support and disaster response systems. The purpose of this study is to investigate the safety status of regional medical facilities that play a central role in the event of a disaster. Methods: The target was 41 local public hospitals, including 35 regional medical centers and 6 Red Cross hospitals nationwide. We delivered a questionnaire to 41 medical facilities and collected data from 32 regional public hospitals that received responses. Results: In order to respond to safety accidents, a survey was conducted on infections, falls, patient identification, and incorrect connections for medical accidents, and for in-hospital accidents, a survey was conducted on entrapment, collision, water leaks, falling objects, and crime prevention. For natural disasters, we investigated the response environment for typhoons, floods, and snow damage, and for social disasters, we investigated the response environment for fire, power outages, and radiation damage. Implications: We hope that it will be used as basic data for developing standards and creating hospital facilities and environments that are safe for everyone to respond to various disasters and prevent patient safety accidents in the future.

The Study on the Safety and Case Series of the Acute Lymphocytic Leukemia using Rhus Verniciflua Stokes Extract (Nexia) (건칠(乾漆) 추출물(Nexia)의 독성 실험과 급성 림프 구성 백혈병환자의 임상증례군 보고)

  • Park, Jae-Woo;Kim, Kyung-Suk;Jung, Hyun-Sik;Choi, Won-Cheol;Yoon, Seong-Woo
    • Journal of Korean Traditional Oncology
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    • v.11 no.1
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    • pp.1-21
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    • 2006
  • This study was undertaken to evaluate safety and antitumor activity of Nexia, a processed extract of Rhus verniciflua STOKES by heating according to Korean patent 0504160 through toxicology, cancer research and clinical application. Nexia did not exhibit any toxicological symptoms through 13 week continuous treatment, dosage accumulation study and anaphylaxis response. The lifespan of four patients with acute lymphocytic leukemia under complete remission were 110, 83, 97, and 86 months after treatment of Nexia, respectively. These data suggest that Nexia, a processed extract by removing allergen from Rhus verniciflua STOKES, may have safety and antitumor activity and also still need continuous study on its mechanism and clinical trial.

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A Study on Behavioral Factors for the Safety of Ambulance Driving by Coefficiencial Structural Analysis (구급차 안전사고에 대한 공분산 구조분석)

  • Jo, Jeanman;Lee, Tae-Yong
    • The Korean Journal of Emergency Medical Services
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    • v.4 no.1
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    • pp.95-100
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    • 2000
  • This is a study to evaluate the effects of the safety of ambulance driving and traffic accidents and to provide statistic information for the various factors to reduce the ambulance traffic accidents. The major instruments of this study were Korean Self-Analysis Driver Opinionnaire. This Questionnaire contains 8 items which measure drivers' opinions or attitudes: driving courtesy, emotion, traffic law, speed, vehicle condition, the use of drugs, high-risk behavior, human factors. The total of 145 divers were investigated ambulance drivers in Taejon City and others(6 City) from 2000. 5. July to 2000. 11. July. The data were analyzed by the path analysis - with SPSS and AMOS package program. The result are as follows : 1. It have suggested that risk factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = $0.88{\times}1$(Emotion Control) + $0.92{\times}2$(Speed) - $0.46{\times}3$(Traffic Law)+E). 2. It have suggested that risk factors of ambulance traffic accident much affected with emotion and speed control on safety ambulance driving(Y(Accident) = $0.398{\times}1$(Emotion Control) + $0.500{\times}2$(Speed) - $0.263{\times}3$(Traffic Law)+E) by coefficiecial structural analysis.

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Review on the Efficacy and Safety of Mahuang and Ephedrine in the Treatment of Obesity -Focused on RCT- (비만 치료에서 마황 및 에페드린의 유효성, 안전성에 대한 고찰 - RCT 연구를 중심으로 -)

  • Jo, Ga-Won;Ok, Ji-Myung;Kim, Seo-Young;Lim, Young-Woo
    • The Journal of Korean Medicine
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    • v.38 no.3
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    • pp.170-184
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    • 2017
  • Objectives: The objective of this study was to summarize randomized clinical trials (RCTs) that have assessed efficacy and safety of mahuang and ephedrine on treatment of obesity and to propose better process of study. Methods: NLM Medline (pubmed), the Cochrane library, Scopus, Science Direct, RISS, KISS were systemically searched for clinical trials investigating the efficacy, safety of mahuang and ephedrine on treatment of obesity from 2000 to 2017. Results: 16 RCTs met all the inclusion criteria. In most reports, mahuang and ephedrine significantly reduced body weight, body fat mass. There were no serious adverse events associated with mahuang and ephedrine in all studies. Conclusions: In appropriate dose of mahuang and ephedrine for healthy adult was safe, and weight loss effect of mahuang and ephedrine was better than control group. Improved clinical practice guidelines should be developed for safe use of mahuang and ephedrine.

A Study on the Standard of Test Method for Estimation of Usage Environment Safety and Performance of U-health Medical Device (유헬스케어의료기기의 사용환경 안전성 및 성능평가를 위한 표준시험방법 연구)

  • Park, S.K.;Cha, J.H.;Hur, C.H.;Park, K.J.;Moon, I.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.9-14
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    • 2010
  • According to graying of population and income enlargement of people, interest about U-Healthcare of new form fusing with IT technology are enlarged. Need a estimation technology and standard of test method for safety and performance considering usage environment of U-Healthcare medical device. In this research, developed the standard of test method for usage environment safety and performance of U-Healthcare medical device referring IEC standards and KS standards.