• Title/Summary/Keyword: Medical safety

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Current Practices and Future Directions in Patient Safety Education and Curriculum in Medical Schools (의과대학에서의 환자안전 교육과정 도입을 위한 환자안전 교육현황조사 및 향후 운영방안)

  • Oh, Hae Mi;Lee, Won;Jang, Seung Gyeong;Kim, So Yoon
    • Korean Medical Education Review
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    • v.21 no.3
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    • pp.143-149
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    • 2019
  • In 2018, The Ministry of Health and Welfare announced its first comprehensive plan for patient safety, which included the imperative to develop a patient safety curriculum for students studying to become health professionals. The aim of this study is to assess current patient safety education and points of consideration for introducing new curriculum. An online survey was used to understand the status of patient safety education in medical schools, and key informant interviews and focus group interviews were used to collect qualitative data on the experience of patient safety education. The results of the online survey from 16 out of 40 medical schools (40% response rate) and the qualitative data analysis were integrated and analyzed. Twelve schools (75%) had established courses related to patient safety. The qualitative responses suggest that patient safety education is appropriate both before and after clinical training through a variety of educational methods, and that the topics should be linked with clinical training. The challenge of securing lecture time to address patient safety was mentioned as a realistic obstacle. When patient safety education is integrated in future curriculum, it is necessary to consider it as a priority. Moreover, in the early stages of introducing patient safety education, a step-by-step, policy-based approach is required for seamless adoption and settlement.

Occupational Exposure to Physical and Chemical Risk Factors: A Systematic Review of Reproductive Pathophysiological Effects in Women and Men

  • Soleiman Ramezanifar;Sona Beyrami;Younes Mehrifar;Ehsan Ramezanifar;Zahra Soltanpour;Mahshid Namdari;Noradin Gharari
    • Safety and Health at Work
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    • v.14 no.1
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    • pp.17-30
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    • 2023
  • The human reproductive system can be affected by occupational exposure to many physical and chemical risk factors. This study was carried out to review the studies conducted on the issue of the pathophysiological effects of occupational physical and chemical risk factors on the reproductive system of females and males. In this systematic review, the databases such as "Google Scholar," "Pub-Med," "Scopus," and "Web of Science" were used. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA 2020), the studies included in our study were published between 2000 and 2021. In order to extract the required data, all sections of the articles were reviewed. Out of 57 articles we reviewed, 34 articles were related to field studies and 23 articles to clinical studies. Among them, 43 studies dealt with the pathophysiological effects of chemical agents, six studies dealt with the pathophysiological effects of physical factors, and 8 studies dealt with the pathophysiological effects of physicochemical factors on the human reproductive system. Physical (noise, heat, and radiofrequency radiation) and chemical (such as carbamate and organophosphate pesticides, benzene, toluene, xylene, formaldehyde, NO2, CS2, manganese, lead, nickel, and n-hexane) risk factors had pathophysiological effects on the human reproductive system. The presence of these risk factors in the workplace caused damage to the human reproductive system. The rate of these negative pathophysiological effects can be reduced by performing appropriate managerial, technical, and engineering measures in work environments.

A Study on the Cognizance of Hospital and oriental Hospital Workers for Medical Device Safety Information Monitoring (의료기기 안전성 정보 모니터링에 대한 한병병원 및 병원 종사자의 인지도 조사연구)

  • Kim, Ji Hyun;Nam, Ki Chang;Kim, Hojun;Nam, Yeon Gyo;Kim, You Jin;jo, Eun hye;Kwon, Bum Sun
    • Journal of Biomedical Engineering Research
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    • v.42 no.3
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    • pp.86-93
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    • 2021
  • Purpose: The purpose of this study is to find out the cognizance of medical device safety information (MDSI) monitoring in the hospital and oriental hospital workers, and the different aspect of MDSI between oriental medical devices and medical devices. Methods: The survey was performed both in the oriental medicine hospital and general hospital. The survey had 16 items; 2 items basic questions, 5 items in the awareness of MDSI, 5 items in the education of MDSI, 4 items in the necessity of defining oriental medical devices and differences between general and oriental medical devices. A total of 120 hospital worker were participated; 60 oriental medicine hospital workers and 60 general hospital workers. They had worked in the oriental medicine or general hospital associated with 'Medical Device Safety Monitoring Center, Dongguk University Ilsan Hospital' in 2019 and 2020. Results: The cognizance of MDSI was high both in oriental medicine hospital and general hospital workers and there were no significant differences between oriental medicine and general hospital workers. When we divided the hospital workers into the senior workers who had worked for over 3 years and junior workers for less than 3 years, the senior workers had higher awareness of MDSI than junior workers. However, the cognizance of education of MDSI was high which was not different between senior and junior workers. Both hospital workers thought that it was necessary to define oriental medicine device legally and the oriental medical device might have low risk and less side effect than medical device. Conclusion: The cognizance of MDSI was high and there was no significant differences between oriental medicine and general hospital workers. Because the senior hospital workers had higher recognition of MDSI, we need to provide the continuous education program for junior hospital workers. Although oriental medical device are thought to be safer than medical device, we need to have a legal definition.

Design for a Medical Devices Safety Information Reporting System for the Hospitals (의료기기 안전성 정보 원내 보고 시스템 설계)

  • Jang, Hye Jung;Choi, Young Deuk;Kim, Nam Hyun
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.1
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    • pp.140-147
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    • 2015
  • In this study, medical devices safety information reporting system was designed to manage medical devices for the efficient management of in-hospital adverse events. The current management of medical device adverse event reporting regulations and the legal status of the system and procedures for identifying the system were reviewed. MSF/CD(Microsoft Solution Framework/Component Design) was applied to the system design. Through this study, we can understand medical devices management including the notice provisions of the Ministry of Food and Drug Safety for medical devices safety information reporting. We also expect this study will help to improve patient safety and the effective management of medical equipment, and contribute to activating medical devices safety information reporting.

Patient Safety Education: Team Communication and Interprofessional Collaboration (환자안전 교육에서 팀 의사소통과 전문직 간 협업)

  • Park, Kwi Hwa;Park, Kyung Hye
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.22-30
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    • 2019
  • Team communication, teamwork, and interprofessional collaboration are critical and the basis for patient safety in a more diverse and complex clinical environment. This study explored the current status of teamwork, team communication, and interprofessionalism in the context of patient safety within undergraduate medical education. A scoping review of the literature published since 2010 was undertaken. Fifteen papers were included for final review. The most commonly used educational methods were off-line lectures and simulations. Standard team communication tools suggested in TeamSTEPPS (team strategies and tools to enhance performance patient safety) were covered in some of the research. Knowledge, skills, and teamwork attitudes, interprofessional collaboration, and/or patient safety were improved in most of the papers. In the previous studies of team communication, the content and method of education, and the change in knowledge and attitudes of the individuals have been widely reported, but more research is needed regarding the method of evaluating the teamwork itself. In addition, education on team communication as well as patient safety and interprofessionalism is lacking. As the importance of team communication in patient safety increases, more attention is needed on this topic in undergraduate medical education.

Validity Assessment of the Persian Version of the Nordic Safety Climate Questionnaire (NOSACQ-50): A Case Study in a Steel Company

  • Yousefi, Yadolah;Jahangiri, Mehdi;Choobineh, Alireza;Tabatabaei, Hamidreza;Keshavarzi, Sareh;Shams, Ali;Mohammadi, Younes
    • Safety and Health at Work
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    • v.7 no.4
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    • pp.326-330
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    • 2016
  • Background: The Nordic Safety Climate Questionnaire-50 (NOSACQ-50) was developed by a team of Nordic occupational safety researchers based on safety climate and psychological theories. The aim of this study was to develop and validate the Persian version of NOSACQ-50 and assess the score of safety climate on a group of workers in a steel company in Iran. Methods: The Persian version of NOSACQ-50 was distributed among 661 employees of a steel company in Qazvin Province (Iran). Exploratory factor analysis (EFA) and confirmatory factor analysis were used to determine the dimensions of the questionnaire. The reliability of the questionnaire was assessed using Cronbach ${\alpha}$ coefficient. Pearson correlation test was applied to investigate the correlation between different dimensions. Results: The results of EFA showed that the Persian version of NOSACQ-50 consisted of six dimensions. The Cronbach ${\alpha}$ coefficient of the questionnaire was 0.94. The mean score of safety climate in all dimensions was 2.89 (standard deviation 0.60). Conclusion: The Persian version of NOSACQ-50 had a satisfactory validity for measuring safety climate in the studied Iranian population.

Determination of Consistency according to the Status of Supplementary Education for Radiation Safety Management Managers (방사선안전관리책임자 보수교육의 현황에 따른 정합성 판단)

  • Seung-Chul Kim
    • Journal of radiological science and technology
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    • v.47 no.1
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    • pp.7-12
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    • 2024
  • Medical institutions wishing to install and operate diagnostic radiation generators must complete appointment training within one year of appointment based on the 「Medical Act」 and the 「Rules on Safety Management of Diagnostic Radiation Generator Devices」 which will come into effect on January 1, 2024. Additionally, You must receive supplementary education every three years from the date you received it. The strengthening of safety management for diagnostic radiation generators used in medical institutions means that although the radiation exposure that may occur when using diagnostic radiation generators is low, the risk of carcinogenesis may be higher than previously evaluated. In addition, safety management of diagnostic radiation generators can be said to be an essential requirement because it has been reported that the incidence of leukemia and other diseases is increasing in diagnostic radiation tests. However, the safety management training targets and programs for radiation exposure management operated by other organizations other than diagnostic radiation generators are significantly different. In addition, since the public institutions that are responsible for radiation safety management are divided, there is a risk of duplicative, excessive, and under-administrative application to medical institutions and educational institutions that install and operate diagnostic radiation generators. Therefore, we would like to determine their consistency by comparing domestic and foreign related cases and the provisions of the 「Medical Act」 and the 「Nuclear Safety Act」.

Model for the Structural Relationships of Behavioral Attitude, Subjective Norm and Perceived Behavioral Control to Safety Intention and Safety Behavior in 119 Emergency Medical Technicians (119구급대원의 행위태도, 주관적 규범 및 지각된 행위 통제가 안전의도, 안전행동에 미치는 영향에 관한 구조적 관계 모형)

  • Moon, Tae-Young;Choi, Mi-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.215-224
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    • 2018
  • The purpose of the this study was to verify a model for the structural relationships of the behavioral attitude, subjective norm and perceived behavioral control of 119 emergency medical technicians to their safety attitude and safety behavior. A survey was conducted on 373 male and female 119 emergency medical technicians who were working as fire-fighting officers in Seoul, Inheon, Gangwon Province, Daegu, South Chungcheong Province, North Gyeongsang Province and Busan. The collected data were statistically analyzed by SPSS 20.0 and AMOS 16.0. The findings of the study were as follows: First, the behavioral attitude of the 119 emergency medical technicians was found to have affected and safety behavior(t=.32, p<.001). Second, the subjective norm of the 119 emergency medical technicians was found to have exerted an influence on their safety attitude and safety behavior(t=.27, p<.001). Third the perceived behavioral control of the 119 emergency medical technicians was found to have influenced their safety attitude and safety behavior(t=.28, p<.001). Fourth, the safety attitude of the 119 emergency medical technicians was found to have had an impact on their safety behavior(t=.39, p<.001).

Development of Standards of Tattoo Machine for Safety and Performance Evaluation (의료용 표시기의 안전성 및 성능 평가를 위한 시험 항목 및 시험방법(안)연구)

  • Kim, Y.G.;Cho, S.K.;Lee, T.W.;Yeo, C.M.;Jung, B.J.;Kwon, Y.M.;Cha, J.H.;Hur, C.H.;Park, K.J.;Kim, D.S.;Kim, H.S.
    • Journal of Biomedical Engineering Research
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    • v.32 no.2
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    • pp.151-157
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    • 2011
  • Tattooing is a performance for decorative and cosmetic marking by placing permanent ink into the skin. As the cultural meaning of tattoo in Korea is changing, the tattoo machines are widely spread n permanent cosmetic market. Though the use of the tattoo machine was increased, the evaluation standards of tattoo machine were not existed. Korea Food and Drug Association regulated the electrical and mechanical safety standards which were founded on the IEC 601-1 second edition. Also they regulated he biological safety standards which were derived from the ISO 10993 series, however, these general valuations of common medical device were insufficient for evaluating tattoo machine. We developed the standards of tattoo machine for safety and performance evaluation for tattoo machine by preliminary hazard analysis in ISO 14971. The evaluation criteria of tattoo machines are focused on the mechanical invasion. We suggested the additional evaluation items of the needle speed, length, vibration with general valuation criteria of common medical device. We anticipate that this research may be a primary stage to figure a standard regulation and evaluation for tattoo machine.