• 제목/요약/키워드: Medical safety

검색결과 3,200건 처리시간 0.03초

의료기관 인증 후 환자안전 및 질 관리 변화와 경영활동 변화 간의 관계: 정신병원과 요양병원 대상 (Relationship between Changes of Patient Safety & Medical Service Quality and Changes of Management Activity after Medical Institution Accreditation: Mental Hospitals and Geriatric Hospitals)

  • 이영환;임정도
    • 한국콘텐츠학회논문지
    • /
    • 제15권1호
    • /
    • pp.286-299
    • /
    • 2015
  • 본 연구는 의료기관 인증제의 의무 대상인 정신병원과 요양병원을 대상으로 환자안전 및 질 변화와 경영활동의 변화 간의 관계에 대해 의료기관 인증을 받은 5개 정신병원과 5개 요양병원에 근무하는 종사자들을 대상으로 조사 연구한 결과, 정신병원과 요양병원 종사자들의 인증업무 참여유무는 환자안전 및 질 관리 변화 측정내용 중 '안전보장활동 수행정도' '환자를 위한 양질의 의료서비스 제공정도' '환자의 권리와 책임에 대한 존중정도' '감염발생 위험예방 위한 감염관리활동 수행정도'의 향상 변화에 유의하게 긍정적인 상관관계를 보였다. 그리고 환자안전 및 질 관리 내용 중 안전보장활동 지속적인 질 향상 활동 환자의 권리와 책임에 대한 존중의 지속적인 발전적 변화를 추구하기 위해서는 교육훈련을 통해서 조직구성원들의 역량을 강화시키는 경영활동이 필요하며, 진료전달 체계와 평가의 관리 환자를 위한 양질의 의료서비스 제공의 지속적인 발전적 변화를 위해서는 고객지향성 업무프로세스를 사회 환경의 변화에 맞추어 추구하는 경영활동이 필요함을 알 수 있었다.

동물용 의료기기 기준규격에 대한 고찰 (Review of regulatory management on standards and specifications for veterinary medical devices in Korea)

  • 강경묵;김태원;권오륜;박혜정;조수민;김충현;이명헌;문진산
    • 대한수의학회지
    • /
    • 제57권2호
    • /
    • pp.71-78
    • /
    • 2017
  • Well-established standards and specifications for medical devices not only provide clarity and consistency in licensing processes but also secure device safety and effectiveness. This study reviewed regulatory standards and specifications for veterinary medical devices in Korea based on data obtained through analyses of those medical devices. General standards for electromechanical, electromagnetic, and biological safety and individual standards for 76 electric and 70 general medical device products have been established by the Korean Ministry of Food and Drug Safety. However, the first standards and specifications for veterinary medical devices were established in March 2000 for two products (disposable needle and syringe). Similar to the large number of standards for medical devices, there have been general standards for safety and individual standards for 72 veterinary medical devices (27 electric medical devices, 12 non-electric medical devices, 10 medical supplies, and 23 other types) established since 2014. These new standards considered, among other aspects, the devices' applications, usage characteristics, and industrial environment. To date, the establishment of standards and specifications for veterinary medical devices remains limited. This study suggests that improvements should be made to the regulation of general and individual standards associated with various veterinary medical instruments, supplies, and in vitro diagnostic medical reagents.

Development of Patients Environmental Sustainability Performance in Healthcare Sector: A Conceptual Framework and Further Research Directions

  • KIM, Eunsung
    • 유통과학연구
    • /
    • 제17권7호
    • /
    • pp.99-109
    • /
    • 2019
  • Purpose - The purpose of this development the business model of the healthcare sector in order to promote patents satisfaction towards medical sector services improvement for the medical business model innovation to possess a competitive advantage in the medical and pharmaceutical industry. Research design, data, and methodology - Safety standard protocol from existing multidisciplinary literature is a process of theorization, which uses grounded theory methodology rather than a description of the data and the targeted phenomenon by using Jabareen (2009). The first task is to map the spectrum of food safety literature regarding the phenomenon in safety management. This process includes developing the implementation factors and other sources such as existing business models and practices into the protocol design. Results - The study suggests the conceptual framework to improve the safety management for patients' environmental sustainability performance. Conclusion - The business model may support the beneficial aspect to healthcare government's policymakers, hospital employees, and medical specialist who can apply the practical perspective of its value regarding an educational protocol. Originality/value - This study contributes to and extends our understanding of environmental sustainability performance, identifying the rationale for safety standards performance in the healthcare industry with suggested hybrid safety standards market consumer interconnector.

영유아 부모의 아동안전 응급처치 교육프로그램 개발 및 효과 (Development and Implementation of Children Life Safety Support Education Program for Parent)

  • 이영아;고재문
    • 한국응급구조학회지
    • /
    • 제15권2호
    • /
    • pp.15-26
    • /
    • 2011
  • Purpose: The purpose of this study was to develop and implement the educational program of Life Safety Support for parent. Methods: This study was used to develop children life safety support education program. The education program was utilized as multimedia, practice and discussions to increase understanding and effectiveness of learning. The data for this study was collected from June to December, 2010. There were two forms of evaluations, pretest and posttest with an intervention of education program. The analysis of the collected data was analyzed by descriptive analysis, t-test and paired t-test using the SPSS 10.0 program. Results: 1. the experimental group, who was given an education program before the test, got higher marks on the Life Safety support knowledge than the control group. There was a significant difference in knowledge between experimental group and control group(t=6.678, p=.000). 2. the experimental group got higher marks on the action evaluation than the control group. There was a significant difference in the certainty of action(t=8.546, p=.000) between experimental group and control group. Conclusion: This study examined how Life Safety support education program increased effectiveness in the knowledge and action of children Life Safety support.

국외 환자대상의 환자안전 교육 사례 (Safety Education Programs for Patients and Families in Overseas Institutions)

  • 김윤숙;곽미정;김문숙;김현아;김효선;천자혜;황지인
    • 한국의료질향상학회지
    • /
    • 제25권1호
    • /
    • pp.2-10
    • /
    • 2019
  • Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

인공호흡기 중앙감시시스템 소프트웨어의 사용적합성 총괄평가 (Summative Usability Assessment of Software for Ventilator Central Monitoring System)

  • 정지용;김유림;장원석
    • 대한의용생체공학회:의공학회지
    • /
    • 제44권6호
    • /
    • pp.363-376
    • /
    • 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.The purpose of this study is to conduct a usability assessment to ensure that ergonomic design has been applied so that the ventilator central monitoring system can improve user satisfaction, efficiency, and safety. The rapid spread of COVID-19, which began in 2019, caused significant damage global medical system. In this situation, the need for a system to monitor multiple patients with ventilators was highlighted as a solution for various problems. Since medical device software is closely related to human life, ensuring their safety and satisfaction is important before their actual deployment in the field. In this study, a total of 21 participants consisting of respiratory staffs conducted usability test according to the use scenarios in the simulated use environment. Nine use scenarios were conducted to derive an average task success rate and opinions on user interface were collected through five-point Likert scale satisfaction evaluation and questionnaire. Participants conducted a total of nine use scenario tasks with an average success rate of 93% and five-point Likert scale satisfaction survey showed a high satisfaction result of 4.7 points on average. Users evaluated that the device would be useful for effectively managing multiple patients with ventilators. However, improvements are required for interfaces associated with task that do not exceed the threshold for task success rate. In addition, even medical devices with sufficient safety and efficiency cannot guarantee absolute safety, so it is suggested to continuously evaluate user feedback even after introducing them to the actual site.

엑스선골밀도측정기의 기술문서 작성을 위한 가이드라인 개발 연구 (A Study on Development of Guideline on Writing Technical Document for Electrical Medical Devices : Bone Absorptiometric X-ray System)

  • 이승열;김재량;김은림;이준호;이창형;박창원
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제39권2호
    • /
    • pp.263-271
    • /
    • 2016
  • 최근 인구 고령화에 따른 골다공증 환자의 증가 및 의료기기 시장의 성장으로 인해 엑스선골밀도측정기 시장이 커지고 있으며, 이에 따른 의료기기 허가 심사건수가 증가하고 있다. 의료기기 기술문서는 의료기기의 허가 심사 시 가장 기본이 되는 문서로 필수 제출 첨부자료 중 하나이다. 기술문서는 의료기기 관련 법령 및 고시에 그 근거를 두고 있으며, 의료기기 전반적인 항목을 기술해야하는 만큼 작성자의 전문성이 필요한 항목이다. 하지만 최근 부정확한 작성의 증가로 인한 심사자들의 업무부담이 증가되고 있어 민원 처리 효율이 저하되고 있다. 특히 엑스선골밀도측정기의 경우 식품의약품안전처 기준규격이 없어, 의료기기 제조/수입업체 등에서 시험항목을 설정하는 데 많은 어려움을 겪고 있다. 따라서 본 연구에서는 개선된 제도가 반영된, 엑스선골밀도측정기 기술문서 작성 가이드라인 개발을 위해 첫째, 개선된 제도 운영에 대한 조사, 품목별 의료기기의 제도 적용에 따른 문서 작성 방법 검토, 기 허가된 품목에 대한 허가 및 기술문서 검토를 완료하였다. 둘째, 품목별 시장현황 조사, 적용 가능한 국내 외 규격을 조사 분석하여 품목별 국제조화된 안전성 및 성능평가 시험기준 및 방법을 도출하였다. 마지막으로, 산 연 관 전문가협의체 논의를 거쳐 기술문서 작성 가이드라인(안)을 최종 도출하였다.

중학생들의 학교안전교육 실태와 안전분야 지식 및 실천 :「재난안전, 응급처치, 교통안전, 생활안전」 (School safety education status and the awareness and practice of safety among middle school students: 「First aid, disaster safety, traffic safety, and daily life safety」)

  • 이효철;장푸름이;김정환
    • 한국응급구조학회지
    • /
    • 제25권2호
    • /
    • pp.129-143
    • /
    • 2021
  • Purpose: This study aimed to identify the current status of school safety education and the differences in knowledge and practice of middle school students. Methods: A structured questionnaire was distributed to 418 middle school students in J province. The questionnaires consisted of 35 questions on the status of school safety education as well as the four school safety education domains of first aid, disaster safety, traffic safety, and daily life. Data were analyzed using frequency analysis, cross-tabulation analysis, a t-test, analysis of variance, and Pearson's correlations. Results: Awareness regarding the top seven standards for school safety and interest in school safety education were both relatively low. Among all the different kinds of safety accidents, those related to school violence(33.8%) and life safety(24.9%) were experienced the most in school. A more pleasant school life and better peer relationships led to interest in school safety(p=.000)(p=.000), awareness regarding the top seven standards for school safety(p=.022)(p=.009), adoption of coping measures(p=.000)(p=.000), and practice(p=.000)(p=.000) in case of safety accidents(p=.000)(p=.000). Conclusion: To increase awareness regarding the seven standards for school safety education and raise interest in safety education, it is necessary to cultivate experts and actively utilize them and to prepare systematic and continuous school safety education programs.

Cohort Profile: Gachon Regional Occupational Cohort Study (GROCS)

  • Lee, Wanhyung;Lee, Yongho;Lee, Junhyeong;Kim, Uijin;Han, Eunsun;Ham, Seunghon;Choi, Won-Jun;Kang, Seong-Kyu
    • Safety and Health at Work
    • /
    • 제13권1호
    • /
    • pp.112-116
    • /
    • 2022
  • Background/Aims: The Gachon Regional Occupational Cohort Study (GROCS) is a large-scale longitudinal study of occupational safety and health data (covering Work Environment Monitoring, Workers' Health Surveillance, and Occupational Health Service) conducted by the Gachon University Gil Medical Center (GUGMC) in Incheon, Republic of Korea. We conducted GROCS to identify the health effects of workers' occupational risks, behavior, socioeconomic status, and life style. Methods: The GROCS includes data from Work Environment Monitoring, Workers' Health Surveillance, and Occupational Health Service. The baseline year for all data collection was 2018. Work Environment Monitoring was conducted in 240 companies located in Incheon. General Health Examination and Special Health Examination were performed on 32,725 and 9,504 workers, respectively. Occupational Health Services were provided to 16,883 workers in 171 companies. These data have been collected and operated at an external data management institution and were provided as a retrospective cohort after removing personal identification information. Results: In 2018, the total number of companies was 2,854, among which which 488 special Health Examination, 171 Work Environment Monitoring, and 240 Occupational Health Service. The proportion of companies undergoing Special Health Examination was 17.1%, the proportion of companies undergoing Work Environment Monitoring was 8.4%, and the proportion of Companies undergoing Occupational Health Service was 6.0%. Conclusion: GROCS expects researchers to utilize its useful and reliable resource for occupational health and surveillance with for academic or political purposes to lead to improved workers' health and working environment.

Assessment of Chemical Risks in Moroccan Medical Biology Laboratories in Accordance with the CLP Regulation

  • Mourry, Ghita E.;Alami, Rachid;Elyadini, Adil;Hajjaji, Souad El;kabba, Saad El;Zouhdi, Mimoun
    • Safety and Health at Work
    • /
    • 제11권2호
    • /
    • pp.193-198
    • /
    • 2020
  • Background: Medical laboratory workers are frequently exposed to a wide range of chemicals. This exposure can have adverse effects on their health. Furthermore, a knowledge lack of the chemical risk increases the likelihood of exposure. The chemical risk assessment reduces the risk of exposure to hazardous chemicals and therefore, guarantees health and safety of the workers. Method: The chemical risk assessment was conducted using a modified INRS method, according to the new CLP Regulation, of 11 unit laboratories in a Moroccan medical laboratory. Observation of each workstation and analysis of safety data sheets are key tools in this study. Results: A total of 144 substances and reagents that could affect the health of the analytical technicians were identified. Among these products, 17% are concerned by the low priority risk score, with 55% concerned by the average priority risk score and 28% concerned by the high priority risk score. This study also enabled to better identify the chemical agents that have restrictive occupational exposure limit value and controls were conducted to this effect. On the basis of the results obtained, several corrective and preventive measures have been proposed and implemented. Conclusion: Risk assessment is essential to ensure the health and safety of workers and to meet regulatory requirements. It enables to identify all the risky manipulations and to adopt appropriate preventive measures. However, it is not a one-time activity but it must be continuous in order to master the changes and thus ensure the best safety of all.