• 제목/요약/키워드: Safety management work regulation

검색결과 52건 처리시간 0.022초

중소병원 간호사의 환자안전인식이 안전간호활동에 미치는 영향 (The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Nurse in small-medium Sized General Hospitals)

  • 남문희;임지혜
    • 디지털융복합연구
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    • 제11권1호
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    • pp.349-359
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    • 2013
  • 본 연구는 중소병원의 간호사의 환자안전인식 및 안전간호활동을 조사하고 안전간호활동에 영향을 미치는 요인들을 분석함으로써 보다 안전한 의료서비스 제공의 기초자료로 삼고자 시행 되었다. 대상자는 2012년부터 4월 1개월 동안 3개의 중소병원 간호사 344명을 대상으로 실시하였다. 미국의 AHRQ에서 개발한 Hospital survey of patient safety culture라는 설문지와 의료기관인증문항 중 안전보장활동을 사용하였다. 자료분석은 SPSS 18.0 통계 패키지를 사용하여 기술통계 t-test 및 ANOVA와 Scheffe 사후 분석, Pearson's correlation coefficents, stepwise multiple regression으로 분석하였다. 환자안전인식 수준은 간호사의 경력, 근무시간, 근무부서에 따라 차이가 있었고, 안전간호활동은 간호사의 나이, 직위, 결혼, 간호사 경력, 근무시간에 따라 차이가 있었으며, 간호사의 안전인식수준이 높을수록 안전간호활동 수준이 높았다. 병원에서 환자안전인식 및 안전간호활동 수준을 개선하기 위해서 환자안전정책 및 근무환경개선제도가 요구된다. 근무조건 개선을 위해서 근무시간, 환자대 간호사의 비율을 정규화하는 정책 등이 요구된다.

Comparison of Relative Risk before and after SEMI S2-93A Implementation: Using a Semiconductor Plant in a Taiwan's Science Park as an Example

  • Tien, Shiaw-Wen;Chung, Yi-Chan;Tsai, Chihj-Hung;Hwang, Guo-Ji
    • International Journal of Quality Innovation
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    • 제6권1호
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    • pp.58-73
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    • 2005
  • The objective of this study is to evaluate the equipment risk before and after SEMI S2-93A implementation, thus providing a guideline for safety improvement. Semiconductor Plant A located in Taiwan's Hsinchu Science Based Industrial Park with 147 manufacturing machines was used for risk assessment. This study was carried out in three steps. First, a preliminary hazard analysis was conducted. A detailed process safety evaluation was conducted (Hazard and Operability Study, HAZOP); and finally, the equipment risk comparison before and after Semiconductor Equipment Manufacturing Instruction (SEMI S2-93A) implementation. The preliminary hazard analysis results showed high risk in 21.77% of the manufacturing machines under risk assessment at Plant A. The largest percentage existed in the Diffusion Department. The machine types specified by the hazardous work site review and inspection according to Article 26 of Labor Inspection Regulation (the machines that use such chemicals as, $SiH_4$, HF, HCL, etc. and that are determined to be highly hazardous through preliminary hazard analysis) were added to the detailed process analysis and evaluation. In the third part of this evaluation, the machines at Plant A used for detailed process safety assessment were divided into two groups based on the manufacturing data before and after 1993. The severity, possibility, and actual accident analysis before and after SEMI S2-93A implementation were compared. The Semiconductor Equipment Manufacturing Instruction (SEMI S2-93A) implementation can reduce the severity and possibility of hazard occurrence.

국내 화학사고의 휴먼에러 기반 분석에 관한 연구 (A Study on the Analysis of Human-errors in Major Chemical Accidents in Korea)

  • 박정철;백종배;이준원;이진우;양승혁
    • 한국안전학회지
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    • 제33권1호
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    • pp.66-72
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    • 2018
  • This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

작업 강도가 방진 마스크의 밀착도와 감성품질에 미치는 영향 (Effect of Work Intensity on Fit Factor and Affecive Quality of Dustproof Mask)

  • 이진실;조선희;윤정민;김민선;박재규;최재호
    • 품질경영학회지
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    • 제46권2호
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    • pp.301-310
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    • 2018
  • Purpose: The purpose of this study is to investigate the effect of work intensity on fit factor and affective quality of the dustproof Background: Among the victims who suffer pneumoconiosis due to the inhalation of toxic substances or the lack of oxygen during the work, the proportion of the victims is larger than the other causes. Wearing a respirator may prevent pneumoconiosis, but it can be hazardous to workers because of the leakage through filters, cartridges, exhaust valves, broken parts, and face-to-face contact. Despite leakage through the contact area between the mask and the face has various causes such as the wearer's activity, sweat accumulation, facial shape, etc., There is a lack of relevant research and regulation compared to developed countries that have already institutionalized the law 30 years ago and give the right to sell through a test Method: The work intensity was adjusted by walking or running at 6km/h and 11km/h on the treadmill, and tasks were defined with reference to the test procedure and the exercise sequence applied in the face leakage test of the dustproof mask. And fit factor was measured objectively using 'Respirator Fit Tester 8038' which measures fit factor calculated by dividing the number of dust present outside the mask by inside the mask. In addition, affective quality was classified by the ease of use, ease of breathing, and ease of wearing, and was measured using the 5-point likert scale questionnaire. Results: There was a significant difference in fit factor, ease of breathing, and wearing convenience according to work intensity and no significant difference in ease of use(${\alpha}=0.01$). And when the work intensity was high, fit factor, ease of breathing, and wearing convenience were all lower than when the work intensity was low. Conclusion: In Korea, it is necessary to consider consideration of the work intensity when testing the leakage rate of the face part for safety certification of the respiratory protective equipment, When developing a mask, it should be possible to maintain high adhesion even under intense, active situation and high temperature conditions by selecting materials, improving the wearing style, and expanding the adjustable range.

교육용 치과 엑스선 발생장치에 대한 방사선 안전 관리 실태 조사 (Research on the Actual Condition of the radiation Safety Management(RSM) for the Educated Training of the Dental Diagnostics X-ray Generators)

  • 이미현;유윤식;이재승;임인철
    • 한국방사선학회논문지
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    • 제8권7호
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    • pp.467-477
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    • 2014
  • 본 연구의 목적은 교육용 치과 엑스선 발생장치를 설치 및 가동 중인 전국 치위생(학)과를 대상으로 방사선 작업종사자의 방사선 안전 관리 실태를 설문 조사하고 이를 체계적으로 추이 분석하여 교육용 치과 엑스선 발생장치의 안전한 이용 기반을 확립하기 위한 기초 자료로 제공하고자 하였다. 이를 위하여 교육용 치과 엑스선 발생장치의 방사선 안전 관리와 관계되는 원자력 관계 법령 및 국내 방사선 안전성 평가 및 규제 기술 개발 현황에 대한 용역 보고서를 참고하여 포괄적인 문헌 조사를 하였으며 이를 토대로 응답자의 일반적 특성, 방사선안전관리자의 위상, 방사선 안전관리 현황과 지식 및 의식 수준에 대한 설문지를 작성하였다. 본 연구는 국내 교육기관 내 방사선안전관리자와 교육용 치과 엑스선 발생장치를 운전 가능한 학사 및 실습 조교, 전임 교원 224명을 대상으로 설문 조사를 시행하여 설문 응답 누락 및 불충분한 응답을 제외한 95부를 회수하여 분석 자료로 이용하였다. 분석 방법은 일반적 특성 및 방사선안전관리자의 위상은 빈도와 백분율을 구하였으며 방사선 안전 관리 현황과 지식 및 의식 수준은 빈도 분석과 설문 문항별 연관성 분석을 위한 ${\chi}^2$ 검정(chi-square test)과 수준간 연관성을 구하기 위한 피어슨 상관분석(Pearson correlation analysis)을 하였다. 결과적으로 교육용 치과 엑스선 발생장치의 운영은 대부분 대학 이상의 사회적 교육 수준이 높고 치위생학을 전공한 20대에서 40대의 여성이 담당하고 있었으며 남성과 비교하여 방사선 안전 관리에 대한 의식 수준이 높게 나타났으며 통계적으로 유의한 선형적 관계를 보였다(${\chi}^2$ >5, 0.1${\chi}^2$ >5, 0.3${\chi}^2$ >5, 0.3

맥파 스트레스와 한국인 직무스트레스의 상관관계 분석 - 도시철도 건설종사자를 대상으로 (Analysis of the Relationship between Macpa Stress Index and Korean Job Stress Level - Focusing on Subway Construction Workers)

  • 채정식;이유정;장성록
    • 한국안전학회지
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    • 제37권1호
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    • pp.64-69
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    • 2022
  • The study measured a subway construction worker's Macpa stress by Heart Rate Variability measuring instrument and conducted a survey of Korean job stress from subway construction workers. Also, the study analyzed the relationship between Macpa stress index and Korean job stress result and suggested managing stress method for each item. According to National Statistical Office data, the first line subway in Seoul was started to open in 1974. The extended total length is 996 kilometers until 2019. Many aged workers are currently working at subway construction sites due to the avoidance of young workers since the past until now. It means that the elderly has a substantial portion among subway construction workers. The productivity has been adversely affected by health problems due to the aging of workers, job stress due to heavy work, and personal health problems. So, the regulation and policies on job stress health management are being strengthened. The data were measured Macpa stress by machine measuring heart rate variability and conducted Korean job stress survey(shortened) from Sa-sang to Ha-dan line Busan subway construction workers for analyzing the relationship. Independent variable were age, job duration, job position, employment type, working type in this study. Macpa's dependent variable was stress index and Korean job stress survey(shortened)'s dependent variables were job requirements, job autonomy, relationship conflict, job instability, organizational structure, inappropriate compensation, working place culture, and total score. SPSS 12.0 K Statistics Program was used for statistical analysis. Kruskal-wallis test, a nonparametric statistical analysis, was used because the data are difficult to be assumed as normal distribution. As a result, the paper indicated the significant correlation between Macpa stress index and Korean job stress(short version). The elderly workers presented higher Macpa index and higher job stress due to aging and heavy-duty work. The majority workers were daily workers who had unstable working condition and uncertainty about the future. The study suggested a manual that could reduce job stress for subway construction workers and future study deriving management tool through analyzing job stress factor is necessary.

전북지역 영유아 보육시설의 급식관리 실태평가 (Assessment of Foodservice Management Practices in the Educare Centers in Jeonbuk Province)

  • 이영은;김향숙
    • 한국생활과학회지
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    • 제7권1호
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    • pp.217-233
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    • 1998
  • Foodservice management practices in 52 educare centers in Jeonbuk province were evaluated in order to provide basic informations and guidelines for the standardization of foodservice management and facilities in the educare centers. The survey was conducted using the structured questionnaire. The results are summarized as follows: 1. Only 10% of the centers investigated had the stationed dietitian, therefore most of foodservice management was not conducted by a professional personnel. The average number of kitchen employees was 1.3 and significantly different with type(p<0.05) and size(p<0.001) of the centers, which was not enough to meet the regulation. 2. Menu planning was performed mostly(59.6%) by managers and teachers of educare centers. Food items were purchased(94.7%) and recieved(91.6%) by kitchen employees or center managers and teachers. Produced foods were also evaluated(97.7%) and distributed(100%) by kitchen employees or center managers and teachers depending on their experience without any supervision of the professional personnel for the mass production. 3. Among the centers studied, 84.6% of them conducted nutrition education programs regularly by teachers. About 77.3% of them evaluated that these programs did not accomplish the proper training for good food habit because of the lack of nutritional knowledge(54.5%) and educational media(27.3%). 4. In general, the hygienic maintenance was evaluated as fair state to need the improvement. 5. Kitchen facilities and equipments were similar to those of home cooking and did not meet the standards for institutional practices. Besides, automated machinery and tools for safety, sanitation and improvement of work efficiency were far short. 6. Log book for the foodservice management was not prepared properly, which made the systematic planning and operation of the foodservice facilities difficult.

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중대재해발생률 및 진도관리모델을 고려한 공사진척도별 적정 안전보건관리비 산정기법 (Preventive Occupational Health and Safety Expense Estimation Method based on Fatality Statistics and Progress Model)

  • 이규진
    • 한국건축시공학회지
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    • 제17권2호
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    • pp.191-197
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    • 2017
  • 건설공사는 제조업과는 달리 공사가 시작되어 종료될 때 까지 재해위험도가 일정하지 않고 공사단계에 따라 큰 변화가 있다. 건설업 산업안전보건관리비 계상 및 사용기준은 그동안 건설업의 안전문화 정착과 재해율 저감에 적지 않은 기여를 해왔으나, 현행 기준은 건설공사의 재해위험도 특성에 비해볼 때 이미 중대재해발생위험시기가 지난 이후에 뒤늦게 사용하게 되는 문제점이 있다. 본 연구는 건설공사의 공사단계별로 재해위험도에 대한 분석을 통하여 공사단계별 재해발생위험도와 안전관리비 사용기기 산출방식을 제시하는 것을 목적으로 진행하였다. 이를 위하여 1439건의 국내 중대재해사례를 분석하여 공사단계별 중대재해발생확률을 산출하였으며, 공정특성에 따른 적정 산업안전보건관리비의 적정 사용일정을 도출하는 방식을 제안하였다. 도출된 방식에 의해 산정된 산업안전보건관리비 사용일정을 현행 기준과 비교한 결과 최소 20%p 이상 앞서서 사용해야만 재해위험도에 따른 적절한 선행적 조치가 가능할 것으로 나타났다.

관 부설 및 접합공사 공사비산정기준 개선에 관한 연구 (A Study on the Improvement of Construction Cost Standards for Pipe Laying and Joining Work)

  • 오재훈;안방율
    • 한국산학기술학회논문지
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    • 제21권7호
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    • pp.675-684
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    • 2020
  • 노후 인프라로 인한 각종 안전사고 발생과 수질관리 등으로 인하여 상·하수도 관에 대한 공사가 전국적으로 활발하게 진행 되고 있다. 하지만 현장에서는 공사비적용에 있어, 공사비기준의 개정내용을 분석하는 연구나 자료가 없어 어려움을 겪고 있다. 따라서, 본 연구에서는 관 부설 및 접합공사의 공사비산정을 위한 기준현황과 현장조사내용, 개정사항을 분석하였다. 주요 개정요인으로는 시공범위의 불분명, 시설물유형에 따른 배관 재질 적용한계, 보통인부 중심의 인력구성, 인력부설의 한계, 공구손료 및 기계경비 계상기준 미비로 분석되었다. 실제 현장조사를 통해 관종별 특징을 정하여 구분하였고, 양중장비와 경장비의 투입현황 등을 파악하였다. 또한, 관부설과 병행되는 터파기 및 검측에 대한 작업내용, 기능공 투입실태를 조사하였다. 그 결과, 공통사항의 신설을 통한 작업범위의 명확화, 관 재질별 편제구성, 기능공 중심의 인력비율 조정, 기계경비의 계상근거를 마련하였다. 더불어 관의 유지관리를 위한 관 세척 기준을 제정하였으며, 주기개정을 통한 곡관, 이형관의 계상기준을 명확히 하였다. 이러한 개정결과로 인한 공사비영향성을 분석한 결과 사업별로 약 1.28%의 공사비 절감효과가 나타났다.

Design and Fabrication of CLYC-Based Rotational Modulation Collimator (RMC) System for Gamma-Ray/Neutron Dual-Particle Imager

  • Kim, Hyun Suk;Lee, Jooyub;Choi, Sanghun;Bang, Young-bong;Ye, Sung-Joon;Kim, Geehyun
    • Journal of Radiation Protection and Research
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    • 제46권3호
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    • pp.112-119
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    • 2021
  • Background: This work aims to develop a new imaging system based on a pulse shape discrimination-capable Cs2LiYCl6:Ce (CLYC) scintillation detector combined with the rotational modulation collimator (RMC) technique for dual-particle imaging. Materials and Methods: In this study, a CLYC-based RMC system was designed based on Monte Carlo simulations, and a prototype was fabricated. Therein, a rotation control system was developed to rotate the RMC unit precisely, and a graphical user interface-based software was also developed to operate the data acquisition with RMC rotation. The RMC system was developed to allow combining various types of collimator masks and detectors interchangeably, making the imaging system more versatile for various applications and conditions. Results and Discussion: Operational performance of the fabricated system was studied by checking the accuracy and precision of the collimator rotation and obtaining modulation patterns from a gamma-ray source repeatedly. Conclusion: The prototype RMC system showed reliability in its mechanical properties and reproducibility in the acquisition of modulation patterns, and it will be further investigated for its dual-particle imaging capability with various complex radioactive source conditions.