• Title/Summary/Keyword: Safety related

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Effects of an Education Program on Prevention of Malpractice using Precedent Cases related to Patient Safety in Safety Perception, Safety Control, Autonomy and Accountability in Clinical Nurses (판례를 이용한 환자안전관련 간호과오 예방교육이 간호사의 안전지각, 안전통제감, 자율성 및 책임수용성에 미치는 효과)

  • Kim, Ki-Kyong;Song, Mal-Soon;Lee, Jun-Sang;Kim, Young-Sin;Yoon, So-Young;Back, Jee-Eun;Hur, Hea-Kung
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.1
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    • pp.67-75
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of an education program on safety perception, safety control, autonomy and accountability in clinical nurses. Precedent cases related to patient safety were used in the education program. Methods: A quasi-experimental design with pretest and posttest measures was used. Participants in the study, 72 nurses in the experimental group, 71 nurses in the control group, were enrolled for 3 months. The education program was composed of the 20 precedent cases related to patient safety from home and foreign countries. Results: The major findings of this study were as follows: Safety perception (p=.000), Safety control (p=.000), attitude toward autonomy (p=.000), and attitude toward accountability (p=.000) improved after the education program. Conclusion: The findings from this study indicate that an education program using precedent cases is an efficient method to improve behavior and change attitudes towards protecting patients' safety and preventing malpractice claims against nurses.

Job Characteristics in Nursing and Cognitive Failure at Work

  • Elfering, Achim;Grebner, Simone;Dudan, Anna
    • Safety and Health at Work
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    • v.2 no.2
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    • pp.194-200
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    • 2011
  • Objectives: Stressors in nursing put high demands on cognitive control and, therefore, may increase the risk of cognitive failures that put patients at risk. Task-related stressors were expected to be positively associated with cognitive failure at work and job control was expected to be negatively associated with cognitive failure at work. Methods: Ninety-six registered nurses from 11 Swiss hospitals were investigated (89 women, 7 men, mean age = 36 years, standard deviation = 12 years, 80% supervisors, response rate 48%). A new German version of the Workplace Cognitive Failure Scale (WCFS) was employed to assess failure in memory function, failure in attention regulation, and failure in action exertion. In linear regression analyses, WCFS was related to work characteristics, neuroticism, and conscientiousness. Results: The German WCFS was valid and reliable. The factorial structure of the original WCF could be replicated. Multilevel regression task-related stressors and conscientiousness were significantly related to attention control and action exertion. Conclusion: The study sheds light on the association between job characteristics and work-related cognitive failure. These associations were unique, i.e. associations were shown even when individual differences in conscientiousness and neuroticism were controlled for. A job redesign in nursing should address task stressors.

Associations between Sleep and Work-Related Cognitive and Emotional Functioning in Police Employees

  • Sorengaard, Torhild Anita;Olsen, Alexander;Langvik, Eva;Saksvik-Lehouillier, Ingvild
    • Safety and Health at Work
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    • v.12 no.3
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    • pp.359-364
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    • 2021
  • Aim: We aimed to examine the cross-sectional and longitudinal associations between sleep and work-related impaired cognitive and emotional functioning in police employees. Methods: This study included 410 participants (52% men) employed in a police district in Norway at baseline, of which 50% also participated in the study at 6 months later follow-up. The questionnaires included items measuring work schedule, sleep length, insomnia, as well as impaired cognitive and emotional functioning at work. Results: The results showed that insomnia was related to impaired work-related emotional functioning measured at baseline, and to impaired cognitive functioning measured at both baseline and follow-up. Sleep length and rotating shift work were not associated with future decline in cognitive or emotional functioning. Conclusion: Our study indicates that the relationship between insomnia and emotional functioning at work may be transient, whereas insomnia can be related to both immediate and future impaired cognitive functioning. Replication of the findings in larger samples is advised. The findings call for an emphasis on the prevention and treatment of sleep problems among police employees as a mean of maintaining and improving cognitive and emotional functioning at work, and thereby reducing the risk for impaired performance and negative health and safety outcomes.

Patient safety practices in Korean hospitals (우리나라 병원의 환자안전 향상을 위한 활동 현황)

  • Hwang, Soo-Hee;Kim, Myung-Hwa;Park, Choon-Seon
    • Quality Improvement in Health Care
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    • v.22 no.2
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    • pp.43-73
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    • 2016
  • Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

A Study on the Safety and Improvement of Small Theatres in Korea (소규모 공연장 안전실태 및 개선방안에 대한 연구)

  • Park, Yong Gyu;Kim, Dong Kyun;Park, Jin Kyu;Kim, Kyung Hoon
    • Journal of the Korean Society of Safety
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    • v.29 no.6
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    • pp.22-27
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    • 2014
  • The market of performance arts industry such as concert, musical and opera etc is now expanding in Korea. However, the inadequate safety management in theatres often causes some accidents. The guarantee of safety in theatres is very important since the accidents in theaters can lead to many casualties and serious property damages. In particular, the small theatres which have no obligation of safety inspection by law are very vulnerable to safety mattes. This study has done the research into the improvement of safety in small theaters through the inspection and analysis of their safety status. For the purpose, this study has inspected and analyzed the safety status of small theaters over 120 in the field of theater management and operation, fire protection, electrical facilities, ceiling structure and etc. Moreover, this study had investigated the law and technical standards related to theatre safety. This study shows that the essentials to make sure of the safety in small theaters are (1) the education to improve the sense of security of people who work in theaters (2) the training to strengthen the operating skills of the facilities in theaters (3) the cooperation and support of the related organization such as technical research center, central and local government.

Can Health Information Technology Really Improve Patient Safety? (의료정보기술은 환자안전을 향상시키는가?)

  • Lee, JaeHo
    • Quality Improvement in Health Care
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    • v.19 no.1
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    • pp.16-26
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    • 2013
  • Health information technology (HIT) is one of the most familiar tools to healthcare providers. It is used in routine practice to reduce cost, to improve clinical performance, and to improve patient safety. Patient safety is the driving force of recent expansion of HIT industry. But there are many evidences that it can be harmful to patient safety. Role of HIT and HIT-related error became big issues because more and more healthcare providers and healthcare organizations are willing to adopt it. Adoption rate of HIT in Korea is higher than that of United States. But researches of HIT regarding patient safety are rare. In this article, types of HIT, their mechanisms of improving patient safety and HIT-related errors were reviewed. Status of HIT in terms of patient safety in Korea was also reviewed. Knowledge of how HIT can improve patient safety, its' limitation, and how to make it safer is crucial to whom have to use it to improve patient safety. Impact of HIT on patient safety must be evaluated actively in Korea. HIT which was proven to improve patient safety must be widely adopted. Government must prepare a strategic plan to improve HIT quality, support hospitals financially and institutionally to introduce qualified HIT, and develop HIT infrastructures and standard designed for patient safety.

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A Study of Current Accident Situation for Hotel Service Workers (호텔서비스업 종사원들의 안전사고 실태연구)

  • 권영국
    • Journal of the Korea Safety Management & Science
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    • v.2 no.3
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    • pp.101-115
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    • 2000
  • Whenever a disaster occurs, people emphasizes that "Safety management is most important thing in the company". However, a situation of safety management is not changed dramatically after accidents in the past. Many small-and-medium sized industries neglect the importance of safety management. Current situation can be easily figured out when looks up an occurrence rate of accident, accident frequency rate and intensity rate. This paper investigated what workers of hotel-related industries think of a safety and types of accidents, effect of a safety education. On-site-survey was conducted for actual workers in four deluxe hotels and one condominium. 207 persons out of 400 people were replied. Statistical analysis was performed with SAS package about their reply. In injured type, cut from knife was most frequent. Main cause of accident was a unsafe posture and a unsafe behavior, so more safety education for these workers are necessary. In a physical pain which related with job, chronical pain was most dominant. As a result, a safety education has a high correlation with an experience of injured and treatment of safety, Cooking department has highest occurrence of accident than any other departments. Workers with an experience of five to ten years have most lowest treatment of safety, aid of safety education, safety feeling of their working environment, so peer attention must be put on these people to reduce accidents.accidents.

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Improvement Plan for Safety Management System related to Kids Cafe

  • Jeong, Myeong-jin;Lee, Myeonggu
    • International Journal of Advanced Culture Technology
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    • v.8 no.4
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    • pp.183-188
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    • 2020
  • As the number of kids cafes, one of the children's playgrounds, is increasing rapidly, safety accidents in the kids cafe are also increasing rapidly. The facility is also increasing as the need increases, but it is spreading without ensuring safety. In particular, the Ministry of Public Administration and Security for children's play facilities in the kids cafe, and the Ministry of Culture, Sports and Tourism for organic organizations are divided into different departments, so it is not easy for local governments to manage and supervise the actual business, and there are safety blind spots. Kids cafes have changed rapidly according to needs of children and guardians who are users, and there are many problems associated with them. Therefore, we identified problems that may arise due to insufficient safety management systems for kids cafes, investigated the safety management related to kids cafes in advanced countries, and compared and analysed them with domestic systems. As a result of the research, we proposed a safety management reinforcement system, and we hope to contribute to the reduction and prevention of kids café safety accidents.

The Reinforcement Plan of Safety Management for the Small-sized Facility (소규모 시설물의 안전관리 강화방안)

  • Jung, In Su
    • Journal of the Korean Society of Safety
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    • v.29 no.6
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    • pp.111-118
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    • 2014
  • While large-sized facilities (type I II) have been managed systematically after the establishment of the Special Law for Safety Management on Facility, the management of small-sized facilities is relatively poor. The small-sized facilities have been managed by The Basic Law for Disaster and Safety Management, however, it is hard to manage them systematically as related standards are not established. Therefore, this study proposed the management plans for including the facilities such as some road tunnels and utility tunnels, which have the definite manager and a high possibility to harm the public, into type I and II facilities. In addition, it proposed the reinforcement plans of safety management for small-sized and vulnerable facilities such as breast wall and cut slopes, traditional markets and pedestrian bridges, which are fundamental facilities closely related to people's life, although a budget and a man-power are not enough.

A study on characteristics of accidents involving horse scaffolds at construction sites (말비계 건설재해 특성 분석에 관한 연구)

  • Jeong, Seong-Chun
    • Journal of the Korea Safety Management & Science
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    • v.18 no.1
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    • pp.17-24
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    • 2016
  • Many fatal and non-fatal injuries occurred as a result of unexpected falls from horse scaffolds during structural or finishing works such as painting, plastering, or plumbing. Therefore, this study is to improve safety standards for horse scaffolds used mostly in the interior finishing works. But hazard elements for the horse scaffolds has not been specifically identified. This study has analyzed the accidents of horse scaffolds to prevent construction accidents and the characteristics of a serious accidents related the horse scaffolds. It was suggested a safety management plan and a group of accidents characteristics. The results of this study are expected to be utilized as basic data for prviding a reference related to the horse scaffolds and to be unified the regulations associated with the horse scaffolds.