• 제목/요약/키워드: Working safety accident

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공공의료기관 간호사의 환자안전사고 대처를 위한 시뮬레이션 기반 의사소통 교육프로그램 개발 및 효과 (Development and effect of Simulation-based Educational Program for Communication to Prevent Patients from Safety Accident by Nurses working in the Public Medical Institutions)

  • 목승현;김성희
    • 한국산학기술학회논문지
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    • 제21권10호
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    • pp.115-126
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    • 2020
  • 최근 의료계에서 환자안전에 대한 관심이 지속적으로 높아지고 있고, 환자안전사고가 증가함에 따라 환자안전사고의 발생에 효율적인 대처를 위한 의료인들의 의사소통 능력의 필요성을 강조하고 있다. 따라서 본 연구는 환자안전사고 대처를 위한 시뮬레이션 기반 의사소통 교육 프로그램을 개발하고, 공공의료기관으로 지정된 병원의 간호사 에게 적용하여 교육 전, 후에 따른 의사소통능력, 자기효능감, 비판적 사고성향, 문제해결능력에 미치는 효과를 파악하고자 시도되었다. 또한 프로그램 적용 후 교육에 대한 만족도를 파악하였다. 연구대상자는 공공의료기관으로 지정된 병원의 간호사 32명이다. 2019년 8월 19일부터 8월 20일까지 자료수집 하였으며 자료 분석은 SPSS 23.0 프로그램을 이용하여 빈도, 백분율, paired t-test 로 분석 하였다. 연구결과 환자안전사고 대처를 위한 교육프로그램이 간호사의 의사소통능력, 자기효능감, 문제해결능력 향상에 유의하게 나타났으며, 비판적 사고성향은 교육 후 상승되었으나 통계적으로 유의한 차이는 없었다. 본 연구의 교육 프로그램이 간호사의 의사소통능력, 자기효능감, 문제해결능력 향상에 효과적인 교육 방법임을 확인하였다. 따라서 본 연구는 공공의료기관 간호사들의 환자안전사고 대처를 위한 의사소통 역량 향상에 도움을 주며, 임상에서 간호사를 대상으로 환자안전을 위한 교육 프로그램의 기초로 활용 될 수 있을 것이라 기대된다.

위험은 파견, 용역 직원에게 외주화 되는가?: 간접 고용이 안전, 건강, 만족에 미치는 효과 (Is the Risk Unloaded on Dispatch and Service Supplier?: Influence of Indirect Employment on Safety, Health and Satisfaction)

  • 문광수;안지연;장통일;오세진
    • 한국안전학회지
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    • 제32권3호
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    • pp.90-98
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    • 2017
  • The purpose of this study was to examine the effect of employment type(direct employment, dispatch and service supplier) on risk factor exposure, health and satisfaction. The data of the 4th wave of Korean Working Conditions Survey (KWCS) conducted by Korea Occupational Safety and Health Agency (KOSHA) in South Korea was used. Business support service industry and manufacturing industry were selected as appropriate industries for analysis. In the final analysis, 5,865 in the manufacturing industry and 1,361 in the service support industry were included. Various variables related risk, safety, satisfaction and health such as risk factor exposure, MSDs exposure, work environment satisfaction, injury probability, dangerous work, workload, physical health problem, perceived health, positive emotions, stress, participation for decision making and experience of accident/disease were analyzed and company size and age was controled. An ANCOVA was conducted to identify significant mean differences of risk, safety, satisfaction and health related variables among direct employed workers, dispatch and service supplier workers. The results showed that all the variables except stress showed a significant difference depending on employment type in the service supply industry. In the manufacturing industry, there were significant difference in the risk factor exposure, MSDs exposure, work environment satisfaction, workload, physical health problem, perceived health, and participation depending on employment type. These results indicated that the risks are unloaded to subcontract and outsourcing company workers. Based on these results, the implications of this study and suggestions for future research were discussed.

원전 종사자 및 조직 특성이 사고에 미치는 영향 (A Study on the Effects of Nuclear Power Plant Workers and Organizational Characteristics on Accidents)

  • 김병석;조현웅;오영민
    • 한국시스템다이내믹스연구
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    • 제15권2호
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    • pp.5-25
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    • 2014
  • The purpose of this study is to analyze the effects of nuclear power plant workers and organizational characteristics on accidents, and seek the combination of policies for reducing accidents. For this purpose, it grasped, by using System Dynamics and Causal Loop Diagram, how various factors that cause accidents in nuclear plants are interrelated, and performed simulations after building simulation models. As a result of the analysis, first, the fundamental cause of safety accidents in nuclear power plants turned out to be the time constraint on the workload. Second, it turned out that as the workload of workers increases, physical and mental stresses increase, thereby increasing accidents due to errors and violations. Third, it turned out that as the levels of educational training and compliance with regulations and procedures are enhanced, accidents are reduced. Lastly, it turned out that as the combination of policies (reliance level + working environment + educational training + compliance with regulations and procedures) is increased, accidents are reduced. Especially, it turned out that if the combination of policies is increased by 30%, more than 10 cases of accidents are reduced.

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119 구급대원 구급활동의 근골격계 증상 및 위험실태 (A Survey of Musculoskeletal Symptoms & Risk Factors for the 119 Emergency Medical Services (EMS) Activities)

  • 김대성;문명국;김규상
    • 대한인간공학회지
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    • 제29권2호
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    • pp.211-216
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    • 2010
  • Fire service personnel and ambulance paramedics suffer musculoskeletal disorders as they lift and carry patients while performing Emergency Medical Services (EMS). The objective of the current study was performed to examine the association between working environment and musculoskeletal disorders of 119 paramedics and to analysis the EMS activities for them through basic survey (including task characteristics, risk factors, symptoms and illnesses). Observational job analysis of EMS activities indicated the squatting posture during first-aid performed on floor and the abrupt use of force during carrying heavy load including stretcher with patients on as hazard factors, and excessive low back twisting and bending during stairway transfer was observed. In addition, work-physiological assessment revealed various but rather high lumbar muscle usage rate among the study subjects, being 14.6~32.8% compared with Maximum Voluntary Contraction (MVC) during patients transfer work. Resting heart rate showed 65/min, on the other hand, heart rate on mobilization indicated maximum 124~156/min. Therefore, the results of analysis to the EMS activities, rescuer activities and medical tasks were accompanied with high possibility of accident and musculoskeletal disorders. Also, EMS activities indicated high muscle fatigue and energy consumption, and accumulated muscle fatigue with during continued work.

공압 실린더 및 단순 링크기구를 이용한 충돌 보행자 보호 장치에 관한 연구 (Study on Pedestrian Protection device in collision using Pneumatic cylinder and simple link mechanism)

  • 노상현;이동렬
    • 동력기계공학회지
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    • 제12권4호
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    • pp.64-71
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    • 2008
  • This study is on pedestrian protection device using pneumatic cylinder and simple link mechanism when vehicle collide with pedestrian. This study ensured the safety space between engine and hood after it applies to simple link mechanism and pneumatic cylinder. It can absorb the damage which measure the specific device if vehicle collide with pedestrian. Combination of simple link mechanism and pneumatic cylinder was more superior than the present pedestrian protection device. Simple link mechanism could confirm superior height and survival probability than when only cylinder operated. It also ensured enough space between engine and hood. And if a cylinder is not working because of old cylinder, poor repair or damage of accident vertical cylinder would be difficult to execute because there exists the irregular space between engine and hood. If simple link mechanism operates with only one cylinder it could ensure the regular space because simple link mechanism set up at the middle of hood. So this device could confirm high safety for pedestrian.

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LPG 폭발사고 예방을 위한 Maghemite의 영향 (Effects of the Maghemite for Explosive accident Prevention to Liquefied Petroleum Gas)

  • 박영구
    • 한국안전학회지
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    • 제11권2호
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    • pp.67-78
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    • 1996
  • Gas sensing element, $\gamma-Fe_2O_3$was synthesized by dehydration, reduction, and oxidation of $$${\gamma}$-FeOOH, which was synthesized with $FeSO_4\;{\cdot}\;7H_2O$ and NaOH. They were produced as a bulk-type, a thick film-type. Then, their responses and mechanisms of response to the gas of liquefied-petroleum were studied. The qualities of gas sensing elements are decided by the structure and the relative surface area. In the process of $\alpha-FeOOH $synthesis, the effects of reaction conditions as the equivalent ratio, on the structure and the relative surface area of gas sensing element were observed. The changes of the structure were measured with XRD, SEM, TG-DTA and BET. The resistance changes of the synthesized gas sensor in the air were measured. The response ratio were also measured for the changes of working temperature and gas concentration. As a result of analysis with XRD, it was confirmed that the the best conditions for the synthesis of $\alpha -FeOOH$ were equivalent ratio 0.65. The thick film-type element of $\gamma-Fe_2O_3$responded more quickly than the bulk-type did. The structure and the relative surface area of the $\alpha-FeOOH $were confirmed as the important factors deciding gas response charcteristics.

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불균일 농도가 가스 폭발에 미치는 영향 (Effect of Non-uniform Concentration on Gas Explosion)

  • 김상섭;장기현
    • 한국가스학회지
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    • 제7권4호
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    • pp.14-19
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    • 2003
  • 일반적으로 발생하는 사고중의 가스폭발사고는 일정한 상태로의 혼합과정보다는 불균일하게 이루어진 상태로 폭발이 발생하고 있다. 본 연구에서는 불균일 상태에서의 불균일 농도에 의한 폭발현상을 실제 실내의 축소형으로 폭발통을 제작, 모형화하여 여러현상을 재현함으로서 실제 사고시의 폭발현상을 예측할 수 있었다. 그 결과, 어떤 공간에서 가스가 누출될 경우 내부의 가스의 혼합정도는 누출구의 크기 및 누출속도에 따라 영향을 받으며, 불균일 정도가 클수록 폭발압력 및 압력상승속도는 낮아지고 폭발압력은 감소하지만 화염의 체류시간이 증가하여 폭발화염의 복사열에 의한 폭발 후에는 화재의 위험성이 증가함을 알 수 있었다.

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Background and Activities of the Samsung Ombudsperson Commission in Korea

  • Lee, Cheolsoo;Kang, Seong-Kyu;Kim, Hyunwook;Kim, Inhee
    • Journal of Preventive Medicine and Public Health
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    • 제52권4호
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    • pp.265-271
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    • 2019
  • Objectives: The Samsung Ombudsperson Commission was launched as an independent third-party institution following an agreement among Samsung Electronics, Supporters for Health and Right of People in Semiconductor Industry (Banolim in Korean, an independent NGO), and the Family Compensation Committee, in accordance with the industry accident prevention measure required by the settlement committee to address the issues related to employees who allegedly died from leukemia and other diseases as a result of working at Samsung's semiconductor production facilities. Methods: The Commission has carried out a comprehensive range of activities to review and evaluate the status of the company's occupational accidents management system, as well as occupational safety and health risk management within its facilities. Results: Based on the results of this review, termed a comprehensive diagnosis, the Commission presented action plans for improvement to strengthen the company's existing safety and health management system and to effectively address uncertain risks in this area going forward. Conclusions: The Commission will monitor the execution of the suggested tasks and provide advice and guidance to ensure that Samsung's semiconductor and liquid crystal display production lines are safer.

근로자 안전을 확보하기 위해 실시하는 사업주에 의한 작업중지권 현장 실태조사 (On-site Investigation of Work Cease Rights Conducted by Employers to Ensure Worker Safety)

  • 심우섭;김상범
    • 한국재난정보학회 논문집
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    • 제19권4호
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    • pp.806-814
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    • 2023
  • 연구목적: 고용노동부의 산업안전보건법에 따르면 산업재해를 막기 위해 급박한 위험이 닥쳤을 때는 작업중지권을 행사할 것을 규정하고 있다. 본 연구는 실제 태풍과 같이 급박한 위험이 닥쳤을 때 사업장에서 사업주에 의한 작업중지권 이행여부에 대한 실태조사를 수행하였고, 그 결과에 따른 시사점 및 작업중지권 활성화를 위한 방안을 도출하고자 한다. 연구방법: 제6호 태풍 '카눈'의 영향이 컸던 8월 9일~10일, 2일간 사업장의 작업중지 실시 여부를 유선으로 확인하였고, 조사대상은 건설업 1,649개소, 제조업 830개소, 그리고 기타 업종 278개소로 총 2,757개소이다. 연구결과: 실태조사 결과를 보면, 8월 9일에는 56%(1,555개소), 8월 10일에는 77%(2,142개소)가 전면 또는 부분 작업중지를 실시하였다. 특히, 태풍이 상륙했던 8월 10일에는 전체 40%가 전면적으로 작업을 중지하였다. 결론: 본 연구를 통해 사업주에 의한 작업중지권이 실제 사업장에서 활용되고 있음을 확인하였다. 앞으로도 급박한 위험이 있는 경우에는 작업중지권 외에도 유연 및 재택근무, 근로시간 조정 등을 적극적으로 활용하여 근로자의 안전을 보장하고 생명을 보호해야 할 것이다.

작업효율 지표 기반 안전관리행위 - 생산성 인과 모델 구축 - 메가 프로젝트 배관공사 중심으로 - (Causal Loop Diagram for the Relation Between Degree of Field Safety Management and Productivity Based on Effectiveness Metrics : Focusing on Plumbing work in Mega Project)

  • 채연;박문서;조종우;이진솔;주선우;홍영민
    • 한국건설관리학회논문집
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    • 제22권2호
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    • pp.12-20
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    • 2021
  • 안전하지 못한 환경은 작업속도를 지연시키고, 사고 발생 시 대응에 많은 시간을 소요하게 하여 건설공사의 생산성을 크게 저하시킨다. 반면, 지나친 안전관리를 오히려 생산성 저해 요인으로 지적하는 연구도 존재한다. 따라서 건설공사의 생산성을 저해하지 않는 적절한 안전관리는 성공적 공사 수행에 매우 중요한 요인이나, 안전관리와 생산성 상호 간 미치는 영향이 복잡하기에 이에 대한 연구가 부족한 실정이다. 이에 본 연구는 시스템 다이내믹스를 활용하여 안전 관리와 생산성 영향 요인 간의 인과 모델을 구축하고, 효율성 지표를 통한 생산성 측정 및 분석을 진행한다. 이를 통해 과다 인원 투입으로 인한 현장 혼잡도 증가, 비정기적 안전 조치 및 비효율적 초과근무가 실제 작업에 투입되는 시간에 미치는 영향을 분석한다. 안전관리와 생산성의 상호 영향성에 대한 기초 연구인 본 연구의 결과물은, 적정 생산성 확보 가능한 안전관리 방안 수립의 기반으로서 건설산업 경쟁력 제고에 기여할 수 있을 것으로 기대한다.