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Near Misses Experienced at a University Hospital in Korea

  • Park, Mi-Hyang;Kim, Hyun-Joo;Lee, Bo-Woo;Bae, Seok-Hwan;Lee, Jin-Yong
    • Quality Improvement in Health Care
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    • v.22 no.1
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    • pp.41-57
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    • 2016
  • Objectives: This study aimed to investigate how many healthcare professionals experienced near misses, what types of near misses occurred most often, and healthcare professionals' opinions about near misses at one university hospital in Korea. Methods: The authors developed a questionnaire including 26 core types of near misses and 4 questions about preventability and reporting barriers. The survey was conducted from Oct. 31st to Nov. 18th 2011, about 3 weeks, using a self-administrated questionnaire that was administered to 697 healthcare professionals (registered nurses, pharmacists, technicians, and nurses aides) who worked at a university hospital. Medical doctors and employees working in the department of administration were excluded. Results: About half of hospital workers experienced at least one or more near misses during the past one year. The drug dispensing process was the most common subcategory of near misses. Among the 26 items, patient falls was highest. Over 95% of respondents reported that the near miss they experienced was preventable. Also, more than half of respondents did not report the near miss and the main reason for omission was fear of blame. Conclusion: Regarding patient safety issues, a near miss is a very significant factor because it can be a potential adverse event. Therefore, we should grasp the size of the problem through tracking and analyzing near misses and should make an effort to reduce them. To do so, we should check whether our reporting system is well designed and functioning.

A Study on the Web Accessibility of University Library Web Sites (국내 대학 도서관 홈페이지의 웹 접근성 실태에 대한 연구)

  • Kim, Young-Gon;Oh, Chang-Gyu
    • Journal of the Korean Society for information Management
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    • v.28 no.3
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    • pp.197-217
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    • 2011
  • Web accessibility refers to the practice of providing equal access to web sites to people without and with disability. This study aims to investigate the web content accessibility of 153 university libraries in Korea, and further suggest the approach to implement an effective university library web site to meet Korean Web Content Accessibility Guidelines(KWCAG). Survey was conducted with two steps. The first step was to find out the general level of web accessibility of all university library web sites using an automatic appraisal tool, KADO-WAH2.0, and the detailed examination of web accessibility check items was limited to 19 web sites which proved excellent in automatic appraisal. Regretfully, the result says that there is no perfect web site. Therefore every university library is advisable to make good use of the findings to meet all the requirements of KWCAG. In particular, the basic requirements, such as voice service, resizing and highlighting text, must be fulfilled by priority and to almost all contents.

Development of Privacy Impact Assessment Tool (개인정보 영향평가 툴 개발)

  • Heo, Jin-Man;Woo, Chang-Woo;Park, Jung-Ho
    • The Journal of Korean Association of Computer Education
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    • v.15 no.2
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    • pp.75-81
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    • 2012
  • As the number of web users is increasing, the leakage of personal information is increasing. If some personal information is leaked, the victim can suffer from material damage or mental damage at the same time. Most of the leakages are result from the people who works for the personal information by accident or design. Hence, the Ministry of Public Administration and Security proposeed the measuring index and enumerates the details. The index is used in a system to check protection of a personal information. However, because this system is used to evaluate after the leakage, it cannot be used to construct some security system or programming a security system. To solve this problem, it needs to express the diversity of items and be able to count what assessors want to count. Thus, a summary sheet which displays the result of the tool will be presented in a radial form graph. Details will be presented as a bar graph. Therefore, it will be proposed that the tool can grasp the weak point and propose the direction of security.

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A Study on Schoolchildren's Mercury Exposure and Related Health Effects in High Mercury Exposure Areas in Korea (수은 고노출 지역 초등학생의 수은노출관련 건강영향 연구)

  • Kim, Dae Seon;Ahn, Seung Chul;Chung, Hee-Ung;Kwon, Young Min;CHOI, Kyunghee
    • Journal of Environmental Health Sciences
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    • v.41 no.4
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    • pp.268-276
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    • 2015
  • Objectives: According to the 2007 Korea National Environmental Health Survey (KNEHS), some areas in the Gyeongsang Provinces showed very high blood mercury levels in adults. We conducted this project to investigate any related health effects in children due to mercury levels in these areas. Methods: In total, 1,097 students between grades 3 and 6 at 19 elementary schools were recruited from four areas with high mercury exposure as identified by the KNEHS. Total mercury levels in biological samples were compared with health check-ups performed on the schoolchildren. Biological monitoring, supported by questionnaires, a computerized neurobehavioral test, a posturography test and a personality test, were applied. Results: Triglycerides showed a significant relation with mercury in blood, urine and hair. Total mercury concentrations were divided into two groups: upper and lower concentration groups based on the median value. In the computerized neurobehavioral test, the upper blood mercury group showed a greater reaction time for color-word vigilance (p<0.05). In the posturography test, the intensity value of the tremor test showd high significant relations with mercury levels (p<0.01). In the personality test, self-consciousness, misdeeds and family relationships showed significant differences between the upper and lower urine mercury groups (p<0.01), and specific reactions, ego resilience and hyperactivity also showed some differences (p<0.1). Conclusion: Some items in the neurobehavioral test, posturography test and personality test showed significant relations with biological mercury levels. Therefore, monitoring and appropriate management of students showing high mercury levels are recommended in order to reduce their mercury exposure.

An Analytic Study Measuring Factors Interrupting in Breast-Feeding (성공적인 모유수유를 저해하는 요인에 관한 분석적 연구)

  • Oh, Hyun-Ei;Park, Nan-Jun;Im, Eun-Sook
    • 모자간호학회지
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    • v.4 no.1
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    • pp.68-79
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    • 1994
  • This study measured variables influencing the breast feeding patterns of lactating mothers over a 40 day period In 1993 in the Jeonla area. The Methodology used was a questionnaire covering 92 items based on statistical discriminant analysis. The results were as follows : The successful group was measured against the unsuccessful group over a 4month lactation period ; The successful group was measured over a 4month lactation period ; the unsuccessful less than 4month lactation period. Principal factor analysis was used to generate comparative data factors which were ; 1) nonunderstanding of mother's breast feeding, 2) physical and psychological stress, 3) insufficient milk supply, 4) mother's negative acceptance of baby, 5) lack of spousal support, 6) sore nipple and breast pain, 7) baby's negative acceptance, 8) lack of familial support, 9) baby's diarrhea and watery milk. Discriminant statistical analysis of sever factors included ; 1) insufficient milk supply 2) sore nipple and breast pain, 3) pre-natal planning of breast feeding method, 4) mother's occupation 5) breast feeding method of previous infant, 6) nipple type, and 7) infant birth order. This analysis predicted a 78.9% successful breast feeding. Criterion correlation analysis revealed ; D=-1.780+.165$\times$(Fac3)+.135$\times$(Fac6)+.927$\times$(prenatal planning of breast feeding method)+.900$\times$(mother's occupation)+.675$\times$ (breast feeding method of previous infant)+1.0l4$\times$(nipple type)+.378$\times$(infant birth order). We classified the unsuccessful group as more than .63937 and the successful group less than -.82742 of the D value obtained from the above criterion correlation in order to check the success or the non-success of breast feeding mothers. The rate of correct classification of the grouped cases employing a statistical discriminant analysis was significantly improved to 78.9% when these cases were compared with the actual grouped classification.

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Effects of Dental Hygienists Job Stress on Somatization in an Area

  • Kim, Mi-Jeong;Kim, Hyeon-Sun;Lim, Cha-Young
    • Journal of dental hygiene science
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    • v.20 no.1
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    • pp.59-66
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    • 2020
  • Background: This study aims to analyze the job stress of dental hygienists and the factors affecting somatization and to provide basic data for effectively managing job stress and somatization of dental hygienists. Methods: In this study, the data collected from 208 dental hygienists working in Jeollabuk-do Province were analyzed. Job stress was investigated using a questionnaire with 43 questions. In addition, the degree of somatization was evaluated through a simplified psychotherapy examination (Symptom Check List-90-Revision). Results: Age, employment history, position, average monthly income, night duty execution status, and perceived health status were significantly associated with job stress (p<0.05). The job stress sub-items scores based on general characteristics showed significance in 'workload' for those working a five-day workweek and perceived health status (p<0.05). Age, average monthly income, and perceived health status were noted in 'role conflict as a professional'. In 'lack of expertise and skill', it was noted that age, employment history, position, income, and night clinic were implemented. In 'improper treatment and interpersonal issues', level of education and perceived health status were significant (p<0.05). The higher the job stress, the higher the somatization symptom score (p<0.05), and the higher the job stress component, the higher the somatization symptom score (p<0.01). Conclusion: The job stress of dental hygienists should be reduced, and the symptoms of somatization should be mitigated. To improve the quality of medical services and the work efficiency of dental hygienists, proper treatment and compensation systems should be implemented for them to take pride as professional. Further, programs and regulations on mitigating job stress and somatization symptoms should be developed.

Implementation of an Expert System for COTS Fault Diagnosis (COTS 고장진단을 위한 전문가 시스템 구현)

  • Kim, A-Ram;Roh, Jin-Song;Rhee, Sang-Yong
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.275-281
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    • 2013
  • This space is for the of your study in English. If simple menu item changes or the addition of check items are necessary on GUI menu of existing test equipments for military facilities that are programmed by using RAD tools such as Visual C++, they should go through complex steps, such as numerous conducting steps, coding, flash design modification, recompiling and distribution. It is cumbersome process and waste much time. Also, on implementing them, it was worried about leaking secrets because a number of military security considerations were included. To solve such as the above problem, we proposed commercial RIA technologies and a COTS fault diagnostic knowledge-based system that implemented by the XML data design technique in this research. The proposed approach solves the problem of existing methods, reduced inspection time, and improved performance, usability, and maintainability.

A Study on Competency Evaluation Checklist of Design Phase VE Team (설계VE팀의 역량평가 체크리스트에 관한 연구)

  • Seo, Ha-Na;Lee, Hak-Ki
    • Korean Journal of Construction Engineering and Management
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    • v.9 no.4
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    • pp.154-162
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    • 2008
  • Ministry of construction and transportation has been enforcing extensionally design phase VE(Value Engineering) to the construction costing more than 10 billion won, an importance of design phase VE accordingly is raising to get rid of a waste of cost and noneffective factors previously in construction projects. Although there are legal supports and technical effects, an effect about an introduction of design phase VE can not be applied properly because of several problems at the process. So, in this study, present competency factors of design phase VE to highly raise the output through organizing an effective team at the beginning stage of design phase VE. Find out 29 competency factors through characteristics of design VE team for the check list, classify by team knowledge, team work skill, and team attitude. Get an efficiency regarding importance and find out Competency Evaluation items of design VE team, present a Competency Evaluation plan for indicating an objective standard to Competency Evaluation by measuring relative importance as to each Competency Evaluation item.

Convergence Differences Analysis of the Dental Hygienist and Patient's Cognition and Oral Health Education of Scaling (치과위생사와 환자의 치석제거에 대한 인식과 구강보건교육에 대한 융합적 차이 분석)

  • Kang, Hyun-Kyung;Seong, Mi-Gyung;Kim, Yu-Rin
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.315-323
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    • 2020
  • This study was conducted to narrow the view on this by analyzing the difference between dental hygienists and patients' cognition and oral health education of scaling. The study was total 202 people were finally analyzed. The method of analysis compared the cognition of scaling and oral health education, and a hierarchical regression analysis was conducted to check the effect of cognition and oral health education on dental selection by stages. As a result, there were significant differences in all but one of the nine items of cognition for scaling (p<0.01) and significant differences appeared in all but seven of the 19 categories of oral health education for scaling (p<0.01). Therefore, dental hygienists will have to seek ways to reduce these differences and continue to study how to explain them in scaling so that they can have a positive impact on patients' dental clinic choices.

Consumer Preferred Formats of Nutrition Labels - Housewives of Daejon City - (소비자가 선호하는 영양표시 형태 - 대전 지역 주부를 중심으로 -)

  • 최지현;정영지
    • Korean Journal of Community Nutrition
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    • v.8 no.2
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    • pp.220-230
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    • 2003
  • The purpose of this study was to investigate consumer preferred formats of nutrition labels: the type of nutritional information provided on the labels. A survey was conducted on 222 housewives between the age of 20 and 65 in Daejeon city in 1998, using an interview questionnaire showing illustrated nutritional label formats. Among twelve nutrients and caloric values listed on the nutrition labels, the housewives ranked their interest in the items in the following order of calorie (58.56%), calcium (56.76%), cholesterol (54.05%), protein (39.19%) and vitamin C (36.04%). The majority of the subjects (69.37%) checked labels when they bought milk or dairy products, whereas only 8.11% looked at labels when they bought Ramyon or noodles. Most of the subjects (90.99%) preferred products with labels with nutritional information as compared with products without labels. this was especially so true of the younger individuals and of pc-ople who checked food labels more frequently. The subjects preferred labeling which described the nutrient content per Package (55.41%), sewing size (32.88%) and food weight of 1009 (11.71%) as a standard nit. Generally, they prefer-red a simplified list to a detailed list of the number of nutrients, a figure graph to bar graph in nutrition claim, vertical bar graph to horizontal bar graph showing the nutritional content of foods and a web-type graphic format to a radiation-format when describing the item's percentage of the Korean RDA's nutrient content. The subjects who checked labels frequently especially preferred detailed list, while housewives with job or with unhealthy family members preferred a simplified list and graphic, rather than a numerical display. From this result, it is suggested that providing consumers with more nutrients information in a more easily understood graphic format would encourage the consumers to check nutritional labels. Therefore this should be considered when developing the regulations far nutrition labeling or when educating the Public about nutrition. (Korean J Community Nutrition 8(2) : 220∼230, 2003)