• Title/Summary/Keyword: near-miss

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Effect of Sleep Disturbance on Fatigue, Sleepiness, and Near-Miss among Nurses in Intensive Care Units (중환자실 간호사의 수면장애가 피로, 졸음과 근접오류에 미치는 영향)

  • Mun, Gyoung Mi;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.1-10
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    • 2020
  • Purpose : This study aims to investigate the differences in fatigue, sleepiness, and near-miss according to sleep disturbance among shift nurses in intensive care units (ICUs). Methods : A cross-sectional study in a tertiary hospital was performed. A total of 122 shift nurses working in the six ICUs were recruited. They completed self-reported questionnaires about sleep disturbance, fatigue, sleepiness, and near-miss in the past two weeks. Results : The prevalence of reported sleep disturbance was 30.3% (37 out of 122 subjects). Compared to the non-sleep disturbance group, the sleep disturbance group reported significantly more sleepiness (11.46 vs. 8.86) and higher fatigue (82.62 vs. 69.39). The sleep disturbance group showed higher rates of near-miss (78.4 vs. 57.6%) and a higher frequency of them (4.49 vs. 2.11/2weeks) compared to the non-sleep disturbance group. Medication error was the most common type of near-miss. Conclusions : This study suggests that sleep disturbances could increase fatigue, sleepiness, and near-miss among ICU shift nurses. Personal and organizational programs should be developed to support the sleep of ICU nurses.

"Entanglement of Echoes in Near / Miss" Bernstein, Charles. Near / Miss Chicago: U of Chicago P, 2018.

  • Feng, Yi
    • Journal of English Language & Literature
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    • v.64 no.2
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    • pp.299-305
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    • 2018
  • Near / Miss, Charles Bernstein's poetry collection, is replete with poems of distinctive styles and pluralistic forms in his idiosyncratic and artistic cosmos. With poetic antics, queerness, sarcasm, irony, and humor, the book showcases the motif of loss, chaos and trauma in postmodern America and the world. The multiplicity and multi-dimensional $M{\ddot{o}}bius$ effect in Near / Miss echo earlier Bernstein's poems, as well as poems by ancient and contemporary poets, with visual artists and musicians, and rabbis and Jewish philosophers. I argue that Near / Miss offers an apotheosis of echopoetics, which has been launched in his previous book Pitch of Poetry. Poems in the book reveal the dark and thick "pitch," namely the queer, the uncanny, the invisible, the disabled, the dispossessed, and the silenced poetic Other and make it explicit. The estrangement and alienation of $clich{\acute{e}}$ through diverse malaprops, mondegreens, non-sequiturs and fragmentations in Near / Miss aim at deconstructing the fixation of language so as to display the poetic Other. The motif of "nothingness" in echopoetics significantly multiplies its meanings. Nothingness mainly refers to the loss of origin, the defiance of tyranny, and the sublimity of the universe and the poetic Other. Melding his personal loss and misfortune, the current political discontent and the postmodern chaos in America and the world, nothingness in echopoetics resonates with American literary tradition and Zen with a healing and transforming power.

Development of Near miss Assessment Model Using Bayesian Network and Derivation of Major Causes (베이지안 네트워크를 이용한 아차사고 평가 모델 개발 및 주요 원인 도출)

  • Seon Yeong Ha;Mi Jeong Lee;Jong-Bae Baek
    • Journal of the Korean Society of Safety
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    • v.38 no.4
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    • pp.54-59
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    • 2023
  • The relationship between near misses and major accidents can be confirmed using the ratios proposed by Heinrich and Bird. Systematic reviews of previous national and international studies did not reveal the assessment process used in near-miss management systems. In this study, a model was developed for assessing near misses and major factors were derived through case application. By reviewing national and international literature, 14 factors were selected for each dimension of the P2T (people, procedure, technology) model. To identify the causal relationship between accidents and these factors, a near-miss assessment model was developed using a Bayesian network. In addition, a sensitivity analysis was conducted to derive the major factors. To verify the validity of the model, near-miss data obtained from the ethylene production process were applied. As a result, "PE2 (education)," "PR1 (procedure)," and "TE1 (equipment and facility not installed)" were derived as the major factors causing near misses in this process. If actual workplace data are applied to the near-miss assessment model developed in this study, results that are unique to the workplace can be confirmed. In addition, scientific safety management is possible only when priority is given through sensitivity analysis.

A Conceptual Blockchain and Token-Incentive Approach for Near Miss Reporting in Construction

  • Eric J. NYATO;Emmanuel C. KIMITO;Dongmin LEE;Chansik PARK
    • International conference on construction engineering and project management
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    • 2024.07a
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    • pp.887-893
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    • 2024
  • Near miss reporting is essential for improving safety performance in construction organizations. Traditional methods, however, often fail to sufficiently motivate worker participation due to a lack of incentives and the absence of secure, reliable, and transparent reporting mechanisms. This paper introduces a conceptual framework that leverages blockchain technology and token incentives to increase employee involvement in near miss reporting. The integration of blockchain ensures transparency and decentralization, while token incentives effectively monetize employees' efforts in reporting near misses. The study begins by identifying key modules essential for developing this framework and proceeds to detail their integration, illustrating a comprehensive process flow of activities within the system. This research significantly contributes to the enhancement of near miss reporting practices in construction, ultimately fostering safer and more proactive workplace environments.

Effective Detection Technique of Near Miss using 4M Risk Assesment Methodology (4M 위험성평가 기법을 이용한 앗차사고의 효과적인 발굴기법)

  • Seo, Seong-Hwa;Weon, Jong-Il;Woo, Heung-Sik
    • Journal of the Korean Society of Safety
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    • v.27 no.5
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    • pp.164-170
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    • 2012
  • In this study, a new technique for detecting near miss using 4M risk assessment method is suggested. Until now, the safety education with instances of near miss has just been progressed in most industrial settings, without any systematic guideline. By menas of appling 4M risk assessment method, the organized technique, which could effectively manage the fundamental prevention of industrial accident in advance, is developed. The organized technique of near miss-management suggested in this study will take an effective role in basically expanding the application of risk assessment method, as well as in contributing the activity of zero-accident as a safety guideline in hazardous workshops.

A Pattern Analysis on the Possibility of Near Miss Connection in Construction Sites (건설현장의 아차사고 연결가능성에 대한 패턴분석)

  • Sang Hyun Kim;Yeon Cheol Shin;Yu Mi Moon
    • Journal of the Society of Disaster Information
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    • v.19 no.1
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    • pp.216-230
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    • 2023
  • Purpose: The purpose is to prevent accidents by predicting disasters through the analysis of near-miss. Method: In this study, a near-miss literature review and data were collected at construction sites, and a questionnaire survey was conducted to use logistic regression analysis and decision tree analysis to classify the possibility of near-miss connection. Result: As a result of analyzing the effects of near-miss types on mental, physical, and safety habits and behaviors, the factor with a high influence on the body is the need for near-miss management, the type of job is electricity·information communication, and health status in order, and the mental factor is the construction scale The influence was high, and the factors with the highest influence on the habit behavior factors were analyzed in the order of experience, number of serious injuries, and occupation in order of illusion, inappropriate work instructions, and body parts. Through decision tree analysis, factors and patterns that affect the possibility of a near-miss being a surprise accident were identified. Conclusion: Construction site officials consider the observation of near-miss and mentally and physically. Specific management of the relevance of physical aspects to near-miss should be implemented, and a work environment in which serious accidents are reduced is expected through personnel allocation, work plans, work procedures and methods, and feedback so that inappropriate work instructions do not lead to near-miss.

A Study on the Relationship between Marine accidents and Near-miss using PARK model

  • Sangwon Park;Jaeyong Jeong;Youngsoo Park
    • Journal of Navigation and Port Research
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    • v.48 no.5
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    • pp.360-367
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    • 2024
  • Marine accidents often stem from near-miss incidents, which are critical indicators of potential collisions. Understanding the causal factors associated with these incidents is essential for enhancing maritime safety. This study employs the PARK model to identify causal factors related to maritime accidents, with a focus on near-miss incidents in Busan Port. By analyzing AIS data from 2017 to 2021, the research identifies 36 collision incidents. The PARK model assesses risk levels, setting a threshold of 5.0 for near-miss scenarios and examines the relationship between these incidents and actual collisions. The analysis indicates an average of 0.8 collisions per year, with the PARK model estimating a probability of approximately 2.34 collisions annually per million vessel encounters at a risk score of 5.0. This research highlights the effectiveness of the PARK model in identifying causal factors related to marine accidents. By correlating near-miss incidents with actual collision probabilities, the study offers insights that can improve reporting practices and proactive safety measures among vessel operators, ultimately contributing to enhanced maritime safety in South Korea.

Relationship Between Companies' Responses to Near-Miss Reports and Turnover Intentions of Workers: A Nationwide Cross-Sectional Study

  • Ayaka Yamamoto;Tomohisa Nagata;Kiminori Odagami;Nuri Purwito Adi;Masako Nagata;Koji Mori
    • Safety and Health at Work
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    • v.15 no.2
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    • pp.187-191
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    • 2024
  • Background: Effective near-miss management is important in preventing workplace accidents. A company's inadequate response to near-miss reports can lead workers to feel insecure and dissatisfied with the company. We investigated the relationship between companies' responses to near-miss reports and turnover intentions of workers. Methods: We conducted a cross-sectional study using online self-administered questionnaire survey to workers aged ≥20 years in Japan in March 2022. The analysis included 5,071 participants who had nearmiss experiences and reported them to their companies. The independent variable was companies' responses to near-miss reports, classified into three categories: adequate response group, inadequate response group, and no response group. The dependent variable was turnover intentions. We calculated the odds ratio and 95% confidential interval (CI) using multilevel logistic regression analyses nested for industries and adjusted for covariates. Results: Of the 5,071 participants, 3,058 (60.3%) were adequate response group, 1,484 (29.3%) were inadequate response group, and 529 (10.4%) were no response group. In multivariable adjusted model, compared with adequate response group, the odds ratio of inadequate response group and no response group were 1.80 (95% CI: 1.56-2.08) and 2.63 (95% CI: 2.15-3.22), respectively. Conclusion: Our results suggested that there was a relationship between companies' responses to the near-miss reports and turnover intentions of workers. It is important not only to collect near-misses but also to respond appropriately to the reports and provide feedback to workers.

Influencing Factors of Near Miss Experience on Medication in Small and Medium-Sized Hospital Nurses (중소병원 간호사의 투약 근접오류경험 영향요인)

  • No, Me-Hee;Chung, Kyung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.424-435
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    • 2020
  • The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x2-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.

A Study on the Status and the Perception of Near Miss Reporting Activities in Domestic Manufacturing Industry (국내 제조업의 아차사고 발굴활동 현황 및 인식에 관한 연구)

  • Lee, Seok Ki;Park, Jungchul
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.287-294
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    • 2021
  • A near miss is an unplanned event that did not result in injury/illness, or property damage, but had potentials to do so. The importance of the near miss has been emphasized by many researchers and organizations. However, only a few studies have quantitatively approached the near miss from the viewpoint of safety culture. The purpose of this study is to investigate the current status of near miss reporting activities in manufacturing workplaces in Korea. It also aims to understand how the activities related with the safety culture and the occurrence of industrial accidents. To this end, a survey was conducted on manufacturing workplaces and the results were analyzed. As a result, there was a marked difference in the perception on near miss according to whether or not the near miss reporting activity was conducted. However, it was found that only 56% of the workplaces were carrying out the reporting activities. It was found that the number of near misses reported varied depending on the reward. Although no correlation could be found between whether or not the near miss reporting activities were carried out and the history of industrial accidents occurred, it was found that safety culture level was hier at the workplaces conducting the activities.