• Title/Summary/Keyword: safety activities

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The Effects of Near Miss and Accident Prevention Activities and the Culture of Patient Safety Management for the Patient Safety (Near Miss 사고 예방 활동과 환자안전관리 문화형성이 환자안전에 미치는 영향)

  • Chang, Ho-Suk;Lee, Gui-Won
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.138-144
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    • 2010
  • Purpose: Despite the rapidly changing healthcare environment, healthcare organizations have recognized the importance of patient safety management. But patient safety management has the problem of the lack of participation of members due to the process of focusing on the follow-up service and punishment. The department of nuclear medicine in Uijeongbu St. Mary's Hospital started this research to reduce the near miss and prevent patient safety accidents by both initiating the participatory near-miss-proof activities as an advance management and constructing a system without disadvantages of reporting. In addition, this research aims to establish a differentiated patient safety management system in the department of nuclear medicine. Materials and Methods: 1. Colleting cases of team members' past and present near miss and accidents(First data collection). 2. Quantifying the cases of near miss and accidents after identifying the degree of importance and urgency through surveys(Second data collection). 3. Quantifying cases and indentifying important points of contact through data analysis. 4. Making and standardizing a manual for important points of contact, and initiating participatory activities to prevent errors. 5. Activating web-based community for establishing the report system of near miss. 6. Estimating the result of before and after activities through surveys and focus group interviews. Results: 1) Quantified safety accidents and near miss in the department of nuclear medicine. About 50 near misses a month and one safety accident a year. 2) Establishing improvement measurements based on quantified data. About 11 participatory activities, the improvement of process, a manual for standardization. 3) Creating a system of safety culture and high participation rate of team members. Constructing a report system, making a check list and a slogan for safety culture, and establishing assessment index. 4) Activating communities for sharing the information of cases of near misses and accidents. 5) As the result of activities, the rate of near miss occurrence declined by 50% and the safety accident did not happen. Conclusion: The best service in the department of nuclear medicine is to provide patients with safety-guaranteed high-quality examination and cure. This research started from the question, 'what is the most faithful-to-the-basics way to provide the best service for patients?' and team members' common answer for this question was building a system with participation of all members. Building a system through the participatory improvement activities for preventing near miss and creating safety culture resulted in the 50% decline of near miss occurrence and no accident. This is a meaningful result from the perspective of advance management for patient safety. Moreover, this research paved the way for creating a culture to report and admit near miss or accidents by establishing a report system with no disadvantage of reporting. The system which sticks to the basics is the best service for patients and will form a patient safety culture system, which will lead to the customer satisfaction. Therefore, all members of the department of nuclear medicine will develop a differentiated patient safety culture with stabilizing the established system.

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Analysis and improvement of weapon system software development and management manual based on functional safety standards (기능 안전 표준 기반의 무기체계 소프트웨어 개발 및 관리 매뉴얼 분석 및 개선 방안 연구)

  • Kim, Taehyoun;Bak, Daun;Paek, Ockhyun
    • Journal of Software Engineering Society
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    • v.29 no.1
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    • pp.7-12
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    • 2020
  • As interest in functional safety has recently increased, application of functional safety standards has been required in various industrial fields. A functional safety standard is a document that defines functional safety-related activities required to prevent system malfunctions. All activities defined in this standard are required differentially according to the classification results calculated through the risk analysis and assessment of the system. In the field of domestic weapon systems, there is a manual for the development and management of weapon system software issued by the Defense Acquisition Program Administration (DAPA ). This manual requires static and dynamic analysis of software for functional safety related activities. However, the manual does not specifically address the classification activity through risk analysis and assessment as required for the preceding activities. Therefore, in this study, we analyze the problems of the manual based on the representative functional safety standards, and propose improvement plans.

A Case Study on the Application of Configuration Management Process for the Development of High-Safety Railway Signaling System Based on International Standards (국제표준기반의 고안전성 철도신호시스템 개발을 위한 형상관리프로세스 적용사례 연구)

  • Choi, Yo Chul
    • Journal of the Korean Society of Systems Engineering
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    • v.15 no.2
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    • pp.108-115
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    • 2019
  • The activities of managing and controlling the configuration of a system component over its life cycle are critical tasks in developing a high safety system as well as general system development. These configuration management activities should be defined through the management plan at the beginning of the life cycle, and should be performed continuously and systematically until the end of the project after the system or product development is completed. In this study, the configuration management process applied in the development of high safety railway signaling system was introduced and an efficient application proposals of it was proposed. In particular, configuration management through the establishment of a configuration management system based on computer tools is one of the important activities of maintaining the configuration integrity of the system or product.

RISKY MODULE PREDICTION FOR NUCLEAR I&C SOFTWARE

  • Kim, Young-Mi;Kim, Hyeon-Soo
    • Nuclear Engineering and Technology
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    • v.44 no.6
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    • pp.663-672
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    • 2012
  • As software based digital I&C (Instrumentation and Control) systems are used more prevalently in nuclear plants, enhancement of software dependability has become an important issue in the area of nuclear I&C systems. Critical attributes of software dependability are safety and reliability. These attributes are tightly related to software failures caused by faults. Software testing and V&V (Verification and Validation) activities are hence important for enhancing software dependability. If the risky modules of safety-critical software can be predicted, it will be possible to focus on testing and V&V activities more efficiently and effectively. It should also make it possible to better allocate resources for regulation activities. We propose a prediction technique to estimate risky software modules by adopting machine learning models based on software complexity metrics. An empirical study with various machine learning algorithms was executed for comparing the prediction performance. Experimental results show SVMs (Support Vector Machines) perform as well or better than the other methods.

A DEVELOPMENT FRAMEWORK FOR SOFTWARE SECURITY IN NUCLEAR SAFETY SYSTEMS: INTEGRATING SECURE DEVELOPMENT AND SYSTEM SECURITY ACTIVITIES

  • Park, Jaekwan;Suh, Yongsuk
    • Nuclear Engineering and Technology
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    • v.46 no.1
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    • pp.47-54
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    • 2014
  • The protection of nuclear safety software is essential in that a failure can result in significant economic loss and physical damage to the public. However, software security has often been ignored in nuclear safety software development. To enforce security considerations, nuclear regulator commission recently issued and revised the security regulations for nuclear computer-based systems. It is a great challenge for nuclear developers to comply with the security requirements. However, there is still no clear software development process regarding security activities. This paper proposes an integrated development process suitable for the secure development requirements and system security requirements described by various regulatory bodies. It provides a three-stage framework with eight security activities as the software development process. Detailed descriptions are useful for software developers and licensees to understand the regulatory requirements and to establish a detailed activity plan for software design and engineering.

Measures to Strengthen Patient Safety Management Competencies for Patient Safety Coordinators: A Qualitative Research (환자안전 전담인력의 환자안전관리 역량강화 방안: 질적연구)

  • Hee-Jin Kim;Mi-Young Kim
    • Quality Improvement in Health Care
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    • v.29 no.2
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    • pp.2-14
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    • 2023
  • Purpose: This study aimed to identify strategies to enhance the competencies of patient safety coordinators in Korea. Methods: Fourteen participants from nine hospitals were interviewed between May and November 2022. Qualitative content analysis was used to analyze the data. Results: As for the strategies to enhance patient safety management competency, 3 themes and 11 sub-themes were derived. The first theme was 'Having individual competence as a patient safety coordinator', and the sub-themes were 'Communication skills with members', 'Flexible thinking from multiple perspectives', and 'Preparing for administrative work competencies that they had not experienced as a nurse.' The second theme was 'Responding strategically to promote improvement activities', and the sub-themes for it were 'Multi-angle approach to the problem', 'A careful approach so as not to be taken as criticism in the field', 'Increasing the possibility of improvement activities through awareness', 'Activating the network between patient safety coordinators', and 'Expanding learning opportunities through patient safety case analysis.' The third theme was 'Obtaining support to facilitate patient safety activities', and the sub-themes for this were 'Improving staff awareness of patient safety', 'Providing a training course for nurse professional of patient safety', and 'Expanding the manpower allocation standard of patient safety coordinators.' Conclusion: This study explored personal competencies such as document writing and computer utilization capabilities, focused on ways to improve the field of patient safety management, and emphasized the need for organizational and political support.

A study on An Application for Ensuring Safety of Computer Based Automatic Train Control System (컴퓨터기반 자동열차제어장치의 안전성 확보에 관한 연구)

  • Lee jongwoo;SHIN jongwoo
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.54 no.6
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    • pp.261-268
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    • 2005
  • This paper propose the safety design of automatic train control system which is used for controlling and monitoring train speed not to excess a permitted speed. Safety activities are shown for the computerized system to achieve a required safety requirement. The safety activities are composed of system dynamic modelling to identify potential hazards contained in the target system, to analyze sub system faults to provoke the hazards. Risks analysis are carried out to estimate losses caused from the hazards to allocate safety requirement. We Proposed design solutions for sub system to meet safety requirement.

A Study Occupational Safety and Health Education Activities in the Manufacturing Industries - Around Seoul-City and Gyunggi-Province Area- (산업장에서의 안전 및 보건교육활동에 관한 조사연구 - 일부 서울$\cdot$경기지역을 중심으로 -)

  • Chung Hye Ran
    • Journal of Korean Public Health Nursing
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    • v.2 no.2
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    • pp.62-80
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    • 1988
  • The main purpose of this study was to find out the actual status of safety and heal th education activities in the manufacturing industries through survey of 136 plants in Seoul City and Gyunggi- Province Area which employ nurses being charged in the safety and health care services to the employees. A questionaire was mailed to the employees on the Mar. 2, 1987. Total 634 responds from 87 industries were collected by Apr. 20, 1987. Among the total, 618 responds from 80 industries were included in the analysis. The major findings obtainded from this study are summarized as follows; 1. Safety and health education activities in each industry: 1) The $67.6\%$ of safety directors surveyed were performing the education to the employees. And in case of medical directors, it was $18.8\%$ of them. 2) Periodically, annual safety' and health education programs were being drawn up in the $65.0\%$ of the industries (52 companies). And the $60.6\%$ of the planners were safety directors of safety staffs in charge. 3) It was only $27.5\%$ of the companies surveyed in which the safety and health education were performed more than an hour every month. In the $22.5\%$ of the companies, neither safety programs nor health education activities were performed. 4) In the $47.5\%$ of them, safety and health educations were performed in cooperation with related agencies such as health center. 2. The rate of employees participated in safety and health educations; 1) The received rates by subjects of the educations when labors were newly employed to their companies were as follows; education regarding danger and profer handling method of machinery and appliances: $64.2\%$, education regarding noxiousness and handling method of raw materials: $42.2\%$, etc. 2) The $63.6\%$ of the labors received educations on safety and health when they changed their work places. 3) The $74.8\%$ of the labors received specific safety and health educations. 4) The general safety and health educations were received by the $47.2\%$ of management and clerical personnel and $50.0\%$ of labors pre and post physical examination. 3. The main reasons of inactive performance of the educations were as follows; lack of knowledge and inexperience of the occupational safety and health staffs, lack of cooperations between themselves and low need of workers for safety and health education, etc. 4. The preferable subjects of educations for workers; (1) pre and post education of physical examination, (2) education regarding the prevention of accidents. (3) general health care, sex education and family planning, etc. As a result of this study, we can conclude that the safety and health education work in industries as the subject of this study is on the incipient stage. Appropriate measures are to be taken for the activation of safety and health education work such as; continuous public relations, financial and technical supports of the government, training of professional/occupational safety and health staffs, efforts of workers to receive the education and collaborations of the employers.

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A Study on the State's Aviation Safety Audit Systems for the Improvement of the Integrated Railroad Safety Audit System (철도종합안전심사제도 발전을 위한 국가 항공안전감독체계 고찰)

  • Kim, Mhan-Woong;Oh, In-Tack;Shin, Jeong-Beom;Lee, Jong-Seock
    • Proceedings of the KSR Conference
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    • 2008.11b
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    • pp.1907-1915
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    • 2008
  • Recently the assurance of railroad safety is very important issue in KOREA because there are lots of changes in the railroad industries. The Railway Safety Act was established in order to cope with these changes effectively and prevent the railroad transportation accidents. According to this law, Korea Transportation Safety Authority (KOTSA) has been entrusted with 'Integrated Railroad Safety Audit (IRSA)'. Even though newly introduced IRSA is conducted smoothly, it is necessary to study the methodology and criteria of the state's safety audit system in other fields to improve the efficiency. In ICAO (International Civil Aviation Organization) Safety Management Manual, a state's safety programme embraces those regulations and directives for the conduct of safe operations from the perspective of aircraft operators and those providing air traffic services(ATS), aerodromes and aircraft maintenance. The safety programme may include provisions for such diverse activities as incident reporting, safety investigations, safety audits and safety promotion. To implement such safety activities in an integrated manner requires a coherent SMS(Safety Management System). In this paper, to improve the efficiency of IRSA, we investigated the ICAO's the State's Aviation Safety Audit Systems and ICAO Safety Management Manual. And through the result of investigation, we proposed the improvement concept of IRSA.

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Comparative Analysis of Foreign Armed Forces' Safety Management System for the Development of the R.O.K Defense Safety Management System (국방 안전관리시스템 개선을 위한 주요 외국군 사례분석 연구)

  • An, Jae Hyun;Park, Chan Young;Park, Sang Hoon;Yoon, Hong Sik
    • Journal of the Korean Society of Safety
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    • v.36 no.2
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    • pp.68-79
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    • 2021
  • Department of Defense, Republic of Korea has put in significant efforts towards safety over the years by developing defense safety management systems, such as establishing safety management organizations and enacting laws and regulations. Therefore, the number of casualties due to military activities has been reduced dramatically. However, many errors and problems are present in the safety management system (SMS) owing to a lack of proper SMS. That brings inefficiency and discontinuity in SMS. Hence, typical phenomena such as lack of safety management professionals and reactive safety management activities have not been properly corrected. This study reviews various academic papers on the SMS and research reports of major foreign institutions to redefine the concept and components of the defense safety management system to ultimately suggest improvement in the R.O.K defense safety management system. Additionally, the safety management system of the U.S. and British forces, considered to be the leading safety management system, were analyzed and compared to R.O.K defense SMS to derive their implications.