• 제목/요약/키워드: safety-critical

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수술실 의료진의 팀워크와 환자안전문화에 대한 인식이 수술환자안전 프로토콜 수행에 미치는 영향 (The Effect of Operating Room Nursing and Medical Staff Teamwork and Perception of Patient Safety Culture on the Performance of Surgical Patient Safety Protocol)

  • 안신애;이남주
    • 중환자간호학회지
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    • 제9권1호
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    • pp.27-39
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    • 2016
  • Purpose: The purpose of this study lies in investigating nursing and medical staff perceptions on the importance of surgical patient safety protocol, teamwork, and patient safety culture, and how their grasp of the factors affects the degree of their performance of the protocol. Methods: A survey was conducted on 249 nurses and medical staff participating in the operating rooms of one higher general hospital in Seoul, using a 5-point scale self-reported questionnaire. Logistic regression analyses were used. Results: Operating room nurses yielded the highest scores on both the importance of the patient safety protocol and its performance. In patient safety culture, the operating medical staff yielded significantly higher scores than those of operating room nurses. Perception of the importance of the patient safety protocol and teamwork had a significant effect on the nurses' complete performance of the protocol. Conclusion: It is important to create a safety culture, where all the staff can actively and freely communicate with one another through team-based training programs. By enhancing teamwork and patient safety culture, it will be possible to establish the surgical patient safety protocol and to improve the performance of the protocol by health professionals.

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중환자실 간호사를 대상으로 소책자를 활용한 방사선 안전관리 교육의 효과 (Effects of Radiation Safety Management Education with the Use of a Booklet for Intensive Care Unit Nurses)

  • 이정은;김상희
    • 중환자간호학회지
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    • 제10권2호
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    • pp.1-13
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    • 2017
  • Purpose: This study investigated the effects that the use of a booklet for intensive care unit nurses had on radiation safety management education (knowledge about and behaviors in radiation safety management, and awareness of anxiety caused by radiation hazards). Methods: A randomized control group pretest-posttest design was used. A booklet about radiation safety management developed by the authors was used as educational material. Participants (N=42) were intensive care unit nurses of P hospital in B city. Training was provided to the experimental group (N=21). Knowledge about and behaviors in radiation safety management and awareness of anxiety caused by radiation hazards were measured by questionnaires before and after the intervention. Data was analyzed by an $X^2$-test, non-paired t-test, and paired t-test. Results: There was a significant difference between groups in knowledge of (t=-14.932, p<.001) and behaviors in (t=-8.297, p<.001) radiation safety management and awareness of anxiety caused by radiation hazards (t=9.378, p<.001). Conclusion: The levels of knowledge about and behaviors in radiation safety management and awareness of anxiety generated by radiation hazards of intensive care unit nurses increased after receiving one session of radiation safety management education using the booklet. Therefore, providing radiation safety management training is suggested as an effective strategy for improving radiation safety management.

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안전 필수 시스템을 위한 안전성 분석 기법 (A Survey on Safety Analysis Techniques for Safety-Critical Systems)

  • 김의섭;윤상현;유준범
    • 중소기업융합학회논문지
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    • 제2권1호
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    • pp.11-18
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    • 2012
  • 소프트웨어의 규모가 커지고 복잡해지면서 소프트웨어의 기능적 실패(Functional Failure)를 만들어 내는 위험(Hazard) 요소들을 분석하기가 어려워지고 있다. 안전 필수 시스템(원자력 발전소, 항공관제 시스템, 철도 운영 시스템)에서 이런 기능적 실패는 곧 큰 사고 (인명피해, 환경오염) 로 이어지게 된다. 따라서 이러한 기능적 실패를 방지하고 소프트웨어의 안전성을 높이기 위해서는 소프트웨어 안전성 분석이 필요하다. 하지만 몇 가지 이유 (시간과 노력, 안전성 분석 기법의 다양한 지식 부족, 기관이나 회사의 관습적인 방법 사용) 로 적절하지 못한 안전성 분석 기법을 선택하게 되는 경우가 있다. 따라서 본 논문에서는 기존 안전성 분석 기법과 최신 안전성 분석 기법, 통합 모델 몇 가지를 소개 하겠다. 이것을 통해 전문가는 여러 종류의 안전성 기법을 간략하게 확인 할 수 있을 것이고, 시스템에 맞는 안전성 분석 기법을 선택하는데 도움을 받을 수 있을 것이다.

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항공기 시스템 안전성평가 효율화 방안 연구 (A Study on Promoting the Efficiency of Aircraft System Safety Assessment)

  • 유승우;이종희
    • 항공우주시스템공학회지
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    • 제6권3호
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    • pp.7-12
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    • 2012
  • The contents of aircraft system safety assessment vary depending on factors such as the complexity of the system, how critical the system is to flight safety, what volume of experience is available on the type of system and the novelty and complexity of the technologies being used. If the system safety assessment is to substantiate that the developed products are 'safe enough' to be taken into use, then the system safety assessment should be planned and managed to provide the necessary assurance that all relevant hazards and failure conditions have been identified and that all significant combinations of hazards and failures which could cause those conditions have been considered. The assessment must assist the designer and management in making decisions. It must make clear what the critical features of each system are and upon which special manufacturing techniques, inspection, testing, crew drills and maintenance practice they are critically dependent. This paper has prepared to study on promoting the efficiency of aircraft system safety assessment and to present how to compile system safety assessment strategy.

간호·간병통합서비스 병동 간호사의 환자안전문화인식, 감정노동, 직무스트레스가 환자안전간호활동에 미치는 영향 (Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses)

  • 최효정;이윤미;박효진
    • 중환자간호학회지
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    • 제14권3호
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    • pp.87-98
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    • 2021
  • Purpose : This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods : The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results : The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (𝛽=-0.18, p<.032) and awareness of patient safety culture (𝛽=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion : This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture.

소규모 저수지의 특성을 고려한 제체 안전진단의 정량적 상태평가 기준 개선 (Improvement of Quantitative Condition Assessment Criteria for Reservoir Embankment Safety Inspection Considering Characteristics of Small Reservoirs in Korea)

  • 전건영;방돈석
    • 한국농공학회논문집
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    • 제63권5호
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    • pp.27-38
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    • 2021
  • The physical condition assessment criteria of fill dam safety inspection are now weakly regulated and inappropriate for small agricultural reservoirs since these criteria have fundamental backgrounds suitable for large-scale dams. This study proposes the degree (critical values) of defects for the quantitative condition assessment of the embankment in order to prepare the condition assessment criteria for a small reservoir with a storage capacity of less than one (1) million cubic meters. The critical values of defects were calculated by applying the method that considers the size ratios based on the dimensional data of reservoirs, and the method of statistical analysis on the measured values of the defect degree which extracted from comprehensive annual reports on reservoir safety inspection. In comparison with the current criteria, the newly proposed critical values for each condition assessment item of the reservoir embankment are presented in paragraphs 4 and 6 of the conclusion. In addition, this study presents a method of displaying geometric figures to clarify the rating classification for condition assessment items with the two defect indicators.

An Evaluation of the Quantitative Risk of Plastic Process Manufacturing Industries by Means of the 4M Method

  • Lee, Dong-Ho;Kim, Jong-In
    • International Journal of Safety
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    • 제6권2호
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    • pp.8-12
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    • 2007
  • This study includes a case study among plastic process manufacturing companies, based on which, the currently used 4M method is applied in terms of machine, media, man, and management, to conduct quantitative risk evaluation, and thus to contribute to reducing human and material loss as well as preventing accidents in industrial fields. The result of this study is analyzed based on the 4M-risk assessment to find out the hazardous risk elements, and the quantitative evaluation made it predictable the value of risk(frequency $\times$ intensity) in such classified levels as serious risk, critical risk, and intolerable risk. Further, Among the businesses with hazardous risk elements and high frequency of industrial disaster, risk analysis was conducted for each process, and as a result, 38 cases among 76, including those of serious risk, critical risk, and intolerable risk, were improved, and the risk was reduced. Besides, it is thought that with the engineering approach with 4M-Risk Assessment, the attempt to improve safety level contributes to prevention of accidents.

Application of inverse reliability method to estimation of flutter safety factors of suspension bridges

  • Cheng, Jin;Dong, Fenghui
    • Wind and Structures
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    • 제24권3호
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    • pp.249-265
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    • 2017
  • An efficient and accurate algorithm is proposed to estimate flutter safety factor of suspension bridges satisfying prescribed reliability levels. Uncertainties which arise from the basic wind speed at the bridge deck location, critical flutter velocity, the wind conversion factor from a scaled model to the prototype structure and the gust speed factor are incorporated. The proposed algorithm integrates the concepts of the inverse reliability method and the calculation method of the critical flutter velocity of suspension bridges. The unique feature of the proposed method is that it offers a tool for flutter safety assessment of suspension bridges, when the reliability level is specified as a target to be satisfied by the designer. Accuracy and efficiency of this method with reference to three example suspension bridges is studied and numerical results validate its superiority over conventional deterministic method. Finally, the effects of various parameters on the flutter safety factor of suspension bridges are also investigated.

주위온도 변화에 따른 입상활성탄의 자연발화에 관한 연구 (A Study on Autoignition of Granulated Activated Carbon with Change of Ambient Temperature)

  • 목연수;최재욱
    • 한국안전학회지
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    • 제7권4호
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    • pp.45-53
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    • 1992
  • Sponataneous ignition characteristics for granulated activated carbon were observed by performing experiments at constant ambient temperature and varying the ambient temperature sinusoidally. In case of varying the ambient temperature sinusoidally, the amplitudes of temperature were 5$^{\circ}C$, 1$0^{\circ}C$ and 15$^{\circ}C$ respectively, and the period in each amplitude was varied at an interval of 30minutes from zero to 3hours. As the results of experiments at a constant ambient temperature, the critical spontaneous ignition temperature of the sample decreased as the sample vessel size increased. Apparent activation energy of the sample calculated from the Frank-Kamenetskii's thermal Ignition theory was 38.82[kca1/mo1] In case of varying the ambient temperature sinusoidally, the critical spontaneous ignition tempera-ture was lower than that at the constant ambient temperature, and the minimum critical spontaneous ignition temperature decreased with the amplitude of heating sinusoidal curve. At the same amplitude, the critical spontaneous ignition temperature decreased until it reached the minimum point and then in-creased as the period increased.

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사면의 안전율과 임계변위에 의한 지진 재해 위험지도의 비교 (Seismic Landslide Hazard Maps Based on Factor of Safety and Critical Displacements of Slope)

  • 정의송;조성원;김명모
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2001년도 봄 학술발표회 논문집
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    • pp.509-516
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    • 2001
  • As the first step for the application of seismic landslide hazard maps to domestic cases, two types of hazard maps on Ul-joo from pseudostatic analysis and Newmark sliding block analysis are constructed and comllared. Arcview, the GIS program and the 1:5,000 digital maps of the test-site are used for the construction of hazard maps and tile parameters for the analyses are determined by seismic survey and laboratory tests. The results from the pseudostatic analysis have more conservative values of lower critical slope angles, although the results from the two different analyses have similar tendencies. In detail, with increasing the peak ground acceleration, the difference between the two analyses in the critical slope angle increases, while the difference decreases with increasing the maximum soil depth.

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