• Title/Summary/Keyword: Safety Culture

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Safety Culture, A New Challenge to Human Factors Engineering for 21st Century

  • Lee, Yong-Hee
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.6
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    • pp.473-492
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    • 2016
  • Objective: This paper discusses the recent challenges to human factors engineering due to the safety culture. Background: As incidents occurring in specific fields such as logistics, plant, energy and medical sectors in Korea, as well as in the public sectors including railway, road, aviation and shipping, are recently raised as social issues from the disaster dimension, those incidents are dealt with as man-made disasters in many cases. The trend regarding all accidents as man-made disasters has been expanded in the active perspective that the controllability of all incidents should be ensured in technology development, due to change from a fatal point of view regarding disasters as random occurrence of uncertainties in the past. Method: Man-made disasters are concluded as human errors, and safety culture stands out as a cause of human errors or a new cause item recently. Because safety culture, however, is a very comprehensive term, of which true nature is obscure, although many definitions of safety culture have been presented, the safety culture may make avoid the true nature and responsibility of an incident, or make the main player and subject obscure. Raising safety culture as a cause without presenting a specific countermeasure will be just a wisdom of hindsight. Results and Conclusion: This study reviews the fundamental discussions on "Is safety culture a task of human factors engineering?" and the existing approach carried out from various perspectives in order to seek an effective approach on the new task of safety culture in the human factors engineering field. This study discusses an engineering approach to meet a precondition that safety culture is not just an added factor through a review of the approaches in the proactive fields such as nuclear power and aviation, and the traditional approaches of human factors engineering. Application: This study especially defines the perspective of socio-technological system that has expanded the existing man-machine system, and discusses a systemic approach embracing various interactions, and several overriding tasks.

Emergency Room Nurses' Recognition of Patient Safety Culture and their Safety Management Activity (응급실 간호사의 환자안전문화에 대한 인식과 환자안전관리활동)

  • Lee, Ji-Eun;Lee, Eun-Nam
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.44-56
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    • 2013
  • Purpose: The purpose of this study was to investigate emergency room nurses' recognition of patient safety culture and their performance of safety management activity. Methods: Data were collected from July 1 to August 31, 2012 on 292 emergency room nurses working at 25 general hospitals located in B city in G province. The Hospital Survey on Patient Safety Culture was used to measure patient safety culture, and an 82-item questionnaire was developed to measure safety management activity. Results: the performance of safety management activity were significantly associated with the total career years, whether the nurses had undergone safety training, and whether the nurses has been working in the regional emergency care facility. Of 6 subcategories of the patient safety culture, the perception of a directly commanding senior/manager, frequency of accident reports, and hospital environment were associated with the performance of safety management activity. Conclusion: For improving performance of safety management activity among emergency room nurses, it is necessary to develop an educational program of safety management activity by their level of performance.

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Nurses' Safety Control according to Patient Safety Culture and Perceived Teamwork (간호사가 인식하는 환자안전문화와 팀워크에 따른 간호사의 안전통제감)

  • Kim, Kyoung Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.2
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    • pp.199-208
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    • 2016
  • Purpose: The purpose of this study was to investigate the influence of patient safety culture and perceived teamwork on the safety control of nurses. Methods: This study was conducted as a descriptive cross-sectional survey with 141 nurses who worked in a tertiary hospital with over 1,000 beds in S city, Gyeonggi province. Data were collected using structured questionnaires from July 20, to July, 31, 2015. Results: The average work period for nurses participating in the research was 8.84 years. The perceived teamwork and patient safety culture were positively correlated with safety control. The regression model with patient safety culture, perceived teamwork and clinical career against safety control was statistically significant (F=10.16, p<.001). This model also explained 37.1% of safety control (Adj. $R^2=.37$). Especially, communication (${\beta}=.27$, p=.023) of patient safety culture, clinical career (${\beta}=.26$, p<.001), mutual support (${\beta}=.24$, p=.042), and team leadership (${\beta}=.24$, p=.018) in perceived teamwork were identified as factors influencing safety control. Conclusion: The findings of this study imply that a broad approach including teamwork and patient safety culture should be considered to improve the safety control for nurses.

A Study on Positive Safety Reporting Culture in Aviation Maintenance (긍정적인 항공정비안전보고문화에 관한 연구)

  • Kim, Chun-Yong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.20 no.2
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    • pp.64-71
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    • 2012
  • In field of Aviation Maintenance, honest and expedite voluntary report of potential hazard provide airworthiness aircraft by eliminating or avoiding from dangerous factors of aircraft. Although it supports for safety flight, voluntary incident reporting system consist of Aviation practitioner and require cooperation of practitioner due to there are no forcibleness. These occur when positive safety culture and report culture are settled. In this regard, this study firstly identify the current status of Aviation Safety Reporting System in Korea. Then, this article also find out the level of reporting culture of the AMT(Aircraft Maintenance Technicians) and problems in reporting system. Finally, suggestions on the model of positive safety reporting culture in a field of aircraft maintenance.

Safety Accident Occurrence to Perceptions of Patient Safety Culture of Hospital Nurses (환자안전문화 인식에 따른 안전사고발생)

  • Lee, Young-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.117-124
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    • 2012
  • This study is aimed to investigate the relationship among safety accident and perception of patient safety culture, to provide the basic data for building the patient safety culture of hospital nurses. The self-administered questionnaires were given to 129 nurses employed in hospital during the period from November 10th to 15th, 2011. The safety accident occurrence of patient was statistically significant difference according to safety education of nurse and job satisfaction of nurses. As a results, nurses' perception to the patient safety culture of hospital shows on the average score($3.46{\pm}0.3$). Among three categories, patient safety culture in a ward, and patient safety culture within hospital and safety awareness in a ward show respectively on the average score $3.59{\pm}0.3$, $3.41{\pm}0.5$, $3.41{\pm}0.4$. The score of level of patient safety culture of hospital nurses was statistically significant difference according to marital status, safety education, occupational satisfaction and health status. In correlation among safety accident occurrence of patient and safety education of nurse, patient safety culture in a ward, patient safety culture within hospital and safety awareness in a ward showed positive relationship. The results of this study indicate that education program are needed to prevent safety accident occurrence of patient, and to build the patient safety culture of hospital nurses, and to increase the safety education and occupational satisfaction, and to improve the nurses' health status.

Influence of Professionalism and Organizational Communication on Patient Safety Culture of Nurses in Hemodialysis Units (혈액투석실 간호사의 전문직관, 조직의사소통이 환자안전문화에 미치는 영향)

  • Jung, Su Jin;Jeong, Jeong Hee
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.98-105
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    • 2019
  • Purpose: The study was conducted to investigate correlation between professionalism, organizational communication the and patient safety culture of nurses in hemodialysis units and verify factors that affect patient safety culture. Methods: Data were collected from 109 nurses working in hemodialysis units located in Seoul and Gyeonggi-do. collected data were analyzed using descriptive statistics including t-test, one-way ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS 21.0 program. Results: The Professionalism of participants was significantly correlated with patient safety culture while the Organizational communication was also correlated with patient safety culture. Factors influencing participants' patient safety culture included professionalism, organizational communication, employment history in current hospital, and the number of patients per nurse. These factors explained 57.8% of patient safety culture. Conclusion: The research findings suggest that in order to increase the awareness of patient safety culture of nurses in hemodialysis units, strategic efforts are needed to enhance professionalism and organizational communication satisfaction of nurses in hemodialysis units.

Structural Relations Between Safety Leadership, Safety Observance, Safety Education, and Safety Culture - K Company Case Study - (안전리더십, 안전준수, 안전교육, 안전문화 간의 구조적 관계 - K 사 사례연구 -)

  • Wee, Kuk Hoan;Bang, Won Seok;Kim, Sun Hwa;Chang, Seong Rok
    • Journal of the Korean Society of Safety
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    • v.36 no.1
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    • pp.36-43
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    • 2021
  • Effective leadership in safety performance, such as safety leadership, has received attention as a factor that greatly affects safety performance in various high-risk industrial environments. Based on prior research, this study aims to analyze the impact relationship between safety leadership, safety observance, safety education, and safety culture to reveal the effectiveness of safety leadership. In addition, this study will examine the effects of safety leadership on safety observance and safety education to identify the effects of safety understanding. For this purpose, a survey was conducted with employees of an aviation manufacturing company in Gyeongnam. For verification, a positive factor analysis, correlation analysis, and structural equation analysis were conducted using the AMOS 21.0 program. This study's findings show that, first, safety leadership has a positive and significant impact on safety observance and safety education. Second, safety leadership was found to have a direct impact on organizations' safety culture. Third, although safety observance has significant positive effects on safety culture, safety education has often been rejected. Finally, after verifying the control effect of safety understanding, this study uncovered the presence of an adjustment effect in the effect of safety leadership on safety observance. Therefore, based on the results of this study, theoretical and practical implications suggest that through the exercise of safety leadership, managers can improve their organizations' safety culture by increasing organizations' compliance with safety observance and/or acceptance of safety education.

Effects of Occupational Safety Communication in Workplace on Safety Consciousness and Action of Employees (사업장내 의사소통이 안전의식과 행위에 미치는 영향)

  • Seo, Nam-Kyu;Lee, Yong-Gab;Kim, Wang-Bae;Lee, Kyeong-Yong
    • Journal of the Korea Safety Management & Science
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    • v.12 no.2
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    • pp.9-16
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    • 2010
  • A major purpose of management or occupational safety is a significant decrease in safety accidents. With this view, the establishment of occupational safety culture and the building of occupational communication network stand out as being more important than the past. This study has analysed the positive effects of occupational safety communication on safety consciousness and action of the employees in workplace. And it is confirmed that the occupational safety communication in workplace is the essential mechanism, through which the workers internalize safety consciousness and act safely. The safety consciousness and action of the employees are formed in safety culture, which is not only legal regulations, but a daily communication network in workplace. In these sense, the building of the occupational safety communication network is decisive for the establishment of safety culture. For these reasons, this study makes the proposition that a firm promotion of occupational communication network is necessary, which connects the safety culture and a effective safety management in workplace.

A study on the difference in the safety culture cognition of host company and subcontractor (주관기업과 협력기업의 안전문화 인식 차이에 관한 연구)

  • Choi, Byung-Gil;Yoon, Seok-Joon;Choi, Seo-Yeon;Moon, Kyoung-Whan
    • Journal of the Korea Safety Management & Science
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    • v.17 no.3
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    • pp.173-183
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    • 2015
  • The study conducted questionnaire analysis on 607 host company employee and 404 subcontractor employee in order to examine the difference in the safety culture cognition of host company and subcontractor. As a result, host company had higher recognition in all safety culture factors compare to that of subcontractor, and there were bigger gap of cognition in the 'cognition in safety status and culture', 'accident and near-miss', 'immediate superior's concentration degree in safety and health' than that of other cognition factors. Furthermore, team leaders showed the highest cognition in both host company and subcontractor, and employees with above 20 year career had the highest cognition in both host company and subcontractor. There is high relationship between host company and subcontractor in the correlations in safety culture cognition factors. Through this study, we identified the difference in the safety culture cognition factor of host company and subcontractor.

A Strategy for Administration and Application of a Patient Safety Culture Survey (환자안전문화 측정을 위한 설문조사 수행 및 결과 활용 기법)

  • Lee, Gyeong-sil;Park, Mi-jin;Na, Hae-ran;Jeong, Heon-jae
    • Quality Improvement in Health Care
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    • v.21 no.1
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    • pp.80-95
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    • 2015
  • Objectives : A safety culture is the bedrock for all patient safety improvement initiatives; thus, many resources have been invested in measuring hospital culture. However, many of these endeavors have failed to yield meaningful results. This article proposes a practical checklist to ensure successful administration of a safety culture survey and describes current methodologies for analyzing survey results to develop safety improvement programs. Methods : We reviewed currently used safety culture surveys and summarized their strengths and weaknesses. We also reviewed studies using safety culture surveys and found several pitfalls leading to failure in survey administration. With this information, we developed a checklist that covers critical items in the survey process. We also reviewed newly developed methodologies for survey results analysis and application and described them using the Korean version of the Safety Attitudes Questionnaire as an example. Results : The checklist consists of three steps: survey preparation, administration, and analysis and application. Each step contains clear action items. The content even describes how to get buy-in from hospital executives and manage communication channels with them. Also, common misunderstandings regarding survey scores are described and possible solutions are suggested. In the analysis section, we demonstrate new methods for obtaining more accurate survey results and how to utilize these methods to develop and implement hospital-wide safety improvement programs. Conclusion : A successful safety culture survey is the foundation of all future safety improvement projects. This review is intended to guide hospitals in enhancing safety.