Purpose: This study aimed to develop a program using the Room of Errors (ROE) technique to enhance the patient nursing student’s safety competencies and determine the effectiveness of simulation-based education. Methods: We conducted a methodological study using the ADDIE model for program development (Molenda, 2003). During the ROE activities, students identified errors that threatened patient safety. The program's effectiveness was evaluated in the implementation phase by measuring students' confidence in patient safety using a one-group pretest-posttest design. Results: Participants' satisfaction with the ROE program was 4.90 ± 0.36 on a 5-point Likert scale. The pre- and post-ROE program patient safety confidence scores (H-PEPSS) were statistically significant, increasing from 3.62 ± 0.54 to 4.19 ± 0.60. Participants' subjective evaluations were generally positive, indicating increased insight, confidence, and vigilance in error prevention. Conclusion: Based on this study’s significant findings, it would be beneficial to encourage students and healthcare providers to utilize ROE programs to enhance patient safety competencies.
La modified lead zirconate titanate ceramics (Pb0.92La0.08)(Zr0.95Ti0.05)O3 = PLZT-8/95/5 were prepared using the conventional solid state reaction method in order to investigate the complex impedance characteristics of the PLZT-8/95/5 ceramic according to temperature. The complex impedance in the PLZT-8/95/5 ceramic was measured over a temperature range of 30~550 °C at several frequencies. The complex dielectric constant anomaly of the phase transition was observed near TU1 = 179 °C and TU2 = 230 °C. A remarkable diffuse dielectric constant anomalous behaviour of the complex dielectric constant was found between 100 °C and 550 °C. The complex impedance spectra below and above TU1 and TU2 were fitted by the superposition of two Cole-Cole types of impedance relaxations. The fast component in the higher frequency region may be due to ion migration in the bulk, and the slow component in the lower frequency region is interpreted to be the formation and migration of ions at the grain boundary or electrode/crystal interfacial polarization.
For the regeneration of diesel particulate filters (DPF) using non-thermal plasma (NTP), both cost-effectiveness and regeneration efficiency should be raised. This study compared and contrasted the physicochemical characteristics of carbon black and engine particulate matter (PM). After carbon black was put into the DPF, an experimental setup for the oxidation of PM using NTP was created. The findings showed that carbon black and PM samples had comparable oxidation traits, micronanostructures, and C/O elemental ratios. O3, the main active species in NTP, was susceptible to heat breakdown, and the rate of decomposition of O3 increases with increasing temperature. The removal effectiveness of carbon black first improved and subsequently declined with an increase in the NTP injection flow rate during offline DPF regeneration using NTP at room temperature. A relatively high carbon black removal efficiency of 85.1% was achieved at an NTP injection flow rate of 30 L/min.
When a fire breaks out in a distribution center, it causes a lot of damage. And the most casualties are caused by Fire accidents. Therefore, training for fire prevention should be mandatory at the distribution center. Also, the contents of education should be different in room temperature warehouses and low temperature warehouses. Fire education in low-temperature warehouses should be more emphasized. This is because many fires occur in low-temperature warehouses. In this study, a study was conducted to determine the important order of training hours and contents for fire prevention education according to the type of distribution center. The importance of time and content for safety education in all types of warehouses did not differ significantly. It was first decided that safety prevention training should be conducted periodically in all types of warehouses
PURPOSES : This study aimed to secure the work space in alarm valve rooms to ensure stable working conditions for the engineers. METHODS : We analyzed situations where alarm valve room work spaces were inadequately secured posing a problem. Using the Ovako working posture analysis system (OWAS) method, we measured the body size of adult male technicians and their tools to analyze the actual space needed for them to maintain a healthy posture while working. On this basis, we proposed regulations governing workspace size and acceptable durations for unstable body postures. RESULTS : By measuring valve room work space and technician body size, we found that the workspace was inadequate for technicians. Applying OWAS showed that securing more space in the valve room improved the construction stability. CONCLUSIONS : Regulations on valve room size and appropriate work space for technicians will improve construction and inspection stability. This reduces the probability of poor construction and inadequate inspection, increasing the reliability of the firefighting facility system.
We aimed to develop and analyze the effectiveness of a “Room of Errors” simulation program for educating nursing students in patient safety management. Methods: This study used a quasi-experimental method (two group, before and after evaluation) and enrolled 35 nursing students as the participants. Data were collected using a self-reported questionnaire and analyzed through descriptive statistics and the independent t-test and Mann-Whitney U test using SPSS/WIN Statistics version 25.0. Results: After completing the “Room of Errors” simulation program, the participants’ score of intention and confidence in performance for patient safety management in the experimental group were significantly higher than those in the control group. Conclusion: A “Room of Errors” simulation education program for nursing students effectively increased the intention and confidence in performance of nursing students in patient safety management.
본 논문에서는 몬스터에게 붙잡히지 않고 키를 찾아서 연구소를 탈출하는 공포 방탈출 게임을 제안한다. 제 안하는 게임을 진행한30명의 게임 플레이 로그 데이터 분석 결과와 설문조사 결과를 바탕으로, 제안하는 게 임의 특징을 분석한 결과는 다음과 같다. 첫째, 제안하는 게임은 다양한 아이템, 액션, 탈출 경로를 제공한다. 제안하는 게임이 숨을 곳도 많고 다양한 상호작용을 제공한다고 설문에서4점 이상 주었다. 또한, map의 footprint를 분석한 결과, 플레이어는 다양한 경로를 통해 키를 찾아서 탈출하였다. 둘째, 제안하는 게임은 외 관으로 기능을 추론할 수 있는 직관적인 오브젝트를 제공한다. 따라서, 플레이어는 시각적 공간 및 게임 아 이템 용도를 쉽게 파악하여 조작할 수 있다. 설문조사 결과에서, 플레이어는 조작감 관련 항목의 점수를4점 이상을 주었다. 셋째, 제안하는 게임에서 플레이어는 아이템이 충분할 때보다는 부족할 때 더 몰입을 잘 한 다. 게임 플레이 로그 데이터 분석 결과와 설문조사 결과에 따르면, 플레이어는 아이템이 부족할 때 더 크게 공포를 느끼고 상황에 몰입하여, 더 적극적으로 행동하게 되고 더 민감하게 반응한다.
The purpose of this study is to propose measures to increase evacuation safety by calculating the habitable time using a fire and evacuation simulation program for the Room-escape cafe currently in operation, and comparing and analyzing it with the evacuation required time. Assuming a fire due to overheating of electric heaters in use in front of the warehouse, the habitable time was calculated through fire simulation, and the occupant's evacuation time calculated through evacuation simulation according installation of safety facilities, etc. was compared and analyzed with the habitable time. In the case of escape room cafes with safety facilities installed, evacuation safety was satisfied, but in escape room cafes without safety facilities, the evacuation safety was not secure. As a result of analyzing evacuation safety for each scenario based on the ASET analyzed in the fire simulation, it was found that in scenario 1, evacuation safety was secured and everyone successfully evacuated, while in scenario 2, no one succeeded in evacuation. These results can be said to confirm that the installation of safety facilities is very important in business establishments such as escape room cafes, which become enclosed structures when games are started.
이 연구는 이승우 소설 「방」에 나타나는 ‘내적 욕망과 자기발견’으로의 치매 모티프를 분석했다. 이를 확인하기 위해 정의의 관점에서 인물의 죄의식 형성 동기를 살피고, 치매 모티프가 인물이 내적 욕망을 표출하 도록 이끄는 과정을 감정 활성화와 심리적 각성 정도와 연결해 분석했 다. 그러나 이렇게 드러난 내적 욕망은 표면적인 것이며, 인물이 마지막 순간에서야 마주하게 되는 근원적 욕망은 타자에게 자신을 비추는 자기 성찰이 이뤄진 후에야 발견됨을 확인했다. 본 연구의 결과는 한국소설에 서 질병이 알레고리로 다뤄지던 것과 달리 이승우 소설에서 치매가 새로 운 서사적 모티프로 나타나고 있음을 보여줬다. 치매가 상황을 발생시키 는 소재 차원에 머무르는 것이 아니라, 인물의 내면을 드러내고 제3자를 통한 서사적 성취로까지 이어지고 있다는 점에서 의미가 있다.
최근 대기오염으로 인한 환경오염을 줄이고자 국제 산업계의 노력의 일환으로 국제해사기구(IMO)의 규제 발효등으로 이어지 고 있다. IMO는 EEXI,EEDI,CII 등 선박에서 나오는 대기오염을 줄이기 위해 각종 규제를 발효시키고 선박에서 소모되는 전력을 줄여 에너 지를 절약하는 방안을 추진하고 있다. 선박에서 사용되는 전력의 대부분은 전동기가 차지한다. 선박에 설치된 전동기 중 큰 부하를 차지 하는 기관실 송풍기는 수요와 관계없이 정속운전으로 운전하기 때문에 주파수제어를 통한 에너지절감을 기대할 수 있다. 본 연구에서는 발전기의 과급기에 연소공기를 공급하는 발전기 송풍기의 전동기 주파수를 제어하여 에너지 절감에 대한 실효성을 입증하였다. 송풍기 주파수 입력에 따른 과급기출구 온도의 출력 데이터를 기반으로 시스템을 모델링하고, 과급기 출구온도를 목표값으로 하여 주파수를 제 어하는 PI 제어계를 형성하여 과급기 설계기준 출구온도를 유지하면서 송풍기의 주파수 제어를 통해 연간 15,552kW 전력소모량을 절감하 였다. 송풍기 팬 주파수 제어를 통한 에너지절감액의 유효성은 하계(4월~9월) 및 동계(3월~10월) 기간동안 검증하였으며 이를 토대로 실습 선의 연간 6,091천원의 유류비 절약과 이산화탄소 8.5Ton, SOx 2.4kg, NOx 7.8kg의 대기오염물질 저감을 달성하였다.
This descriptive correlational study describes the relationship between collaboration among health care professions and nurses’ organizational commitment in the operating room. A cross sectional survey of nurses (N = 142) was conducted in March 2020. The participants were nurses with more than one year work experience in operating rooms at three university hospitals in Seoul and Gyeonggi-do. Collaboration among nurses was measured using the Nurse–Nurse Collaboration Scale, while collaboration between nurses and physicians was measured by the Nurse-Physician Collaboration Scale (NPCS). All analyses were conducted using the IBM SPSS Statistics, version 23.0 with independent t-test, one-way ANOVA, Scheffé test, Pearson's Correlation, and multiple regression. The results were as follows : The collaboration among operating room nurses was scored with an average of 2.87 out of a total of 4. Collaboration between operating room nurses to physician scored 3.47 average out of 5 total. Organizational commitment scored 3.24 average out of 5 total. The factors influencing the organizational commitment of nurses in operating rooms include collaboration among nurses and effective communication, as well as collaboration between nurses and physicians for decision-making regarding treatment and nursing care. The explanatory amount of general characteristic, nurse-physician collaboration, and nurse-nurse collaboration variables was 33%, 15%, 13% respectively. Based on these findings, to enhance collaboration among operating room nurses, there is a significant need for systematic education on communication skills and decision-making competencies, continuous research, and organizational efforts.
For the commercialization of hydrogen energy, a technology enabling safe storage and the transport of large amounts of hydrogen is needed. Porous materials are attracting attention as hydrogen storage material; however, their gravimetric hydrogen storage capacity (GHSC) at room temperature (RT) is insufficient for actual use. In an effort to overcome this limitation, we present a N-doped microporous carbon that contains large proportion of micropores with diameters below 1 nm and small amounts of N elements imparted by the nitrogen plasma treatment. The N-doped microporous carbon exhibits the highest total GHSC (1.59 wt%) at RT, and we compare the hydrogen storage capacities of our sample with those of metal alloys, showing their advantages and disadvantages as hydrogen storage materials.
This study was carried out to determine the sprouting period of early and mid-season varieties, which includes ‘Atlantic’, ‘Chubaek’, and ‘Superior’, during the summer storage period in a semi-underground warehouse without cooling system. And also it was investigated the effect of chlorpropham [Propan-2-yl N-(3-chlorophenyl)carbamate, CIPC] treatment on the sprouting inhibition for the varieties. This study was conducted to figure out a sprout inhibitory effect when CIPC was applied to 1kg of the potato tubers at concentrations of 10 mg and 20 mg which are lower than the treatment concentrations of ca 30 mg prescribed by the positive list system (PLS). The internal temperature of the warehouse used in this experiment was lowered by 5°C or more than the outside temperature. The difference between the lowest and highest temperature during the experiment throughout the day was 5°C. It showed the effect of reducing to 1/2 of the difference in outdoor temperature. As for the sprouting of potatoes, the extremely early variety ‘Chubaek’ sprouts appeared at the 6th week of storage of control and it was the fastest sprouting potato among the control groups of the varieties. Sprouting began to appear in the Superior at the 6th week of storage, while the ‘Atlantic’ sprouted at the 8th week of storage. The appearance of sprouts was suppressed in all treatment groups of ‘Atlantic’ and ‘Superior’ varieties in CIPC treatments. Sprouts were observed in all treatment groups of ‘Chubaek’ after the 7th week, but the elongations of the sprouts in tubers were completely inhibited until the 8th week of storage. ‘Atlantic’ and ‘Superior’ seemed to have a sprouting inhibitory effect even with a low CIPC concentration of 10 mg·kg-1, with the exception of extremely early variety ‘Chubaek’ that breaks out of the dormancy quickly. Although weight loss occurred continuously during storage, it was minor loss of 0.7-1.6%. There was no consistent trend for changes of the loss in the varieties and CIPC treatments. Most common pathological disorder was the dry rot during the experiment, but only few were affected. The use of the tubers treated at 18°C and 90% RH for 10 days and the rack of refrigeration system which lead to lack of convection seemed to have suppressed the spread of pathogens.
The preparation and exfoliation of graphite oxide at low temperatures (near room temperature) to produce exfoliated graphite (EG) instead of rapid heating to a high temperature (conventional process) are reviewed. The exfoliation by microwave irradiation, electrochemical exfoliation and surfactant-assisted exfoliation of graphite are also included because these techniques can be applied under ambient atmosphere, although last two techniques were mainly applied for thinning the graphite flakes to obtain “graphene” flakes. The applications of the resultant exfoliated graphite (EG) for oil/water separation, adsorptive removal of the environment pollutants and microwave shielding are shortly reviewed.
Purpose: Room of Errors is a little-known method in Korea, effective for patient safety education. This study aimed to examine nursing students’ recognition of pre-staged medical errors while working as individuals or in a team.
Methods: Thirty-four errors for a pre-op care scenario and thirty errors for a post-op care scenario were pre-set in two simulated patient rooms. Fifty-six nursing students randomly participated as individuals or as a team in one of two “Room of Errors” to find as many errors as possible within a certain time. The evaluation of error detection and debriefing occurred immediately following the simulation.
Results: “Wrong patient name on wrist band” (77-100%) and “bedside rails down” (91-100%) were the most frequently identified errors by both individuals and teams. Few students found “injection of a drug to which the patient is allergic” (0-9%) and “administration of a contraindicated drug to the patient” (0-7.7%). The performance of students working in a team was much better than those working alone.
Conclusion: This study found that “Room of Errors” provided very experiential and practical learning to nursing students in identifying simulated patient threats. The method is also useful for interprofessional patient safety education to develop teamwork and communication.
기술의 발전으로 스마트 선박과 관련된 다양한 연구가 진행되고 있으며, 기관실을 무인으로 순찰할 수 있는 기관실 순찰 로봇 도 이러한 연구 중의 하나이다. 순찰로봇은 인공지능을 통해 학습된 정보를 기반으로 기관실을 이동하며 기기 정상 유무 및 누수, 누유, 화재 등의 이상 유무를 파악한다. 기관실 순찰로봇에 관한 연구는 인공지능을 이용한 객체 검출에 관한 연구가 주로 진행되고 있으나, 순 찰로봇의 이동 및 제어에 관한 연구는 부족한 상황이다. 이는 순찰로봇이 객체를 검출하더라도 검출한 객체까지 이동할 방법이 없다는 문제를 야기한다. 이에 본 논문에서는 기관실 이상상황 발생 시 빠르게 이상 유무를 파악할 수 있는 기동성을 확보하기 위해, A* 알고리 즘을 적용하여 순찰로봇이 최단경로를 탐색할 수 있는지를 확인하였다. 라이다를 장착한 소형차를 이용하여 선박 기관실을 주행하며 데 이터를 얻어, SLAM으로 매핑하여 지도를 만들었다. 매핑한 지도에서 순찰로봇의 출발 지점과 목표 지점을 설정하고, A* 알고리즘을 적용 하여 출발 지점부터 목표 지점까지 최단 경로를 탐색하는지를 확인하였다. 시뮬레이션 결과 매핑된 지도에서 출발 지점부터 목표 지점까 지의 장애물을 회피하며 최단 경로를 잘 탐색함을 확인 할 수 있었으며, 기관실 순찰로봇에 적용하면 선박안전에 도움이 될 것으로 사료 된다.
The waterpower generation of the dam generates electricity by revolving the turbine through a water pipe using the difference of high/low of water, the revolving turbine makes an occurrence a terribly loud noise. Accordingly, in the water turbine generator room located on such hydroelectric generator, since a mutual communication is not establish properly when working, they are suffering many difficulties, and it is real state that such noise damages even to those workers in the office of power plant. Since the most of dam water turbine generator room built in domestic country had used the finishing materials of a huge volume and a high reflexibility, it is carrying more amplifying function with the turbine noise arising when generates the electricity. Therefore, there is not only a difficulty for mutual communication among those workers in the workplace, but also it becomes an obstruction factor for working even to the workers in the adjacent office, and because they are suffering the mental and physical damages, it is actual state that a noise-reduction measure is urgently needed. As a result of the study, on the object with the dam hydraulic turbine dynamo room in which an acoustic defect is being occurring, this Study has conducted the Psycho-Acoustics Experiment about the Delivery of Voice Information using Auralization Technique that can experience the Virtual Acoustic Field. It is considering that such study result could be used usefully for improvement of the Voice Definition when construction the dam hydraulic turbine dynamo room, in the future.