• Title/Summary/Keyword: 관리활동

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Activities to Reduce the number of No-Show Patients with Colonoscopy appointments (대장내시경 검사 부도관리를 위한 개선활동)

  • Kwon, Oh-Ryoun;Lee, Jung-Sun;Na, Eun-Shim;Kim, Hoon
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.89-100
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    • 2009
  • 문제: 소화기병검사실에서 대장내시경 검사의 부도건수가 최근 월 200명 정도로 예약인원의 16%에 달한다. 이는 본원 외래진료 부도율이 평균 10%인 것과 비교할 때 상당히 높은 결과이므로 대장내시경 예약환자를 대상으로 부도율 관리를 위한 활동이 필요하였다. 목적: 외래 및 입원환자의 부도건수 및 부도환자의 특성을 분석하고, 개선활동을 통하여 대장내시경 검사의 부도율을 줄인다. 의료기관: 서울 아산병원. 질 향상 활동: 부도관리를 위한 개선활동으로 SMS 횟수를 2주전, 4일전, 1일전 3회로 변경하고, 내용도 각 시기마다 차별화하였다. 대장내시경 검사 예약을 하고 기다리는 환자를 대상으로 처방일 순, 예약 날짜순서 등 필요한 항목 순으로 볼 수 있는 리스트가 필요하여 예약대기 프로그램을 개발하였고, 처방일로부터 2주 이내 자동예약을 금지하였다.(7월 10일부터 시작) 예약대기명단에 있는 환자를 대상으로 전화로 예약 변경을 하여 2주 이내에는 예약의 빈자리가 없도록 하였다. 미리 부도를 예측하여 추가로 예약하던 방법에서 정원조정을 하여 정원 외 추가 예약을 하지 않았다. 입원환자 일정관리를 위하여 일정관리 프로그램을 개발하여 타과의뢰 회신을 하는 전임의가 직접 날짜를 전산에 입력하여 회신과 동시에 검사실, 담당주치의, 담당 간호사가 모두 일정을 확인할 수 있도록 하였으나 프로그램이 늦어져 9월 12일부터 시행하였다. 개선효과: 부도건수가 개선 전 8주 동안 385건(예약인원 대비 16%) 에서 개선 후 6주의 평가기간 동안 256건(예약인원대비 14.1%)으로 129건이 감소하였으며, 검사 1-2일전 일정 변경 연락 환자 감소 및 검사 비용 수납 환자의 부도건수가 감소하였다. 대장내시경 검사 예약대기 프로그램 운영 및 예약 변경 전화 활동으로 2달씩 기다리던 환자의 예약일을 약 한 달 정도 단축하여 줄 수 있었다. 검사 정원 관리의 결과로 검사 예약 시 예약기준이 명확해지고, 부적절한 예약으로 인한 검사지연 등이 확실히 줄었다. 또한 입원환자 일정관리 프로그램 적용으로 입원환자의 검사일정과 관련된 전화업무는 확실히 줄어들 것으로 예상된다.

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Health Level 7 Version 3 based Generating Clinical Document Architecture for Medication Administration System (HL7 버전 3 기반의 투약관리시스템을 위한 임상문서구조의 생성)

  • Kim, Genun-Hee;Cho, Su-Mi;Lee, Eun-Joo;Kim, Hwa-Sun;Cho, Hune
    • Journal of Korea Multimedia Society
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    • v.11 no.3
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    • pp.386-397
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    • 2008
  • This study proposes the actualization of a standard data model for activities through the development of clinical document architecture for medication administration using the health level 7 development frameworks(HDF) process based on object oriented analysis and development method of health level 7 V 3. Medication administration is the most common activity performed by clinical professionals at healthcare settings. A standardized information model and structured hospital information system are necessary to achieve evidence-based clinical activities. We had used HDF and various tools(Rose tree, RMIM designer, V3 generator) to create the clinical document architecture(CDA). This allowed us to illustrate each step of the HDF in the administration of medication. This study generated a information model of the medication administration process, which is one clinical activity. It should become a fundamental conceptual model for understanding international standard methodology by information technology(IT) developers with the objective of modeling healthcare information systems.

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A Distant Teacher Training Management System for Effective (효율적인 연수운영을 위한 원격교원연수 관리시스템)

  • 김원영;김치수;김진수
    • Journal of Internet Computing and Services
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    • v.3 no.3
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    • pp.11-17
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    • 2002
  • The web-based distance education has some problems in managing students despite the merit of getting over the problem of time and space compared with the classroom education or residential course. These problems make the web-based distance learners difficult in achieving the purpose and the standard of goal. And they drive the manager in charge of the web-based distance education into worries. The manager of the distance education should keep on monitoring students' participation and response, and then give the appropriate feedback to the students. But, the existing distance education system neglects to support efficient management function, for it puts emphasis on the activity of teaching and learning. Therefore, the purposes of this study are to extract the factors that are necessary to manage the distance education for training teachers, to realize the effective management system which can offer a proper feedback in the distance education for training teachers through the application of those factors to the training program, to make it possible to change the management system flexibly according to the curriculum and the computing setting.

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The Association of Functional Health Literacy and Health Self-Efficacy with Health Behaviors among University Students (대학생의 건강정보이해능력, 건강관리 자기효능감, 건강행위 간의 관계)

  • Kim, Mijung;Yang, In-Suk
    • Journal of Convergence for Information Technology
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    • v.12 no.1
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    • pp.45-54
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    • 2022
  • The purpose of this study was to identify affecting factors on health behaviors among university students. A cross-sectional study was conducted with a sample of 161 participants between May and June 2020. The authors assessed functional health literacy, health self-efficacy, and health behaviors. Mean score of functional health literacy and health self-efficacy was 10.14±1.39 and 3.96±0.60, respectively. Of the subjects, 9.9% were smokers, 23.0% were problem drinking, 96.9% were those who needed monitoring of their eating habits, 63.4% were those with low or moderate physical activity, and 29.8% were those who were overweight or obesity. Gender and functional health literacy had an effect on smoking and eating habits, respectively. Gender and health self-efficacy were affecting factors on physical activity. Researchers should be sought strategies to promote health behavior considering gender, functional health literacy and health self-efficacy.

A Study on the Improvement Plan of Record Management of Non-Governmental Organizations to Improve Accountability : Based on a Survey of NGOs in Busan (설명책임성 향상을 위한 시민단체 기록관리 개선 방안 연구 부산지역단체 실태조사를 중심으로)

  • Sea, Jeong
    • The Korean Journal of Archival Studies
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    • no.73
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    • pp.81-123
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    • 2022
  • NGOs(Non-Governmental Organizations) are organization based on the 'voluntary participation' of citizens. Citizens' participation and support are essential for the existence and sustainable growth of the organization. The records of NGOs are produced, received, collected, and left behind in the course of their activities. Systematically managed records are used as information for business performance to increase operational efficiency. In addition, it plays a role in proving the legitimacy of the group and its activities to internal and external stakeholders of the NGO, such as whether the group's activities were performed legally and whether the group is actually working to realize the goal it stands for. Therefore record management of NGOs is required to improve accountability. In other words, NGOs can be gain the trust of civil society based on accountability through records and secure internal and external resources necessary for the existence of the group. In this study, after confirming the general record management status of NGOs in Busan, improvement measures were examined in terms of record management in order to increase the accountability of NGOs.

A Studies on the Effect of the Mediating Variable Affecting the Business Performance in the TPM Activity (TPM활동에 있어서 기업성과에 영향을 미치는 매개변수의 효과에 관한 연구)

  • Yeon, Keyong-Hwa
    • Journal of the Korea Convergence Society
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    • v.7 no.1
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    • pp.197-203
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    • 2016
  • This study is to constructs the model by the relationship between the most important ones of TPM's step activities which are derived from the result of AHP analysis and the management performance. And it is to analyze whether step activities have impact on corporate performance through the mediating variable from a convergence point. Also it is to choose four step activities - irrational field and loss improvement, preparation and system establishment for the basic conditions of 5S, initial cleaning, loss analysis of facility efficiency - as independent variables, and to analyze the effect of TPM activity level as mediating variable on management performance as dependent variable. According to the analysis, four step activities don't have direct effect on corporate performance but TPM activity level as mediating variable has a full-mediated effect on corporate performance. That is, TPM activity level has been shown to play a role as mediating variable. Therefore, higher recognition of confidence in facility, awareness of self-development and definitive management of individual work shows TPM activity can contribute to corporate performance successfully.

A Study on Configuration Management Methodology for Information Security Product based on Process Model (정보보호제품 개발을 위한 프로세스 기반 형상관리 방법론 연구)

  • Hwang, Sun-Myung
    • The KIPS Transactions:PartD
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    • v.11D no.4
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    • pp.917-928
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    • 2004
  • Common Criteria as ISO/IEC 15408 is used to assure and evaluate IT system security. As the Prime class of security assurance requirement, CM Configuration Management needs the more principled quality activities and practices for developer must be supported. So in this paper, we propose the well-defined CM method as guideline for TOE developer based on Process model including common criteria and develop the CMPET a quantitative process evaluating tool for CM using checklist. It can support useful process analyzing data to developer, evaluator and user.

Activity Capability Level-based Maturity Evaluation Model for Public Data Quality Management (활동능력수준 기반의 공공데이터 품질관리 성숙수준 평가 모델)

  • Kim, Sun-Ho;Lee, Jin-Woo;Lee, Chang-Soo
    • Informatization Policy
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    • v.24 no.1
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    • pp.30-47
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    • 2017
  • The Korean government developed an organizational maturity model for public data quality management based on international standards to evaluate the data quality management level of public organizations, However, as the model has too many indicators to apply on the site, a new model with reduced number of indicators is proposed in this paper. First, the number of processes is reduced by integrating and modifying the processes of the previous model. Second, a new maturity evaluation method is proposed based on capability levels focused on the activity, not on the process. Third, the maturity level of public data quality management is represented by five discrete levels or real values of 1 through 5. Finally, characteristics of the proposed model are compared with those of the previous model.

Local community case management service and regional case management council performance analysis through concept mapping (Concept mapping을 통한 지역사회 사례관리서비스와 지역사례관리협의체 성과 분석)

  • Jang, Yu Mi
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.37-44
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    • 2022
  • The purpose of this study is to investigate how the local community case management council perceives the expected outcome of the council and case management service by participating actors in order to establish the identity and direction of the activities of the council through concept mapping. A total of 12 practitioners from participating organizations freely expressed and shared their opinions about the case management service performance with the local community case management council in a brainstorming manner, producing a total of 42 statements. Through concept mapping, participants were empowered in the decision-making process, and their opinions were not alienated, but were accepted and rationally handled. It can be said that it is important to provide an opportunity for the participants to discuss on an equal footing in the decision-making process. Through this, it can be seen that the agreement between the case management council and the case management service was quickly reached, and the direction for subsequent activities was clearly set.

Rationalizing Strategies for Children's Activity Spaces and Facilities (어린이 활동공간 및 놀이시설 제도 합리화 방안)

  • Park, Mi-Ok;Koo, Bon-Hak
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.4
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    • pp.36-50
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    • 2012
  • This study was carried out to find contradiction factors on laws for children's activity spaces and facilities and to suggest the rational options to control and manage those spaces and facilities by environmental and landscape planning methods. The results of this study are as follows: 1. The major laws related to the environmental safety for children's activity spaces are "Environmental Health Act (ERA)" for managing the environmental safety of children's activity spaces; "Safety Supervision Law of Children's Play Facilities(SSLCPF)" for the inspection and management for safety of children's play facilities; "Quality Management and Industrial Products Safety Management Law(QMIPSML)" for managing safety certification on children's play equipments. 2. The interior space such as "living room" by the Children's Welfare Law(CWL), "Children Park" by the Act on Urban Parks and Green Spaces(AUPGS), "classroom" on private educational institutes by the Act on Establishment and Operation Private Lesson and Training(AEOPLT) and "nursing room" of child care center smaller than $430m^2$ are needed to be managed as an activity space. 3. In order to reduce industrial burden in the production, establishment, construction, and operation and to minimize unwilling extra burden in the administration effort due to legally double regulate, it is necessary to mitigate the inspections on the equipment certificate from QMIPSML and overlapped or different factors and standards must be unified. With this study, the landscape domain could he enlarged from producing, import of play equipment and establishment, construction and operation of play facilities for a comprehensive range of activity spaces, and the landscape industry such as engineering industry, academic research, management, etc.