• Title/Summary/Keyword: 의료의 질 관리

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Relationship between Changes of Patient Safety & Medical Service Quality and Changes of Management Activity after Medical Institution Accreditation: Mental Hospitals and Geriatric Hospitals (의료기관 인증 후 환자안전 및 질 관리 변화와 경영활동 변화 간의 관계: 정신병원과 요양병원 대상)

  • Lee, Young-Hwan;Lim, Jung-Do
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.286-299
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    • 2015
  • This study was to investigate the relationship between safety & quality management changes of patient and changes in management activities based on hospital workers in five mental hospitals and five geriatric hospitals which should be required medical certifying authorities. As a result of the research study, participation whether or not of certification service of mental hospital & geriatric hospital workers was positive correlation to improve change of 'Performance level of Safety Activities for the patient' 'Provide the High Quality Medical Service for the patient' 'Respect the Rights and Responsibility of the patient' 'Performance level of Infection Control Activities' out of contents of Patient Safety & Medical Service Quality. Also developmental changes of Safety Activities for the patient Hospital Quality for the patient Rights and Responsibility of the patient out of contents of Patient Safety & Medical Service Quality need to the Capacity Management Activities through Education and training, and Medical System & Evaluation of Management Provide the High Quality Medical Service for the patient out of contents of Patient Safety & Medical Service Quality need to the need to the Customer Orientation Process.

Effectiveness of Medical Aid Case Management in Excessive Healthcare User by Interventions based on the Number of Accesss (의료급여 과다이용자의 중재방법별 접근횟수에 따른 사례관리 효과)

  • Song, Myeong-Kyeong;Cho, Jeong-Hyun;Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.259-269
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    • 2017
  • This study analyzed medical aid case management effects based on the number of access by visits, phone calls, letters, internal investigation, resource links, and requests, in medical aid case management business that is carried out to improve the quality of life of medical care beneficiaries and reduce financial cost. Secondary analysis study using data of 564 high-risk group in the medical aid case management and their healthcare utilization data. Letters had positive correlations with the scores of all case management domains. The higher visits was, the lower the score of self-health care ability was, and the higher the number of phone calls was, the higher the score for reasonable medical use was. While there was no significant difference in medical cost according to aid management by interventions, the higher visits and resource links were, the lower the subjects' total number of payment days was. There is a difference in the various areas of the quality of health -related life and medical use depending on case management by intervention method and its number. It is necessary to carry out the efficient number of access to case management by intervention method.

A Review on End-of-life Care System between South Korea and the United States (한국과 미국의 생애말기케어 시스템 비교 연구)

  • Choi, Ji-Won;Rhee, YongJoo
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.301-310
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    • 2019
  • This study aims to examine eligibilities, services and delivery of services for the current end-of-life care and analyze the quality control of services for end-of-life care. We analyzed the literature and laws on end-of-life systems in Korean and the United States. Current end-of-life care, hospice and palliative care in Korea is being provided mainly in hospital setting. Quality control for the services focuses on setting the criteria for structures in hospitals (i.e. staffing, facilities and equipment). Whereas American end-of-life care system has much broader eligibility for service beneficiaries and provides care mostly at home. Also quality control for services includes process (delivering service) and outcomes, such as monitoring performance indicators and consumer's satisfaction. This is linked to annual payment. The comparative analysis findings contributed to give the next direction of current Korean end-of-life care system. It is nessary to establish the better and extensive end-of-life care system in Korea in considering other countries' end-of-life care systems based on more future research.

The Standards and Effects of Nursing Care through the Development of Treatment Cost Calculation in Hospital Wards ('병동 중심의 처치수가 산정지침 개발' 등을 통한 간호업무 표준화 및 그 효과)

  • Han, Hye-Jeong;Seol, Mi-Jin;Kim, Young-Ju;Park, So-Young;Park, Aris;Moon, Han-Kyung;Lee, Hyun-Young
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.101-111
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    • 2009
  • 문제: 병동 처치수가 산정 부정확 및 누락으로 인한 부적절한 재고관리로 진료차질, 불필요한 업무발생 및 수익이 감소한다. 목적: 병동 처치수가 산정 정확화를 위한 업무 표준화 도구 및 시스템을 개발하여 적정 재고관리를 통한 수익증대 및 직무만족도를 향상시킨다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 병동중심의 처치 산정지침 개발 및 수가물품의 적정재고 관리방안을 모색하였다. 개선효과: 병동중심의 처치수가 산정 지침서를 제작하여 업무표준화를 기하였음. 응급청구 품목 및 수량이 '07년 대비 71%감소하고 타 병동 차용품목이 활동 전에 비해 61% 감소, 수량은 77% 감소함. 응급청구 총소요시간이 활동 전에 비해 '07년 대비 77% 감소하고 타 병동 차용 총 소요시간이 61% 감소함. 전년 동기간 대비 수익이 4% 증가하였으며 또한 54병동과 보험 심사팀에서 직원들의 직무만족도가 향상되었다.

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Root Cause Analysis: A Medication Error (투약 오류 건에 대한 근본원인분석 시행)

  • Song, Myeng Hee;Chun, Ja Hae;Koh, Hong;Kim, Ki Jun
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.79-87
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    • 2012
  • 문제: 투약오류는 의료기관 전반에서 가장 많이 발생하는 오류의 하나이며, 환자에게 중대한 위해를 초래하기도 한다. 특히 고농축전해질은 문제발생의 가능성과 위험성이 높아 지속적인 관리 및 교육을 필요로 하고 있다. 목적: 발생한 투약오류 건에 대한 근본원인분석을 시행함으로써 유사사례가 발생하는 것을 예방하여 환자안전을 도모하고자 한다. 의료기관: 연세대학교 세브란스병원 질 향상 활동: 투약오류 건에 대해 근본원인분석 시행 후 고위험약물 관련 내규를 보완하였고, 고위험약물에 대한 Alert System 개발, 고위험약물 라벨 부착, 약 처방 관련 의료진 교육을 시행하였다. 개선효과: 고위험약물 투여와 관련된 시스템 개선 활동 이후 유사사례는 발생하지 않았고, 의료진 교육을 통하여 환자안전에 대한 인식과 중요성을 더욱 증가시켰다.

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A Study on the Request for Proposal & Outsourcing of Management for PACS in Kyung Hee Medical Center (경희의료원 PACS 운영관리를 위한 외주관리와 제안요청 연구)

  • Kang, H.D.;Jung, J.H.;Son, G.G.;Seong, D.U.
    • Korean Journal of Digital Imaging in Medicine
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    • v.9 no.1
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    • pp.45-51
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    • 2007
  • PACS 유지보수 서비스의 중요성을 살펴보고 PACS 분분별 제안요청 요소를 분석하여 향후 시스템 유지보수 계약의 지표를 제공하는데 목적이 있으며 경희의료원의 PACS 유지보수 제안서요청의 사례를 중심으로 유지보수 RFP 작성의 필요성, 중요사항 및 분야별 요구사항 등에 대하여 기술한다. 제안 부문은 9 개로 구분하였으며 총 139 항목의 제안 요청 사항을 정리하였다. 제안 요소 연구의 결과는 다음과 같다. 1. PACS 유지보수 분야는 PACS Software 부문, 데이터베이스 부문, 서버 및 스토리지 부문, 네트워크 부문, CR 및 DR System 등과 같은 영상획득장치에 관한 부문, 판독용 및 임상용 모니터 부문 등으로 구분하며, 각 부문별 제안 요구사항을 기술한 제안요청서를 작성하여 각 부문별 제안서를 요청하여야 한다. 2. 병원에서는 PACS 부문의 외주관리를 체계적으로 구분 관리하여 시스템 유지보수의 수준을 높이고 이를 질 높은 의료서비스로 연계되도록 하여야 한다. 3. PACS 관련 회사는 병원에서 요청된 제안 요청사항을 수용하며 질 높은 관련부문 서비스를 제공하기위한 기술적 배경을 체계화하여야하며 향후 주요 매출원으로 자리 잡게 될 유지보수 서비스를 상품으로 인식하고 이에 대한 적극적인 상품화전략과 홍보 노력이 필요하다.

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Oral healthcare quality and measurement of quality indicators (치과의료의 질과 질지표 측정)

  • Shin, Hosung
    • Journal of Korean Academy of Dental Administration
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    • v.8 no.1
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    • pp.8-14
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    • 2020
  • To provide high-quality oral health services, the concept of measurable oral health quality must first be defined. Owing to reports of significant preventable adverse events in the healthcare service provision process, the recognition and consensus of patient safety and patient-centered health service provision was formed. Six areas that are important medical care have been identified, including the quality along with existing concepts such as timeliness, effectiveness, equity, and efficiency of medical services. While there is ongoing research on the quality of oral health, there is not yet any internationally accepted definition. The purpose of this study is to introduce the ideas of oral healthcare quality and quality indicators that have been developed and announced in the field of dentistry.

Effect of Unmet Healthcare Needs on Quality of Life (미충족 의료 경험이 삶의 질에 미치는 영향)

  • Lee, Jeong Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.9
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    • pp.283-290
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    • 2020
  • The purpose of this study was to investigate the potential causal relationship between unmet healthcare needs and metrics related to quality of life. To examine the relationships between these variables, the study conducted an analysis by processing additional irradiated raw materials of the Korean Medical Panel. The metrics related to quality of life included six variables: athletic ability, self-care, daily activities, pain/trouble, uneasiness/depression, and subjective health conditions. Linear regression analysis revealed that the unmet healthcare needs had statistically significant negative effects on all six quality of life variables. A review of the magnitude of the linear regression β values for those variables showed that the relative level of influence on the quality of life variables decreased in the following order: pain/trouble, subjective health conditions, uneasiness/depression, daily activities, athletic ability, and self-care. Based on the results, practical applications related to strengthening working-level links between health and welfare is considered an effective policy response to the continued presence of unmet healthcare needs; such applications could contribute to improving the quality of life of those with unmet healthcare needs.

Barcode-based Low-cost Portable Training Attendance Management System Development (바코드 기반의 저가 이동형 교육출석관리시스템 개발)

  • Lee, Hak-Jun;Sim, Hyun;Son, Cheol-Su;Oh, Jae-Chul
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.11
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    • pp.1733-1740
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    • 2013
  • An important factor in education is ensuring reliable quality of education. There are a variety of ways based on criteria to ensure the quality of education. To ensure quality management, attendance is important which is highly reliable rating at the account education of Ministry of Employment and Labor and sevice training of Health Care. In contrast, the service training of health care professionals was consisting of formal attendance management, quality of education has been raised as a problem. Recently developed USN-based attendance management system is effective. But if education is proceed at a large number of small scale in the area of education, cost, portability, systeme management, the reliability of the Trainee's attendance remained as problems to solve. To address these needs, this paper quoted low-cost attendance management system which was desighned and implemented by barcode and PC camera. As a result the actual maintenance training system showed a 98% satisfaction in terms of administrator and 95% satisfaction in terms of Trainee.