• 제목/요약/키워드: 의료품질

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초음파 파워 측정 시스템 구성 및 성능평가 (Construction of Ultrasonic Power Measurement System and Its Performance Evaluation)

  • 조문재;김용태;윤용현;정성수
    • 한국음향학회지
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    • 제24권8호
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    • pp.431-440
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    • 2005
  • 초음파 파워의 정확한 측정은 초음파 의료 장비의 품질 보증과 안전성에 중요하다. 본 논문에서는 초음파 조사가 on/off를 반복하는 동안의 표적에 작용하는 방사 힘과 부력과 같은 다른 원인에서 기인하는 저울 지시 값의 시간에 따른 변화로부터 초음파 파워를 결정하는 간단한 이론을 제시하였다. 아울러 개발된 초음파 파워 측정 시스템에 대해 정밀 기계적 정렬장치, 전기신호 발생부 구성, 제어 및 측정부 구성 및 적절한 절차와 함께 상세히 기술하였다. 본 시스템으로 1 MHz, 5 MHz, 10 MHz, 15 MHz에서 10 mW에서 10 W범위에 걸쳐 측정된 결과를 다른 나라에서 교정된 기준 데이터와 상호 비교한 결과 상대 편차가 $5\%$ 이내로 확인되었다.

수직다물체시스템의 오차파형전달방식 간접적응형 분산학습제어 (Indirect Adaptive Decentralized Learning Control based Error Wave Propagation of the Vertical Multiple Dynamic Systems)

  • 이수철
    • 한국산업정보학회:학술대회논문집
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    • 한국산업정보학회 2006년도 춘계 국제학술대회 논문집
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    • pp.211-217
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    • 2006
  • 반복학습제어는 특정목적 궤도의 반복작업을 수행하는 정밀도를 개선하는 제어기를 개발하는 기술이다. 기존 연구에서는 수직다물체의 반복정밀도를 개선하기 위하여 누적학습제어와 적응제어 기법을 한 반복영역에서 동시에 실시하는 기법을 개발하였다. 당초 이 기술은 생산조립라인의 산업용 로봇에서 발생하는 반복정밀도를 개선하기 위해 개발하였으며, 특히, 분산학습기법은 산업용 로봇에서 발생하는 실질적 제어 방식에 유효한 기법이다. 본 논문에서 개발한 제어기술은 한 반복영역의 모든 시간대의 입출력 정보를 동시에 학습하기 보다는 매 시간대의 입출력 정보를 각 시간대 마다 충분히 학습하고 다음 시간대의 정보를 학습하는 것이다. 본 논문에서 개발한 기술을 산업용 로봇과 의료기기에 적용하면 수직다물체의 정밀도 품질보증 확보에 큰 기여를 하게 된다.

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Kano 모델 및 PCSI 지수를 활용한 종합건강검진 의료서비스 품질에 대한 실증적 연구 (An Empirical Study of Comprehensive Health Screening Medical Service Quality with Kano Model and PCSI Index)

  • 박애준
    • 산경연구논집
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    • 제10권7호
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    • pp.71-82
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    • 2019
  • Purpose - This study aims to identify the priorities of medical service quality improvement by customer satisfaction characteristics and potential customer satisfaction improvement (PCSI) index based on the dualistic quality classification of Kano Model (1984) for Comprehensive Health Screeening Center in General Hospitals and Centers only for Comprehensive Health Screening and suggest a direction for future improvement. Research design, data, and methodology - Through advanced research on health screening medical service quality, this study set four service quality factors, including tangible, human, process and supportive factors, and 39 measurement items. Based on these items, the study used 117 questions, which consist of dualistic quality factors, customer satisfaction coefficients, positive and negative questions for PCSI index and questions for current satisfaction. 300 effective samples were collected for adults in their 20s who experienced health screening service in Seoul, Gyeonggi-do and Incheon within the past two years. Collected data were input in the quality evaluation duality table to categorize quality factors and calculate customer satisfaction coefficients by Timko(1993). The study also analyzed PCSI index in comparison with current satisfaction and identified priorities in quality improvement. Results - It was found that the most urgent factors to improve the quality in both groups were adequate waiting hours and emergency response for complications, which are process factors classified as unitary quality. It is urgently needed to improve the quality as the PCSI index was high in supportive factors (complaint response team) as attractive quality in Comprehensive Health Screening Center in General Hospitals and in process factors (prevention of infection) as unitary quality in Centers only for Comprehensive Health Screening. As the PCSI index was low in space use as a tangible factor, it was found that the current level can be maintained instead of improvement. Conclusions - To improve the health screening medical service quality, it is required to focus on process factors (adequate waiting hours, emergency response for complications, prevention of infection) and supportive factors (complaint response team) among service qualities perceived by users. It is proposed to ensure continuous efforts to manage and reinforce priorities as a direction for future improvement in health screening service.

듀얼 스트리밍 기법을 활용한 실시간 스트리밍 시스템 (A Study on Real-time Streaming System Using the Dual-Streaming Technique)

  • 반태학;김응렬;양새동;김호성;정회경
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2015년도 추계학술대회
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    • pp.791-793
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    • 2015
  • 최근 들어 UCC(User Created Contents) 및 VoD(Video on Demand) 등 멀티미디어 컨텐츠들이 늘어나고, IP-TV, Smart TV, OHTV(Open Hybrid TV) 등 다양한 서비스가 멀티 플랫폼(Multi-platform) 환경에서 제공되면서, 서비스에 대한 QoS 문제가 대두되고 있다. 이 문제를 해결하기 위해 네트워크를 효율적으로 활용하고, 콘텐츠 품질을 향상하기 위한 시스템이 필요하다. 이에 본 논문에서는 네트워크의 채널 상태와 동적 자원 사용량에 따라 멀티미디어 데이터의 전송을 TCP와 UDP를 적응적으로 사용하는 듀얼 스트리밍 시스템에 대해 설계 및 분석 한다. 또한 기존 TCP와 UDP 하나의 프로토콜을 사용한 스트리밍 시스템과의 차이점 및 효율성에 대해 분석한다. 이는 재난 및 의료분의의 응급시스템, 유비쿼터스 분야에 활용될 것으로 사료된다.

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항해장비 소프트웨어 기능안전성 확보를 위한 위험분석 단계 연구 (Study on Risk Analysis for Software Functional Safety of Marine Navigational Equipment)

  • 임상우;이서정;양회석
    • 디지털콘텐츠학회 논문지
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    • 제18권2호
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    • pp.393-401
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    • 2017
  • 각 산업분야에 사용되는 시스템의 소프트웨어 비중이 늘어남에 따라 소프트웨어 안전성과 관련된 사고가 증가하고 있다. 철도, 항공, 의료 등의 주요 산업분야에서는 이를 해결하기 위해 IEC 61508 기반의 안전표준을 작성하여 따르는 것을 권고하고 있다. 항해 장비분야에는 안전표준이 마련되어 있지 않아 기능안전에 대한 확인을 위해 적절한 가이드가 필요하다. 본 논문에서는 정보통신산업진흥원의 기능안전성 공통 개발 가이드를 참고하여 항해 장비의 소프트웨어 기능안전성 확보를 위한 위험분석 단계의 절차와 산출물을 정의하였다. 선박에 탑재하여 수심을 측정하는 음향측심기를 대상으로 사례 연구를 하였다.

코로나바이러스감염증-19 상황에서 일개 국가지정 의료기관의 이동형 병원 CT 활용 사례 (Application of Mobile Hospital Computed Tomography in a State-Designated Medical Institution under the Coronavirus Disease 2019 (COVID-19) Situation by Example)

  • 신형호;이정호;김광훈;김병진;진성찬;박현미
    • 대한방사선기술학회지:방사선기술과학
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    • 제43권2호
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    • pp.71-77
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    • 2020
  • This study aims to explain the process of providing important medical images for the diagnosis of pneumonia caused by coronavirus disease 2019 (COVID-19) through the only mobile hospital computed tomography (CT) in Korea. Since January 28, 2020, medical imaging examinations have been provided to confirmed and suspected COVID-19 patients, and the quality of images was evaluated based on the objective and subjective indicators. In order to prevent the transmission in the hospital that may occur due to exposure to medical staff and general patients, personal protective equipment was worn and the separate route was used blocking human infection factors. For 11 weeks, a total of 185 tests were performed for 98 confirmed patients and 72 suspected patients. The average time to complete the test was 33 minutes. In the course of the test, no cross-infection cases were examined. During the outbreak of the COVID-19, the only mobile hospital CT room of Korea provided medical imaging examinations without infection among medical staff and patients and also provided adequate medical images without significant difference (p >0.05) in determining the degree of pneumonia progression compared to a stationary in-hospital CT.

정신병원 입원 환자가 인지하는 의료서비스 품질이 만족도와 충성도에 미치는 영향 (The effect of mental hospital inpatient's perceived service quality on satisfaction and customer loyalty)

  • 정진홍;권호장;이상규
    • 한국병원경영학회지
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    • 제17권1호
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    • pp.23-42
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    • 2012
  • The purpose of this study is to identify the inpatient service quality at mental hospitals and to examine the effect of service quality on patient's overall satisfaction and customer loyalty. Data collection was done through conducting a survey of inpatients in three mental hospitals located in Chungnam, Korea using self administered questionnaire. The questionnaire included the modified version of 'service satisfaction scale for psychiatric patients' invented by Chul Kwon Kim and other members, which consists of five dimension of service quality: staff attitude, treatment quality, ward environment, access/cost and ward rule. Total 236 questionnaires were gathered and 219 were used for analysis. The data was analyzed by using version SAS9.2 and path analysis model was applied to test our hypothesis. As a result, the four factors of service (staff attitude, treatment quality, ward environment and ward rule) were extracted, which counted for 62.89% of the common variance. Moreover, Cronbach Alpha showed relatively high internal consistency of answer, all exceeding 0.6. According to the study, ward environment and treatment quality turned out to have direct influence on the patient's satisfaction. In addition, staff attitude and overall satisfaction directly influenced the customer loyalty while ward environment and ward rule indirectly had influence using overall satisfaction as a medium. In conclusion, in order to enhance the satisfaction and customer loyalty in mental hospitals, efforts in improving environmental service quality in particular is highly demanded.

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치과 의료기관의 서비스스케이프와 인적서비스품질이 환자의 내적반응 및 행동의도에 미치는 영향 (The Effect of Servicescape and Human Service Quality on Patients' Internal Responses and Their Behavioral Intention in Dental Care Organizations)

  • 천미옥;김지원;배성윤
    • 한국병원경영학회지
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    • 제22권4호
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    • pp.1-15
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    • 2017
  • This study was designed to analyze the effect of servicescape and human service quality on patients' internal response and their behavioral intention in dental care organizations. Self-administered survey questionnaires with structured instruments were developed, and a total of 226 responses were used for statistical analyses using SPSS Windows version 18.0 program and AMOS 18.0 program. Major findings of the study are as follows. First, among other servicescape components, air condition environment was found to have a positive effect on patients' cognitive and physiological responses, while signals and symbols had a positive effect on cognitive and emotional responses. Second, the competence, among other factors of the human service quality, had positive influence on cognitive and emotional responses, while customer understanding affected positively on emotional response. Third, none of the servicescape components showed a direct effect on patients' behavioral intention, but their influence was mediated by internal responses. However, customer understanding, among other human service quality factors, had a direct effect on patients' behavioral intention. Fourth, emotional response, among other internal response factors, proved to have positive influence on behavioral intention. Results from this study suggest that dental care service providers can increase their competitiveness and customer satisfaction by understanding and improving the most important areas of servicescape and human service quality.

치과 병·의원의 의료서비스 품질이 환자만족도와 재이용 의도에 미치는 영향 (The influence that the medical service quality of the dental clinic affects to the patient satisfaction and use intention)

  • 정인호;이숙정;김병식;박영대;지경자;박지영;황혜경;이종화
    • 대한치과기공학회지
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    • 제35권4호
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    • pp.387-394
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    • 2013
  • Purpose: This aim of this paper is to research the influence of customer satisfaction and reutilization on Dental hospitals and clinics of medical service quality. Methods: The study examines 140 Patients who received treatment in Daegu from 1 July 2012 to 30 July 2012. The methods of research were used to factor analysis, reliability test using Cronbach's ${\alpha}$ factor, correlation analysis, multiple regression analysis and spss/win18.0. Results: The factor of quality of care has the highest impact on customer satisfaction. the influence of reutilization depends on the highest reliability and the physical environment was significant. Conclusion: To improve customer satisfaction and reutilization is required to maintenance of hospital facilities, medical services mind and quality of care. The medical service providers are important to develop patient education programs, self-development and customer satisfaction training techniques.

공개용과 상업용 DICOM STL 파일변환 프로그램으로 출력한 삼차원 프린팅 쇄골 골절 모델의 품질비교 (Comparison of the Quality of Clavicle Fracture Three-dimensional Model Printing by Open Source and Commercial use Digital Imaging and Communications in Medicine Stereolithography File Conversion Program)

  • 오왕균;김형균
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권1호
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    • pp.61-66
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    • 2018
  • The recent 3D printing technology is used in various medical, manufacturing, and education fields and is more efficient in terms of production process, time, and cost than existing production. Especially in fracture surgery, interest and research have been focused on improving accuracy, shortening of operation time and recovery time, and reducing reoperation. However, because of the financial and technical problems of the 3D printer and the file conversion program, the 3D printing is made directly at the hospital, and it is not generally used for diagnosis of fracture and surgical research. In this study, to solve those problems, clavicle CT imaging was switched into Osirix Open Source DICOM Viewer, Stereolithography file conversion programs and commercial Terarecon 3D DICOM Viewer, file conversion programs, and then clavicle fracture model was directly made through 3D printer of fused filament fabrication wire additive processing method, and then the accuracy of the shape was compared and analyzed. Clavicle fracture models printed in two methods were blind-tested on clinicians of general hospitals' orthopedics and radiologic technicians with over 10 years of experiences, and then their analysis opinions of resolution reviews were analyzed. The result showed no difference. The 3D printing model with open source DICOM STL file conversion program used was applicable to clinical, so it is considered useful in precision diagnosis of fracture and operation plans.