• Title/Summary/Keyword: Advance rate

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The Effects of Near Miss and Accident Prevention Activities and the Culture of Patient Safety Management for the Patient Safety (Near Miss 사고 예방 활동과 환자안전관리 문화형성이 환자안전에 미치는 영향)

  • Chang, Ho-Suk;Lee, Gui-Won
    • The Korean Journal of Nuclear Medicine Technology
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    • v.14 no.2
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    • pp.138-144
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    • 2010
  • Purpose: Despite the rapidly changing healthcare environment, healthcare organizations have recognized the importance of patient safety management. But patient safety management has the problem of the lack of participation of members due to the process of focusing on the follow-up service and punishment. The department of nuclear medicine in Uijeongbu St. Mary's Hospital started this research to reduce the near miss and prevent patient safety accidents by both initiating the participatory near-miss-proof activities as an advance management and constructing a system without disadvantages of reporting. In addition, this research aims to establish a differentiated patient safety management system in the department of nuclear medicine. Materials and Methods: 1. Colleting cases of team members' past and present near miss and accidents(First data collection). 2. Quantifying the cases of near miss and accidents after identifying the degree of importance and urgency through surveys(Second data collection). 3. Quantifying cases and indentifying important points of contact through data analysis. 4. Making and standardizing a manual for important points of contact, and initiating participatory activities to prevent errors. 5. Activating web-based community for establishing the report system of near miss. 6. Estimating the result of before and after activities through surveys and focus group interviews. Results: 1) Quantified safety accidents and near miss in the department of nuclear medicine. About 50 near misses a month and one safety accident a year. 2) Establishing improvement measurements based on quantified data. About 11 participatory activities, the improvement of process, a manual for standardization. 3) Creating a system of safety culture and high participation rate of team members. Constructing a report system, making a check list and a slogan for safety culture, and establishing assessment index. 4) Activating communities for sharing the information of cases of near misses and accidents. 5) As the result of activities, the rate of near miss occurrence declined by 50% and the safety accident did not happen. Conclusion: The best service in the department of nuclear medicine is to provide patients with safety-guaranteed high-quality examination and cure. This research started from the question, 'what is the most faithful-to-the-basics way to provide the best service for patients?' and team members' common answer for this question was building a system with participation of all members. Building a system through the participatory improvement activities for preventing near miss and creating safety culture resulted in the 50% decline of near miss occurrence and no accident. This is a meaningful result from the perspective of advance management for patient safety. Moreover, this research paved the way for creating a culture to report and admit near miss or accidents by establishing a report system with no disadvantage of reporting. The system which sticks to the basics is the best service for patients and will form a patient safety culture system, which will lead to the customer satisfaction. Therefore, all members of the department of nuclear medicine will develop a differentiated patient safety culture with stabilizing the established system.

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Greedy Precedent Frame Transmission Technique in VOD System (VoD 시스템에서 탐욕적 선행 전송 기법)

  • Lee, Joa-Hyoung;Jung, In-Bum
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.3
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    • pp.603-612
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    • 2010
  • Recently, with the advance of computing and networking technique, the high speed internet becomes widespread, however, it is still hard job to do streaming the media which requires high network bandwidth over the internet. Previous VoD system researches for streaming over the internet mainly proposed techniques that controls the QoS(Quality of Service) of the media in proportion to the network status. Though, this could be the solution for the service provider while the service user who wants constant QoS may not satisfy with variable QoS. In the paper, we propose greedy precedent frame transmission technique, GPFT, for guarantee of constant QoS. In GPFT, Streaming VoD server prefetches precedent frames and transmits the frame greedily by increasing the frame transmission rate while the available network bandwidth is high. The GPFT uses the prefetched precedent frames to guarantee the QoS while the available network bandwidth is low. The experiment result shows that the proposed GPFT could guarantee the constant QoS by prefetching the frames adaptively to the network bandwidth with the characteristic of video stream.

Damage estimation for structural safety evaluation using dynamic displace measurement (구조안전도 평가를 위한 동적변위 기반 손상도 추정 기법 개발)

  • Shin, Yoon-Soo;Kim, Junhee
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.7
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    • pp.87-94
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    • 2019
  • Recently, the advance of accurate dynamic displacement measurement devices, such as GPS, computer vision, and optic laser sensor, has enhanced the structural monitoring technology. In this study, the dynamic displacement data was used to verify the applicability of the structural physical parameter estimation method through subspace system identification. The subspace system identification theory for estimating state-space model from measured data and physics-based interpretation for deriving the physical parameter of the estimated system are presented. Three-degree-freedom steel structures were fabricated for the experimental verification of the theory in this study. Laser displacement sensor and accelerometer were used to measure the displacement data of each floor and the acceleration data of the shaking table. Discrete state-space model generated from measured data was verified for precision. The discrete state-space model generated from the measured data extracted the floor stiffness of the building after accuracy verification. In addition, based on the story stiffness extracted from the state space model, five column stiffening and damage samples were set up to extract the change rate of story stiffness for each sample. As a result, in case of reinforcement and damage under the same condition, the stiffness change showed a high matching rate.

Statistical analysis of failures of a medical linear accelerator over ten years (선형가속기의 10년간 관리 자료를 바탕으로 한 통계분석)

  • Ju, Sang-Gyu;Huh, Seung-Jae;Han, Young-Yih;Seo, Jeong-Min;Kim, Won-Kyou;Kim, Tae-Jong;Park, Young-Hwan
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.158-161
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    • 2004
  • In order for better management of a medical linear accelerator, the records of the operational failures of Varian CL2100C over ten years were analyzed. The failures were classified according to the involved functional subunits and each class was rated into three levels depending on operational conditions. The relationship between the failure rate and working ratio was investigated. Among the recorded failures ( total 587 failures), the most frequent failure, which was 20% of the total. was observed in the parts related to the collimation system including monitor chamber. Regrading to the operational conditions, the 2nd level of failures, that temporally interrupted treatments, was the most frequent. The 3rd level of failures, that interrupted treatment for more than several hours, was mostly caused by the accelerating subunit. The average life-time of a Klystron and Thyratron became shorter as the working ratio increased, which was 42 and 83% of the expected values, respectively. Recording equipment problems and failures in detail over a long period of time can provide a good knowledge of equipment function as well as the capability to forecast future failure. More rigorous equipment maintenance is required for old medical linear accelerator to avoid the serious failure in advance, and improve the patient treatment quality.

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Animation Character Preference According to Age and Gender of Children (유아의 연령과 성에 따른 애니메이션 캐릭터 선호도)

  • Ko, Young-Ja;Kim, Min-Jung
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.470-479
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    • 2012
  • This study was designed to investigate and analyze children's preference on animation characters according to age and gender of the subjects, by surveying 255 children aged from 3 to 5. The animation characters were represented in pictures, and the reasons of preference were collected through individual interview with the children. The $x^2$ verification of SPSS 18.0 Window statistic program was used to verify the difference in preference. As a result, children aged from 3 to 5 showed higher preference on animations produced in foreign countries than the ones produced in Korea, as Korean animations and foreign-country animations had preference rate of 35.7% and 64.3%, and Korean characters and foreign-country characters had preference rate of 22.4% and 77.6% respectively. Depending on the age of children, there was significant difference among animation characters that the children prefer ($x^2=302.474^{***}$, P<.001), and it was shown that children at the age of 3 showed preference on 'Pororo' of Pororo the Little Penguin, children at the age of 4 on 'Tayo' of Tayo the Little Bus and 'Amu' of Shugo Chara, and children at the age of 5 on 'Shin Chan' of Crayon Shin Chan. It was also revealed that there was significant difference among animation characters according to the gender of children ($x^2=120.864^{***}$, P<.001); boys preferred 'Pororo' of Pororo the Little Penguin the most, followed by 'Doraemon' of Doraemon, 'Thomas' of Thomas and Friends and 'Tayo' of Tayo the Little Bus, and girls preferred 'Pororo' of Pororo the Little Penguin the most, followed by 'Apple' of Little Princess, 'Amu' of Shugo Chara and 'Loopy' of Pororo the Little Penguin. Through this study, it is hoped that the development of children animation would advance further, and that this study could be used as the preliminary resource.

Performance Evaluation of Recycled Aggregate Concrete Made of Recycled Aggregate Modified by Carbonation (탄산화 개질 순환 골재를 사용한 순환 골재 콘크리트의 성능 평가)

  • Ha, Jung-Soo;Shin, Jin-Hak;Chung, Lan;Kim, Han-Sic
    • Journal of the Korea Concrete Institute
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    • v.28 no.4
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    • pp.445-454
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    • 2016
  • With the increase of decrepit facilities, construction waste increased to a certain level and now the increase is more or less stabilized. Yet construction waste still constitutes the largest portion of the overall wastes. Also, it is inevitable to spend a huge amount of the national budget due to the aggravating shortage of aggregate caused by prohibition on collection of natural aggregates as well as due to the damage to the land and environment caused by development of the sources of aggregates. As a countermeasure to the situation, the Ministry of Land, Infrastructure and Transport promulgated the quality standard for recycled aggregate to manage the usage of recycled aggregate according to its quality. But use of recycled aggregate for the purpose of high added value still remains nominal. Therefore, this research aims to study the applicability of recycled aggregate concrete as structural concrete by evaluating the quality improvement effects and the performance of the recycled aggregate concrete including recycled fine aggregate and recycled coarse aggregate that have undergone carbonation for 4 days and 14 days respectively in the condition of 60% RH, 20% $CO_2$ and $20^{\circ}C$ temperature, suggested for carbonation modifying from the advance research. The result shows carbonation modify contributed to quality improvement with 0.91% decrease in absorption rate for recycled fine aggregate and 0.7% decrease in absorption rate for recycled coarse aggregate. The physical properties and durability of the recycled aggregate made of aggregate modified by carbonation showed results similar to general concrete, which confirmed the possibility of applying the recycled aggregate made of recycled aggregate modified by carbonation to structural concrete.

Design and Implementation of Data Distribution Management Module for IEEE 1516 HLA/RTI (IEEE 1516 HLA/RTI 표준을 만족하는 데이터 분산 관리 모듈의 설계 및 구현)

  • Ahn, Jung-Hyun;Hong, Jeong-Hee;Kim, Tag-Gon
    • Journal of the Korea Society for Simulation
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    • v.17 no.2
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    • pp.21-29
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    • 2008
  • The High Level Architecture(HLA) specifies a framework for interoperation between heterogeneous simulators, and Run-Time Infrastructure(RTI) is a implementation of the HLA Interface Specification. The Data Distribution Management(DDM) services, one category of IEEE 1516 HLA/RTI management services, control filters for data transmission and reception of data volume among simulators. In this paper, we propose design concept of DDM and show its implementation for light-weighted RTI. The design concept of DDM is to minimize total amount of message that each federate and a federation process generate using the rate of RTI service execution. The design of our proposed DDM follows that a data transfer mechanism is differently applied as the rate of RTI service execution. A federate usually publishes or subscribes data when it starts. The federate constantly updates the data and modifies associated regions while it continues to advance its simulation time. Therefore, the proposed DDM design provides fast update or region modification in exchange of complex publish and subscribe services. We describe how to process the proposed DDM in IEEE 1516 HLA/RTI and experiment variable scenarios while modifying region, changing overlap ratio, and increasing data volume.

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A Research to Evaluate the Safety and Efficacy of Yukwool-tang (Liuyu-tang) for Major Depression in Women: A Study Protocol for a Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Clinical Trial (여성의 주요우울증에 대한 노에스액(육울탕)의 안전성, 유효성 평가 : 무작위배정, 양측눈가림, 위약대조, 평행설계 임상시험 프로토콜)

  • Seo, Young Kyung;Lee, Eun Hee;Kim, Hwan;Lee, Ji-yoon;Park, Chae Rin;Choi, Sunyoung;Jang, Eunsu;Kwon, Ojin;Kim, Hyungjun;Jung, In Chul
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.1
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    • pp.35-46
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    • 2018
  • Objectives: The aim of this trial is to evaluate the efficacy and safety of Yukwool-tang (Liuyu-tang) for the treatment of major depression in women by comparing the Yukwool-tang (Liuyu-tang)-treated group with the placebo-treated group and assessing the association of various biological factors related to depression through various outcome measures. Methods: This study is a single-center, randomized, double-blind, placebo-controlled, parallel-design clinical trial. The subjects to be selected are women between the ages of 19 and 65, and the registered subjects are to be randomly assigned to treatment with Yukwool-tang or the placebo control. The Yukwool-tang group will take 1 bottle of Yukwool-tang (30 mg) for 8 weeks, 3 times a day, before meals. The control group will take the placebo in the same way. The primary outcome to be examined will be the change between the total score after 8 weeks and the total score before the start of the study of the K-HDRS score. Secondary outcomes are assessed by the change in total score after 12 weeks of K-HDRS, K-HDRS remission rate, K-HDRS improvement rate, BDI-K, PITD, KSCL-95, ISI, STAI-K, EQ-5D, VAS, Emotional Stimulation Test, BDNF test, inflammatory cytokine and tumor necrosis factor test, intestinal microbiome test, dietary report and Beck's hopelessness scale. Results: This protocol has been approved by the IRB of Dunsan Korean Medicine Hospital of Daejeon University and is registered in the CRIS, and it is made public in advance to ensure transparency of the research process and conduct ethical clinical trials. Conclusions: Based on this protocol, when the trial is completed, its data can be used to access the validity and safety of Yukwool-tang for major depression in women, and it is also expected to be helpful in the study of the correlation between future treatment of Korean medicine for depression and related biological factors, and quality of life.

The Effects of Advanced Design Innovation Strategy on Business Performance (선행 디자인 혁신 전략이 기업 성과에 미치는 영향)

  • Kim, Yong-Wook;Song, In-Am;Hwang, Hee-Joong
    • Journal of Distribution Science
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    • v.11 no.10
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    • pp.27-36
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    • 2013
  • Purpose - This paper empirically studies the effects of advanced design innovation strategy on business performance, to investigate manufacturing industries that can develop design-driven-innovation strategies. Many researchers now recognize the importance of design in a CEO's decision-making process. To analyze these effects, this study deduces the definition of advanced design strategy by reviewing existing studies. The advanced design is a strategy that is applied to improve business performance instead of the appearance of a product for increasing its sales. In terms of business processes, the advanced design strategy is defined as the incorporation of business activities prior to the development of the product, to offer new experiences and values to users, from those designs. Research design/data/methodology - This paper establishes a model for empirical analysis. In this study, we derived factors of the characteristics of advanced design based on previous studies. We tried to investigate whether advanced design innovation strategy and entrepreneur's characteristics could have any impact on business performance. At the same time, we tried to find out the moderating effect of entrepreneurs' characteristics. The advanced design is made up of three elements: precedence, integration, and immersion of design activities. These three elements are independent variables for the model. The dependent variables are: increased rate of sales, R & D performance, and public image of the company. Specifically, this study establishes a CEO's characteristics as a moderating variable between the independent and dependent variables. Results - We proved that the level of entrepreneurs' characteristics has a moderating effect on the business performance. The findings of this study offer the following theoretical implications. The precedence of design activities positively affects the increased rate of sales by offering new experiences to users and creating new values. The integration of design activities also has a positive effect on the R&D performance. In addition, the immersion of design activities positively influences all the elements comprising business performance. The analysis of moderating variables elucidates that CEO's characteristics have a moderating role between precedence, integration, and immersion of design activities, and business performance. Conclusions - The practical implications of the study are as follows. This study contributes to the progression of advance design theories by conducting an empirical study on the advanced design concept. More importantly, the empirical study on the CEO group seeking exploratory innovation supports Verganti's "design-driven innovation" concept, according to which design can make innovation successful by offering useful values to users, as evident in the case of many innovative companies, such as Nintendo and Apple. Future studies need to investigate the reliability of practical examples, including the various activities of business. We suppose that there may be real differences between the results of this study and the applicative situation in the presence of a CEO group.

Design and Implementation of a Cardiac Arrest Supporting System Using Wearable Device (웨어러블 기기를 사용한 심정지 환자 지원 시스템의 설계 및 구현)

  • Jang, Jin-Soo;Lee, Seo-Joon;Lee, Kwang-In;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.227-238
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    • 2017
  • Cardiac arrest is a serious intensive emergency disease that causes death within less than several minutes by depriving the body and brain of blood supply. Survival rate of cardiac arrest patients outside of hospitals is especially low. This is because pedestrians usually do not perceive the patient as a sick person, also, even if they do so, they have no medical knowledge to properly react to such emergency. The purpose of this study is to propose a solution that uses widely spread smart phones to alert pedestrians of the cardiac arrest patient, prevents cardiac arrest, and provides first-aid measures. By applying the proposed solution, cardiac arrest can be prevented in advance, pedestrians can be alerted to keep the golden time(4 minutes), and first witness can quickly proceed with CPR, ultimately enhancing the survival rate of the cardiac arrest patient.