• Proceedings of the Korean Society for Quality Management Conference
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• 1998.11a
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• pp.435-449
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• 1998

Continuous quality improvement (CQI) has been promoting progresses of the social, and which is being studied and applied in much more widespread area at present. This paper systematically studies and reports research results of continuous quality improvement, involved in several key viewpoints of CQI such as the background of management and engineering philosophy on CQI, the objectives of CQI, the ways to implement CQI, the objects of CQI based on process. In terms of management methodology, the results of discussion on Benchmarking & CQI, standardization management and its certification & CQI, TQM pyramid & CQI and self-assessment & CQI etc. are reported. In quality engineering field, CQI culture of variation reduction is presented. Actually this paper is a comprehensive research project report of 'Continuous Quality Improvement System', supported jointly by NSFC and KOSEF.

• Journal of Korea Association of Health Promotion
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• v.4 no.1
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• pp.125-131
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• 2006

Background: Inadequate samples make laboratory tests delay cause errors, which will deteriorate the quality of the tests. Therefore, adequate samples are essential for reliable test result. To reduce the inadequate samples, they should to analyze problems and seek a way of improvement through CQI (Continuous Quality Improvement) activity. This will minimize errors during the test and produce a fast and accurate result. Eventrally, the qualily of entire test may be improved, and as a result, a good quality of medical care service may be provided. Methods: At first, inappropriate testing items were collected. Then, generating fctors and problems were investigated and analyzed in each case, In addition, the category with higher frequency wes primarily supervised. In consegalnce, a reduction of are dustion of improper testing sample was oxpected through continuous education and CQI activity. Conclusion : At the beginning of CQI activitv, the number of inadequate testing sample was of 8,591 total samples, which gives the frequency of 0.72%. As CQI activity was carried out the number of improper testing sample reduced to 58 out of 11,415 cases, which yields the frequency of 0,51%. One may notice the difference 0.2%. Among the inadequate sample(blood), there was a high frequency of hemolysis; thus, more of CQI activity is required for this specific matter. Because the occurrence of inadequate testing affects the clinical outcomes, it is extremely important that one manages each step of the procedure in collecting samples and mamtaines the quality of entire tests.

• Quality Improvement in Health Care
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• v.8 no.1
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• pp.10-21
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• 2001

Background : The Clostridium difficile is the most important identifiable cause of nosocomial infectious diarrhea and colitis, which lengthens hospital stay. Recently incidence of C. difficile has been increasing in an university hospital, and an intervention for prevention and control of C. difficile associated diarrhea (CDAD) was in prompt need. Methods : Subjects were the patients in the neurosurgical intensive care unit(NCU) where C. difficile was most frequently isolated. To increase participation of various departments, we used the CQI method, because management of CDAD requires a wholistic approach including control of antibiotics, barrier precaution and environmental cleaning and disinfection. Duration of the CQI activities was 9 months from April to December 1999. Results : The identified problems were misuse and overuse of antibiotics, lack of consciousness of medical personnels and the possibility of transmission from the contaminated environment and tube feeding. Education for proper use of antibiotics and management of C. difficile infection, use of precaution stickers, supplement of handwashing equipments, emphasis on environmental disinfection, and the change of the process of tube feeding were done. The CDAD rate in NCU was significantly decreased after the CQI program (8.6 case per 1,000 patient days from January to April 1999 vs 4.8 from May to December 1999). The distribution of neurosurgical wards including NCU among the total number of isolated C. difficile from the clinical specimens dropped from 49.4% in January to April to 33,7% in May to December. The average hospital stay of the neurosurgical department changed from 19.6 days to 15.2 days. Also, the effect of the CQI activities for C. difficile may have affected the incidence of vancomycin resistant enterococci (VRE). Duration and dosage of certain antibiotics used in the NS department were decreased. The distribution of neurosurgical department in the number of VRE isolated patients declined from 18.4% to 11.1%. Conclusion : Infection control of resistant organisms such as C. difficile is likely to be successful when management of environmental contamination an collaborative efforts of decreasing the patients' risk factors such as antibiotics management and decreasing the length of hospital stay come simultaneously. For this work, related departments need to actively participate in the entire process under a common target through discussions for identifying problems and bringing up solutions. In this respect, making use of a CQI team is an efficient method of infection control for gathering participation and cooperation of related departments.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.32 no.6A
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• pp.608-616
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• 2007

OFDM Systems for multi-user use adaptive modulation and ending (AMC) which is a method that selects suitable modulation order and code rate depending on channel state of each user. Using AMC, OFDM system can provide high quality and reliable communication. Base station using AMC scheme requires downlink channel information of each terminal to operate optimality. However, under practical system environment, it is unsuitable to transmit all channel information because uplink bandwidth of the system is limited. In this paper, we propose a flexible block-wise loading (FBL) algorithm combined with a novel CQI feedback scheme with reduced number of required bits to optimize the performance of AMC system. Proposed algorithm allocates sub-carrier groups dynamically to improve the sector throughput and outage probability performance.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.31 no.8A
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• pp.798-803
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• 2006

An opportunistic scheduling is adopted to improve the capacity of the system by exploiting the multiuser diversity of multiuser MIMO(MU-MIMO) systems. However it requires the large amount of feedback carrying the channel quality information(CQI) of each user to the transmitter, The considered per user unitary and rate control(PU2RC) needs to feedback the preferred preceding index and its CQIs, and it has a defect in scheduling the streams for the grouped user. In order to overcome these drawbacks, a novel feedback reduction scheme is proposed in this paper. It employs transmitter controlled preceding and opportunistic feedback(TCP-OFB). The simulation results demonstrate that TCP-OFB shows comparable performance to PU2RC while it only requires far reduced feedback load.

• Journal of Korean Academy of Nursing Administration
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• v.1 no.2
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• pp.388-407
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• 1995

This study is (a) to describe the history of Total Quality Management (TQM) generated in the industry, health care service, and nursing society ; (b) to define the concept, total quality management including the definition of quality ; (C) to explain the each principle of TQM theory developed by main theorists, E. Deming, J. Juran, and B. Crosby ; (d) to give the examples related to TQM implementation at the health care organization ; and (e) to mention the extent to which the health care organizations are able to evaluate their cultural organization toward TQM and have had the way to measure the effect of TQM implementation. TQM referred to Continuous Quality Improvement(CQI), Quality Improvement(QI), and Total Quality Improvement(TQI), was not recognized by experts in the United States industry, but by economists in Japan until the end of the 1970's. However, the United States' government led to introduce the principles of TQM to general industry as well as health care service area so that TQM became a main philosophy to manage the organizations in health care service. TQM is a structured, systematic process for creating organization-wide participation in planning and implementing continuous improvement in quality. E. Deming established the "Chain reaction in Quality" and the fourteen point of TQM. The Chain reaction in quality is to describe the relationship among the reduction of waste, rework, and delay, quality improvement, customer satisfaction, and productivity. There are fourteen points to explain the principles of TQM by E. Deming. Juran defined the "Quality Trilogy" to improve the level of quality in any organization. Quality Trilogy has three steps such as quality planning, quality control, and quality improvement for implementing the TQM projects. Crosby describes his TQM theory by establishing "Four Absolutes" and "Fourteen steps in TQM" implementation. Until now, most healthcare organizations have made efforts to organize the TQM task team and to implement TQM principles with various issues. There are three priorities to select the TQM issues : High-volume, High-risk, and Problem-prone. However, there is no absolute, credible measurement yet to evaluate the effects of TQM implementation in health care organization regardless of the classification of health care organizations, geographical background, and social influence. Thus, developing the evaluation way in terms of TQM is the foremost task in health service area. The most important thing for TQM implementation in the organization is to settle up the concept, cultural transformation from traditional management toward quality.