• 한국품질경영학회:학술대회논문집
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• 한국품질경영학회 1998년도 The 12th Asia Quality Management Symposium* Total Quality Management for Restoring Competitiveness
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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.

• 한국건강관리협회지
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• 제4권1호
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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.

• 한국의료질향상학회지
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• 제8권1호
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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.

• 한국통신학회논문지
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• 제32권6A호
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• pp.608-616
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• 2007

다중 사용자를 위한 OFDM 시스템은 열악한 무선 전송 환경에서도, 고품질, 높은 신뢰성 통신을 제공하기 위해 각 사용자의 채널환경에 따른 적절한 변조방식과 코딩율을 선택하는 adaptive modulation and coding (AMC)가 사용된다. 기지국에서 AMC기술을 사용하여 각 단말기를 최상의 성능으로 동작시키기 위해서는, 각 단말기의 하향링크에 대한 모든 부반송파 채널 정보를 필요로 한다. 그러나 실질적인 시스템 환경 하에서는 한정된 상향링크 자원으로 인하여 모든 부반송파의 채널 정보를 전송하는 것은 현실적으로 적합하지 않다. 본 논문에서는 AMC 시스템의 성능을 최적화 시키기 위하여 기존의 시스템보다 더 적은 양의 Channel Quality Indicator (CQI) 피드백을 사용하는 새로운 기술을 자원할당을 위한 Flexible Block-wise Loading (FBL) 알고리즘과 결합한다. 제안된 알고리즘은 기존의 고정 부반송파 그룹 할당에서 탈피하여 가변적으로 부반송파 그룹의 크기를 조절하여 할당함으로서 sector throughput과 outage probability의 성능을 향상시킨다.

• 한국통신학회논문지
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• 제31권8A호
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• pp.798-803
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• 2006

다중사용자 다중입출력 시스템에서 채널 적응 기술을 사용하면 시스템의 통신용량을 증가시킬 수 있다. 하지만 이를 위해서는 많은 양의 사용자 채널품질 정보가 송신 단에 되돌림 되어야 한다. 다중사용자 다중입출력 시스템으로 기존에 제안된 per user unitary and rate control(PU2RC)는 사전코딩(preceding) 정보와 그때의 채널품질정보가 요구되며, 스케줄링의 효율이 떨어지는 단점이 있었다. 이러한 단점을 극복하기 위하여 본 논문에서는 되돌림 정보량 줄이는 새로운 방법을 제안한다. 제안된 기법은 미리 알려진 사전코딩행렬을 사용하고 사용자의 채널상황에 따라 선택적 되돌림(opportunistic feedback) 방법을 사용한다. 모의실험을 통하여 제안된 기법이 기존의 PU2RC 대비 훨씬 적은양의 되돌림 정보량으로 비슷한 통신용량 성능을 보장함을 보인다.

• 간호행정학회지
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• 제1권2호
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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.