• 제목/요약/키워드: Control Activities

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의원급 국가암검진기관 질 관리 현황 (Current Quality Control Practices of Primary Care Clinics Participating in the National Cancer Screening Program in Korea)

  • 이혜원;박보미;한규태;허은영;전재관;최귀선;서민아
    • 한국의료질향상학회지
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    • 제26권2호
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    • pp.86-94
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    • 2020
  • Purpose: This study aimed to identify current quality control (QC) practices of primary care clinics participating in the National Cancer Screening Program (NCSP) in Korea. Methods: A nationwide survey using a structured questionnaire was conducted among the primary care clinics participating in the NCSP, which were selected by a proportionate stratified sampling. The questionnaire consisted of general information about the responding clinics and the scope of QC activities undertaken. A total of 360 clinics responded and the set of data was then analyzed with Chi-square test and multivariable logistic regression analysis. Results: Among 360 respondents, 332 (92%) reported that they were involved in the QC activities. Most frequently performed QC activities were 'maintenance of facility and instruments' (89%) and 'staff training' (85%). The analysis revealed, with statistical significance (p<.05), that there was an association between certain characteristics of the clinics and the scope of QC activities. These findings also indicated that the diversity of QC practices varies according to the size of the clinics. The clinics screening more types of cancer, those with more screenees, and those with more employees were more likely to implement various QC activities including 'maintenance of facility and instruments', 'external quality control', and 'management of screening data'. Conclusion: To our knowledge, this is the first study to investigate the current status of QC activities conducted among primary care clinics participating in the NCSP. The results of this survey can be used as a basis for further development of policies on quality management of small- and medium-sized primary care clinics in Korea. However, further studies encompassing various aspects of QC activities and management of primary care clinics are needed to assess the current situation in a concise manner.

Current Status of Infection Prevention and Control Programs for Emergency Medical Personnel in the Republic of Korea

  • Oh, Hyang Soon;Uhm, Dong Choon
    • Journal of Preventive Medicine and Public Health
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    • 제48권6호
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    • pp.330-341
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    • 2015
  • Objectives: Emergency medical personnel (EMPs) are pre-hospital emergency responders who are at risk of exposure to infections and may also serve as a source for the transmission of infections. However, few studies of infection control have specifically addressed EMPs in the Republic of Korea (hereafter Korea). The goal of this study was to assess the current status of infection prevention and control programs (IPCPs) for EMPs in Korea. Methods: A cross-sectional survey was conducted to quantitatively assess the resources and activities of IPCPs. A total of 907 EMPs in five metropolitan cities completed a structured questionnaire from September 2014 to January 2015. The data were analyzed using descriptive statistics, multi-response analysis, and the chi-square test. Results: The mean age of the participants was $34.8{\pm}15.1years$. IPCPs were found to have weaknesses with regard to the following resources: the assignment of infection control personnel (ICP) (79.5%), hand hygiene resources such as waterless antiseptics (79.3%), the use of paper towels (38.9%), personal protective equipment such as face shields (46.9%), and safety containers for sharps and a separated space for the disposal of infectious waste (10.1%). Likewise, the following activities were found to be inadequately incorporated into the workflow of EMPs: education about infection control (77.5%), post-exposure management (35.9%), and the decontamination of items and spaces after use (88.4%). ICP were found to have a significant effect on the resources and activities of IPCPs (p<0.001). The resources and activities of IPCPs were found to be significantly different among the five cities (p<0.001). Conclusions: IPCPs for EMPs showed some limitations in their resources and activities. IPCPs should be actively supported, and specific IPCP activities for EMPs should be developed.

바이탈 열차제어시스템의 리스크 분석 및 헤저드 제어방법 (Risk Analysis and Hazard Control Process for Vital Train Control Systems)

  • 황종규;조현정;윤용기
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2006년도 하계종합학술대회
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    • pp.951-952
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    • 2006
  • Railway signaling systems are so vital to ensure the safe operation of railroad and the assurance and demonstration of the safety is so important. The safety management process shall consist of a number of phases and activities, which are linked to form the safety life-cycle. The basic processes of safety management and safety activity throughout the lifecycle are 'risk analysis' and 'hazard control'. The safety managements and activities for the two kinds of aspects are implemented throughout the whole steps of system lifecycle. The risk analyses and hazard controls like those are needed, these activities have to be carried out through the whole of system lifecycle.

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효과적인 품질분임조활동의 단계별 진행요령에 관한 연구 (A Study on the Step-by-Step Process for Effective Quality Circle Activities)

  • 이강인
    • 품질경영학회지
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    • 제31권3호
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    • pp.136-159
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    • 2003
  • The purpose of this paper is to propose the effective guidance of Quality Circle(QC) activities. Since 1975, variety of organizations in Korea have widely implemented QC activities for their management systems. The industries have enthusiastically used QC activities and were influenced from them. However, the academics were less interested in this subject, as a result, there were no systematic guidances for QC activities. Thus, in this paper, the effective guidance for QC activities were suggested which were based on the survey from QC proceedings presented in the companies, in the local areas and the national wide contests. As a result, the first main issue is to pick repeated mistakes up during the process period such as unmatched the causes and effects relations in characteristics diagrams, improper selection of important control items in Pareto diagram and so on. Secondly, how to overcome statistics and use them for QC activities. Thirdly, to remind team members about Quality Control 7 tools. Finally, Minitab(Release-13) software has been found that it is not matched with using Korean Standards(KS).

자연친화적인 실외환경에서의 놀이활동이 유아의 자아개념과 친사회적 행동에 미치는 효과 (Play Activities in Eco-Friendly Outdoor Environments: Effect on Children's Self-Concept and Prosocial Behavior)

  • 권은희;이기현
    • 아동학회지
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    • 제25권1호
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    • pp.61-76
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    • 2004
  • This study was conducted with 50 5-year-old children in public schools with very similiar outdoor eco-friendly play facilities. Specific play activities were introduced in the experimental group of 25 children while the control group did nor have such activities. Results of the analysis by t-test and ANCOVA showed that the play activities were effective for implementing emotional, social and physical self-concepts. There was no effect of play activities on cognitive self-concept. Effects on prosocial behavior showed that the play activities were effective for developing abilities to control individual emotions, build human relationships and adapt to school.

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정천탕(定喘湯)과 청상보하탕(淸上補下湯)이 asthma model 내(內)의 cytokine에 미치는 영향(影響) (The Effects of Jeongcheon-tang and Cheongsangboha-tang on IL-4, IL-5, Il-6 and IL-10 in Asthma Model)

  • 정희재;이형구;정승기;김영우
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.367-377
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    • 2001
  • Objectives: We aimed to identify. the effect of Jeongcheon-tang(定喘湯) and Cheongsangboha-tang(淸上補下湯) on the transcriptional activities of cytokine IL-4, IL-5, IL-6 and IL-10 involved in asthma model. Materials and Methods: RBL-2H3 cell lines were used. Cells were stimulated with calcium inophore($2{\mu}M$ : Sample group 1, $4{\mu}M$ : Sample group 2) for maximal gene expression. After 3rd treatment of samples and incubation(per 24hours), total cellular RNAs were collected using Trizol solution method. Then transcriptional activities of IL-4, IL-5, IL-6 and IL-10 were measured by RT-PCR with electrophoresis. Results: In IL-4 study, Jeongcheon-tang treated group showed 82.76%(Sample group 1) of transcriptional activities compared to the control group and Cheongsangboha-tang treated groups showed 85.77% (Sample group 1), 89.42% (Sample group 2) of transcriptional activities compared to the control groups. In IL-5 study, Jeongcheon-tang treated groups showed 88.24%(Sample group 1), 98.83%(Sample group 2) of transcriptional activities compared to the control groups and Cheongsangboha-tang treated group showed 73.66%(Sample group 2) of transcriptional activities compared to the control group. In IL-6 study, Jeongcheon-tang treated group showed 92.95%(Sample group 2) of transcriptional activities compared to the control group and Cheongsangboha-tang treated group showed n.40%(Sample group 2) of transcriptional activities compared to the control group. In IL-10 study, Jeongcheon-tang treated group showed 118.46% (Sample group 2) of transcriptional activities compared to the control group. Conclusions: This study shows that Jeongcheon-tang has the inhibitory effect on the transcription of IL-4, IL-5, IL-6 gene expression and the increasing effect on the transcription of IL-10 gene expression, and Cheongsangboha-tang has the inhibitory effect on the transcription of IL4, IL-5 and IL-6 gene expression in RBL-2H3 cell lines. Advanced studies are required to investigate the mechanisms of inhibition or increase by herbal medicine in asthma model.

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건강증진행위, 자아가치감 및 통제위와의 관계연구 (A Study on the Relationship among Health Promotion Activity, Value' Placed on Self, and Locus of Control)

  • 임난영
    • 한국보건간호학회지
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    • 제4권1호
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    • pp.17-23
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    • 1990
  • The purpose of this study were l) to provide information useful in developing an individualized health promotion program, 2) to test the correlations among the level of locus of control, health promotion activities and value placed on self. 3) to assess the factors of health promotion activities and value placed on self. The level of locus of control was measured by Walston/Walston's scales. The levels of health promotion activities and value placed on self were measured by Pender/Pender's scales. The sample consist of 122 female students in a University in Seoul. Their mean ages were 21. The results are summarized as follows; 1. Hypothesis 1 : The higher the score of internal health locus of control, the higher the score of health promotion activities was supported. 2. Hypothesis 2 : The higher the score of value placed on self, the higher the score of health promotion activites was supported. 3. Hypothesis 3 : The higher the score of value placed on self, the higher the score of internal health locus of control was supported. 4. The highest score of the factors of health promotion activities is nutritional practice$(14.976\pm.907)$ and the lowest score is self care$(1l.930\pm1.169).$ In conclusion, several implications for nursing emerge from the theory and research behind the locus of control concept. First, scales to measure locus of control may be useful in evaluating health education programs. Second, it may be adventageous to screen individuals using a health locus of control scale before placement into a treatment program that matches their needs. Third, health professionals may want to train individuals to become more internals appear more likely to engage in positive health behaviors.

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Factors Affecting Quality of Internal Control: A Case Study of Listed Banks in Vietnam

  • TRAN, Quoc Thinh;NGUYEN, Khanh Tuan;LE, Xuan Thuy
    • The Journal of Asian Finance, Economics and Business
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    • 제8권5호
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    • pp.375-380
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    • 2021
  • Internal control is important for monitoring operations of organizations. In order to achieve the quality of internal control, organizations need to recognize different perspectives in which the components of internal control play a decisive role. Internal control is a process designed by the manager and it is applied within the organization to provide reasonable assurance of the reliability of financial information and to comply with policies, procedures, rules, regulations and laws. The article uses the ordinary least squares method and the seven-point Likert scale to test the variables affecting the quality of internal control in 18 Vietnamese listed banks. The article surveyed 179 leaders of listed banks. The results show that there are three variables out of a total of five variables that positively affect the quality of internal control, including the control environment, control activities, and monitoring. Accordingly, the managers of Vietnamese listed banks need to pay attention to building a corporate culture environment, improve the quality of control activities, and periodically and regularly conduct the monitoring. It contributes to improving the quality of internal control and is also an opportunity to increase economic benefits for Vietnamese listed banks in the context of international economic integration.

퇴원시 간호정보제공이 개심수술 환자의 지식과 일상활동에 미치는 효과 (The Effects of Nursing Information at Discharge on Level of Knowledge and Daily Activities of Open Heart Surgery Patient)

  • 김금순;하양숙;유경희
    • 한국보건간호학회지
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    • 제4권1호
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    • pp.25-35
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    • 1990
  • This study examined the evaluation of the information effects of the teaching on knowledge and daily activities of open heart surgery patients between 2 and 6 weeks after discharge. The subject was 29 patients being taught with teaching materials at discharge as experimental group, 20 patients who received no education as control group among the patients who had undergone open heart surgery in S.N.U.H. And research method was non-equivalent control group non-synchronized quasi-experimental design. As the tool of this study, 30 items of knowledge measurement scale which was extracted among the content of teaching materials to evaluate the effect of education and 28 items of which were designed to measure the daily activities of patients with myocardial infarction for the estimation of the degree of observance in daily activities were used. For data analysis, frequency, t-test, Pearson's correlation coefficient and Cronbach's $\alpha$ were used. The result were as follows; 1. Informations given through teaching materials were effective for increasing the knowledge of the patient with open heart surgery. The knowledge of patients increased to the top level (p<0.05) in 2 weeks after discharge. In control group, the knowledge level of patients did not increase after discharge. 2. The knowledge level daily activity of the experimental group was somewat higher than that of the control group, but there was no significant difference. The score .of the experimental group was 69.66 in 6 weeks after discharge much less than the top level score 112. 3. The correlation between knowledge and daily activities was not significant, suggesting the fact that the increase of knowledge did not influence the daily activities significantly. Recommendation was suggested that; 1) Further studies might be .needed with the increasing numbers of the subjects. 2) Daily activities of the patients with open heart surgery should be investigated for long term period until they recovered normal activities.

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간호학생의 구조화된 객관적 임상수행펑가 (OSCE) 모듈 개발 활동이 투약간호술에 미치는 효과 (Effects of an Educational Method using the OSCE Module Development Activities for Nursing Students on the Clinical Competence of Medication)

  • 김현숙;엄미란
    • Perspectives in Nursing Science
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    • 제9권2호
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    • pp.136-145
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    • 2012
  • Purpose: The purpose of this study was to verify the educational effectiveness of the Objective structured clinical examination (OSCE) module development activities on nursing students in the areas of performance skill, knowledge, self-directed learning readiness, and problem solving ability for medication skill. Methods: This study was a nonequivalent control group non-synchronized post-test design. The subjects (N=47), who agreed to participate in this study, were assigned to either the experimental (n=24) or control group (n=23). The experimental group was trained with OSCE module development activities for four days. The control group was trained with a traditional demonstration and practice class for the same amount of time as the experimental group. Medication performance skill and knowledge tests and surveys were done to measure self-directed learning readiness, and learning satisfaction after the experimental treatments. Results: The experimental group which participated in the OSCE module development activities showed significantly higher performance skill, self-directed learning readiness, and problem solving ability for skin test and insulin medication than that of the control group of traditional education. Conclusion: It is recommended to use the OSCE module development activities for nursing students in nursing education-learning in order to improve nursing skills.

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