• 제목/요약/키워드: Efficiency guideline

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간호분야 실무지침의 수용개작 방법론에 따른 구강간호 실무지침의 개발 (Development of Oral Care Nursing Practice Guideline using the Guideline Adaptation Process)

  • 조용애;은영;구미옥;김경숙;곽미경;김정혜;이선희;박동아;노화경
    • 임상간호연구
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    • 제21권2호
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    • pp.154-168
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    • 2015
  • Purpose: This study aimed to adapt the previously developed, high-quality oral care guideline for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by National Evidence-based Healthcare Collaborating Agency (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The adapted oral care guideline was consisted of 10 domains and 85 recommendations. The number of recommendations in each domain were: 4 general issues, 2 oral care indications, 10 oral assessment 16 general oral care, 15 oral care for critically ill, 15 oral care for cancer patients, 14 oral care for cancer patients withoral complications, 5 oral careeducation, 2 oral care referral, and 2 documentation and report. Ten point six percent of the recommendations were rated as grade A, 20.0% as grade B grade, and more than half (69.4%) were rated as grade C. Conclusion: The adapted oral care practice guideline is expected to included the evidence-based practice guidelines as fundamentalss of nursing practice. Dissemination of the developed guideline nationwide would contribute improving the efficiency of oral care practice.

Evaluating Efficiency of Life Insurance Companies Utilizing DEA and Machine Learning

  • Han Kook;Kim, Jae-Kyung
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2000년도 춘계정기학술대회 e-Business를 위한 지능형 정보기술 / 한국지능정보시스템학회
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    • pp.365-373
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    • 2000
  • Data Envelopment Analysis (DEA), a non-parametric productivity analysis tool, has become an accepted approach for assessing efficiency in a wide range of fields. Despite of its extensive applications and merits, some features of DEA remain bothersome. DEA offers no guideline about to which direction relatively inefficient DMUs improve since a reference set of an inefficient DMU, several efficient DMUs, hardly provides a stepwise path for improving the efficiency of the inefficient DMU.In this paper, we aim to show that DEA can be used to evaluate the efficiency of life insurance companies while overcoming its limitation with the aids of machine learning methods.

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정유압-기계식 변속기의 성능 특성과 형식 선정을 위한 설계 변수 (Performance Characteristics of Hydro-mechanical Transmission and Design Parameters for Type Selection)

  • 심동국;김경욱;한중수
    • Journal of Biosystems Engineering
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    • 제36권6호
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    • pp.422-433
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    • 2011
  • Market demand for hydro-mechanical transmission (HMT) for agricultural tractors has increased recently. To select a type of HMT satisfying design conditions, performance characteristics of 12 HMT types must be understood. This study was conducted to provide tractor engineers with a guideline to select the most appropriate HMT type for their design requirements. Characteristics on speed reduction ratio, power transmission efficiency, power regeneration, lock-up angular velocity, output torque ratio and torque ratio of planetary gear train axis of the 12 HMT types were investigated and presented as either formula or graphical forms. A guideline to select proper HMT type was also presented using 2 parameter: lock-up angular velocity (${\omega}_L$) and torque ratio of the planetary gear train axis. In addition, effect of gear ratio of the planetary gear train on the power transmission efficiency was investigated and a guideline to select the best gear ratio was also presented.

정맥주입요법 간호실무지침 개정 (Updates of Nursing Practice Guideline for Intravenous Infusion)

  • 구미옥;조용애;은영;정인숙;김현림;윤희숙;김은현;윤지현;장희경
    • 임상간호연구
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    • 제23권3호
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    • pp.361-375
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    • 2017
  • Purpose: This study was conducted to update the existing nursing practice guideline for intravenous infusion guidelines according to the evidence-based practice guideline in South Korea. Methods: Guideline update process was performed using 22 steps according to the manuals developed by NICE and SIGN. Results: Updated nursing practice guidelines for the intravenous infusion were consisted of 23 domains and 322 recommendations. The number of recommendations in each domain were 4 for general instruction, 12 for vascular access device selection, 20 for site selection, 9 for insertion, 54 for stabilization, 21 for maintaining patency, 4 for blood sampling, 33 for exchange and removal, 28 for add-on device selection, 28, 72 for infusion related complications, 56 for infusion therapies, 7 for education, and 2 for documentation and report. There were 15.9% of A, 30.2% of B, 53.9% of C in terms of grade recommendations. A total of 178 (51.6%) recommendations were newly developed and 24 previous recommendations have been deleted. Conclusion: Updated nursing practice guideline for intravenous infusion was expected to be an evidence-based practice guideline for intravenous infusion in South Korea. This guideline is suggested to be disseminated to clinical nursing settings nationwide to improve the efficiency of intravenous infusion practice.

간호분야 실무지침의 수용개작 방법론에 따른 경장영양 실무지침의 개발 (Development of Nursing Practice Guidelines on Enteral Tube Feeding using the Guideline Adaptation Process)

  • 조용애;은영;구미옥;조명숙;박명화;김경숙;김정연
    • 임상간호연구
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    • 제20권2호
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    • pp.147-161
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    • 2014
  • Purpose: This study was aimed to modify and adapt the previously developed, high-quality enteral tube feeding guidelines for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by NECA (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The modified and adapted enteral tube feeding guidelines were consisted of 11 domains and 95 recommendations. The domains and numbers of recommendations in each domain were: 4 on general issues, 2 on enteral nutrition indication and discontinue, 6 on enteral nutrition device selection, 12 on enteral tube feeding device insertions, 3 on enteral nutrition formular and choices, 16 on enteral tube feeding start and progress, 20 on enteral tube feeding maintenance and management, 15 on monitoring enteral tube feeding administration, 10 on prevention of error, 5 on medication administration, and 2 on documentation and report. There were 16.1% of the recommendations marked as A grade, 17.8% of B grade, and 66.1% of C grade. Conclusion: The adapted enteral tube feeding nursing practice guideline is to be added to the evidence-based practice guidelines for fundamentals of nursing practice. The guideline is hoped to be disseminated to nurses nationwide in order to improve the efficiency of enteral tube feeding practice.

기반시설 사이버보안 프레임워크 도출방안 (Cyber Security Framework for Critical Infrastructure)

  • 권성문;이석철;장지웅;손태식
    • 정보보호학회논문지
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    • 제27권2호
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    • pp.241-250
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    • 2017
  • 폐쇄적으로 운영되던 과거의 기반시설과 달리 현재의 기반시설 네트워크는 IoT 기기와 외부 망과의 연계를 통한 효율적인 관리 시스템을 도입하고 있다. 이를 통해 과거의 기반시설 네트워크에 비해 생산성과 관리의 효율은 증대 될 수 있으나 외부 망과의 연계 접점이 생김에 따라 S/W 취약점과 이를 악용한 사이버 보안 이슈가 발생할 수 있으며 이에 대응하기 위한 사이버보안 가이드라인은 필수적이다. 그러나 각 기관에서 적합한 사이버보안 가이드라인을 개발하는 것이 용이하지 않아 정부 기관에서 작성한 사이버보안 점검 리스트를 활용하고 있으며 이는 각 기반시설 네트워크의 특징을 충분히 반영하지 못하는 한계가 있다. 따라서 본 연구에서는 기반시설 네트워크의 특징을 반영한 사이버 보안 가이드라인을 개발을 위해 NIST CSF[2], DoE C2M2[3] 등 주요 국가의 사이버보안 가이드라인 관련 표준과 기반시설 네트워크를 분석하고 이를 통해 기반시설 네트워크 사이버보안 가이드라인 개발 방안을 도출하고 검증방안을 제시하였다.

비상운전절차서 작성과정의 인적오류 저감을 위한 지침서 제안에 관한 연구 (Suggestion of a New Writer's Guideline to Reduce Human Errors Found in the Emergency Operation Procedures of a Nuclear Power Plant)

  • 이동하;장통일;이용희
    • 대한인간공학회지
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    • 제29권1호
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    • pp.129-138
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    • 2010
  • Gori-I nuclear power plant has been examining the effectiveness and efficiency of the current emergency operation procedures from human factors viewpoint. Previous study showed that some mistakes that the procedures did not comply with the writers' guidelines. Reviewing the current writers' guidelines for emergency operating procedures revealed that they lack of some important human factors rules such as enumeration of switching conditions and detailed action requirements, definite expression for setup points, description for anticipated results, and recommendation for use of present tense, affirmative sentence and active voice. This study suggested a new classification system for the writers' guideline contents supplementing the deficiencies of the current emergency operation procedure text.