• 제목/요약/키워드: Expert Quality Assessment

검색결과 106건 처리시간 0.031초

척추질환의 한의적정성 평가 연구 -입원환자 중심으로- (A Study on the Korean Medical Quality Assessment of Spinal Disease -Focusing on Admission Patients-)

  • 박정식;임형호
    • 한방재활의학과학회지
    • /
    • 제25권3호
    • /
    • pp.11-26
    • /
    • 2015
  • Objectives The purpose of this study is to assess the quality of spinal disease focusing on Korean medical hospital admission patients. Methods The disease code related to spinal disease was selected based on the contents of development of clinical quality indicators for spinal disease. The assessment analysis of feasibility was conducted through medical history analysis that targets spinal disease patients, current development of clinical quality indicators for spinal disease, and relevant literature. Results The indicator items of structure, process, and results were classified and selected, and so were the detailed indicator entries. After that, the appropriate reference value was chosen. The final selected quality indicators were 3 items from structure, 9 items from process, 4 items from results, including 3 monitoring items, total 16 items was chosen. Conclusions Clinical research for the adequacy assessment should be conducted and the index entry and indicators should be reassessed through an expert group discussion. Training for the evaluation indicators and association with relevant society will motivate hospitals to voluntarily improve their quality.

핵의학 감마카메라 정도관리의 딥러닝 적용 (Deep Learning Application of Gamma Camera Quality Control in Nuclear Medicine)

  • 정의환;오주영;이주영;박훈희
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제43권6호
    • /
    • pp.461-467
    • /
    • 2020
  • In the field of nuclear medicine, errors are sometimes generated because the assessment of the uniformity of gamma cameras relies on the naked eye of the evaluator. To minimize these errors, we created an artificial intelligence model based on CNN algorithm and wanted to assess its usefulness. We produced 20,000 normal images and partial cold region images using Python, and conducted artificial intelligence training with Resnet18 models. The training results showed that accuracy, specificity and sensitivity were 95.01%, 92.30%, and 97.73%, respectively. According to the results of the evaluation of the confusion matrix of artificial intelligence and expert groups, artificial intelligence was accuracy, specificity and sensitivity of 94.00%, 91.50%, and 96.80%, respectively, and expert groups was accuracy, specificity and sensitivity of 69.00%, 64.00%, and 74.00%, respectively. The results showed that artificial intelligence was better than expert groups. In addition, by checking together with the radiological technologist and AI, errors that may occur during the quality control process can be reduced, providing a better examination environment for patients, providing convenience to radiologists, and improving work efficiency.

Methodology for Assessing the State of Human Capital in the Context of Innovative Development of the Economy: A Three-Level Approach

  • Chulanova, Zaure K.;Satybaldin, Azimkhan A.;Koshanov, Amanzhol K.
    • The Journal of Asian Finance, Economics and Business
    • /
    • 제6권1호
    • /
    • pp.321-328
    • /
    • 2019
  • The purpose of the study is to analyze the main approaches to assessing human capital and develop proposals for its most objective assessment of it at the different levels of manifestation - individual, microeconomic and macroeconomic. The article considers the basic approaches to the evaluation of human capital, used in practice: retrospective (costly) and prospective (income based). Cost based methods involve measuring the value of human capital based on the total costs associated with its formation. The proposed additional evaluation criteria, in particular, the use of the expert approach and the developed indicators of a qualitative assessment of the human capital of the enterprise will allow development that is more efficient and use of available human resources. Human capital is becoming a major factor in the formation and development of an innovative economy and knowledge economy. Accordingly, the proposed additions to the assessment of human capital at the country level are aimed at assessing it from a new angle, taking into account the current global trends in the formation of an innovative economy and digitalization. They meet qualitatively new requirements for human capital as the main productive factor in the creation of new highly efficient technologies that promote the active development of the social sphere, science, education, health, etc.

웹 접근성 사용자 평가를 통한 가치체계 분석 : 저 시력 장애인 대상으로 (Analyses of Value System through Web Accessibility User Evaluation : For People with Low Vision)

  • 임종덕;안재경
    • 한국IT서비스학회지
    • /
    • 제19권1호
    • /
    • pp.113-127
    • /
    • 2020
  • Current web accessibility checks and automatic assessments have been pointed out that the assessment items and scores are evaluated from the developer's point of view rather than from the user's one. In addition, although most of the grades of an automatic assessment on the public web sites are excellent because they are built in accordance with the web accessibility development guidelines, not a few web sites shows relatively low grades in evaluating their usability test made by those users. Taking into account the inadequacy of these web accessibility assessments, this study has identified the differences between the grades of usability evaluations and automatic evaluations for people with low vision and analyzed the major factors affecting web accessibility usability evaluations using Repertory Grid Techniques. Also, the Hard Laddering method of the Means-End Chain theory was adopted to visualize the relationship between Attributes-Conferences-Value and a hierarchical value system analysis based on FGI(Focused Group Interview) to people with the low vision. This study proposed the measures to improve the current web accessibility automatic assessment allocation, expert evaluation criteria, and user task assessment. In particular, it is a web accessibility user evaluation model that can consider the web accessibility quality certification criteria and user review assessment by directly analyzing the user cognitive structure and value system. This study is expected to be useful as a research to enhance the quality of web accessibility assessment.

한국 진술분석 보고서 및 증언에 대한 질적 평가 기준 (Korean Quality Assessment Criteria for Statement Analysis Reports and Testimony)

  • 송승주;김민지
    • 한국심리학회지:법
    • /
    • 제12권2호
    • /
    • pp.223-251
    • /
    • 2021
  • 진술분석은 진술 내용을 기반으로 진술에 나타나는 문제, 심리적 특징 등을 과학적으로 분석하여 진술의 신빙성을 밝히는 분석 기법으로, 물적증거의 확보가 어려운 아동(13세 미만) 및 장애인 성폭력 피해 의심사건이 발생했을 때 법적 판단에 활용되고 있다. 그러나 국내에서 진술분석 보고서와 같은 법심리학적 평가 보고서의 질적 우수성을 평가할 수 있는 기준은 존재하지 않는다. 외국의 법심리학적 보고서에 대한 다수의 연구에서 보고서에 필수적인 내용이 누락되거나 빈약하게 기술되어 있는 경우가 존재하고, 법심리학적 의견과 평가결과 간의 논리적 연결성 부족 등 보고서의 질이 확보되지 않는 문제점이 공통으로 발견되었다. 이에 본 논문에서는 외국의 지침들과 법정에 제출된 법심리학적 보고서 분석을 통해 법심리학적 보고서의 문제점들을 살펴보았다. 이를 바탕으로 스웨덴의 전문가 증언의 구조화된 질적 평가도구(Structured Quality assessment of eXpert testimony; SQX-12)를 재분석하고, 선행연구에서 밝혀진 한계를 종합해 한국에서 사용 가능한 '한국 진술분석 전문가 보고서 및 증언에 대한 질적 평가 기준'을 제안하고자 한다. 이와 같은 질적 평가 기준의 제시는 사법적 판단 시 법심리학적 보고서의 법적 효용성을 높이고, 전문가가 보고서와 전문가 증언의 질을 확인할 수 있는 수단으로 활용될 수 있을 것이다. 그러나 이 기준들에 의해 보고서가 충실히 작성되었다고 해서, 진술 내용 자체의 신빙성을 담보하는 것은 아니다.

멸종위기 야생생물 산림 서식지 질적 평가 체계 개발 (Developing system of forest habitat quality assessment for endangered species)

  • 윤광배;김선령;정석환;이진홍;도재화;한승현
    • 환경생물
    • /
    • 제40권3호
    • /
    • pp.307-315
    • /
    • 2022
  • 본 연구에서는 서식지 질적 평가에 대한 추진체계를 6단계로 구분하고, 평가 대상지 선정 방법과 서식지 질적 평가 항목을 제시하였다. 서식지 질적 평가 항목은 서식지의 건강성, 안정성, 단절화 및 파편화 정도, 서식지 적합성, 위협 정도 등에 대한 종합적인 평가가 가능하도록 구성되었다. 그러나 현시점에서는 자료부족으로 인하여 서식지 질적 평가 체계가 적용 가능한 멸종위기종이 극히 일부에 해당된다. 서식지 질적 평가 체계는 향후 멸종위기종들에 관한 서식환경자료가 축적되고 이를 기반으로 평가항목들에 대한 정량적 기준 및 가중치가 부여되면 멸종위기종별 주요 서식지에 대한 보전방안 마련에 크게 기여할 것으로 기대된다.

최근 10년 보건의료법 환경 및 건강보험법정책의 변화 (The Changes in the Public Health Laws and in the Legal Policies of the National Health Insurance over the Past Decade)

  • 김운묵
    • 의료법학
    • /
    • 제10권2호
    • /
    • pp.37-82
    • /
    • 2009
  • Korea has gained the much more performances in the fields of pubic health laws and related policies on the basis of the substantial economic achievements. In 1977, the social medical insurance was established for companies with more than 500 employees, and in 1989, Korea successfully achieved the national medical insurance system covering the total population within only 12 years beginning with multiple insurers. There remained some problems, however, to be improved such as both the low level of contribution rates and benefit packages due to the inefficiency in utilizing limited medical resources. In 2000, all insurers were unified into a single insurer (National Health Insurance Corporation), and special independent Health Insurance Review & Assessment Service (HIRA) was also established. From the origin of medical insurance system in 1977, the Korean reimbursement system has been fee-for-service system, and after the establishment of HIRA, it has been providing objective and expert medical cost review services and health quality assessment services.

  • PDF

응급환자 간호사정 도구개발 (Development of an Nursing Assessment Tool for Emergency Patients)

  • 안미현
    • 간호행정학회지
    • /
    • 제4권2호
    • /
    • pp.419-437
    • /
    • 1998
  • Nurses use a nursing process. that is a scientific approach method. in order to understand the clients' condition and to solve their problems. Professional nurses have accepted the nursing process as a standard framework for nursing activities, and the first step of the nursing process is nursing assessment. The purpose of this study was to develop a nursing assessment tool for emergency patients. Assessment is a first step in the nursing process, and scientific assessment helps to better understand the patients. Thus the development of an assessment tool for emergency patients will improve of nursing quality and advance to efficacy of emergency room(ER) management. The study involved the development of a conceptual framework, preliminary tool, content validity verification process. and reliability verification process. The conceptual framework was developed through a review of the literature. and preliminary tool was developed from the conceptual framework that based on care flow sheet' developed James A. Haley. The preliminary tool was evaluated for validity and reliability by seven experts, one ER nurse manager, two ER head nurses, two emergency medicine doctors. and two ER charge nurses and by ten nurses with one to five year careers in ER nursing. The results of this study was as follows 1. The conceptual framework which was developed was composed of three parts. They were triage criteria, first assessment and secondary assessment. 2. The preliminary tool which was developed had 31 items based on the conceptual framework. 3. To test expert validity a 4-point scale was used. items which had gained 3-4 points from six persons of the seven experts were selected. All 31 items from the preliminary tool were selected. 4. The reliability test was done by ten nurses educated in the use of the assessment tool. Two pairs of nurses simultaneously assessed the same patients. A total agreement percentile was calculated and result was 87.3% agreement. 5. After the validity and reliability testing. the final emergency patient nursing assessment tool was finalized with 31 items. and a check-list for the responses. This study concludes that the tool which was developed is both valid and reliable will advance quality care for emergency patients. This emergency nursing assessment tool was also found to be an adequate tool for assessment of emergency patients.

  • PDF

Validity and Reliability of the Turkish Version of the Nuss Questionnaire Modified for Adults

  • Bahadir, A. Tugba;Kuru, Pinar;Afacan, Ceyda;Ermerak, Nezih Onur;Bostanci, Korkut;Yuksel, Mustafa
    • Journal of Chest Surgery
    • /
    • 제48권2호
    • /
    • pp.112-119
    • /
    • 2015
  • Background: Pectus excavatum (PE) is the most common chest wall deformity. The Nuss Questionnaire modified for Adults (NQmA) is a disease-specific health-related quality of life assessment tool for patients with pectus deformities. The aim of this study is to adapt the NQmA into Turkish. Methods: Two hundred and sixty-five patients with PE were participated, with an age range of 14 to 29 years. All patients underwent a physical examination and had not undergone corrective surgery. The Turkish version of the NQmA was completed by patients and their parents. Results: The content validity index based on expert opinions was 91% for the patient questionnaire and 96% for the parent questionnaire. The Cronbach's alpha value for the NQmA was found to be 0.805 for the patient questionnaire and 0.800 for the parent questionnaire. Exploratory factor analysis was used to assess construct validity. Two factors explained 51.1% of the total variance in the patient questionnaire (psychosocial: 31.145%, Cronbach's alpha=0.818; physical: 19.955%, Cronbach's alpha=0.862). In the parent questionnaire, two factors explained 51.422% of the total variance (psychosocial: 26.097%, Cronbach's alpha=0.743; physical: 25.325%, Cronbach's alpha=0.827). Construct validity was confirmed by confirmatory factor analysis. Conclusion: The Turkish version of the NQmA was found to be valid and reliable for the assessment of quality of life in patients with PE.

인간의 시각적 특성을 이용한 동영상 품질 측정 방식 (Video Quality Assessment based on Human Visual Characteristics)

  • 박진철;이광현;이상훈
    • 대한전자공학회:학술대회논문집
    • /
    • 대한전자공학회 2008년도 하계종합학술대회
    • /
    • pp.911-912
    • /
    • 2008
  • In the present paper, a new framework, which is called visual SSIM (VSSIM), is proposed by incorporating crucial human factors into the SSIM. The human factors are foveation, luminance, frequency and motion information. Subjective quality test compliant with the Video Quality Expert Group (VQEG) multimedia group test plan shows that the visual SSIM is more correlated with the subjective quality result than the conventional SSIM.

  • PDF