• Title/Summary/Keyword: Hospital managers

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An Empirical Study on the Efficient Hospital Service Operation Management for the Reduction of Medical Errors (의료과오를 줄이기 위한 효율적인 병원서비스운영에 대한 실증적 연구)

  • Lee, Don-Hee;Choi, Kang-Hwa
    • Journal of Korean Society for Quality Management
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    • v.38 no.4
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    • pp.491-503
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    • 2010
  • This paper presents a research model, which identifies a relationship between medical error reduction, efficiency of organizational systems, and employee satisfaction with organizational support. The proposed model was tested through hypotheses, based on data collected from 210 respondents from the medical staff of large -sized (i.e., more than 500 beds) residential hospitals in cities of South Korea. The results of the study showed that medical error reduction is associated with corrective system and employee satisfaction with organizational support. Therefore, it is very important that organizations improve their employees' satisfaction by providing sufficient support (e.g., information support and sharing, work guide book, etc.) for their work. In addition, in organizational systems, the corrective system has positive relationship with medical error reduction. In terms of corrective procedures, leaders or managers can make improvements by providing and supporting a friendly work environment where errors may be reported without blame and discussed in order to be corrected.

Image Improvement and Trust Building of Traditional Medical Service Considered Emotional Attachment (정서적 애착을 고려한 전통 의료서비스의 이미지개선 및 신뢰구축)

  • Cho, Chul-Ho
    • Journal of Korean Society for Quality Management
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    • v.41 no.2
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    • pp.261-276
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    • 2013
  • Purpose: This study intends to offer strategic implications that can be used in Korean medicine hospitals through analysis of causal relationship among factors focusing on image improvement and trust building. Methods: Differential model was introduced to test causal relationship. Questionnaire was developed, and data was collected and analyzed with Structural Equation Modeling. Results: Medical service has effects on image, trust, and CS. CS has an effect on trustworthiness, and trustworthiness has positive effect on loyalty intention and has negative effect on switching intention. Emotional attachment has moderating functions between trust and loyalty intention and between trust and switching intention. Conclusion: This study offers practical implications to relevant managers, at the same time it has limitations that omits relevant study of inducing factor for emotional attachment.

The perception types of clinical training experience in paramedic students (응급구조과 학생들의 임상현장실습 경험에 대한 인식유형)

  • Lee, Ga-Yeon;Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.21 no.1
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    • pp.59-73
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    • 2017
  • Purpose: This study aimed to enhance the efficiency of clinical training education by understanding paramedic students' perceptions of their hospital clinical training experiences. Methods: The subjects were 31 third paramedic students who participated in a population survey from June 25 to August 13, 2016. A Q card and Q sample distribution chart were created, and the P sample was selected by Q classification. The collected data were analyzed by factorial analysis using PC QUANL. Results: Four different perceptions were identified from the survey, which explained 44.1% of the variables. The four types were classified as Self-improvement-oriented (Type 1), Training-site avoidant (Type 2), Confidence acquiring (Type 3), and Over-willed (Type 4). Conclusion: Paramedic instructors and clinical training managers may want to consider these four perception types when planning clinical training and education programs to improve job performance.

The Relation of Peer Group Caring Interaction, Professional Self-concept, and Nurses' Retention (병원 간호사의 동료간 돌봄-배려행위, 전문직 자아개념, 재직의도의 관계)

  • Hong, Eunhee;Lee, Joo-Young
    • Journal of the Korea Safety Management & Science
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    • v.23 no.3
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    • pp.19-25
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    • 2021
  • The purpose of this study is to understand the relation of peer group caring interaction, Professional self-concept, and Nurses' Retention. The subjects of this study are 133 nurses who have worked for more than three months at five general hospitals with more than 300 beds in S city. As a result of the study, nurses' retenstion was higher than those of under 25 years of age between 30 and 35(F=3.313, p=.039).The professional self-concept of hospital nurses has been identified as an influence factor of intent to serve. Professional self-concepts have been shown to be better with higher peer-care and consideration(r=.397, P=.004). The peer group caring interaction behavior can occur not only between colleagues but also between managers. Therefore, it is necessary to proceed with the manager's group caring interaction as a follow-up study.

An Analysis of the Difference between Early and Older elderly in Leisure Activities Satisfaction in Geriatric Hospitals (요양병원의 여가활동 만족도에 대한 전·후기 고령자간의 차이 분석)

  • Cho, Duk Young
    • The Korean Journal of Health Service Management
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    • v.12 no.4
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    • pp.43-57
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    • 2018
  • Objectives: This study analyzes whether the leisure activities satisfaction of elderly and older elderly patients differs with population sociology characteristics for the leisure activities services provided by geriatric hospitals, and to provide basic information to make reasonable decisions. Methods: Difference Analysis of the difference (T-test, ANOVA) in leisure activities satisfaction was conducted for the elderly and older elderly patients hospitalized in nine hospitals. Results: First, In the planning stage of leisure activity program, it is necessary to consider the tendency of men and women to prefer gender-based leisure activity service. Second, It was found that old elderly patients were more in number than elderly patients. Third, managers of geriatric hospitals in Busan and Kyungnam area should consider the needs of the patients in the planning and implementation of leisure activities and improve their leisure activity programs or develop more programs for better customer satisfaction.

Study on the Categorical Structure Standardization for Representation of 3D Human Body Position System

  • Choi, Byung-Kwan;Choi, Eun-A;Nam, Moon-Hee
    • Journal of information and communication convergence engineering
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    • v.18 no.4
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    • pp.260-266
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    • 2020
  • This study presents the categorical structure for ther epresentation of a 3D human body position system in the WD stage after NP approval by the International Organization for Standardization (ISO), analyzes the needs of electronic medical record users and establishes future implementation plans for expanding its use in Korea. Research was conducted on the needs of doctors, nurses, health and medical information managers, and radiology departments, which are the main stakeholders of electronic medical records. The overall requirements for electronic medical records were derived from the results, and the requirements for each stage of use of electronic medical records were analyzed. Based on the results of the study, the study proposes plans to expand the use of the categorical structure for the representation of the 3D human body position system, and also aims to establish a standard system for health and medical terminology in Korea and contribute to the development of health and medical information standards through international standardization.

A study of Mission statements for strategic management - Focusing on the tertiary care hospitals in korea and special functioning hospitals in Japan- (한국과 일본병원의 미션선언문 비교연구 - 한국의 상급종합병원과 일본의 특정기능병원을 중심으로-)

  • Dang, Ji-Yeon;Choy, Yoon-Soo;Kim, Young-Hoon
    • Korea Journal of Hospital Management
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    • v.18 no.1
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    • pp.70-87
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    • 2013
  • This study investigated contents of mission statements for Strategic Management of hospitals in Korea and Japan. For the study, 44 tertiary care hospitals in korea, which were accredited by the Ministry of Health and Welfare, were selected. And 83 special functioning hospitals in Japan, which were approved by the Minister of Health, Labour and Welfare, were included. Both quantitative and qualitative analyses were conducted by classifying 5 components of the mission statement; market, service, philosophy, image, contribution. Findings from this study are as follow. First, hospitals in Korea emphasized image(93.2%) and philosophy(81.8%) components in their mission statements, whereas hospitals in Japan highlighted components of service(89.2%) and market(72.3%). In detail, mission statements of Korean tertiary care hospitals describe the components of hospital's image (93.2%), philosophy(81.8%), contribution(56.8%), market(22.7%) and service (18.2%) in order. On the other hand, mission statements of Japanese special functioning hospitals describe hospital's service(89.2%), market(72.3%), contribution(61.4%), image (49.4%) and philosophy(34.9%), respectively. Second, as results of Content analysis, there were some differences in mission statements of hospitals between two countries, and it is mainly from the divergences of standards for recognition of medical institutions, environmental factors, and different ways of mission statement description. For strategic hospital management, carrying out innovative restructuring organization or promoting of research and training for medical development is considered as a desirable approach. However, clear description of mission statement is more important and it is required for effective control and managing organization. And then the mission should be communicated within an organization so all internal members understand it and put their efforts to achieve the mission of organization. In conclusion, it is recommended that a leader and senior managers should re-evaluate its mission statement whether it reflects characteristics of an organization. In addition, a mission statement should be created or improved based on critical decision, as well as it should be clearly shared within an organization in order to become a future oriented organizations.

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Awareness and Correlation of Patient Safety Culture and Standard Precautions among Health Care Personnel (의료종사자의 환자안전문화와 표준주의 인식과 상관관계)

  • Kwon, Hye-kyung;Jeong, Jae-sim;Lee, Bok-im;Kim, Jang-han
    • Quality Improvement in Health Care
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    • v.21 no.2
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    • pp.58-72
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    • 2015
  • Objectives: This study was conducted as descriptive correlation research in order to survey healthcare personnel(HCP)'s awareness of patient safety culture and their recognition of standard precautions, and to examine the correlation between the two factors. Methods: The subjects were 400 HCPs including 80 doctors, 240 nurses, and 80 medical technicians from two general hospitals. The questionnaire used in the survey consisted of 9 questions on general characteristics, 44 on the perception of patient safety culture, and 21 on the recognition of standard precautions. Results: According to the subjects' general characteristics, the score was significantly higher in those aged over 40 than in those aged 30-39. In addition, it was significantly higher in managers than in practitioners, in those with work experience of less than a year than in those with 5-9 years. The score was also significantly higher in those working 8 hours a day than in those working over 10 hour a day. The number of medical accident reports according to the subjects' general characteristics was significantly larger in nurses than in doctors, in managers than in practitioners, and in those with 10 years' or longer experiences than in those with less than a year. In the awareness of standard precautions according to the subjects' general characteristics, the score was significantly higher in female workers than in male workers, and in managers than in practitioners. As a whole, the subjects' awareness of patient safety culture and their recognition of standard precautions showed a significant correlation with each other. Conclusion: From the result of this study, sufficient work force and the promotion of organizational culture for safety is needed in order to guarantee patient safety. Likewise, these results suggest that experience, job skill, and adequate working hours have a positive effect on the awareness of patient safety culture and the recognition of standard precautions.

Relationship between Nursing Organizational Climate and Job Satisfaction of Nurses in general hospitals (병원 간호조직풍토와 간호사 직무만족도의 관계)

  • Choi, Jae-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.2
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    • pp.227-243
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    • 2000
  • The purpose of this study was to identify the relationship between nursing organizational climate and job satisfaction of nurses in general hospitals and also the factors which had influences in the nursing organizational climate and job satisfaction of nurses. Data were collected from 200 nursing managers and 800 nurses with structured questionnaires at 11 general hospitals in Taegu and Kyungbuk-area, from June 1 to June 30, 1999. Data were analyed with SPSS 7.5 using program such as t-test, ANOVA and stepwise multiple regression. The results were as follows: 1) In the nursing organizational climate there were significant differences by age(F=9.246, p=.000), religion(f=5.658, p=.001), educational level(F=4.660, p=.010), position(F=27.016, p=.000), and the total length of service(F=7.274, p=.000). Also there were significant differences by subsidiary school(F=11.224, p=.000), the number of beds(F=9.893, p=.000), the number of nurses(F=6.365, p=.000), and kind of medical agency(F=5.251, p=.000) in the hospitals. 2) In the nurses' job satisfaction there were significant differences by age(f=11.528, p=.000), religion(F=3.003, p=.000), position(F=22.485, p=.000), career the department of the present service(F=5.157, p=.000), total career of service(F=9.243, p=.000), and salary(F=5.507, p=.000). Also there were significant differences by religious background(F=4.779, p=.009), subsidiary school(F=7.039, p=.000), the number of beds(F=7.039, p=.000), and kind of medical agency(F=2.778, p=.006) in the hospitals 3) There was significant correlation between nursing organizational climate and job satisfaction of nurses(r=.686). 4) The nursing organizational climate was explained 21.8% by salary 9.5%, position 7.4%, religious background of hospital 4.1%, and subsidiary school of hospital 0.8%. 5) The nurses' job satisfaction was explained 70.9% by nursing organizational climate 46.7%, salary 21.9%, kind of medical agency 1.4%, position 0.3%, religious background of hospital 0.3%, religion 0.3%.

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The Relationship among Job Overload, Self-efficacy, Emotional Exhaust and Turnover Intention in Clinical Nurses (임상간호사의 직무 과부하, 자기효능감, 정서적 소진과 이직의도와의 관계)

  • Sung, Mi Hae;Keum, Eun Jong;Roh, Hyun Joo;Song, Min Hee
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.2
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    • pp.130-139
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    • 2013
  • Purpose: This study was to identify the relationship among clinical nurse's job overload, self-efficacy, emotional exhaust and turnover intention. Methods: The study was conducted through a survey on 537 clinical nurses in five general hospitals. The data were collected by self-reporting questionnaires and analysed by the SPSS/WIN 17.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: The mean score of turnover intention was 3.04. Turnover intention according to age, total career, job objective, and work off showed significant differences. The significant positive correlations between emotional exhaust and turnover intention (r=.531, p<.001), job overload and turnover intention (r=.514, p<.001) were found. The significant factors influencing turnover intention were emotional exhaust (${\beta}$=.488, p<.001), career (${\beta}$=.175, p<.001), job overload (${\beta}$=.119, p= .003), and number of night (${\beta}$=.117, p=.002), which accounted for 40.3% of the variance. Conclusion: Thought this result, nursing managers should analyze the reasons for high turnover intention, focusing on the main factors affecting turnover intention and consider the solutions to decrease the turnover intention.