• Journal of Digital Convergence
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• v.13 no.6
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• pp.185-195
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• 2015

This study aims to study the change in the level of awareness of medical personnels regarding the patient safety culture(PSC) before and after the Leadership WalkRounds(LWR). The LWR in this study was based on the IHI and the models of the Patient Safety Rounds(PSRs) at University of Michigan, emphasizing the 5 steps of Preparation--Scheduling--Conducting--Reporting--Resolving. After the LWR the scores for the level of awareness showed a statistically significant increase from 2.63 to 3.36(p<.001). Among the participants, those who are pharmaceutists, women, 30.0~39.9 years old, or had work experience of a year or less showed particularly notable increase in awareness. The effect was significant across all categories of PSC, especially in Safety Accident Reporting(p<.001), then in Communication(p<.001). Therefore the LWR proved an convergent concept for applying new leadership skill and the concept of patient safety management as an method to elevate the frontline staffs' awareness of PSC.

• Knowledge Management Research
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• v.16 no.1
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• pp.209-224
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• 2015

Previous studies provided that limiting the number of services provided in hospital had influences in decreasing cost in delivering medical services. Hospitals could have positive effects on their profit by concentrating small number of services which they have comparative advantages. This study purposed to analyze the relationship between the concentration status of hospitals and medical charge for inpatients. National Inpatient sample data provided by the Health Insurance Review and Assessment Service (HIRA) for three years, 2009 to 2011 was used to compute the three concentration indices (Information Theory Index (ITI), Internal Herfindahl Index (IHI), and number of distinct Diagnosis-Related Groups (DRGs) treated) and total medical charge per inpatient case in each year. It was also used to select the control variables such as bed size, number of doctors per 100 beds, and locations. The ordinary least square regression models were developed and tested for hospital and general hospitals separately. The results showed that the total medical charge per inpatient case was significantly differed depending on the concentration indices, and there were positive relationships in ITI and IHI. The number of distinct DRGs had different directions in regression coefficients depending on the locations and hospital types. Hospitals had larger absolute standardized regression coefficients compare to those of general hospitals. However, their effects could be varied by the hospital types, number of doctors, and locations. It seems that hospitals have more influences on medical charges by concentrating their services than general hospitals. Study results provide knowledges to hospital administrators that concentration strategy can positive influences on the performance of small size hospitals.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 1997.04a
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• pp.620-624
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• 1997

Corrugated membranes which are used as a means of liquid- and gas-sealing for a LNG storage tank and provide one of the most reliable primary barrier are the main component of in-ground membrane types for the assurance of high safety. It absorbs large thermal and mechanical deformations caused by ultra low temperature of LNG, -162 .deg.c, the cryogenic liquid and mechanical deformations caused by was carried out on crossing corrugation by commercial F.E code, ANSYS. This paper presents some of results in stress analysis of membranes performed for the purpose to investigate the strength of existing membrane for LNG storage tank designed by IHI,MHI, KHI and KGC expect for Technigaz eariy published. Based on these analytical studies,design criteria were estabilished and SHI original membranes having a high level of safety and fitting to larger capacities were developed.

• International Journal of Fluid Machinery and Systems
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• v.2 no.4
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• pp.409-417
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• 2009

An investigation of surge inception in a centrifugal compressor was done with measurements of steady and unsteady static pressure. Vaneless diffuser and vaned diffuser were tested. Analyses of the static pressure and the pressure fluctuation showed that stall at the impeller leading edge occurred at first, and then it extended to downstream. In case of the vaneless diffuser, deterioration of the pressure rise in the impeller triggered instability. For the vande diffuser, instability that was generated in the impeller propagated into the vaned diffuser, however the pressure recovery by the vaned diffuser made the operation of the compressor stable at low flow rate.

• Journal of the Korea Convergence Society
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• v.7 no.4
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• pp.59-66
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• 2016

This study analyzed the relationship between the convergence performance in hospital. This study examined previous research and calculated centralized index using diagnosis related groups. In addition, multiple regression analysis was used based on LOS in order to understand the effect of focused strategy which quality of medical inpatient service. The centralized level was examined by analyzing national inpatient sample data using 'Internal Herfindahl-Hirshman index' This study is significant because it reviewed medical inpatient service quality by measuring hospital centralized level which has been rarely studied before Korea.

• Proceedings of the KSPS conference
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• 2007.05a
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• pp.149-151
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• 2007

This study was designed to investigate fast ab/adduction rate of articulation valves in normal adults. The measurement of fast ab/aduction rate has traditionally been used for assessment, diagnosis and therapy in patients who suffered from dysarthria, functional articulation disorders or apraxia of speech. Fast ab/adduction rate shows the documented structural and physiological changes in the central nervous system and the peripheral components of oral and speech production mechanism. Fast ab/adduction rates were obtained from 20 normal subjects by producing the repetition of vocal function (/ihi/), tongue function (/t${\wedge}$/), velopharyngeal function (/m/), and labial function (/p${\wedge}$/). The Aerophone II was used for data recording. The results of finding as follows: average fast ab/adduction rates were vocal function(6.21cps), tongue function(7.42cps), velopharyngeal function(5.23cps), labial function (6.93cps). The results of this study are guidelines of normal diadochokinetic rates. In addition, they can indicate the severity of diseases and evaluation of treatment.

• Speech Sciences
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• v.15 no.2
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• pp.177-189
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• 2008

This study was to investigate diadochokinetic (DDK) rate, regularity and mean flow rate of articulation valves in dysarthria. DDK rate, mean airflow rate (MFR) and regularity of DDK syllable repetitions of vocal function /ihi/, tongue function /ta/, velopharyngeal function /bm/, and labial function /pa/ in 24 normal and dysarthric speakers were measured. Aerophone Ⅱ and Motor Speech Profile were used for data recording and analysis. The results of the findings were as follows: First, there were significant differences between the dysarthria and the normal group in DDK rate. DDK rates in ataxic dysarthria were the lowest and spastic, flaccid, and hypokinetic dysarthria followed in sequence. Second, there was a significant difference between the dysarthria and the normal group in DDK regularity. Third, there was a significant difference between dysarthria groups and normal group in DDK MFR. Finally, there was a significant difference between the 4 groups of dysarthria and the normal group in DDK air flow tracking. The results of this study can be guidelines for normal DDK rate, regularity and flow rate in dysarthria groups. In addition, their differential diagnoses and descriptions are important to make a decision on medical and behavioral management of the individuals with disorders according to DDK characteristics.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2008.03a
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• pp.622-627
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• 2008

Experiment of active noise control on supersonic jet noise was conducted by use of microjet injection. The microjets were injected to the shear layer of the main jet through 22 small holes at the lip of a rectangular nozzle. Based on the measurement of farfield sound pressure, it was found that the jet noise was effectively reduced by several dB(in some cases up to 10 dB). The power levels of all measurement points were also reduced by use of microjet injection. The microjet affected not only the broadband noise but also the screech tone noise. The sound pressure level, the frequency of the screech tone, and the structure of the jet could be changed by the microjet. Flow visualization with schlieren technique was also made to observe the effect of microjet on the flow field.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2008.03a
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• pp.419-426
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• 2008

As pulse detonation engine(PDE) does not need compression mechanisms such as compressors because self-sustained detonation waves are able to compress propellant gases by their incident shock waves, the PDE can have a simple straight-tube structure. In this study, we propose an autonomous driving valve system of the PDE, which fill premixed gases into the PDE tubes at high frequency with high mass flow rate. The proposed valve is composed of only three parts: a piston, a cylinder, and a spring. This valve system can produce intermittent flow at high mass flow rate, and also can keep stable reciprocal motion by using the propellant-gas enthalpy. When the cylinder content product is assumed to be constant, experimental results of the mass flow rate were approximately equal to the calculation model. We confirmed the autonomous driving valve performance by experiments, and concluded that this extremely simple valve with no electrical power and controller can be used as the PDE propellant supply system.

• Quality Improvement in Health Care
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• v.19 no.2
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• pp.14-34
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• 2013

Objectives: The purpose of this study is to provide comprehensive information of qualification systems of developed countries needed to establish our national system for QI(Quality improvement) specialists. Methods: All articles related to any applicable domestic or foreign countries' laws, operational status, and detailed programs for professional qualification system of QI were reviewed. Result: In the United States, a non-profit organization, Healthcare Quality Certification Commission (HQCC) has set the policies, procedures and standards in the field of health care quality. And qualification system of CPHQ (certified professional in healthcare quality) has been operated in order to authenticate the qualifications in the field of quality management. IBQH(international Board for quality in healthcare), a qualification system of experts in the United Kingdom, was designed to assist the qualification of professionals to improve the quality of healthcare. In addition, Health Research Center of Feinberg School of Medicine in Northwestern University has been operating Master's and doctoral degree programs in the field of the quality of care and patient safety and IHI (institute for healthcare improvement) open school was operating a professional training course related to the quality of care and patient safety. Conclusion: Quantity and complexity of information of the quality of care and patient safety have been increased. For reform of the health care system, a special training course of the expertise and leadership are needed. So far, there is no national professional certification courses in our nation. Therefore essential job skill should be acquired individually. For systematic and effective quality improvement activities, the educational and certification system with professional development model are needed.