• 한국의료질향상학회지
• /
• 제28권2호
• /
• pp.2-13
• /
• 2022

Purpose:This study aimed to identify the effect of work interruption that influenced workload and perception of patient safety culture on ward nurses. Methods: Participants were 184 ward nurses, with more than 12 months of work experience, from two tertiary hospitals in S city. A descriptive correlational study design was used. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation, and hierarchical multiple regression analysis via SPSS version 27.0. Results: The results showed that general wards nurses had a higher degree of work interruption (t=5.632, p<.001) and workload (t=3.603, p<.001) compared to comprehensive nursing care service wards nurses. More interruption in nursing work caused more burden on work (γ=.440, p<.001) and led to lesser perception of patient safety culture (γ=- .199, p=.007). Finally, the regression analysis showed that work interruption had a statistically significant relevance on nurses' workload (F=20.582, p<.001) and perception of patient safety culture (F=8.792, p<.001). Conclusion: To alleviate ward nurses' work interruption and decrease the negative effect on workload and perception of patient safety culture, it is necessary to mediate nurse staffing level and the number of assistants and utilize the environment.

• Journal of the Korean Statistical Society
• /
• 제33권4호
• /
• pp.381-399
• /
• 2004

Statistical process control (SPC) and engineering process control (EPC) are based on different strategies for process quality improvement. SPC re-duces process variability by detecting and eliminating special causes of process variation, while EPC reduces process variability by adjusting compensatory variables to keep the quality variable close to target. Recently there has been need for an integrated process control (IPC) procedure which combines the two strategies. This paper considers a scheme that simultaneously applies SPC and EPC techniques to reduce the variation of a process. The process model under consideration is an IMA(1,1) model with a step shift. The EPC part of the scheme adjusts the process, while the SPC part of the scheme detects the occurrence of a special cause. For adjusting the process repeated adjustment is applied according to the predicted deviation from target. For detecting special causes the exponentially weighted moving average control chart is applied to the observed deviations. It was assumed that the adjustment under the presence of a special cause may increase the process variability or change the system gain. Reasonable choices of parameters for the IPC procedure are considered in the context of the mean squared deviation as well as the average run length.

• 품질경영학회지
• /
• 제45권4호
• /
• pp.677-696
• /
• 2017

Purpose: This study suggests that Six Sigma MBB should be used as a key talent to lead the fourth industrial revolution era by training them with big data processing capability. Methods: Through the analysis between articles on the fourth industrial revolution and Six Sigma related papers, common competencies of data scientists and Six Sigma MBBs were identified and the big data analysis capabilities needed for Six Sigma MBB were derived. Then, training was conducted to improve the big data analysis capabilities so that Six Sigma MBB is able to design algorithms required in the fourth industrial revolution era. Results: Six Sigma MBBs, equipped with the knowledge in field site improvement and basic statistics, were provided with 40 hours of big data analysis training and then were made to design a big data algorithm. Positive results were obtained after applying a AI algorithm which could forecast process defects in a field site. Conclusion: Six Sigma MBB equipped with big data capability will make the best talent for the fourth industrial revolution era. A Six Sigma MBB has an excellent capability for improving field sites. Utilizing the competencies of MBB can be a key to success in the fourth industrial revolution. We hope that the results of this study will be shared with many companies and many more improved case studies will arise in the future as a result of this study.

• 한국의료질향상학회지
• /
• 제27권1호
• /
• pp.20-25
• /
• 2021

Purpose: The ability to access clinical trials for cancer treatment is important. This study investigated whether regional differences exist in oncologic clinical trial protocols conducted in South Korea. Methods: Records of all approved oncologic clinical trials conducted in 2019 were downloaded from the Republic of Korea Ministry of Food and Drug Safety. The study covered Seoul, the capital area, other metropolitan cities, and provincial areas. Descriptive statistics summarized the distribution patterns of clinical trials by region. Results: A total of 202 oncologic clinical trials were conducted in 63 institutions in 2019. Of these protocols, 186 (92%) were available in Seoul, 120 (59%) in the capital area, 64 (32%) in metropolitan cities, and 66 (33%) in provincial areas. More regional differences in protocol availability were observed in domestic trials, investigator-initiated trials, phase 1 and 2 trials, and smaller-scale trials. Conclusion: Most oncologic clinical trials were conducted in medical institutions located in Seoul, with the rest conducted in the capital area, metropolitan cities, and provincial areas. The findings reveal clear differences in protocol availability between Seoul and the other regions. Measures designed to improve geographical access to oncologic clinical trials may be needed given their growing importance in cancer treatment.

• 대한한방부인과학회지
• /
• 제27권4호
• /
• pp.15-24
• /
• 2014

Objectives: There were only small studies about the difference of the quality of life depending on blood stasis. We investigated that the blood stasis made the differences of quality of life. Methods: We recruited the participants stratified according to age and gender. The participants were assessed independently by two Korean medicine doctors more than 7 years of clinical experiences whether or not with blood stasis. And they responded at the questionnaire associated with blood stasis and SF-36. The analysis was done with IBM SPSS Statistics (ver. 21). Results: Total 101 participants were checked for with/without blood stasis. 40 participants were accord in the diagnosis with blood stasis by two doctors. Two researchers coincided in diagnosis with non-blood stasis in 42 participants. 19 participants showed the discrepancy between the assessment of blood stasis and they were classified as non-blood stasis. The mean age in group of blood stasis was $44.07{\pm}11.65$, it was not shown the significant difference comparing non-blood stasis group. The subscale of physical function (PF), role-physical (RP), bodily pain (BP), general health (GH), vitality (VT), mental health (MH) and role emotional (RE) in SF-36 were significantly low in the group of blood stasis. Blood test including biochemistry, fibrinogen, prothrombin time and D-dimer was not in abnormal range according to blood stasis without CRP. Conclusions: The patients that diagnosed of blood stasis showed the bad physical health status, and partially bad mental health. It is necessary to investigate whether Korean traditional treatment for blood stasis would be made improvement for quality of life. Moreover, the standardization of diagnosis on blood stasis would be needed.

• 한국건설관리학회:학술대회논문집
• /
• 한국건설관리학회 2007년도 정기학술발표대회 논문집
• /
• pp.768-773
• /
• 2007

세계화 및 개방화에 능동적으로 대응할 수 있는 건설자재 정보속성 표준화는 건설산업 전반에 걸쳐 그 수요가 지속적으로 유지되고 있으며, 건설시장의 생산성에 획기적인 기여효과를 파생할 수 있는 기반기술이다. 건설자재 정보유통 활성화를 위해 건설자재 구매실무자를 대상으로 입수경로 및 정보속성을 조사하여 건설자재 정보제공체계의 현황을 분석하고, 이를 토대로 정보속성 개선점 및 활용도를 모색하여 표준화/정형화된 건설자재 일반정보 표준속성을 도출하고자 한다. 또한, 건설산업의 안정성 및 품질확보의 초석이 되는 품질정보 표준화를 위해 건설자재 품질인증 시험항목 분석을 수행하여 건설공정에 따라 정보속성을 분류하였으며, 이를 기반으로 품질정보 대표속성을 제시하고자 하였따. 건설자재 일반정보 속성도출의 논리성을 확립하고자 전자상거래를 위한 대표적 송성체계인 ECCMA와 ISO국제표준과의 호환성 검토를 기반으로 자재구매 실무자 200명을 대상으로 실태수요조사를 수행하여 통계적 분석을 수행하였으며, 품질정보속성 표준화의 체계성 확보를 위해 국제적으로 통용되고 있는 북미의 대표적인 분류체계인 Master Format(2004)을 준용하였다.

• 한국의료질향상학회지
• /
• 제4권2호
• /
• pp.174-183
• /
• 1997

Background : Medical records thought to be reflecting the quality of medicine. By this ground, examination of medical records can be served to evaluate, and to improve the quality of medical care. To examine the medical records, we need some standards or checklists which can be used to sort out the problems. Methods: We developed checklists for medical records evaluation. We studied 1,677 medical records about its completeness using this checklists in one educational hospital. Survey was completed by 5 well trained staffs of medical record department. Results are analyzed. SPSS/PC+ program was used for statistics. Results : 13.8% of discharge summary was incomplete. Recording of the demographic information was also poor in incomplete medical records compared to complete ones. Progress note was recorded average 4.16 times during 11.9 hospital days. After 4th hospital day, recording rate of progress note dropped sharply. Rate of professor's signature on operation records was poor(27%). He or she who described the discharge summary well also wrote progress note well. Conclusions: Fill-up of demographic date should be stressed during medical record education program. Strategy to create the environment emphasizing the responsibility of professor on quality medical record should be made. We suggest new index (number of records/hospital stay) for the evaluation of completeness of progress note.

• 한국콘텐츠학회논문지
• /
• 제15권1호
• /
• pp.221-232
• /
• 2015

남자 고등학생이 인지하는 삶의 질, 가족건강성, 자아탄력성이 학교적응에 미치는 영향을 확인하여 성공적인 학교적응을 위한 교육 프로그램 개발에 기초가 되는 자료를 제공하고자 서술적 상관관계 조사연구를 실시하였다. A시 소재의 1학년, 2학년 남자 고등학생 569명을 대상으로 삶의 질, 가족건강성, 자아탄력성과 학교적응과의 상관관계를 분석하고, 학교적응에 영향을 미치는 요인을 파악하기 위해 t-test와 ANOVA, 다중회귀분석(multiple regression analysis)을 실시하였다. 그 결과 아버지 직업, 어머니 학력, 학업성적, 경제 수준, 흡연과 음주 유무, 자살시도나 자살생각이 학교적응에 통계적 유의한 차이를 나타냈고, 학업성적, 자살생각, 삶의 질, 가족건강성, 자아탄력성이 학교적응의 영향 요인으로 나타났고, 설명력은 61.4%이었다. 그러므로 학생들의 삶의 질, 가족건강성, 자아탄력성을 증진시켜주며, 삶의 질을 높여줄 수 있는 학교와 가정, 사회가 연계된 프로그램의 시행이 필요하다.

• 한국물환경학회지
• /
• 제27권4호
• /
• pp.523-532
• /
• 2011

In this study, from 2004 to 2008 influents and discharging effluents from 241 municipal public sewage treatment plants were surveyed. Statistics including average, Coefficient of Variation (CV) and Coefficient of Reliability (COR) for each season, time series analysis for removal efficiency and water quality of effluents, and a comparison of the effluent standards in Korea and other countries were presented. The average concentrations of TN and TP in influents. during winter season were 32.6 and 3.78 mg/L and during other season were 30.8 and 3.61 mg/L in 2008, respectively. The average TN concentration on the basis of the maximum monthly concentrations in the effluents during winter season ranged from 14.2~17.4 mg/L and during other season ranged from 12.2~14.8 mg/L. The TP concentration in the effluents depending on the each season was no big difference. TN removal efficiency decreased from Jan. to Feb. and TP removal efficiency decreased in Jan., Jun and July. Maximum COR during winter season were 0.61 but the COR for TN and TP during other season ranged from 0.96~1.48 and 1.09~1.81, respectively, due to big difference in the standard for TN and TP in effluents depending on the season. TN and TP standards for effluent of sewage treatment during winter season in Korea was much higher than those in other countries. Therefore the lower effluent standards during winter season is essential for the water quality improvement.

• Korean Journal of Radiology
• /
• 제21권12호
• /
• pp.1345-1354
• /
• 2020

Objective: To evaluate radiomics analysis in studies on mild cognitive impairment (MCI) and Alzheimer's disease (AD) using a radiomics quality score (RQS) system to establish a roadmap for further improvement in clinical use. Materials and Methods: PubMed MEDLINE and EMBASE were searched using the terms 'cognitive impairment' or 'Alzheimer' or 'dementia' and 'radiomic' or 'texture' or 'radiogenomic' for articles published until March 2020. From 258 articles, 26 relevant original research articles were selected. Two neuroradiologists assessed the quality of the methodology according to the RQS. Adherence rates for the following six key domains were evaluated: image protocol and reproducibility, feature reduction and validation, biologic/clinical utility, performance index, high level of evidence, and open science. Results: The hippocampus was the most frequently analyzed (46.2%) anatomical structure. Of the 26 studies, 16 (61.5%) used an open source database (14 from Alzheimer's Disease Neuroimaging Initiative and 2 from Open Access Series of Imaging Studies). The mean RQS was 3.6 out of 36 (9.9%), and the basic adherence rate was 27.6%. Only one study (3.8%) performed external validation. The adherence rate was relatively high for reporting the imaging protocol (96.2%), multiple segmentation (76.9%), discrimination statistics (69.2%), and open science and data (65.4%) but low for conducting test-retest analysis (7.7%) and biologic correlation (3.8%). None of the studies stated potential clinical utility, conducted a phantom study, performed cut-off analysis or calibration statistics, was a prospective study, or conducted cost-effectiveness analysis, resulting in a low level of evidence. Conclusion: The quality of radiomics reporting in MCI and AD studies is suboptimal. Validation is necessary using external dataset, and improvements need to be made to feature reproducibility, feature selection, clinical utility, model performance index, and pursuits of a higher level of evidence.