• 제목/요약/키워드: MANAGEMENT GUIDELINE

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중풍환자에 대한 일차 한의임상진료 가이드라인 (Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation)

  • 한창호
    • 대한한방내과학회지
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    • 제33권4호
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    • pp.347-366
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    • 2012
  • The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발 (Development of the Nursing Practice Guideline for Pain Management according to the Guideline Adaptation Process)

  • 은영;유미;구미옥;조용애;김경숙;김태희;이현희;전미진
    • 임상간호연구
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    • 제25권1호
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    • pp.1-14
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    • 2019
  • Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.

2018 Korean Guideline of Atrial Fibrillation Management

  • Joung, Boyoung;Lee, Jung Myung;Lee, Ki Hong;Kim, Tae-Hoon;Choi, Eue-Keun;Lim, Woo-Hyun;Kang, Ki-Woon;Shim, Jaemin;Lim, Hong Euy;Park, Junbeom;Lee, So-Ryoung;Lee, Young Soo;Kim, Jin-Bae;KHRS Atrial Fibrillation Guideline Working Group
    • Korean Circulation Journal
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    • 제48권12호
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    • pp.1033-1080
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    • 2018
  • Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. The Korean Heart Rhythm Society organized a Korean AF Management Guideline Committee and analyzed all available studies regarding the management of AF, including studies on Korean patients. This guideline is based on recent data of the Korean population and the recent guidelines of the European Society of Cardiology, European Association for Cardio-Thoracic Surgery, American Heart Association, and Asia Pacific Heart Rhythm Society. Expert consensus or guidelines for the optimal management of Korean patients with AF were achieved after a systematic review with intensive discussion. This article provides general principles for appropriate risk stratification and selection of anticoagulation therapy in Korean patients with AF. This guideline deals with optimal stroke prevention, screening, rate and rhythm control, risk factor management, and integrated management of AF.

성인 뇌 손상 발열 중환자를 위한 체온 중재 지침 개발 (Development of Evidence-Based Guideline for Fever Management of Critical Adult Patients with Brain Injury)

  • 이정민;조용애;윤지현;최혜옥;김남초
    • 임상간호연구
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    • 제22권3호
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    • pp.265-275
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    • 2016
  • Purpose: The purpose of this study was to develop an evidence-based guideline for fever management for critically ill adult patients after a brain injury. Methods: Development of the guideline process was done according to the De Novo development Korean Medical Guideline Information Center (KoMGI) and consists of 12 steps. Results: This developed guideline included 3 domains and 19 recommendations. The number of recommendations for each domain was 7 on measuring temperature, 9 on managing fever, and 3 on managing shivering. The level of evidence was as follows: 58% were at level I, and 42% at level II. Of the recommendations, 58% were graded as A, 37% as B, and 5% as C. Conclusion: These findings indicate that this guideline can be used as a guide for nursing in critically ill adult patients with brain injury. This guideline can also contribute to improvements in the quality of nursing care for critically ill adult patients with brain injury.

수변구역 산림의 수질정화기능 증진 (II) -­문제점과 대책을 중심으로­- (Enhancement of Water Purification Functions of Watershed Basin (II) -­With a Special Reference to the Point at Issue and Counterplans­-)

  • 박재현
    • 한국환경복원기술학회지
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    • 제5권3호
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    • pp.58-65
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    • 2002
  • This study synthesizes previous research accomplishments with analysis of problems and counterplan for the riparian forest zone management and ongoing research strategy is suggested. If a part of budgets for water use allotments is supported for forest watershed owner, this policy for the forest owner could encourage the forest management of watershed. Integrated riparian forest management guideline in city and county needs to be established for the implementation of government guidelines. Base on the guideline, working plans of city and county could be evaluated. Public Forest Tending Work for stream water quality and quantity conservation should be enlarged for forest watershed and forest area management in five big river watersheds. Forest watershed should be managed with a connected system for a pollutant reduction strategy in urban and industrial areas.

방화문 시공시 현장품질관리지침 적용에 관한 연구 (A Study on the Application of Quality Management to Fire Door Construction)

  • 최동호
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2019년도 추계 학술논문 발표대회
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    • pp.90-91
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    • 2019
  • When the fire door is recently installed in the field, there are frequent cases where the fire door is manufactured with fire door having low quality or different structure compared to the performance that the fire door producer has confirmed in the performance test or the construction specification. Accordingly, on-site quality management and maintenance guideline for fire doors were presented. In this paper, we tried to explain the requirements for the construction of fire doors during the on-site quality management and maintenance guideline for fire doors presented in the study.

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한국 기록관리학 대학원 교육지침서 모형 개발에 관한 연구 (A Study on the Development of a Guideline Model for a Graduate Program in Archival Studies in Korea)

  • 이윤정;정연경
    • 한국기록관리학회지
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    • 제21권4호
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    • pp.65-80
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    • 2021
  • 기록관리전문가의 역할은 전통적인 기록관리 뿐 아니라 정보기술을 기반으로 전자기록관리까지 주도적으로 실행하는 역할로 확장되고 있다. 본 연구에서는 기록관리전문가 양성과정인 기록관리학 대학원 교육지침서의 구성요소, 지식범주, 지식내용의 적절성과 타당성을 검증하기 위하여 전문가 델파이 평가를 실시하였다. 전문가 평가 결과 교육지침서의 구성요소는 서문, 교육 내용, 교원 요건, 교육 과정, 행정적 지원, 결론이고 교육 내용은 8개 지식범주와 44개 지식내용으로 구성되었다. 본 연구는 교육지침서 모형 개발을 통해 기록관리학 대학원에서 준수해야 하는 최소한의 기준인 구성요소를 제시하고, 이론과 실무 역량을 갖춘 기록관리전문가 양성을 위한 교육내용을 제시하였다. 본 연구 모형은 향후 교육지침서 제정을 위한 기초자료로 활용될 수 있을 것이다.

비즈니스 프로세스 관리 표준 도입 전략 및 지침 개발: 비즈니스 프로세스 실행 언어를 중심으로 (Development of Adoption Strategy and Guideline of Business Process Management Standards: Focusing on Business Process Execution Language)

  • 김동수
    • 한국IT서비스학회지
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    • 제5권2호
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    • pp.107-123
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    • 2006
  • The objectives of this study is to develop a strategy for the adoption of BPM(Business Process Management) standards and an implementation guideline of the BPM standard for BPM solution developers focusing on BPEL(Business Process Execution Language) which is regarded as the most important BPM standard. In the heterogeneous and distributed IT environments, every type of enterprise software requires standards to enhance interoperability. BPMS(Business Process Management System), which is a type of enterprise software requires BPM standards such as BPEL(Business Process Execution Language), BPMN(Business Process Modeling and Notation), BPQL(Business Process Query Language) and so on to achieve multi-system interoperability and component interoperability with their BPM solutions. It is quite helpful to provide the adoption strategy concerning BPM standards for each type of BPM solution vendors who need the BPM standards. Since the BPEL is conceived as the most important BPM standard and widely adopted by many BPM vendors, we have proposed a reference architecture for BPEL implementation and also developed the detail implementation guideline of core components of the BPM system supporting the BPEL standard. Using the strategy and implementation guideline proposed in this work, BPM solution vendors can establish their own standard adoption strategy and they can also develop their BPM solutions supporting the BPM standards more efficiently.

BPM 표준의 도입 전략 및 활용 가이드라인의 개발 (Development of a Strategy and Guideline for Adopting Business Process Management Standards)

  • 김민수;임태수;김동수
    • 한국전자거래학회지
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    • 제12권2호
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    • pp.249-267
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    • 2007
  • BPM(Business Process Management)에 대한 관심이 커지면서 BPM 시스템의 상호운용성을 확보하기 위해 프로세스 모형화, 실행과 운영, 모니터링과 통제 측면에서 여러 표준들이 등장하고 있다. 본 연구의 목표는 BPM 표준의 도입전략을 제시하고, BPM 표준 도입기업이 활용할 수 있는 세부적인 BPM 표준 적용 가이드라인을 개발하는 것이다. 프로세스 모형화 측면의 BPMN(Business Process Modeling Notation), 프로세스 실행과 운영 측면에서의 BPEL(Business Process Execution Language), 모니터링과 통제에 초점이 맞춰진 BPQL(Business Process Query Language) 등의 BPM 표준 도입 전략을 제시하고 각 표준들의 활용 가이드라인을 개발하였다. 본 연구에서 제시한 표준 도입 전략과 활용 가이드라인을 활용하여 기업들은 BPM 표준을 자사의 솔루션에 적용하는 과정에서의 시행착오를 줄임으로써 보다 효율적인 개발이 가능할 것으로 기대된다.

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공항전문기업의 BCP기법을 활용한 위기대응 가이드라인 개발에 관한 연구 (A Study on Developing the Guideline of Risk Management utilizing BCP technique for Airport Corporation)

  • 서병석;신도형
    • 대한안전경영과학회지
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    • 제17권2호
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    • pp.67-78
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    • 2015
  • The purpose of the establishment of corporation's Business Continuity Plan(BCP) is to maintain corporations' own business and establish the response plan in order to resume operation in a short time period when crisis situations occur due to natural disaster and human error. This study has presented all types of procedures and criteria which are needed to establish the airport crisis response system in order to maintain the business continuity by utilizing BCP technique. Basically the risk response procedures must be established in the process of (1) preparation stage, (2) plan development stage, (3) documentation stage, (4) test & maintenance stage. The guideline has been suggested that each stage must be carried out in the sequence of Policy & Planning Responsibility, Business Impact Analysis, Recovery Strategy & Plans, Emergency Plan & SOP, Training Awareness and Maintenance & Review