• 제목/요약/키워드: Monitoring indicators

검색결과 328건 처리시간 0.025초

국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황 (Assessing the Quality for Blood Transfusion Service since the 1st National Quality Assessment Program in South Korea)

  • 권진아;조은정;정아현;김동숙
    • 한국의료질향상학회지
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    • 제28권2호
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    • pp.30-38
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    • 2022
  • Purpose: The Health Insurance Review and Assessment Service (HIRA) in South Korea initiated a quality assessment (QA) program for blood transfusion healthcare services in 2020 to ensure patient safety and appropriate blood use. This study examines the quality of blood transfusion services since the first national QA program for blood transfusion services in Korea. Methods: We analyzed HIRA claims and QA investigation data based on inpatient medical records from all tertiary, general, and primary hospitals between October 2020 and March 2021. The target population was patients aged 18 years and older who received either total knee arthroplasty or red blood cell transfusion. The QA indicators for transfusion healthcare service consisted of four quality indicators and four monitoring indicators. Results: We analyzed the results of QA indicators for transfusion service from the medical records of 189,668 patients from 1,171hospitals and expressed indicators as proportions. The average results for evaluation indicators were as follows: transfusion checklist presence, 64.8%; irregular antibody tests, 61.8%; transfusions in which the hemoglobin levels before transfusion met the transfusion guidelines for patients undergoing total knee arthroplasty, 20.6%, and transfusions in patients undergoing total knee arthroplasty, 59.3%. The average results for monitoring indicators were as follows: transfusion management implementation in medical institutions, 56.9%; preoperative anemia management in anemia patients undergoing total knee arthroplasty, 43.9%; one-unit transfusions, 82.5%; and the transfusion index. Conclusion: The quality of blood transfusion healthcare varied and the assessment revealed that there is scope for improvement. Hospitals require more effective blood transfusion management and this can be facilitated by providing feedback on the QA results about blood transfusion healthcare services to medical institutions, and by disclosing the results to the public.

필댐 안전관리를 위한 계측기 중요도의 평가기법 (Evaluation Technique of Importance of Monitoring Systems for Earth and Rockfill Dam Safety)

  • 이종욱;김재홍;오병현
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2009년도 춘계 학술발표회
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    • pp.874-882
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    • 2009
  • Continuous monitoring of dam performance is essential to earth and rockfill dams safety because it has to be guaranteed for safety during construction period of course and from initial impounding to a long term maintenance period of dam. Among the 31 dams managed by Kwater at present, the proportion of dams being over 20 years after completion of construction is 42% and it is estimated that the loss rate of monitoring devices will be increase as times. Monitoring devices would be impossible to repair since those are mostly installed in the dam body and foundation. If repairing of monitoring devices is possible, the expenditure will be expensive. Therefore reasonable decision making for abandonment, repair and alternation for loss of monitoring devices would be needed through the establishment of key instrument for earth and rockfill dam safety. In this study the process of monitoring for safety were modeled by failure modes of dams, adverse conditions related to failure mode, indicators of adverse condition and monitoring devices The relationship between failure mode and monitoring devices were systematically analyzed and established and evaluation technique for qualifying the importance of monitoring devices were presented.

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Self-rated Health and Its Indicators: A Case of the 2001 Korean National Health and Nutrition Examination Survey

  • Ahn Byung-Chul;Joung Hyo-Jee
    • Journal of Community Nutrition
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    • 제8권1호
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    • pp.38-43
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    • 2006
  • There were numerous evidences that subjective health evaluation was a powerful indicator for morbidity and mortality in many countries. Since self-rated health (SRH) was a reasonable health measure, identifying predictors for SRH would be beneficial for assessment of overall health, monitoring health status, and development of health promotion programs. Health risks, health behavior, socioeconomic characteristics and social capital were potential indicators for SRH. We examined association. between SRH and indicators such as health risk factors, subjective living condition, income, education level and dietary variety score. Total 4,262 subjects, aged between 20 and 69 years old, were selected from KNHANES 2001; those who completed health examination, nutrition survey, and provided their socioeconomic information. Results of logistic regression showed that it was likely to have better SRH for those who were younger, male and have higher education, higher income, better living condition, no metabolic syndrome and higher dietary variety.

엔드밀링 가동시 절삭력 신호와 공구마모에 대한 실험적 연구 (An Experimental Study on Cutting Force Signal and Tool Wear in End Milling)

  • 박철기
    • 한국공작기계학회:학술대회논문집
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    • 한국공작기계학회 1998년도 춘계학술대회 논문집
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    • pp.30-34
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    • 1998
  • In-process monitoring of cutting conditions and tool wear is important for improving productivity. This paper is concerned with on-line monitoring of tool wear and cutting force in end milling operation. The experimental study deals with the relations between flank wear and cutting force signal. Tool wear is detected by monitoring of cutting signal. A monitoring procedure is shown in this paper. The influence of flank wear on cutting signal activity was examined. The results are presented in the form of graphs. The analysis of the cutting signal and flank wear curves provides useful indicators of unacceptable wear development in the tool.

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산림유전자원보호구역의 관리효과성 평가 적용 (Management Effectiveness Evaluation(MEE) in Protected Areas for Forest Genetic Resources)

  • 류광수;최재용;신현탁
    • Journal of Forest and Environmental Science
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    • 제27권3호
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    • pp.205-210
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    • 2011
  • This study aims to assess MEE(management effectiveness evaluations) on PAs(protected areas) for forest genetic resources which play an important role in biodiversity conservation, and then to suggest better ways to manage PAs for forest genetic resources. This study applies same indicators of the MEE on PAs as the ones described in the prior study(Ryu et al. 2011). The indicators applied are composed of five elements, thirty-two indicators which all would be grouped into one element by each traits. Overall indicators belonging to the element of output and outcome are comparatively low. Especially the ones related to the change of biodiversity, degree of ecosystem health, variation of civil complaint and visitor satisfaction are ranked mostly low. The element of input shows the low rank on the number of staff and budget. The score of indicators related to the identification of the threats of PAs and local communities' supports turn out to be low in the element of Context. The element of process, however, has scored low on Staff management, Education/Awareness programs and Governance, while the law enforcement, management regulation and capacity to prevent forest disasters have made relatively high score. Meanwhile, all indicators in the element of planning have scored relatively high as compared to the indicators belonged to other elements. This study suggests to strengthen a few constructive proposals, such as facilitating efficient management framework for PAs, developing local community cooperation program, establishing survey, research and monitoring system, and registering PAs to the WDPA(World Database on Protected Areas) according to the IUCN categories.

건강도시 웹데이터베이스 활용방안 연구: 원주시 사례 (A Study on the Application of Web Database for Healthy City Wonju)

  • 남은우;박재성;최은희;김경나
    • 보건의료산업학회지
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    • 제6권1호
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    • pp.219-229
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    • 2012
  • The purpose of this study is to introduce the web database for healthy city Wonju that contains healthy city indicators and materials. It has provided diverse information to public officers who are working on healthy city projects and citizens for monitoring and evaluating the projects, effectively. The web database was made on 2006 and was updated on 2009. The new Web database system was designed for supporting that the staffs of healthy city can manage all data update by themselves. The new Web database encompasses more recent information about health city projects. After identifying users' needs and reasons for modifying the fields of data, we added new indicators to the Web database. Some redundant indicators were deleted based on users' requests. The Web database quality evaluations were performed by using 13 quality evaluations constructs. Through all 13 constructs, less than 20% of study subjects felt that it did not satisfy their needs or expectations. Well developed and verified contents of the Web database for healthy city are very essential and important. The database makes healthy city projects alive by managing and sharing healthy city related data and indicators effectively.

Biological indicators to monitor responses against climate change in Korea

  • Lee, Byoung-Yoon;Nam, Gi-Heum;Yun, Jong-Hak;Cho, Ga Youn;Lee, Jin Sung;Kim, Jin-Han;Park, Tae Seo;Kim, Kigyoung;Oh, Kyounghee
    • 식물분류학회지
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    • 제40권4호
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    • pp.202-207
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    • 2010
  • The most useful criteria and selection procedures of biological indicators have been developed in Korea because they have taken into account local and national concerns on biological responses against climate change. On the basis of these criteria and selection procedures, 100 climate-sensitive biological indicator species were selected to predict biodiversity distribution shift by climate change and manage biological resources integratedly at the national level. It is expected that selection and monitoring of biological indicators by climate change will provide significant information to prepare protective strategies of vulnerable species against climate change and adaptive policies under the changing environment in Korea. In this paper, we have reviewed what kinds of criteria were considered in selecting bioindicators to assess responses of biological organisms against climate change. Definition and selection steps of bioindicators were proposed, and the 100 species of climate- sensitive biological indicators were selected out of 33,253 taxa reported in Korea.

Influence line- model correction approach for the assessment of engineering structures using novel monitoring techniques

  • Strauss, Alfred;Wendner, Roman;Frangopol, Dan M.;Bergmeister, Konrad
    • Smart Structures and Systems
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    • 제9권1호
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    • pp.1-20
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    • 2012
  • In bridge engineering, maintenance strategies and thus budgetary demands are highly influenced by construction type and quality of design. Nowadays bridge owners and planners tend to include life-cycle cost analyses in their decision processes regarding the overall design trying to optimize structural reliability and durability within financial constraints. Smart permanent and short term monitoring can reduce the associated risk of new design concepts by observing the performance of structural components during prescribed time periods. The objectives of this paper are the discussion and analysis of influence line or influence field approaches in terms of (a) an efficient incorporation of monitoring information in the structural performance assessment, (b) an efficient characterization of performance indicators for the assessment of structures, (c) the ability of optimizing the positions of sensors of a monitoring system, and (d) the ability of checking the robustness of the monitoring systems applied to a structure. The proposed influence line- model correction approach has been applied to an integrative monitoring system that has been installed for the performance assessment of an existing three-span jointless bridge.

정량적 평가지표를 활용한 도시재생 선도지역 사업효과 분석 - 천안시 선도지역을 사례로 - (An Analysis of the Urban Regeneration Priority Regions Project Using Quantitative Evaluation Indicators - In Case study of Cheonan Priority Regions -)

  • 류신현;임남기
    • 대한건축학회논문집:계획계
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    • 제35권10호
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    • pp.83-90
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    • 2019
  • The purpose of the present study is to confirm, through quantitative indices, changes arising with the implementation of urban regeneration projects, with a specific focus on the case of Dongnam-gu, Cheonan, one of the 13 priority rgions in urban regeneration. By utilizing quantitative data including resident population, floating population, revenue, number of small business persons, number of startup companies, and number of licensed buildings, the study confirmed changes in Dongnam-gu and other urban regeneration areas. The study compared monitoring results and implemented project policies to confirm changes within the area as a result of project implementation. Additionally, resident perception toward business districts was surveyed to confirm changes in perception and opinion, and monitoring indices were used to confirm changes as a result of project implementation. Accordingly, the study presented a plan to carry out the assessment of urban regeneration projects, which can be employed as data for conducting future urban regeneration projects. Urban regeneration projects are carried out for the long-term. Therefore, based on monitoring and investigative data, they require constant policy suggestions and periodic monitoring in accordance with changes resulting from project implementation. With regards to the effective range of urban regeneration projects, the study confirmed the possibility of an effect not only in the area of project implementation but also in surrounding areas. However, because the study merely confirms changes in Dongnam-gu, Cheonan, additional research is necessary to ascertain assessment plans suitable to the different types and regional characteristics of urban regeneration projects.

원주시 건강도시 웹 데이터베이스 구축 (Building Web Database for WHO Healthy City Wonju)

  • 남은우;신택수;송예리아;박기수;송태민;김민경;박재성
    • 보건교육건강증진학회지
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    • 제24권3호
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    • pp.119-128
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    • 2007
  • The purpose of this study is to develop Web database for healthy city that contains healthy city indicators for making city health plans, setting project priorities, monitoring projects, and evaluating healthy city projects, effectively. Using Delphi survey method for identifying indicator domains and indicators, we extracted nine domains with thirty-four healthy city indicators. Based on the appraisals of DB users about the contents of DB, a web database for healthy city Wonju was constructed. We developed a web database system for the purposes of sharing high quality health related data for managing and evaluating healthy city projects. The web database currently provides variety data in the web address, http://healthycity.wonju.go.kr/index.html. The web DB comprised with major healthy city indicators that are the most important indicators, healthy city indicator data that have a variety data set for encompassing all domain areas such as city infrastructure, health medicine, economies, and all other related areas and qualitative data that contains policy reports, research results, healthy city information and all other tips. A database of healthy city is very essential and important because it makes healthy city projects alive by managing and sharing healthy city related data effectively. But we need to fill out some blank cells in DB because there are currently unavailable data for some indicators. In conclusion, we expect the web DB contributes information sharing of healthy city project teams and improving healthy city project quality at Wonju city in Korea.