• 제목/요약/키워드: Non-decision Making

검색결과 479건 처리시간 0.026초

수술환자의 권리보호에 대한 형사법적 쟁점 - 환자의 자기결정권을 중심으로 - (A Criminal Legal Study in the Protecting the Right of Surgical Patients - Self-Determination of Patients -)

  • 유재근
    • 의료법학
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    • 제16권2호
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    • pp.3-26
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    • 2015
  • 수술행위는 신체에 대한 침습을 포함하는 것이므로 의료인은 수술주체와 수술행위의 내용을 충분히 설명하여 환자가 그 수술을 받을 것인지의 여부를 선택하도록 하여야 하고, 이는 헌법 제10조에서 규정한 개인의 인격권과 행복추구권에 의하여 보호되는 환자의 자기결정권에 해당한다. 미국에서는 '대리수술'의 경우 폭행에 해당한다고 판단한 사례가 있으나, 국내에서는 아직까지 수술의사에 대한 상해죄 등을 인정한 사례가 없고, 수술행위는 환자의 신체에 대한 적대적인 손상행위가 아니므로 상해죄로 처벌하기 어려운 면이 있다. 또한 환자의 '가정적 승낙'을 폭넓게 인정하는 판례의 입장에 따르면 의사의 전단적 의료행위에 대하여 업무상과실치사상죄로 처벌하기도 어려우므로, 환자의 자기결정권 강화를 위하여 의사의 설명의무를 의료법 등에 명문화하고, 대리수술 등 전단적 의료행위에 대하여 별도의 처벌규정을 입법화할 필요가 있다.

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슬라이딩 윈도우 기반의 스트림 하이 유틸리티 패턴 마이닝 기법 성능분석 (Performance Analysis of Siding Window based Stream High Utility Pattern Mining Methods)

  • 양흥모;윤은일
    • 인터넷정보학회논문지
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    • 제17권6호
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    • pp.53-59
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    • 2016
  • 최근 무선 센서 네트워크, 사물 인터넷, 소셜 네트워크 서비스와 같은 다양한 응용 분야에서 대용량 스트림 데이터가 실시간으로 생성되고 있으며, 효율적인 기법을 통해 처리 및 분석하여 유용한 정보를 찾아내고, 이를 의사 결정을 위해 사용할 수 있도록 하는 것은 중요한 이슈 중에 하나이다. 스트림 데이터는 끊임없이 빠른 속도로 생성되므로 최소한의 접근을 통해 처리해야 하며, 신속한 저전력 처리를 필요로 하는 자원이 제한된 환경에서 분석될 수 있도록 적합한 기법이 요구된다. 이러한 문제를 해결하기 위해, 슬라이딩 윈도우 개념이 제안되어 연구되고 있다. 한편, 대용량 데이터로부터 의미 있는 정보를 찾아내기 위한 데이터 마이닝 기법 중에 하나인 패턴 마이닝은 중요 정보를 패턴 형태로 추출한다. 전통적인 빈발 패턴 마이닝은 이진 데이터베이스를 대상으로 하고 모든 아이템을 동일한 중요도로 고려함으로써 데이터 마이닝 분야에서 중요한 역할을 수행해 왔지만, 실제 데이터 특성을 반영하지 못하는 단점을 지닌다. 하이 유틸리티 패턴 마이닝은 비 이진 데이터베이스로부터 상대적인 아이템 중요도를 반영하여 더욱 의미 있는 정보를 찾아내기 위해 제안되었다. 정적 데이터를 대상으로 하는 하이 유틸리티 패턴 마이닝 기법은 그러나 스트림 데이터 처리에 적합하지 못하다. 제한된 환경에서 스트림 데이터의 특성을 반영하고 효율적으로 처리하여 중요한 정보를 찾아내기 위해 슬라이딩 윈도우 기반의 접근법이 제안되었다. 본 논문은 슬라이딩 윈도우 기반 하이 유틸리티 패턴 마이닝 기법들의 성능을 평가하고 분석하여 해당 기법들의 특성 및 발전 방향을 고찰한다.

Lessons from Haitai Distribution Inc's experience in Korea

  • Cho, Young-Sang
    • 유통과학연구
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    • 제9권3호
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    • pp.25-36
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    • 2011
  • Owing to the rapid growth of hypermarket/discount store formats since 1996, Korean retailing has suddenly attracted the significant attention from researchers. Before the emergence of large scale retailers such as E-Mart, Lotte Mart and Tesco Korea, there were the two retail formats who led the Korean retailing in the modern retailing history: department store and supermarket formats. Nevertheless, there has been little literature concerned about the two retail formats as a case study, while some authors have paid their attention to hypermarket/discount store formats. In addition, when mentioning the development process of retailing history, it is less likely that authors have made an effort to illustrate supermarket retailing history. In order to regard supermarket retailing as part of the Korean retailing, it is interesting to look at a representative supermarket retailer, Haitai, who was one of the subsidiaries of Haitai chaebol. Based on supermarket retailing, the company which was established as a joint venture in 1974 led a supermarket retailing in the Korean modernised retailing history. Before analysing whether Haitai failed or not, the definition of failure should be illustrated. With regard to the term, failure, in the academic world, authors have interchangeably used the following terms: failure, divestment, closure, organisational restructuring, and exit. To collect research data as a case study, the author adopted an in-depth interview method. The research is based on research interviews with 13 ex-staff who left after Haitai went bankruptcy, from store management department to merchandise department. By investigating Haitai's experiences through field interviews, the research found that Haitai restructured organisational decision-making process at the early stage when companies started to modernise organisational charts, benchmarking sophisticated retailing knowledge through the strategic alliance with a Japanese retailer. In respect of buying system, the company established firmly buying functions by adopting central buying system, and further, outstandingly allocated considerable marketing resources to the development of retailer brands with the dedicated team of retailer brand development. In the grocery retailing, abandoning a 'no-frill' packaging concept, the introduction of retailer brand packaging equal to, or better than national brand packaging design, encouraged other retailers to change their retailer brand development strategies. In product sourcing ways, Haitai organised for the first time the overseas sourcing team with the aim of improving the profit margins of foreign products and providing exotic products for customers, followed by other retailers. Regarding distribution system, the company introduced the innovative idea which delivered products ordered by stores directly to each store withboth its own vehicles and its own warehouse in which could deal with dry foods, chilly foods, frozen food, and non-foods, and even, process produce. In addition, Haitai developed many promotional methods to attract more customers like 'the guarantee of the lowest price', and expanded its own business to US in 1996, although withdrew, because of bankruptcy in 1997. Together with POS introduction in 1994, Haitai made a significant contribution to the development of the Korean retailing, influencing other retailers in many aspects. As a case study, the study has provided a number of lessons from Haitai's experiences for academicians and practitioners, suggesting that its history should be involved in the Korean modernised retailing.

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한국 기록관리와 '거버넌스'에 대한 역사적 접근 (A Historical Approach to the Development of Democracy and the Archival Society in Korea)

  • 오항녕
    • 기록학연구
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    • 제11호
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    • pp.15-40
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    • 2005
  • 'Governance' is a subject that is widely discussed these days in the government and the academic world. I think that the new concept, 'governance', is a strategy to develop the democracy of the society in its institutional and functional aspects. When we are going to discuss about governance, public records and their relationships, without understanding the meaning of 'public' in Korea, we cannot expect to discuss the matter precisely. It is said that Korean public service sectors are awash with authoritarianism and unreasonableness, and that they are at the center of seething corruption and bribe scandals. It is the legacy that the regimes adopted in the aftermath of the Japanese colonial rule for 35 years. The colonial legacy included not simply the practice of the Japanese colony, but also people who had collaborated the Japanese. The American military government and Rhee, Sung-Man regime also appointed the same officials to government posts. As was the same case in other areas including economy, press, education, politics, law, etc. In this point of view, "Righting historical wrongs", a controversial issue now in Korea, aims at establishing the right relationships between an individual and the public, and eventually laying the foundation of democracy for future generation, a procedure of achieving good governance. Apparently, Korea has made progress in developing democracy, as well as in reforming the government policy and organization. Many independent commissions are performing the projects instead of the government institutions that mandated to do the job, but has not played their roles. The e-government projects in Korea was launched in 2001 by the former administration. However, the confusion of records-management after the promulgation of the act is the result of the lack of strategy and the inconsistency of the vision. Good record-keeping supports effective, transparent and accountable government. Accountability is a key element of good governance. It is a recognized fact that without information, there is no guidance for decision-making, and accountability. Thus without records, there is no accountability for the decisions of actions. Transparency means that the decisions taken and their enforcement are carried out based on led-out rules and regulations. When both accountability and transparency are non-existent, good governance is bound to fail. Archival institutions have to give an attention to inner-governance because of the new trend of archival practice, namely 'macro-appraisal'. This 'macro-appraisal' is a kind of a functions-based approach. However, macro-appraisal focuses not just on function, but on the three-way interaction of function, structure and citizen, which combined reflect the functioning of the state within civil society, that is to say, its governance. In conclusion, the public and democracy are major challenges in the Korean society. The so-called good governance requires good record management. In this respect, records managers are in the front line of instituting good governance, and achieving better public and democracy for future generation, a procedure of achieving good governance.

개발영향과 멸종위기종의 서식적합성을 고려한 보전 우선순위 선정 (Spatial Conservation Prioritization Considering Development Impacts and Habitat Suitability of Endangered Species)

  • 모용원
    • 한국환경생태학회지
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    • 제35권2호
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    • pp.193-203
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    • 2021
  • 인간의 개발로 점차 멸종위기 생물종이 증가하고 있어, 충분한 보호지역의 선제적 확보가 중요한 상황이다. 따라서 본 연구에서는 인간의 개발영향을 고려했을 때 앞으로 보호지역 선정 시 고려해야 할 보전 우선순위지역을 확인하였다. 보전 우선순위 도출은 보전계획 의사결정 지원 소프트웨어인 MARXAN을 이용하여 기존 보호지역 포함 여부와 개발영향 반영여부를 기준으로 총 네 가지의 시나리오로 분석하였다. 개발영향은 개발면적 비율, 인구밀도, 도로망 체계, 교통량을 이용하여 도출하였으며, 생물종 보전 대상 지역은 제 3차 전국자연환경조사 자료의 조류, 포유류, 양서파충류의 출현자료를 이용하여 도출한 서식적합지역을 이용하였다. 이 두 가지 요인을 입력 자료로 기계학습 기반 최적화방법론을 이용하여 보전 우선순위 지역을 도출하였다. 연구결과, 멸종위기 생물종을 보전하는데 중요한 역할을 할 것으로 기대되는 지역이 기존 보호지역과 떨어진 지역에서 다수 나타났으며, 개발영향을 고려했을 때는 보전우선순위 지역이 파편화되어 나타남을 알 수 있었다. 개발영향과 기존보호지역을 모두 고려했을 때에도 기존 보호지역 주변으로 이미 도로개발이 많이 이뤄져 기존 보호지역과는 떨어진 지역에서 우선순위가 높게 나타났다. 따라서 개발영향을 고려하여 멸종위기종 보호하기 위해서는 기존 보호지역 주변 이외의 지역도 검토해볼 필요가 있으며, 파편화되어 나타나는 보전 우선순위지역에 대한 대응방안 모색이 필요함을 알 수 있었다.

노인간호 교과목 교육현황 분석 - 미국노인간호역량 중심으로 - (Analysis of the educational status of gerontological nursing subjects - Focusing on the American gerontological nursing competency-)

  • 박성지;김은미;유명환;강지숙
    • 문화기술의 융합
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    • 제7권4호
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    • pp.583-590
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    • 2021
  • 본 연구는 전국 간호대학의 노인간호 교과목의 운영 현황을 파악하고 미국간호대학협회에서 제시한 19개 노인간호역량이 교과목에 반영되어 있는지 확인하고자 시도되었다. 연구대상은 한국간호교육평가원 인증을 받은 간호교육기관 198개로 각 대학의 홈페이지, 학과 홈페이지, 대학편람, 입시관련 정보, 교육과정표, 강의계획서를 인터넷 검색엔진을 통한 자료 수집 후 분석하였다. 수집된 노인간호 교과목의 강의계획서와 가장 최근의 교과과정표를 확인하여 SPSS 23.0을 사용하여 분석하였다. 노인간호 교과목 운영 현황은 빈도와 백분율을 산출하여 제시하였고, 강의계획서에 나타난 교육 내용은 미국간호대학협회(AACN)가 제시한 19개 노인간호 역량을 기반으로 분석하였다. 185개 기관(93.43%)는 노인간호 교과목을 운영하였고, 98개 기관(49.49%)은 이론과목, 84개 기관(42.42%)은 이론과 실습을 병행하였다. 전공필수인 경우 52.92%, 4학년 1학기 편성이 27.84%, 2학점 운영 53.54%로 가장 많았다. 강의계획서를 분석한 결과, 의사소통 관련 교육역량이 포함된 경우가 40%이었고, AACN 노인간호역량으로 '노인에게 효과적인 정보제공능력', '윤리적이고 비강압적인 의사결정', '억제대 비사용 케어', '급성기 재가 장기요양서비스 간 안전하고 효과적인 전환'은 교육내용에 없었다. 결론적으로 현재까지 노인간호 교과목은 질병중심으로 교육이 되고 있었고 노인의사소통을 포함한 효과적인 정보제공역량이 반영될 필요가 있다.

D4AR - A 4-DIMENSIONAL AUGMENTED REALITY - MODEL FOR AUTOMATION AND VISUALIZATION OF CONSTRUCTION PROGRESS MONITORING

  • Mani Golparvar-Fard;Feniosky Pena-Mora
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.30-31
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    • 2009
  • Early detection of schedule delay in field construction activities is vital to project management. It provides the opportunity to initiate remedial actions and increases the chance of controlling such overruns or minimizing their impacts. This entails project managers to design, implement, and maintain a systematic approach for progress monitoring to promptly identify, process and communicate discrepancies between actual and as-planned performances as early as possible. Despite importance, systematic implementation of progress monitoring is challenging: (1) Current progress monitoring is time-consuming as it needs extensive as-planned and as-built data collection; (2) The excessive amount of work required to be performed may cause human-errors and reduce the quality of manually collected data and since only an approximate visual inspection is usually performed, makes the collected data subjective; (3) Existing methods of progress monitoring are also non-systematic and may also create a time-lag between the time progress is reported and the time progress is actually accomplished; (4) Progress reports are visually complex, and do not reflect spatial aspects of construction; and (5) Current reporting methods increase the time required to describe and explain progress in coordination meetings and in turn could delay the decision making process. In summary, with current methods, it may be not be easy to understand the progress situation clearly and quickly. To overcome such inefficiencies, this research focuses on exploring application of unsorted daily progress photograph logs - available on any construction site - as well as IFC-based 4D models for progress monitoring. Our approach is based on computing, from the images themselves, the photographer's locations and orientations, along with a sparse 3D geometric representation of the as-built scene using daily progress photographs and superimposition of the reconstructed scene over the as-planned 4D model. Within such an environment, progress photographs are registered in the virtual as-planned environment, allowing a large unstructured collection of daily construction images to be interactively explored. In addition, sparse reconstructed scenes superimposed over 4D models allow site images to be geo-registered with the as-planned components and consequently, a location-based image processing technique to be implemented and progress data to be extracted automatically. The result of progress comparison study between as-planned and as-built performances can subsequently be visualized in the D4AR - 4D Augmented Reality - environment using a traffic light metaphor. In such an environment, project participants would be able to: 1) use the 4D as-planned model as a baseline for progress monitoring, compare it to daily construction photographs and study workspace logistics; 2) interactively and remotely explore registered construction photographs in a 3D environment; 3) analyze registered images and quantify as-built progress; 4) measure discrepancies between as-planned and as-built performances; and 5) visually represent progress discrepancies through superimposition of 4D as-planned models over progress photographs, make control decisions and effectively communicate those with project participants. We present our preliminary results on two ongoing construction projects and discuss implementation, perceived benefits and future potential enhancement of this new technology in construction, in all fronts of automatic data collection, processing and communication.

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공기업의 BSC 구축에 관한 연구: 한국남부발전(주) 사례를 중심으로 (A Study on Implementing BSC in the Public Enterprises : The Case of Korea Southern Power)

  • 서우종;박진배;홍진원
    • 한국산업정보학회논문지
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    • 제14권4호
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    • pp.163-182
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    • 2009
  • 전략적 성과관리체계인 BSC(Balanced Scorecard)는 조직 성과향상을 위한 혁신적 도구로서 주목받아 오고 있다. 최근 몇 년간 정부는 BSC의 장점을 인식하고 공기업들이 BSC를 구축하여 조직을 혁신하고 성과를 극대화하도록 유도해왔다. 그러나 많은 공기업들의 경우 BSC 고유의 특성과 장점에 대한 충분한 공감대를 확보하지 못하고 기존의 평가 제도나 조직 문화의 특성으로 인해, 효과적인 BSC 구축 및 BSC 성과의 극대화에 어려움을 겪어오고 있다. 따라서 본 연구에서는 공기업 중 성공적으로 BSC를 도입한 것으로 평가를 받고 있는 한국남부발전(주) 사례를 분석함으로써, 공기업이 BSC를 구축할 때 수행해야 하는 활동 및 절차, 필요 자원(인력, 시간), 주요 의사결정 이슈 등을 실제 산출물과 함께 제시하였다. 이와 같은 프로젝트 세부 사항들은 공공기관 또는 비영리 기관들이 BSC를 구축하는 데 유용한 가이드라인으로 활용될 수 있을 것으로 기대된다. 또한, 본 사례 기업이 BSC 구축과정에서 겪은 문제점에 대한 극복 노력과 이를 기반으로 도출한 시사점들은 BSC를 구축하고 운영하는 다른 조직들에게 유용한 경험 지식과 통찰력을 제공해 줄 수 있을 것으로 기대된다.

농촌공간계획 데이터 수급에 대한 이해당사자 인식조사 (Stakeholder Awareness of Rural Spatial Planning Data Utilization Based on Survey)

  • 리재웅;이상현;이성윤;김진성;취뤼;배승종;김수진;김상범
    • 농촌계획
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    • 제29권3호
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    • pp.25-37
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    • 2023
  • According to the 「Rural Spatial Reconstruction and Regeneration Support Act」, enacted on March 29, 2024, all local governments are required to establish a 'Rural Spatial Reconstruction and Regeneration Plan' (hereinafter referred to as the 'Rural Spatial Plan'). In order for the 'Rural Spatial Plan' to be appropriately established, this study analyzed the supply and demand of spatial data from the perspective of user stakeholders and derived implications for improving rural spatial planning data utilization. In conclusion, three key recommendations come from this result. Firstly, it is necessary to establish an integrated DB for rural spatial planning data. This can solve the problem of low awareness of scattered data-providing websites, reduce the processing time of non-GIS data, and reduce the time required to acquire data by securing the availability of data search and download. In particular, research should be conducted on the establishment of a spatial analysis simulation system to support stakeholders' decision-making, considering that many stakeholders have difficulty in spatial analysis because spatial analysis techniques were not actively used in rural projects before the implementation of the rural agreement system in 2020. Secondly, research on how to improve data acquisition should be conducted in each data sector. The data sector group with the lowest ease of receiving are 'Local Community Domain', 'Changes in Domestic and International Conditions', and 'Provision and Utilization of Daily Life Services'. Lastly, in-depth research is needed on how to raise each rural spatial planning data supply stakeholder to the position of player. Stakeholders of 'University Institutions' and 'Public Enterprises and Research Institutes' should give those who participate in the formulation of rural spatial plans access to the raw data collected for public work. Stakeholders of 'Private company' need to come up with realistic measures to build a data pool centered on consultative bodies between existing private companies and then prepare a step-by-step strategy to fully open it by participating various stakeholders. In order to induce 'Village Residents and Associations' stakeholders to play a leading role as owners and producers of data, personnel should be trained to collect and record data related to the village. In addition, support measures should be prepared to continue these activities.

Emergent Esophagectomy in Patients with Esophageal Malignancy Is Associated with Higher Rates of Perioperative Complications but No Independent Impact on Short-Term Mortality

  • Yahya Alwatari;Devon C. Freudenberger;Jad Khoraki;Lena Bless;Riley Payne;Walker A. Julliard;Rachit D. Shah;Carlos A. Puig
    • Journal of Chest Surgery
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    • 제57권2호
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    • pp.160-168
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    • 2024
  • Background: Data on perioperative outcomes of emergent versus elective resection in esophageal cancer patients requiring esophagectomy are lacking. We investigated whether emergent resection was associated with increased risks of morbidity and mortality. Methods: Data on patients with esophageal malignancy who underwent esophagectomy from 2005 to 2020 were retrospectively analyzed from the American College of Surgeons National Surgical Quality Improvement Program database. Thirty-day complication and mortality rates were compared between emergent esophagectomy (EE) and non-emergent esophagectomy. Logistic regression assessed factors associated with complications and mortality. Results: Of 10,067 patients with malignancy who underwent esophagectomy, 181 (1.8%) had EE, 64% had preoperative systemic inflammatory response syndrome, sepsis, or septic shock, and 44% had bleeding requiring transfusion. The EE group had higher American Society of Anesthesiologists (ASA) class and functional dependency. More transhiatal esophagectomies and diversions were performed in the EE group. After EE, the rates of 30-day mortality (6.1% vs. 2.8%), overall complications (65.2% vs. 44.2%), bleeding, pneumonia, prolonged intubation, and positive margin (17.7% vs. 7.4%) were higher, while that of anastomotic leak was similar. On adjusted logistic regression, older age, lower albumin, higher ASA class, and fragility were associated with increased complications and mortality. McKeown esophagectomy and esophageal diversion were associated with a higher risk of postoperative complications. EE was associated with 30-day postoperative complications (odds ratio, 2.39; 95% confidence interval, 1.66-3.43; p<0.0001). Conclusion: EE was associated with a more than 2-fold increase in complications compared to elective procedures, but no independent increase in short-term mortality. These findings may help guide data-driven critical decision-making for surgery in select cases of complicated esophageal malignancy.