• 제목/요약/키워드: Practice management

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안전교육 경험과 안전교육 실천에 관한 연구 (Study on Experience and Practice of Safety Education)

  • 김인정
    • 대한안전경영과학회지
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    • 제16권2호
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    • pp.101-109
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    • 2014
  • This study is about safety education experience and practice of parents who are raising preschool children and the study results are as the following. For safety education experience state, parents had experience of safety education and mostly received it through communities, TV, Internet, etc. The most common educational content was the traffic safety education. For safety education practice degree according to number of children, safety education practice was mostly done well with 1~2 children. For safety education practice degree according to family type, safety education practice degree within the family was done most in nuclear families while healthy life habit safety education practice degree was done most in nuclear families and reconstituted families. Also, for traffic safety education practice degree, it was done well in nuclear families. For respiratory disease safety education practice degree, nuclear families and reconstituted families were the highest and for first aid safety education practice degree, single-parent families were the highest. For safety knowledge level of parents, safety knowledge of family was the highest, followed by safety knowledge of respiratory disease, and traffic. For safety education practice degree and safety knowledge according to safety education experience of parents, there was a significant difference in practice degree according to safety education experience of parents and there was also difference in practice knowledge according to experience. There was also education effect in healthy life habit safety knowledge and traffic safety knowledge.

7개 질병군 포괄수가제 도입에 따른 일개 대학병원의 진료행태 변화 모의실험 (Simulation on the Change of Practice Pattern after the Introduction of 7 Diagnosis-related Groups Prospective Payment System in a University Hospital)

  • 신삼철;강길원;김상원
    • 보건행정학회지
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    • 제23권2호
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    • pp.103-111
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    • 2013
  • Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

보육시설의 안전관리 실천에 관한 연구 -전라북도 보육시설을 중심으로- (A Study on the Safety Management Practice of Child-Care Centers)

  • 이수재;이진숙
    • 한국보육지원학회지
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    • 제2권1호
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    • pp.1-15
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    • 2006
  • 본 연구는 보육시설의 안전사고를 예방하기 위한 대책으로서 보육시설의 안전관리 실천 실태를 점검하고 그 정도를 파악함으로써 보육시설 안전 환경에 대한 기초 자료를 제시하는 것을 목적으로 한다. 보육시설 평가인증 지침(2005)의 안전관리 영역 척도와 관련이 있는 문헌 고찰을 토대로 한 선행 연구를 참고로 하여 안전관리 실천에 관한 사항을 6개 하위 영역으로 나누고 하위 문항을 구성해 작성한 설문지를 가지고 전라북도 보육 시설장 102명을 연구 대상으로 하였다. 본 연구에서 나타난 결과는 다음과 같다. 첫째, 시설장들의 안전관리 실태 조사에서 실내시설 안전관리와 비상사태 대처방안 영역에서 다른 영역들에 비해 안전관리 실천 정도가 떨어지는 것으로 조사되었다. 둘째, 보육시설의 안전관리 실천에 대한 각 하위 영역별 평균을 비교해 보았을 때 안전지도 및 교육 항목에서 1.82점으로 가장 실천 정도가 높은 것으로 나타났고, 실내시설 안전관리 항목이 1.59점으로 가장 실천 정도가 낮은 것으로 나타났다. 셋째, 보육시설과 시설장의 관련 변인에 따른 안전관리 실천을 비교한 결과 보육시설 유형별, 시설장의 성별, 시설장의 경력에 따라 차이가 나타났다.

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임상실습 스트레스와 실습 만족도의 관계에 미치는 적극적 스트레스 대처의 매개효과 (Mediation Effect of a Positive Stress Coping Strategy in the Relationship between Clinical Practice Stress and Clinical Practice Satisfaction)

  • 이선영;전선영;김윤영
    • 보건의료산업학회지
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    • 제10권2호
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    • pp.193-204
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    • 2016
  • Objectives : The purpose of this study was to identify the mediation effect of a positive stress coping strategy between clinical practice stress and clinical practice satisfaction in nursing students. Methods : In this study, data was collected from 248 nursing students at K University in South Korea from October of 2015 to November of 2015. The collected data was analyzed using the SPSS 22.0 Statistics Program. Results : Clinical practice stress and a positive stress coping strategy were significant predictors of clinical practice satisfaction (${\beta}$=.442, p<.001). The explanatory power of the measure of clinical practice satisfaction was increased to 29.3% (p<.001) with solely clinical practice stress, and it reached 44.2% (p<.001) when a positive stress coping strategy was reflected. The results of this study confirmed that a positive stress coping strategy has a mediation effect on clinical practice stress and clinical practice satisfaction levels. Conclusions : It is necessary to develop a program to take advantage of positive stress coping skills so that nursing college students can smoothly overcome stress during their clinical training and thus improve their clinical practice experience.

Present and Future of Risk Management of Construction Practice in Asia

  • Watanabe, Tsunemi
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.4-5
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    • 2015
  • Owning to rapid infrastructure development, Asia is experiencing dramatic economic growth. There are not a few cases in which, however, economic growth is achieved by increasing the external diseconomy. Pursuit of sustainable development is one of the most important issues for mankind. Under the post-industrial capitalism society, however, there seems a big risk of increase in the external diseconomy worldwide. The objectives of this manuscript are to discuss importance of risk management of construction practice in present and future. Regarding the latter, a particular attempt is made to discuss how project risk communication should be done to reduce the external diseconomy. Presently, one of the important issues in implementation of infrastructure projects is practice of risk management to properly manage time, cost, quality, and safety: mainly maximization of internal economy. Multi-party risk and uncertainty management process (MRUMP) is one of tolls to assist it. The idea on MRUMP can be used to reduce the external diseconomy through identifying, sharing, and tuning people's rhythms.

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The Importance of Knowledge Produced in the Management Consulting Sector -A Perspective Analysis related to the research field of Strategy-as-Practice

  • da Costa, Renato Lopes;Antonio, Nelson Santos
    • 동아시아경상학회지
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    • 제2권3호
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    • pp.1-17
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    • 2014
  • Although management consulting activities have obtained a considerable growth in terms of economic significance in recent years, these results have not been duly followed by a greater number of conceptual and empirical research in this area. In order to fight the lack of studies on the actual work of management consultants, this article aims at answer some questions that remain open. Is management consulting an intensive and specialized knowledge activity? Are there knowledge and learning key success factors in this area? Are consultants the real experts and the true practitioners of strategy as practice? The results of the empirical analysis in the form of semi-structured interviews and questionnaires given to management consultants and SME managers in Portugal shows that management consulting is founded on a knowledge-intensive base, although consultants cannot be called strategy practitioners as many authors call them. This is illustrated by the Portuguese model of determinants that constitute the management consulting industry presented in this article, which means this proposition is a new direction in strategic thinking in what the field's research strategy-as-practice concerns.

Organizational Factors of the Successful Adoption in User-Centered Design

  • Kim, Byung-Kwan;Lee, Seung-Yong;Choi, Young-Keun
    • 유통과학연구
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    • 제15권1호
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    • pp.43-49
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    • 2017
  • Purpose - This study is to integrate organizational factors into UCD process. For this research purpose, we investigated the organizational factors which influence people behaviors in the context of user-centred design practice(UCP). And this study presents organizational culture, organizational learning and change management as the organizational factors. Especially, this study is to investigate how change management influences the relationship between the organizational culture/learning and UCD performance. Research design, data, and methodology - Using the survey methodology with a questionnaire, this study distributed the questionnaire to the experienced 112 practitioners of user-centred design practice in 52 Korean small and medium companies. The organizations differed in range and size from medium-scale, which is under 100 of employees, and to small-scale, which is from 100 to 500. Results - Organizational culture and organizational learning have positive effects on user-centred design practice performance as expected. And change management strengthens the positive relationship between organizational learning and user-centred design practice performance but has no effect on the relationship between organizational culture and user-centred design practice performance. Conclusions - This is the first empirical study of investigating and demonstrating some key organizational factors' relationships and UCD performance of an organization, which will support to institutionalize UCD within an organization, providing theoretical foundations.

인천지역 중소규모 사업장들의 보건관리대행제도에 대한 인식 및 태도 (Perception and Attitude toward Group Health Management and Service System for Small and Medium Industries in Inchon)

  • 박종연;노재훈;김규상;이경종;문영한
    • Journal of Preventive Medicine and Public Health
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    • 제26권1호
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    • pp.86-95
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    • 1993
  • To investigate perception and attitude toward Group Health Management and Service System for Small and Medium Industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon, at October 1992. Major dependent variables were perception, attitude, and practice related with Group Health Management and Service System; these variables were measured by 3-point Likert like scale consisted of 7, 5, and 5 items, respectively. Data were collected in 149 industries,72.7% out of 205. Perception nab slightly high, 1.25; attitude was some positive, 1.46; and practice was some passive,0.94. Major determinants of perception, attitude, and practice were sex and age of industry's health manager; perception influenced upon attitude, and perception and attitude had positive effect upon practice. To activate Group Health Management and Service System, it is necessary to develop education and promotion programs for industry's health managers of small and medium industries.

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고콜레스테롤혈증 환자 진료의 질 향상을 위한 임상 지침 리마인더(Reminder)와 추적 관리지의 효과 (Effect of practice guideline reminder and flow-sheet for improvement of quality in management of hypercholesterolemia)

  • 조한규;박혜순;조홍준
    • 한국의료질향상학회지
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    • 제4권2호
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    • pp.230-240
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    • 1997
  • Background : Hypercholesterolemia is a major independent risk factor of coronary heart disease. Practice guidelines for management of hypercholesterolemia had been made in several developed countries. This study was undertaken to assess the effect of practice guideline reminders and flow-sheets to improve the quality of management of hypercholesterolemia. Methods: Practice guideline reminders and flow-sheets based on National Cholesterol Education Program Adult Treatment Panel II guidelines, were placed on the office desks of outpatient department of family medicine at the Asan Medical Center. Before this intervention, we educated the doctors to use these reminders and flow-sheets. The charts of all patients who had cholesterol levels greater than or equal to 240 mg/dl during 4 months before and after introduction of reminders and flow-sheets, were reviewed retrospectively. We compared the performances of physicians about management of hypercholesterolemia between pre-intervention period and post-intervention period. Results: The detection rate of hypercholesterolemia in post-intervention period was increased to 83.2% compared by 71.5% in pre-intervention period. Risk factor analysis for coronary heart disease increased significantly from 16.9% to 68.7%. Adequacy of management was 19.2% in pre-intervention period and 78.0% in post-intervention period. It showed statistically significant improvement in management of hypercholesterolemia. Conclusion : This study suggested that practice guideline reminders and flow-sheets were the effective methods in improving the quality in management of hypercholesterolemia.

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호흡기감염에 대한 어린이집교사의 감염관리수행에 영향을 미치는 요인 (Factors Influencing Performance about Practice of Infection Management by Child Care Center Teachers about Respiratory Tract Infections)

  • 강광순;김은영
    • 디지털융복합연구
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    • 제15권10호
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    • pp.315-326
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    • 2017
  • 본 연구는 호흡기감염에 대한 어린이집교사의 감염관리수행에 영향을 미치는 요인을 알아보기 위한 서술적 조사연구이다. 연구대상은 어린이집교사 432명으로, 자료수집은 2016년 7월 2일부터 8월 20일까지 진행되었다. 수집된 자료의 분석은 SPSS/WIN 18.0 프로그램을 이용하여, 기술통계, t-검정, 일원분산분석, 피어슨 상관관계분석, 다중회귀분석을 하였다. 연구결과, 호흡기감염의 원인과 증상에 관한 지식, 간호지식, 감염관리수행과 유의한 상관관계를 보였으며, 어린이집교사의 감염관리수행에 유의하게 영향을 미치는 요인은 간호지식(${\beta}=-.371$, p<.001), 양육경험(${\beta}=-1.993$, p<.001), 호흡기감염의 원인 및 증상에 관한 지식(${\beta}=.096$, p<.001)이었으며, 이들 변수가 감염관리수행 변인의 43.4%를 설명하였다. 이들 변수 중 감염관리수행에 가장 영향을 많이 미치는 변수는 간호지식이었다.