• 제목/요약/키워드: Process guideline

검색결과 962건 처리시간 0.029초

임상진료지침 개발과정의 장애요인 - 심폐소생술을 중심으로 - (Barriers on Development of Clinical Practice Guidelines for Cardiopulmonary Resuscitation)

  • 박성희
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.46-58
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    • 2000
  • Background : Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health care delivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines. Methods : Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March 1 to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS. Result : The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc. Conclusion : Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline implementation that should be addressed in the design of future guideline-based interventions.

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기계가공 공정에서 금속가공유 관리에 대한 평가지침 -수용성 금속가공유를 중심으로- (Assessment guideline for the safe use of metalworking fluids - Focused on water-soluble metalworking fluids)

  • 박동욱
    • 한국산업보건학회지
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    • 제20권2호
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    • pp.131-138
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    • 2010
  • This technical report was developed to suggest the guideline to assess the safe use and handling metalworking fluids (MWFs) in machining operation. The basis of this method developed in this study was based on self assessment procedure recommended by Organization Resources Counselors (ORC) of the United States (US). In addition, various MWF management elements obtained from the review on various articles, reports and author's experience regarding MWF were newly added to the evaluation guideline. A total of four areas were finally selected in order to control exposure to MWF used in machining operations. They are all related to the presence and efficiency of the control measures, exposure assessment, management on tank and sump, and safe treatment of chips and metal fines generated during machining operations. Each area is consisted of several related elements. Several evaluation areas and elements used in this study could be revised, replaced, added and deleted according to the process environment, evaluation objectives and evaluator's (manager) criteria etc. This evaluation guide manual could be used for safe management of MWF in metalworking operation. In addition, industrial hygienists can use this evaluation method for auditing and evaluating the management status on MWF.

생식 · 발생독성시험의 방법적 고찰과 최신 연구 동향 (The Recommended Approaches and Recent Trends in Reproductive and Developmental Toxicology)

  • 곽승준;조대현
    • Toxicological Research
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    • 제21권4호
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    • pp.271-278
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    • 2005
  • Reproductive and developmental toxicology is concerned with various physical or chemical agents interfering with fertility in both gender or normal growth of offsprings. Reproductive and developmental toxicology is rather a complex science, with many fields, i.e., various endpoints are involved and many different mechanisms of action. For that reason, diverse aspects must be considered when attempting to assess possible adverse health effects in the area of reproductive and developmental toxicology. The thalidomide tragedy made it clear to regulatory authorities around the world that systematic, comprehensive evaluation of the reproductive cycle was needed to adequately evaluate the potential of medicinal drugs to impair the process of reproduction or the development of embryos, fetuses, and children. International Conference on Harmonization of Technical Requirements for the Registration of Pharmaceuticals for Human Use (ICH) and U.S. Food and Drug Administration (FDA) developed a guideline to assess the reproductive and developmental toxicity. Also these guidelines have since been applied to the detection and regulation of environmental toxicants, food additives, and so on. Although it was hoped that testing procedures of guideline would be updated constantly to reflect the current state of the science in reproductive and developmental toxicology, it was not until this decade that regulatory guidelines and testing methods have been altered in a significant way. In this paper, we would like to present the recommended approaches and recent trends for improvement of testing guidelines or experimental methods in reproductive and developmental toxicology.

조선총독부 기록물을 위한 기능분류체계 개발 연구 (Function-Based Classification System for Public Records of Government-General of Chosun)

  • 설문원
    • 정보관리학회지
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    • 제20권1호
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    • pp.457-488
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    • 2003
  • 조선총독부 공문서는 근대사 연구의 가장 핵심적인 정보원이다. 이 연구의 목적은 조선총독부 공문서를 원활히 활용할 수 있도록 지원하는 기능분류체계를 개발하기 위한 원칙과 단계를 제시하는 것이다. 우선, 기능적 분류체계를 위한 이론적 근거를 마련하기 위해 기록물 분류의 개념과 역할 분류 원칙에 대해 살펴보고, '기능적 출처' 개념 도입의 필요성을 제시하였다. 또한 조선총독부 공문서 분류에 왜 기능분류가 적합한지를 살펴보았고, 기능분류 사례와 그 시사점도 살펴보았다. 이러한 이론적 연구와 조선총독부 조직 및 기능 분석 결과를 토대로 조선총독부 기록물을 위한 분류체계 개발을 위한 원칙을 설정하였다. 아울러 개념화, 용어화, 기호화를 고려한 개발모형을 도출하였으며, 분류표와 함께 시소러스를 연계 구축할 수 있는 방안도 제시하였다.

e-Navigation SQA 가이드라인 실무 지침을 위한 요구사항 분석 프로세스 연구 (A Study on Requirement analysis process for the practical guidance of e-Navigation SQA guideline)

  • 김효승;이서정
    • 디지털콘텐츠학회 논문지
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    • 제16권6호
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    • pp.935-941
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    • 2015
  • 최근 해양 분야에서는 안전항해에 대해 e-Navigation 전략을 개발하고 있다. e-Navigation 전략이 구현되면 새로운 소프트웨어에 대한 요구가 증가할 것이다. 국제해사기구에서는 소프트웨어 품질의 중요성을 인식하고 소프트웨어 품질 보증 가이드라인을 공식문서로 승인하였다. 이에 따라 해양산업분야에 가이드라인을 적용하기 위해서 실무 지침의 제작이 필요하다. 본 논문은 실무 적용 지침의 명확한 정보전달을 위해 품질 표준을 기반으로 하여 요구사항 분석단계의 구체적인 활동을 도출하고 개선하는 방안을 제안한다.

UMM 적용을 위한 IDEF 매핑 방법에 대한 연구 (A Study on the Mapping Guideline of IDEF for UMM Adaptation)

  • 신기태;박찬권;심억수;김은갑
    • 경영과학
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    • 제21권2호
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    • pp.61-77
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    • 2004
  • As various methodologies for business process analysis and design have been conducted in many organizations by their own ways, those methodologies are not compatible each other. In order to reduce the cost of analysis for organizations. some mapping methods between different methodologies need to be developed. UMM(UN/CEFACT Modeling Methodology) that has an object-oriented point of view. can overcome the limits of existing bottom-up approaches and make it reasonable. It also simplifies the business and administrative procedures. IDEF( Integrated Definition Language) with a structural point of view that has been widely used as a system analysis and design method, needs to be mapped to UMM in order to reuse the existing IDEF models. In this study, we propose a guideline that deals with procedures of utilizing IDEF models from which we want to derive the UMM models for developing an electronic commerce system including electronic documents exchange. By comparing IDEF and UMM, we analyze the differences between those two methodologies. Based on these differences. we suggest the basic strategies for mapping method from IDEF to UMM. We also propose a mapping guideline that can make UMM results from the modeling results of IDEF. We can take an advantage of the existing IDEF analysis design results when we adopt UMM methodology for electronic business system. Many analysts who are familiar with the IDEF methodology can develop UMM work-flow by utilizing their existing results and skills.

E-러닝시스템 구축 프로젝트의 적정 하드웨어 산정방법론 연구 (A Methodology for Estimating Optimum Hardware Capacity E-learning System Development)

  • 정지영;백동현
    • 산업경영시스템학회지
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    • 제34권3호
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    • pp.49-56
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    • 2011
  • Estimating optimum hardware capacity of an e-learning system is very important process to grasp reasonable size of designing technique architecture and budget during step of ISP(information strategic planning) and development. It hugely influences cost and quality of the whole project. While investment on information system hardware has been continuously increased, there was no certified hardware capacity estimating method in e-learning system development. A guideline for hardware sizing of information systems was established by Telecommunication Technology Association in 2008. However, the guideline is not appropriate for estimating optimum hardware capacity of an e-learning system because it was designed to provide general standards for estimating hardware capacity of various types of projects. The purpose of this paper is to provide a methodology for estimating optimum hardware capacity in e-learning system development. To develop the methodology, this study, first of all, analyzes two e-learning development projects, in which the guideline was applied to estimate optimum hardware capacity. Then, this study finds out several key factors influencing on hardware capacity. Finally, this study suggests a methodology for estimating optimum hardware capacity of an e-learning system, in which weights for the factors are determined through AHP analysis.

에틸렌 생산에서의 CO2 국가배출계수 검증 및 정량평가 방법론 (Methodology of CO2 Emission Factor Verification and Quantitative Assessment in Ethylene Product Processes)

  • 육수경;전의찬;유경선
    • 한국기후변화학회지
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    • 제9권1호
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    • pp.69-74
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    • 2018
  • The purpose of this study is to suggest the methodology of $CO_2$ Emission Factor Verification and Quantitative Assessment in Ethylene Product Processes. At first, this study compare the IPCC (Intergovernmental Panel on Climate Change) 1996 Guideline and 2006 Guideline. And analyse methodology for estimating $CO_2$ emission and $CO_2$ emission factor in Ethylene product process. Also analyse cases of estimating $CO_2$ emission factor based on material balance. Methodology of $CO_2$ Emission Factor Verification and Quantitative Assessment are following the categories proposed by GIR (Greenhouse Gas Inventory and Research Center). There are total 12 factors in 8 categories and give 5 or 10 points according to their importance. Also this study suggests necessary data of document to meet the conditions. The result would help estimate accuracy Greenhouse Gas Inventory. Also contribute to establish policy on environmental assessment, air conservation, etc.

동적 건물에너지 시뮬레이션을 이용한 G-SEED 에너지성능 평가지침 도입 방안에 관한 기초연구 (A Study on Development of New Assessment Method for the Energy Performance in G-SEED using Dynamic Building Energy Simulation Programs)

  • 김기한;채창우;조동우
    • 대한건축학회논문집:구조계
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    • 제34권10호
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    • pp.27-35
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    • 2018
  • In this paper, a fundamental study for developing and introducing a new assessment method of the 'Energy Performance' in G-SEED that uses dynamic building energy simulations was conducted by comparing and analyzing the corresponding issues of domestic and foreign green building certification systems. The most significant part of the new assessment method to be developed was a development of a modeling guideline for a reference building using dynamic building energy simulations. In this paper, the composition and detailed contents of the guideline was created to comply with domestic energy codes. In addition, one of the most influential part of the result in the simulations, the 24-hour building operation schedule for a reference building, was created considering the equity with the ECO2 program that is the evaluation tool of one of the current assessment methods in the "Energy Performance". In order to improve the completeness of this guideline, it is necessary to continue the process of supplementation in the future, however, this paper is expected to be of great significance as the beginning of the research.

국내 LNG TTS 벙커링 시 안전구역 기준에 관한 연구 (A Study on the Standard for the Safety Zone in the Domestic LNG TTS Bunkering)

  • 박성인;노재승;박재희;박경민;신동규
    • 대한조선학회논문집
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    • 제59권5호
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    • pp.323-329
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    • 2022
  • This paper suggests an example guideline of a safety zone layout for the domestic LNG Truck-To-Ship (TTS) bunkering. The safety zone is one of the controlled area in LNG bunkering and its layout is required as a fundamental safety barrier. While the international standard provides a layout methodology of the safety zone, its detail application is not user-friendly and only possible with a level of the process engineering. In the domestic case, the enforcement regulations are applied for LNG bunkering but the safety zone is not properly defined for TTS operation. Considerations are made for the intuitive approach of the safety zone layout and an example guideline is suggested for application in the domestic TTS bunkering. A technical background of the guideline is described and its applicability is demonstrated with regard to the characteristics of TTS bunkering. The findings of the study are summarized in association with a practical layout of the safety zone, contributing to the safety culture in the domestic LNG bunkering.