• 대한디지털의료영상학회논문지
• /
• 제9권1호
• /
• pp.53-65
• /
• 2007

PACS has been run at the Kyung Hee University Medical Center(KHMC) since 2001, and the installation and operation of PACS have contributed to automation and quantification of KHMC's medical environment During these five years our greatest concern is how to make our own guiding principle of diagnostic monitor QA which is adapted to international standards. In accordance with the terms of 'KHMC QA Guideline', 'AAPM TG18', 'SMPTE RP133', 'DICOM Part14', 'DIN V 6868-57', 'JESRA X-0093', 'JIS Z4752-2-5' and 'KCARE', concern about quality assurance of medical images are on the increase. With the investigation of acceptance testing and quality control of international standards for medical display devices, and data collection and analysis for recommended guideline, it is reported that acceptance testing(quality control), including geometrical distortion, display reflection, luminance response, luminance uniformity, display resolution, display noise, veiling glare and color chromaticity being adequate and effective to domestic hospital environments for medical display devices and assessment methods according to each performance. Accordingly, KHMC classified the checkpoint items by period, at the time of monitor setting, monthly, quarterly, half-yearly and annually. Periodic classification of checkpoint items for monitor QA makes a good guideline for image QA/QC and useful guideline for persistent good quality of monitor.

• 한국대기환경학회지
• /
• 제29권4호
• /
• pp.439-446
• /
• 2013

In this research, the present standard analytical methods for the monitoring of air pollution levels established by the Korean Ministry of Environment (KMOE) were examined in reference to the recent outputs of several research projects conducted for their amendments. The evaluation of the two criterion methods between the main (the present guideline) and reference methods (the proposed alternate guideline) was made in terms of authenticity and reliability of the quality assurance (QA) and of compatibility of methods. The results of this comparative evaluation are presented for the analysis of both ambient air and source samples. Based on this analysis, we propose a new direction for the future amendment.

• 한국대기환경학회지
• /
• 제15권1호
• /
• pp.63-69
• /
• 1999

To offer a general guideline for the quantitative analysis of airborne pollutants, we designed and conducted a comprehensive QA/QC test using two different strategic approaches, namely (1) field-based comparative measurement and (2) laboratory-based comparative analysis. The former task was performed to make meaningful comparison of combined errors occurring from both sampling and analytical techniques in the measurements of such components as: (1) criteria pollutants, (2) volatile organic compounds (VOCs), and (3) particulate matters with the associated metals and ions. The latter task was also conducted to compare various types of bias arising mainly from the laboratory analytical procedures of (1) gaseous standards of VOCs and (2) of aqueous standards of metals and ions. The concentration data derived from each of these two different types of major tasks were evaluated per chemical species categorized as above. While the very details of these studies are to be reported on an individual basis according to the above classification of the project, this paper is presented to provide an overview of the whole project - its aim and direction.

• 한국원자력학회:학술대회논문집
• /
• 한국원자력학회 1997년도 춘계학술발표회논문집(1)
• /
• pp.233-238
• /
• 1997

본 논문에서는 Safety-critical 소프트웨어를 위한 V'||'&'||'V 지침서(guideline) 개발 방법론을 제시한다. 즉, 기존의 산업계 표준인 IEEE Std-1012, IEEE Std-1059에서 논의되고 있는 개념을 근간으로 "독립성(independence)", "소프트웨어 안전성 분석(software safety analysis)", "COTS 평가(evaluation) 기준", "다른 보증(assurance) 조직들간의 관련성(relationship)" 등의 필수 안전 항목들을 추가하여 원전 안전성 시스템(NPP safety system)을 위한 V'||'&'||'V 지침서 개발 방법론을 제시하였다 제시된 방법론에는 V'||'&'||'V 지침서의 범위(scope), 승인기준(acceptance criteria) 부분인 지침서 프레임(guideline framework), V'||'&'||'V activities 및 methods 부분인 타스크(task) entrance 및 exit 기준(criteria), 리뷰 및 감사(review and audit), 테스팅 그리고 V'||'&'||'V material의 QA 레코드(records) 및 형상관리, 소프트웨어 검증 및 확인 계획서(Software Verification and Validation Plan : SVVP) 생성 등의 내용을 기술하고, Safety-critical 소프트웨어 V'||'&'||'V 방법론도 함께 제시하였다.

• 한국의료질향상학회지
• /
• 제27권2호
• /
• pp.73-82
• /
• 2021

Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

• Journal of Construction Engineering and Project Management
• /
• 제2권2호
• /
• pp.45-52
• /
• 2012

This study introduces a methodology to evaluate different types of non-nuclear technologies to see how they are competitive to the nuclear technology for quality control (QC) and quality assurance (QA) in soil condition measurement for highway pavement construction. The non-nuclear methods including the Electrical Density Gauge (EDG) and the Light Weight Deflectometer (LWD) were tested for their performance against a nuclear gauge, and traditional methods were used as baselines. An innovative way of comparing a deflection gauge to a density gauge was introduced. Results showed that the nuclear gauge generally outperformed the non-nuclear gauge in accuracies of soil density and moisture content measurements. Finally, a framework was developed as a guideline for evaluating various types of non-nuclear soil gauges. From other perspectives rather than accuracy, it was concluded that the non-nuclear gauges would be better alternative to the nuclear gauge when the followings are considered: (1) greater life-cycle cost savings; (2) elimination of intense federal regulations and safety/security concerns; and (3) elimination of licensing and intense training.

• 한국의학물리학회지:의학물리
• /
• 제29권4호
• /
• pp.123-136
• /
• 2018

The complex dose distribution and dose transfer characteristics of intensity-modulated radiotherapy increase the importance of precise beam data measurement and review in the acceptance inspection and preparation stages. In this study, we propose a process map for the introduction and installation of high-precision radiotherapy devices and present items and guidelines for risk management at the acceptance test procedure (ATP) and commissioning stages. Based on the ATP of the Varian and Elekta linear accelerators, the ATP items were checked step by step and compared with the quality assurance (QA) test items of the AAPM TG-142 described for the medical accelerator QA. Based on the commissioning procedure, dose quality control protocol, and mechanical quality control protocol presented at international conferences, step-by-step check items and commissioning guidelines were derived. The risk management items at each stage were (1) 21 ionization chamber performance test items and 9 electrometer, cable, and connector inspection items related to the dosimetry system; (2) 34 mechanical and dose-checking items during ATP, 22 multileaf collimator (MLC) items, and 36 imaging system items; and (3) 28 items in the measurement preparation stage and 32 items in the measurement stage after commissioning. Because the items presented in these guidelines are limited in terms of special treatment, items and practitioners can be modified to reflect the clinical needs of the institution. During the system installation, it is recommended that at least two clinically qualified medical physicists (CQMP) perform a double check in compliance with the two-person rule. We expect that this result will be useful as a radiation safety management tool that can prevent radiation accidents at each stage during the introduction of radiotherapy and the system installation process.

• 생태와환경
• /
• 제43권2호
• /
• pp.338-344
• /
• 2010

상수원 및 수계의 수질관리 업무를 효율적이고 능동적으로 수행하고, 수질오염사고 발생시 신속한 대응조치를 할 수 있는 조기경보체계 구축을 위하여 주요 상수원 및 하천 등에 수질자동측정망을 설치하여 운영하고 있다. 수온, pH, EC, DO, TOC 항목에 대한 정도평가를 실시하여, 수질자동 측정 자료에 대한 정확도를 확보하여 신뢰도를 제고하고자 하였다. 수질자동측정기기와 수동측정기기에 대한 측정값을 비교한 결과, 대체로 일반항목(수온, pH, EC, DO) 및 TOC의 상대정확도가 20% 이내의 목표를 만족하였다. 그러나 수질자동측정소의 저류수조의 측정기기(내부)와 채수지점의 측정기기(외부)의 측정값 차이를 분석한 결과, 채수거리가 먼 측정소의 DO에 대한 내부-외부의 상대정확도는 목표값을 다소 벗어나는 것으로 나타났다. 채수관로에 조류 및 미생물 부착에 의한 오염이 원인으로 판단되어 역세척하여 측정한 결과, 측정된 DO 농도는 최대 53%까지 상승하는 효과를 나타냈다. 따라서 채수관로 관리가 수질자동측정 자료의 신뢰성을 확보하는데 중요함을 알 수 있었다.

• Radiation Oncology Journal
• /
• 제18권3호
• /
• pp.167-176
• /
• 2000

최근의 방사선치료는 치료의 질을 향상시켜서 치료 후의 삶의 질을 높이는 것을 목표로 하고 있다. 국내에서도 방사선치료 환자와 치료 시설의 빠른 증가로 방사선종양학 분야는 많은 발전이 되고 있으며, 치료기술 또한 3-dimensional conformal radiotherapy의 보편화, liuac based stereotactlc radiosurgery의 활발한 적용과 luteuslty modulated radiation tferapy (IMRT)의 도입 준비 등 고난도의 치료 기술도입이 시도되고 있다. 저자는 최근 20년간 한국에서의 방사선 종양학의 발전을 조망하고 최근 발전되는 4차원적 방사선치료, IMRT의 현황, blologlcai conformailty치료의 개념, 항암제와 방사선치료의 병용에 대하여 살펴보고 최근 정보기술 혁명에 따른 인터넷과 방사선종양학 분야의 정보관리 시스템의 중요성 및 원격진료의 세계적 현황 등에 대해서 알아보고, 21 세기 한국에서의 방사선치료의 질을 올리기 위한 방법들을 제시하였다. 이들은 1) OA (qualify assurance) 향상, 2) 공동 프로토콜에 의한 3상 임상 연구의 필요성, 3) 특정 암에 대한 통일된 치료 프로토콜 또는 가 이드라인, 4) 전국적인 방사선종양학 관련 자료의 광역 data base구축과 중요 암에 대한 patterns of care study 등 시행의 필요성이다

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제27권4호
• /
• pp.258-265
• /
• 2024

Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.