• Title/Summary/Keyword: QA items

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Standardization and Validity study of Korean Nomenclature of NOC (Nursing Outcomes Classification(간호결과 분류체계)의 한글 명명화에 대한 타당성 연구)

  • Park, Hyeoun Ae;Cho, In Sook;Hwang, Jee In;Keun, Hyo Keun
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.256-266
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    • 2000
  • The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson & Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.

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A Study the Log Entries Required for Balance Evaluation in the Games (게임에서 밸런스 평가에 필요한 로그 항목 연구)

  • Lee, Yoon-Yim;Rhee, Dea-Woong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.05a
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    • pp.85-87
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    • 2021
  • This work seeks to extract items necessary for the competitive structure of content or the balance of content through a study of the balance between users in MMORPG. The balance of the game is used in various terms and its definitions are different. To solve these problems, we conducted a literature study on the definition of balance, which extracted the log entries needed for balance. The big data of the game has very important research value, but it is not being utilized properly. Through this study, we hope to collect systematic log data and utilize it for real game operations.

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Assessment and Improvement of Documentation Status on the Statements for the Sea Area Utilization Consultation according to the Project of Ports and Fishery Harbors (항만·어항개발사업의 해역이용협의서 작성실태 평가 및 개선방안)

  • Tac, Dae-Ho;Oh, Hyun-Taik;Kim, Gui-Young;Lee, Dae-In
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.21 no.4
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    • pp.361-371
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    • 2015
  • This study analyzed the 91 cases of the statements for the Sea Area Utilization Consultation according to the developmental projects of ports and fishery harbors for 2012 2014 and the status of the record of document, and suggested the improvement way to go. The marine environmental timpact assessment items both marine chemistry such as water quality, sediment and marine biology such as benthic animal, plankton, and fisheries show highly rate of site survey. But, the utilization of those data through site survey is too low, and it is necessary to adopt the QA/QC for the reliability of survey data. The items of marine physics such as tide, tidal current analyzed based on references not a site survey. However, the simulation performed actively without calibration and verification compared to the result of site survey. When the projects of port and fishery harbor perform, it is necessary to monitor the physical parameter such as wave, tide and tidal current especially. Based on the scale and the type of project, we need introduce the system of scoping for prediagnosis the key assessment items and checklists.

A Study of Six Sigma and Total Error Allowable in Chematology Laboratory (6 시그마와 총 오차 허용범위의 개발에 대한 연구)

  • Chang, Sang-Wu;Kim, Nam-Yong;Choi, Ho-Sung;Kim, Yong-Whan;Chu, Kyung-Bok;Jung, Hae-Jin;Park, Byong-Ok
    • Korean Journal of Clinical Laboratory Science
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    • v.37 no.2
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    • pp.65-70
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    • 2005
  • Those specifications of the CLIA analytical tolerance limits are consistent with the performance goals in Six Sigma Quality Management. Six sigma analysis determines performance quality from bias and precision statistics. It also shows if the method meets the criteria for the six sigma performance. Performance standards calculates allowable total error from several different criteria. Six sigma means six standard deviations from the target value or mean value and about 3.4 failures per million opportunities for failure. Sigma Quality Level is an indicator of process centering and process variation total error allowable. Tolerance specification is replaced by a Total Error specification, which is a common form of a quality specification for a laboratory test. The CLIA criteria for acceptable performance in proficiency testing events are given in the form of an allowable total error, TEa. Thus there is a published list of TEa specifications for regulated analytes. In terms of TEa, Six Sigma Quality Management sets a precision goal of TEa/6 and an accuracy goal of 1.5 (TEa/6). This concept is based on the proficiency testing specification of target value +/-3s, TEa from reference intervals, biological variation, and peer group median mean surveys. We have found rules to calculate as a fraction of a reference interval and peer group median mean surveys. We studied to develop total error allowable from peer group survey results and CLIA 88 rules in US on 19 items TP, ALB, T.B, ALP, AST, ALT, CL, LD, K, Na, CRE, BUN, T.C, GLU, GGT, CA, phosphorus, UA, TG tests in chematology were follows. Sigma level versus TEa from peer group median mean CV of each item by group mean were assessed by process performance, fitting within six sigma tolerance limits were TP ($6.1{\delta}$/9.3%), ALB ($6.9{\delta}$/11.3%), T.B ($3.4{\delta}$/25.6%), ALP ($6.8{\delta}$/31.5%), AST ($4.5{\delta}$/16.8%), ALT ($1.6{\delta}$/19.3%), CL ($4.6{\delta}$/8.4%), LD ($11.5{\delta}$/20.07%), K ($2.5{\delta}$/0.39mmol/L), Na ($3.6{\delta}$/6.87mmol/L), CRE ($9.9{\delta}$/21.8%), BUN ($4.3{\delta}$/13.3%), UA ($5.9{\delta}$/11.5%), T.C ($2.2{\delta}$/10.7%), GLU ($4.8{\delta}$/10.2%), GGT ($7.5{\delta}$/27.3%), CA ($5.5{\delta}$/0.87mmol/L), IP ($8.5{\delta}$/13.17%), TG ($9.6{\delta}$/17.7%). Peer group survey median CV in Korean External Assessment greater than CLIA criteria were CL (8.45%/5%), BUN (13.3%/9%), CRE (21.8%/15%), T.B (25.6%/20%), and Na (6.87mmol/L/4mmol/L). Peer group survey median CV less than it were as TP (9.3%/10%), AST (16.8%/20%), ALT (19.3%/20%), K (0.39mmol/L/0.5mmol/L), UA (11.5%/17%), Ca (0.87mg/dL1mg/L), TG (17.7%/25%). TEa in 17 items were same one in 14 items with 82.35%. We found out the truth on increasing sigma level due to increased total error allowable, and were sure that the goal of setting total error allowable would affect the evaluation of sigma metrics in the process, if sustaining the same process.

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A Base Study on the Constancy Quality Control Test and Clause of Diagnosis Radiation Equipment (진단용 방사선 발생장치의 수시 정도관리 항목 및 기준에 관한 기초 연구)

  • Heo, Yeji;Kim, Kyotae;Noh, Sicheul;Nam, Sanghee;Park, Jikoon
    • Journal of the Korean Society of Radiology
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    • v.8 no.3
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    • pp.105-110
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    • 2014
  • Diagnostic radiation equipment diagnosis and treatment of disease of recent plays a central role, but this is based on the assumption of an appropriate balance of benefits and risks of diagnostic. If balance is not maintained has the potential to give an adverse effect on the health of the public. In the case of an overseas, the importance of (QA) quality assurance of medical equipment is growing, but evaluation criteria of quality assurance has not been clearly presented in domestic. Therefore, the modernization of medical equipment from the point at which the degree of cycle-by-cycle management system of foreign national to be suitable for diagnostic radiation generator entry and quality control standards by introducing a tailoring is necessary. In this study the most frequently used diagnostic radiation generator X-ray imaging apparatus of the general three-year periodic inspections at any time between the periodic inspection items and quality control methods and standards for the establishment of the United States, Canada and abroad, and international electronic literature search Technical Committee (International Electro-technical Commission, IEC) were compared with the provisions of item. Based on the national quality control items when opening frequent inspection items and standards presented as a basis for setting up study.

Predictability of the completeness of medical recording of quality of care for inpatients (의무기록 완성도의 입원환자 진료적정성에 대한 예측도 평가)

  • Park, Un Je;Park, Eal Whan
    • Quality Improvement in Health Care
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    • v.3 no.2
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    • pp.60-68
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    • 1997
  • Background : Medical records are used to assess clinical performance of physicians and quality of care. The contents which are written in medical records are considered as the objective evidences to know what the doctors think about the patient's problems. But the problem to use medical records as the assessment tools is the incompleteness of medical recording. The purpose of this study is to know if the completeness of medical recording is correlated to quality of care for inpattients and it can predict physicians's quality of care. Method : 32 clinical physicians reviewed 200 patients' medical records who were selected randomly from the inpatients who were admitted to the university hospital during July, 1995 and June, 1996. The reviewers used the structured evaluation questionnaires which were composed of two part. One part evaluated the completeness of the medical recording and the other evaluating appropriateness of diagnosis and treatment processes. We summated the scores of each items and calculated percentile scores. Results : The mean percentile score of completeness of the medical recording was 67.9% in 1995 and 79.8% in 1996. The mean percentile score of appropriateness was 52.2% in 1995 and 69.5% in 1996. This change between 1995 and 1996 was statistically significant. In non-surgical patients, the percentile scores of the completeness and those of the appropriateness were correlated positively and this correlation was statistically significant(p<0.05). In surgical patients, the positve correlation between the completeness and the appropriateness was also statistically significant(p<0.05). Discussion : In conclusion, the completeness of medical recording is considered as the good predictor of the quality of care for inpatients.

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Hospital Workers' Experience with Hospital Evaluation Program: A Focus Group Study (의료기관 평가에 관한 병원 종사자들의 경험: 포커스 그룹 연구)

  • Yi, Myung-Sun;Oh, Ji-Hyeon;Hwang, Hye-Min;Kwon, Eun-Jin;Lee, Jeong-Hee;Park, Eun-Young
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.568-579
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    • 2011
  • Purpose: The purpose of the study was to understand and describe the hospital workers' experience related to the hospital evaluation program implemented in Korea between 2004 and 2009. Methods: During 2010, data were collected using focus group interviews. Four focus group interviews were held with a total of 28 hospital workers participating. All interviews were recorded and transcribed as they were spoken, and data were analyzed using qualitative content analysis. Results: Nine themes emerged from the analysis: 1) Positive change in the necessity of the evaluation; 2) Improvement in the hospital system, facilities, and human resources; 3) Unity through cooperation among departments; 4) Nursing work overload; 5) Lack of physicians' awareness and responsibilities; 6) Unfair and unrealistic evaluation items; 7) Lack of credibility of the outcome; 8) Shifting responsibility for negative outcomes to the workers; 9) Lack of pragmatic utility. Conclusion: The results of the study demonstrate that the hospital evaluation program played a key role in improving some work environments and communication among departments. At the same time, they show various negative themes resulting from the context of very authoritarian hospital systems and a connection-oriented society in Korea.

Improvement of the Marine Environmental Assessment for Dredging and Ocean Disposal of Coastal Sediment in Korea (연안준설 및 준설토 해양투기 해양환경평가 개선방안)

  • Lee, Dae-In;Park, Dal-Soo;Eom, Ki-Hyuk;Kim, Gui-Young;Cho, Hyeon-Seo;Kim, Jong-Kyu;Seo, Young-Kyo;Baeck, Gun-Wook
    • Journal of Environmental Impact Assessment
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    • v.18 no.3
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    • pp.131-141
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    • 2009
  • We studied improvement in marine environmental impact assessment and related management systems of coastal sediments that are dredged inshore but disposed offshore. After reviewing and diagnosing the existing assessment procedures and problems, we recommend to design the core assessment items and improve the reliability of assessment byenhancing the quality assurance/quality control (QA/QC) and verification processes. We proposed eco-friendly disposal plan for dredging sediment such as reuse system in land development was explored. A marine environmental database system was established to support the assessment processes. Guidelines for marine research and modelling were proposed for improving assessment of dredging and disposal of coastal sediment. Also, applying of screening and scoping for marine environmental assessment was reviewed.

Improvement of Marine Environmental Impact Assessment for Golf Course Projects in Southern Coastal Area of Korea (남해연안 골프장조성에 따른 해양환경영향평가 개선방안)

  • Kim, Gui-Young;Lee, Dae-In;Yu, Jun;Eom, Ki-Hyuk;Jeon, Kyeong-Am
    • Journal of Environmental Impact Assessment
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    • v.19 no.5
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    • pp.453-464
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    • 2010
  • We evaluated the status and problems of golf course developments in the southern coast of Korea. It's adjacent waters supports nursery and fishing grounds for commercially-important fisheries species, and various sites are designated and protected as marine protection area(MPA), fisheries reserve, or clean area(blue belt) for producing shellfish. We proposed key assessment items for environmental impact assessment(EIA) and checklists in selecting golf course locations. For the protected areas, we suggest that it is essential to limit golf course establishment while setting a minimal distance from the coast to secure a buffer zone for mitigating the environmental impacts. To efficiently utilize existing regional coastal management plans, it is necessary to diagnose how a golf course development will potentially modify geomorphology and scenery, amplify pollutant loads from non-point sources, and disrupt the functions of coastal ecosystem. Especially, continued monitoring and assesssing input loads of hazardous materials originating from agricultural chemicals should be obligatory. Finally, measures for improving the QA/QC analysis were discussed to enhance reliability of environmental data with respect to golf courses and adjacent coastal waters.

Quality Control to Improve Reliability of Automatic Water Quality Data (수질자동측정망 자료의 신뢰성 제고를 위한 정도관리)

  • Lim, Byung-Jin;Hong, Eun-Young;Kim, Hyun-Ook
    • Korean Journal of Ecology and Environment
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    • v.43 no.2
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    • pp.338-344
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    • 2010
  • The automatic water quality monitoring system (AWQMS) have been installed to immediately response to any pollution incident. It also make it possible to conduct the task efficiently regarding water quality control. The purpose of this study is to enhance reliability by securing accuracy of automatic water quality data through quality assessment (QA) for temperature, pH, dissolved oxygen (DO), electric conductivity (EC), total organic carbon (TOC). The result of comparison between manual and automatic data, relative accuracy of general items (temperature, pH, EC, DO) and TOC were mostly satisfied with guideline (i.e. less than 20%). On the other hand, relative accuracy of DO between sampling site and housing site was somewhat against the guideline. The contamination by attaching algae and microorganism in the pipeline is considered as main cause. After backwashing the pipeline, DO concentration was increased up to 53%. Therefore, pipeline management is recognizable as important thing to secure reliability of water quality data.