• 제목/요약/키워드: Qualitative risk management

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노인요양시설 요양보호사의 환자안전문화, 환자안전관리 중요성 인식 및 환자안전관리활동: 혼합연구방법 적용 (Patient Safety Culture, Perception of Importance on Patient Safety Management, and Patient Safety Management Activities of Care Workers in Nursing Homes: Mixed-method Approach)

  • 김순옥;김정아
    • 한국보건간호학회지
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    • 제34권3호
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    • pp.473-489
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    • 2020
  • Purpose: This study investigated the patient safety culture (PSC), the perception of importance on patient safety management (PIPSM) and the patient safety management activities (PSMA) of care workers in nursing homes. This was a descriptive study that attempted to provide basic data for the patient safety education program of care workers. Methods: Data were collected using questionnaires and interviews from July 1 to 31 in 2020. One hundred and seventy-four care workers participated in quantitative research. The collected data were analyzed by the SPSS/WIN 25.0 program using descriptive statistics, t-test, ANOVA, Bonferroni, and Pearson's correlation. The qualitative data were collected through semi-structured, audio-recorded interviews with six representatives and six care workers from six nursing homes. Content analysis was performed to analyze the data. Results: Positive correlations were observed between PSC and PIPSM, and between PIPSM and PIPSM. Care workers' experience in patient safety management was in the following six categories: "Safety accident risk factors", "Type of safety accidents", "How to prevent safety accidents", "Effective safety management education", "Emphasis on occupational ethics of care workers", and "Needs for standard protocol" Conclusion: These findings indicate that considering the care workers' age and facility size, nurses should enhance patient safety education for care workers and establish a management activity system.

건강보장과 국민건강보험공단의 역할 (The Roles of the National Health Insurance Service in the Public Health Security)

  • 김용익
    • 보건행정학회지
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    • 제28권3호
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    • pp.210-216
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    • 2018
  • National Health Insurance Service (NHIS) has put a great effort on extending life expectancy, for last 40 years. The system has also made remarkable outcomes in achieving universal health coverage. However, it is facing challenges of low health insurance benefits and sustainability risk due to low birth rate and aging society at the same time. To overcome the difficulties and build a lifelong health security system for the nation, it is required for NHIS to make multilateral changes in its roles. Based on the quantitative growth achieved so far, NHIS needs to strive for the growth in quality by not only increasing coverage and reforming contribution imposition system, but also reorganizing the relevant systems such as lifelong health management support, rational adjustment to the medical fee, and benefit costs monitoring. In addition, it's important for NHIS to restructure the organizational culture by having specialty and communicating with people for high quality of administration and health insurance sustainability.

Scoring Model을 이용한 매설배관 안전성 개선에 관한 연구 (A Study on the Safety Improvement of Buried Pipeline Using Scoring Model)

  • 손명덕;김성근
    • 대한토목학회논문집
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    • 제37권1호
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    • pp.175-185
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    • 2017
  • 가스 사용의 지속적인 증대로 이에 따른 가스의 제조, 취급, 사용이 점점 확대되어 관련 시설이 대형화, 복잡화되어, 이로 인한 크고 작은 사고가 지속적으로 발생하고 있다. 이러한 사고는 인명피해 및 물적 손실 뿐만 아니라 국가의 경제적인 손실의 큰 원인이 된다. 가스시설의 공통적으로 많은 부분을 차지하고 있는 Pipe Line 부분에 외부의 영향에 의한 사고가 가장 큰 위험요소를 가지고 있다. 특히, 도심지역 및 인구밀집지역의 경우의 고압가스배관의 사고 발생은 경제적 손실을 비롯한 보다 많은 손실을 야기시킬 수 있다. 이러한 매설배관의 사고에 대한 예방대책으로 여러 관련 기관에서는 가스배관에 대한 안전성을 확보하기 위해서는 전체 시스템의 파손 및 위험요소를 효과적으로 평가할 필요가 있다. 특히 가스배관이 설치되거나 작동되어 질 때에 이러한 파손(failure)의 가능성을 매우 작게 하더라도 위험요소가 존재하게 된다. 그러나 일단 파손이 발생하면 인명 및 재산상의 피해가 매우 크기 때문에 파손의 원인을 분석하여 파손사고의 비율을 최소한으로 낮추는 것이 필요하다. 그러므로 본 논문에서는 Scoring Model의 정성적 위험성 분석기법을 이용하여 매설배관의 위험성을 점수로 표현하여 정량적인 숫자로 표현하였다. 이러한 가시적인 평가의 결과는 매설배관의 안전을 확보하여 실질적인 매설배관의 유지관리를 하는데 있어서 매우 효율적으로 적용될 수 있을 것이다.

성공적 해외건설사업을 위한 입찰단계의 리스크 관리 프로세스 모델 개발 - 발전 플랜트 EPC 사업을 중심으로 - (The Development of Risk Management Process Model during Bidding Phase for Success of Oversea Construction Projects)

  • 서재필;류한국;손보식;최윤기
    • 한국건설관리학회논문집
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    • 제17권4호
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    • pp.76-86
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    • 2016
  • 2014년까지 지속적인 증가세를 보이던 해외건설사업 수주가 2015년에는 하향세가 뚜렷한 모습을 보이고 사업 운영 실적도 감소했다. 이러한 추세의 이유로 저가수주, 사업관리 Know-How 부족과 부실한 사업관리, 클레임 관리 능력 부실 등 여러 이유를 찾을 수 있다. 이에 수주 질적 향상의 필요성이 대두 되고 있다. 반복되는 실패에 대한 교훈을 삼고 입찰과정에서 기술, 상업, 계약적인 사항을 면밀히 검토하고, 사업 초입 단계에서 입찰 업무 시스템의 체계화가 필요하다. 또 사업지역 정보력 등 영업적인 측면의 경쟁력도 키운다면 질 높은 입찰을 제안함으로써 성공적인 사업으로 이끌어 낼 수 있을 것이다. 입찰 기술 고급화 전력이 해외건설사업의 리스크와 원가율, 추후 사업 확장 등 여타 전략적 측면에서 사업 성공의 열쇠(Key)가 되고 있다. 본 연구는 입찰 업무 프로세스 분석과 입찰업무 단계의 핵심성공인자(Critical Success Factor)를 도출하고 업무상의 리스크(Risk)인자를 찾아 핵심성공요인과 연계하여 종합적으로 관리함으로써 리스크 수준을 낮출 수 있는 프로세스 모델을 제시하고자 하는데 목적이 있다.

라돈 우선관리 대상 지역 선정에 적합한 공간분석모형의 선정 및 활용에 관한 연구 (Study on the Selection and Application of a Spatial Analysis Model Appropriate for Selecting the Radon Priority Management Target Area)

  • 남궁선주;최길용;홍형진;윤단기;김윤신;박시현;김윤관;이철민
    • 한국환경보건학회지
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    • 제45권1호
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    • pp.82-96
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    • 2019
  • Objective: The aims of this study were to provide the basic data for establishing a precautionary management policy and to develop a methodology for selecting a radon management priority target area suitable for the Korean domestic environment. Methods: A suitable mapping method for the domestic environment was derived by conducting a quantitative comparison of predicted values and measured values that were calculated through implementation of two models such as IDW and RBF methods. And a qualitative comparison including the clarity of information transmission of the written radon map was carried out. Results: The predicted and measured values were obtained through the implementation of the spatial analysis models. The IDW method showed the lowest in the calculated mean square error and had a higher correlation coefficient than the other methods. As results of comparing the uncertainty using the jackknife concept and the concept of error distance for comparison of the differences according to the model interpolation method, the sum of the error distances showed a modest increase compared with the RBF method. As a result of qualitatively comparing the information transfer clarity between the radon maps prepared with the predicted values through the model implementation, it was found that the maps plotted using the predicted values by the implementation of the IDW method had greater clarity in terms of highness and lowness of radon concentration per area compared with the maps plotted by other methods. Conclusions: The radon management priority area suggests selecting a metropolitan city including an area with a high radon concentration.

Contemporary Safety Management of Virtual Golf in South Korea

  • MOON, Bo Ra;LEE, Seung Min;SEO, Won Jae
    • Journal of Sport and Applied Science
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    • 제6권1호
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    • pp.1-4
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    • 2022
  • Purpose: The purpose of this study is to provide implications for virtual golf safety management in Korea through the literature review of current safety issues of virtual golf industry. Research design, data, and methodology: This study employed a qualitative approach to review prior studies and related documents presenting current safety perspectives of virtual sports facility management. First, the study reviewed the experiences of virtual golf players and safety criteria suggested from previous literatures. Second, two experts in sport facility management reviewed the manuscript including implications and provided their opinions including major implications and insights for virtual sport industry. Views of experts were added to the final manuscript. Results: This study found that installation standards and safety and hygiene standards by industry are enacted for the safety management of sports facilities, however, there is a need for standards to be adjusted because the contents are general, abstract, and lack detail, thus causing difficultly to secure effectiveness. Conclusions: For virtual golf courses, it is necessary to develop a safety inspection checklist that suits the characteristics of indoor virtual golf. In this line, safety criteria need to be developed with the consideration of characteristics of screen golf to establish an efficient safety management system and create a safe use environment.

의료급여 사례관리 관련 국내 연구동향 (Trends of Research on the Case Management of Medicaid Beneficiaries in Korea)

  • 김순옥;조정현
    • 한국보건간호학회지
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    • 제29권3호
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    • pp.412-425
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    • 2015
  • Purpose: This study was conducted to understand the trend in research by analyzing previous studies related to the case management of Medicaid and to explore the direction of future research. Methods: Thirty three studies conducted from January 2003 to June 2015 were analyzed according to characteristics of researchers and subjects, research methods, measurable variables, and key words. Results: Of the studies analyzed, 69.7% were conducted on Medicaid beneficiaries, and 65.6% were conducted on the group of high risk for over medical utilization. The mainly used research design was a survey study design, which was 51.5% of them, followed by experimental (24.2%), and qualitative (12.1%) study design. Most frequently measured variables were medical utilization (62.5%), needs for case management (41.7%), and health status (25.0%). The topics most frequently studied were related to medical utilization, effect of case management, self-care, and program development in Medicaid beneficiaries and job and socio-psychological factors in case managers. Conclusion: The future direction of nursing research in Medicaid case management is to be vitalized through the expansion of the research population, and concretization and diversification of the research topics. In addition, conduct of further studies on intervention strategies and contents for improving quality of case management program is also needed.

정보통신망의 효율적 보안관리를 위한 비즈니스 프로세스 기반의 자산평가모델 및 방법론에 관한 연구 (A Study on Business Process Based Asset Evaluation Model and Methodology for Efficient Security Management over Telecommunication Networks)

  • 우병구;이강수;정태명
    • 정보처리학회논문지C
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    • 제10C권4호
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    • pp.423-432
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    • 2003
  • 정보통신망의 보안관리나 위험분석시 정형화된 자산분석ㆍ평가는 필수적이지만, 기존의 위험분석 방법론 및 도구에는 자산의 분규체계만 다수 제시되어 있을 뿐 구체적인 자산파악 및 가치평가방법은 알려져 있지 않다. 또한, 기존의 자산분류체계는 주로 정보자산이 아닌 일반적인 위험평가를 위한 것이므로, 정보통신망의 정보자산에 대한 분류체계 및 자산가치 평가방법으로는 부적합하다. 특히, 자산평가시의 평가자의 주관성 문제를 해결하는 구체적인 방법이 제시되어있지 못하다. 본 논문에서는 이러한 문제점들을 해결하기 위해, 정형화된 자산평가모델의 정의, 새로운 자산분류스키마, 업무처리(BP)와 자산을 고려한 2차원적 자산업무분류스키마, 다양한 정량가치와 정성가치의 평가방법을 제시하고 특히 무형자산 평가시의 평가자의 주관성 문제의 단점을 보완할 수 있는 베타분포형 델파이 방법은 제안하고자 한다.

Factors Affecting Consumer's Choice of Retail Store Chain: Empirical Evidence from Vietnam

  • BUI, Thu Thi;NGUYEN, Huong Thi;KHUC, Long Dai
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.571-580
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    • 2021
  • The study explores the factors affecting the brand selection behavior of retail chains in Vietnam and to what extent they have an impact on the customer's choice intention. This research employs a combination of both qualitative and quantitative mixed methods with the help of SPSS version 22.0 in data analysis. Expert interviews are used to design the questionnaire for the survey conducted on 700 consumers. Research results show that the eight factors of store image (1-to-3 split factor of store image including the display of goods and services), price perception, risk perception, brand attitude, brand awareness, and brand familiarity were determined. They all influence the intention to choose the retail chain brand. With a positive β coefficient, the more store image, price perception, brand attitude, and brand awareness are enhanced, the more likely the intention to choose the retail chain brand. The factor of risk perception has negative ��, resulting in an inverse impact on choosing a retail chain brand name. Price perception and risk perception have the strongest impact on retail chain decision behavior while commodity display factors the least. Based on these important results, the study proposes implications for retailers and manufacturers.

The effects of health care programs for gestational diabetes mellitus in South Korea: a systematic review

  • Park, Seo Jin;Lee, Jina
    • 여성건강간호학회지
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    • 제26권4호
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    • pp.274-284
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects and characteristics of health care programs for pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: This study was conducted according to the Cochrane Collaboration's systematic literature review handbook and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guideline. We searched eight international and domestic electronic databases for relevant studies. Two reviewers independently selected the studies and extracted data. For each study, information on the research method, participants, characteristics of the program, and results were extracted using a previously established coding table. The National Evidence-based Healthcare Collaborating Agency's risk of bias assessment tool for non-randomized studies was used to assess the risk of bias of the included articles. A qualitative review of the selected studies was performed because the interventions differed considerably and the measured outcomes varied. Results: Out of 128 initially identified papers, seven were included in the final analysis. The risk of bias was evaluated as generally low. Health care programs for pregnant women with GDM showed positive effects on blood glucose control. Anxiety and depression were reduced, and self-management and self-care behavior, self-efficacy, and maternal identity improved. Conclusion: Our study provides clinical evidence for the effectiveness of health care programs for pregnant women with GDM, and its results can be used to support the development of health care programs for GDM. More well-designed research is needed on GDM, especially studies that deal with emotional stress and apply a family-oriented approach.