• Title/Summary/Keyword: Quality assurance (QA)

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Real Time On-line Quality Assurance System for HDR Brachytherapy (고선량률 근접 방사선 치료를 위한 실시간 온-라인 정도 관리(QA) 시스템 개발)

  • Lee Su Jin;Lee Re Na;Yi Byang Yang;Lim Sang Waak;Choi Jin Ho
    • Progress in Medical Physics
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    • v.15 no.3
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    • pp.156-160
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    • 2004
  • An essential quality assurance (QA) procedure in high dose rate (HDR) remote after-loading brachytherapy is that of the verification of the Ir-192 HDR source positioning accuracy. A number of methods using mechanical rulers or autoradiograph and video cameras have been reported to check the positional error of the Ir-192 source. In this study, the feasibility of a CMOS (Complementary Metal Oxide Semiconductor) PC camera, with a fluorescent screen, was investigated. The agreement between the planned and measured dwell position was better than 1 mm and dwell times better than 0.4 sec. Our results indicate that the CMOS PC camera system could be used as a QA tool for the on-line determination of the source position and dwell time.

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An empirical study of the impact which the change of age ratio of disaster response organization has on organization effectiveness and quality assurance - Focused on field activities firefighters in Seoul metropolitan city - (재난대응조직 연령구성비 변화가 조직효과성 및 서비스질 보장활동에 미치는 영향에 관한 실증분석 - 서울지역 현장활동 소방공무원을 중심으로 -)

  • Park, Chan-Seok
    • Journal of the Korea Safety Management & Science
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    • v.16 no.4
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    • pp.133-145
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    • 2014
  • Aging of the fire organizations, typical disaster response agencies also will be in serious problems with aging society. It is expected that the ratio of more than fifties will reach 31~40% after 10~15 years in Seoul fire organization. This Aging of firefighters can bring about a serious problem in disaster and safety management, since firefighters require robust fitness and healthy bodies in disaster situations. In this study, after the analysis of aging status and trend of firefighters in Seoul, I have an empirical analysis about the impact this aging has on organization effectiveness and QA. As a result, the increase of the elderly reduced organization effectiveness and QA. In addition, in the group consisting of less than 50, it is expected to increase the organization's effectiveness and QA activities through field activity to improve the professional skills with age, but could not be confirmed. In the group consisting of more than fifties, it was found that aging had a significant negative impact on organizational effectiveness and QA activities as factors, including physical deterioration by aging.

Application of General QA Tools to Quality Improvement Activities in a Hospital's Emergency Room (응급실에서의 질 향상 기법 적용)

  • Hwang, Jee In;Hwang, Jeong Hae;Kim, Chang Yup;Shin, Hee Young;Oh, Byung Hee
    • Quality Improvement in Health Care
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    • v.6 no.1_2
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    • pp.136-149
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    • 1999
  • Background : Although a number of studies are related to QA improvement, there are few studies applied various method of QA tools. This study reviewed the availability of general quality assurance(QA) tools according to ten steps in performing quality improvement activities at emergency room of a tertiary teaching hospital which has more than 1,000 beds. Methods : All patients in emergency room from 15th Oct. 1997 to 5th Sep. 1998 were surveyed. The survey data based on the patient's records of emergency room were evaluated according to length of stay, and we tried to identify problems with management of emergency room. To solve the problems, our team applied general QA tools(brainstorming, flow chart, nominal group technique, benchmarking, cause-and-effect diagram, run chart, control chart) to quality improvement activities and discussed the availability of the tools. Results : After the activities such as changes of staffing, the establishment of local area network and chest pain clinic, application of triage and so on, the percentage of patient who had stayed more than six hours was reduced from 56.0% to 46.8%. The mean number of patients per day in emergency room was increased from 49 to 62. But the reporting time for laboratory test was not changed after these activities. Conclusion : Each QA tool has unique benefit and limitation, but we can implement and evaluate the quality improvement activities more scientifically and systematically by applying these tools to practice according to QA ten steps.

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A Study on the Standardization Strategy for e-Learning Quality Assurance (e-Learning QA 표준화 전략에 관한 연구)

  • Han, Tae-In;Kim, Kwang-Myung
    • Journal of Digital Convergence
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    • v.3 no.2
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    • pp.143-157
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    • 2005
  • Many papers point out that the e-Learning is one of the most important industries, and the effect on other industries can be more powerful than any other business. Therefore, we think about social, cultural, industrial and technological effect of the e-Learning in order to enlarge industry scale as well as educational performances. In many cases of developed countries, various kinds of study have been performed for the e-Learning quality assurance because quality of the e-learning should operate on effective and efficient learning and continuous market development of education industries. The e-Learning quality assurance has import function not only for learning contents reusability like a SCORM and metadata but also for learning system, solution and service operation, so activities for the quality assurance should consider of cultural and tactical approach when it is applied in the e-learning business. In this paper, we present the concept, domain and purpose of the e-Learning quality assurance. Furthermore, this paper proposes the process and methodology in order to make the quality assurance standard model which is consist of 6 phase such as Environment Research, Needs Analysis, Framework, Metrics, Development and Implementation, Evaluation and Feedback through the analysis and comparison of pre-studied worldwide quality control, management and assurance documents.

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The Study of Effectiveness/Problems for Quality Management of Domestic Enterprise on International Quality Assurance System (국제품질보증 시스템 인증이 국내 기업의 품질경영에 미치는 영향 및 문제점에 관한 연구)

  • 장태영;김원중
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.22 no.49
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    • pp.169-182
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    • 1999
  • Nowadays most companies are required to acquire the quality assurance system for their survival. It is essential to improvement company's competitive power that Certification of Quality Assurance System but there are many problems. To analysis the effects of ISO 9000 series/QS-9000 QA systems to the Domestic Company Quality Improvement as well as quality consciousness, data has been surveyed form quality assurance engineers who have work on certification activities. The data is analyzed using relevant tabulations of five scale or paired t test method in order to compare level of quality management of pre-certification with that of post-certification. It is analyzed in two parts which are qualitative effects and quality maturity grid. Also, to analysis for the bottlenecks and problems the data is analyzed using frequency analysis method.

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Enhancing value of quality assurance rounds in improving radiotherapy management: a retrospective analysis from King Hussein Cancer Center in Jordan

  • Khader, Jamal K.;Al-Mousa, Abdelatif M.;Mohamad, Issa A.;Abuhijlih, Ramiz A.;Al-Khatib, Sondos A.;Alnsour, Anoud Z.;Asha, Wafa A.;Ramahi, Shada W.;Hosni, Ali A.;Abuhijla, Fawzi J.
    • Radiation Oncology Journal
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    • v.37 no.1
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    • pp.60-65
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    • 2019
  • Purpose: The quality assurance (QA) chart rounds are multidisciplinary meetings to review radiation therapy (RT) treatment plans. This study focus on describing the changes in RT management based on QA round reviews in a single institution. Materials and Methods: After 9 full years of implementation, a retrospective review of all patients whose charts passed through departmental QA chart rounds from 2007 to 2015. The reviewed cases were presented for RT plan review; subcategorized based on decision in QA rounds into: approved, minor modifications or major modifications. Major modification defined as any substantial change which required patient re-simulation or re-planning prior to commencement of RT. Minor modification included treatment plan changes which didn't necessarily require RT re-planning. Results: Overall 7,149 RT treatment plans for different anatomical sites were reviewed at QA rounds. From these treatment plans, 6,654 (93%) were approved, 144 (2%) required minor modifications, while 351 (5%) required major modifications. Major modification included changes in: selected RT dose (96/351, 27%), target volume definition (127/351, 36%), organs-at-risk contouring (10/351, 3%), dose volume objectives/constraints criteria (90/351, 26%), and intent of treatment (28/351, 8%). The RT plans which required major modification according to the tumor subtype were as follows: head and neck (104/904, 12%), thoracic (12/199, 6%), gastrointestinal (33/687,5%), skin (5/106, 5%), genitourinary (16/359, 4%), breast (104/2387, 4%), central nervous system (36/846, 4%), sarcoma (11/277, 4%), pediatric (7/251, 3%), lymphoma (10/423, 2%), gynecological tumors (2/359, 1%), and others (11/351, 3%). Conclusion: Multi-disciplinary standardized QA chart rounds provide a comprehensive and an influential method on RT plans and/or treatment decisions.

International Symposium and Collaborative Study on Deep Cement Mixing, Okinawa 2009 (2009 오키나와 Deep Mixing 심포지엄 및 공동연구)

  • Jeong, Gyeong-Hwan;Shin, Min-Shik;Han, Gyeong-Tae;Lee, Jung-Hwa;Kim, Jae-Hwan
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.972-978
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    • 2008
  • Quality Assurance of Deep Mixing to fulfill the requirements of geotechnical design cannot be achieved only by the process control During production conducted by the deep mixing contractor but it should involve relevant activities that are carried out prior to, during and after the construction by all the parties involved in a deep mixing project. The requirement is different for different application, and hence, QA/QC method/procedure and verification technique may be different for different application. In order to maintain the high quality of deep mixing work in the global market, it is necessary to conduct a research project, such as investigation of illustrations, the variety of existing QA/QC methods/procedures, the correlation between the outcomes of different QA/QC methods. In these reason, it has been held the international meeting to discuss them, in that kind of activities in 2009 it will be held Symposium. Also Collaborative study for QA/QC is on goin, and conduction by all participated members. The subject for collaborative study are, task 1 : investigation of laboratory tests procedures, task 2 : comparing of different laboratory tests procedures, task 3 : QA/QC method/procedures, task 4 : integrated Task1 ~task 3. The discussion of the results in all task will be held in the Symposium separately. In this paper, it was presented four tasks. Also the results in task 1 and 2 conducting domestically until now, such as investigation of laboratory test procedures, effect on the unconfined compressive strength by aging temperature and by delayed time.

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A Study on the use of Automotive Testing Data for Updating Quality Assurance Models (새로운 품질보증(品質保證)을 위한 자동검사(自動檢査)데이터의 활용(活用)에 관(關)한 연구(硏究))

  • Jo, Jae-Ip
    • Journal of Korean Society for Quality Management
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    • v.11 no.2
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    • pp.25-31
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    • 1983
  • Often arrangement for effective product assessment and audit have not been completely satisfactory. The underlying reasons are: (a) The lack of early evidence of new unit quality. (b) The collection and processing of data. (c) Ineffective data analysis techniques. (d) The variability of information on which decision making is based. Because of the nature of the product the essential outputs from an affective QA organization would be: (a) Confirmation of new unit quality. (b) Detection of failures which are either epidemic or slowly degradatory. (c) Identification of failure cases. (d) Provision of management information at the right time to effect the necessary corrective action. The heart of an effective QA scheme is the acquisition and processing of data. With the advent of data processing for quality monitoring becomes feasible in an automotive testing environment. This paper shows how the method enables us to use Automotive Testing data for the cost benefits of QA management.

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The prophylactic uses of antibiotics for the prevention of surgical site infection and the effects: The 3-year experience in a tertiary hospital (수술 예방적 항생제의 사용 현황 및 관리전후 효과)

  • Yang, Jiyeon;Kim, Moon-Sook;Kim, Yu-Jeong;Lee, Eun-Bong
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.71-78
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    • 2012
  • Background : The objective of this study was to examine the effect of management system for the appropriate prophylactic use of antibiotics in surgical patients at a tertiary hospital from 2007 to 2010. Methods : We collected clinical data of three different surgical procedures(colectomy, heart surgery, hysterectomy) for three months of 2007 and 2010, respectively. The number of total cases was 245(137, 54, 54) in 2007, 240(133, 42, 65) in 2010. We measured the rate of use of inappropriate prophylactic antibiotics, administration within 1 hour prior to the incision and the antibiotics prescription days after surgery. To evaluate the effectiveness of the management system, the results of the two groups(Group1=2007, Group2=2010) were compared by t-test, chi-square test or Fisher's exact test. Result : The rate of Aminoglycoside uses decreased drastically from 11.4% to 0.8%(P<.001). The selection of 3rd/4th Cephalosporin dropped from 11.8% to 5.8%(P=.020). The combination of antibiotics decreased from 27.8% to 11.7%(P<.001). The antibiotic prescription rate on discharge declined from 11.8% to 2.5%(P<.001) and the number of antibiotics prescription days after surgery was shortened from 4.2 days to 2.3 days(P<.001). No significant difference in the rate of administration within 1 hour between two groups was found. Through 3-year management, 5 out of 6 measures were significantly improved(except the administration within 1 hour). The rate of surgical site infection decreased from 2.4% to 1.3%(P=.504). Conclusion : The findings demonstrate that the management system for the prophylactic use of antibiotics in surgical patients was effective in decreasing the rate of surgical site infection during 3 years.

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