• Title/Summary/Keyword: Quality improvement activities

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Effects of National Evaluation of Long-Term Care Hospitals on Hospital Workers' Work Environment, Job Satisfaction, and Quality of Services (요양병원평가가 요양병원 종사자의 근무환경, 직무만족과 서비스 질에 미치는 영향)

  • Kim, Jeong-Seon;Kim, Jin-Kyung;Han, Woo-Sok;Shim, Moon-Sook
    • Journal of Korean Public Health Nursing
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    • v.26 no.1
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    • pp.137-146
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    • 2012
  • Purpose: The purpose of this study is to evaluate the work environment and job satisfaction of hospital workers and to assess their effects on quality of services under the national long-term care hospital evaluation (hereafter, national evaluation), which has implemented since 2008. Methods: A self-administered survey was conducted on 178 hospital workers' at 18 hospitals in Chungcheong province, Korea. Survey questionnaires include questions about respondent' awareness of the national evaluation and any change in work environment and job satisfaction under the national evaluation. We used a path analysis to assess the effects of work environment and job satisfaction on quality of services. Results: Results showed that the effects of the national evaluation on work environment and job satisfaction were positive, which, in turn, leads to better quality of services. Improvements in the work environment under the national evaluation have resulted in increased job satisfaction. High scores for job satisfaction showed a significant association with the quality of services provided in long-term care hospitals. In addition, the national evaluation itself had a positive effect on improving quality of services. Conclusions: In order to facilitate quality improvement activities under the national evaluation, it is suggested that workers be provided with education and training. Continuous efforts to improve work environment and to enhance job satisfaction would lead to provision of better quality of services in long-term care hospitals.

Public Reporting on the Quality Ratings of Nursing Homes in the Republic of Korea

  • Lee, Hyang Yuol;Shin, Juh Hyun
    • Journal of Korean Academy of Nursing
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    • v.49 no.2
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    • pp.161-170
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    • 2019
  • Background: Quality ratings could provide vital information to help people in choosing a nursing home. Purpose: This study investigated factors aligned with quality ratings of nursing homes. Methods: We employed a cross-sectional descriptive design to assess publicly available data on 1,354 nursing homes with 30 or more beds in the Republic of Korea. After excluding 289 nursing homes with no reported quality-evaluation ratings, we analyzed the 2015 data of 1,065 nursing homes. To prevent multicollinearity among independent variables, we carefully selected the final set of variables based on clinical and theoretical meaningfulness to direct nursing care. Quality, the ordinal outcome, was scored from 1 to 5 with a higher score indicating higher quality of the organization. We constructed a multivariate ordered logistic regression model. Results: Higher quality ratings of nursing homes was significantly related to the number of unoccupied beds (OR=0.99, p=.024), registered nurses (RNs) (OR=1.30, p=.003), qualified care workers (OR=1.03, p=.011), cognitive-improvement programs (OR=1.05, p=.024), and other programs for residents' activities (OR=1.09, p<.001). Conclusion: The number of RNs had the strongest influence on the publicly reported quality rating, while the rating of qualified care workers demonstrated little effect and that of nursing assistants had no effect. The number of RNs could be used as a crucial indicator for high-quality homes; more resident-engaging programs also demonstrated better quality of nursing home care.

A Study On The Improvement Of Freight Transportation In Hai Phong city

  • Do, Hoang Chien;Yoon, Dae-Gwun;Keum, Chong-Su
    • Proceedings of KOSOMES biannual meeting
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    • 2017.11a
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    • pp.98-99
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    • 2017
  • With special condition in the geography, maritime industry is improvement rapidly in the planet, which is covered by approximately $360,000,000km^2$ of Saline water. Together with the development of this field, freight transportation industry becomes one of the most important service in the world as well as in Hai Phong. Meanwhile the number of company and quality of service increased due to the demanding of citizen, the price for this activities also raised.

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The Relations of Social Support to the Health Behaviors and Health Status in the Elderly (노인들의 사회적 지지와 건강행태 및 건강수준과의 관련성)

  • Kim, Tae-Myon;Lee, Sok-Goo;Jeon, So-Youn
    • Korean Journal of Health Education and Promotion
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    • v.23 no.3
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    • pp.99-119
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    • 2006
  • Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

SK Energy's Customer Satisfaction

  • Yeu Minsun;Lee, Doo-Hee;Kim, Jaehwan
    • Asia Marketing Journal
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    • v.16 no.1
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    • pp.195-214
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    • 2014
  • Many oil refinery companies have been proactively carried out marketing activities to survive in highly intensified service station industry. In 2012, SK Energy ranked number one in three customer satisfaction surveys (NCSI, KCSI, and KS-SQI). SK Energy's success is in its differentiated customer satisfaction business strategy. SK Energy has been implementing various marketing activities. As a part of the activities, it issued an affinity credit card with on spot discount privilege for the first time in the oil refinery industry. SK Energy also issued EnClean bonus card for OK Cashbag points that can be used for discounts at the service stations. On top of all, SK Energy generated point value-up with '3K Exclusive Privilege' program. In addition, team 'CS 119' was formed to noticeably improve the service. 'CS 119' visited each service station, diagnosed its CS service level then provided customized field training for improvement. Long-termimplementation of 'ACE Program', a field-base CS monitoring system, regularly checked customer satisfaction level. 'ACE Program' has significantly contributed improving SK Service Station's service quality and customer satisfaction. This case reviews customer satisfaction marketing activities SK Energy carried out. The focus is on distinctive factors that distinguish SK Energy's customer satisfaction marketing activities from competitors.

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Assessment of Water Quality Characteristics in the Middle and Upper Watershed of the Geumho River Using Multivariate Statistical Analysis and Watershed Environmental Model (다변량통계분석 및 유역환경모델을 이용한 금호강 중·상류 유역의 수질특성평가)

  • Seo, Youngmin;Kwon, Kooho;Choi, Yun Young;Lee, Byung Joon
    • Journal of Korean Society on Water Environment
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    • v.37 no.6
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    • pp.520-530
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    • 2021
  • Multivariate statistical analysis and an environmental hydrological model were applied for investigating the causes of water pollution and providing best management practices for water quality improvement in urban and agricultural watersheds. Principal component analysis (PCA) and cluster analysis (CA) for water quality time series data show that chemical oxygen demand (COD), total organic carbon (TOC), suspended solids (SS) and total phosphorus (T-P) are classified as non-point source pollutants that are highly correlated with river discharge. Total nitrogen (T-N), which has no correlation with river discharge and inverse relationship with water temperature, behaves like a point source with slow and consistent release. Biochemical oxygen demand (BOD) shows intermediate characteristics between point and non-point source pollutants. The results of the PCA and CA for the spatial water quality data indicate that the cluster 1 of the watersheds was characterized as upstream watersheds with good water quality and high proportion of forest. The cluster 3 shows however indicates the most polluted watersheds with substantial discharge of BOD and nutrients from urban sewage, agricultural and industrial activities. The cluster 2 shows intermediate characteristics between the clusters 1 and 3. The results of hydrological simulation program-Fortran (HSPF) model simulation indicated that the seasonal patterns of BOD, T-N and T-P are affected substantially by agricultural and livestock farming activities, untreated wastewater, and environmental flow. The spatial analysis on the model results indicates that the highly-populated watersheds are the prior contributors to the water quality degradation of the river.

The Direction Presentation for Quality Improvement of Weapon System based on R&D Characteristics in Defense Field (국방분야의 연구개발 특성분석을 통한 무기체계 품질향상 방향 제시)

  • Park, Sangeun;Hong, Jaeyoung
    • Journal of Korean Institute of Industrial Engineers
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    • v.43 no.2
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    • pp.120-126
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    • 2017
  • This paper has proposed the development direction and R&D analysis approach that the diversity of defense R&D process and product should be mainly under consideration. It has shown that there is a fair possibility of the various quality assess to meet the R&D requirements in defense-based. Thus, the analysis on multiple quality elements is carried out with defense R&D characteristics. Especially, a quality management master planning based on the quality model of establishing defense R&D policy has proposed, identifying relevant quality characteristics on the R&D of weapon system and the R&D of core technology. That is, this paper is not only interested in determining an appropriate model for improving the quality of a R&D weapon system but also argued efforts in order to reap the best possible outcome and process on both the R&D of weapon system and quality of the R&D of core technology including present R&D activities.

Case Report on the Activities for Cost Reduction and Performance Improvement in the Central Supply Room in A University Hospital (종합병원의 비용절감과 업무개선을 위한 중앙공급실의 활동)

  • Song, Kyu Nam;Song, Sun Ok;Hwang, Un Soon;Koo, Bon Up;Choi, Hye Sook;Lee, Sang Yun
    • Quality Improvement in Health Care
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    • v.6 no.1_2
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    • pp.150-160
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    • 1999
  • Background : Because hospitals had to faced with financial hardship, we have to have more effective hospital management. In this study, we tried to improve job performance and to reduce cost maintaining safety in fields of patients care. Methods : Central Supply Room(CSR) staffs taught strategy of material cost reduction to middle level managers and staffs 14 times. All staffs and voluntary service workers, working in 33 nursing units, participated in this activity. We developed questionnaire to check the degree of participate in cost reduction activity and job performance in CSR, and quality improvement in the wards. Two hundred questionnaires were distributed and 197 returned. Results : Because CSR staffs developed new items and every item was managed at each department, stocks of each department were reduced. Overall, by comparing before and after cost reduction activity, almost 1.2 billion won reduced for one year. Staffs' loyalty and spirits of cost reduction were improved by changing clothes and duty environment. Furthermore, these activity improved patients' satisfaction. Conclusion : We suggest that CSR activity in a university hospital contributes to improve job performance and to reduce cost without any problem in patient care.

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The Safety Management for Compression Medical Device through the Quality Improvement Activities (질 향상 활동을 통한 사지압박순환장치의 안전관리)

  • An, Young-Jae;Kim, Kyu-Sung;Shin, Jeong-Ae;Lee, Hye-Ryun;Hwang, Kyu-Jung;Park, Ji-Young;Kim, Sae-Rom;Kang, Su-Kyung;Kwon, Dae-Gyu
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.2
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    • pp.125-132
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    • 2017
  • Intermittent pneumatic compression is frequently used for prophylaxis of deep vein thrombosis, however there is a lot of complains by frequent adverse event. In this paper, we analyzed the cause of adverse event and we tried to improve for the cause of machine, nurses, patients, system by diverse strategy. And we could improve the index of each cause, the rate of error was decreased finally. The proactive activity of quality improvement for medical device can contribute to decrease the error, that will improve the quality of medical service and achieve the safe medial culture.

Quality Improvement of Chokochujang by the Addition of Green Tea Extract (녹차추출물을 첨가한 초고추장의 품질향상)

  • Kim, Eun-Lyang;Kang, Sun-Chul
    • Food Science and Preservation
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    • v.14 no.5
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    • pp.516-525
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    • 2007
  • The effect on quality improvement of Chokochujang by the addition of green tea extract (GT) was evaluated on the basis of total cell numbers, pH, acidity, sugar content and sensory evaluation during its storage at $25^{\circ}C$ and $37^{\circ}C$ for 3 weeks. A dorminant strain was isolated from the Chokochujang and identified as Bacillus amyloliquefaciens ER282 based on the 16S rDNA sequence. The ethanol extract from GT was investigated for its antibacterial activity aid showed good activities enough to use for Chokochujang as a natural preservative. Growth of microorganisms was significantly inhibited by adding GT extract to Chokochujang but pH, acidity, sugar content and color was not much changed. Sensory evaluation and overall preference, however, was continuously declined as storage period increased, whereas the addtion of 3% GT extract could delay the quality loss of Chokochujang during storage at $25^{\circ}C$ and $37^{\circ}C$ for 3 weeks.