• Title/Summary/Keyword: Quality improvement activities

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Relationships Among Cognitive Functions, Activities of Daily Living, Participation and Quality of Life in Community-dwelling Elderly (지역사회 거주 노인의 인지기능, 일상생활활동, 참여 및 삶의 질의 관계)

  • Choi, Yoo-Im
    • Therapeutic Science for Rehabilitation
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    • v.9 no.4
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    • pp.45-54
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    • 2020
  • Objective : The purpose of this study was to identify the relationships among cognitive function, activities of daily living (ADL), participation and quality of life in community-dwelling elderly. Methods : Cognitive function, ADL, participation and quality of life were assessed in the 144 elderly people residing in the community. We used MMSE-K for measuring cognitive function, K-ADL for ADL, K-ACS for participation, and GQOL for quality of life. Results : Cognitive function was significantly correlated with social activity of participation and quality of life (physical health, psychological health, social relations and economic level). ADL was significantly correlated with participation (instrumental ADL, leisure activity) and all sub-areas of quality of life. Social activity of participation were significantly correlated with all subarea of quality of life except physical health. Among the variables, the most relevant variable was leisure activity. Conclusion : It was related to quality of life in the order of participation, ADL, and cognitive function. Among the sub-areas of participation, leisure activity was the most correlated with quality of life. This study, thus, aimed to provide basic data for successful elderly life by examining the correlation between cognitive function, daily life activity, participation and quality of life in community-dwelling elderly.

Perception Gap Analysis on Service Quality Factors of Academic Libraries (대학 도서관 서비스 품질요인에 대한 인식차이 분석)

  • Kim, Mu-Jin;Kim, Hyun-Ju;Kim, Jeong-Wook;Yoon, Jang-Hyeok
    • The Journal of the Korea Contents Association
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    • v.13 no.8
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    • pp.371-385
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    • 2013
  • Library and information service (LIS) of academic libraries plays an important role in the education and research activities of universities. Such importance of LIS facilitated much research that defines the quality factors constituting LIS and identifies the importance of them. The previous literature, however, has some limitations. The limitations arise from the interrelationship among the quality factors and the perception gap between users and providers on LIS quality factors. Despite the understanding of the interrelationship and the perception gap, LIS studies to deal with both dimesions synthetically are sparse. Therefore, this paper defines the interrelationship among LIS quality factors as a network model, then identifies the perception gap on LIS quality factors by exploiting the analytic network process. As an early stage study, this paper contributes to helping the quality improvement of acedemic LIS by considering the interrelationship among LIS quality factors and the perception gap on the LIS quality factors between LIS users and providers.

The Quality Performance Management of CMMI in the Era of Industry 4.0 (4차 산업혁명 시대의 CMMI 품질성과관리 연구)

  • Cho, Kyoung-Shik;Shin, Wan Seon
    • Journal of Korean Society for Quality Management
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    • v.47 no.1
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    • pp.17-32
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    • 2019
  • Purpose: CMMI is a process model used to assess or improve an organization's software development capabilities. This paper deals with the quality indicators when using CMMI and their priorities for possible improvement. Methods: The 22 process areas and 167 practices of CMMI are matched with 60 indicators of Quality Scorecard(QSC) first to analyze the balance of CMMI in terms of prevention, appraisal, and final result categories and second to isolate a set of key areas for quality focused performance measures. Results: A total of 86.2% (144 out of 167) CMMI practices were mapped to QSC. According to the CMMI level of maturity, level 2 and 3 accounted for more than 75% of the total. The practices at the maturity level of 4 and 5 were mapped to more than 52% of the final result's measurements. It has been observed that CMMI practices need further elaboration at higher levels to consider prevention, appraisal, and final results simultaneously. Conclusion: In order to improve the quality performance of the organization by applying CMMI, the final result measures should be refined in metrics, cycles, and methods, and then corrective actions could be conducted to improve the performance of CMMI practices. This strategy would help the practitioners benefit from CMMI in fostering the overall quality level of key activities for the organization's business goals.

The Development of Satisfaction Tool to Health Care Services - focused on Patients and their families - (의료 서비스에 대한 만족도 측정 도구의 개발)

  • Kang, So-Young;Lee, Sun-Mi
    • Quality Improvement in Health Care
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    • v.3 no.1
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    • pp.104-124
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    • 1996
  • Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

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Saving Effects Cost and Time in Nursing through Improving Sterilization Method of Inner Cannula (기관내관 소독 방법 개선에 따른 간호업무 시간단축 및 비용 절감 효과)

  • Yi, Haeng-Seon;Kim, Haerina;Kim, Eun-Suk;Kim, Bo-Ram;Seong, Seon-Suk
    • Quality Improvement in Health Care
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    • v.14 no.1
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    • pp.55-59
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    • 2008
  • Background : The purpose of inner cannula is to protect the upper air way and permit air to pass freely, in addition, to provide endotracheal suction, artificial respiration and to maintain adequate oxygen saturation. The tube needs to be sterilized for maintenance and cleanness of air way and for prevention of bronchospasm. However, it has been reported that there is no guideline for sterilization and many hospitals conduct their own sterilization methods, for example, once a day(13's general hospital), three times a day(The Catholic University of Korea ST Mary's hospital) or even no cleansing. Consequently, the QI team of our hospital suggested the SOP(standard operating procedure) of sterilization and evaluate cost and time effect in nursing. Method : 1) Benchmarking of 13's neurosurgery department of general hospital in Seoul 2) Investigation of test records of sputum culture from patients with intubation for tracheotomy 3) Check of results of O2 Sat. monitoring to confirm of maintaining opened air way Result : 1) Improvement of process: decrease of excess sterilization of inner cannula (from 3 times a day to once a day) 2) Cost effects: saving over 10 million won per one year 3) Providing better nursing: time effects (30 min a day) permit to conduct more nursing activities Conclusion : It can get Cost and time effects in nursing with improved sterilization method of inner cannula. It needs to do research on improvement of the monthly exchange protocol of outer cannula and provide supporting data for the proper exchange schedule. The result of additional microorganism detection from patients with new process needs to be evaluated further more.

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A Study on Vital Statistics Survey : its Type, Source of Errors and Improvement Scheme (인구동태조사 개선을 위한 방법론적 고찰)

  • 김일현;최봉호
    • Korea journal of population studies
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    • v.12 no.1
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    • pp.19-29
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    • 1989
  • It is well known that vital statistics is of great importance as basic data for establishing various range of national policies. Especially, vital statistics is important among demographic information for monitoring and evaluating the population policy, for constructing life table, for making population projection, and for studying various aspects of the society. In principle, the production of vital statistics is based on the registration system. It is, however, still observed that there are some limitations in utilizing fully the registration system due to the inherent problems such as problems in its coverage, accuracies and timeliness. Thus, as an alternative, many countries conduct survey on vital statistics in order to supplement the registration system and obtain in-depth data. Korea is no exception in this aspect. The National Bureau of Statistics carries out the so-called Continuous Demographic Survey. This is a kind of multi-round retrospective survey, covering 32, 000 households and having reference period of one month. The survey has also characteristics of multi-subject sample. Thus, surveys on economic activity status of population, house-hold income & expenditure, and social indicators are together conducted with the same sample. It is, however, found that the survey itself tends to have some quality problems. Especially, the quality problems connected with field data collection are summarized as coverage error, non-response error and response error. Although it is inevitable not to be free from these errors, we should make all our efforts to reduce the errors. The probable schemes pointed out in this paper are as follows : 1) the strengthening formal quality control activities, 2) the review of the survey method, i. e., the combining interview method with mail-sending and mail-back method or pick-up method, 3) well documentation for various cases found in every stage of data collection, and 4) the strengthening the analytical activities. It is, also, emphasized that sincerity of planners and interviewers is the most important factor among other things.

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Different Effect of Sodium Chloride Replacement with Calcium Chloride on Proteolytic Enzyme Activities and Quality Characteristics of Spent Hen Samgyetang

  • Barido, Farouq Heidar;Lee, Sung Ki
    • Food Science of Animal Resources
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    • v.41 no.5
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    • pp.869-882
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    • 2021
  • Sodium chloride (NaCl) replacement with calcium chloride (CaCl2) effect on protein solubility, proteolytic enzyme and quality characteristics of a chicken soup prepared from spent hen (SH) chicken were investigated. By means of immerse marination prior to cooking, a total of 60 skinless SH breast meat were randomly allocated into ten groups admitted to treatments with marinade solution containing sodium tripolyphosphate (STPP) and reduced percentage of NaCl with CaCl2 at 0%, 25%, 50%, 75%, and 100% at 4±2℃ for 20 h. STPP was adjusted to 0.5% for all treatments and NaCl replacement at 0% was used as control. The different methods, particularly boiling at 100℃ and retorting at 121℃, 1.5 kgf/cm2 for 60 minutes, were applied following marination. An upregulation of cathepsin-B and caspase-3 enzymes were a consequences from a higher percentage of CaCl2 within meat environment. Accordingly, modified the protein solubility in particular the myofibrillar and total protein solubility. In addition, a significant increase in water holding capacity (WHC), pH value, myofibril fragmentation index (MFI), and moisture content was obtained due to salt replacement (p<0.05). Limited effect was observed for shear force value, collagen content and cooking yield. Eventually, this study implied that although protelytic enzyme and protein solubility was upregulated by the replacement of NaCl with CaCl2 at >75%, extensive effect on texture properties was not observed. Therefore, NaCl replacement at 75% could be a promising strategy for quality improvement of SH chicken soup.

Effects of Stroke Arts and Craft Group Occupational Therapy Intervention Program on Improving the Quality of Life and Activity of Daily Living (수공예활동을 이용한 그룹 작업치료 중재프로그램이 뇌졸중 환자의 일상생활 수행 능력과 삶의 질 향상에 미치는 효과)

  • Ahn, Ye-Seul;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.67-77
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    • 2018
  • Objective: The purpose of this study was to examine the effects of an occupational therapy intervention program of arts and crafts on the activities of daily living and quality of life of outpatients after a stroke. Methods: Using an experimental pretest-posttest control group design, we conducted the following with ten participants diagnosed with stroke: one retest session, 10 intervention sessions, and one posttest session. MMSE-K (Korean version of the Mini-mental State Examination), COPM (Canadian Occupational Performance Measure), and WHOQOL-BREF (The World Health Organization Quality of Life-BREF) scores were obtained before and after the intervention. The results were analyzed using descriptive and nonparametric statistics. Results: As a result of comparing the pretest-posttest scores of the experimental and control groups, there was no significant difference in K-MBI score improvement in terms of activities of daily living. There was a significant difference in COPM scores between the experimental and control groups. There was a significant difference between the WHOQUP-BREF scores of the experimental group before and after the experiment, as well as between the groups. Conclusions: The results suggest that an arts and craft group occupational therapy intervention program for stroke patients may have a positive impact on activities of daily living and quality of life. Although an arts and craft group occupational therapy intervention program appears to be a promising approach, further studies are required to confirm these findings.

A Study of a Korean Academic Journal Evaluation Model (국내 학술지 평가모형에 관한 연구)

  • Han Sang-Wan;Park Hong-Seok
    • Journal of the Korean Society for Library and Information Science
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    • v.33 no.2
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    • pp.89-118
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    • 1999
  • The academic journal is a very important means for science communication, and it is critical for academic development. Most of Korean academic journals are not doing their fundamental roles because of the researchers' perception about their quality. A fundamental thing for Korean academic journals to contribute effectively to science communication would be the effective evaluation on the Journal. The purpose of this study is to develop an evaluation model for Korean academic journals. This model will be effective for quality measurement, manifestation of the strength and weakness, and for the improvement of journal quality. It was developed through analysis on evaluation activities of two institutions, and through interviews and surveys on Korean researchers.

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The Private Physicians' Opinions of Being Attending Physicians in Teaching Hospitals (개원의의 개방병원 참여에 대한 의견)

  • Kim, Seok-Beom Gib;Kwun, Koing-Bo;Kang, Pock-Soo;Kim, Ki-Hong
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.140-150
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    • 1998
  • A mailed survey with structured questionnaire was conducted to study the demand of private physicians who were operating their own clinics in the community to be a attending physician at the general hospital. The responding proportion was 21.6 percent of the 960 private physicians. A total of 207 responders; 65.2 percent wanted to be a attending physician. In particular, the physicians who were male, young, surgeon and teaching hospital careered after specialist were more highly motivated. The major activities what they wanted as a attending physician were medical care for the admission patients. They responded that the hospital charges for the medical services and the responsibility of malpractice issues should be fairly shared by attending physician and hospital according to their contributions. There is growing consensus that the need of attending physician at the general hospital will become wide spread, but little organizational preparation to assure the quality of medical care of attending physicians including training of resident physicians and students. In addition, the effective reimbursement system should be develop to compensate appropriately according to the medical achievement of the attending physicians.

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