• Title/Summary/Keyword: Quality improvement activities

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The Analysis of The Analysis of The Effect of Information Sharing for Improving the Quality of Infection Prevention and Service Quality on The Satisfaction of Visiting Companies on Disease Management (기업의 감염 예방 서비스품질 개선을 위한 정보공유가 방문업체의 질병관리에 대한 만족에 미치는 영향 분석)

  • Kim, Han-Jib
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.360-374
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    • 2022
  • This study aims to provide basic information on how to secure competitiveness of companies from a practical point of view by examining how information sharing for companies' infection prevention and service quality improvement affects revisit intentions. In order to achieve the purpose of this study, 341 visitors over the age of 19 who visited offline stores located in Busan and Gyeongnam were selected as study subjects. As a result of this study, it was found that consumers' perceived health beliefs, perceived disease infection probability, and perceived disease infection severity had a significant effect on revisit intention. In addition, it was found that the company's infection prevention information sharing and infection prevention customer management had a significant mediating effect on the relationship between perceived health beliefs and revisit intention. Based on these research results, the conclusion suggested that a company needs a series of management activities that can contribute to the sharing of information on infection prevention and customer management among members of the organization and achievement of business performance.

PARK Index for Preventable Major Trauma Death Rate (중증외상환자에서 TRISS를 활용한 예방가능 중증외상사망률 지표: PARK Index)

  • Park, Chan Yong;Yu, Byungchul;Kim, Ho Hyun;Hwang, Jung Joo;Lee, Jungnam;Cho, Hyun Min;Park, Han Na
    • Journal of Trauma and Injury
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    • v.28 no.3
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    • pp.115-122
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    • 2015
  • Purpose: To calculate Preventable Trauma Death Rate (PTDR), Trauma and Injury Severity Score (TRISS) is the most utilized evaluation index of the trauma centers in South Korea. However, this method may have greater variation due to the small number of the denominator in each trauma center. Therefore, we would like to develop new indicators that can be used easily on quality improvement activities by increasing the denominator. Methods: The medical records of 1005 major trauma (ISS >15) patients who visited 2 regional trauma center (A center and B center) in 2014 were analyzed retrospectively. PTDR and PARK Index (Preventable Major Trauma Death Rate, PMTDR) were calculated in 731 patients with inclusion criteria. We invented PARK Index to minimize the variation of preventability of trauma death. In PTDR the denominator is all number of deaths, and in PARK Index the denominator is number of all patients who have survival probability (Ps) larger than 0.25. Numerator is the number of deaths from patients who have Ps larger than 0.25. Results: The size of denominator was 40 in A center, 49 in B center, and overall 89 in PTDR. The size of denominator was significantly increased, and 287 (7.2-fold) in A center, 422 (8.6-fold) in B center, and overall 709 (8.0-fold) in PARK Index. PARK Index was 12.9% in A center, 8.3% in B center, and overall 10.2%. Conclusion: PARK Index is calculated as a rate of mortality from all major trauma patients who have Ps larger than 0.25. PARK Index obtain an effect that denominator is increased 8.0-fold than PTDR. Therefore PARK Index is able to compensate for greater disadvantage of PTDR. PARK Index is expected to be helpful in implementing evaluation of mortality outcome and to be a new index that can be applied to a trauma center quality improvement activity.

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Water Quality Improvement of Pocheon Stream Using Freshwater Bivalves: Development and Operation of Continuous Removal of Organic Matter in Streams (S-CROM) (포천천 수질개선을 위한 패류의 이용 하천형 유기물 제어(S-CROM) 기술의 적용)

  • Kim, Baik-Ho;Lee, Ju-Hwan;Kim, Yong-Jae;Hwang, Su-Ok;Hwang, Soon-Jin
    • Korean Journal of Ecology and Environment
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    • v.42 no.3
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    • pp.317-330
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    • 2009
  • To diminish the levels of organic matters, a novel S-CROM (continuous removal of organic matters in the stream system using freshwater bivalve), was developed and applied to the polluted stream discharging from the wastewater treatment plant, Pocheon stream, Pocheon city (Korea). Major pollutants of the stream were human population and industrial wastewaters. The study was conducted at a small dam constructed within the stream, often called 'bo', and designed with four tanks; no mussels and no sediment (negative control), no mussels and sediment (positive control), 30 mussels and sediment (D1), and 60 mussels and sediment (D2). Physicochemical and biological parameters were measured at 12 hours interval (day and night) after mussel stocking. Results indicated that Anodonta woodiana Lea (D2) clearly removed approximately 72% of chl-$\alpha$ and 57% of suspended solids on second day, however, there were no differences in removal activities between animal densities (P>0.5). Dislike a laboratory CROM system, which previously developed, there were no huge release of nutrient ($NH_3$-N and SRP), due perhaps to the higher flow rate and the lower animal density. Therefore, we may suggest that if we can determine the relevant current and the animal density considering the stream state, an S-CROM system has a strong potential to water quality improvement of eutrophic streams. Some characteristics on both CROM and S-CROM were compared.

Effects of Active Mandibular Exercise for Mouth Opening Limitation Patients after Maxillomandibular Fixation Release: A Non-Randomized Controlled Trial (악간고정 제거후 개구장애 환자에게 적용한 능동적 하악운동의 효과: 비무작위 대조군 설계)

  • Jang, Hyo Jin;Kim, Myung Hee
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.26-37
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    • 2018
  • Purpose: The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release. Methods: The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth. Results: The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p<.001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p<.001), discomfort score (F=9.38, p<.001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group. Conclusion: The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.

A Study on Learning Support based on the analysis of learning process in the college of Engineering (공과대학생들의 학습 과정 분석에 기초한 학습지원 방안 연구 : 수도권 S대 사례를 중심으로)

  • Jeon, Young Mee
    • Journal of Engineering Education Research
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    • v.18 no.1
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    • pp.61-73
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    • 2015
  • The purpose of this study is to suggest some direction to support learning of students in college of engineering. It results from the assumption that engineering education accreditation should come with assessment of the educational process. To analyze the learning process, this study analyzed 5 categories - involvement in and out of instruction, faculty-student interaction, teaching-learning outcomes, and the system of student support. The Research method was questionnaire, and T-test and hierarchical linear model were used. The major findings are as follows. Major-level of satisfaction in teaching-learning and optional-level of satisfaction in teaching-learning are good. But the degree of self-directed learning activities and student-faculty interaction is low, and writing attitude and learning outcomes are not good. Student-faculty interaction, high-order thinking activities and active involvement have a good influence on learning outcomes. So this study suggests to enhance active involvement in instruction, high-order thinking activities, writing skills, and interaction with faculty for the improvement of quality of higher education.

A Study on the Improvement for Design VE Job Plan through the Benchmarking (벤치마킹을 통한 설계VE 추진절차 개선에 관한 연구)

  • Um Ik-Jun;Jung Young-Il;Kim Chul-Woong;Hyun Chang-Teak
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.88-95
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    • 2001
  • To convert the construction industry from 'the high cost, the low efficiency' to 'the low cost, the high efficiency and value-added industry' and to enhance the performance and quality of products while reducing the cost, the related law and guideline were established and promulgated, which regulate that value engineering workshop during the preliminary design and the detail design stage should be a mandatory process. But VE practitioners are still confusing in choosing the proper value engineering process, because processes those are described in the various references use the different terms, steps and activities, even though they have their own specific characteristics. To resolve these confusions, the existing steps and activities of three kinds of the literature, four kinds of the organization's policy and other four kinds of study examples relating to the design VE were examined. And then, the differences and expecting problems were extracted through the comparison and analysis of those materials. After that, VE specialists' opinion through the questionnaire survey were grasped. Based on those studies the improved design VE Job Plan and activity statements were suggested.

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The Strategies for Improving Operation and Satisfaction of the Consumer Council Cite, Consumer Information Cite, and Anti-Cite in Internet (인터넷 상의 소비자상담, 소비자정보, 안티 사이트에 대한 소비자만족도 및 사이트 운영 활성화 방안에 관한 연구)

  • 허경옥
    • Journal of the Korean Home Economics Association
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    • v.41 no.1
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    • pp.187-211
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    • 2003
  • This study deals with activities in internet, including activities on consumer counseling, exchange of consumer information, and anti-sites. Among consumers having utilized those three types of internet sites, this study examines whether their satisfactions on them differ depending on their socio-demographic characteristics and types of activities and also explores which factors critically influence consumer satisfactions. According to the results of this study, consumers' satisfactions were higher when consumers evaluated counselors were objective, rapid, and reliable. Thus, Counselors must be more efficiently classify counseling contents, systematically manage, rapid, active and concrete answers for consumers applying for counseling. Second, in the case of consumer information site, the consumer satisfaction turns out to be positively related with exchange of consumer information, rapid provision of information, and reliability. Connection of relevant specialized information, encouragement of active information exchange among consumers, and objectivity and specialty in consumer information site are necessary to increase the quality of internet consumer information cite. Third, in the case of anti site, consumer satisfaction is higher in cases of consumer being joined in anti-site and in cases of objective and reliable sites. In order to facilitate the utilization of anti-sites, those solutions include systematic classification and management of writings listed in the site, active management of the site managers, reducing criticisms on the writings listed and objectivity of information provided, and active searches for solutions. Finally, in order to preserve consumer sovereignty, policy suggestions include improvements of service qualities provided in internet sites, active advertisement, improvement of site management through charging some fees for users, enhancing specialties.

The Development of Functional Cold Buckwheat Noodles Using Biological Activities of Hot Water Extracts of Ligularia fischeri and Angelica gigas Nakai (곰취 분말 및 당귀 열수추출물의 생리활성을 활용한 기능성 냉면의 제조)

  • Chang, Sang-Keun;Kim, Jun-Ho;Oh, Hae-Sook
    • Journal of the Korean Society of Food Culture
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    • v.23 no.4
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    • pp.479-488
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    • 2008
  • Some biological activities such as an electron donating capacity, the contents of total polyphenol compounds and flavonoids, fibrinolytic activity and $\alpha$-glucosidase inhibitory activity have been detected in hot water extracts of Ligularia fischeri and Angelica gigas Nakai. To increase the usefulness of the functional ingredients for prevention and improvement of some metabolic disorders, ethanol-treated hot water extracts of Angelica gigas Nakai were prepared. A hot water extract of Ligularia fischeri has 92% of electron donating capacity, 39.4 mg/g of total polyphenol compounds, 24.8 mg/g of flavonoids and 29.8% of $\alpha$-glucosidase inhibitory activity, but no fibrinolytic activity. A hot water extract of Angelica gigas Nakai has 94.7% of electron donating capacity, 5.8 mg/g of total polyphenol compounds, 2.6 mg/g of flavonoids, 0.48 plasmin units of fibrinolytic activity and no $\alpha$-glucosidase inhibitory activity. However, with partial purification using cold ethanol treatment, the $\alpha$-glucosidase inhibitory activity of Angelica gigas Nakai was increased to 70.5%. Thus, we expected a more useful effect with the use of the addition of a cold ethanol-treated Angelica gigas Nakai extract. The L, b values of cold buckwheat noodles using a mixture of 0$\sim$3% of Ligularia fischeri powder and 0.5% of an ethanol-treated hot water extract of Angelica gigas Nakai were decreased with the addition of an increasing amount of Ligularia fischeri powder. Among the mechanical qualities, only adhesiveness was significantly higher in 3% Ligularia fischeri noodles. From sensory evaluation data, it was determined that these two functional ingredients did not ruin the color, texture, and overall acceptance of the cold buckwheat noodles. A higher amount of the extracts improved the quality of the product with little added cost.

Isoflavonoid Contents, Antibacterial Activities, and Physiological Activities of Cheonggukjang Made from Sword Bean (작두콩 첨가 청국장의 Isoflavonoids 함량과 항균력 및 생리활성)

  • Kim, Un-Sung;Kim, Jae-Young;Kim, Seong-Jo;Moon, Kwang-Hyun;Baek, Seung-Hwa
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.2
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    • pp.174-181
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    • 2012
  • This research aimed to examine the isoflavonoid contents, antibacterial activities, and physiological activities of Cheonggukjang made from sword bean (CS). The effects of adding sword bean were compared with those of raw materials (RM), steamed materials (SM), and traditional Cheonggukjang (TC). In the case of the antibacterial activity on Gram-positive bacteria, the result of CS in ethanol extract was the highest in Bacillus cereus, and the result of water extract was the highest in Staphylococcus aureus. However, in the case of Gram-negative bacteria, Salmonella Typhimurium was the highest in all the extraction. Antioxidant activity and total flavonoid contents were present in the order of TC

Discharge education reinforcement activities for mother of premature infants (미숙아 어머니의 퇴원교육 프로그램 강화활동)

  • Lee, Hui-Jeong;Soul, Hyun A;Lee, Kyeong-Nam;Seo, Gyeong-Ok;Moon, Su-Mi;Kim, Ki-Hwi
    • Quality Improvement in Health Care
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    • v.20 no.1
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    • pp.76-88
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    • 2014
  • Objectives: Parents of a premature baby feel a pressure on their baby's growth and they are highly in need for proper education. However, the lack of proper education can cause the difficulty of follow-up care and rehospitalization. Currently, methods of education among each nurse are based on verbal explanation and can be often different. Therfore, it is true that the psychological burden is great during education. Hence, by enforcing discharge education activities, we intend to provide information; induce participation of parents; promote the level of performance; standardize education program; and increase the job satisfaction of nurses. Methods: NICU conducted a questionnaire survey of the demand and satisfaction for discharge education among mothers that left hospital. And before and after the improvement activity, the satisfaction level of mothers and nurses were studied, and rehospitalization rate were analyzed. Results 1)The survey results of the satisfaction level of mothers towards education program as followes: The level of understanding of content, general babysitting, special situation, education method, and educator attitude showed statistically significant increase. 2)The survey results of the satisfaction level of nurses towards education program as followes: While, the need for education program decreased, the adequacy of education content and method, consistency of education, understanding of learner, and learner's performance increased. All the factors except for the need for education program and the adequacy of education content showed statistically significant difference. 3)Rehospitalization rate of premature babies decreased. According to analysis of the cause of rehospitalization, breast-feeding related apnea turned out to be the highest. Conclusion: Through QI, satisfaction of mothers and nurses improved more than 10%. And rehospitalization rate of premature babies decreased by the same amount as well. Therefore, with the help of the standardized discharge education program, mothers who is not easy to take care of after leaving hospital can be seen to significantly affect their healthy growth and development.