• 제목/요약/키워드: Quality improvement activities

검색결과 600건 처리시간 0.028초

응급의료에관한법률에 따른 1급 응급구조사 업무범위의 개선방안 (Improvement Device on Scope of Practice of Paramedic in the Emergency Medical Service's Act)

  • 고재문;김진회;조진만
    • 한국응급구조학회지
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    • 제11권3호
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    • pp.17-30
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    • 2007
  • Accidents occur frequently and that the date of the emergency situation and the people a good quality of life to actively respond to the emergency scene in the line of business activities and given their lives silently. 1st EMT's is currently the most jobs in the ability to work within a hospital that can be verified by expanding employment opportunities than the rate of youth unemployment and a sharp alleviate part of the current emergency medical institution performing the duties within the contents of this communication in a Emergency patients reflected in the rates for schools that can be revitalized as part of the emergency medical system(part of the emergency medical workers) for the completion of the law concerning emergency care, if you want the current laws and enforcement rules are to be improving. Under the current provisions in law concerning emergency care, and enforceable rules on enforcement issues and identify practical issues for consideration and improvements to enumerate the reasons for the demotion, the following conclusions can be sure until they improve. In addition, the National Assembly recently passed a bill AED use, and enforceable rules to enforce party that can teach AED necessarily a grade, including 1st EMT's to protect people's lives and to actively deal with the emergency situation so that it can be. Resolving these issues in the country where the emergency medical system can create a foundation for the advancement of emergency patients can get a good length of life, opens.

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BSA기법을 활용한 ODA건설사업 역량 요인 도출 및 분석 (Analysis of Competency Assessment Using BSA for ODA Loan Construction Projects)

  • 김화랑;장현승
    • 한국건설관리학회논문집
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    • 제13권6호
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    • pp.45-53
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    • 2012
  • 우리나라 해외건설 누적 수주 금액은 2012년 6월을 기준으로 5,000억 달러를 달성하였으며 더 나아가 2020년 1조 달러를 목표로 하고 있다. 또한 국내 건설기업들도 해외건설시장 진출을 목적으로 여러 전략을 구상하고 있다. 이러한 목표 달성을 위한 방안으로 본 연구에서는 해외건설 리스크가 적은 ODA 자금을 활용한 해외건설 진출 사업을 제안하였다. 사업 진출을 위한 건설기업의 ODA사업 역량 수준을 분석하기 위해 FGD 기법을 활용하여 34개의 역량 요인을 선정하였고 전문가들을 대상으로 설문조사를 실시하여 BSA 모델을 통해 분석하였다. 사업단계별 중요 관리 요인은 기획 및 발굴(6개), 수주 및 마케팅(6개), 엔지니어링 및 시공(3개) 등 총 15개의 항목이 도출되었다. 이중 가장 기업들에게 필요한 역량강화 항목으로 클레임 및 리스크, 수주활동을 위한 기업의 역량, 그리고 정부의 적극적인 지원으로 나타났다. 각 단계별 중요 관리 요인은 역량별 역할 주체에 따라 개선하여 향후 ODA자금을 활용한 사업 수주 경쟁에 있어서 경쟁우위를 확보할 수 있도록 준비해야 할 것으로 판단된다.

입원 환자 낙상예방 간호중재 효과에 대한 메타분석 (Effects of Nursing Interventions for Fall Prevention in Hospitalized Patients: A Meta-analysis)

  • 김윤이;정석희
    • 대한간호학회지
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    • 제45권4호
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    • pp.469-482
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    • 2015
  • Purpose: The purpose of this study was to identify which nursing interventions are the most effective in fall prevention for hospitalized patients. Methods: From 3,675 papers searched, 34 were selected for inclusion in the meta-analysis. Number of fallers, falls, falls per 1,000 hospital-days, and injurious falls, fall protection activity, knowledge related to falls, and self-efficacy about falls were evaluated as outcome variables. Data were analyzed using the Comprehensive Meta Analysis (CMA) 2.2 Version program and the effect sizes were shown as the Odd Ratio (OR) and Hedges's g. Results: Overall effect size of nursing interventions for fall prevention was OR=0.64 (95% CI: 0.57~0.73, p <.05) and Hedges's g= - 0.24. The effect sizes (OR) of each intervention ranged from 0.34 to 0.93, and the most effective nursing intervention was the education & environment intervention (OR=0.34, 95% CI: 0.28~0.42, p<.001), followed by education intervention (OR=0.57, 95% CI: 0.50~0.67, p=.001). Subgroup analyses showed that multifaceted interventions (OR=0.76, 95% CI: 0.73~0.79, p<.001) were more effective than unifactorial interventions, and that activities for prevention of falls (OR=0.08, 95% CI: 0.05~0.15, p<.001) showed the largest effect size among outcome variables. Conclusion: Falls in hospitalized patients can be effectively prevented using the nursing interventions identified in this study. These findings provide scientific evidence for developing and using effective nursing interventions to improve the safety of hospitalized patients.

참깨 항산화물질의 기능과 함량 및 이용 전망 (Perspectives of Utilization and Function of Antioxidants in Sesame)

  • 류수노;강철환;이정일;이승택;김관수;안병옥
    • 한국작물학회지
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    • 제41권spc1호
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    • pp.94-109
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    • 1996
  • Antioxidants of sesame have been reported to cure and prevent various diseases by means of diverse physiological activities, prevention of acidification in organisms, prevention of acidification and decay of lipids, cholesterol depression, preventive effects on chemical breast cancer, skin beauty and senescence inhibition, and so on. Recognizing their significance to health and disease prevention, researchers in Japan and America have given so much importance to study antioxidants in the last decade. In addition, they are actively pursuing studies on production, processing for food use and development of new varieties that have high antioxidant content. Recently, researchers in Korea have shown the same interest and have conducted similar studies, however, the importance of the following basic issues must be recognized to guide in future activites : First, improvement of sesame quality must be done to raise the contents of not only the fat and fatty acid but also sesamin, sesamolin and sesaminol glucoside. For the use of these components it is necessary to study the gentic pattern and individual selections developed from minimum sample size and fast lipid analysis techniques. Second, sesaminol of sesame has a remarkable function in preventing acidification and so sesame can be utilized as a food that prevents or delays aging caused by automatic acidification of fat. Therefore, for maximum medicinal benefit from sesame oil there is a need to develop food materials having new medicinal functions. Third, the sesamin and sesamolin content of sesame germplasms collected in Korea showed lower ranges of $0.04\~0.68$ percent and $0.08\~0.68$ percent respectively, while Japanese germ-plasm showed 1.9 percent maximum content of seasmin. Thus, germplasm collection and analysis of worldwide genetic resources are urgently needed.

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어린이 식생활 교육을 위한 만화와 애니메이션의 개발 (Development of Comic Books and an Animation as Dietary Education Materials for Children)

  • 김보경;박혜련;김정원
    • 대한지역사회영양학회지
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    • 제13권5호
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    • pp.630-639
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    • 2008
  • The purpose of this study was to develop children-friendly comic books and animation for dietary education of 3rd or 4th grade elementary students. Through a literature review on current dietary problems and dietary education for children, 15 educational themes were chosen on both healthy eating and safe dietary life. Comic books and animation were developed based on the themes by the brainstorming and help of professional animators, and they were applied and evaluated in the field. The developed comic books and animation, with its own characters, proved to be of high quality and effective educational materials for children's healthy and safe eating. Compared with the reference group, the tested group has shown a significant improvement in dietary knowledge and attitude (p < 0.05). And both parents (level of understanding 4.29, level of interest 4.49, level of usefulness 4.46, level of design satisfaction 3.95 in 5-point Likert scale) and children (level of understanding 4.63, level of interest 4.57, level of usefulness of 1st comic book 4.44, 2nd comic book 4.49, level of design satisfaction 4.06, level of usefulness for knowledge pages 4.22 in 5-point Likert scale) have shown high levels of interests and satisfaction. Therefore, these materials could be utilized as effective educational materials for elementary students in school lunch time, extra-curricular activities, or after school programs.

한국과 일본의 초등학교 수학과 교육과정 비교 연구: 2015 개정 교육과정을 중심으로 (A Comparative Analysis of Elementary School Curriculum for Mathematics in Korea and Japan: Focus on 2015 Revised Curriculum)

  • 강효민;류성림
    • 한국초등수학교육학회지
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    • 제23권2호
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    • pp.219-245
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    • 2019
  • 본 연구에서는 한국의 2015 개정 초등학교 수학과 교육과정과 일본의 소학교 산수 학습지도요령의 개정 방향이 무엇이며 학습내용요소에는 어떤 차이가 있는지 알아보고 차기 교육과정의 기초자료를 제공하는 데 그 목적이 있다. 개정 방향을 비교하여 교육과정의 목표, 교수·학습방법, 평가방법의 측면에서 한국과 일본의 초등학교 수학과 교육과정에 대해 분석하였다. 학습내용요소를 각 영역별로 비교하여 한국과 일본의 교육과정에서 나타나는 내용요소의 차이점과 특징을 분석하였다.

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경상북도 지역 국민학교 공동관리 급식 실태 및 영양사 직무만족도 평가 (Evaluation of the Common-management Foodservice System of the Elementary Schools in Kyungbook Region)

  • 이혜상
    • 한국식품조리과학회지
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    • 제11권4호
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    • pp.370-378
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    • 1995
  • This study is to seek methods for optimum management of foodservice system for elementary schools in Korea through surveying and analyzing the current status of the "common-management foodservice system" and certain important factors relating to its operations. For the survey of the current status of the "common-management foodservice system", questionnaires are prepared as against schools adopting "common-management system"("Common Schools") as well as schools adopting "conventional management system" ("Conventional Schools") in Kyungsangbookdo ("Kyungbook") area. The survey items are composed of general items, items concerning tasks of dietitians, items concerning purchasing activities and items concerning level of recognition and job-satisfaction of the dietitians. Total 46 dietitians from Common Schools and 65 dietitians from Conventional Schools in Kyungbook region responded the questionnaires. The results of this study are as follows: 1. Information Concerning Dietitians Average age of the dietitians: 26.6 yrs Ratio of two years or less of experiences as school dietitian: Dietitians from Common Schools: 59.1% Dietitians from Conventional Schools: 50.8% 2. Types of the Foodservice In both schools, rural type are prevalent; however, between urban types and islands types, the ratio of urban types are larger than the ratio of islands types in Conventional Schools, and the opposite is true in Common Schools. 3. Decision of Suppliers The ratio of dietitian's participaion in the decision making reaches only 38.3%, indicating the possibility of problems in quality control and hygienic aspects of the food supply. 4. Factor Analysis of the Foodservice Duties Food supply and general affairs administration work was carried out very well (4.2), while personnel management and operational improvement work (2.8), nutritional education work (2.3), and information related work were poorly carried out. No significant differences were found between the two types of the foodservice management systems. 5. Job Satisfaction scores of Dietitians Dietitians were more satisfied with the works (50.0), supervision (50.5) and co-workers (46.9) than pay (18.0) and promotion (22.3).

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체계중심병원설계를 위한 공조실 면적 계획에 관한 연구 (A Study on Area Planning of Air Conditioning Room for Hospital Design Focused on System)

  • 김은석;양내원
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제25권4호
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    • pp.27-35
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    • 2019
  • Purpose: As the improvement in quality of medical environment and the spatial consideration for the prevention of infection in the hospital have become increasingly important in the recent years, specific and practical planning for air conditioning room's area has become a major issue accordingly. However, the air conditioning room tends to be discussed focusing on technical factors such as air conditioning systems that are irrelevant to building plans, while discussions of most departments related to the medical functions have actively taken placed. Therefore, this study aims to investigate the factors influencing the planning for the air conditioning room area, and through subsequent analysis of the area of the air conditioning room, to propose a way to improve effective planning for the air conditioning room area. Methods: This study examines the case hospitals that fall into two types: each floor supply system and concentrated supply system, and compares and analyzes the air conditioning room area-related factors and the characteristics of changes in the interior of air conditioning room before and after remodeling through air conditioning floor plan of those case hospitals. Results: The air conditioning room can be classified into the net area of the functional space such as duct passages, and the public area such as aisle space, and of those the public area is an important factor in calculating the area of the air conditioning room. The public area of the air-conditioning room should not be planned considering only the spaces for mobile passage or maintenance activities, but should be planned taking into account internal changes such as expansion and replacement of equipment in the future from the beginning. Implications: When planning a medical facility, it is used as basic data for the planning of the air conditioning room area, which is a significant fixed factor in the initial setting.

공적(公的)관리에서의 참여형 관개관리(PIM) 모델 (A Study on the Participatory Irrigation Management under Public Irrigation Management System)

  • 이성희;김태철
    • 한국농공학회논문집
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    • 제53권3호
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    • pp.13-17
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    • 2011
  • There was a transition from participatory irrigation management (PIM) to public irrigation management (PubIM) in Korea when Korea Rural corporation and Community (KRC) merged with Farm Land Improvement Associations (FLIAs), which had managed 60 % of irrigation areas. While making a number of achievements, some problems occurred in the public irrigation management, such as lack of farmers' participation, increased amount of water usage, and elevating operating costs. Accordingly, this paper suggested ways to increase efficiency in water usage and reduce operating costs under the public management through the motive power of farmers participation. First, WUGs replaced the discarded water management committee should be reorganized to revive the concept of PIM in the form of autonomously reinforced one and the roles and functions of WUGs and the board of representatives should be strengthened. The member of new type of WUGs should participate in the national and regional water management committees as a stakeholder of irrigation water user. And also new type of WUGs initiates not only the management of irrigation water but also the management of irrigation water quality and non-point source pollution in the watersheds. Those additional activities of WUGs should be properly compensated. Second, subsidies (direct payments) should be provided to faithful farmers as an incentive for their labor supply. Third, water fees could be charged to large scale agriculture companies. Fourth, professional managers could be hired, management targets would be adjusted, and incentives should be offered. These efforts are expected to improve the irrigation management by encouraging farmers' participation under public system.

임상간호현장에서의 실행연구 여정 (A Journey to Action Research in a Clinical Nursing Context)

  • 장금성;김희영;김은아;김윤민;문정은;박현영;송미옥;백명
    • 간호행정학회지
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    • 제19권1호
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    • pp.95-107
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    • 2013
  • Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.