• 제목/요약/키워드: Quality improvement activities

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

  • 김정선;김진경;한우석;심문숙
    • 한국보건간호학회지
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    • 제26권1호
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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
    • 대한간호학회지
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    • 제49권2호
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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
    • 해양환경안전학회:학술대회논문집
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    • 해양환경안전학회 2017년도 추계학술발표회
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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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노인들의 사회적 지지와 건강행태 및 건강수준과의 관련성 (The Relations of Social Support to the Health Behaviors and Health Status in the Elderly)

  • 김태면;이석구;전소연
    • 보건교육건강증진학회지
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    • 제23권3호
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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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    • 제16권1호
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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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다변량통계분석 및 유역환경모델을 이용한 금호강 중·상류 유역의 수질특성평가 (Assessment of Water Quality Characteristics in the Middle and Upper Watershed of the Geumho River Using Multivariate Statistical Analysis and Watershed Environmental Model)

  • 서영민;권구호;최윤영;이병준
    • 한국물환경학회지
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    • 제37권6호
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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.

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

  • 박상은;홍재영
    • 대한산업공학회지
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    • 제43권2호
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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.

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

  • 송규남;송선옥;황운순;구본업;최혜숙;이상윤
    • 한국의료질향상학회지
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    • 제6권1_2호
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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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질 향상 활동을 통한 사지압박순환장치의 안전관리 (The Safety Management for Compression Medical Device through the Quality Improvement Activities)

  • 안영재;김규성;신정애;이혜련;황규정;박지영;김새롬;강수경;권대규
    • 재활복지공학회논문지
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    • 제11권2호
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    • pp.125-132
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    • 2017
  • 환자의 혈전증 예방을 위하여 사지압박순환장치가 사용되어지고 있으나 잦은 고장으로 인한 불만이 많다. 이에 본 연구에서는 사지압박순환장치의 고장의 발생 원인을 파악하고 제품요인, 간호사요인, 환자요인 그리고 시스템요인에 대하여 다양한 개선 활동을 시행하였다. 그 결과로 각각의 요인에 대한 지표의 개선효과를 볼 수 있었으며, 기기의 불량률을 줄일 수 있었다. 보다 적극적인 의료기기의 개선 활동은 기기의 불량률을 줄이는데 기여할 수 있으며, 이를 통해 의료 서비스의 품질 개선 및 안전한 의료문화를 이루는데 도움이 될 수 있을 것으로 사료된다.

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

  • 김은량;강선철
    • 한국식품저장유통학회지
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    • 제14권5호
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    • pp.516-525
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    • 2007
  • 자체 제조한 초고추장에 무첨가, 주정 3% 첨가, 녹차추출물 1, 3, 5% 첨가, 주정 1%와 녹차추출물 1% 그리고 주정 1%와 녹차추출물 2% 첨가한 시료를 각각 준비한 후 3주 동안 25, $37^{\circ}C$에 저장하면서 총균수, pH, 산도, 당도, 관능검사를 수행함으로써 초고추장의 품질변화를 조사하였다. 먼저 초고추장의 우점균주를 동점하기 위하여 분리된 균주를 16S rDNA 염기서열 분석을 수행한 결과 분리균주는 Bacillus amyloliquefaciens ER282로 최종 동정되었다. 한편 녹차추출물 자체를 1, 3, 5, 10% 농도에서 항균력을 시험한 결과 높은 항균효과를 나타내었다. 항균력이 높은 녹차추출물을 추가적으로 첨가한 초고추장 시료의 저장중의 총균수 변화를 조사한 결과 $25^{\circ}C$$37^{\circ}C$ 모두 무첨가구에 비하여 균체수가 현저히 감소하였다. 하지만 pH 산도 및 당도의 변화는 모든 첨가구에서 저장 기간에 따른 유의적 차이가 없었다. 그러나 관능검사와 전체적인 기호도 평가 결과에서는 대부분의 시료는 저장기간이 증가함에 따라 품질이 낮아지는 경향을 보였으나, 3% 녹차추출물 첨가 시료는 유의적으로 높은 기호도를 나타내었다.