• 제목/요약/키워드: Quality improvement activities

검색결과 600건 처리시간 0.025초

주상병 일치도에 관한 연구 -1개 중소병원을 중심으로- (A Study on the agreement of Principal Diagnosis)

  • 서영숙;김유미;남문희;강성홍;임지혜
    • 한국의료질향상학회지
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    • 제15권1호
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    • pp.123-133
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    • 2009
  • Background : The principal diagnosis has been used in many different fields such as hospital statistics, medical research, insurance claim, national health statistics and so on. Some principal diagnoses have a relatively low level of reliability in the medium-sized hospitals. The purpose of this study is to identify the reliability level of principal diagnoses and to suggest ways to improve reliability of the principal diagnosis. Method : Data were collected from a medium-sized hospital located in Pusan. The discharge summaries on 323 patients who were discharged in January, 2008 and the outpatient summaries on 251 patients who visited the hospital on March 28, 2008 were collected, and descriptive analysis was performed using SPSS version 12.0K. Result : The findings are the followings: (1) the diagnostic consistency rate between medical records and doctors' was 92.0%; (2) the diagnostic consistency rate between medical records and insurance claims was 86.1%; (3) the diagnostic consistency rate between doctors' diagnoses and insurance claims was 80.2%. The evidence seems to indicate that some principal diagnoses have reliability problems in the medium-sized hospitals. Conclusion : The results of this study suggest the followings: (1) employees should be trained and supervision of hospital activities are needed; (2) network systems should be constructed for each department; (3) professions need to be fostered (4) doctors' awareness of medical records should be changed.

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도시수목원의 이용후평가에 관한 연구 -대전시 둔산대공원 내 한밭수목원을 대상으로- (A Study on the Post Occupancy Evaluation of Urban Arboretum -Focused on The Daejeon Hanbat Arboretum-)

  • 노희경;오도교;김세빈
    • 농업과학연구
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    • 제37권1호
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    • pp.27-35
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    • 2010
  • A study examined visitors' satisfaction to urban arboretum in Daejeon metropolitan city, and analyzed utilization status. Also, the study was based on POE. POE is a last phase in the environmental planning and design process that follows the sequence of planning, programing, design construction, and use of a project. Urban arboretum contribute to improvement in the quality of living by providing urban citizens with places for refreshment, natural have important values on urban environment and to promote the quality of life for urbanite. So, the study aims to present data on the human activities responding to the physical environment of 'the Daejeon Hanbat Arboretum' by evaluating visitor's behavior and activity, visiting motivations, preference patterns, and the degree of visitor's satisfaction. This study is conducted by multi-method such as interviews and questionnaires surveys. On-site questionnaire surveys were conducted in the Hanbat arboretum on October 25-31 of 2009. Total of 265 questionnaires were analyzed for this study. The analysis of data was used SPSS 18.0 statistical analysis program. Data from visitors was analyzed by descriptive statistics, frequency analysis, multiple response analysis, and Anova. Then, the outcome will be compared and evaluated to install urban arboretum that reflect the desires of users in the future.

사용성 향상을 위한 극한 프로그래밍 프로세스 개선 (Enhancement of Extreme Programming Process for Usability Improvement)

  • 이상준
    • 한국정보통신학회논문지
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    • 제7권6호
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    • pp.1351-1359
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    • 2003
  • 극한 프로그래밍은 빠르게 변화되는 사업 환경에 기민하게 대응하는 애자일 소프트웨어 개발 방법론 중에서 가장 대표적인 방법론이다. 소프트웨어 산업이 성숙됨에 따라 소프트웨어 품질 요소중 사용성이 점차 강조되고 있으나, 극한 프로그래밍에서 사용성을 확보하기 위한 노력이 부족한 실정이다. 극한 프로그래밍의 사용성 향상을 위하여 본 논문에서는 소프트웨어 생명주기를 조사, 계획, 릴리즈 반복, 제품화, 유지보수, 사망의 6단계로 정의한다. 사용성 평가를 위한 통합시험과 인수시험을 포함한 11개의 활동을 정의하여 사용성을 향상시킬수 있는 극한 프로그래밍 프로세서를 제안한다. 제안한 프로세서의 타당성을 4가지 측면에서 확인하였다. 제안한 프로세스는 극한 프로그래밍 프로세스가 인수시험 활동을 지원하도록 개선하였으며, 극한 프로그래밍 프로세스가 CMM 레벨4를 지원하도록 하며, CMM 품질보증 실무를 지원하도록 하였다.

협응이동훈련이 척추 측만증 고객의 족저압과 균형에 미치는 효과 -단일사례연구- (Effect of Coordinative Locomotor Training on Balance and Plantar Foot Pressure in Scoliosis Patients -A Single Subject Study-)

  • 김진철;김태윤;이정아
    • PNF and Movement
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    • 제15권3호
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    • pp.227-236
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    • 2017
  • Purpose: The purpose of this study was to investigate the effects of coordinative locomotor training (CLT) on the foot pressure and balance of patients with scoliosis. Methods: This was a single-case A-B-A study involving two patients with scoliosis. The study was designed to perform repeated measurements as follows: 5 times at baseline (A), 10 times during intervention (B), and 5 times after intervention (A). The study period was 5 weeks, and the CLT program was divided into warm up, CLT program, and cool down stages, at 50 min per stage. For the primary outcome measure, Gait View AFA-50 was used to determine the foot pressure and balance ability. For the secondary outcome measure, the SRS-22 questionnaire was used to assess the quality of life of the patients with scoliosis. Descriptive statistics and visual analysis using graphs were used to compare the rates of change. Results: The results of this study showed that the foot pressure and balance ability of the two subjects improved during the intervention period and remained improved even during the baseline period. However, their quality of life did not change after the intervention. Conclusion: CLT may have a positive effect on foot pressure and balance ability in patients with scoliosis. Also, this body function improvement may have positive effects on the performance of daily activities which employ the upright position.

선도기술개발사업의 경제.사회적 평가방법연구

  • 김상준;임윤철;최기련
    • 기술경영경제학회:학술대회논문집
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    • 기술경영경제학회 1999년도 제16회 동계학술발표회 논문집
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    • pp.216-239
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    • 1999
  • Korean government has planned a large scale multidepartment-participated national R&D program to advance and improve her science and technology and the quality of life In the level of advanced(especially G-7) countries in the forthcoming 21st century. It is called as "Highly Advanced National projects" or "G7 projects", which was initiated in 1991 with 18 sub-programs to date. It has planned to be continued until 2001 with its total fund of 4, 591 billion Won, comprised of 2, 033 billion Won from the public sector and 2, 558 billion Won from the private sector. Evaluation activities, the country has carried out to date, for national R&D programs including HAN projects are focused mainly on the assessment of scientific and technological results to decide that a specific program should be continued, terminated, or modified. Thus, it is necessary for national R&D programs to be evaluated socioeconomically for the purpose of assessing the nationwide economic and social impact from the program. Socioeconomic evaluation would be told how and where the program contributed to the society, and what the socioeconomic impacts are resulted from the program. It would be useful for the means of (ⅰ) fulfillment of public accountability to legitimate the program and to reveal the expenditure of pubic fund, and (ⅱ) managemental and strategical learning to give information necessary to improve the making. program and policy decision making, The objectives of the study are to develop the methodology of modeling the socioeconomic evaluation, and build up the practical socioeconomic evaluation model of the HAN projects including scientific and technological effects. Since the HAN projects consists of 18 subprograms, it is difficult In evaluate all the subprograms simultaneously. Despite, each program is being performed under the category of HAN projects, so the common socioeconomic issues are existing, The followings are main results of the study. First, the hierarchical structure of the socioeconomic evaluation are constructed; Evaluation Perspective, Evaluation Bounds, and Evaluation Aspect. Second, based on the goals of the HAN projects, the evaluation perspectives are established as (ⅰ) the strengthening of industrial competitiveness, (ⅱ) the enhancement of national scientific and technological capability, (ⅲ) the improvement of quality of life. Third, the evaluation bounds for each evaluation objective are defined to specify the affected area. Finally, the evaluation aspects for each evaluation bounds are formulated containing essential elements describing the evaluation bounds.

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Classification and Evaluation of Service Requirements in Mobile Tourism Application Using Kano Model and AHP

  • 뗀진최된;이영찬
    • 한국정보시스템학회지:정보시스템연구
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    • 제27권1호
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    • pp.43-65
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    • 2018
  • Purpose The emergence of mobile applications has simplified our life in various ways. Regarding tourism activities, mobile applications are already efficient in providing personalized tourism related information and are very much effective in booking hotels, flights, etc. However, there are very few studies on classifying the actual service requirements and improving the customer satisfaction in mobile tourism applications. The purpose of this study is to implement a practical mobile tourism application. To serve the purpose, we classify and categorize the service requirement of mobile tourism applications in Korea. We employed Kano model and analytic hierarchy process (AHP). Specifically, we conducted a focus group study to find out the service requirements in mobile tourism applications. Design/methodology/approach The data for this study were collected from Koreans and Foreigners who has the experience using mobile tourism applications. Participants needed to be familiar with mobile tourism applications because such users may be more aware of the mobile tourism applications services. We analyzed 147 valid data using Kano model and conducted AHP analysis on five experts in the field of tourism using Expert Choice software. Findings In this paper, we identified the 17 service quality requirements in the mobile tourism applications. The results reveal that the service requirement such as Geo-location map, Multilingual option, Compatibility with different operating systems were unavoidable service, absent of such requirements leads to the dissatisfaction. Based on the results of the integrated application of both Kano model and AHP analysis, this study provide specific implications for improving the service quality of the mobile tourism applications in Korea.

ICT기반 독거노인복지서비스의 현황 및 과제 (Status and Tasks of ICT-based Welfare Services for the Elderly Living Alone)

  • 강종관;이준영
    • 디지털융복합연구
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    • 제13권1호
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    • pp.67-76
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    • 2015
  • 본 연구의 목적은 독거노인의 욕구를 지원하기 위한 ICT기반 독거노인복지서비스의 역할을 정립하는 것이다. 독거노인은 고령화가 가속됨에 따라 2010년 102만 가구로 증가 추세이며 정신적, 사회적, 경제적인 어려움 등으로 인해 사회문제로 대두되었다. 본 연구는 기존 시행된 6개 부처의 85개 노인복지서비스와 향후 제공가능 한 114개 ICT기반 복지서비스를 조사하였다. 이들 서비스를 Maslow의 욕구분류체계에 따라 유형화하고 오프라인, 온라인, 온오프라인병행 서비스로 구분하였다. 연구의 결과는 안전욕구(의료 건강), 자아실현욕구(여가 문화) 서비스에 집중되어 있고 자존욕구 서비스는 저조한 것으로 나타났다. ICT기반 노인복지서비스를 통해 환경개선, 일자리 확대, 독립적인 일상생활지원 서비스는 개선이 가능하고 심리/정서지원 서비스 등은 추가 발굴이 필요하다는 것을 알 수 있었다. 본 연구결과로 현재 제공되는 서비스의 편중은 완화하고 부재는 보완하는 등 ICT기반 수요자 중심 노인복지서비스를 통해 독거노인의 삶의 질을 향상시킬 수 있을 것이다.

의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구 (Focus Group Study on Health Care Professionals' Experience of Patient Safety Education)

  • 박정윤;이유라;이의선;이재호
    • 한국의료질향상학회지
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    • 제26권2호
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    • pp.56-65
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    • 2020
  • Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

경혈학실습 체제적 교수설계를 위한 RPISD 모형 적용 연구 (Application of the Rapid Prototyping Instructional Systems Design in Meridianology Laboratory)

  • 조은별;김재효;홍지성
    • Korean Journal of Acupuncture
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    • 제39권3호
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    • pp.71-83
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    • 2022
  • Objectives : Instructional design is the systematic approach to the Analysis, Design, Development, Implementation, and Evaluation of learning materials and activities. We aimed to apply the rapid prototyping to instructional systems design (RPISD) in meridianology laboratory, a subject in which students train acupuncture to develop lesson plan. Methods : The needs of the stakeholders including client, subject matter expert and students were analyzed using the performance needs analysis model. Task analysis was implemented by observation and interview. First prototype was drafted and implemented in meridianology laboratory class once. The second prototype was modified from the first, by usability evaluation of the stakeholders. Results : The client requested an electronically documented manual to improve the quality of acupuncture training. The learner requested an extension of practice time and detailed practice guidelines. The main problems of students' performance were some cases of violation of clean needle technique, the lack of communication between the operator and recipient in direct, and lack of confidence in their own performance. Stakeholders were generally satisfied with the proposed first prototype. Second prototype of lesson plan was produced by modifying some contents. Conclusions : A lesson plan was developed by applying the systematic RPISD model. It is expected that the developed instructional design may contribute to the quality improvement of meridianology laboratory education.

Formation of Research Competence Using Innovative Technologies to Improve the Quality of Training Future Specialists

  • Olena, Dobosh;Daria, Koval;Natalya, Paslavska;Natalia, Cherednichenko;Iryna, Bondar;Oksana, Vytrykhovska;Olena, Bida
    • International Journal of Computer Science & Network Security
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    • 제22권12호
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    • pp.91-97
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    • 2022
  • Analyzing the psychological and pedagogical literature, we showed the interest of researchers in the problem posed. The concept of competence is considered, which is interpreted as giving the key to solving a wide range of educational and life tasks. Research competence implies the ability to cooperate, enter into contacts, readiness for changes, for self-determination and is an integral quality of the individual, expressed in the readiness and ability to independently search for solutions to new problems and creative transformation of reality based on a set of personal and meaningful knowledge, skills, methods of activity and value attitudes.The article offers conditions that certify the improvement of forms and methods of training students in the formation of research competence of future specialists. The use of innovative technologies contributes to improving the level of training of future specialists: students are better prepared for classes, take an active part in the assimilation of program material in laboratory classes. It is noted that this creates a subject-subject relationship between the student and the teacher, and changes the attitude of students to classes. In the process of such organization of educational activities, students are convinced of the need for knowledge and its effectiveness, learn to compare, generalize, classify, establish cause-and-effect relationships, express opinions, defend their point of view, they ensure success in their studies, and develop research competence. It is proved that in order to apply the latest technologies, the teacher himself must know them well, that is, constantly improve himself, master new methods, techniques, ideas, which will help him create new pedagogical technologies and implement them in the educational process.