• Title/Summary/Keyword: Quality improvement program

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Challenges in Korea Hospital Accreditation: Focused on Post-Accreditation Management System (국내 의료기관 인증제의 과제: 사후관리 중심으로)

  • Kim, Ji-Eun;Shin, Kyong-A;Shin, Min-Kyung;Shin, Jae-Joon;Lee, Hyun-Hee
    • Quality Improvement in Health Care
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    • v.24 no.1
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    • pp.1-8
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    • 2018
  • Objectives: The post-accreditation management system should be systematic in order to ensure that the accredited hospital continues to strive for patient safety and quality improvement during the accreditation period. In this study, we compare the post-accreditation management system in four countries (the U.S., Australia, Japan, and Korea) and provide suggestions for improving the post-accreditation management system in Korea. Results: All four countries had the post-accreditation management system, and the basic structure of the system in Korea was similar to that of others. However, there were differences in the practical operation processes and the use of the results. In the operation process, Korea's monitoring relies on voluntary reporting by accredited hospitals. In terms of results utilization, analytical feedback to data submitted by the acrredited hospital is not provided in Korea. Conclusions: It is necessary to establish a continuous monitoring system for post-accreditation changes and provide feedback to accredited hospitals. It is also necessary to perform a survey without advance notice and establish a firm legal basis for monitoring.

The Effect of New and Renewable Energy Equipment KS Certification Requirements on the Performance of Firms (신재생에너지설비 KS인증 요구사항이 기업 성과에 미치는 영향)

  • Han, Yun-Cheol;Kim, Gunwoo;Kang, Kyu-Young
    • Journal of the Korean Solar Energy Society
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    • v.37 no.5
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    • pp.85-99
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    • 2017
  • New and Renewable Energy Equipment Certification program has been integrated into the KS(Korean Industrial Standards) certification system as of July 29, 2015. This study is to determine whether the KS certification requirement has had a positive effect on corporate performance (e.g. quality improvement, financial result, customer satisfaction) within those that had already acquired the New and Renewable Energy Equipment KS certification. As a result, among the requirements for the KS certification, quality management, product management, and product testing have a positive impact on product quality improvement, and product testing has shown a positive influence on customer satisfaction. Although requisite for the KS certification did not have a significant effect on financial outcome such as increase in revenue, it has shown to have positive consequence to some extent on those firms that newly obtained the certification.

A Study on the Relationship among Family Support, Morale, and Quality of Life in the Elderly (노인이 지각한 가족지지, 사기 및 삶의 질과의 관계연구)

  • Kim, Kwuy Bun;Choi, Jae Eun;Sok, So Hyune
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.517-526
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    • 2007
  • Purpose: This study examined the correlations among family support, morale, and quality of life in the elderly. Methods: Descriptive correlational study design was used. The subjects were 131 elderly people 65 and older who have lived in Seoul and other three cities. The data were analyzed with mean, SD, t-test, ANOVA, and pearson's correlation by using the SPSS 11.0 program. Results: First, the mean of family support was 3.71, morale 3.25, and quality of life 3.02 respectively. Second, the correlation between quality of life and family support was statistically significant(r=.264, p=.00), the correlation between quality of life and morale was also statistically significant(r=.484, p=.00), and the correlation between family support and morale was also statistically significant(r=.430, p=.00). Conclusion: Family support for the elderly in the study was confirmed as the primary important concept which can positively maintain and promote the quality of their life. Also, the correlation between morale and family support was verified as significant. Further study is needed to develop a nursing intervention program for morale improvement with a network of family support with their children, ultimately for quality of life among the elderly.

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What is Outcome-Based Education? (제도적인 관점에서 본 성과중심교육)

  • Kim, Bok Ki;Min, Sang Won;Yoon, Woo Young
    • Korean Medical Education Review
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    • v.15 no.1
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    • pp.1-8
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    • 2013
  • Outcome-Based education (OBE) is reviewed from the institutional perspective. The demand for and international trends in OBE are briefly examined and several term related to OBE, especially educational objective and program outcomes (POs), are introduced. It is stressed that systems for continuous quality improvement and quality assurance should be established to ensure the maintenance of the OBE system. Because the criteria for accreditation contain a criterion regarding the quality assurance related to program outcomes, several critical issues are considered regarding the POs themselves and the reduction of the POs. The core value of OBE is not only to provide appropriate education services to students to prepare them with the minimum skills and abilities for advancing their professional service, but also to guarantee the quality of graduates. In addition, the educational program should be continuously improved by employing the evaluation results acquired during the operation of the OBE systems. It is certain that an OBE system is one important aspect of student-centered education.

An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children (입원 소아환자에서 정맥주사 시 통증 및 불안을 경감시키기 위한 중재연구)

  • Kim, Myo-Jin;Bak, Joung-Hae;Seo, Won-Seok;Kim, Mi-Young;Park, Sun-Kyoung;Park, Jai-Soung
    • Quality Improvement in Health Care
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    • v.12 no.1
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    • pp.92-102
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    • 2006
  • Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxiety and fear of pediatric patients and their parents who do not have understanding logical of their disease and hospitalization. This study attempted to identify pain reduction in related to therapeutic intervention by age and environmental improvement. Methods : A total of 194 hospitalized children and their parents were investigated. Data collection period was 3 months from March to May 2004. Four instruments were used to collect the data : Faces Pain Rating Scale(FPRS), Heart rate, Oxygen saturation and Pain behavioral check list. The data were analyzed by a SPSS program and tested x2-test, t-test, ANCOVA. Results : 1. Age from 0 to 3, the Heart rate, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. 2. Age from 4 to 6, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. But the heart rate were not significantly different when compare to control group. 3. Age from 7 to 9, FPRS and Pain behavioral check list were significantly lower in therapeutic intervention group when compare to control group but Heart rate and Oxygen saturation were not significantly different when compare to control group. Conclusion : The results of this study concludes that most children experience acute pain during IV therapy and it can be reduced by age specific therapeutic intervention and by change of surrounding environment.

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Factors Related to Hypertension Patients' Quality of Life: The 7th Korean National Health and Nutrition Examination(1st Year, 2016) (고혈압 환자의 삶의 질 관련 요인: 제 7기 1차년도(2016년) 국민건강영양조사)

  • Kim, Su I;Woo, Sang Jun;Jung, Young Hae
    • The Journal of Korean Society for School & Community Health Education
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    • v.21 no.1
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    • pp.61-74
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    • 2020
  • Objectives: This study aims to examine hypertension patients' quality of life by using the data of the 7th Korea National Health and Nutrition Examination Survey (1st year, 2016), identify the factors related to this, and utilize the results as basic data for intervention that can improve hypertension patients' quality of life. Methods: For the research subjects, this study extracted 1,531 patients who were diagnosed with hypertension by a doctor from the total sample of 8,150 participants of the 7th Korea National Health and Nutrition Examination Survey, and selected 1,072 patients with no missing value in the variables to be analyzed as the final research subjects. The SPSS(version25.0) program was used for the analysis of the collected data. Then, this study used a backward elimination multiple regression analysis method that applied complex sample, to examine the factors related with the finally estimated quality of life. Results: The results of this study revealed that hypertension patients' quality of life was related with age, occupation, spouse, household income, weight gain, restriction of activity, subjected health status, perceived stress, and presence of comorbidity. The final model explained 37.0% of the variance (Wald F=30.012 p<.001). Conclusions: When an intervention program is implemented for the improvement of hypertension patients' quality of life in the future, it will be effective to construct the program according to age group, employment, marital status and household income. As for the program operation, patients should get help therefrom to control weight, facilitate activities and relieve their stress, and they should be also motivated to feel healthy. Furthermore, education should be offered so that they appropriately manage their underlying disease at an early stage.

Medical Record Quality Improvement By Developing Program For The Doctors (의료진 중심의 프로그램 개발을 통한 의무기록의 질 향상)

  • Lee, Sin-Ae
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.113-120
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    • 2009
  • 문제: 의무기록 질 관리의 어려움 목적: 의무기록의 질 향상 의료기관: 고려대학교 의료원 안암병원 의료정보팀 질 향상 활동: 의무기록의 질 향상을 위해 입퇴원기록지 24시간 이내 작성율 향상, 입원기록지 24시간 이내 작성율 향상, 외과계 N-C 기재율 감소, 경과기록지 작성율 향상, 일일입퇴원기록지 작성율 향상, STAFF 서명 완성일 단축 활동을 하였다. 개선효과: 의무기록 작성에서 같은 내용을 반복 작성해야 하는 번거로움을 해소하였고, 작성자(의료진) 중심의 프로그램 개선과 개발된 프로그램의 지속적인 모니터링으로 의무기록의 질이 향상되었다.

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Positive affect of insect-mediated mental healthcare program to adolescent's emotions

  • Bae, Sung-Min;Shin, Tae-Young;Jun, Young Soon;Woo, Soo-Dong
    • International Journal of Industrial Entomology and Biomaterials
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    • v.31 no.2
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    • pp.90-94
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    • 2015
  • Several insects have been shown to exert a strong influence positively on peoples' emotions. Insect-mediated mental healthcare program was designed to help meet the physical, behavioral and developmental needs of adolescents. They were provided with an insectmediated mental healthcare program for a total of 10 sessions, one session per wk, at 1 h per session, accompanied by a pre- and post-test for emotion. Significant differences and correlations were found according to the individual participants' planning, subjective quality of life, self-reported depression and self-worth, respectively. The results indicated that adolescents who participated in the insect-mediated healthcare program group once showed significant improvement in their planning, subjective quality of life and self-worth. However, most of all participants' self-reported depression was not influenced. These findings suggest that pet-insects positively affect adolescent's emotional health via an insect-mediated healthcare program.

Framework for Course-Embedded Outcomes Assessment: A Case Study of Architecture & Building Engineering Program at KSNU (교과기반 학습성과 평가시스템 개발: 군산대학교 공학인 건축공학심화프로그램 사례 연구)

  • Pak, Sungsine
    • Journal of Engineering Education Research
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    • v.23 no.1
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    • pp.47-58
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    • 2020
  • Kunsan National University obtained accreditation for its Architecture & Building Engineering Program from the Accreditation Board for Engineering Education in Korea (ABEEK) in 2004 and has offered an ABEEK-accredited degree pathway ever since. Then, in 2018, the university introduced the course-embedded outcomes assessment system as per ABEEK's KEC2015 accreditation criteria. One year into its implementation, the new system allows the measurement and assessment of 10 program outcomes covering 19 curricular modules and 1 non-curricular licensing examination. The system incorporates the four areas of specialization within architectural engineering as well as the three course categories of the math, science, and computer; liberal arts; and engineering core modules under the accreditation scheme. It also takes the students' academic years into account, especially for the mandatory modules offered to all students. Its rubric clarifies the performance criteria, performance level, assessment tools, objectives, and modules. The 2018 course-embedded outcomes assessment system is an ever-evolving structure with regular CQI: Continuous Quality Improvements along the circular process of system establishment → implementation → evaluation as per the virtuous cycle model required for an accredited engineering program.

Assessing the Quality for Blood Transfusion Service since the 1st National Quality Assessment Program in South Korea (국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황)

  • Jin-Ah Kwon;Eun-Jeong Cho;A-Hyun Jung;Dong-Sook Kim
    • Quality Improvement in Health Care
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    • v.28 no.2
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    • pp.30-38
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    • 2022
  • Purpose: The Health Insurance Review and Assessment Service (HIRA) in South Korea initiated a quality assessment (QA) program for blood transfusion healthcare services in 2020 to ensure patient safety and appropriate blood use. This study examines the quality of blood transfusion services since the first national QA program for blood transfusion services in Korea. Methods: We analyzed HIRA claims and QA investigation data based on inpatient medical records from all tertiary, general, and primary hospitals between October 2020 and March 2021. The target population was patients aged 18 years and older who received either total knee arthroplasty or red blood cell transfusion. The QA indicators for transfusion healthcare service consisted of four quality indicators and four monitoring indicators. Results: We analyzed the results of QA indicators for transfusion service from the medical records of 189,668 patients from 1,171hospitals and expressed indicators as proportions. The average results for evaluation indicators were as follows: transfusion checklist presence, 64.8%; irregular antibody tests, 61.8%; transfusions in which the hemoglobin levels before transfusion met the transfusion guidelines for patients undergoing total knee arthroplasty, 20.6%, and transfusions in patients undergoing total knee arthroplasty, 59.3%. The average results for monitoring indicators were as follows: transfusion management implementation in medical institutions, 56.9%; preoperative anemia management in anemia patients undergoing total knee arthroplasty, 43.9%; one-unit transfusions, 82.5%; and the transfusion index. Conclusion: The quality of blood transfusion healthcare varied and the assessment revealed that there is scope for improvement. Hospitals require more effective blood transfusion management and this can be facilitated by providing feedback on the QA results about blood transfusion healthcare services to medical institutions, and by disclosing the results to the public.