• 제목/요약/키워드: Quality improvement program

검색결과 989건 처리시간 0.028초

1주기 의료기관 평가에 대한 평가대상 기관 실무자들의 인식과 태도 조사 (The Opinion and Attitude of Hospital Managers toward Hospital Evaluation Program)

  • 이선희;김현미;하귀염;조희숙;채유미
    • 한국의료질향상학회지
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    • 제14권1호
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    • pp.77-91
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    • 2008
  • Objectives : The purpose of this study was to survey the opinion and attitude of hospital managers toward the hospital evaluation program. Method : Managers of 157 hospitals which had participated in the hospital evaluation program were requested to respond to structured self-administered questionnaire. The questionnaire was composed with five categories: the preparation for the hospital evaluation program, the expertise levels of surveyors, the process and contents of the hospital evaluation program, the applying strategies for the result of the hospital evaluation to manager's work at their hospitals, and the main points to improve the hospital evaluation program. Result : 135 out of the 157 subjects completed the questionnaire, and the overall response rate was 86%. The hospital managers answered that they didn't have enough information such as the scoring rule of the standards, the process of the evaluation, and how to ask and get an answer to prepare the hospital evaluation. Furthermore, they estimated that the surveyors weren't specialized enough and didn't give a chance of checking over the result of the evaluation. In addition, they experienced that the result and feedback of the evaluation weren't enough information to be used as a guideline to improve in hospital management. Managers of the hospitals responded that the standards and method of survey in the hospital evaluation system should be reformed. Conclusion : Most of the responded managers seemed to have negative opinion on the hospital evaluation system, even though they were pushed up for interest in quality. Further studies and extensive evaluation of the hospital evaluation program are needed to bring up various information such as receptiveness and effectiveness.

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헤일레이션 방지 디스크를 이용한 소형 카메라 이미지 화질개선 연구 (Research for Image Enhancement using Anti-halation Disk for Compact Camera Module)

  • 김태규;송인호;한찬호
    • 융합신호처리학회논문지
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    • 제17권1호
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    • pp.26-31
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    • 2016
  • 본 논문에서는 소형 카메라 모듈의 화질을 분석하는 시스템을 제안하고 이를 이용하여 렌즈의 성능을 평가하며, 플레어 및 헐레이션 방지 디스크를 삽입하여 렌즈의 성능이 개선되는 효과를 검증한다. 카메라 모듈의 화질을 평가하는 카메라 모듈 화질검증 시스템과 이미지 신호 처리기(Image Signal Processor, ISP) 내부의 레지스터를 제어하는 카메라 모듈 제어 프로그램 및 화질분석 소프트웨어를 개발한다. 제안된 헐레이션 방지 디스크를 삽입된 카메라 모듈의 화질을 기존 카메라 모듈의 화질과 비교평가에서 획득된 영상의 해상도, 밝기, 색재현 등의 성능을 검증한다.

한국과 미국의 프로그램 학습성과 평가체계 사례분석 (A Case Analysis of Program Outcomes Assessment Systems for Engineering Education Accreditation of South Korea and USA)

  • 진성희;조우석
    • 공학교육연구
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    • 제14권2호
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    • pp.13-20
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    • 2011
  • 본 연구의 목적은 한국과 미국의 프로그램 학습성과 평가체계 사례를 비교 분석함으로써 프로그램 학습성과 평가체계 개선을 위한 시사점을 제공하는 것이다. 연구의 목적을 달성하기 위해 사례연구방법이 적용되었다. 미국에서 공학교육인증을 우수하게 수행하고 있는 5개 대학 프로그램과 한국에서 공학교육혁신센터를 주축으로 연구를 수행하여 프로그램 학습성과 평가체계를 개선한 3개 대학을 선정하여 각각의 프로그램 학습성과 평가체계 사례를 분석하였다. 분석 결과 각 프로그램에서 설정한 학습성과, 학습성과를 평가하는 수준, 학생의 학습성과 달성도 평가 방법, 분석 및 개선 실적 측면에서 차이가 있는 것으로 나타났다. 연구 결과에 기반하여 프로그램 학습성과 평가체계 개선을 위해서는 학생의 학습성과 달성도 평가방법에 대한 관심보다는 프로그램의 특성이 반영된 학습성과 설정, 학습성과 평가결과 분석 및 개선에 대한 보다 구체적인 계획 수립, 수집된 자료에 근거하여 교육과정을 지속적으로 개선하는 데 보다 노력을 기울일 것을 제안하였다.

방문구강보건사업 여성노인 대상자의 구강관리프로그램 효과 (The effect of oral care program for the elderly women of the Visiting oral health care)

  • 이윤희;이성국
    • 한국치위생학회지
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    • 제12권2호
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    • pp.365-377
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    • 2012
  • Objectives : This research was conducted to determine the effect of the Visiting Oral Health Care Program by examining the oral health of the elderly women, who are the beneficiaries of this Visiting Oral Care Program. Methods : This research was conducted from November of 2011 to February of 2012, in Chilgok-gun in the Kyeongbuk Province, South Korea. One hundred and twenty five (125) elderly women among the beneficiaries of the Visiting Oral Care Program within the area were randomly selected for the research. The research subjects would regularly visit the area senior citizen center, and they were divided into two groups, with 64 of them belonging to a control group, and the rest (61 people) belonged to a intervention group. The research subjects were examined for their dental health condition, and we investigated the effect of the Visiting Oral Care Program through this research. Results : 1. When they were asked about how many times they wash their dentures, the majority of the control group, 57.4% of them answered that they do it "once" a day. The majority of the intervention group answered "more than 3 times", with 35.2% of group mentioning that they wash their dentures more than 3 times a day(p<.001). 2. When the research subjects were asked to scale their overall quality of life before and after the Visiting Oral Care Program, the control group had rated 49.3 before the Service and 56.8 after the Service (p<.01), and scores for the individual factors to determine the overall quality of life has significantly improved as well (p<.01, p<.01, p<.01, p<.01, p<.01, p<.01, p<.01). 3. The oral hygiene condition after the Visiting Oral Care Program has shown improvement as well. The control group scored 64.2 for the severity of the symptoms of dental plaque before the dental care, and scored 46.8 after the dental care (p<0.1). The control group was diagnosed for the symptoms of coated tongue, and the severity of the symptoms were scaled as 3.7 before the Program and 2.0 after the Program (p<.01). Furthermore, the overall functionality of the oral cavity was improved as well. The control group showed 1.0 time increase in repetitive voluntary swallowing test (p<0.1), increased amount of sublingual saliva from 0.8mm to 1.4mm, and from 1.6mm to 2.0mm in dorsum linguae(p<0.1). Also, the control group showed an improvement in mouth opening as well, increased from 3.9 to 4.0cm after the oral care program (p<.05). When compared the result with the examination after the Visiting Oral Care Program, the two groups showed a significant difference with the control group showing a significant improvement compared to the intervention group(p<.01, p<.01, p<.01, p<.01, p<.05). 4. The correlation between the dental hygiene condition and the functionality of oral was made for the result of examining the beneficiaries for Visiting Oral Care Program. The amount of saliva showed a negative correlation with the severity of dental plaque (p<.05), and a positive correlation with the repetitive voluntary swallowing count (p<0.1). Also, mouth opening showed a positive correlation with repetitive voluntary swallowing count (p<.05). Conclusions : After the Visiting Orall Care Program, the beneficiaries of the program experienced improvement in their quality of life related to oral health, overall oral hygiene and functionality of oral.

해양자원을 활용한 심신치유기법이 여성 감정노동자들의 수면, 우울 및 기분 증상 개선에 미치는 효과 : 예비 연구 (Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study)

  • 이상아;이성재;육영숙;허유정;이민구;조휘영;이재헌
    • 수면정신생리
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    • 제25권2호
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    • pp.58-67
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    • 2018
  • 목 적 : 본 연구는 과도한 감정노동에 노출되어 있는 여성 감정노동자들을 대상으로 해양자원을 활용한 심신치유 기법이 효과가 있는지 여부를 알아보는 예비 연구이다. 방 법 : 정상 참고치 이상의 감정노동에 노출되어 있는 신체건강한 여성 감정노동자 12명을 대상으로, 경남 고성 당항포 일대에서 해양자원을 이용한 심신치유 프로그램을 4박 5일간 시행하였다. 피험자들에게 프로그램에 참여하도록 한 뒤 사전, 사후, 추후의 평가를 바탕으로 수면, 기분, 인지기능 영역의 변화를 확인하기 위해 통계분석을 실시하였다. 결 과 : 프로그램에 참가한 뒤 피험자들의 수면의 질이 호전되고 수면 잠복기가 유의하게 감소하였고 우울, 긴장, 분노, 피로 등 기분상태의 호전을 보였으며, 인지기능 또한 향상되었다. 수면의 질, 우울기분을 비롯한 상기 효과는 한 달 반 뒤 실시한 추후 평가에서도 동일하게 확인되었다(PSQI t = 2.63, p = 0.02, HAM-D t = 5.92, p < 0.001). 결 론 : 해양자원을 활용한 심신치유 기법이 긴장을 이완하고 스트레스를 낮추는데 효과적일 수 있음을 시사하며, 이와 관련해 대조군을 포함한 추후연구 및 체계적인 프로그램 개발이 필요하다.

수술장에서의 혈액 폐기율 감소 (Reducing the Disposal of Unused Blood in the Operating Room)

  • 조문수;이영숙;유일미
    • 한국의료질향상학회지
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    • 제3권2호
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    • pp.70-85
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    • 1997
  • Background : 6.1% of red blood cells and whole blood issued to the operating room was not transfused to the patients and discarded in Seoul National University Hospital in 1994. Objectives : We planned to set up an effective management program of blood in the operating room and we investigated whether this program could reduce the disposal rate of blood. Methods : We made a guideline of blood management in the operating room through a workshop. The guideline was revised after a preliminary application. The revised guideline was applied for 5 months from May to September in 1996. The disposal rate was compared before and after the installation of the new program. Results : 5,336 units of blood were issued to the operating room for 5 months. Disposal rate of red blood cells and whole blood was markedly reduced from 6.2% in May to 2.1% in September(p<0.05). The average disposal rate was 3.7% during the five months. Conclusion : We were able to reduce the disposal of unused blood in the operating room through the development and the application of a new blood management program.

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사회취약계층의 숲체험교육 질적향상 방안을 위한 중요도-만족도 분석 (Importance-Performance Analysis for the Quality Improvement of Forest Experience Education for Vulnerable Social Groups)

  • 박세익;고병준;박희정;최용락;이상현
    • 한국환경과학회지
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    • 제32권3호
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    • pp.149-159
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    • 2023
  • This study aimed to improve the level of satisfaction and service quality of a forest experience education program for vulnerable social groups by administering a survey problems of the program and suggested improvements. 428 participants in the program. Reliability analysis of the survey yielded values of, Cronbach's α value was higher than 0.8 for all items, indicating very high reliability. Importance-performance analysis (IPA), a method of measuring and comparing the degree of satisfaction, found two factors: "first need for correction" which included "diversity of programs" and "professionalism of programs"; and "the need for sustained effort" which included "benefits of programs", "the role of program instructors" and "the interest of programs". Previously, forest experience education focused on programs involving base expansion and promotion, or quantitative expansion education. Therefore, this study is meaningful in providing basic data on forest experience education for vulnerable social groups.

Technical Advances, Image Quality and Quality Control Regulations in Mammography

  • Ng, Kwan-Hoong
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.38-41
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    • 2002
  • Mammography is considered the single most important diagnostic tool in the early detection of breast cancer. Today's dedicated mammographic equipment, specially designed x-ray screen/film combinations, coupled with controlled film processing, produces excellent image quality and can detect very low contrast small lesions. In mammography, it is most important to produce consistent high-contrast, high-resolution images at the lowest radiation dose consistent with high image quality. Some of the major technical development milestones that have let to today's high quality in mammographic imaging are reviewed. Both the American College of Radiology Mammography Accreditation Program and the Mammography Quality Standards Act have significant impact on the improvement of the technical quality of mammographic images in the United States and worldwide. A most recent development in digital mammography has opened up avenues for improving diagnosis.

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환자 급식서비스의 질 향상 사례 연구 - Back-up 처방 중심으로 - (A Case Study on Quality Improvement of the Food Services for Patients - Focused on back-up orders -)

  • 이승림;장유경
    • 대한지역사회영양학회지
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    • 제8권5호
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    • pp.755-762
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    • 2003
  • The purpose of this research which, surveyed target hospitals, was to evaluate job operations by surveying the influences of Quality Improvement (QI) activities in various divisions related to a decrease in their back-up orders. Statistical data analyses were completed using the SPSS 11.0 program. The results can be summarized as follows Before QI there were 147 cases of back-up orders ; after QI there were 83 cases, decrease of 64 cases. This was 44%, less than the projected goal of 50%. For each item, there was a decrease of 40 nurse cases, 9 patients and patron cases,9 test surgery deliverly cases and 5 doctor cases after QI. The registering of midnight meals was not shown after QI, due to the Order Communication System (OCS) settlement. After performing QI, the average manual operation per month was reduced from 840 minutes to 498 minutes, of which the difference was 342 minutes, and the average of 342 minutes per month could be used for the peculiar operation of each division. This QI activity provided a good opportunity for establishing cooperation among divisions in providing meals to patients through interactions among divisions. It was recognized that these interactions were effective only when medical services were achieved through organized cooperation among divisions. Among the 7 items included on the patient satisfaction questionnaire, “satisfaction with offered menus” (p<0.01) showed significantly higher scores before QI. However “satisfaction with meal times” (p<0.01) showed significantly lower scores before QI.

유방암 환자의 방사선 치료 기간 동안 재활치료 프로그램이 삶의 질, 심폐기능, 피로에 미치는 영향 (Effects of a Rehabilitation Program on Quality of Life, Cardiopulmonary Function and Fatigue During Radiotherapy for Breast Cancer Patients)

  • 도정화;성준혁;안준수;조영기
    • 한국전문물리치료학회지
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    • 제19권1호
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    • pp.56-65
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    • 2012
  • This study examines the effects of a rehabilitation program on quality of life (QOL), cardiopulmonary function and fatigue during radiotherapy for breast cancer patients. The program includes aerobic exercise, stretching and strengthening exercises. Sixty-five women participated in this study and they were asked to perform supervised exercises that last for 60 minutes five times a week for six weeks. The European organization for research and treatment of cancer-cancer (EORTC QLQ-C30) and the breast (EORTC QLQ-BR23), predicted maximal volume of oxygen consumption ($VO_{2max}$) and fatigue severity scale (FSS) were assessed before and after the rehabilitation program. The 60-minute program consisted of a 10-minute warm-up, 30-minute of aerobic exercises, and 15-minute of strengthening exercises, followed by a five-minute cool-down. Heart rates were monitored throughout the exercise class to ensure that patients were exercising at the target heart rate of 40~75% of the age-adjusted heart rate maximum. There were statistically significant differences in the changes of physical function and cancer related symptoms in the EORTC QLQ-C30 and EORTC QLQ-BR23 (p<.05). There was a statistically significant improvement in the predicted $VO_{2max}$ (p<.05), although there were no significant differences in the FSS (p>.05). The results of our study suggest that a supervised rehabilitation program may benefit the physical aspects and QOL of patients receiving radiotherapy for breast cancer.