• 한국토양비료학회지
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• 제48권5호
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• pp.379-383
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• 2015

Indicators of environmental conditions describe the state of the environment and the quantity and quality of natural resources. This study deduced the evaluation items to assess each sub-indicator for agricultural water quality and conducted the surveying using the Delphi method based on agricultural water quality experts. Considering its importance, environmental, state, and management indicators showed that state indicator such as COD concentration for surface water and $NO_3-N$ concentration for groundwater was ranked as first and followed by amount of fertilizer. Its indicators were correlated with state and environmental indicators in surface water and groundwater. The best management indicators were calculated to assess the agricultural surface water and ground water quality. The indicator could be used in established policies for management and conservation of water resources.

• 한국지능정보시스템학회:학술대회논문집
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• 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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• pp.352-357
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• 2001

This study presents an analysis of healthcare quality indicators using data mining for developing quality improvement strategies. Specifically, important factors influencing the inpatient mortality were identified using a decision tree method for data mining based on 8,405 patients who were discharged from the study hospital during the period of December 1, 2000 and January 31, 2001. Important factors for the inpatient mortality were length of stay, disease classes, discharge departments, and age groups. The optimum range of target group in inpatient healthcare quality indicators were identified from the gains chart. In addition, a decision support system was developed to analyze and monitor trends of quality indicators using Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. In the future, other quality indicators should be analyze to effectively support a hospital-wide continuous quality improvement (CQI) activity and the decision support system should be well integrated with the hospital OCS (Order Communication System) to support concurrent review.

• 보건의료산업학회지
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• 제9권4호
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• pp.1-12
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• 2015

Objectives : The aim of this research was to develop evaluation indicators that ensure safe services and enhance the quality of small-sized dental hospitals within local communities to prepare for the dental hospital accreditation system. Methods : Materials and data from a total of 460 respondents were analyzed after quality improvement indicators were formed by surveying experts and studying documents in Korea and abroad, and by conducting a survey from August 21, 2013 to September 30, 2013 for validation purposes. Results : Based on the results of factor analysis. all measured items appeared to be statistically significant with a factor loading score of at least 0.5, and the correlation between the factors all appeared to be high as well. The goodness-of-fit for the model also appeared to be within the recommended acceptance level. Thus, the proposed evaluation indicators for dental hospital accreditation developed in this study consisted of a total of seven major category factors and a total of 91 detailed items. Conclusions : Furthermore, the results suggest that the evaluation indicators can be used to improve the quality and to ensure the safe services of dental hospitals in local communities.

• 한국의료질향상학회지
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• 제27권2호
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• pp.73-82
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• 2021

Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

• 비교교육연구
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• 제19권1호
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• pp.25-58
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• 2009

대학의 기능 수행에 대한 사회적인 관심이 증대되어 대학의 질 제고와 대학의 질 평가가 중요한 과제로 인식되고 있다. 이에 이 연구는 대학의 질 개념을 정립하고, 정립된 질 개념에 터하여 대학의 질적 수준을 종합적으로 진단할 수 있는 지표를 개발하는 데 연구의 주된 목적을 두었다. 종합적인 문헌분석과 연구진 검토를 통해 목표/목적 달성, 고객요구충족, 가치부가 측면을 강조한 투입-과정-산출 체제로서의 대학의 질 개념을 설정하였다. 설정된 대학의 질 개념을 바탕으로 하여 미국, 영국, 호주, 일본 등 주요국에서 사용되고 있는 대학기관인증평가, 대학순위평가, 학생설문조사, 학습성과평가 등 4가지 유형의 질적 수준 분석 도구에 포함된 지표들(6개국 13개 평가도구)을 분석한 뒤 대학의 질적 수준 평가 지표 초안을 마련하였고, 전문가 검증과 연구진 검토를 통해 최종 지표들을 개발하였다. 이러한 지표들은 투입-과정-산출 차원에서 기관목표, 인적자원, 물적자원, 교육과정, 학습활동, 교육산출, 연구산출의 영역으로 구성되었다. 개발된 지표가 대학의 질 제고를 유도하는 순기능 역할을 발휘하는 데 필요한 사항들이 제안되었다.

• 한국의료질향상학회지
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• 제17권1호
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• pp.49-58
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• 2011

• Environmental Sciences Bulletin of The Korean Environmental Sciences Society
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• 제4권1호
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• pp.11-23
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• 2000

Photochemical air quality models are essential tools in predicting future air quality and assessing air pollution control strategies. To evaluate air quality using a photochemical air quality model, emission inventories are important inputs to these models. Since most emission inventories are provided at a county-level, these emission inventories need to be geographically allocated to the computational grid cells of the model prior to running the model. The conventional method for the spatial allocation of these emissions uses "spatial surrogate indicators", such as population for mobile source emissions and county area for biogenic source emissions. In order to examine the applicability of such approximations, more detailed spatial surrogate indicators were developed using Geographic Information System(GIS) tools to improve the spatial allocation of mobile and boigenic source emissions, The proposed spatial surrogate indicators appear to be more appropriate than conventional spatial surrogate indicators in allocating mobile and biogenic source emissions. However, they did not provide a substantial improvement in predicting ground-level ozone(O3) concentrations. As for the carbon monoxide(CO) concentration predictions, certain differences between the conventional and new spatial allocation methods were found, yet a detailed model performance evaluation was prevented due to a lack of sufficient observed data. The use of the developed spatial surrogate indicators led to higher O3 and CO concentration estimates in the biogenic source emission allocation than in the mobile source emission allocation.llocation.

• 대한간호학회지
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• 제40권1호
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• pp.110-118
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• 2010

Purpose: To develop outcome indicators of urinary incontinence to measure quality of care in long term care hospitals in Korea. Methods: The draft indicators of urinary incontinence were developed from a literature review and clinical expert panel. A survey of medical records of 280 patients in 20 hospitals was conducted to test inter-rater reliability. Statistical analysis was done to test risk adjustment criteria, variation between hospitals, and stability of indicators, using assessment data from 77,918 patients in 623 hospitals. Results: The inter-rater reliability of items was high (Kappa range: 0.66- 0.92). Severe cognitive impairment (odds ratio [OR]: 3.15, confidence interval [CI]: 3.03-3.26) and total mobility activities of daily living (ADLs) dependency (OR: 4.85, CI: 4.72-4.98) increased the prevalence of urinary incontinence, thus they proved to be significant criteria to stratify high and low risk groups. The prevalence for low risk showed more substantial variation than the high risk group. The indicators were stable over one month. Conclusion: This study demonstrated the feasibility of outcome indicators of urinary incontinence. Improving the reliability of the patient assessment tool and refining the indicators through validation study is a must for future study.

• Industrial Engineering and Management Systems
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• 제7권3호
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• pp.214-227
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• 2008

Today's dynamic competitiveness requires an organization to improve its performance measurement and management. Quality Management Systems (QMS) abound, the main ones being: ISO series, Malcolm Baldridge National Quality Award (MBNQA), European Forum for Quality Management (EFQM), Six Sigma Business Scorecard and the Balanced Scorecard. Based on the literature, the IPMMM (Integrated Performance Measurement and Management Model) identified 7 key synthesized factors: leadership, strategy management and policy, customer and market, learning and growth, partnership and resources, internal processes and business results that are employed to investigate the key performance indicators of a car assembler using the Delphi methodology. In the 2 rounds of Delphi panels consisting of 20 senior management personnel, the $1^{st}$ round of 198 indicators in the IPMMM yielded 90 indicators. The $2^{nd}$ round yielded 43 performance indicators with 18 rated as critical based on the % assigned in the $1^{st}$ and $2^{nd}$ priority rating of "very important factor" and "key performance indicator" that must be ranked high on both of the priorities. The very critical indicators appeared to be: defect percentage and first time capability (tie in $1^{st}$ place) and revenue, goal setting, customer satisfaction index, on-time delivery, brand image, return on investment, Claim Occurrence Ratio, and debt being ranked from $3^{rd}$ to $10^{th}$. It can be surmised that an organization can identify and develop an appropriate set of performance indicators through the Delphi methodology and implement and manage them based on the Balanced Scorecard.

• 한국의료질향상학회지
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• 제28권2호
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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.