• Title/Summary/Keyword: Quality of Medical

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Establishment of a Cohort at Chosun University College of Medicine for Social Accountability (지역사회 인재 양성을 위한 조선대학교 의과대학 코호트 구축 및 운영 사례 )

  • Hyoseon Choi;Youngjon Kim;Hyo Hyun Yoo
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.132-138
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    • 2023
  • Cohorts are established and operated at medical schools as part of efforts to improve the quality of education. Chosun University College of Medicine clarified the purpose of establishing three cohorts in light of its core values and developed criteria and indicators for each purpose. An organization focusing on cohort construction and operation was established as the Cohort Committee under the Quality Improvement Committee, and guidelines were proposed. In addition, a database and system were developed to handle primary data efficiently, and tools for measuring psychological variables were created. The data collected by establishing a cohort, regions, and admission types of graduates were first analyzed for the following projects: (1) an analysis of the educational process and quality improvement to educate medical professionals who contribute to the community after graduation, and (2) an analysis of the educational process and quality improvement to secure excellence in the medical field (e.g., knowledge and clinical reasoning), using information on the academic achievements of students and graduates as primary data. Chosun University College of Medicine is conducting cohorts and longitudinal studies gradually, starting with a simple, practically feasible system to solve the difficulties faced in cohort establishment and operation. Medical educators hope that future data collection and analysis will improve the quality of medical school education and have practical implications.

Internet search analytics for shoulder arthroplasty: what questions are patients asking?

  • Johnathon R. McCormick;Matthew C. Kruchten;Nabil Mehta;Dhanur Damodar;Nolan S. Horner;Kyle D. Carey;Gregory P. Nicholson;Nikhil N. Verma;Grant E. Garrigues
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.55-63
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    • 2023
  • Background: Common questions about shoulder arthroplasty (SA) searched online by patients and the quality of this content are unknown. The purpose of this study is to uncover questions SA patients search online and determine types and quality of webpages encountered. Methods: The "People also ask" section of Google Search was queried to return 900 questions and associated webpages for general, anatomic, and reverse SA. Questions and webpages were categorized using the Rothwell classification of questions and assessed for quality using the Journal of the American Medical Association (JAMA) benchmark criteria. Results: According to Rothwell classification, the composition of questions was fact (54.0%), value (24.7%), and policy (21.3%). The most common webpage categories were medical practice (24.6%), academic (23.2%), and medical information sites (14.4%). Journal articles represented 8.9% of results. The average JAMA score for all webpages was 1.69. Journals had the highest average JAMA score (3.91), while medical practice sites had the lowest (0.89). The most common question was, "How long does it take to recover from shoulder replacement?" Conclusions: The most common questions SA patients ask online involve specific postoperative activities and the timeline of recovery. Most information is from low-quality, non-peer-reviewed websites, highlighting the need for improvement in online resources. By understanding the questions patients are asking online, surgeons can tailor preoperative education to common patient concerns and improve postoperative outcomes. Level of evidence: IV.

Case study on improvements in non-value-added nursing activities to increase the efficiency of nursing care (Non-Value-added Activity 개선을 통한 간호업무 효율성 향상)

  • Park, Yang-Hee;Kwon, In-Gak;Park, Kyei-Sook;Jang, Hae-Jung;Song, Mi-Ra;Kim, Hee-Jin
    • Quality Improvement in Health Care
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    • v.19 no.2
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    • pp.68-80
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    • 2013
  • Background: This study investigates improvements in non-value-added nursing activities in clinical work, in order to improve the efficiency and quality of nursing activities. Methods: The study was performed as a quality improvement project at a tertiary general hospital. The nursing activities that needed improvements were categories into admission care, discharge care, supply management, diagnostic work-up related activities, and others. The nursing time and frequency of non-value-added activities were compared across nine nursing units before and after implementation of the quality improvement program. Post-implementation patient and nurse satisfaction were subsequently analyzed. Result: Post-implementation, the time spent on non-value-added nursing activities was reduced and patients and nurses were satisfied with the improvements. Discussion: Reducing non-value-added activities in nursing can increase the work efficiency and ensure time for patient care, thus improving the quality of nursing care. For further study, accurate surveys on nursing activities based on nursing time are required.

Sleep Quality and Associated Risk Factors in Leukemia Patients Undergoing Chemotherapy in Iran

  • Bagheri-Nesami, Masoumeh;Goudarzian, Amir Hossein;Babaei, Ghasem Jan;Badiee, Milad;Mousavi, Mostafa;Sharifi, Mohammad Sadegh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.107-111
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    • 2016
  • This study aimed to determine sleep disorders and associated risk factors in leukemia patients undergoing chemotherapy in Imam Khomeini Hospital of Sari, Iran. This cross-sectional study was conducted in 2015 with 100 patients selected. Inclusion criteria included complete mental and psychological health and being over 18 years old, and exclusion criteria included suffering other cancers, other chronic diseases, concurrent radiotherapy, and chemotherapy. The Pittsburgh Sleep Quality standard questionnaire was used to collect data. The questionnaire consisted of mental sleep quality, sleep latency, sleep duration, sleep quality, sleep disturbances, use of sleeping drugs, and impaired daily functioning. Data were analyzed by software SPSS 18 and by using descriptive and inferential tests (Pearson, Spearman, T-test and chi-square). Totals of 47 men (47%) and 53 women (53%) with a mean age of $44.1{\pm}1.7$, participated in the study. The mean overall score of sleep quality was $9.3{\pm}3.9$, which represents the average sleep quality in most participants. T-test shows that males have better sleep quality than females (t=2.1; 95%CI:0.004-0.25; P<0.01). Also the sleep quality increased with age (r=0.22, P=0.03). Results show that the amount of sleep quality was only moderate in most patients, so it is necessary to take coping strategies to improve their quality of sleep.

Assessment of Medical Service Quality Perceived by In-patients of Geriatric Hospitals -Using Revised IPA Applying the Kano's Model- (노인요양병원 입원환자가 지각하는 의료서비스품질 평가 -Kano모델에 근거한 Revised IPA를 활용-)

  • Ko, Min-Seok
    • The Korean Journal of Health Service Management
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    • v.7 no.1
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    • pp.133-144
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    • 2013
  • The present study is aimed at assessing medical service quality as perceived by in-patients of geriatric hospitals and at analyzing the excitement factors by using revised IPA Applying the Kano's model for users' satisfaction. The data was collected from Nov. 5 to Dec. 7, 2012. Among a total of 503 cases of questionaries, only 419 cases were used. To data were analyzed by PASW statistics 18.0 and revised IPA applying Kano's model. The paired t-test results reveal that satisfaction was higher than the expectation level at a statistically significant level across all the medical service quality factors. The revised IPA results categorized facility convenience, hospitalization and care, and kindness as basic factors and medical reliability and access as excitement factors. In conclusion, medical reliability and access, which were identified as excitement factors of medical service quality, are essential opportunity factors for users and should accordingly be used as strategic factors to increase satisfaction with a geriatric hospital and induce customer surprise.

Development of Test Module for Medical Embedded Software Quality Evaluation (의료기기 내장형 소프트웨어 품질평가 시험모듈 개발)

  • Yang Hae-Sool;Lee Ha-Yong;Lee Jung-Lim;Kim Hyuk-Ju
    • The KIPS Transactions:PartD
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    • v.13D no.2 s.105
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    • pp.259-270
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    • 2006
  • Because a medical embedded software is the software that control the medical devices that are relevant to a human life, it requires high qualify level. It is requires to develop and apply the quality test module that suitable for the requirements to meet the high quality requirements of the medical embedded software. Also, it needs to develop the process that complement the quality defects of software by feedback of the test result. In this study, we developed test module and quality inspection table which can test medical embedded software and produce result based on ISO/IEC 12119.

The Differences between Patients and Guardians in the Impacts of Service Quality Factors on Overall Satisfaction of Medical Treatment Service (서비스품질 차원이 의료서비스 만족에 미치는 영향에 있어서 환자가 보호자의 차이)

  • Park, Sang-June;Jin, Cheon-Moon;Kim, Eun-Jeong
    • Korean Management Science Review
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    • v.26 no.3
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    • pp.133-144
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    • 2009
  • In this study, we investigated the effects of service quality factors on overall satisfaction of medical treatment service. Especially, we focused on the differences between patients and guardians in impact of service quality factors. The data was gathered by using a structured questionnaire from 220 patients and 220 guardians. Based the factor analyses, we derived the five factors of medical service quality-process, speciality, kindness, convenience of facilities, and cleanness. Then, we examined the effects of the five service quality factors on guardians' satisfaction as well as on patients' satisfaction. The results of the empirical study showed that the kindness is more important to patients than to guardians whereas the speciality is more important to guardians than to patients.

The impact of egoresilience and social support on the quality of life and stress experience by paramedic students during field practice (현장실습 응급구조과 학생의 자아탄력성과 사회적지지가 스트레스와 삶의 질에 미치는 영향)

  • Heo, Mi-Hyun;Chung, Eun-Kyung
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.3
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    • pp.83-96
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    • 2019
  • Purpose: This study was conducted to provide fundamental resource in improving the quality of life and stress by understanding the influence of egoresilience and social support by paramedic students during field practice. Methods: The measurement instrument consisted of 100 questions on the general characteristics, egoresilience, social support, stress, and quality of life of the participants. Frequency and descriptive analysis, t-test, ANOVA, correlation analysis, and multiple regression analysis were performed. Results: The average scores for egoresilience, social support, and stress were 3.00, 3.14, and 1.68 out of 4.00, respectively. The degree of stress was high enough to be statistically significant in the case of women compared to men, and if unsatisfied with one's major. The average quality of life score was 4.50. The degree of quality of life was high enough to be statistically significant in the case of men compared to women, smokers, drinkers, and if content with one's major. Conclusion: It is suggested that colleges develop programs to increase the satisfaction rate of the students and improve their egoresilience and social support. Such programs would improve the quality of life and address the stress experienced by emergency medical technology students.

A Study on the Structural Relationship between Quality of Medical Service, Perceived Risk, Reputation and Customer Satisfaction in Small and Medium Hospitals (중소병원의 의료서비스 품질, 지각된 위험, 평판, 고객만족의 구조적 관계 연구)

  • Park, Ae-Jun
    • The Journal of Industrial Distribution & Business
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    • v.10 no.4
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    • pp.67-76
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    • 2019
  • Purpose - This study attempted to construct and validate a structural model of the relationship between the quality of medical services, perceived risk, reputation and customer satisfaction, which is the main concept of the relationship between large hospitals as well as small and medium hospitals and medical consumers. Through this verification, the small and medium hospitals are to find the way for wise coping in competitive situation with large hospitals. Research design, data, and methodology - This research developed a hypothesis by constructing a structural equation that reaches the satisfaction and the relationship between reputation of perceived risk and perceived risk of service quality perceptions of customers of small and medium hospitals. Research data were collected through a questionnaire survey of respondents who had medical service experience from small and medium hospital. A total data of 252 respondents were used as the sample for the final analysis and analyzed using SPSS 23.0 and AMOS 23. Results - As a result, the relationship of quality of medical service, reputation, and customer satisfaction among small and medium hospitals was consistent with the results of precedent studies, and the perceived risk has a significant impact on reputation, so the greater the perceived risk, the higher the preference for reputable medical institutions as large hospitals. In addition, it was found that the direct route from perceived risk to customer satisfaction was not significant, and reputation was found to have a full mediating effect on perceived risk and customer satisfaction. Customers who use small and medium hospitals prefer to use reputable medical institutions if their perceived risk is high, which is different from risk perception when specific targets are specified. Conclusions - In terms of the effect from customer satisfaction, not only the path of perceived risk → reputation → customer satisfaction, but also the quality of service quality → reputation → customer satisfaction. These findings suggest that small and medium hospitals are appropriately responding to competition with large hospitals, rather than focusing on the perceived risks and reputation of customers in establishing and utilizing competitive strategies to create new customers and preserve existing customers.