• 제목/요약/키워드: Reporting Guidelines

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CARE(CAse REport) 지침에 따른 대한한방부인과학회지의 증례보고에 대한 질 평가 (Evaluation of the Quality of the Case Reports from the Journal of Obstetrics and Gynecology of Korean Medicine Based on the CARE Guidelines)

  • 남은영;박주연
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.71-86
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    • 2019
  • Objectives: The purpose of this study is to assess the quality of case reports from the Journal of Obstetrics and Gynecology of Korean Medicine. Methods: Case reports were selected from the Obstetrics and Gynecology of Korean Medicine from January 2015 to March 2019, by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports were reviewed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guideline. Results: Total of 41 case reports were finally selected for the assessment. 69.23% of the case reports included necessary information based on the CARE guideline but the rest of the reports did not. More than 50% of the reports were missing data regarding 'Diagnostic challenges', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', or 'Patient perspective or experience', and 'Informed consent'. Also, the reports did not include 'Key word', 'timeline'. Conclusions: Case reports from the Journal of Obstetrics and Gynecology of Korean Medicine have important role in women. Efforts are needed to improve the quality of the case reports as well as to develop reporting guidelines for the Journal of Obstetrics and Gynecology of Korean Medicine.

The Bethesda System (TBS) - 자궁경부 세포진 검사의 새로운 보고양식 - (The Bethesda System (TBS) - A New Reporting System of Cervicovaginal Smear -)

  • 김희숙
    • 대한세포병리학회지
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    • 제6권2호
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    • pp.85-98
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    • 1995
  • In 1989, the Bethesda System (TBS) was introduced as an attempt to standardize cervical/vaginal reporting systems. TBS nomenclature was created for reporting cytologic diagnoses to replace the currently used Cervical Intraepithelial Neoplasia (CIN) and Papanicolaou Class System, which are deemed less reproducible. The name for preinvasive squamous lesions was changed to squamous intraepithelial lesion(SIL), subdivided into low-grade and high-grade types. TBS recommends a specific format for cytologic report, starling with explicit statement on the adequacy of the specimen, followed by general categorization and descriptive diagnosis. Pathologic and epidemiologic studios performed over last 10 years have provided evidence that human papillomavirus (HPV) plays a significant role in the development of cervical neoplasia, TBS corresponds not only to currently held views of the behavior of preinvasive lesions and their HPV distribution, but also to the current guidelines for clinical management.

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Implications of full-scale building motion experience for serviceability design

  • Denoon, Roy O.;Kwok, Kenny C.S.
    • Wind and Structures
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    • 제14권6호
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    • pp.537-557
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    • 2011
  • While there are a number of guidelines used throughout the world in the assessment of acceptability of tall building accelerations, none are based on systematically conducted surveys of occupant reaction to wind-induced motion. In this study, occupant response data were gathered by both a self-reporting mechanism and by interviewer-conducted surveys in control tower structures over a period of four years. These two approaches were designed in conjunction with experimental psychologists to ensure unbiased reporting. The data allowed analysis of perception thresholds and tolerability at different building frequencies and in different wind climates. The long-term nature of the studies also allowed an investigation of the causes and effects of adaptation to building motion. As the surveys were designed to allow multiple use during single storms, the effects of exposure duration were investigated. A final exit survey was conducted at the primary survey location to investigate views of the acceptability of wind-induced motion and the factors underlying these views. The findings of the field studies indicate that none of the currently used acceleration guidelines address all of the factors that contribute to occupant dissatisfaction. An alternative framework for assessing acceleration acceptability is proposed.

의료기기 이상사례 보고에 대한 국내 이해관계자의 관점 차이 (Perspective Diversity of Domestic Stakeholders on Medical Device Adverse Event Reporting)

  • 이예진;윤치호;최수정;강영준;김진국;권범선;이유경;남기창
    • 대한의용생체공학회:의공학회지
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    • 제40권5호
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    • pp.171-178
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    • 2019
  • This study was conducted to observe the differences in perspective of medical device adverse events and report exchange for domestic stakeholders. The post-market surveillance of medical device not only improves the usability and functionality of the device but also identifies new or growing risks caused by the device. APEC (Asia-Pacific Economic Cooperation) have established and operated post-market surveillance systems for medical devices based on IMDRF (International Medical Device Regulators Forum) and GHTF (Global Harmonization Task Force) guidelines. However, there are significant gaps in many aspects. It is essential to apply harmonized guidelines internationally but also to interpret and apply the guidelines consistently to report and exchange medical device adverse event in domestic. This study retrospectively analyzed the results of surveys conducted by providing examples of the adverse events and guidelines for post-market surveillance. The results of the study showed that there was a considerable difference in the judgment on the phase of using medical device for patient. In the case of medical device adverse event, different opinions shown according to knowledge and experience. Education and training are needed to have a harmonized perspective on the reporting and exchanging international guidelines of the adverse event for domestic stakeholders.

환자안전을 위한 병원건축 설계지침과 디자인 기본구조 비교조사 - 미국과 영국을 중심으로 (Comparative Study of Hospital Architecture Design Guidelines and Frameworks for the Patient Safety - Focused on the US and UK)

  • 김영애;이현진;송상훈
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제27권3호
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    • pp.27-37
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    • 2021
  • Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.

STRICTA(침 임상연구에서 중재 보고를 위한 표준) 개정판: CONSORT Statement의 확충안 (Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture(STRICTA) : Extending the CONSORT Statement)

  • 이향숙;차수진;박히준;서정철;박종배;이혜정
    • Korean Journal of Acupuncture
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    • 제27권3호
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    • pp.1-23
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    • 2010
  • Objectives and methods : The Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) were published in five journals in 2001 and 2002. These guidelines, in the form of a checklist and explanations for use by authors and journal editors, were designed to improve reporting of acupuncture trials, particularly the interventions, thereby facilitating their interpretation and replication. Subsequent reviews of the application and impact of STRICTA have highlighted the value of STRICTA as well as scope for improvements and revision. To manage the revision process a collaboration between the STRICTA Group, the CONSORT Group, and the Chinese Cochrane Centre was developed in 2008. An expert panel with 47 participants was convened that provided electronic feedback on a revised draft of the checklist. At a subsequent face-to-face meeting in Freiburg, a group of 21 participants further revised the STRICTA checklist and planned dissemination. Results : The new STRICTA checklist, which is an official extension of CONSORT, includes six items and 17 sub-items. These set out reporting guidelines for the acupuncture rationale, the details of needling, the treatment regimen, other components of treatment, the practitioner background, and the control or comparator interventions. In addition, and as part of this revision process, the explanations for each item have been elaborated, and examples of good reporting for each item are provided. In addition, the word "controlled" in STRICTA is replaced by "clinical", to indicate that STRICTA is applicable to a broad range of clinical evaluation designs, including uncontrolled outcome studies and case reports. Conclusions : It is intended that the revised STRICTA, in conjunction with both the main CONSORT Statement and extension for nonpharmacologic treatment, will raise the quality of reporting of clinical trials of acupuncture.

손목터널증후군에 사용된 침 치료 보고의 질 평가 (A Systematic Review on the Reporting Quality of Acupuncture Treatment for Carpal Tunnel Syndrome)

  • 현지윤;신주은;임채정;박지연
    • Korean Journal of Acupuncture
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    • 제37권3호
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    • pp.131-144
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    • 2020
  • Objectives : The aim of this study is to analyze the details of acupuncture treatment methods and the reporting quality of acupuncture on Carpal Tunnel Syndrome (CTS). Methods : Search was conducted in Pubmed, EMBASE, and Cochrane Library for acupuncture studies on CTS. The reporting quality of acupuncture treatment was assessed using the following guidelines: Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) for analyzing the method of acupuncture treatment, Consolidated Standards of Reporting Trials (CONSORT) for analyzing study design and study process, and Risk of Bias (ROB) for analyzing bias. The number of reported items was calculated and evaluated as a proportion. The reported proportion of each study was classified into three grades: Grade A (% score ≥75), Grade B (50≤ % score <75), and Grade C (% score <50). Results : A total of 9 Randomized Controlled Trials (RCTs) were included in this study. All trials reported 12 items (66.67%) on average in STRICTA guidelines. Five studies were conducted with manual acupuncture and 3 studies were conducted with electroacupuncture. PC7 (Daereung) was most frequently used to treat CTS. In STRICTA guideline evaluation, 3 studies were classified as Grade A, 5 studies were classified as Grade B, and 1 study was classified as Grade C. In the CONSORT statement assessment, all trials reported an average of 20.56 items. Of the 9 RCTs, 6 studies were classified as Grade B and 3 studies were classified as Grade C. In ROB assessment, most studies showed a low (63.49%) or unclear (26.98%) risk of bias. The selective reporting bias and the incomplete outcome data bias were found to have the lowest risk of bias, and the allocation concealment of selection bias was found to have the most unclear risk of bias. Conclusions : Recent acupuncture studies on CTS showed moderate reporting quality. However, more detailed reports on acupuncture are still needed to establish more solid evidence of acupuncture treatment.

Current Status of Patient Safety Regulations, Guidelines and Support Mechanisms in Korean Hospitals

  • Lee, Jae Ho;Kim, Jeong Eun;Kim, Suk Wha;Lee, Sang Il;Jung, Yoen Yi;Kim, Moon Sook;Jang, Seon Mi
    • Perspectives in Nursing Science
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    • 제10권2호
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    • pp.158-166
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    • 2013
  • Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

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척추신경추나의학회지에 게재된 체계적 문헌 고찰의 질 평가 연구 (Researching Quality Assessment of Systematic Reviews in the Journal of Chuna Manual Medicine for Spine & Nerves)

  • 박정식;임형호
    • 척추신경추나의학회지
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    • 제18권2호
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    • pp.9-21
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    • 2023
  • Objectives This study amied to assess the reporting quality of systematic reviews(SRs) in the Journal of Chuna Manual Medicine for Spine & Nerves (JCMM). Methods SRs in JCMM from January 2000 to June 2023 were selected using the Research Information Sharing Service(RISS) and JCMM homepage. Two independent researchers reviewed SRs and evaluated their reporting quality using AMSTAR 2. Results A total of 51 SRs were included for assessment. The evaluation revealed 21 studies as having critically low quality, and 30 as having low quality the reporting of items in the studies ranged from a maximum of 81.2% to a minimum of 56.3%. On average, SRs reported 11.1 out of the total 16 items for AMSTAR 2 reporting quality. Conclusions To improve the quality of SRs published in JCMM, it is recommended to conduct SRs based on AMSTAR 2 and adhere to PRISMA 2020 guidelines.