• Title/Summary/Keyword: Small and Medium Hospital

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Development of an Equilibrium Sensation Measuring System for Human Being (사람의 평형감각 측정시스템 개발)

  • Kim, Gab-Soon
    • Journal of the Korean Society for Precision Engineering
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    • v.26 no.11
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    • pp.62-69
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    • 2009
  • This paper describes the development of the new type equilibrium sensation measuring system for human with handicap in the equilibrium sensation. The medium and small hospital could not use the developed equilibrium sensation measuring system, because it is very high prices. Therefore, the new type system should be developed to measure the numerical value of the equilibrium sensation in human with handicap. In this paper, First, two 3-axis force/moment sensors which can measure force Fz, moments Mx and My simultaneous were designed and manufactured, second, the high speed measuring device which can acquire the output from two 3-axis force/moment sensors, third, the new type equilibrium sensation measuring system was developed, then the characteristic test of the developed equilibrium sensation measuring system carried out, it is confirmed that the system could measure the swing body of human with handicap.

A Study on the Development of a PC Based Mini-PACS (PC 기반 Mini-PACS 개발에 관한 연구)

  • Kim, H.;Kim, D.Y.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.61-64
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    • 1996
  • Currently many researches are going on a Picture Archiving and Communication System (PACS) which can handle a large number of image data very efficiently. However, the price of those systems are very expensive to a small and medium hospital. In this paper, we developed a PC based Mini-PACS at a low price with a high performance. The main components of the designed system are: Image processing and display for a diagnosis, Client/Server database management system, Multi-monitor display system, Connection through the World Wide Web with Common Gateway Interface.

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The follow-up computed tomographic view after treatment of HNP of L-spine by oriental medical method (한방 요법에 의한 요추 추간판 탈출증 치료 전후의 CT소견 비교)

  • Kim, Hyeong-Kyun;Lee, Jong-Deuk
    • The Journal of Korean Medicine
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    • v.18 no.2
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    • pp.33-42
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    • 1997
  • The authors studied the natural evaluation of lumbar soft disc herniation in 20 patients with lumbar radiculopathy that was successfully treated with conservative theraphy only. The first computed tomography (CT) examination was performed during the acute phase of the radiculopathy, and the second performed from 3 to 24 months after healing. The initial CT allowed classification of the herniations according to size: ten were considered small. ten medium. Comparison with follow-up scans showed that 18 of Herniations decreased between 0 and 25%, two decreased between 75 and 100%.

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The Comparison of Risk-adjusted Mortality Rate between Korea and United States (한국과 미국 의료기관의 중증도 보정 사망률 비교)

  • Chung, Tae-Kyoung;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.371-384
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    • 2013
  • The purpose of this study was to develop the risk-adjusted mortality model using Korean Hospital Discharge Injury data and US National Hospital Discharge Survey data and to suggest some ways to manage hospital mortality rates through comparison of Korea and United States Hospital Standardized Mortality Ratios(HSMR). This study used data mining techniques, decision tree and logistic regression, for developing Korea and United States risk-adjustment model of in-hospital mortality. By comparing Hospital Standardized Mortality Ratio(HSMR) with standardized variables, analysis shows the concrete differences between the two countries. While Korean Hospital Standardized Mortality Ratio(HSMR) is increasing every year(101.0 in 2006, 101.3 in 2007, 103.3 in 2008), HSMR appeared to be reduced in the United States(102.3 in 2006, 100.7 in 2007, 95.9 in 2008). Korean Hospital Standardized Mortality Ratios(HSMR) by hospital beds were higher than that of the United States. A two-aspect approach to management of hospital mortality rates is suggested; national and hospital levels. The government is to release Hospital Standardized Mortality Ratio(HSMR) of large hospitals and to offer consulting on effective hospital mortality management to small and medium hospitals.

Factors that Impact on Safety Activities of Personnels in Oriental Medicine Hospital of University (대학부속 한방병원 교직원의 안전활동에 영향을 미치는 요인)

  • Lee, Jung-Woo
    • Korea Journal of Hospital Management
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    • v.22 no.3
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    • pp.61-73
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    • 2017
  • Purposes : The purpose of this study is to identify factors that have effects on safety activities of hospital personnels by investigating causality between patient safety culture, job stress, safety system and safety activities of faculty and staff member who are working for oriental medicine hospital of university. Methodology : The subjects were 246 employees working in 4 oriental medicine hospitals of university in Daejeon and Chungcheongnam-do. The data were collected from January 16 to January 25, 2017 using a structured questionnaire. For data analysis, descriptive statistics, Pearson correlation coefficient, t-test, ANOVA and Duncan test with SPSS 22.0 were used. Findings : The activity score for patient safety of faculty and staff member, who were experienced at job training program after joining a company and regular training course for qualification or license, was meaningfully higher than that of group who had no job training experience. The result indicated that the higher there is level of safety culture and safety system and the lower there is work stress, the more the activity has positive effect on patient safety. The level score of awareness for safety culture of faculty and staff member in C hospital, which is facing financial crisis in business circumstances recently, showed average value of 3.29. It was significantly lower than that of the other three hospital. Also, The activity score for patient safety was markedly lower than that of the other three hospital. This result become interested in the process of linking non-financial performance and financial performance. The level score of safety activity in A hospital which obtained healthcare accreditation was remarkably higher than that of the other three hospital which didn't certify healthcare accreditation. Pratical Implications : Subjects about Q.I or patient's experience management must be included in curriculum of Oriental medicine. It is necessary to get the effect of job training program for faculty and staff member through the process of preparation for obtaining healthcare accreditation. When the hospital director is appointed, it must be considered that he/she has the ability to attach importance to analysis and management of the factors creating safety accident, and has business mindset for healthcare delivery of customer- centricity. This research showed that financial performance of hospital, which of business environment is favorable; located in metropolitan city and having large scale of hospital and quality of residence rating but low-level of safety culture and safety activity, was lower than that of general hospital situated in small and medium-sized cities. More research needs to be done for answering this result.

Reconstruction of Hand Using Peroneal Perforator Free Flap in High-Voltage Electrical Burn Patients (고압 전기화상에 의한 수부 손상 시 비골동맥 천공지 유리피판술을 이용한 재건)

  • Kim, Dong Hoon;Yoo, Jung Seok;Lim, Jun Kyu;Lee, Dong Lark
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.67-72
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    • 2008
  • Purpose: The hand is frequently affected area in high voltage electrical burn injury as an input or output sites. Electrical burn affecting the hand may produce full thickness necrosis of the skin and damage deep structures beneath the eschar, affecting the tendon, nerve, vessel, even bone which result in serious dysfunction of the hand. As promising methods for the reconstruction of the hand defects in electrical burn patients, we have used the peroneal perforator free flaps. Methods: From March 2005 to June 2006, we applied peroneal perforator free flap to five patients with high tension electrical burn in the hand. Vascular pedicle ranged from 4cm to 5cm and flap size was from $4{\times}2.5cm$ to $7{\times}4cm$. Donor site was closed primarily.Results: All flaps survived completely. There was no need to sacrifice any main artery in the lower leg, and there was minimal morbidity at donor site. During the follow-ups, we got satisfactory results both in hand function and in aesthetic aspects.Conclusion: The peroneal perforator flap is a very thin, pliable flap with minimal donor site morbidity and is suitable for the reconstruction of small and medium sized wound defect, especially hand with electrical burn injury.

Traumatic Anterior Shoulder Dislocation in Patients Older than 60 Years of Age (60세 이상 환자에서 발생한 외상성 견관절 전방 탈구)

  • Ha, Jong-Kyoung;Yoo, Jae-Doo;Park, Sung-Pil;Shin, Sang-Jin
    • Clinics in Shoulder and Elbow
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    • v.9 no.1
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    • pp.42-49
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    • 2006
  • Purpose: This study evaluated clinical results, and recommended treatment protocol of traumatic anterior shoulder dislocation in the patients older than 60 years of age. Materials and Methods: Thirty-eight patients with first traumatic anterior shoulder dislocation aged over 60 years were included. The average age was 69.4 (range, 60 to 87 years). There were 8 men (average age of 71.6) and 30 women (average age of 69). Most common cause of injuries was a fall on the outstretched hand. The additional injuries were evaluated using MRI or CT arthrogram in the patients with significant pain and weakness while movements after 2 weeks sling immobilization. Results: Fifteen patients (39%) had rotator cuff tears and 5 patients (14%) had greater tuberosity fractures. The sizes of rotator cuff tears were diverse; 2 partial tears, 1 small tear, 4 medium tears, 3 large tears and 5 massive tears. Among 5 massive cuff tears, 3 patients revealed cuff arthropathy after reduction. 4 patients (11%) had recurrent dislocation more than one time during 1 month after the first dislocation. Bankart lesions revealed in 5 patients and three of them had associated rotator cuff tears. 3 out of 5 patients with Bankart lesions, 13 out of 15 patients with rotator cuff tears and 3 patients with displaced greater tuberosity fracture had operations. Conclusion: The injury mechanism of shoulder dislocation in patients older than 60 years of age seems to have either anterior or posterior mechanism. The diagnosis and treatment should be approached 2 weeks after dislocation.

Organization Effectiveness Studies of General Hospital Employees : Focusing on Job Satisfaction, Organizational Commitment, Turnover Intention (병원 구성원의 조직 유효성 연구 : 직무만족, 조직몰입, 이직의도를 중심으로)

  • Lim, Gyeong-Tae
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.261-271
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    • 2017
  • This study analyzed the factors of job satisfaction, organizational commitment and turnover intention of hospital members.The subjects of the study were interview survey, t-test, ANOVA and regression analysis of 355 people including administrative staff, medical technician, nurses. As a result of the study, the administrative staff had low job satisfaction, high organizational commitment, and negative intention to turnover. The medical technician' job satisfaction and organizational commitment level were low, but there was a willingness to leave because of external job opportunity and excessive job amount. Nurses' job satisfaction and organizational commitment were high, but they showed high turnover intention due to external job opportunities. Presenting options of shortage personnel at small- and medium-sized hospitals in the model project government policy. It is expected that timely and practical measures for efficient hospital management will be presented.

Influence of Resilience and Perceived Individual and Organizational Support on Organizational Commitment among Hospital Nurses (간호사의 회복탄력성과 지각된 개인 및 조직의 지지가 조직몰입에 미치는 영향)

  • Jin, Seung-Hee;Kim, Jeong-Hee
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.293-303
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    • 2017
  • The purpose of this study was to understand the influences of resilience and perceived individual and organizational support on organizational commitment among Korean clinical nurse. Data were collected from 195 nurses who had worked in 6 hospitals in a province from March 15 to April 27, 2016. The mean organizational commitment score was similar to that of nurses who worked at small or medium sized hospitals in provinces and lower than that of nurses who worked at large sized general hospitals in metropolitan. Regression analysis indicated that factors influencing the participants' organizational commitment were perceived organizational support, resilience, team nursing delivery method, and team-function mixed nursing delivery method. It is needed to establish strategies which can improve organizational commitment of nurses by improving organizational support and the resilience. It should be established hospital policies that can improve nursing delivery methods such as team nursing for improving nurses' perceived organizational support.

Factors Affecting Job Satisfaction among the Radiologic Technologists (방사선사의 직무만족에 관련된 요인분석)

  • Kim, Chang-Ho;Yu, Seung-Hum;Lee, Sun-Hee;Sohn, Tae-Yong;Jeong, Won-Mee
    • Journal of radiological science and technology
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    • v.20 no.1
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    • pp.77-84
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    • 1997
  • Job satisfaction is very important for adequate manpower management in the medical field. To study job satisfaction among the radiologic technologists, 344 cases were reviewed in five university hospitals and one general hospital. Self-administered questionnaire was used to study their socioeconomic characteristics, working conditions, job satisfaction, and the factors affecting there Job satisfaction. The results were as follows : 1. There was statistically significant difference in job satisfaction according to the their department of employment, position, and hospital characteristics. 2. The group that was satisfied with their salary had a higher job satisfaction score, whereas others who were not satisfied ranked lower. 3. The positive answering group on the ability and job recognition ranked higher score on the job satisfaction than the negative answering group. 4. The group that was in good relationship with their superiors and co-workers scored higher on job satisfaction From the above results, the job satisfaction was high for the group with positive thinking and reply, but the intentin to change their job was low. Considering the fact that these results represent only 6 hospitals from limited arease, therefore, necessary to include more medical facilities nationwide, especially small-medium sized clinics or hospitals where the difficulty with high turnover rate of employment is expected, to study further various factors involving job satisfaction in the future.

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