• Title/Summary/Keyword: Small and Medium Sized Hospital

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Influencing Factors of Near Miss Experience on Medication in Small and Medium-Sized Hospital Nurses (중소병원 간호사의 투약 근접오류경험 영향요인)

  • No, Me-Hee;Chung, Kyung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.424-435
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    • 2020
  • The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x2-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.

A Study on the Cost-Effective Security System for SME Hospital Acceptability in Convergence Medical Environment (의료융합 환경에서 수용성을 고려한 비용 효율적 보안체계구축 방안 연구: 중소의료기관을 중심으로)

  • Kim, Yanghoon;Ahn, Byung-Goo
    • Convergence Security Journal
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    • v.18 no.5_1
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    • pp.75-81
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    • 2018
  • As industries converge in recent years, the impact of the use of convergence tools among industries on the security of the organization is increasing. However, organizational members lack the ability to adapt to introduction of new system because they are operating business around existing systems, and thus, security considerations are an environment that will inevitably emerge as a follow-up priority. In this study, we studied cost-effective options for factors that should be considered first in order to establish a security system for small and medium-sized healthcare institutions in the healthcare convergence industry. Specifically, the current legal system was considered and the security status was analyzed through prior research, and the necessary security solution/system was derived from small and medium-sized healthcare institutions. In addition, it analyzed relative priorities for cost-efficient deployment of security systems to those involved in small and medium-sized healthcare institutions in actual business environments and presented measures to establish a overall security.

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A Study on Patient Safety Management Activities in Small and Medium Hospitals Nurses' (중소병원간호사의 환자안전관리활동에 대한 연구)

  • Park, Jok-Duk;Jeong, Hyun-Ju
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.307-315
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    • 2020
  • The purpose of this study was to idenfy the factors affection patient safety management activity of small and medium-sized hospital nurses. The participants of this study were 191 nurses in 5 hospitals with less than 100-300 people and collected data by self-reported questionnaire.. Data were analyzed by the SPSS 20.0 program, As a results, significant postive correlations were founded among patient safety culture awareness, patient safety attitude, self-efficacy and patient safety management activities. And factors affecting patient safety management activities of small and medium hospital nurses were patient safety attitudes, self-efficacy, and patient safety culture awareness, and the explanatory power of these variables was 41.8%. Thus, it is proposed to develop education programs that can improve patient safety attitudes, self-efficacy, and patient safety culture awareness to promote patient safety management activities of small and medium hospital nurses.

Management of Distributed Nodes for Big Data Analysis in Small-and-Medium Sized Hospital (중소병원에서의 빅데이터 분석을 위한 분산 노드 관리 방안)

  • Ryu, Wooseok
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.05a
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    • pp.376-377
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    • 2016
  • Performance of Hadoop, which is a distributed data processing framework for big data analysis, is affected by several characteristics of each node in distributed cluster such as processing power and network bandwidth. This paper analyzes previous approaches for heterogeneous hadoop clusters, and presents several requirements for distributed node clustering in small-and-medium sized hospitals by considering computing environments of the hospitals.

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Studying a Balance Scored Card-driven System Dynamics Model for Enhancing Hospital Key Performances (중소 의료기관 경영성과 제고를 위한 실증적 사례연구 : 균형성과표와 시스템다이나믹스를 중심으로)

  • Chung, Hee-Tae;Park, Hwa-Gyoo
    • The Journal of Information Systems
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    • v.20 no.3
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    • pp.25-40
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    • 2011
  • Small and Medium sized hospitals are exposed to severe managerial environments recently. Around 8.0% of the hospitals are bankrupted every year. The adverse managerial environment does not only come from external factors such as patients' preference for larger hospitals, regulations on the medical charges; more serious problems come from the way the medium and small sized hospitals deal with those exogenous changes including lack of management skills, lack of change management skills, lack of managerial decision support systems, etc. This paper aims to support managers to make decisions regarding the exogenous changes. This paper can be interpreted as an attempt of a merge of the two techniques; BSC and system dynamics. Starting with a BSC system, the development of a system dynamics model can take advantages of the BSC information.

The Effect of Workplace Bullying, Job Stress, and Organizational Commitment on Turnover Intention of Nurses in Small and Medium-sized Hospitals (중소병원 간호사의 직장 내 괴롭힘, 직무스트레스, 조직몰입이 이직의도에 미치는 영향)

  • Lee, Hyun-Jung;Jung, Mijung
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.572-582
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    • 2020
  • The purpose of this study was to investigate workplace bullying, job stress, organizational commitment, and turnover intention as well as determine influencing factors on the turnover intention of small and medium-sized hospital nurses. Participants included 140 nurses from six small and medium-sized hospitals with less than 300 beds in G-city and J-province. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression, using the SPSS Win 21.0 program. The regression model was statistically significant (F=37.11, p<.001), and the explanatory power for turnover intention was 34.2%. The significant factors influencing turnover intention were organizational commitment (β=-.41, p<.001 and job stress (β=.25, p=.005). Human resources management is crucial for providing high quality healthcare service. The results of this study indicated that it is important to lower job stress and increase organizational commitment in order to reduce turnover intention among nurses of small and medium-sized hospitals. Based on these findings, customized programs for nurses in small and medium-sized hospitals need to be developed and implemented so as to lower their turnover intention and promote efficient management of healthcare human resources.

Medical Service Factors Associated with Patient Satisfaction: The Difference between Inpatient and Outpatient of A Medium-sized Hospital (환자만족도에 영향을 미치는 의료서비스 품질 요인: A 중소병원 입원.외래환자 간 차이)

  • Rho, Mi Jung;Suh, Won S.;Kwon, Jin
    • Journal of Digital Convergence
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    • v.11 no.2
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    • pp.331-339
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    • 2013
  • This study attempts to analyze medical service factors associated with patients' satisfaction, and its difference between inpatients and outpatients in A medium-sized hospital located in rural area. Questionaries have been collected from 411 patients of 96 inpatients and 315 outpatients. The survey was carried out for 4 weeks, from August 20, 2011. The study found that hospital awareness was only factor related to patients' satisfaction in inpatients. In the case of outpatients, several factors were related to patients' satisfaction. They are included qualified health care providers, infirmary accommodations, staff kindness, hospital awareness, and convenient procedure of treatment and admission. Based on the findings, it is desirable to differentiate the strategy in improving patients' satisfaction between patient type; either inpatient or outpatient to being competitive.

The System Dynamics Model Development for Management Performance Forecasting of Small and Medium Hospital (BSC기반의 중소병원 경영성과예측 시스템다이내믹스 모델개발)

  • Chung, Hee-Tae;Kim, Yoon-Sin;Kwak, Sang-Man;Lee, Yong-kyoon
    • Korean System Dynamics Review
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    • v.8 no.2
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    • pp.209-234
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    • 2007
  • Recently, balanced scorecard is widely used in the public sector as well as in the private sector. Balanced scorecard system of a particular hospital is a very useful tool in the sense that it shows various measures for the management including the traditional financial measures. However, since it does not show the impact of action items, managers have to analyze his potential decisions. On the other hand, a system dynamics model for the management of a hospital can be used to predict future management status. In this paper, a balanced scorecard system with a system dynamics model is developed for a small sized hospital, and the feasibility and applicability of the system have been tested. It turns out the combination of the balanced scorecard and system dynamics technique can be comprised each other. The balanced scorecard system can take advantage of the data forecasted by the system dynamics model including the implementation of action items taken today. On the other hand, the key performance indicators and action items from the balanced scorecard system provide guidelines the scope and direction of the system dynamics model. The additional efforts of developing a system dynamics model are well compensated by the additional colorful functionalities of the system. This paper also covers the future research areas for the combined system to be more effectively developed.

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A Study on the Image of the Private Hospital Buildings in Small and Medium-Sized Cities (중소도시 개인병원 건축물의 이미지에 관한 연구)

  • Lee, Woong-Gu
    • Journal of the Korean Institute of Rural Architecture
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    • v.14 no.4
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    • pp.107-116
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    • 2012
  • This study aims to investigate what degree do the hospital buildings carry out their role in regional scenery. To carry out this study the existing theoretical and field survey was conducted to the 44 private hospitals in small and medium-sized cities - Jeonju city, Kunsan city and Iksan city in Jeonlabukdo district. The contents of the survey are the general aspect of the polled, the image of the buildings, that of medical treatment parts, the relations to the regional scenery. And they are questionnaire surveyed to the 44 private hospital buildings. In questionnaire survey, the 35 professional architects who major architecture and related design and 118 citizens who doesn't major architecture are participated. The results of this study are as follows: 1. Those surveyed who answered those private hospital buildings which have their functional images are barely 20%. Some of 27% answered they have images of the commercial building. Especially in professional architects, 5% of them answered thet have their hospital images. It showed that they don't have their identity in the architectural expression in the processof architectural design. 2. The architectural facade elements that express their images in surveyed buildings are answered that architectural building form is 62%, architectural color is 27% and architectural material is 10% in turn. And the architectural elements that express their images in surveyed buildings are answered that building wall is 56%, architectural decoration is 32%. In this article, the reason why the ratio of the architectural decoration is high is that they don' have their identity in building itself. And they expressed their identity by their decoration, sign system not their buildings. 3. As the preference level for their images, some of the 49% of the total surveyed answered common. The general surveyed answered a little preference. But the architect professional group answered preference is 14%, not preference is 29%. The reason of this article is that the general surveyed are familiar with their buildings. So the questionnaire of the harmony with the surrounding scenery, 25% of the general surveyed answered that they are in harmony with surrounding but 22% of them answered that they are not in them. But In professional group, they answered 6% oh them are positive 37% of them are negative. This results suggests that the identity of the private hospital buildings are established in the process of archiectural design.

Effects of Nurses' Practice Environment and Job Embeddedness on Turnover Intention in Medium-small sized Hospital (중소병원 간호사의 병상규모별 간호업무환경과 직무배태성이 이직의도에 미치는 영향)

  • Kim, Moonja;Lee, Ji-Won;Park, Jeong-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.222-230
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    • 2017
  • The purpose of this study was to investigate the effects of turnover intention of nursing according to the nurses' practice environments and job embeddedness in medium-to-small sized hospitals. A total of 131 nurses working in a hospital with less than 200 beds, and 145 nurses in a hospital with 200 to 400 beds were included in this study. Data were collected from 10th to 24th of August, 2015 and analyzed using the SPSS/WIN 18.0 program. The results were as follows: (a) Nurses' practice environment and job embeddedness showed no significant differences between the two groups, but there were significant differences of turnover intention between the two groups; (b) turnover intention was negatively correlated with nurses' practice environment and job embeddedness in each group; and (c) in hospital of less than 200beds, the factors of influencing turnover intention were job embeddedness, age and nurses' practice environment. Conversely, in a hospital with 200 to 400 beds, the factors of influencing turnover intention were job embeddedness, pay, and nurses' practice environment. This study suggests that to reduce turnover intention, we have to improve the practice environment of nurses and to enhance job embeddedness for nurses in medium-to-small sized hospitals.