• Title/Summary/Keyword: Team-work

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Development of Guidelines for Raid Response to Acute Deteriorating of Hospitalized Patients (입원환자의 급성 악화 신속대응 가이드라인 개발)

  • Lee, Ha-Nui;Park, Jeong-Sook
    • The Journal of the Korea Contents Association
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    • v.22 no.10
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    • pp.359-373
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    • 2022
  • The purpose of this study was to develop evidence-based practice guideline for rapid response to acute deterioration of hospitalized patients. The guideline was developed according to the Clinical Practice Guideline Adaptation Manual. and evaluated using AGREE II tool. The guidelines were checked content validation by an expert group, final 130 recommendations in 5 sections including management, recognition, activation, response, and evaluation. The average of the overall practical application to the guidelines was 4.41±0.78 out of 5, which showed high applicability in clinical work.

RELATIONAL CONTRACTING: THE WAY FORWARD OR JUST A BRAND NAME?

  • Fiona Y.K. Cheung;Steve Rowlinson
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.1013-1016
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    • 2005
  • Accounts of the development of a successful construction project often stress the importance of team relationship, project environment and senior management commitment. Numbers of studies carried out in the past decades indicate there needs to be a change of culture and attitude in the construction industry. In order for a turn around in the industry, relational contracting approaches have become more popular in recent years. However, not all relational contracting projects were successful. This paper details the fundamental principles of relational contracting. It further reports findings of a research currently taking place in Australia, how effective is relational contracting in practice. The problem addressed in this research is the implementation of relational contracting: • Throughout a range of projects • With a focus on client body staff The context within which the research was undertaken is: • Empowerment, regional development and promotion of a sustainable industry • The participating organisations have experience of partnering and alliancing • Success has been proven on large projects but performance is variable • Need has been identified to examine skill sets needed for successful partnering/alliancing The practical rationale behind this research is that: • Partnering and alliancing require a change of mind set - a culture change • The Client side must change along with contracting side • A fit is required between organisation structure and organisation culture Research Rationale: The rationale behind this project has been to conduct research within participating organisations, analyse, rationalise and generalise results and then move on to produce generic deliverables and "participating organisation specific" deliverables. This paper sets out the work so far, the links between the various elements and a plan for turning the research output into industry deliverables.

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Self-Symptom Checker for COVID-19 Control and Symptom Management

  • Sun-Ju Ahn;Jong Duck Kim;Jong Hyun Yoon;Jung Ha Park
    • Health Policy and Management
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    • v.33 no.1
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    • pp.29-39
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    • 2023
  • Background: Breaking the chain of disease transmission from overseas is necessary to control new infectious diseases such as coronavirus disease 2019 effectively. In this study, we developed a mobile app called Self-Symptom Checker (SSC) to monitor the health of inbound travelers. Methods: SSC was developed for general users and administrators. The functions of SSC include non-repudiation using QR (quick response) codes, monitoring fever and respiratory symptoms, and requiring persons showing symptoms to undergo polymerase chain reaction tests at nearby screening stations following a review of reported symptoms by the Korea Disease Control and Prevention Agency, as well as making phone calls, via artificial intelligence or public health personnel, to individuals who have not entered symptoms to provide the necessary information. Results: From February 12 to March 27, 2020, 165,000 people who were subjected to the special entry procedure installed SSC. The expected number of public health officers and related resources needed per day would be 800 if only the phone was used to perform symptom monitoring during the above period. Conclusion: By applying SSC, more effective symptom monitoring was possible. The daily average number of health officers decreased to 100, or 13% of the initial estimate. SSC reduces the work burden on public healthcare personnel. SSC is an electronic solution conceived in response to health questionnaires completed by inbound travelers specified in the World Health Organization International Health Regulations as a requirement in the event of a pandemic.

Influencing Effects of Job Stress, Professional Autonomy, Reciprocity on the Job Embeddedness of Comprehensive Nursing Care Unit Nurses (간호·간병통합서비스 병동 간호사의 직무 스트레스, 전문직 자율성, 호혜성이 직무착근도에 미치는 영향요인)

  • Park, Seon Ok;Park, Wanju
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.1
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    • pp.1-11
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    • 2023
  • Purpose: The purpose of this study was to identify the influencing effects of job stress, professional autonomy, and reciprocity on the job embeddedness among comprehensive nursing care unit nurses. Methods: The participants in this study were 147 nurses who have worked for over 6 months in Comprehensive Nursing Care Unit. Data were collected from January 3 to January 31, 2022 from six general hospitals with more than 300 beds in three cities in G, G and P. Results: As the results of hierarchical regression analysis, job embeddedness was lower when nurses had clinical experiences for 1 to under 5 years (β=-.49, p<.001), 5 to under 10 years (β=-.27, p=.035), 10 to under 20 years (β=-.54, p<.001) compared to those who had clinical experiences for more than 20 years. Also, job embeddedness was higher when there was greater balance within team caregiving of reciprocality (β=.27, p<.001) and intrinsic reward (β=.22, p=.003), and lower role conflict (β =-.27, p<.001). Conclusion: The results of the study showed that job embededness would increase if the role conflict of comprehensive nursing care unit nurses reduces, if there was a culture that the members can make cooperative relationship with other health care professionals and, if there was an appropriate intrinsic reward depending on their work experience.

Laboratory Mix Design of C.S.G Method (C.S.G 공법의 실내 배합설계)

  • Kim Ki-Young;Jeon Je-Sung;Kim Yong-Seong
    • Journal of the Korean Geotechnical Society
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    • v.22 no.5
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    • pp.27-37
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    • 2006
  • Cemented Sand and Gravel (C.S.G) method has become increasingly popular in Japan and throughout the world as a construction method and material. This method is favorably used for cofferdam and large dam because a quarry and aggregate plant facility can be diminished. Also, this method can reduce construction cost, work duration and destruction of environment. In this paper, a methodology for C.S.G mix design based on so-called soil mechanics approach is proposed for trapezoid-shaped dam. The methodology consists of selection of a suitable aggregate, introduction of compaction method, processing to prepare standard specimens, and determination of mix portions. Also, unconfined compressive strength tests and large triaxial compression tests are performed. From the results of the test, correlation equation among strength, elastic modulus and unit cement is proposed.

A Method of Calculating Baseline Productivity by Reflecting Construction Project Data Characteristics (건설 프로젝트 데이터 특성을 반영한 기준생산성 산정 방법)

  • Kim Eunseo;Kim Junyoung;Joo Seonu;Ahn Changbum;Park Moonseo
    • Korean Journal of Construction Engineering and Management
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    • v.24 no.3
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    • pp.3-11
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    • 2023
  • This research examines the need for a quantitative and objective method of calculating baseline productivity in the construction industry, which is known for its high volatility in performance and productivity. The existing literature's baseline productivity calculation methods rely heavily on subjective criteria, limiting their effectiveness. Additionally, data collection methods such as the "Five-minute Rating" are costly and time-consuming, making it challenging to collect detailed data at construction sites. To address these issues, this study proposes an objective baseline calculation method using unimpacted productivity BP, a work check sheet to systematically record detailed data, and a data collection and utilization process that minimizes cost and time requirements. This paper also suggests using unimpacted productivity BP and comparative analysis to address the objectivity and reliability issues of existing baseline productivity calculation methods.

A analysis of occupational accidents in the Korea trap fishing vessel (통발어선의 작업안전 재해 분석)

  • RYU, Kyung-Jin;YU, Gwang-Min;KIM, Hyung-Seok;KIM, Sunghun;LEE, Yoo-Won
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.58 no.2
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    • pp.185-192
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    • 2022
  • Fisheries is known as a high-risk industry in Korea, and various efforts have been made to reduce occupational accidents. Trap fisheries represent crustacean production, accounting for 4.7% of total fisheries production and 10.7% of its production value, which is classified as a relatively high-risk industry. With the disaster insurance payment data of the National Federation of Fisheries Cooperatives (NFFC) from 2016 to 2020, the accident rate of the entire fishery, the accident rate of trap fisheries, and the type of disasters in the past five years were analyzed. As a result, the average fishery accident rate for the past five years was 5.31%, but it was high at 6.15% for coastal trap fisheries and 5.59% for offshore trap fisheries. Slips and trips, struck by objects and contact with machinery were the most common types of the accident according to the characteristics of the work, and hand injuries were analyzed the most. Additional efforts, including education for accident prevention, development of personal protective equipment and improvement of the working environment, are needed to prevent accidents caused by repeated types of disasters.

Design and Implementation of a Cohort for Quality Management of Medical Education: A Case Study from Konyang University College of Medicine (교육의 질 관리를 위한 의과대학 코호트 구축과 운영: 건양대학교 의과대학 사례)

  • Kyunghee Chun;Tae Hee Lee;Soojin Jung;Young-soon Park
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.102-108
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    • 2023
  • This study shares details on the operating process and results of the cohort of students and graduates that was designed and implemented at Konyang University College of Medicine in Daejeon and discusses future directions for cohort establishment and improvement. First, Konyang University College of Medicine established the necessity and defined the purpose of cohort design and implementation. A task force was formed to establish guidelines for analysis targets, procedures, reports, and data management, and cohort operation was classified as a quality control activity. Data were collected through surveys of current students and graduates, and data generated during the curriculum were collected, analyzed, and reported every 2 years. The cohort data collection and analysis methods are designed by the Department of Medical Education, and data collection is carried out by the administrative team and each committee. Data management and analysis are handled by the Center for Medical Education Support, and analysis and reporting are conducted by the Department of Medical Education. Various members of the medical school are working to collect and analyze data, report findings, provide feedback, and improve. In the future, we plan to advance database computerization and work toward more effective data analysis. Cohort operation should not be another burden for medical schools; instead, it is hoped that operating cohorts will be a meaningful activity to increase the effectiveness of medical education and help in the operation and policy decisions of medical schools.

Impact of nonphysician, technology-guided alert level selection on rates of appropriate trauma triage in the United States: a before and after study

  • Megan E. Harrigan;Pamela A. Boremski;Bryan R. Collier;Allison N. Tegge;Jacob R. Gillen
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.231-241
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    • 2023
  • Purpose: Overtriage and undertriage rates are critical metrics in trauma, influenced by both trauma team activation (TTA) criteria and compliance with these criteria. Analysis of undertriaged patients at a level I trauma center revealed suboptimal compliance with existing criteria. This study assessed triage patterns after implementing compliance-focused process interventions. Methods: A physician-driven, free-text alert system was modified to a nonphysician, hospital dispatcher-guided system. The latter employed dropdown menus to maximize compliance with criteria. The preintervention period included patients who presented between May 12, 2020, and December 31, 2020. The postintervention period incorporated patients who presented from May 12, 2021, through December 31, 2021. We evaluated appropriate triage, overtriage, and undertriage using the Standardized Trauma Assessment Tool. Statistical analyses were conducted with an α level of 0.05. Results: The new system was associated with improved compliance with existing TTA criteria (from 70.3% to 79.3%, P=0.023) and decreased undertriage (from 6.0% to 3.2%, P=0.002) at the expense of increasing overtriage (from 46.6% to 57.4%, P<0.001), ultimately decreasing the appropriate triage rate (from 78.4% to 74.6%, P=0.007). Conclusions: This study assessed a workflow change designed to improve compliance with TTA criteria. Improved compliance decreased undertriage to below the target threshold of 5%, albeit at the expense of increased overtriage. The decrease in appropriate triage despite compliance improvements suggests that the current criteria at this institution are not adequately tailored to optimally balance the minimization of undertriage and overtriage. This finding underscores the importance of improved compliance in evaluating the efficacy of TTA criteria.

Preliminary study for the development of radiation safety evaluation methodology for industrial kV-rated radiation generator facilities

  • Hye Sung Park ;Na Hye Kwon ;Sang Rok Kim ;Hwidong Yoo;Jin Sung Kim ;Sang Hyoun Choi;Dong Wook Kim
    • Nuclear Engineering and Technology
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    • v.55 no.10
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    • pp.3854-3859
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    • 2023
  • Background: This study aims to develop an evaluator that can quickly and accurately evaluate the shielding of low-energy industrial radiation generators. Methods: We used PyQt to develop a graphical user interface (GUI)-based program and employed the calculation methodology reported in the National Council on Radiation Protection and Measurements (NCRP)-49 for shielding calculations. We gathered the necessary factors for shielding evaluation using two libraries designed for Python, pandas and NumPy, and processed them into a database. We verified the effectiveness of the proposed program by comparing the results with those from safety reports of six domestic facilities. Results: After verifying the effectiveness of the program using the NCRP-49 example, we obtained an average error rate of 1.73%. When comparing the facility safety report and results obtained using the program, we found that the error rate was between 1.09% and 6.51%. However, facilities that did not use a defined shielding methodology were underestimated by 31.82% compared with the program (the final barrier thickness satisfied the shielding standard). Conclusion: The developed program provides a fast and accurate shielding evaluation that can assist personnel that work in radiation generator facilities and government officials in reviewing safety.