• 제목/요약/키워드: Total system performance assessment

검색결과 135건 처리시간 0.035초

Importance-Performance Analysis와 Borich 요구도 분석 방법을 활용한 임상간호실무 교육 요구도: 일개 상급종합병원 일반병동 간호사 대상 (Education needs for clinical nursing practice using an Importance-Performance Analysis and Borich needs assessment model: Focused on nurses in the general wards of a tertiary hospital)

  • 이미라;김지영;김보연;박유연;한지유;이승희;이현주
    • 한국간호교육학회지
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    • 제29권2호
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    • pp.124-137
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    • 2023
  • Purpose: This study's aim was to confirm the importance and performance of the clinical practice of nurses working in the general wards of a tertiary hospital and to analyze their educational needs. Methods: The study employed a descriptive research design, and a self-reported questionnaire was developed and used for nurses in a tertiary hospital. Data were collected from July 22 to July 29, 2022, analyzed by an independent t-test, paired t-test, and one-way ANOVA for the importance and performance of each clinical nursing practice according to general characteristics, and then a post hoc verification was performed by Scheffé's test. An Importance-Performance Analysis and Borich needs assessment model were used to analyze clinical nursing education needs. Results: Clinical nursing practice performance showed a significant difference according to length of total clinical career, time working in current department, and preceptor experience. According to the results of the Importance-Performance Analysis, neurological evaluation, and nursing intervention, artificial respirator and high-flow oxygen inhalation nursing, chemotherapy, emergency nursing, and cardiopulmonary resuscitation were identified as belonging to the "concentrate here" quadrant. All these items ranked in the top 10 in the Borich needs assessment model. Conclusion: Based on these results, the current education system should be reviewed, and short and long term education strategies based on educational needs should be established to strengthen the competence of nurses.

인공호흡기 중앙감시시스템 소프트웨어의 사용적합성 총괄평가 (Summative Usability Assessment of Software for Ventilator Central Monitoring System)

  • 정지용;김유림;장원석
    • 대한의용생체공학회:의공학회지
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    • 제44권6호
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    • pp.363-376
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    • 2023
  • According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software development standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can identify hazardous situations and evaluate potential hazards and confirms the implementation of cybersecurity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.The purpose of this study is to conduct a usability assessment to ensure that ergonomic design has been applied so that the ventilator central monitoring system can improve user satisfaction, efficiency, and safety. The rapid spread of COVID-19, which began in 2019, caused significant damage global medical system. In this situation, the need for a system to monitor multiple patients with ventilators was highlighted as a solution for various problems. Since medical device software is closely related to human life, ensuring their safety and satisfaction is important before their actual deployment in the field. In this study, a total of 21 participants consisting of respiratory staffs conducted usability test according to the use scenarios in the simulated use environment. Nine use scenarios were conducted to derive an average task success rate and opinions on user interface were collected through five-point Likert scale satisfaction evaluation and questionnaire. Participants conducted a total of nine use scenario tasks with an average success rate of 93% and five-point Likert scale satisfaction survey showed a high satisfaction result of 4.7 points on average. Users evaluated that the device would be useful for effectively managing multiple patients with ventilators. However, improvements are required for interfaces associated with task that do not exceed the threshold for task success rate. In addition, even medical devices with sufficient safety and efficiency cannot guarantee absolute safety, so it is suggested to continuously evaluate user feedback even after introducing them to the actual site.

고관절 전치환술 환자의 임상관리도 수행 정도 (Analysis of Performance on Activities in Critical Pathway of Total Hip Replacement Surgery)

  • 임유진;정경인;정하윤;선정주;김윤경;최지경;이금례;김정숙;양진주;김혜자;장금성;최자윤
    • 성인간호학회지
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    • 제18권5호
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    • pp.819-827
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    • 2006
  • Purposes: The purpose of this study was to evaluate the extent of performance on activities in critical pathway (CP) according to eight domains and six admission days on nursing records of patients who received total hip replacement surgery. Methods: We reviewed 90 nursing records of patients who received total hip replacement surgery from June, 2004 to July, 2005 at C University Hospital. Data were collected using Hong's CP (2002) and were analyzed using ANOVA. Results: The domain of diet was valued the highest in CP performance scoring, followed by the domains of assessment, activities, and test. There were differences in the performance scores according to the period of admission in all of the domains. Among 132 activities in the CP, 18 activities were completely performed, of which most included activities belonging to the domain of assessment on the admission day. Twelve activities were never performed, of which most included activities belonging to the domain of treatment on the day of operation and the first day after operation. Conclusions: Therefore, further studies on the development of a new system to increase CP utilization and on updating the contents of CP from the best practice based on evidence is recommended.

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A-KRS 처분 시스템 확률론적 안전성 평가 (A Probabilistic Safety Assessment of a Pyro-processed Waste Repository)

  • 이연명;정종태
    • 방사성폐기물학회지
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    • 제10권4호
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    • pp.263-272
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    • 2012
  • 파이로처리 방사성 폐기물 처분 시스템에 대하여 골드심을 이용하여 개발된 확률론적 평가 프로그램을 이용하여 폐쇄후 방사선적 안전성 평가를 수행하였다. 처분장으로부터 핵종이 유출되어 다양한 처분 시스템 내 매질을 이동하는 것에 관련된 정상 시나리오에 대한 평가를 위하여, 평가 결과에 대한 민감도나 일반적으로 불확실성의 범위가 큰 입력자료 중 주요하다고 판단되는 파라미터를 9개로 선정하여 평가에 고려된 핵종 중 Tc, Sn, Pa, Cs 4개의 원소에 대하여 평가 결과를 논의해 보았다. 확률론적 안전성 평가와 함께 이들 각 입력 자료에 대한 최종 방사선 피폭선량에 대한 민감도도 분석하여 결과에 대한 각 입력 파라미터의 중요도도 비교하였다.

원자력발전소 PSI/ISI 데이더 관리를 위한 지능형 데이더베이스 프로그램 개발 (제 2보) (Development of Intelligent Database Program for PSI/ISI Data Management of Nuclear Power Plant (Part II))

  • 박은수;박익근;엄병국;이종포;한치현
    • 비파괴검사학회지
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    • 제20권3호
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    • pp.200-205
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    • 2000
  • 제 1보에서 Windows 환경 하에서 PSI/ISI 데이터의 효율적 관리 및 다원적평가와 분석이 가능한 고리 원전 PSI/ISI 데이터베이스 구축과 프로그램 개발(IDPIN)에 대해 소개하였다. 제 2보에서는 월성 원자력발전소 PSI/ISI 자료 관리를 위한 지능형 데이터베이스 프로그램(WS-IDPIN)을 개발하였다. 이 프로그램에는 월성 원전 PSI/ISI 관련 자료 분석 기능, PSI/ISI UT 검사 보고서 양식의 표준화와 전산 시스템화, PSI/ISI 비파괴검사 결과의 통계적 신뢰도 평가 프로그램(depth and length sizing performance 등) 등을 개발하여 원전 PSI/ISI 데이터 관리 전문가시스템(expert system)화에 한 단계 접근하였다.

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대학급식소의 운영특성에 따른 급식관리 평가 (Assessment of Food Service Management in University Food Service)

  • 조순희;홍성야
    • 한국식품조리과학회지
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    • 제14권5호
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    • pp.482-491
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    • 1998
  • The objectives of this study were to characterize the food service managements in university food services. In a survey involving university food service centers throughout the country, the importance, performance scores and policies for food service management were investigated. Of the total 40 institutions surveyed, 23 were run directly by the institution, eight by contract, and nine by rental. Data were analyzed by t-test, ANOVA using the SPSS program. Management system was evaluated separately for organization, human resources, finance, nutrition education, purchasing, quality control, sanitation and safety, and marketing for their relative importance, degree of performance, and policy establishment. It was found that the relative importance scored higher than the degree of performance and policy establishment. When rhe relative importance for the direct, contract and rental operations was compared, the rental operation scored the highest. Performance score of direct was the highest in direct operation. The findings of this research suggest that the university food service should be creative through systematic management, and further research is needed to evaluate various variables that influence productivity, such as employee morale, pleasant working environment, customer satisfaction, and introduction of TOM for university food services.

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고준위 방사성 폐기물 처분장 확률론적 안전성평가 신뢰도 제고를 위한 입력 파라미터 연속 베이지안 업데이팅 모듈 개발 (Sequential Bayesian Updating Module of Input Parameter Distributions for More Reliable Probabilistic Safety Assessment of HLW Radioactive Repository)

  • 이연명;조동건
    • 방사성폐기물학회지
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    • 제18권2호
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    • pp.179-194
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    • 2020
  • 기존의 확률론적 안전성 평가의 신뢰도 제고를 위하여 잘 알려진 입력 파라미터의 일반적인 분포에 새롭게 측정된 신뢰도 있는 데이터를 결합하여 사후분포를 구할 수 있는 베이지안 업데이팅 방법론을 제안하였다. 마코프체인 몬테 칼로 샘플링 기법의 알고리듬을 통한 GoldSim 모듈도 개발하였다. 복수의 입력 파라미터의 사전분포에 대해 연속적으로 사후분포를 구해낼 수 있는 베이지안 업데이팅이 가능하도록 개발된 이 모듈을 GoldSim 템플릿 형태의 기존의 GSTSPA 프로그램으로 이행하여 보다 신뢰도 있는 확률론적 방사성폐기물 처분 시스템 안전성 평가가 가능하도록 하였다. 이는 기존에 존재하는 사전분포의 일반적인 형태는 취하되 새롭게 얻어지는 실제 측정치나 전문가들의 의견을 기존의 분포에 적용하여 보다 더 높은 믿음을 갖는 입력 파라미터의 사후분포를 얻을 수 있게 한다. 균열암반 내 핵종 이동에 관련된 몇 개의 입력 파라미터의 사전분포의 세차례의 연속적 업데이팅을 통해 프로그램의 유용성도 예시하였다. 이 연구를 통하여 처분시스템과 같이 장기적 평가가 필요하고 넓은 모델링 지역을 가지며 측정된 입력자료가 부족한 경우 보다 더 믿음직한 방법으로 안전성 평가를 수행할 수 있는 것을 보였다.

광산 현장의 스마트 마이닝 기술 수준 진단평가 모델 개발 (Development of Smart Mining Technology Level Diagnostics and Assessment Model for Mining Sites)

  • 박세범;최요순
    • 터널과지하공간
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    • 제32권1호
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    • pp.78-92
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    • 2022
  • 본 연구에서는 스마트 마이닝 기술의 수준을 체계적이고 구조화된 방법으로 평가할 수 있는 스마트 마이닝 기술 수준 진단평가 모델을 제안하였다. 이를 위해 스마트 마이닝의 성숙도를 정의하였으며, 제조업에서 활용되는 스마트 공장 진단평가 모델(KS X 9001-3)을 참조하여 스마트 마이닝 기술 수준 진단평가 모델의 세부평가항목 도출하였다. 기존의 체계를 유지하면서 기존 46개의 세부평가항목을 광업에 적합하도록 수정하였으며 추진전략, 프로세스, 정보시스템과 자동화, 성과 부문에서 총 29개의 세부 평가 항목을 도출하였다. 이를 토대로 스마트 마이닝 기술 수준 진단평가 설문지를 설계하였고, 국내의 철광산을 연구지역으로 설정한 다음 스마트 마이닝 기술 수준을 평가하였다. 연구지역의 스마트화 수준은 레벨 2로 나타났으며, 일반 제조업의 평균 스마트 수준과 비교했을 때 40% 정도 낮은 수준에 있음을 유추할 수 있었다. 또한, 개발된 모델을 이용하여 스마트 마이닝의 도입, 운영, 고도화의 단계별로 광산의 취약한 부분을 인지하고 투자 및 개선 방향을 제시할 수 있었다.

Assessment of Seasonal Variations in the Treatment Efficiency of Constructed Wetlands

  • Reyes, Nash Jett DG.;Geronimo, Franz Kevin F.;Choi, Hyeseon;Jeon, Minsu;Kim, Lee-Hyung
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2020년도 학술발표회
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    • pp.231-231
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    • 2020
  • Unlike conventional treatment technologies, the performance of nature-based facilities were susceptible to seasonal changes and climatological variabilities. This study evaluated the effects of seasonal variables on the treatment performance of constructed wetlands (CWs). Two CWs treating runoff and discharge from agricultural and livestock areas were monitored to determine the efficiency of the systems in reducing particulates, organics, and nutrients in the influent. For all four seasons, the mean effluent suspended solids concentration in the agricultural CW (ACW) increased by -2% to -39%. The occurrence of algal blooms in the system during summer and fall seasons resulted to the greatest increase in the amount of suspended materials in the overlying water. unlike ACW, the livestock CW (LCW) performed efficiently throughout the year, with mean suspended solids removal amounting to 61% to 68%. Algal blooms were still present in LCW seasonally; however, the constant inflow in the system limited the proliferation of phytoplankton through continuous flushing. The total nitrogen (TN) and total phosphorus (TP) removal efficiencies in ACW were higher during the summer (21% to 25%) and fall (8% to 21%) seasons since phytoplankton utilize nitrogen and phosphorus during the early stages of phytoplankton blooms. In the case of LCW, the most efficient reduction in TN (24%) and TP (54%) concentrations were also noted in summer, which can be attributed to the favorable environmental conditions for microbial activities. The mean removal of organics in ACW was lowest during summer season (-52% to 35%), wherein the onset of algal decay triggered a relative increase in organic matter and stimulate bacterial growth. The removal of organics in LCW was highest (54 % to 55%) during the fall and winter seasons since low water temperatures may limit the persistence of various algal species. Variations in environmental conditions due to seasonal changes can greatly affect the performance of CW systems. This study effectively established the contributory factors affecting the feasibility of utilizing CW systems for treating agricultural and livestock discharges and runoff.

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통계적 기법을 이용한 정보기술 서비스 수준관리: H 기업 사례 (IT Service Level Management Using Statistical Method: A Case of H Company)

  • 양동구;김기윤
    • 경영정보학연구
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    • 제8권2호
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    • pp.211-234
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    • 2006
  • 서비스수준관리(Service Level Management)의 목적이 단순한 재무적 계약(서비스 수준협약의 계약 자체)에서 고객의 기대와 제공자의 서비스에 대한 관리 시스템(서비스 수준협약에 대한 관리시스템)으로 최근 변해가고 있다. 본 논문의 목적은 통계적 기법을 이용해서 체계적인 정보기술 서비스 수준관리 방안을 제시하는 것이다. 본 연구는 통계적 기법과 서비스 수준관리 라는 두 가지 관점에서 서비스 수준을 다루고 있다. 첫째, 통계적 기법을 이용해서 목표 서비스 수준을 설정한다. 둘째, 전체 서비스 수준에 대한 평가방법을 제시한다. 이와 같이 제시된 방법을 이용해서 기업 전략 측면에서 정보기술 아웃소싱 성과로서 종합 서비스 수준을 계량적으로 측정하는 것이 가능하다.