• 제목/요약/키워드: Work-waiting time

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Clinical Pathway Verification through Process Mining

  • Jung, Jong-Duk;Kim, Suk-Hoon;Yeo, Hyun-Jin
    • 한국컴퓨터정보학회논문지
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    • 제23권4호
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    • pp.115-120
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    • 2018
  • A Clinical Pathway(CP) is standard process to way of treat diseases or injuries which is adapted to each hospital based on National Clinical Practice Guideline(CPG). Since CP is standard guideline for doctors and nurses working in a hospital, making and modifying CP is one of the most important administrational work for hospital and also rare work because once it is fixed, it's not changed whether there are new kind of disease discovered or new treatment is developed. However, in present, patient's waiting time during hospital residence process, is discussed as service competitive for patients. In this research, we utilize process mining tool to verify patients treatment process follows CP with EMR(Electronic Medical Record) in a sample hospital, and suggest modifcation point of CP through verification.

Measuring productivity improvement by Machine Guidance through work sampling in earthwork

  • Eom, Julee;Kang, Youngcheol;Lee, Yongsei;Choi, Pyungho
    • 국제학술발표논문집
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    • The 8th International Conference on Construction Engineering and Project Management
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    • pp.409-416
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    • 2020
  • This paper proposes a study measuring productivity improvement by using a type of technology called "Machine Guidance" through work sampling in earthwork. Earthwork is the activity typically on the critical path, indicating that productivity for the activity is critical for managing schedule on time. Thanks to the development of sensing and information system technologies, productivity for earthwork has been improved. While there have been many studies investigating the application of a certain type of technology to earthwork, few studies have measured the productivity improvement and presented how the technology leads to productivity improvement. Based on the thorough literature review, it is hypothesized that Machine Guidance contributes to improving productivity of earthwork by reducing indirect workhours spent for information waiting and inspection. In addition to the literature review, this paper presents a research model to test the hypothesis by using the work sampling technique. By proving and quantifying the productivity improvement from the technology use, this study can help practitioners justify the investment for technology use, which will contribute to the deployment of technology and more effective execution of earthwork.

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응급의료 센터의 체류 및 입원대기 시간 지연 요인 - 일개 의료기관을 중심으로 - (An Analysis of Primary Causes for Waiting for Inpatient Admission and Length of stay at Emergency Medical Center(EMC))

  • 길숙영;김옥준;박진선
    • 기본간호학회지
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    • 제6권3호
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    • pp.522-531
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    • 1999
  • This research identifies the ingress to egress primary factors that causes a patient to receive delayed emergency medical care. This material was collected between February 1st to 28th, 1998. Research envolved 4,118 people who visited the college emergency medical center in Kyeongido Province, South Korea. Medical records were examined, using the retrospective method. to determine the length of stay and the main cause for waiting. Results are as follows : 1. The age group with the highest admission rate was 10 and under, approximately 1,394 (33.9%). Followed by an even distribution for ages between 11-50 at 10-15% for their respective ranges. The lowest admission rate was 50 years and above. 2. From the 4,118 records examined, 3,489 received outpatient treatment (84.7%); 601 were admitted for inpatient care (14.6%); 25 arrived dead on arrival (0.6%); and 4 people died at the hospital. 3. Between 7PM to 12AM, 42.9% were admitted to the EMC. The hours from 9PM to 11PM recorded the highest admission rate and 5AM to 8AM was the lowest From 8PM to 12AM, the most beds were occupied. 4. For most patients. the average length of stay was approximately 2.2 hours. By medical department, external medicine was the longest for 2.8 hours. Pediatrics was the shortest for 1.6 hours. The average waiting period for inpatient admission was 2.6 hours. Inpatient admission for pediatrics and external medicine was 3.4 hours and 2.2 hours respectively. 5. Theses are primary factors for delay at EMC: 1) pronged medical consultations to decide between inpatient versus outpatient treatment, and delaying to be inpatient, 2) when you call physicians they are delayed to come 3) Understaffing during peak or critical hours, 4) Excessive consulting with different medical departments, 5) some patients require longer monitoring periods, 6) medical records are delayed in transit between departments, 7) repeated laboratory tests make delay the result, 8) overcrowded emergency x-ray place causes delay taking x-ray and portable x-ray, 9) the distance between EMC and registration and cashier offices is too far. 10) hard to control patient's family members. The best way to reduce EMC waiting and staying time is by cooperation between departments, both medical and administrative. Each department must work beyond their job description or duty and help each other to provide the best medical service and satisfy the patient needs. The most important answer to shortened the EMC point from ingress to egress is to see things from a patient point of view and begin from there to find the solution.

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모바일 환경에서 다중 큐 기반의 동기화 시스템 구현 및 성능 비교 (Implementation And Performance Evaluation of a Synchronization System based on the multi-queue on Mobile Environments)

  • 김홍기;김동현
    • 한국정보통신학회논문지
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    • 제15권1호
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    • pp.141-146
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    • 2011
  • GIS 서비스는 최적의 서비스를 위해 최신의 시공간 데이터를 제공해야 한다. 시공간 데이터의 양방향 동기화 기법은 최신의 데이터를 제공하기 위해 모바일 단말기를 이용하여 현장에서 변경된 시공간 데이터를 수집하고, 무선네트워크를 이용하여 서버로 수집된 데이터를 갱신한다. 그러나 여러 클라이언트의 동기화 작업을 순차적으로 수행하기 때문에 동기화 요청 순서가 늦은 클라이언트들이 오랜 대기시간을 가진다. 이 논문에서는 다중 큐를 이용하여 여러 클라이언트의 동기화 요청이나 대용량의 동기화 작업으로 발생하는 대기 시간을 감소시킬 수 있는 동시 동기화 기법을 제안한다. 또한, 제안한 기법과 순차적 동기화 기법을 각각 구현하여 성능을 비교한 결과 제안한 동시 동기화 기법이 순차적인 기법보다 31%정도 대기시간이 감소함을 확인하였다.

컨테이너 터미널에서의 트랜스퍼 크레인의 최적 운영 방안에 관한 연구 (A Study on the Optimal Routing Problem for a Transfer Crane)

  • 김후곤;김철한
    • 한국경영과학회지
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    • 제33권1호
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    • pp.35-49
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    • 2008
  • To load a container in a yard block onto a ship, a Transfer Crane (TC) moves to a target yard bay, then its hoist picks up a selected container and loads it onto a waiting Yard Truck (YT). An optimal routing problem of Transfer Crane is a decision problem which determines a given TC's the visiting sequence of yard-bays and the number of containers to transfer from each yard-bay. The objective is to minimize the travel time of the TC between yard-bays and setup time for the TC in a visiting yard. In this paper, we shows that the problem is NP-complete, and suggests a new formulation for it. Using the new formulation for the problem, we investigate some characteristics of solutions, a lower and upper bounds for it. Moreover, our lower and upper bound is very efficient to applying some instances suggested in a previous work.

시뮬레이션을 이용한 S단추공장생산시스템 분석 및 연구 (A simulation study on S-Button factory production system)

  • 전근수;장병윤
    • 한국시뮬레이션학회논문지
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    • 제23권4호
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    • pp.229-235
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    • 2014
  • 생산시스템의 시간과 비용 효율성을 개선하는 것은 경쟁 우위를 구축하고 경쟁적인 비즈니스 환경에서 수익성을 향상하는 중요한 수단 중 하나이다. 그 중에서도 CONWIP(constant work-in-process)과 DBR(drum-buffer-rope)방법은 생산 공정의 효율을 개선하는 데 널리 사용된다. 이 연구에서는 실제 단추 공장 생산 시스템의 시뮬레이션 모델을 개발했다. 연구 결과에 의하면, CONWIP과 DBR 생산시스템 모두 병목 공정의 대기 시간을 감소시키는 등 실제 생산시스템보다 나은 결과를 나타냈다. 시뮬레이션 모델 결과를 바탕으로 제안된 생산시스템을 적용함으로써, 실제의 제조 공정의 효율을 크게 향상시킬 수 있을 것으로 기대된다.

핵의학과 환경미화원의 일시 출입자 분류에 대한 고찰 (A study on Classification of Temporarily Access Group about Sanitation Workers in Nuclear Medicine Department)

  • 유재숙;장정찬;김호성
    • 핵의학기술
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    • 제16권1호
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    • pp.50-56
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    • 2012
  • 일시 출입자로 분류된 핵의학과 출입 환경미화원은 주기적으로 타과와 업무순환을 하고, 또한 작업 시간과 환경 등의 변화가 많기 때문에 관리하기에 어려운 점이 있으며 따라서 이들의 분류를 명확히 할 필요가 있다. 이에 본 논문에서는 핵의학과에서 근무하는 환경미화원의 피폭 상황을 분석하여 일시 출입자로 분류된 조건의 타당성에 대하여 검토해 보고 작업 환경의 변화 및 근무 시간의 조절이 필요한가를 알아보았다. 우선 먼저 PET실과 혈액 검사실에서 근무하는 환경미화원과 감마 카메라실에서 근무하는 환경 미화원 2명을 대상으로 한 달간 근무 시간 중에 OSL을 각각 착용시켜 개인 피폭 선량을 측정하였다. 둘째로 survey meter를 이용하여 두 명의 환경미화원의 작업 환경, 근무 형태에 따라 시간대 별로 핵의학과 내 14개 구역을 선정, 총 10회 공간 선량률을 측정한 결과 이들의 피폭 선량은 연간 1mSv를 초과하지 않았으며, survey meter를 이용하여 조사한 결과 또한 연간 1 mSv를 초과하지 않을 것으로 추정되지만 그 수치가 1 mSv에 근접하였다. 따라서 일시 출입자로써의 분류를 좀 더 명확히 하기 위해서는 PET 안정실과 같은 피폭이 상대적으로 많은 구역에서의 노출 확률을 줄이기 위하여 이들에게 방사선 관리 구역내 교육을 실시하고, 또한 근무시간 및 근무 형태를 적절히 변경한다면 이들의 피폭 선량은 확연히 줄어들 것으로 사료된다.

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상수 공정시간을 갖는 라인 생산 시스템에서 CONWIP과 간반의 성능 비교 (Comparison of CONWIP with Kanban in a Production Line with Constant Processing Times)

  • 이호창;서동원
    • 한국경영과학회지
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    • 제36권2호
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    • pp.51-65
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    • 2011
  • We compared a CONWIP(constant work-in-process) system with a kanban system in a production line with constant processing times. Based on the observation that a WIP-controlled line production system such as CONWIP and kanban is equivalent to a m-node tandem queue with finite buffer, we applied a max-plus algebra based solution method for the tandem queue to evaluate the performance of two systems. Numerical examples with 6 workstations were used to demonstrate the proposed analysis. The numerical results support the previous studies that CONWIP outperforms kanban in terms of expected waiting time and WIP. Unlike the kanban case, sequencing workstations in a CONWIP does not affect the performance of the system.

항공사 기내서비스의 서비스청사진 분석에 관한 연구 (Analyzing the Service Blueprint for Aircraft Cabin Service)

  • 이지민;김연성;이동원
    • 품질경영학회지
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    • 제38권4호
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    • pp.593-600
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    • 2010
  • This study aims to explore the service activities in the aircraft cabin service, develop the service process structure, and design a more efficient service delivery system in Korean airline industry. We prepare the architectural drawings of the basic components in providing the cabin service using the service blueprint technique and service process perspective. Through the case study largely based on our own research and long-time work experiences in the airline industry, we propose service failure points as well as customer waiting points. This study will be helpful for managers at all levels to use the service blueprint strategically or at a shop-floor level and improve their cabin service quality.

약국의 공간 특성과 근무자 만족도 연구 (A Study on the Spatial Characteristics of the Pharmacy and Worker's Satisfaction about Interior Design)

  • 주수언;신경주
    • 한국실내디자인학회논문집
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    • 제15권2호
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    • pp.37-47
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    • 2006
  • The purpose of this study was to provide basic data for better design of Pharmacy after introducing the new system of separation of dispensing from prescribing medicine. To analyze characteristics of interior design in pharmacy and to measure worker satisfaction, a survey was conducted with 255 workers who serve at any Pharmacies located in Busan, Korea. For data analysis, descriptive statistics, t-test, One-way ANOV A were performed with the SPSS Win program(Ver. 10.0). The major findings were as follows: 1) As a result of analyzing the role and functions of the pharmacist is to be classified into many items such as entrance, a waiting room, a dispensary, a medication & consultation area, a drug storage and a worker's room. 2) Natural substances should be used more widely instead of using chemical substances for the pharmacy interior design as finishing materials 3) Pharmacy worker's satisfaction with dispensary is specially low among the total satisfaction which is :slightly higher than the average. 4) The degree of satisfaction between pharmacy workers from different groups varied depending on work hours, and especially long time(over 10hrs) workers showed dissatisfaction. Pharmacy managers need to consider the option of expanding convenience facilities. 5) According to the satisfaction analysis for each pharmacy conditions, the group who worked in 30-pyeong spaces were most satisfied. Since the 30-pyeong space is most standardized space research should be conducted.