• Title/Summary/Keyword: assessment indicators

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A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients (중환자 통증 평가 도구에 관한 체계적 문헌고찰)

  • Kim, Eun-Jeong;Hong, Jiwon;Kang, Jiyeon;Kim, Na geong;Kim, NaRi;Maeng, Su-Youn;Park, Hye-Ryeon;Ban, Min Kyung;Yang, Gun Young;Lee, Kyung Suk;Jang, Eun Hye
    • Journal of Korean Critical Care Nursing
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    • v.13 no.1
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    • pp.44-62
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    • 2020
  • Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients. Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.'s the Quality Criteria for Measurement Properties. Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient. Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.

Quality Assessment of the Soils Used for Urban Agriculture in Seoul and its Vicinity

  • Lim, Ga-Hee;Park, Sol-Yi;Jeon, Da-Som;Yoon, Jung-Hwan;Lee, Dan-Bi;Oh, Jun-Seok;Kim, Kye-Hoon
    • Korean Journal of Soil Science and Fertilizer
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    • v.49 no.5
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    • pp.572-576
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    • 2016
  • Soil quality assessment is an important tool for environmental management in an agricultural field. It can be used to evaluate the health of the soils and to establish the basis for sustainable urban agriculture and soil management. For this study, the chemical properties of the soils used for urban agriculture were examined. Results of the soil analysis for chemical properties were applied to soil quality assessment system, which is composed of principal component analysis, application to scoring function and derivation of soil quality index (SQI). Soil pH, electrical conductivity (EC), organic matter (OM), total nitrogen (T-N) were determined for minimum data set (MDS) according to principal component analysis. Based on the results of scoring for four indicators (pH, EC, OM, T-N), soil pH was the indicator that needs the most urgent management. Results of SQI derivation showed that many of the urban farms appeared to be insufficient score in comprehensive soil quality assessment. In conclusion, soil management practices based on scores derived from soil chemical indicators need to be carried out to maintain sustainable urban agricultural soil environment and to provide easy-to-understand information to urban farmers.

Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People (낙상위험요인 평가 및 낙상예방활동 임상진료지침)

  • Chun, Ja-Hae;Kim, Hyun-Ah;Kwak, Mi-Jeong;Kim, Hyuo-Sun;Park, Sun-Kyung;Kim, Moon-Sook;Choi, Ae-Lee;Hwang, Jee-In;Kim, Yoon-Sook
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.41-61
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    • 2018
  • Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

Rapid Assessment of Ecosystem Services Apply to Local Stakeholders (지역 이해당사자 참여 생태계서비스 간이평가)

  • Kim, Byeo-Ri;Lee, Jae-Hyuck;Kim, Il-Kwon;Kim, Sung-Hoon;Kwon, Hyuk-Soo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.22 no.1
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    • pp.1-11
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    • 2019
  • This study suggested that various stakeholder can be participated in regional Environment planning and practical use of policy with rapid assessment of Ecosystem Services(ES). We applied to the rapid assessment of ES method to Ansan city and local registers selected Ecosystem assets that considered to space of ES. Ecosystem assets were measured 5 types Likert scale about 37 indicators of ES and confirm the main ES through the basic statistics. Furthermore Ecosystem assets classified according to similar character of ES. Ecosystem assets of Ansan were selected 47 site and Local climate regulation, Research and education, Primary production was high among the ES indicators. As a result two main group deduced that ecological education group(such as Research and education, Habitat) and safety regulation group(such as Air regulation, Fire regulation) through the factor analysis. In terms of location characteristics of each group, the ecological education-centered ecosystem assets were located near the downtown area, while the safety regulation group was located at the outskirts, such as mountains and coasts. This indicates that the ecological education about the habitat provision can be achieved in Ansan city downtown area and that outskirts should be approached from the aspect of ecological function to establish a plan. The result of Rapid assessment of ES, which can be lead a balanced and developmental consultation when establishing polices for environment planning and management in region.

Assessment of Agricultural Drought Vulnerability Focus on Drought Response Capability in Irrigation Facilities and Paddy Fields (수리시설물 및 농경지 가뭄대응능력 중심의 농업가뭄 취약성 평가 - 태안 지역을 중심으로 -)

  • Mun, Young-Sik;Nam, Won-Ho;Ha, Tae-Hyun;Jo, Young-Jun
    • Journal of The Korean Society of Agricultural Engineers
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    • v.65 no.5
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    • pp.13-24
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    • 2023
  • Due to recent climate change, the amount of rainfall during the summer season in South Korea has been decreasing, leading to an increase in areas affected by frequent droughts. Droughts have the characteristic of occurring over a wide area and being unpredictable in terms of their onset and end, necessitating proactive research to cope with them. In this study, we conducted an assessment of agricultural drought vulnerability in Taean-gun, Chungcheongnam-do, focusing on irrigation facilities and paddy fields. The assessment criteria were meteorological impact, drought occurrence status, supplementary water supply capacity, and drought response capability, with nine specific indicators selected. The drought response capability was analyzed by applying a scoring system as a key component of the agricultural drought vulnerability assessment, while the other indicators were quantified using an entropy weighting technique. The results of the assessment showed that Anmyeon-eup and Taean-eup were the safest areas, while Wonbuk-myeon, Nam-myeon, and Gonam-myeon were the most vulnerable. It is expected that the findings can be utilized to enhance understanding and proactive measures for coping with agricultural drought, and to determine the priority of drought response in different regions.

Environmental Management towards Sustainable Urban Development of Chongju City (지속가능한 도시개발을 위한 환경관리방안의 모색 - 청주시를 중심으로 -)

  • Lee, Jong-Ho
    • Journal of Environmental Impact Assessment
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    • v.4 no.2
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    • pp.131-149
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    • 1995
  • The object of this study is to suggest some alternatives for environmental management towards sustainable urban development of Chongju city in Korea. This study analyses urban environmental indicators (population density, land use, road, park, car, etc.), level of air and water pollution and solids waste generation by comparing Chongju city and other large cities. Some alternatives towards sustainable development in Chongju city would be summerized and suggested as higher concentrated land use(compact city), mixed land use, supply of mass transit, establishment of regional environmental standards, total emission regulation of air and water pollutants, the preparation of Local Agenda21 of Chongju, and the introduction of strategic environmental assessment(SEA) into environmental impact assessment.

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The clinical application of dental caries management based on caries risk assessment and activation strategies (임상가를 위한 특집 3 - 우식위험도 평가에 근거한 치아우식증 관리의 임상적용 사례 및 활성화 방안)

  • Yoon, Hong-Cheol;Choi, Youn-Hee
    • The Journal of the Korean dental association
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    • v.52 no.8
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    • pp.472-477
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    • 2014
  • The new paradigm of dentistry require the detection of caries in their earlier stages. To achieve this, a high technology detection device and systematic and organized caries management system are needed. Caries management by risk assessment (CAMBRA) model is representative caries management system that satisfied new paradigm. Dental caries prevention and treatment according to CAMBRA model is patient-centered, risk-based, evidence-based practice. Therefore, individual caries management such as CAMBRA should be performed through accurate assessment of caries disease indicators and comprehensive assessment of caries risk factors and protective factors. Based on the CAMBRA better effectiveness of comprehensive dental caries management including non-surgical treatment will be accomplished.

QFD Model for Quality Performance Self-assessment

  • Liu, Yumin;Xu, Jichao
    • International Journal of Quality Innovation
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    • v.7 no.1
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    • pp.112-127
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    • 2006
  • How to measure Quality Performance (QP) or excellence performance in organizations is very important for improving the quality of an organization's products and services. This paper takes Quality Function Deployment (QFD) as a useful tool to identify the key characteristics of quality performance and measure the influence factors on quality performance. Most national quality awards provide a framework of the criteria to show the essential elements of an organization's quality performance and get the Quality Performance Score (QPS) by self-assessment using the criteria. By means of these criteria, especially, the criteria of China Quality Award (CQA), a measurable indicator system for quality performance is set up. A four-phase QFD model of assessment for quality performance is developed. This QFD model not only presents the most important efforts for the deployment of the measurable indicators of quality performance, but also takes great advantage of evaluating the quality performance and obtaining the quality performance score. The measurable indicator hierarchy of quality performance is formed and its implementation method for assessment quality performance is described in this paper.

A Methodology of Automated Analysis and Qualitative Assessment of Legislation and Court Decisions

  • Trofimov, Egor;Metsker, Oleg;Kopanitsa, Georgy
    • International Journal of Computer Science & Network Security
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    • v.22 no.11
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    • pp.229-235
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    • 2022
  • This study aims to substantiate an interdisciplinary methodology for automated analysis and qualitative assessment of legislation and court decisions. The development of this kind of methodology will make it possible to fill a number of methodological gaps in various research areas, including law effectiveness assessment and legal monitoring. We have defined a methodology based on the interdisciplinary principles and tools. In general, it should be noted that even at the level of qualitative assessment made with the use of the methodology described above, the accumulation of knowledge about the relationship between legal objectives, indicators and computer methods of their identification can reduce the role of expert knowledge and subjective factor in the process of assessment, planning, forecasting and control over the state of legislation and law enforcement. Automation of intellectual processes becomes inevitable in a digital society, but, releasing experts from routine work, simultaneously reorients it to development of interdisciplinary methods and control over their application.

Factors Affecting the Outcome Indicators in Patients with Stroke (뇌졸중 환자의 결과지표에 영향을 주는 요인: 다변량 회귀분석과 다수준분석 비교)

  • Kim, Sun Hee;Lee, Hae Jong
    • Health Policy and Management
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    • v.25 no.1
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    • pp.31-39
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    • 2015
  • Background: The purpose of this study is comparison of the results between regression and multi-level analysis to find out factors influencing outcome indicators (in-hospital death, length of stay, and medical charges) of stroke patients. Methods: By using patient sample data of Health Insurance Review & Assessment Service, patients admitted with stroke were selected as survey target and 15,864 patients and 762 hospitals were surveyed. Results: For the results of existing regression analysis and multi-level analysis, models were assessed through model suitability index value and as a result, the value of results of multi-level analysis decreased compared to the results of regression, showing it is a better model. Conclusion: Factors influencing in-hospital death of stroke patients were analyzed and as a result, intra-class correlation (ICC) was 13.6%. In factors influencing length of stay, ICC was 11.4%, and medical charges, ICC was 17.7%. It was found that factors influencing the outcome indicators of stroke patients may vary in every hospital. This study could carry out more accurate analysis than existing research findings through analysis of reflecting structure at patient level and hospital level factors and analysis on random effect.