• 제목/요약/키워드: compliance center

검색결과 467건 처리시간 0.036초

응급실 간호사의 감염관리 조직문화, 감염관리 피로도와 코로나19 감염관리 수행도와의 상관관계 (Correlation Among Organizational Culture, Fatigue for Infection Control, and Infection Control Compliance of COVID-19 Among Emergency Nurses)

  • 박예랑;서은지
    • Journal of Korean Biological Nursing Science
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    • 제24권2호
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    • pp.104-112
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    • 2022
  • Purpose: The purpose of this study was to investigate the levels and the relationship of emergency nurses' organizational culture and fatigue for infection control, and infection control compliance of COVID-19. Methods: Data was collected from 114 nurses caring for patients suspected of COVID-19 at two emergency medical centers in Gyeonggi-do and Seoul June 18-July 23, 2021. Results: Emergency nurses caring for patients suspected of COVID-19 suffered from high fatigue for infection control. The mean scores of the organizational culture and fatigue for infection control, and infection control compliance of COVID-19 were 51.80 ± 8.37 of 70 points, 78.46± 12.28 of 100 points and 71.02± 7.84 of 80 points, respectively. The higher infection control compliance of COVID-19 is significantly related to the higher organizational culture for infection control (r= .42, p< .001). Conclusion: In the COVID-19 pandemic, the formation of a positive organizational culture for infection control may be a priority as a major strategy to improve the infection control compliance of emergency nurses. It is also necessary to manage the high level of fatigue for infection control among emergency nurses.

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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    • 제36권3호
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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.

Development of a Joint Torque Sensor Fully Integrated with an Actuator

  • Kim, Bong-Seok;Yun, Seung-Kook;Kang, Sung-Chul;Hwang, Chang-Soon;Kim, Mun-Sang;Song, Jae-Bok
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.1679-1683
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    • 2005
  • This paper suggests the new type of a joint torque sensor which is attached at each joint of a manipulator for making compliance. Previous six axis force/torque sensors are high cost and installed end-effector of the manipulator. However, torque on links of previous an end-effector cannot be measured. We design a joint torque sensor that can be fully integrated with an actuator in order to measure applying torque of the manipulator. The sensor system is designed through the structural analysis. The proposed joint torque sensors are installed to the 6 DOF manipulator of a mobile robot for hazardous works and we implemented experiments of measuring applied torque to the manipulator. By the experiment, we proved that the proposed low-cost joint torque sensor gives acceptable performance when we control a manipulator.

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유성 기어 유동 중개륜의 컴플라이언스 해석 (Analysis of Compliance of Planetary Gears based on Floating Intermediate Rings)

  • 조인성
    • Tribology and Lubricants
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    • 제29권6호
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    • pp.378-385
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    • 2013
  • An epicyclic gearing system is compact and lightweight. However, it is difficult to share the driving force equally because the system has closed gear trains with multiple driving points, and it always has geometrical errors in the elements. Thus, in the case of planetary gears, the first problem is how to distribute the load evenly to the numerous planets. The method widely used abroad for this purpose is to utilize the elastic deformation of the components of the structure. However, the deflection is very complicated, and it is very easy for vibration problems to occur because of the decrease in the natural frequencies. Therefore, to equalize the load on the planets, this paper discusses the principle and theory behind the functioning of a floating intermediate ring. This magnifies the displacement of a planet's center arising from the equilibrium of the load and the lubricating film pressure, which improves the compliance of the planets. The results show that load equalization of the planets is possible through this improvement in their compliance.

구멍 또는 이종재료를 가진 재료에서의 크랙의 전파 거동 (A Propagation Behavior of Crack in Material with Holes or Another Materials)

  • 조재웅
    • 한국산학기술학회논문지
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    • 제6권6호
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    • pp.531-535
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    • 2005
  • 본 논문은 구멍 또는 이종 재료들로 채워진 구멍들 사이에 전파화는 피로 크랙의 거동을 연구한다. 중앙 크랙의 선단이 구멍의 중심선 가까이에 도달할 때 중앙 크랙은 멈추고 작은 크랙이 구멍이나 다른 이종 재료들로 채워진 구멍 주위로부터 발생하여서 최종 파단에 이르게 된다. 다른 이종 재료들 가까이에서의 중앙 크랙의 역학적 거동들이 또한 조사된다. 이러한 크랙이 진행하여 파괴에 이르는 현상을 컴플라이언스법으로 연구한다.

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Fabrication of 2.5 Gbps Burst-mode Receiver and its Full Compliance to GPON

  • Lee, Mun-Seob;Lee, Byung-Tak;Kim, Jong-Deog;Lee, Dong-Soo
    • Journal of the Optical Society of Korea
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    • 제12권4호
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    • pp.355-358
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    • 2008
  • In the current GPON market and standard, the line bit rate requirement is changing from 1.25 Gbps to 2.5 Gbps. We fabricate a 2.5 Gbps burst-mode receiver with commercially available blocks and optimize it with an APD bias control. A burst-mode measurement setup is made for the full compliance test with the GPON standard. The device meets the partially defined 2.5 Gbps specs in the current ITU G.984.2 standard, also, supports 1.25 Gbps specs for the coexistence issue in an access network. The full-compliant measurement values can be used as a guideline for fixing "for further study" specs in the current GPON standard at 2.5 Gbps.

Current status of foodservice nutrition management and effects of welfare facility support for the elderly in Cheongju City

  • Lee, Joo-Eun
    • Nutrition Research and Practice
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    • 제16권4호
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    • pp.527-536
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    • 2022
  • BACKGROUND/OBJECTIVES: South Korea is representative of countries experiencing rapid societal aging. This study aimed to understand the current status of foodservice nutrition management provided to welfare facilities for the elderly and to understand improvements after support from "the Center for Social Welfare Foodservice Management (CSWFM)" in Cheongju City. SUBJECTS/METHODS: The status of foodservice nutrition management was assessed by dietitians and hired by the CSWFM, who visited 40 welfare facilities (registered members of the CSWFM) for the elderly in Cheongju City. After visiting each facility three times from July to December 2019, the results of inspections on four areas, that is, 'menu', 'meal provision', 'cooking', and 'distribution' management for 2nd and 3rd visits (support visits) were compared with results obtained at initial visits. RESULTS: Before support as determined during 1st visits, compliance rates with 'menu', 'meal provision', 'cooking', and 'distribution' requirements were 72.1%, 75.5%, 58.3%, and 77.5%, respectively. The mean compliance rate for all 15 items on the questionnaire used was 70.8%. Items with low compliance rates were 'Is the soup provided by foodservice at the recommended salinity?' (compliance rate 37.5%) and 'Is the foodservice cooking conducted by referring to a recipe?' (42.5%). At the two support visits, mean compliance rates increased significantly (P < 0.01, P < 0.001), mean total score had significantly increased from 71.80 to 90.26 (P < 0.001), and mean soup salinity decreased significantly from 0.82% at 1st visits to 0.68% (P < 0.001) and 0.56% (P < 0.001) at the 1st and second follow-up visits. CONCLUSIONS: These results show that the status of nutrition management at welfare facilities for the elderly was much improved by CSWFM involvement, and indicate the CSWFM should continuously provide nutrition management support to facilities and that finances and opportunities for more welfare facilities for the elderly be expanded.

중환자실 의료종사자의 직종별 손 씻기에 관한 비교 연구 (A Comparative Study on Profession-specific Handwashing Practices of ICU Health Care Providers)

  • 이명해;강현숙
    • 기본간호학회지
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    • 제14권3호
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    • pp.297-305
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    • 2007
  • Purpose: The purpose of this study was to evaluate knowledge, attitude, and compliance regarding hand hygiene according to the profession of ICU health care providers. Method: Data were collected by questionnaires and by recording of direct observations of 143 health care providers in 4 intensive care units. With SPSS/WIN 12.0 t-test, ANOVA, and ${\chi}^2-test$ were used to analyze the data. Results: The level of knowledge regarding handwashing among the nurses was higher and a more positive attitude was shown compared to physicians. Overall handwashing compliance was low among all ICU health care providers, but nurses had better compliance than any other health care providers and significantly higher frequency for handwashing before care and after care activities. All of professions had lower scores on the appropriate length of time for handwashing and areas that need to be scrubbed. The level for nurses was medium and for physicians, the lowest of all professions. The appropriate agent for handwashing and the method of drying for handwashing compliance was high in all professions. Conclusion: The results suggest that multidisciplinary interventions are needed to develop an environment for appropriate handwashing as well as to reinforce importance of handwashing compliance for health care providers.

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족부에 침범한 류마티스 관절염 환자에게 적용한 발 관리 교육의 효과 (Effect of Foot Care Education for Patients with Rheumatoid Arthritis Involving the Feet)

  • 김성경;김희승
    • 기본간호학회지
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    • 제21권1호
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    • pp.7-17
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    • 2014
  • Purpose: The purpose of this study was to evaluate effects of foot care education on foot pain, foot care compliance, and disability of daily living for people with rheumatoid arthritis involving the feet. Methods: This study was conducted as a randomized controlled trial. The participants were 49 patients, including 24 in the experimental group and 25 in the control group. The experimental treatment was the provision of foot care education leaflets and 20-minute 1:1 explanations of the content of the leaflet. After 2 weeks, foot care compliance was confirmed by phone call. The experimental effects were assessed by measuring changes in foot pain, foot care compliance, and disability of daily living using a pre test before the foot care education and a post test, 1 month after the foot care education. Results: Foot pain and disability of daily living in the experimental group decreased more than that of the control group. Foot care compliance in experimental group increased more than that of the control group. Conclusion: Results indicate that this foot care education program is an effective intervention to decrease foot pain and the disability of daily living, and increase the foot care compliance in patients with rheumatoid arthritis involving the feet.

개별교육이 혈액투석환자의 투석관련 지식, 환자역할행위 이행 및 생리적 지수에 미치는 효과 (Effects of Individualized Education on Knowledge, Compliance, and Physiologic Parameters in Hemodialysis Patients)

  • 김영주;유양숙
    • 성인간호학회지
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    • 제18권3호
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    • pp.367-376
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    • 2006
  • Purpose: This study was designed to explore the effects of providing individualized education for hemodialysis patients on their knowledge of hemodialysis, compliance of patient role behavior, and physiologic parameters. Method: A quasi experimental design with a non-equivalent control group and a non-synchronized design was used. The experiment was conducted with a total of 40 hemodialysis patients (20 in the experimental group and 20 in the control group) at the artificial kidney center, C University Hospital. The experimental group was provided with individualized education, 30 minutes per session, three times per week, for two weeks. Results: The experimental group had significantly higher knowledge of hemodialysis than the control group after the education. The compliance of patient role behavior was more enhanced in the experimental group than the control group. The experimental group showed significantly higher values of blood urea nitrogen, but not the values of blood creatinine, albumin, kalium, and phosphorus. Conclusion: The individualized education was found to be an effective intervention for improving patients' knowledge of hemodialysis and compliance of patient role behavior.

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