• 제목/요약/키워드: continuous quality improvement(CQI)

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'프로그램학습성과 및 평가'실천을 위한 모형 개발 및 전략에 대한 연구 (Model Development and Strategy plan for Implementing Program Outcomes and Assessment)

  • 김명랑;윤우영;김동환;정진택
    • 공학교육연구
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    • 제10권4호
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    • pp.29-42
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    • 2007
  • 공학교육인증에 있어서 프로그램학습성과는 공학교육의 질적 향상 정도를 판가름하는 중요한 기준이며 가장 핵심이 되는 부분이다. 한국공학교육인증원은 프로그램학습성과를 공과대학 졸업생들이 졸업과 동시에 반드시 지녀야 하는 핵심 역량 12가지로 규정하고 있으며 인증을 받고자 하는 모든 공학교육프로그램은 전공 관련 지식을 포함하여 이를 달성하기 위한 교육과정을 구축하고 달성 및 지속적인 개선을 하고 있는지의 여부를 보이기를 요구하고 있다. 여기서 프로그램학습성과는 크게 두 가지를 만족시켜야만 하는데첫째, 공학프로그램은 졸업생이 12가지 능력과 자질에 대해 달성하고 졸업함을 보장할 것에 대한 요구와 둘째, 12가지 능력 및 자질을 교육시키는 프로그램의 교육 수준의 지속적인 개선이다. 따라서 본 연구의 목적은 이러한 한국공학교육인증원의 취지에 맞는 평가를 실시하기 위해 프로그램학습성과 평가의 CQI와 QC를 실현을 위해 갖추어야 할 체계인 구축 모형을 소개하고 한국공학교육인증원의 기준에 알맞은 실천전략을 제시하고자 한다.

CQI 활동 후 사후관리 체계 조사연구 (A study on the follow-up management system of Continuous Quality Improvement activity)

  • 현석균;유승흠;오현주
    • 한국병원경영학회지
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    • 제7권2호
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    • pp.99-123
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    • 2002
  • This study was conducted to determine whether follow-up management is carried out continuously following CQI activity and to analyze the factors behind the success and failure of follow-up management. Past presentations from 1994-1999 of CQI coordinators and lecturers from various institutions who presented at The Korean Society of Quality Assurance in Health Care(KoSQA) on the conditions of follow-up management in each institution were analyzed. The results of this study were as follows; Since the number of subjects on CQI increased each year at symposiums, this has expanded to all medical institutions. Although medical institutions usually conduct 11-20 subjects on CQI per year, there were many such occasions where more than 31 subjects were conducted. Moreover, institutions with less than 800 beds have come up with more projects than those with more than 800 beds, thus 23.3% of these institutions had at least 1 person involved in 4 projects. This had created an overload of responsibilities for specific persons' involvement, prompting them to incline toward formalities in their work rather than substantial activities. Among the projects presented at the symposiums, 51.7% demonstrated that follow-up management could be carried out. In particular, 55.3% of the projects from provincial regions could carry out follow-up management compared to 48.8% in Seoul. Moreover, it was demonstrated that 80% of the projects from institutions with 600-799 beds carried out follow-up management most effectively. With regards to previous presentations, the older they were, it was found that follow-up management could not be effectively carried out. Some institutions that responded that follow-up management was carried out effectively in their institutions were found to have conducted follow-up management without any inspection strategies or the appropriate tools. CQI activities were executed and terminated with no consistency and team members had no real concern for it. The most important factors that contribute to an effective follow-up management are the need for concern and interest from the directors of the hospitals, from the relevant departments and team members in addition to the role of the supervising department, follow-up management through management of target goals, consistency in tasks along with communication between all team members. The biggest problems were perceived to be overload of work due to accumulation of proposed projects in addition to lack of awareness pertaining to follow-up management. CQI is beneficial for all staff for the improvement of the mind and business administration and thus it is believed to be desirable. To carry out follow-up management effectively, leadership, analysis and application of information, follow-up management and planning, as well as quality management are perceived to be essential, on the other hand, the results showed a significant difference. To prevent CQI activities from becoming just an activity, the basic system should be reconstructed and augmented based on the problems derived from the results of this study. Moreover, we hope this study will be used as reference material that would encourage the administration of follow-up management after CQI activities in most hospitals. Furthermore, various studies on follow-up management should be conducted for CQI activities in the future.

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Analysis of Healthcare Quality Indicator using Data Mining and Decision Support System

  • Young M.Chae;Kim, Hye S.;Seung H. Ho
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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    • pp.352-357
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    • 2001
  • This study presents an analysis of healthcare quality indicators using data mining for developing quality improvement strategies. Specifically, important factors influencing the inpatient mortality were identified using a decision tree method for data mining based on 8,405 patients who were discharged from the study hospital during the period of December 1, 2000 and January 31, 2001. Important factors for the inpatient mortality were length of stay, disease classes, discharge departments, and age groups. The optimum range of target group in inpatient healthcare quality indicators were identified from the gains chart. In addition, a decision support system was developed to analyze and monitor trends of quality indicators using Visual Basic 6.0. Guidelines and tutorial for quality improvement activities were also included in the system. In the future, other quality indicators should be analyze to effectively support a hospital-wide continuous quality improvement (CQI) activity and the decision support system should be well integrated with the hospital OCS (Order Communication System) to support concurrent review.

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국제성함양과 관련된 프로그램 학습성과 평가체계 개선 연구 (A Study on Improved Assessment System for a Program Outcome on the Cultivation of Internationality)

  • 김복기;민상원;이건영;윤우영;강상희
    • 공학교육연구
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    • 제12권2호
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    • pp.63-70
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    • 2009
  • 본 논문에서는 현재 대학 현장에서 적용하고 있는 학습성과 평가체계를 분석하여, 이를 개선한 평가체계의 모형을 국제성함양 학습성과를 예로 들어 제시하였다. 제시된 학습성과 평가체계는 PC별로 수행수준을 제시하고, 수행수준에 근거한 달성목표를 프로그램 차원에서 설정하여, 학생이 졸업 시점에서 학습성과 달성 여부를 용이하게 입증하는 체계를 갖추고 있다. 이렇게 평가체계를 구축함으로서 PC별로 CQI를 운영할 수 있어 교육현장에서의 업무를 감소할 수 있을 것이다. 또한 이러한 평가체계 수립에서 고려해야할 중요한 측면은 평가체계를 논리적이고 객관적으로 구성해야 한다는 사실을 논의하였다. 본 논문에서 제시한 학습성과 평가체계 모형은 대학 현장에서 학생의 학습성과 달성을 입증할 수 있는 용이한 모형이 될 것이라 판단된다.

교과기반 학습성과 평가시스템 개발: 군산대학교 공학인 건축공학심화프로그램 사례 연구 (Framework for Course-Embedded Outcomes Assessment: A Case Study of Architecture & Building Engineering Program at KSNU)

  • 박성신
    • 공학교육연구
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    • 제23권1호
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    • pp.47-58
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    • 2020
  • Kunsan National University obtained accreditation for its Architecture & Building Engineering Program from the Accreditation Board for Engineering Education in Korea (ABEEK) in 2004 and has offered an ABEEK-accredited degree pathway ever since. Then, in 2018, the university introduced the course-embedded outcomes assessment system as per ABEEK's KEC2015 accreditation criteria. One year into its implementation, the new system allows the measurement and assessment of 10 program outcomes covering 19 curricular modules and 1 non-curricular licensing examination. The system incorporates the four areas of specialization within architectural engineering as well as the three course categories of the math, science, and computer; liberal arts; and engineering core modules under the accreditation scheme. It also takes the students' academic years into account, especially for the mandatory modules offered to all students. Its rubric clarifies the performance criteria, performance level, assessment tools, objectives, and modules. The 2018 course-embedded outcomes assessment system is an ever-evolving structure with regular CQI: Continuous Quality Improvements along the circular process of system establishment → implementation → evaluation as per the virtuous cycle model required for an accredited engineering program.

중환자의 욕창 예방 연구 : 욕창 예방 QI팀을 중심으로 (CQI Action Team Approach to Prevent Pressure Sores in Intensive Care Unit of an Acute Hospital Korea)

  • 강소영;최은경;김진주;주미정
    • 한국의료질향상학회지
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    • 제4권1호
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    • pp.50-63
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    • 1997
  • Background : A pressure sore was defined as any skin lesion caused by unrelieved pressure and resulting in damage to underlying tissue. The health care institutions in the United States were reported the incident rate of pressure sores ranging from 6 to 14 %. Intensive Care Unit needed highest quality of care has been found over 40% incidence rate of pressure sore. Also, Annual expenditures for the care of pressure sores in patients in the United States have been estimated to be $7.5 billion; furthermore, 50 percent more nursing time is required to care for patients with pressure sore in comparison to the time needed to implement preventive measures against pressure sore formation. However, In Korea, there were little reliable reports, or researches, about incidence rates of pressure sore in health care institution including intensive care unit and about the integrated approach like CQI action team for risk assessment, prevention and treatment of pressure ulcers. Therefore, this study was to develop pressure sore risk assessment tool and the protocol for prevention of pressure sore formation through CQI action team activities, to monitor incident rate of pressure sore and the length of sore formation for patients at high risk, and to approximately estimate nursing time for sore dressing during research period as the effect of CQI action team. Method : CQI action team in intensive care unit, launched since early 1996, reviewed the literature for the standardized risk assessment tool, developed the pressure sore assessment tool based on the Braden Scale, tested its validity, compared on statistics including incidence rate of pressure sore for patients at high risk. Throughout these activities, CQI action team was developed the protocol, called as St. Marys hospital Intensive Care Unit Pressure Sore Protocol, shifted the emphasis from wound treatment to wound prevention. After applied the protocol to patients at high risk, the incident rate and the period of prevention against pressure development were tested with those for patients who received care before implementation of protocol by Chi-square and Kaplan-Meier Method of Survival Analysis. Result : The CQI action team found that these was significant difference of in incidence rate of pressure sores between patients at high risk (control group) who received care before implementation of protocol and those (experimental group) who received it after implementation of protocol (p<.05). 25% possibility of pressure sore formation was shown for the patients with 6th hospital day in ICU in control group. In experimental group, the patients with 10th hospital day had 10% possibility of pressure sore. Therefore, there was significant difference(p<.05) in survival rate between two groups. Also, nursing time for dressing on pressure sore in experimental group was decreased as much as 50% of it in control group. Conclusion : The collaborative team effort led to reduced incidence, increased the length of prevention against pressure sore, and declined nursing care times for sore dressing. However, there have had several suggestions for future study. The preventive care system for pressure sore should be applied to patients at moderate, or low risk throughout continuous CQI team activities based on Bed Sore Indicator Fact Sheet. Hospital-wide supports, such as incentives, would be offered to participants for keeping strong commitment to CQI team. Also, Quality Information System monitoring incidents and estimating cost of poor quality, like workload (full time equivalence) or financial loss, regularly in a hospital has to be developed first for supporting CQI team activities as well as empowering hospital-wide QI implementation. Being several limitations, this study would be one of the report cards for the CQI team activities in intensive care unit of an acute hospital and a trial of quality improvement of health care in Korea.

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대학병원 급식업무 개선 사례 연구 (Case Study on Job Flow Improvement of Foodservice at a University Hospital)

  • 김형미;양일선;박은철;임현숙
    • 한국의료질향상학회지
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    • 제7권2호
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    • pp.244-261
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    • 2000
  • Background : In order to cope with changes in the management environment at hospitals, increased interests are drawn in patient foodservice system on Continuous Quality Improvement Activity as the method of approaching a quality food service and effective management. Thus, as a part of this activity, this study was conducted to evaluate job flow improvement that was already performed and the results of that process at the dietetic department of a university hospital, focusing on improving management. Method : On February 15 of 1998. the dietetic department formed a job flow-improvement to decide on the priority of job flow improvement, and prepared specific action strategies and schedule of the priority: after a 5 month process period, job improvement achieved on June 15. 1998. Also, economic achievement of the task was evaluated through labor productivity analysis and cost-benefit analysis. Results : The patient food service system which was managed decentralized at the present hospital was centralized, some steps of the food service process were integrated, and quality of patient food was improved. Also, as a solution of the problems expected when conducting job flow improvement was made on food service equipments and utensils. The result of evaluating the job flow improvement that labor productivity improved by 18.2% compared to before the improvement and the result of the analysis of cost-benefit showed that Benefit-Cost (B/C) ratio was 2.22. showing financial merit on the investment. Conclusions : Continuous Quality Improvement Activity needs to be initiated and conducted in the future in various areas of hospital foodservice system in order to actively adopt to ever changing hospital management environment. In order to achieve this goal, many researches and more efforts need to be put in by people in charge of hospital food service management, and interests and support are needed from hospital policy makers.

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낙상예방 활동의 지속적 질 관리 프로세스 확립을 위한 위험 사정도구 평가 (Evaluation of a Fall Risk Assessment Tool to Establish Continuous Quality Improvement Process for Inpatients' Falls)

  • 박인숙;조인숙;김은만;김민경
    • 간호행정학회지
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    • 제17권4호
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    • pp.484-492
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    • 2011
  • Purpose: The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. Methods: A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital’s Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. Results: At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. Conclusion: The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.

영남대학교 리더십 학습성과 교육 CQI 방안에 대한 연구 (A Case Study on the Continuous Quality Improvement for Leadership Outcomes Education in Yeungnam University)

  • 편경희;송동주
    • 공학교육연구
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    • 제12권1호
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    • pp.64-72
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    • 2009
  • 본 연구는 공학교육인증제 운영과정에서 강조되고 있는 학습성과 중 리더십 교육과 관련한 CQI 방안을 탐구하는 데 목적이 있다. 이를 위해 본 논문에서는 리더십 교육과 관련된 영남대학교의 사례를 연구하였다. 본 연구를 위해 리더십 교육과 관련된 영남대학교의 교과 및 교과 외 교육과정 분석, 리더십 교육 CQI 방안 마련을 위한 전문가 및 유관 기관 실무자 포커스그룹 면담이 실시되었다. 또한 리더십 캠프 참가자를 대상으로 리더십 역량진단, 리더십 교육 수요 조사, 캠프 만족도 조사를 실시하였다. 리더십 캠프진행을 주관한 데일 카네기 연구소 대구지부의 전문 강사들과 포커스그룹 면담을 실시하고 캠프 기간 동안 비참여관찰법을 통한 내용분석과 질적 면접이 병행되었다. 본 연구 결과를 정리하면 다음과 같다. 첫째, 대학수준의 수학능력 향상방안과 심리적 차원의 역량강화 방안이 동시에 고려되어야 한다. 특히 지방대학이라는 특성을 고려할 때 외국어 능력 향상과 자신감 및 비전 수립을 위한 교육에 역점을 둘 필요가 있다. 둘째, 일회성의 단기 리더십 세미나 및 팀 티칭 형태의 교육을 보완하기 위해서 설계교과목 이수체계도를 활용한 중장기 교육계획 수립 및 리더십 캠프 참가 경험이 있는 학생과 차기 캠프 참가자들간의 멘토-멘티제 운영이 고려될 수 있다. 셋째, 리더십 교육에 역점을 두는 전공, 학과 및 교내외 유관기관 관계자들로 구성된 리더십 교육 자문위원회를 구성함으로써 체계적이고 효과적인 리더십 교육을 실현할 수 있을 것이다.

랜덤 포레스트를 활용한 만족도 사전조사에 따른 교육 역량 예측 분석 (An Analysis of Educational Capacity Prediction according to Pre-survey of Satisfaction using Random Forest)

  • 남기훈
    • 문화기술의 융합
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    • 제8권6호
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    • pp.487-492
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    • 2022
  • 대학들은 급변하는 사회 환경에 적합한 교육역량 수준을 높이기 위해 다양한 방법들을 찾고 있다. 본 논문에서는 조사 항목을 수정, 보완한 만족도 사전조사를 개강 전에 실행하여 학업성취도를 높이고 전공 이탈자의 비율을 낮춰 교육 성과를 높이는 방안을 제안한다. 일반적인 만족도 조사 이후에 시행되는 교육품질 개선(CQI) 방식을 보완하고자 만족도 사전조사를 시행하였다. 학생역량을 강화하기 위해 설계가 진행 중인 인공지능형 메디치 플랫폼에 적용할 수 있는 머신러닝 기법의 랜덤 포레스트를 활용하여 중요한 데이터의 예측 및 분석을 가능하게 하였다. 만족도 사전조사 데이터들을 전처리하여 수강 신청 학생들의 정보를 설명 변수로 정의하고 분류하여 모델 생성 및 학습하였다. 실험 환경은 주피터 노트북 3.7.7, Python 3.7에서 관련 알고리즘과 사이킷런(sklearn) 라이브러리를 함께 사용하였다. 제안하는 방안의 결과를 수업에 반영하여 수업 후에 진행하는 교육 만족도 조사의 변화와 중도 탈락생 수의 동향을 비교 분석하였다.