• Title/Summary/Keyword: improvement assessment

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The Improvement and Completion of Outcome index: A new assessment system for quality of orthodontic treatment

  • Hong, Mihee;Kook, Yoon-Ah;Kim, Myeng-Ki;Lee, Jae-Il;Kim, Hong-Gee;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.46 no.4
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    • pp.199-211
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    • 2016
  • Objective: Given the considerable disagreement between the Peer Assessment Rating (PAR) index and the American Board of Orthodontics Cast-Radiograph Evaluation, we aimed to develop a novel assessment system-the Improvement and Completion of Outcome (ICO) index-to evaluate the outcome of orthodontic treatment. Methods: Sixteen criteria from 4 major categories were established to represent the pretreatment malocclusion status, as well as the degree of improvement and level of completion of outcome during/after treatment: dental relationship (arch length discrepancy, irregularity, U1-SN, and IMPA); anteroposterior relationship (overjet, right and left molar position, ANB); vertical relationship (anterior overbite, anterior open-bite, lateral open-bite, SN-MP); and transverse relationship (dental midline discrepancy, chin point deviation, posterior cross-bite, occlusal plane cant). The score for each criterion was defined from 0 or -1 (worst) to 5 (ideal value or normal occlusion) in gradations of 1. The sum of the scores in each category indicates the area and extent of the problems. Improvement and completion percentages were estimated based on the pre- and post-treatment total scores and the maximum total score. If the completion percentage exceeded 80%, treatment outcome was considered successful. Results: Two cases, Class I malocclusion and skeletal Class III malocclusion, are presented to represent the assessment procedure using the ICO index. The difference in the level of improvement and completion of treatment outcome can be clearly explained by using 2 percentage values. Conclusions: Thus, the ICO index enables the evaluation of the quality of orthodontic treatment objectively and consecutively throughout the entire treatment process.

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.

Uncertainty Assessment for CAPSS Emission Inventory by DARS (DARS에 의한 CAPSS 배출자료의 불확도 평가)

  • Kim, Jeong;Jang, Young-Kee
    • Journal of Korean Society for Atmospheric Environment
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    • v.30 no.1
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    • pp.26-36
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    • 2014
  • The uncertainty assessment is important to improve the reliability of emission inventory data. The DARS (Data Attribute Rating System) have recommended as the uncertainty assessment technic of emission inventory by U.S. EPA (Environmental Protection Agency) EIIP (Emission Inventory Improvement Program). The DARS score is based on the perceived quality of the emission factor and activity data. Scores are assigned to four attributes; measurement/method, source specificity, spatial congruity and temporal congruity. The resulting emission factor and activity rate scores are combined to arrive at an overall confidence rating for the inventory. So DARS is believed to be a useful tool and may provide more information about inventories than the usual qualitative grading procedures (e.g. A through E). In this study, the uncertainty assessment for 2009 CAPSS (Clean Air Policy Support System) emission inventory is conducted by DARS. According to the result of this uncertainty assessment, the uncertainty for fugitive dust emission data is higher than other sources, the uncertainty of emission factor for surface coating is the highest value, and the uncertainty of activity data for motor cycle is the highest value. Also it is analysed that the improvement of uncertainty for activity data is as much important as the improvement for emission factor to upgrade the reliability of CAPSS emission inventory.

Decision Making of Improvement Priority by Deterioration Risk Assessment of Water Supply Infrastructures (물공급시설의 노후 위험도 평가를 통한 개선 우선순위 결정)

  • Chae, Soo-Kwon;Lee, Dae-Jong;Kim, Ju-Hwan
    • Journal of Environmental Impact Assessment
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    • v.18 no.6
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    • pp.367-376
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    • 2009
  • This paper proposes an application methodology of AHP(Analytic Hierarchy Process) based decision making theory for improvement priority by assessment of various risk factors affecting on deterioration of water supply systems, as major social infrastructure. AHP method is organized with three level of hierarchy which is introduced for multi-criteria decision making in this study. In the first level, assessment outputs are calculated by AHP for each affecting factor. In the second level, criteria are estimated by using assessment results with respect to structural and environmental factors. Consequently, ranking decision is performed in the third level. In order to present the effectiveness, a proposed method is compared with FCP(Fuzzy Composite Programming) for decision making. Since the results of the proposed method show better performance with consistent results, it can be applied as an efficient information for the determination for improvement priority of the study infrastructure.

A Study of Improvement Direction for Korean Animation Broadcasting Act : Focusing on Assessment Guideline of Korean Animation (한국애니메이션 방송법의 개선방향 연구 - 국내제작애니메이션판정지침을 중심으로 -)

  • Choi, Don-Ill
    • Cartoon and Animation Studies
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    • s.11
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    • pp.169-177
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    • 2007
  • This study analyzed the assessment guideline of domestic animations related to the Broadcasting Act. That is, it analyzed assessment objectives, target subjects, procedures, restrictions in examination, assessment standards according to each item, resolution procedures, etc, and suggested problems. Then it presents the improvement plan of assessment guidelines for promoting and fostering creation of animations to be broadcasted.

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Improvement for practical application of Risk Assessment in shipbuilding industry (조선업 위험성평가 실용을 위한 개선 방안)

  • Shin, Woonchul
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.273-277
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    • 2014
  • Subcontracting business than the contracting business in shipbuilding industry is a lot of hazardous job and highly accident because of highly work intensity. In order to prevent the accidents, there is a need to analyze characteristic. of shipbuilding, to apply measures of risk assessment. In this paper, I suggested an improvement of the risk assessment through the actual condition research in shipbuilding industry. In the research method, I analysed accidents occurred until 2011-2013. Carried out the actual site survey while two weeks in May 2014. As a result, 1) The main pattern were caught-in or between, fall on the high level according to analyzed accidents. 2) To apply the weight show clear of magnitude for risk assessment. 3) Risk estimation of risk assessment is desirable to be quantization by accidents analysis, and to be greater than or equal to 4 steps.

The Study on Ecological Function Assessment at Streams in Rural Area - The Focus of Han-River Basin - (농촌지역 소하천의 생태환경 평가 연구 - 한강유역 지류를 중심으로 -)

  • Kang, Bang-Hun;Kim, Nam-Choon;Son, Jin-Kwan;Kim, Mi-Heui;Cho, Seung-Jin;Rhee, Sang-Young
    • Journal of Korean Society of Rural Planning
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    • v.17 no.2
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    • pp.23-32
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    • 2011
  • The purpose of this study is to produce basic planning criteria required in ecological restoration and improvement works of streams in rural area through the application of stream assessment methods (water quality, soil environment, and ecological function assessment) at 6 study sites of Han River basin. The investigation results were as followings; 1) There were the evaluation items like a manure use, salt degree, river peripheral tree, which did not fitted to apply to domestic streams, in the SVAP (Stream Visual Assessment Protocol) and NRCS Riparian Assessment that were evaluation models developed in USDA. The area inhabitants with a little knowledge and education personally seems to utilize the evaluation methods through improvement partly with an aspect that evaluation is slightly easy. 2) From the stream assessment results, the construction of diverse pools, large woody debris and isolated backwater pool are needed to improve a few of problems observed at the mostly study sites. The result of NRCS Riparian Assessment showed that the improvement of stream bank vegetative communities is needed by planting tree with deep-binding root masses, and managing of noxious weeds and exotic undesirable plants. 3) Summing up, the assessment results showed that the assessment scores were higher at upstream than downstream, the stream with totally maintenance than that with partly maintenance, the stream with slope bank than that with vertical bank, and the stream with a flood plain than that without a flood plain. So, the direction of stream maintenance projects must be set by consideration of those results.

Selection of Manageable Diseases for Quality Assessment in Korean Medicine by Delphi Method (한방분야 적정성 평가 대상 질환 선정을 위한 전문가 Delphi 조사)

  • Park, Chang-Hyun;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.3
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    • pp.129-141
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    • 2016
  • Objectives As awareness of the public about Korean medicine health care and the social demand about improvement for quality of health care service is constantly rising, the quality evaluation of Korean medicine health care service is needed to improve the quality. Through trial of Delphi method, we tried to set the priority in short, medium, long term among the disease which is the subject of quality assessment. Methods Carrying out the delphi survey to 50 experts of korean medicine who were recommended by the 41 member societies of Korean medicine and related organizations, we selected final candidates for quality assessment. It is composed with total 2 rounds, and we investigated the priority in three aspects; the importance of the matter, possibility quality assessment, potential about if there's any chance of improvement. Results By delphi method, we set the priority of quality assessment. Base on the result of the second round, we classified importance of the questions into above average, average, below average, and categorized items as short, medium, long term according on the final priority. We classified of musculoskeletal diseases and diseases of connective tissues and musculoskeletal injury as short term and cerebrovascular disease and disease of nerve system and malignant neoplasm as medium term, disease of digestive organs and diseases, symptoms and abnormal findings in clinical field or inspections which are not categorized as long term. Conclusions We set the subjects of quality assessment by delphi survey by experts, and classified into short, medium, long term. Further research is necessary for execution the Quality Assessment to each of the candidate. Also, we can send feedback to medical institution base on the result of Quality Assessment. then it would be able to induce the improvement in quality of medical institution by itself.

Policy assessment of Agricultural Infrastructure Improvement Project for Preliminary Feasibility Study - Multipurpose Rural Water Development Project in Pangyo District - (농업생산기반정비사업의 예비타당성조사 정책효과 분석 - 판교지구 다목적 농촌용수개발사업을 중심으로 -)

  • Kim, Soo-Jin;Bae, Seung-Jong;Yoo, Seunghwan;Kim, Yoonhyung;Yoon, Sungeun;Kim, Jeonghoon
    • Journal of Korean Society of Rural Planning
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    • v.27 no.1
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    • pp.21-28
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    • 2021
  • Since 2001, the Pangyo district multipurpose rural water development project has been promoted as a new target project for stable supply of agricultural water and improvement of the living environment of rural areas in Seocheon-gun. Detailed data analysis and logic must be reinforced, focusing on the items reorganized by the reorganization of the preliminary feasibility study. The purpose of this study is to promote the smooth promotion of projects by conducting a policy effect assessment following the reorganization of the preliminary feasibility study system. This study conducted a policy assessment of agricultural infrastructure improvement project for preliminary feasibility study. The policy assessment is divided into three parts: project implementation conditions, policy effects and special assessments. The newly established policy effect is to assess the job effects, living conditions impact, environmental evaluation, and safety evaluation that contribute to the quality of life. Sixteen policy assessment items were selected and evaluated quantitatively and qualitatively. The results of the study are expected to provide basic data for the comprehensive judgment of the preliminary feasibility study of agricultural infrastructure improvement project in the future.

Improvement Status and Development Direction of New Health Technology Assessment (신의료기술평가제도 운영의 개선현황과 발전방향)

  • Lee, Seon Heui
    • Health Policy and Management
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    • v.28 no.3
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    • pp.272-279
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    • 2018
  • Since the introduction of new health technology assessment in 2007, benefit coverage process of health insurance related to new health technology has become an upgraded system through the evidence-based decisions. As a result of enforcing this system for 10 years, however, there have been several rising concerns. It needs to support the insufficient evidence of medical technologies, introduce reassessment system for post management of market entry technologies, and improve evaluation methods and process. In addition, there is the possibility of emerging an unheard-of medical technology, fused various categories like artificial intelligence, robot, information technology, physics and life science in the fourth industrial revolution. Now, new updated system introduced to improve new technology assessment, such as 'limited health technology assessment system,' 'system for postponement of new health technology assessment,' 'one-stop service system,' and 'integrated operation of approval for medical devices and new health technology assessment.' Therefore it needs to prepare the improvement plan for new health technology assessment to be established more advanced system, and we have to resolve concerns by communication with various healthcare experts and patients now and for ever.