• Title/Summary/Keyword: improvement of healthcare environment

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일 의료원의 통합 고충처리센터 접수 내용과 이에 대한 해결방안 분석 (Analysis of the Issues received by Quality Improvement Department and their Management in a Medical Center)

  • 탁관철;박현주;천자혜;강은숙;문주영;최미영;김현주;강진경
    • 한국의료질향상학회지
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    • 제7권1호
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    • pp.118-131
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    • 2000
  • Background : A continuous healthcare quality improvement is needed to provide high quality healthcare service as well as to maintain trust in terms of satisfying the needs of the patients. Recently it also became an essential issue. in hospital management, recognized for it's competitive potentiality among healthcare organization groups. This study was conducted to analyze patient complaints and issues received by the Quality Improvement Department. Its purpose is to improve healthcare qualities within the hospital, as well as establish policies and appropriate strategies in hospital management. Method : From July 1st to September 30th of the year 1999, we analyzed all complaints and issues made by various patients and their families, which were received through 24 hour phone consultation, numerous suggestion boxes, letters and E-mails, The issues were classified into 16 different categories based on a Patient Satisfaction Assessment Tool. All data were segregated according to the departmental frequencies and their contents. To come up with for environmental and patient satisfaction improvement, all complaints or issues were communicated with hospital administrators, medical and nursing staff and employees. Comprehensive customer satisfaction activities including improving phone etiquette were discussed in Customer Satisfaction Team, CQI Team and each Department. All opportunities for improvement were implemented. Feedback actions were discussed. Results : A total of 317 cases were collected. Issues regarding parking and other accommodation facilities were most common complaints that were 14.5% of total. Issues regarding admission rooms (10.7%), admission procedures (10.7%), waiting room environment (8.8%), nurses and nurse assistants (7.6%), physicians (6.6%) and others (23%) followed. Thirteen of 45 departments received more than 8 complaints. The Nursing Department had the most complaint, receiving 9.8% of total complaints. Complaints regarding the Nursing Department were predominantly related to the environment of patient rooms. The Department of Psychiatry for phone etiquette (4.7%), Department of Otolaryngology for the nursing staff's attitude and phone etiquette (4.4%), and the Admission Department followed. As a part of efforts to improve patient satisfaction, a new parking structure was built and reallocation of the parking space was done. Renovation of other accommodation facilities were carried out by hospital administration, Monthly phone call and answering attitude survey was done by QI Department. Based on this survey we made a phone etiquette manual and distributed throughout the hospital. Compare to the last year, Patient Satisfaction Index measured by Korea Productivity Center using National Customer Satisfaction Index was improved 7 points. According to our organization's own study, we confirmed the phone etiquette was improved 11% than last year. Conclusions : Issues related to parking and other accommodation facilities ranked first followed by complaints made regarding the patient care area, the admission and cashier process, and nurses' and doctors' attitude. The Nursing and Psychiatry Departments need improvement regarding phone etiquette. Results were shared and played a vital role in policymaking and strategic planning of the hospital. It is imperative that we keep our database updated by listening to and solving the needs of each patient. The CQI activities can be achieved only by full commitment of the hospital top management supported by related personal.

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시각장애인 점자블록의 규격기준 개선방안 연구 (A Study on Improvement of Standard Criteria for Tactile Walking Surface Indicators)

  • 신동홍;강병근;박광재;김상운
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제21권1호
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    • pp.67-76
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    • 2015
  • Purpose : The current tactile walking surface indicators have not been easily accessible to blind and vision-impaired people due to unexpected variation of walking environment and walking behavior of transportation poor. Moreover, those indicators frequently cause the inconvenience to transportation users' walking. Thus, this study aims to investigate the improvement of tactile walking surface indicators, by comparing and analyzing findings from the relevant research. Results from this study contribute to suggest the better standard criteria of tactile walking surface indicators for transportation users, especially blind and vision-impaired people, the handicapped, the child and the elderly and weak, providing the secure and convenient circumstance for walking. Method : This study presents the problems about the standard criteria of tactile walking surface indicators via the examination of finding from the past studies. For example, we examine all standard criteria, focusing on shapes, colors and qualities of materials used for Tactile Walking Surface Indicators. Then, the present study suggests the improvement of standard, which apply to the current walking environment practically and reasonably. Results : To improve the current condition of tactile walking surface indicators, the analysis on international and domestic standard criteria need to be conducted. Findings from these analyses helps to suggest the better criteria for the interval between projecting points of tactile walking surface indicators, effective perceived range of walking road, and the brightness contrast between tactile walking surface indicators and finishing materials. Implication : The suggested standard criteria of tactile walking surface indicators need to be tested by transportation users, and the practical instructions of establishing tactile walking surface indicators should also be developed.

Zigbee USN 기반의 무선 ECG 측정 시스템 (A Wireless ECG Measurement System based on the Zigbee USN)

  • 장윤석;김보연
    • 정보처리학회논문지C
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    • 제18C권3호
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    • pp.195-198
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    • 2011
  • 본 연구에서는 ECG 신호를 측정하는 시스템에서 센서들과 기기 사이의 연결을 Zigbee 네트워크를 사용하여 무선화하고, 이를 통하여 이동성과 편리성을 제공하면서도, 병원용 ECG 기기에 준하는 데이터 정밀도를 가지는 U-healthcare용 ECG 시스템을 설계, 구현하였다. 대부분의 의료용 기기에서 이동성에 가장 문제가 되는 것은 센서와 기기를 연결하는 케이블로, 본 연구에서는 이를 줄이거나 없애는 방법으로 Zigbee를 기반으로 데이터를 송수신하는 센서 모듈과 컬렉터 모듈을 설계, 구현하여 근거리에서 동작하는 무선 네트워크를 구성하고, 이를 통하여 각 송신 모듈로부터 전송되는 데이터들을 수신하는 Zigbee-SD 전송 시스템을 설계, 구현하였다. 또한 ECG 신호의 분석과 처리에 스마트폰을 사용하여 데이터 분석과 심박수 표시를 수행하는 앱 응용 프로그램으로 구현함으로써 유비쿼터스 환경에서 이동성과 편리성을 최대한으로 제공할 수 있는 효과적인 U-healthcare 시스템을 구현하였다.

노인특성을 고려한 노인요양시설 치유환경평가에 관한 연구 - 서울 시립 노인요양시설을 중심으로 - (A Study on the Evaluation of Treatment Conditions of the Nursing Homes based on the Characteristics of the Elderly - Focusing on the Municipal Nursing Homes in Seoul -)

  • 송효주;최상헌
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제15권3호
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    • pp.31-39
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    • 2009
  • Population of senior citizens in Korea has been on the increase rapidly through decrease in population by falling birth rate and extension the average life span by development of medical technology and improving people's standard of living. As the booming population of senior citizens, it has appeared to problems of the elderly such as protection, health and supporting and welfare facilities for the elderly have increased there but it leaves something to be desired at plan and improvement of qualitative environment which the elderly's living space. It attaches importance to valuate about nursing homes such as management, quality of service, manufacture of physical environment and so on, so it is required to consider the elderly's emotion on environmental valuation. Healing environment that is a important fact of indoor environment operates powerfully upon the nursing homes as well as general medical facilities. It needs to healing environment for the elderly's physical health and mental stable life, we should know importance of healing environment that affects the elderly's health and life. The elderly have experienced physical, mental, and social changes with advancing years. The people who use the nursing homes are the elderly. We should find fact of healing environment as the elderly's characteristics and have to find healing environment that gives aid to the elderly's health in the nursing homes. In care for the elderly is not house care, it has focused on the elderly's health for improving their life and leading comfortable life.

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농촌주민의 적정음주를 위한 보건교육 전략 (Health Education Strategies for Adoption of Moderate Drinking Habits among Rural Residents)

  • 김미혜;정문희
    • 보건교육건강증진학회지
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    • 제20권3호
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    • pp.171-188
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    • 2003
  • This study, based on stages of behavioral change, was aimed at suggesting strategies for the adoption of moderate drinking habits for community-based health education designed to help rural people. An interview survey was conducted during the period from March 4 to April 5, 2002 by sampling 467 rural people living in 6 villages covered by a public healthcare clinic. The results of this study can be summarized as follows; 1. The perceived non-moderate drinkers were less prepared for behavioral change. 2. The heavier drinking habits were ‘drinking alone’, ‘meals accompanied by drinking’ and ‘drinking twice or more at a time’. The agricultural off-season and the custom of brewing liquor at home were negative environmental factors for moderate drinking. 3. The predisposing factors affecting moderate drinking were recognition of health, expectation of the drinking effect, etiquette encouraging overdrinking and control of drinking. The reinforcing factors were stress from ordinary life and perception of being loved. The enabling factor was accessibility to the public healthcare clinic. 4. Rural residents are less motivated to participate in health education for moderate drinking. Based on the above findings, health education strategies for each stage can be suggested as follows: 1) Pre-contemplation stage: improvement of perception, motivation, sharing of experiences, and reawakening. 2) Contemplation/preparation stag e: measurement of value, departure from the inertia against a change, formation of a habit, and reinforcement of the behavior. 3) Action/maintenance stage: creation of a social atmosphere, encouragement of participation, change of life style, and improvement of environment.

국내 중.소규모 병원을 노인 요양시설로의 리모델링시 요구되는 디자인 지침에 관한 연구 (A Study on the Design Guidance for Remodeling Small and Medium Hospitals into Nursing Homes in Korea)

  • 박현준;최상헌
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권2호
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    • pp.17-28
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    • 2010
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. This proposal aims to make a study of expansion and improvement the old people's welfare facilities by using remodeled closed Small and Midium Hospitals which are the bad effect of economic growth. Also, it can save money with re-using abolished buildings which is property of the nation and protect environment too. In this study, We examine the present conditions of old people's welfare institution, and research a factor of remodeling for welfare facilities. Then we will verify remodeling-possibility which is concrete and working by using the product of this study.

현장연구를 통한 다인용 병실 모델 개발 (Development of Ward for multi-patients through Ethnographic Field Study)

  • 권영미;정연강
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제1권1호
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    • pp.33-41
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    • 1995
  • The purpose of this study is to heighten the reusing rate of hospital making its good image ultimately and giving a feeling of satisfaction to the patients, and to suggest more pleasant and comfortable environment to the wards which the patients are spending 24 hours a day from the view of nurse. The field study was in medical ward of the C University Hospital in Seoul through ethnographic method. The data were collected through observation and interview. On the basis of the results, the ward model for 4 patients was developed so as to be able to have their own area in consideration of privacy and improvement of life level & consciousness level of patients.

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소규모·다기능 고령자주택의 공간구성과 유형에 관한 연구 - 일본 동경권 사례를 중심으로 - (A Study on Type and Space Composition in the Small Scale and Multi-functional Housing - focused on the cases of the Tokyo area -)

  • 소갑수
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제13권1호
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    • pp.17-26
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    • 2007
  • Recently, the importance of the living environment for elderly people and its network is increasing. At the same time, the small-scale and multi-functional apartment house in which they can live is continuously required in Japan. For these reasons, it is appearing a new type of housing, Group-Living, where one lives together with others. It represents a way of communal living which is based on service at home. There are various problems such as felicity of each space, connections between the different areas, insufficiency of positioning on the aged welfare. Hence this research targets are grasp the present condition of Group-Living, to inquire the Space composition and types of it in Tokyo Area, and to suggest the direction of improvement of the small-scale and multi-functional apartment house for the aged.

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공동주택에 건강개념인 통기시스템에 관한 연구 - 공기순환과 필로티를 중심으로 - (A Study on the Air Ventilation System in Apartment Houses as a Health Concept - focused on the air ventilation and pilotis -)

  • 조철희;이특구
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제10권1호
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    • pp.29-38
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    • 2004
  • The purpose of this study is to analyze the air ventilation system in apartment houses focused on the air circulation and pilotis. The air ventilation system is used with the data which were obtained by the environmental health, urban climate, air pollution, ventilation path. The architectural element was pilotis concept connected with piloti ratio, piloti position and piloti type. The summaries of this study were as follows; 1) the well-being apartment concept, 2) the heat island phenomenon, 3) the oxygen density of air, 4) the definition of ventilation path, 5) the pilotis connected with residential environment improvement. In addition, the detailded case study to the air ventilation system in apartment houses be needed.

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병원경영학 교육 혁신과 학회의 역할 (Innovations in Hospital Management Education and The Role of Academic Society)

  • 이근찬
    • 한국병원경영학회지
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    • 제20권2호
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    • pp.82-87
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    • 2015
  • As recruitment environment of hospitals has changed, employment opportunity for graduates of the hospital management majors has been reduced in larger hospitals. So, it is necessary to reestablish the status of an academic discipline to foster the professional managers of healthcare organizations. For this, curriculum contents and teaching methods might be improved. Although we need individual efforts of the society members for educational improvement, there is a need for organization and leadership of the society.