• Title/Summary/Keyword: improvement order

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A Study on establishing Improvement Plan of Rail Bridges (철도교량의 개량계획 설정에 관한 연구)

  • Baek, Jae-Wook;Park, Tae-Hyo
    • Proceedings of the KSR Conference
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    • 2008.11b
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    • pp.10-16
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    • 2008
  • In order to improve stability of rail and ride comfort, railway bridges should be maintained a integrity. However, it is necessary to plan various reinforcements and improvements because of a long term used and external effects. In this paper, the improvement plan which is reflected by investigation for reinforcement and improvement is introduced. The constituents of the structures are defined in order to optimize the improvement plane, and the analysis for relationships between the constituents are performed by several evaluation. Finally, the improvement plan is applied to a structure using impact factors for the external effects in order to obtain the improvements reasonably.

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Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2329-2336
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    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

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

  • Kim, Hyung Mi;Yang, Il Sun;Park, Eun Cheol;Lim, Hyun Sook
    • Quality Improvement in Health Care
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    • v.7 no.2
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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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Heuristic Algorithm for Selecting Mutually Dependent Qualify Improvement Alternatives of Multi-Stage Manufacturing Process (다단계제조공정의 품질개선을 위한 종속대안선택 근사해법)

  • 조남호
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.11 no.18
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    • pp.7-15
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    • 1988
  • This study is concerned with selecting mutually dependent quality improvement alternatives with resource constraints. These qualify improvement alternatives art different fro the tradition at alternatives which are independent from each other. In other words, selection of any improvement alternative requires other related specific improvement. Also the overall product quality in a multi stage manufacturing process is characterized by a complex multiplication method rather than a simple addition method which dose not allow to solve a linear knapsack problem despite its popularity in the traditional study. This study suggests a non-linear integer programming model for selecting mutually dependent quality improvement alternatives in multi-stage manufacturing process. In order to apply the model to selecting alternatives. This study also suggests a heuristic mode1 based on a dynamic programming model which is more practical than the non-linear integer programming model. The logic of the heuristic model enables 1) to estimate improvement effectiveness values on all improvement alternatives specifically defined for this study. 2) to arrange the effectiveness values in a descending order, and 3) to select the best one among the alternatives based on their forward and backward linkage relationships. This process repeats to selects other best alternatives within the resource constraints. This process is presented in a Computer programming in Appendix A. Alsc a numerical example of model application is presented in Chapter 4.

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Analysis of sewage treatment process for the improvement of T-N removal process (T-N 제거공정 개선을 위한 하수처리장 공정 분석)

  • Shin, Choon Hwan
    • Journal of Environmental Science International
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    • v.27 no.2
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    • pp.99-107
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    • 2018
  • In order to design the improvement process for T-N removal, the treatment process of Suyoung, Gangbyeon, and Noxan sewage treatment plants (STP) in Busan was anlayzed. Suyoung STP shows a T-N removal efficiency of about 69.8% with MLE(Modified Ludzack ettinger) and A2O+MBR. However, it is necessary to improve the process to maintain over DO of 1 mg/L and is required to install a flow control tank to minimize the rainfall effect. Gangbyun STP shows a about 70.2% T-N removal efficiency with A2O+GFF(gravity fiber filtration). However, in order to improve T-N removal efficiency, it is needed to install MLE process to treat recycle water. Noksan STP shows a T-N removal efficiency of about 71.0% with MLE+Chemical treatment and shows stable T-N concentration in effluent. However, it is required a toxic chemical management process because bad wastewater flows into the STP, also is necessary a process improvement in order to increase internal recycling ratio. Especially, it is required a process improvement to increase HRT of nitrification tank because Suyoung and Gangbyeon STPs shows low nitrification efficiency during winter season.

The study on Plans of Improvement of Order Competitiveness through the Analysis of Order Causes in Overseas Construction Projects (해외건설사업 수주 원인분석을 통한 수주경쟁력 향상 방안에 관한 연구)

  • Yang, Jae Woo;Lim, Nam-Gi
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2020.11a
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    • pp.14-15
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    • 2020
  • The circumstances of overseas construction market is developing into quite complicated and diversified trends. Construction circumstance is escaping from localization to the open competitions, and from developing countries focused to the resources developing countries. Thus, new strategies for order competitiveness improvement based on our know-hows are required to secure the order volumes. This study has analyzed domestic construction companies' order trends in overseas construction market, and proposed strategic plans through analyzing of Order Causes on overseas construction projects to improve the order competitiveness.

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대용량 데이터를 처리하는 ERP시스템의 성능개선(튜닝) 사례;(주)대교

  • Seo, Byeong-Min;Kim, Seung-Il
    • 한국경영정보학회:학술대회논문집
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    • 2007.06a
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    • pp.582-587
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    • 2007
  • ERP system is a good one because it provides required data to the Board of Directors at the right time, but needs to collect many data in this system. Nevertheless, increase in data leads to the system's quality deterioration which makes companies to carry out quality improvement. In order to solve quality deterioration problem, a company's quality improvement director must execute under acknowledgement of the relationships between sectors to be improved, which are DBMS, Application, System, Data Management, Archiving, and Reorganization. But in many cases, these relationships are ignored due to massive size of each of the sectors, resulting fragmental quality improvement operation. This case paper proposes a solution to effectively solve quality deterioration problem created by the massive data produced while operating ERP System(constructed by SAP package and web). First, it defines the sectors where quality improvements are vital, and lists out things to be considered. Then, by analysing the working process of these sectors, proposes the most efficient order of the improvement process. This case will eventually help the company's quality improvement director to execute quality improvement most effectively without trials and errors, which is this paper's ultimate goal.

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A Study on the Fatigue Strength Improvement using Weld Toe Burr Grinding (용접토우부의 그라인딩에 의한 피로강도 증대효과에 대한 연구)

  • Kang, Sung-Won;Kim, Myung-Hyun;Choi, Jae-Young;Kim, Wha-Soo;Paik, Young-Min
    • Journal of Welding and Joining
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    • v.24 no.2
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    • pp.42-47
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    • 2006
  • While it is known that the weld toe grinding method may give 3.4 times of fatigue strength improvement, this improvement may significantly vary according to weld bead shapes and loading modes. Although tremendous interest have been given in improving fatigue strength improvement for ship structures, quantitative results are yet in need. In this context, a series of fatigue tests is carried out for a type of test specimen that are typically found in ship structures. Weld burr grinding is carried out using a electric grinder in order to remove surface defects and improve the weld bead profile. The test results are compared with the same type of test specimen without applying the fatigue improvement technique in order to obtain a quantitative measure of the fatigue strength improvement. On the other hand, both hot spot stress and structural stress methods are employed to compare the effectiveness of the two methods in evaluating the fatigue strength improvement of welded structures.

The research of estate development scheme in residential environment improvement (주거환경개선사업지구의 필지개발 방안에 관한 연구 - 개별필지집적방식에 의한 노인복지공동주택사업의 적용가능성을 중심으로 -)

  • Jung, Eun-Jung;Lee, Hui-Jin;Yang, Byeong-Ok;Kim, Ju-Suck;Lee, Yeun-Sook
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2008.11a
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    • pp.235-240
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    • 2008
  • When rate of stated and public owned demesne in residential environment improvement is low under the limited resources of revenues, the new infrastructure for the maintenance of the existing estate has increased land reduction rate thus the place where lot of small estate find it difficult to accept as the feature of residential environment improvement. Although 'Diffusion model of residential environment improvement' which designed to overcome existing residential environment improvement, is middle of progress, there is not any suggestion made to solve problem caused by short of estate in order to maintain small estate and total Infrastructure. In feature of resident, we also notice ageing not only facilities and building. 'Elderly housing' can be presented as an alternative living style to solve housing and elderly matter which are caused by accumulation of individual estate and aging at once. Therefore, this research identifies resident's perception about elderly housing and recognizes task and potentialities that has to be solved in order to apply virtually to residential environment improvement.

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A Study on the Factors Affecting Health Promoting Lifestyles of Workers in the Small Scale Industries (소형 사업장 근로자들의 건강증진 생활양식에 영향을 미치는 요인)

  • Jang Yong-Nam;Lee Eun-Kyoung;Chong Myong-Soo;Jun Sun-Young;Kim Sang-Deok;Jeoung Jae-Yul;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.5 no.1
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    • pp.10-30
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    • 2001
  • Oriental medicine needs to be armed with theories on health-improvement concept under it and basic data matching its views, in order to participate in the health-improvement service in industrial work places. The Orient medicine health-improvement program defines factors that determine individuals' lifestyle, and provides information and technologies for workers to practice in life. To that end, this research compares and analyzes health-improvement concept and health care, defines relations between individuals' health state and their lifestyle as the basic data needed to perform health-improvement business for workers. 1. The subjects employed for this research is categorized into; by gender, males 52.1% and females 47.9% with no big difference between them; and by age, 20s, 6.1%, 30s. 33.9%, 40s, 34.1%, and 50s, 24.8% with 30-50 accounting for most of it. By marriage status, unmarried represents 7.1%, and married 79.1% with most of them married; by revenue, under one million won represents 3.0%, 1-2 million won 26.4%, 2-2.49 million won 11.2%, above 2.5 million won 11.2%, and 1-2.5 million won a majority. By living location, owned houses represents 65.4%, rented houses 14.7%, monthly-rented 9.5%; and by education, elementary and middle school represent 16.9%, high school and its dropouts 22.6%, and junior college and higher 51.6%, with high school and higher occupying most of the group. 2. By job, office workers and managerial workers represent 12.3%, part-timers 21.0%, manual workers 11.4%, jobless 0.6%, professionals 35.6%, service 0.6%, housewives 8.4%, and equipment/machinery operation/assemblers 10.1%. Of this, jobless and part-timers, totaling three, are dropped from this research. By years worked, 0-3.9 years represents 9.7%, 4-7.9 years 6.7%, 8-14.9 years 18.4%, above 15 years 28.7%, and no respondents 36.5%. 3. The degree of the subjects practicing life-improvement lifestyle, on a scale of 1 to 4, is an average of 2.69, personal relations 3.04, self-realization 2.92, stress management 2.76, nutritional state 2.73, responsibility for health 2.47, and athletic activities 2.18, with personal relations earning the highest points and athletic activities the lowest. As for factors influencing health-improvement lifestyle, there is no significant difference between gender, age, and marriage status. Meanwhile, there is significant difference between revenue, dwelling pattern, education level, etc. That is, higher income-bracket, owned houses, rented houses, monthly-rented houses, and higher-educated, in this order, show higher average in health-enhancement lifestyle. By job, housewives, manual workers, office workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order show higher points, while there is no difference with significance by years worked. 4. Factors that affect health-improvement lifestyle are shown below. Self-realization is influenced by age, marriage status, type of dwellings, and level of education; responsibility for health by type of dwellings; athletic activities by gender and age; nutrition by age, marriage status and type of dwellings; personal relations by marriage status; and stress management by type of dwellings. 5. Areas with high points by job show this: in self-realization, office workers, manual workers, housewives, professionals, equipment/ machinery operation/ assemblers, in this order, show difference with significance; in the area of responsibility for health, manual workers, housewives, equipment/ machinery operation/ assemblers, professionals, office workers and part-timers, in this order, do. In athletic activities, manual workers, housewives, office workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order, show difference with significance; in nutrition, housewives, office workers, manual workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order do; and in stress, housewives, office workers, manual workers, professionals, equipment/ machinery operation/ assemblers, part-timers, in this order do. By years worked, more years showed higher points in the area of responsibility for health and nutrition; in the area of athletic activities, above 15 years, 4-8 years, below 4 years and 8-14 years, in this order, show higher points; and no difference shows in realization, personal relation, and stress area. 6. To look at correlation between overall and divisional health-improvement practice degree, this researcher has analyzed it using Person's correlation coefficient. Self-realization, responsibility for health, athletic activities, nutrition, support for personal relations, and stress management show significant correlation with the sub-divisions, while all health-improvement lifestyle shows significant correlation with the six sub-divisions.

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