• 제목/요약/키워드: medical culture

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The Value of Submitting Multiple Sputum Specimens for Accurate Diagnosis of Pulmonary Tuberculosis

  • Kisa, Ozgul;Albay, Ali;Baylan, Orhan;Doganci, Levent
    • Journal of Microbiology
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    • 제40권4호
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    • pp.301-304
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    • 2002
  • Is a multiple number of sputum specimens necessary for the diagnosis of pulmonary tuberculosis? To answer this question, 6844 respiratory specimens obtained from previously untreated patients suspected of having pulmonary tuberculosis between 1998 and 2001 were evaluated retrospectively. All of the specimens were evaluated by acid fast bacilli smear and BACTEC 460 TB culture system. A total of 785 (11%) specimens from 353 patients were positive for Mycobacterium tuberculosis complex. For 76% (270/353) of these patients the organism was detected from sputum specimens collected sequentially for daily basis. Mycobacterium tuberculosis was isolated in the first, second and third samples of the majority (98%,195/199) of patients who had three or more sputum samples sent to the laboratory. Our results indicate that, we could carry out Mycobacterium tuberculosis isolation in the first, second and third sputum samples of the overwhelming majority of the patients and the diagnostic value of four or more sputum specimens submitted to the laboratory was very low (2%). We recommend that, for definitive and cost-effective diagnosis of pulmonary tuberculosis at least three sequential sputum specimens be collected for all patients suspected pulmonary tuberculosis.

병원 간호사의 환자안전문화에 대한 인식 (Perception of Patient Safety Culture of Hospital Nurses)

  • 김연;이은선;최은영
    • 한국병원경영학회지
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    • 제18권3호
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    • pp.27-42
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    • 2013
  • Purpose: This study is aimed to provide the fundamental data for building the patient safety culture by identifying the perceptions of patient safety culture of hospital nurses. Methods: this study was a cross-sectional survey. For this study, 816 nurses participated from three general hospital and one university hospital located in Gwangju and Chonnam. The data were collected from April to June, 2012 by self-administrated questionnaires. The 'Hospital Survey on Patient Safety Culture'developed AHRQ(2004) and translated in Korean and edited by Je(2006), was used to measure the patient safety culture which the nurses were perceived. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Scheffe test using SPSS window 18.0. Results: With a possible score of 5 points, the average score for nurses'perceived patient safety culture 3.32. In the sub dimension of patient safety culture, the score hospital-level aspects was the highest level of 3.27(0.50) and reporting system medical errors was the lowest of 3.08(0.40). The difference of perception level on patient safety culture were statistically significant depending on demographic and job-related characteristics such as age, hospital level, work experience in present hospital, work experience in present unit, work experience in present area, positions, work hours of week. Conclusion: The scores of perception of which were shown to be relatively low in this study, needed to be improved through continuous education, evaluation and researches. We suggest developing a new tool on patient safety culture fit our country which will help to manage ongoing patient safety culture.

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한국 의료기기 산업의 역사와 국제 경쟁력 고찰 (A Study on the History of the Korean Medical Device Industry and its Global Competitiveness)

  • 염호준;정현우;박상수
    • 문화기술의 융합
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    • 제8권5호
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    • pp.1-7
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    • 2022
  • 한국의 의료기기 산업은 1995년부터 시작된 G7 의료공학기술개발사업으로 본격적인 성장과 발전의 기틀을 마련하였으며 2020년 한국 의료기기 생산실적은 2001년에 비하여 8.52배, 수출 실적은 13.94배 성장하였다. 의료기기 국산화 개발 초기에 초음파 의료기기 등 전자 의료기기의 개발이 활발하였던 것과 비교하여 2020년에는 체외진단시약과 치과용 임플랜트의 생산 및 수출 실적이 상위권을 차지하고 있다. 그러나 한국 의료기기 시장에서 수입 의료기기가 차지하는 비중은 60-70%에서 큰 변화가 없는데 이는 한국의 의료기기 산업이 중저가 의료기기를 생산 수출하고, 기술집약적이고 자본집약적인 고가 의료기기는 주로 수입에 의존하고 있기 때문이다. 본 논문에서는 한국과 세계시장의 주요 의료기기 회사들의 생산 품목을 비교하여 한국 의료기기 산업의 세계 시장 진출에 대한 전략을 제시하고자 한다.

Assessing Reliability and Validity of an Instrument for Measuring Resilience Safety Culture in Sociotechnical Systems

  • Shirali, Gholamabbas;Shekari, Mohammad;Angali, Kambiz Ahmadi
    • Safety and Health at Work
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    • 제9권3호
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    • pp.296-307
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    • 2018
  • Background: Safety culture, acting as the oil necessary in an efficient safety management system, has its own weaknesses in the current conceptualization and utilization in practice. As a new approach, resilience safety culture (RSC) has been proposed to reduce these weaknesses and improve safety culture; however, it requires a valid and reliable instrument to be measured. This study aimed at evaluating the reliability and validity of such an instrument in measuring the RSC in sociotechnical systems. Methods: The researchers designed an instrument based on resilience engineering principles and safety culture as the first instrument to measure the RSC. The RSC instrument was distributed among 354 staff members from 12 units of an anonymous petrochemical plant through hand delivery. Content validity, confirmatory, and exploratory factor analysis were used to examine the construct validity, and Cronbach alpha and test-retest were employed to examine the reliability of the instrument. Results: The results of the content validity index and content validity ratio were calculated as 0.97 and 0.83, respectively. The explanatory factor analysis showed 14 factors with 68.29% total variance and 0.88 Kaiser-Meyer-Olkin index. The results were also confirmed with confirmatory factor analysis (relative Chi-square = 2453.49, Root Mean Square Error of Approximation = 0.04). The reliability of the RSC instrument, as measured by internal consistency, was found to be satisfactory (Cronbach ${\alpha}=0.94$). The results of test-retest reliability was r = 0.85, p < 0.001. Conclusion: The results of the study suggest that the measure shows acceptable validity and reliability.

Cultural syndromes in Koreans and others - a medical anthropology in search for resolution and prevention

  • Lee, Sok Kyu
    • Journal of Medicine and Life Science
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    • 제16권3호
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    • pp.76-79
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    • 2019
  • Korean Physicians encounter often the patients with cultural syndromes. This paper surveys those cultural syndromes in Korea, contrasted with those in other countries in five different domains; socio-cultural, sexual, psychological, psychosomatic and religio-spiritual. I discovered three natural consequences if not intervened; 1) healed and readjusted, 2) paradigmatically shifted for the better results and 3) mal-adjustment for the worse. In the hope to let the culture shifted toward better one, I propose to allow our Koreans to be educated, inspired by Park Wansoe's novel; 'Dreaming in an Incubator(꿈꾸는 인큐베이터)'.

간호사가 인지하는 조직문화와 정보역량간의 정준상관관계 (Canonical Correlation between Organizational Culture and Informatics Competency)

  • 김명수
    • 간호행정학회지
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    • 제16권2호
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    • pp.172-179
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    • 2010
  • Purpose: The purpose of this study was to examine the canonical correlation between organizational culture and nurses' informatics competency. Method: Participants in this study were 354 nurses from three hospitals and one university. The scales of organizational culture, informatics competency for nurses were used. Descriptive statistics, Pearson correlation coefficient, canonical correlation were used for data analysis. Results: The dominant organizational culture was hierarch-oriented culture. Nursing informatics competency of the participants was relatively low with a mean score 3.04. Organizational culture was related to informatics competency with 2 significant canonical variables. The first variate showed the higher four subcategories of organizational culture showed the better nursing informatics. The second variate indicated that nurses felt higher innovation-related and lower hierarch-related culture showed higher medical informatics-related software usage and computer related information management, lower perception of informatics and information search using internet. Conclusion: Organization culture has a major of impact on the success of information system use. Therefore, the continuous strategy for higher innovation-related organizational culture such as management support should be needed.

의료서비스디자인 사례분석을 통한 의료권위주의 해소를 위한 시사점 연구 (A study on the implications for resolving medical authoritarianism through case analysis of medical service design)

  • 정성모
    • 한국융합학회논문지
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    • 제11권9호
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    • pp.333-340
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    • 2020
  • 본 연구의 목적은 의료서비스의 불만을 해결하고 서비스 품질을 향상시키기 위하여 도입된 의료서비스디자인이 의료내적, 외적요소에서 발생하는 의료권위주의의 해소에 기여한 점은 무엇인지 알아보고 의료서비스산업을 더욱 발전시키기 위해 필요한 시사점을 도출하는 것이다. 연구의 방법은 첫 번째로 문헌연구를 통하여 의료권위주의의 개념을 고찰하고 의료권위주의가 나타나는 의료내적요소와 외적요소의 구성요인에 대하여 살펴보았다. 두 번째로 의료내적요소와 외적요소에 내재되어 있는 의료권위주의를 해소한 국내외 의료서비스디자인의 사례를 조사하여 핵심 결과를 중심으로 문제해결의 핵심 포인트와 의의를 분석하였다. 세 번째로 사례분석을 통하여 환자에 대한 존중과 존엄성을 세울 수 있는 환자중심의료문화의 형성, 의료권위주의 해체를 위한 의료진 내부의 인습타파, 의료정보공유를 위한 공정한 소통시스템의 구축을 시사점으로 도출하였다.