• 한국의료질향상학회지
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• 제26권2호
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• pp.56-65
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• 2020

Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

• 한국간호교육학회지
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• 제15권1호
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• pp.44-52
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• 2009

Purpose: This study was done to investigate emergency nurses' perceived competency and frequency of 17 educational interventions. Methods: A mail survey was administered to a convenience sample of 744 nurses in 143 emergency departments across the nation. Results: The mean score for overall competency was 2.90 out of 4. The competency score for staff education (2.40 out of 4) was lower than that of patient/family education (3.40 out of 4). The mean score for overall frequency was 3.34 out of 5. The frequency score for staff education (2.27 out of 5) was lower than that of patient/family education (4.39 out of 5). Emergency nurses' perceived competency was significantly correlated with frequency of educational interventions. Overall competency score was different according to the nurses' age, education, position, hospital experience, emergency experience and the type of emergency department. Conclusions: Although the overall competency is high, the competency on some areas of educational intervention remains insufficient. Educational programs to reinforce emergency nurses' educational competency and evidenced based protocols on education should be developed.

• 대한간호학회지
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• 제48권6호
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• pp.720-730
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• 2018

Purpose: The purpose of this study was to investigate patient safety teaching competency of nursing faculty and the extent of teaching patient safety topics in the nursing curriculum. Methods: A national survey was conducted with full-time nursing faculty in 4-year nursing schools. Regional quota sampling method was used. An online survey was sent to 1,028 nursing faculty and 207 of them were completed. Among the 207, we analyzed data from 184 participants. The revised Health Professional Education in Patient Safety Survey was used. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation analysis, and multiple linear regression analyses. Results: The faculty's self-confidence was lower than their perceived importance of patient safety education. The mean score of teaching patient safety was $3.52{\pm}0.67$ out of 5, and the contents were mostly delivered through lectures. The extent of faculty's teaching varied depending on faculty's clinical career, teaching subjects, participation in practicum courses, and previous experience of patient safety education. The significant predictors of the extent of teaching patient safety were the faculty's self-confidence in teaching patient safety (${\beta}=.39$) during clinical practicum, their perceived importance of patient safety education during lectures (${\beta}=.23$), and the teaching subject (${\beta}=.15$). Conclusion: To enhance the competency of nursing faculty for effective patient safety education, a patient safety education program tailored to faculty characteristics should be developed and continuously provided for faculty. In addition, it is necessary to improve patient safety curriculum, strengthen clinical and school linkages, and utilize various education methods in patient safety education.

• 대한물리치료과학회지
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• 제5권4호
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• pp.837-843
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• 1998

The purpose of this study was to examine the effect of optic pathway on human body during Proprioceptive Neuromuscular Facilitation(PNF) treatment. Specifically, it's intened to find out through electromyography(EMG), what kind on change occurred in a patient's muscle when the patient saw the motor direction or when the patient didn't. A pilot experiment Was made over the sophomores of Mokpo Science College the following findings were given; As an EMG was taken over three of muscles that worked during Flexion-Adduction-Ext. Rot., one of the PNF pattern, a patient showed relatively stronger muscle power while watching the movement with his eyes open than the same patient did with his eyes closed, and the disparity between the two cases Was statistically significant(P<0.05). In the pattern of Extension-Abduction-Int.Rot., a patient also showed relatively stronger muscle power while watching the movement than the same patient did without watching it, and the disparity between the two cases also were significant(P<0.05). As seen above, the effect of motor treatment, among physiotherapy methods seemed to be greater if a patient watched the motor direction during treatment, because it gave a stimulus to proprioception.

• 대한의용생체공학회:의공학회지
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• 제18권4호
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• pp.381-388
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• 1997

본 논문은 환자 모니터링 시스템에서 환자 모니터, 중앙 환자 모니터, DB서버 그리고 임상 의사용 워커스테이션을 연결하기 위한 인터베드 통신망의 통신방식의 설계와 구현에 대해 기술하였다. 실시간 생체신호 모니터링을 위해 필요한 조건들을 바탕으로 각종 메시지 형식과 교환방식을 결정하였으며, 객체지향 설계기법을 적용하여 구현하였다. 현재, 인터베드 통신방식을 사용하여 구현된 서비스는 모니터링 중인 환자들에 대한 정보를 제공하기 위한 환자 위치 결정 서비스와 실시간으로 환자의 생체 신호 정보를 전달하기 위한 원격 환자 모니터링 서비스이다. 임상 현장에서 실험한 결과 이들 서비스들이 실시간 생체신호 모니터링에 필요한 조건들을 모두 만족하고 있음을 확인하였다.

• 동서간호학연구지
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• 제27권2호
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• pp.114-123
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• 2021

Purpose: This study investigated the influence of nurses' organizational communication and self-leadership on patient safety competence in comprehensive nursing care units of small and medium-sized hospitals. Methods: A descriptive design was used and self-reported questionnaires were used to collect data from 165 nurses in Seoul from February to March, 2020. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression with SPSS/WIN 22.0 program. Results: A mean score of organizational communication was 3.20±0.49, self-leadership 3.58±0.50, and patient safety competency 4.01±0.49 out of 5. A significant positive correlation was found between patient safety competence, organizational communication and self-leadership. Self-leadership and combined ward explained 32% of the variance of patient safety competence (Adjusted R²=.32, p<.001). Conclusion: Patient safety competence in comprehensive nursing care units are associated with self-leadership and organizational communication. Systemic education to improve patient safety competence in small and medium sized hospitals should be implemented to promote organizational communication as well as self-leadership.

• 의학교육논단
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• 제21권2호
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• pp.80-91
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• 2019

The tripartite mission of 'academic medicine' is education, research, and patient care. Academic medical centers (AMCs) are carrying out the mission and ultimately aiming to improve the health of people and communities. Globally, AMCs are facing a tremendous financial risk stemming from the changes in health insurance reimbursement plans and a shortage of human resources. Innovative AMCs in the United States are trying to transform their physician-centered, and siloed structure into a patient-centered, and integrated structure. They are also building integrated systems with primary healthcare groups to provide continuous patient care from primary to tertiary levels and making strategic networks based on value-based payment and the patient-centered model. These changes have been proven to improve outcomes of patient care and increase fiscal revenues, which are both crucial in supporting education and research. To address the shortage of human resources, programs are being built to develop newly appointed faculty for the future. AMCs have different approaches to bringing changes into their organizations; however, there is a common emphasis on 'a patient-centered approach,' which helps them set more explicit organizational values and make strategic decisions based on their values. Korean AMCs are facing similar challenges to AMCs in the United States in spite of many differences between the countries' healthcare systems. The innovative efforts of AMCs in the United States to address the challenges will be helpful, well-worked examples for Korean AMCs with similar challenges.

• 한방안이비인후피부과학회지
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• 제21권3호
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• pp.235-240
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• 2008

Objective : To carry out the oriental medicine treatment on a patient with Retinal Artery Occlusion in the left Methods : 1. Diagnosis: Fundus photography, Colored paper. 2. Treatment: Acupunture, Herbal medications. Results : It reported that oriental medicine is an effective treatment for a patient who felt a pain in eyes and hardly recognized the light. Through the treatment, the patient is steadily able to relieve the pain in eyes; to be aware of the light; and to perceive the shape of the object and it' s movement. Conclution : 1. Retinal Artery Occlusion is acute disease that vision is diminished fastly and become a blindness. 2. It belong to the cathegory of Pock Maeng(暴盲) in Oriental Medicine. 3. We could get the effective result by providing the patient with Tongkuhwalhyol-tang and Moschus.

• Korean Journal of Acupuncture
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• 제34권3호
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• pp.172-178
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• 2017

Objectives : The purpose of this study is to report a case of traditional Korean Medicine effect on a patient with rhabdomyolysis who appealed leg pain, numbness and weakness. Methods : A patient received traditional Korean Medicine including acupuncture, herbal medicine, moxibustion, and cupping therapy daily. We evaluated the clinical results by observing the patient's symptoms, NRS(Numerical Rating Scale), MMT(Manual Muscle Test) grade and DITI(Digital Infrared Thermal Imaging). Results : After traditional Korean Medicine, the patient's pain and numbness decreased from NRS 10 to 1~2 and weakness improved from Gr3- to Gr4. And CPK(creatine phosphokinase) numerical value decreased from 330(IU/L) to 164 and body heat status improved. Conclusions : Traditional Korean Medicine can be effective in reducing rhabdomyolysis patients' symptoms and changing examination numerical value. And further studies on traditional Korean Medicine of rhabdomyolysis should be carried out.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 1999년도 춘계학술발표대회 논문집
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• pp.45-48
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• 1999

The objective of this study is to introduce the spatial characteristics and the better arrangement of waiting areas in general hospital on comprehensing the patient's behavior as patient call-system and spatial characteristics is characteristics is changed. That is for improvement in the circumstance of waiting area more important than before, and for the patient satisfaction and patient's affirmative judgement of hospital quality by offering the convenience. Through this study, the way of improvement for waiting area can be suggested such as the beeper system, the restructuring of program information, the multiple aim space without hospital program, the reform of the seat's arrayal, the waiting area with conveniency.