• 제목/요약/키워드: performance measures

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응급의료센터 성과 평가 기준개발과 적용 (Performance Evaluation of Emergency Medical Center)

  • 강철환;김윤;이평수;권영대;김창엽;신영수
    • Journal of Preventive Medicine and Public Health
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    • 제30권4호
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    • pp.884-892
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    • 1997
  • Currently, there are 100 community emergency centers which expect to provide professional emergency care like Level 1 trauma centers in U.S.A. To evaluate perforance of emergency centers, most studies have been widely adopted death rate based methods such as Trauma and Injury Severity Score(TRISS) and A Severity Characterization of Trauma(ASCOT). However, these methods are only applicable in situation where registration process of trauma patients is well established. Therefore, an alternative method should be applied to evaluate performance of emergency centers in Korea which does not have well-developed registration scheme. This study aims to develop new performance measures which are applicable to Korea and evaluate performance of 35 community emergency centers through new measures. The new measures are included that 'W-statistic' ; death rate calculated on the basis of International Classification based Injury Severity Score(ICISS), and 'the degree of severity' ; rate of severe trauma patients of each emergency medical centers. The study results can be summarized as follows. First, about 34% of sample emergency centers show they provide proper care in terms of their function. Second, tertiary hospitals, university hospitals, and hospitals located in Seoul show higher severity degree of patients and lower severity-adjusted death rate.

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교량 자산관리의 서비스수준 결정을 위한 성능척도 개발에 관한 기초연구 (A Study on Development of Performance Measures for Level of Service(LOS) of Bridge Asset Management)

  • 선종완;박경훈;이민재;박철우
    • 한국건설관리학회논문집
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    • 제12권2호
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    • pp.101-110
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    • 2011
  • 사회기반시설물 중 교량은 다른 시설물보다 열악한 환경에 노출되며, 파손 등이 발생할 경우 훨씬 심각한 결과를 야기할 수 있으므로 일정 수준 이상의 안전에 관한 성능을 반드시 유지하여야 한다. 하지만 향후 교량의 유지관리를 위한 예산 및 인적자원은 더욱 한정되어 갈 것이다. 자산관리기법은 이러한 한정된 자원으로 효율적인 교량의 유지관리를 위한 중요한 대안이 될 수 있다. 자산관리기법을 적용하기 위해서는 교량이 제공하는 서비스의 수준(Level of Service; LOS)을 평가하기 위한 방법이 결정되어야 하며, LOS는 성능척도(Performance Measures; PM)를 통해 정량적으로 결정될 수 있다. 본 논문은 교량 자산관리를 위한 PM을 개발하였으며, PM을 활용한 LOS 평가 방법을 정립하였다. 이러한 LOS 평가 결과를 활용하여 자산관리 대상, 항목 등을 결정할 수 있으며, 효율적이고 합리적인 교량의 자산관리관련 의사결정을 도울 수 있을 것으로 판단된다.

의료의 질 향상을 위한 환자중심 건강결과 측정의 국제 동향과 국내 시사점 - OECD PaRIS를 중심으로 (International Trends on Patient-Reported Outcome Measures for Improving Care Quality and Its Implication for South Korea: Focus on OECD PaRIS)

  • 최지숙;박영신;김지애;박춘선
    • 한국의료질향상학회지
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    • 제25권1호
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    • pp.11-28
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    • 2019
  • Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

4차 산업혁명 시대의 CMMI 품질성과관리 연구 (The Quality Performance Management of CMMI in the Era of Industry 4.0)

  • 조경식;신완선
    • 품질경영학회지
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    • 제47권1호
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    • pp.17-32
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    • 2019
  • Purpose: CMMI is a process model used to assess or improve an organization's software development capabilities. This paper deals with the quality indicators when using CMMI and their priorities for possible improvement. Methods: The 22 process areas and 167 practices of CMMI are matched with 60 indicators of Quality Scorecard(QSC) first to analyze the balance of CMMI in terms of prevention, appraisal, and final result categories and second to isolate a set of key areas for quality focused performance measures. Results: A total of 86.2% (144 out of 167) CMMI practices were mapped to QSC. According to the CMMI level of maturity, level 2 and 3 accounted for more than 75% of the total. The practices at the maturity level of 4 and 5 were mapped to more than 52% of the final result's measurements. It has been observed that CMMI practices need further elaboration at higher levels to consider prevention, appraisal, and final results simultaneously. Conclusion: In order to improve the quality performance of the organization by applying CMMI, the final result measures should be refined in metrics, cycles, and methods, and then corrective actions could be conducted to improve the performance of CMMI practices. This strategy would help the practitioners benefit from CMMI in fostering the overall quality level of key activities for the organization's business goals.

음성 특성 지표를 이용한 음성 인식 성능 예측 (Speech Recognition Accuracy Prediction Using Speech Quality Measure)

  • 지승은;김우일
    • 한국정보통신학회논문지
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    • 제20권3호
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    • pp.471-476
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    • 2016
  • 본 논문에서는 음성 특성 지표를 이용한 음성 인식 성능 예측 실험의 내용을 소개한다. 선행 실험에서 효과적인 음성 인식 성능 예측을 위해 대표적인 음성 인식 성능 지표인 단어 오인식률과 상관도가 높은 여러 가지 특성 지표들을 조합하여 새로운 성능 지표를 제안하였다. 제안한 지표는 각 음성 특성 지표를 단독으로 사용할 때 보다 단어 오인식률과 높은 상관도를 나타내 음성 인식 성능을 예측하는데 효과적임을 보였다. 본 실험에서는 이 결과를 근거하여 조합에 사용된 음성 특성 지표를 채택하여 4차원 특징 벡터를 생성하고 GMM 기반의 음성 인식 성능 예측기를 구축한다. 가우시안 요소를 증가시키며 실험한 결과 제안된 시스템은 babble 잡음, 자동차 잡음에서 모두 SNR이 낮을수록 단어 오인식률을 높은 확률로 예측함을 확인하였다.

수리 가능한 부품통제를 위한 성능측정수단에 관한 연구 (A Study on the Performance Measure for Recoverable Item Control)

  • 김지승;김병극
    • 산업경영시스템학회지
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    • 제19권40호
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    • pp.23-28
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    • 1996
  • This paper deals with performance measures for recoverable item control where the demand process is time-dependent. The performance measure is essential for modelling a multi-echelon inventory problem for repairable items. Most repairable items are expensive and have a great influence on the performance of equipments. Thus the information on these items is very useful to the decision maker. The purpose of this paper is to derive the system performance measure and the part(component) performance measure considering a cannibalization policy under the dynamic environment.

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신경회로망을 이용한 Single-line Display Menu의 수행도 예측모형 (Performance model of the single-line display menu using neural network approach)

  • 곽지영
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1995년도 추계학술대회논문집
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    • pp.214-218
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    • 1995
  • A lot of design guidelines have been proposed for menu-drive interfaces, but they are applicable only to the menus on ordinary CRT displays. Many hardware products, however, cannot employ large displays because of the cost and space limitations. Instead, a single-line display menu (SDM) is widely used, and the designers need useful guidelines applicable to the SDM. A focus is often placed upon the optimal menu structure, but only the standard menu structures, such as $64^{\1}, 8^{\2}, 4^{\3}, and 2^{\6}$, are tested for optimality. In many cases, however, ill defined or asymmetric structures are suggested as design alternatives. To determine the optimal menu structure, user performance should be obtained in terms of quantitative measures for each of the optional structures considered. Hence, a model is needed to provide a predicted value of user performance for a given menu structure. Although severaal models have been proposed for ordinary menus, none is available for the SDM yet. A performance model was developed in this study using the neural network approach. A The model developed in this study is capable of providing quantiative measures of human performance for any menu structures without conducting additional experiments, which will save much time and reduce the design cost.

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