• 제목/요약/키워드: preventive system

검색결과 2,028건 처리시간 0.031초

일반 질 지표로서의 위험도 표준화 재입원율의 적절성 (Is the Risk-Standardized Readmission Rate Appropriate for a Generic Quality Indicator of Hospital Care?)

  • 최은영;옥민수;이상일
    • 보건행정학회지
    • /
    • 제26권2호
    • /
    • pp.148-152
    • /
    • 2016
  • The hospital readmission rate has been widely used as an indicator of the quality of hospital care in many countries. However, the transferrability of this indicator that has been developed in a different health care system can be questioned. We reviewed what should be considered when using the risk-standardized readmission rate (RSRR) as a generic quality indicator in the Korean setting. We addressed the relationship between RSRR and the quality of hospital care, methodological aspects of RSRR, and use of RSRR for external purposes. These issues can influence the validity of the readmission rate as a generic quality indicator. Therefore RSRR should be used with care and further studies are needed to enhance the validity of the readmission rate indicator.

Quasi-renewal 이론을 이용한 발전설비의 불완전한 유지보수 예방정비 계획 (Imperfect Preventive Maintenance Plan of Generation Unit Using Quasi-renewal Theory)

  • 김형준;변융태;김진오;이준경
    • 전기학회논문지
    • /
    • 제57권5호
    • /
    • pp.735-740
    • /
    • 2008
  • Recently, the research of PM (Preventive Maintenance) method on the RCM(Reliability-Centered Maintenance) of the system equipment is being actively advanced for a few years. For the most of the current power equipment maintenance, the state of the equipment after maintenance is assumed to be becoming 'as good as new ones' state. However, the state of the power equipment is maintained like the states of the between 'as good as new ones' and 'as bad as old ones' by imperfect maintenance that implies the life decrease of the equipment by frequent breakdown, the error of maintenance process, and so on. So, the Maintenance method considering the real case has to reflect Imperfect maintenance than perfect maintenance. This paper suggests the Preventive Maintenance method by using Quasi - Renewal Theory for the gas turbine equipment as deliberating the imperfect maintenance for the real cases.

절삭공정의 변이와 고장에 의한 가공공구의 마모한계 (Wear Limit of Tool by the Shift and Failure of a Machining Process)

  • 이도경
    • 산업경영시스템학회지
    • /
    • 제18권35호
    • /
    • pp.9-16
    • /
    • 1995
  • The degeneration of tool in material removal processing machinery can be characterized by wear, deflection, chattering and any failure in tool or in the material In be processed. In the previous studies, first three of them are analyzed as a preventive maintenance strategy in quality control area. The last of them, any failure, is analyzed as a preventive maintenance strategy in reliability area. In this research, we propose a simple integrated mathematical model which minimizes the cost of machinery failures and producing defects. We determine the optimal wear limit of tool by considering the percent defects. cost, the preventive maintenance cost, and the corrective maintenance cost.

  • PDF

Group Antenatal Care: A Paradigm Shift to Explore for Positive Impacts in Resource-poor Settings

  • Gaur, Bhanu Pratap Singh;Vasudevan, Jyothi;Pegu, Bhabani
    • Journal of Preventive Medicine and Public Health
    • /
    • 제54권1호
    • /
    • pp.81-84
    • /
    • 2021
  • The delivery of high-quality antenatal care is a perennial global concern for improving maternal and neonatal outcomes. Antenatal care is currently provided mainly on a one-to-one basis, but growing evidence has emerged to support the effectiveness of group antenatal care. Providing care in a small group gives expectant mothers the opportunity to have discussions with their peers about certain issues and concerns that are unique to them and to form a support system that will improve the quality and utilization of antenatal care services. The aim of this article is to promote group antenatal care as a means to increase utilization of healthcare.

텍스트 마이닝을 활용한 건설안전사고 빅데이터 분석 (Big Data Analytics of Construction Safety Incidents Using Text Mining)

  • 서정욱;송지훈
    • 한국산업융합학회 논문집
    • /
    • 제27권3호
    • /
    • pp.581-590
    • /
    • 2024
  • This study aims to extract key topics through text mining of incident records (incident history, post-incident measures, preventive measures) from construction safety accident case data available on the public data portal. It also seeks to provide fundamental insights contributing to the establishment of manuals for disaster prevention by identifying correlations between these topics. After pre-processing the input data, we used the LDA-based topic modeling technique to derive the main topics. Consequently, we obtained five topics related to incident history, and four topics each related to post-incident measures and preventive measures. Although no dominant patterns emerged from the topic pattern analysis, the study holds significance as it provides quantitative information on the follow-up actions related to the incident history, thereby suggesting practical implications for the establishment of a preventive decision-making system through the linkage between accident history and subsequent measures for reccurrence prevention.

한의원의 전문화가 경영성과에 미치는 영향 (Effects of the Specialization on the Profit of Oriental Medicine Clinics)

  • 이정석;이선동;김진현
    • 대한예방한의학회지
    • /
    • 제2권1호
    • /
    • pp.145-163
    • /
    • 1998
  • At the result of data analysis with sample survey, oriental medicine clinics which treat particular kinds of illness with specialization make the profit of 1.6 times and the expense of 0.74 times more than those which treat general diseases, namely, the former gain the profit of about 2.9 times more than the latter. After excluding other variables which affect in the profit of oriental medicine clinics with multiple regression model, when considering only advantage of treatment for particular kinds of illness, specialized oriental medicine clinics win the more profit of 18.3 percent than general oriental medicine clinics. The specialization of oriental medicine clinics can become one of the positive measures in the situation of enlargement of medical of oriental medicine, falling of oriental medicine price and conflict of western and oriental medicine, etc. The specialization can help western medicine replace with oriental medicine, and level and scientific system of oriental medicine improve. Medical service for particular diseases, one of the better devices for improving profit of oriental medicine clinics, can theoretically make more advantage of oriental medicine clinics through measure of price discrimination than general medicine clinics.

  • PDF

여성 노인의 식이요인과 인지기능 감퇴의 관련성 (Association of Dietary Factors with Cognitive Impairment in Older Women)

  • 김진희;한근식;이윤환
    • Journal of Preventive Medicine and Public Health
    • /
    • 제37권2호
    • /
    • pp.174-181
    • /
    • 2004
  • Objective : To examine the association between dietary factors and cognitive impairment in older Korean women living in the community. Methods : Wave 2 data, from the Suwon Longitudinal Aging Study (SLAS), of 365 women aged 65 years or over, were used. The Korean version of the 30-point Mini-Mental State Examination (MMSE-K) was used to assess cognitive impairment (score$\geq$19). Dietary habits and frequencies of food group consumption were also examined. Results : A total of 67 women (18.4%) were found to be cognitively impaired. In bivariate analyses, nondietary factors, such as age, marital status, education, income, self-rated health, depression, emotional support, social activity, exercise, and dietary factors, such as self-rated nutritional status, frequency of beans and bean products and milk and dairy products consumption were associated with cognitive impairment. In the multivariate analysis, a higher frequency ($\geq$1 vs. <1 time/day) of beans and bean products (OR=0.48, 95% CI: 0.23-0.99) and milk and dairy products (OR=0.25, 95% CI: 0.10-0.61) consumption was inversely associated with cognitive impairment, after adjustment for non-dietary factors. Conclusion : These results suggest that dietary factors may play a significant role in cognitive impairment of older Korean women.

한의학 치료율 제고 방안에 관한 연구 (Treatment Rate-up Methods in the Oriental Medicine)

  • 이선동
    • 대한예방한의학회지
    • /
    • 제3권1호
    • /
    • pp.35-54
    • /
    • 1999
  • This thesis shows about the meaning of treatment rate increasing, the current treated level and the reason of low treatment rate and increasing methods. 1. Treatment rate incresing means high treat level within short time, keeping treatment effect for a long time as well as raising treatment rate. 2. The current by diseases each others completed treatment rate of oriental medicine is 14.0% to 89.7%$(mean:\;{\pm}40.0%)$. Therefore the rate is show too low. 3. The reasons of low treatment rate; low academic level of oriental, academic limitation, clinic and prevention problem of oriental medicine, lack of medical approch suitable for current diseases and symptoms, mostly incurrable diseases using oriental medicine, lack of preventive education, disappropriate medical service and nonspecialty of the treatment, etc. 4. The next methods for incresing the treatment rate must be improved; such as accurate establishment of process that diagnosis symptoms and treats them, system research of microdiagnosis, positive treatment with medicine and nonmedicine method at the same time, appropriate subdivision and actualization of clinical basic research, research of dose and response, diversity of treatment methods and forms, development of treatment service and prevention based on health level, enormous change as cure medicine and opening-up of new disease field, specialization of medical examination, reinforcement of public medical part and herbal drugs use with same origin, mental and pysical stability of patients, accurate extract and oral drinking ways, etc.

  • PDF

A Study on Trouble Management and Necessity for Preventive Check in PACS

  • Son, Gi-Gyeong;Sung, Dong-Wook;Shin, Jin-Ho;Jeong, Jae-Ho;Kang, Hee-Doo
    • 대한디지털의료영상학회논문지
    • /
    • 제8권1호
    • /
    • pp.39-43
    • /
    • 2006
  • PACS has been run at the Kyung Hee University Medical Center since 2001, and the installation and operation of PACS have contributed to automation and quantification of center's medical environment. In order to classify tile annual number of trouble cases processed by PACS, the authorshave made a classification code system which enabled detailed statistical processes for each section. Such process method has not only shown the management efficiency to trouble management of PACS, but also raised the interests in frequently occurring troubles, and enabled the prediction of troubles that may occur hereafter. Predictable troubles lead to preventive check, and this has direct effects on medical treatment and the hospital administration. The authors intend to arouse the necessity of preventive check of PACS by analyzing trouble management processes for the last 1 year.

  • PDF

서울시 대기 부유 분진중 중금속에 대한 발암 위해성 평가 (Carcinogenic risk assessment of heavy metals in suspended particulates of Seoul)

  • 신동천;정용;김종만;임영욱
    • 한국대기환경학회지
    • /
    • 제10권2호
    • /
    • pp.105-115
    • /
    • 1994
  • This study was conducted to assess the health risk of carcinogenic heavy metals such as arsenic, nickel, chromium and cadmium Ambient concentrations of these metals were measured bimonthly, during May 1987 to March 1988. Respirable Particle concentrations of As, Ni, Cr, Cd in traffic area(Shinchon) were 16ng/㎥, 43ng/㎥, 4.2ng/㎥, 6.6ng/㎥, respectively, and in residential area(Bulkwang) were 25ng/㎥, 32ng/㎥, 4.7ng/㎥, 8.9ng/㎥, respectively. Carcinogenic risk of each metal was calculated by multiplication of ambient concentration and unit risk of the metal which was referred to recent version of Integrated Risk Information System(IRIS). Sum of the risk from these for metals was 9.8$\times$10$^{-5}$ as individual risk in traffic area and 13.9$\times$10$^{-5}$ in residential area.

  • PDF