• 제목/요약/키워드: quality assurance (QA)

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고선량률 근접 방사선 치료를 위한 실시간 온-라인 정도 관리(QA) 시스템 개발 (Real Time On-line Quality Assurance System for HDR Brachytherapy)

  • 이수진;이레나;이병용;임상욱;최진호
    • 한국의학물리학회지:의학물리
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    • 제15권3호
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    • pp.156-160
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    • 2004
  • 고선량률 후 장착 근접치료 과정에서의 필수적인 정도 관리(QA) 과정은 Ir-192 선원 위치의 정확성을 검증하는 것이다. 눈금자나 방사선 사진(autoradiograph), 비디오 모니터(video monitor) 등을 이용한 여러 방법들이 Ir-192 선원의 위치적인 오차를 점검하기 위해 사용됨이 보고되고 있다. 본 논문에서는, fluorescent screen 과 CMOS (Complementary Metal Oxide Semiconductor) PC 카메라를 이용하는 방법을 새로운 고선량률 근접치료의 정도 관리 (QA) 도구로 사용할 수 있는 가능성에 대해 연구하였다. 계획된 dwell position 과 그 측정값은 1 mm 이내에서 일치함을 보였고, dwell time의 정확성은 0.4초 이내였다. 이번 연구의 결과는 CMOS PC 카메라를 사용하여 새롭게 제작된 정도 관리(QA) 시스템이 선원의 위치와 dwell time점검이 실시간으로 가능한 정도 관리(QA) 도구로 사용될 수 있음을 보여준다.

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재난대응조직 연령구성비 변화가 조직효과성 및 서비스질 보장활동에 미치는 영향에 관한 실증분석 - 서울지역 현장활동 소방공무원을 중심으로 - (An empirical study of the impact which the change of age ratio of disaster response organization has on organization effectiveness and quality assurance - Focused on field activities firefighters in Seoul metropolitan city -)

  • 박찬석
    • 대한안전경영과학회지
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    • 제16권4호
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    • pp.133-145
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    • 2014
  • Aging of the fire organizations, typical disaster response agencies also will be in serious problems with aging society. It is expected that the ratio of more than fifties will reach 31~40% after 10~15 years in Seoul fire organization. This Aging of firefighters can bring about a serious problem in disaster and safety management, since firefighters require robust fitness and healthy bodies in disaster situations. In this study, after the analysis of aging status and trend of firefighters in Seoul, I have an empirical analysis about the impact this aging has on organization effectiveness and QA. As a result, the increase of the elderly reduced organization effectiveness and QA. In addition, in the group consisting of less than 50, it is expected to increase the organization's effectiveness and QA activities through field activity to improve the professional skills with age, but could not be confirmed. In the group consisting of more than fifties, it was found that aging had a significant negative impact on organizational effectiveness and QA activities as factors, including physical deterioration by aging.

응급실에서의 질 향상 기법 적용 (Application of General QA Tools to Quality Improvement Activities in a Hospital's Emergency Room)

  • 황지인;황정해;김창엽;선희영;오병희
    • 한국의료질향상학회지
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    • 제6권1_2호
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    • pp.136-149
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    • 1999
  • Background : Although a number of studies are related to QA improvement, there are few studies applied various method of QA tools. This study reviewed the availability of general quality assurance(QA) tools according to ten steps in performing quality improvement activities at emergency room of a tertiary teaching hospital which has more than 1,000 beds. Methods : All patients in emergency room from 15th Oct. 1997 to 5th Sep. 1998 were surveyed. The survey data based on the patient's records of emergency room were evaluated according to length of stay, and we tried to identify problems with management of emergency room. To solve the problems, our team applied general QA tools(brainstorming, flow chart, nominal group technique, benchmarking, cause-and-effect diagram, run chart, control chart) to quality improvement activities and discussed the availability of the tools. Results : After the activities such as changes of staffing, the establishment of local area network and chest pain clinic, application of triage and so on, the percentage of patient who had stayed more than six hours was reduced from 56.0% to 46.8%. The mean number of patients per day in emergency room was increased from 49 to 62. But the reporting time for laboratory test was not changed after these activities. Conclusion : Each QA tool has unique benefit and limitation, but we can implement and evaluate the quality improvement activities more scientifically and systematically by applying these tools to practice according to QA ten steps.

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e-Learning QA 표준화 전략에 관한 연구 (A Study on the Standardization Strategy for e-Learning Quality Assurance)

  • 한태인;김광명
    • 디지털융복합연구
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    • 제3권2호
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    • pp.143-157
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    • 2005
  • Many papers point out that the e-Learning is one of the most important industries, and the effect on other industries can be more powerful than any other business. Therefore, we think about social, cultural, industrial and technological effect of the e-Learning in order to enlarge industry scale as well as educational performances. In many cases of developed countries, various kinds of study have been performed for the e-Learning quality assurance because quality of the e-learning should operate on effective and efficient learning and continuous market development of education industries. The e-Learning quality assurance has import function not only for learning contents reusability like a SCORM and metadata but also for learning system, solution and service operation, so activities for the quality assurance should consider of cultural and tactical approach when it is applied in the e-learning business. In this paper, we present the concept, domain and purpose of the e-Learning quality assurance. Furthermore, this paper proposes the process and methodology in order to make the quality assurance standard model which is consist of 6 phase such as Environment Research, Needs Analysis, Framework, Metrics, Development and Implementation, Evaluation and Feedback through the analysis and comparison of pre-studied worldwide quality control, management and assurance documents.

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국제품질보증 시스템 인증이 국내 기업의 품질경영에 미치는 영향 및 문제점에 관한 연구 (The Study of Effectiveness/Problems for Quality Management of Domestic Enterprise on International Quality Assurance System)

  • 장태영;김원중
    • 산업경영시스템학회지
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    • 제22권49호
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    • pp.169-182
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    • 1999
  • Nowadays most companies are required to acquire the quality assurance system for their survival. It is essential to improvement company's competitive power that Certification of Quality Assurance System but there are many problems. To analysis the effects of ISO 9000 series/QS-9000 QA systems to the Domestic Company Quality Improvement as well as quality consciousness, data has been surveyed form quality assurance engineers who have work on certification activities. The data is analyzed using relevant tabulations of five scale or paired t test method in order to compare level of quality management of pre-certification with that of post-certification. It is analyzed in two parts which are qualitative effects and quality maturity grid. Also, to analysis for the bottlenecks and problems the data is analyzed using frequency analysis method.

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Enhancing value of quality assurance rounds in improving radiotherapy management: a retrospective analysis from King Hussein Cancer Center in Jordan

  • Khader, Jamal K.;Al-Mousa, Abdelatif M.;Mohamad, Issa A.;Abuhijlih, Ramiz A.;Al-Khatib, Sondos A.;Alnsour, Anoud Z.;Asha, Wafa A.;Ramahi, Shada W.;Hosni, Ali A.;Abuhijla, Fawzi J.
    • Radiation Oncology Journal
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    • 제37권1호
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    • pp.60-65
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    • 2019
  • Purpose: The quality assurance (QA) chart rounds are multidisciplinary meetings to review radiation therapy (RT) treatment plans. This study focus on describing the changes in RT management based on QA round reviews in a single institution. Materials and Methods: After 9 full years of implementation, a retrospective review of all patients whose charts passed through departmental QA chart rounds from 2007 to 2015. The reviewed cases were presented for RT plan review; subcategorized based on decision in QA rounds into: approved, minor modifications or major modifications. Major modification defined as any substantial change which required patient re-simulation or re-planning prior to commencement of RT. Minor modification included treatment plan changes which didn't necessarily require RT re-planning. Results: Overall 7,149 RT treatment plans for different anatomical sites were reviewed at QA rounds. From these treatment plans, 6,654 (93%) were approved, 144 (2%) required minor modifications, while 351 (5%) required major modifications. Major modification included changes in: selected RT dose (96/351, 27%), target volume definition (127/351, 36%), organs-at-risk contouring (10/351, 3%), dose volume objectives/constraints criteria (90/351, 26%), and intent of treatment (28/351, 8%). The RT plans which required major modification according to the tumor subtype were as follows: head and neck (104/904, 12%), thoracic (12/199, 6%), gastrointestinal (33/687,5%), skin (5/106, 5%), genitourinary (16/359, 4%), breast (104/2387, 4%), central nervous system (36/846, 4%), sarcoma (11/277, 4%), pediatric (7/251, 3%), lymphoma (10/423, 2%), gynecological tumors (2/359, 1%), and others (11/351, 3%). Conclusion: Multi-disciplinary standardized QA chart rounds provide a comprehensive and an influential method on RT plans and/or treatment decisions.

2009 오키나와 Deep Mixing 심포지엄 및 공동연구 (International Symposium and Collaborative Study on Deep Cement Mixing, Okinawa 2009)

  • 정경환;신민식;한경태;이정화;김재환
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2008년도 춘계 학술발표회 초청강연 및 논문집
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    • pp.972-978
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    • 2008
  • Quality Assurance of Deep Mixing to fulfill the requirements of geotechnical design cannot be achieved only by the process control During production conducted by the deep mixing contractor but it should involve relevant activities that are carried out prior to, during and after the construction by all the parties involved in a deep mixing project. The requirement is different for different application, and hence, QA/QC method/procedure and verification technique may be different for different application. In order to maintain the high quality of deep mixing work in the global market, it is necessary to conduct a research project, such as investigation of illustrations, the variety of existing QA/QC methods/procedures, the correlation between the outcomes of different QA/QC methods. In these reason, it has been held the international meeting to discuss them, in that kind of activities in 2009 it will be held Symposium. Also Collaborative study for QA/QC is on goin, and conduction by all participated members. The subject for collaborative study are, task 1 : investigation of laboratory tests procedures, task 2 : comparing of different laboratory tests procedures, task 3 : QA/QC method/procedures, task 4 : integrated Task1 ~task 3. The discussion of the results in all task will be held in the Symposium separately. In this paper, it was presented four tasks. Also the results in task 1 and 2 conducting domestically until now, such as investigation of laboratory test procedures, effect on the unconfined compressive strength by aging temperature and by delayed time.

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새로운 품질보증(品質保證)을 위한 자동검사(自動檢査)데이터의 활용(活用)에 관(關)한 연구(硏究) (A Study on the use of Automotive Testing Data for Updating Quality Assurance Models)

  • 조재입
    • 품질경영학회지
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    • 제11권2호
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    • pp.25-31
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    • 1983
  • Often arrangement for effective product assessment and audit have not been completely satisfactory. The underlying reasons are: (a) The lack of early evidence of new unit quality. (b) The collection and processing of data. (c) Ineffective data analysis techniques. (d) The variability of information on which decision making is based. Because of the nature of the product the essential outputs from an affective QA organization would be: (a) Confirmation of new unit quality. (b) Detection of failures which are either epidemic or slowly degradatory. (c) Identification of failure cases. (d) Provision of management information at the right time to effect the necessary corrective action. The heart of an effective QA scheme is the acquisition and processing of data. With the advent of data processing for quality monitoring becomes feasible in an automotive testing environment. This paper shows how the method enables us to use Automotive Testing data for the cost benefits of QA management.

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수술 예방적 항생제의 사용 현황 및 관리전후 효과 (The prophylactic uses of antibiotics for the prevention of surgical site infection and the effects: The 3-year experience in a tertiary hospital)

  • 양지연;김문숙;김유정;이은봉
    • 한국의료질향상학회지
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    • 제18권1호
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    • pp.71-78
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    • 2012
  • Background : The objective of this study was to examine the effect of management system for the appropriate prophylactic use of antibiotics in surgical patients at a tertiary hospital from 2007 to 2010. Methods : We collected clinical data of three different surgical procedures(colectomy, heart surgery, hysterectomy) for three months of 2007 and 2010, respectively. The number of total cases was 245(137, 54, 54) in 2007, 240(133, 42, 65) in 2010. We measured the rate of use of inappropriate prophylactic antibiotics, administration within 1 hour prior to the incision and the antibiotics prescription days after surgery. To evaluate the effectiveness of the management system, the results of the two groups(Group1=2007, Group2=2010) were compared by t-test, chi-square test or Fisher's exact test. Result : The rate of Aminoglycoside uses decreased drastically from 11.4% to 0.8%(P<.001). The selection of 3rd/4th Cephalosporin dropped from 11.8% to 5.8%(P=.020). The combination of antibiotics decreased from 27.8% to 11.7%(P<.001). The antibiotic prescription rate on discharge declined from 11.8% to 2.5%(P<.001) and the number of antibiotics prescription days after surgery was shortened from 4.2 days to 2.3 days(P<.001). No significant difference in the rate of administration within 1 hour between two groups was found. Through 3-year management, 5 out of 6 measures were significantly improved(except the administration within 1 hour). The rate of surgical site infection decreased from 2.4% to 1.3%(P=.504). Conclusion : The findings demonstrate that the management system for the prophylactic use of antibiotics in surgical patients was effective in decreasing the rate of surgical site infection during 3 years.

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