• Title/Summary/Keyword: quality information & degree of use

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General Characteristics and Satisfaction of Out-patients of University Hospitals in Seoul, Korea (대학병원 외래환자의 일반적 특성과 만족도 - 서울시내 5개 대학병원을 대상으로 -)

  • Chang, Sung-Goo;Ha, Hun-Young;Shin, Young-Jun;Lee, Jong-Gil
    • Quality Improvement in Health Care
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    • v.2 no.2
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    • pp.130-145
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    • 1996
  • Purpose : the management of University Hospital is being challenged in maintenance of reasonable level of income and high ranked reputation by domestic competition with each other and emergence of enterprised owned hospitals. It is imperative that University Hospitals have to make management for patient satisfaction. Furthermore, increased patient's requirement for qualified hospital services (quality assurance) and low-estimated service fee also repress the hospital management condition as well as medical markets open following with Urguay Connection. Due to these unforable conditions surrounding hospital management, -University Hospitals are being pressed to seek improved management strategies. To develope the strategies, we need to have basic understanding about the problems on hospital management and detail information for various patient's requirement. Methods: For this study, we have analysed out-patients from five different University Hospitals located in Seoul, Korea. To obtain the data, we have carried out personal interviews with patients who patients who visit the Out-Patient Clinics of five different University Hospitals using a previously prepared questionnaire. Result: Around 65.7 percent of the visits to University Hospitals were indwelt in the vicinity of 1 hour and motuvation of visiting University Hospital was expending high wuality medical csre in 49.3 percent. The 79.3 percent of the patients have experienced inconvenience during medical care in University Hospital. The most inconvenient condition was waiting for doctors. The 57.2 percent of total patient have experienced rudness. The most rudness condition was registration and receipt desk in 44.4 percent. Patient expect that doctors working in University Hospitals as professors have high and updated medical knowledge(50.4%) and University Hospitals have a high quality medical care system(79.4%). The patient satisfaction was relatively low in 61.1 percent of total patient and revealed high frequency of again visit University Hospital in satisfaction group. Comparison of interhospital analytical study showed quite difference on various problems. Conclusion: Almost patients who visit to Out-Patient Clinic of University Hospital havevisiting motivation to high quality medical care. University Hospitals have several different unsatisfactorial factors and revealed different degree of patient satisfaction. In a future day, University Hospitals have to make use of another University Hospital's merits for approach of Benchmarking and also should be studied decision factors of patient satisfaction and interhospital difference of them.

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Analyzing Health Information Technology and Electronic Medical Record System-Related Patient Safety Incidents Using Data from the Korea Patient Safety Reporting and Learning System (환자안전보고학습시스템 자료를 활용한 의료정보기술 및 전자의무기록시스템 관련 환자안전사건 분석)

  • Cho, Dan Bi;Lee, Yu-Ra;Lee, Won;Lee, Eu Sun;Lee, Jae-Ho
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.57-72
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    • 2021
  • Purpose: At present, there are a variety of serious patient safety incidents related to problems in health information technology (HIT), specifically involving electronic medical records (EMRs). This emphasizes the need for an enhanced electronic medical record system (EMRS). As such, this study analyzed both the nature of and potential to prevent incidents associated with HIT/EMRS based on data from the Korea Patient Safety Reporting and Learning System (KOPS). Methods: This study analyzed patient safety incidents submitted to KOPS between August 2016 and December 2019. HIT keywords were used to extract HIT/EMRS incidents. Each case was reviewed to confirm whether the contributing factors were related to HIT/EMRS (HIT/EMRS-related incidents) and if the incident could have been prevented (HIT/EMRS-preventable incidents). The selected reports were summarized for general clarity (e.g., incident type, and degree of harm). Results: Of the 25,515 obtained reports, 2,664 incidents (10.4%) were HIT-related, while 2,525 (9.9%) were EMRS-related. HIT/EMRS-related incidents were the third largest type of incident followed by 'fall' and 'medication incidents.' More than 80% of HIT/EMRS-related incidents were medication-related, accounting for approximately one-third of the total number of medication incidents. Approximately 10% of HIT/EMRS-related incidents resulted in patient harm, with more than 94% of these deemed as preventable; further, sentinel events were wholly preventable. Conclusion: This study provides basic data for improving EMR use/safety standards based on real-world patient safety incidents. Such improvements entail the establishment of long-term plans, research, and incident analysis, thus ensuring a safe healthcare environment for patients and healthcare providers.

Evaluation of Transmission Quality for Stream-type traffics on Very High-speed Network (초고속 네트워크 상에서의 스트림형 트래픽의 전송 품질 평가)

  • Lee Yang Min;Lee Jae Kee
    • The KIPS Transactions:PartC
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    • v.11C no.6 s.95
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    • pp.773-780
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    • 2004
  • In this paper, we measured the transmission characteristics of a MPEG2 and a DV that are typical stream-type traffics on the very high speed network and carried out the subjective evaluation of end users for these stream-types. In the subjective evaluation of these stream-type data, video quality evaluation is based on ITU-R BT.500-1 and audio qualify evaluation is based on ITU-R BS.1116-1. Also experiment method to acquire the subjective evaluation of end users is selected the 5 grades method of DSCQS. Under the same condition, in case of MPEG2, the evaluation grade of the video and the audio duality becomes deteriorated at the load rate of $54\%$ that network traffic increases rapidly. In case of DV the evaluation grade of video duality began decrease, but the degree of the change was slower than MPEG2 at the same load rate. Moreover the subjective evaluation grade of end users was superior to load rate $70\%$ in case of DV audio quality, traffic and QoS control that consider the subjective evaluation of end user is required. Conclusively, in case of MPEG2, we can perform traffic control that only use the actual measurement values on the network. However in case of DV, we can perform traffic control that the actual measurement values on the network and the subjective evaluation of end users are considered at the same time.

Analysis of the Defects in Wooden Landscape Facilities according to the Type of Timber - Focused on the Defects in Pillars of Out Door Rest Furniture - (목재 조경시설물의 목재 종류별 하자분석 - 휴게시설물 목재기둥의 균열하자를 중심으로-)

  • Park, Won-Kyu;Shin, Hoon
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.3
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    • pp.81-90
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    • 2012
  • Improvements in the quality of life have resulted in a heightened awareness of safety and the environment. As a result, timber as an environmentally friendly material, is used for landscape facilities and a wide range of purposes. But there are a large number of defects since there are twists and cracks that can be found in wooden landscape facilities. This has led to the use of imported hardwood instead of the Western Hemlock which has been in widespread use. Hardwood is expensive. However, it is being used without any information or research on how much it reduces the actual defects. Construction contractors are in great need of information on the characteristics and defect rates of different types of timber. This study investigated and analyzed the cracks in four types of timber - namely the Western Hemlock, Burckella, Nyatoh and Malas - in order to provide basic information to construction contractor for them to be able to select and use the appropriate type of timber. The main results of this study are as follows. First, the Western Hemlock had 1.90 $cracks/m^2$, Malas had 0.83 $cracks/m^2$, Burckella had 0.14 $cracks/m^2$, and the Nyatoh had the least number of surface defects at 0.04 $cracks/m^2$. Second, while Malas has the highest degree of strength timber, Nyatoh had the smallest defect rate. This showed that having high timber strength does not necessarily mean it has less defects. Third, the Western Hemlock was the least expensive and Burckella was the most expensive. However, considering the cost of repairing defects, it would be economically advantageous to use Burckella and Nyatoh which have low defect rates. This study aimed to provide basic information to landscape construction contractors for them to be able to select and use the appropriate type of timber when constructing wooden outdoor rest furniture. The results are expected to contribute to quality enhancements and defect reduction in landscape facilities.

Evaluation of the Optimum Band When Estimate the Density of Chlorophyll-a In Landsat ETM+ Image (Landsat ETM+ 영상에서 클로로필a 농도 추정시의 최적밴드 평가)

  • Choi, Seung-Pil;Park, Jong-Sun
    • Journal of Korean Society for Geospatial Information Science
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    • v.14 no.2 s.36
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    • pp.63-68
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    • 2006
  • Although it is more recommended to use satellite images for an accurate understanding of the natural environment over a large area, what should proceed obtaining such satellite images is to make basic model equations based firmly upon the on-land experiments and field experiments. It may be more accurate and objective to investigate correlations between satellite images and actual water quality factors obtained for the same area. Thus, this study was conducted in order to determined which band of Landsat ETM+ images is appropriate to estimate the density of chlorophyll-a in a closed laboratory without atmospheric interference, using pure water and sea water. As a result of this study, it was found that the best band that exhibited the highest degree of correlations among the compounded bands rated (B3-B4)/B2 in pure water and (B2+B4)/B3 in sea water. The correlation coefficient here is 0.9747 and 0.9892 respectively. Thus, compounding this band ran be quite useful for estimation density of Chlorophyll-a using Landsat ETM+ image data.

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Effect of ERP Implementation for Public Owner - Based on Case Study (공공발주기관의 ERP 적용효과 평가방안 - 사례연구중심으로)

  • Kim, Hyoun Young;Park, Hee-Sung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.2
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    • pp.749-755
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    • 2013
  • The public corporations have already implemented ERP to improve productivity, quality, and cost saving. This paper presents the result of business process improvement based on implementation of ERP. Therefore, this paper performed case study of K corporation. Survey was conducted to define the degree of improvement and evaluation method was presented using AHP. The weights for each business area is assigned based on AHP. Then ERP is evaluated in efficiency, work transparency, information sharability, and easy of use. It is meaningful achievement considering its short term implementation. The human resource management shows a relatively larger improvement than other management processes. However, information sharability shows relatively low improvement than others. This quantified result of user-oriented subjective evaluation on ERP implementation will contribute to evaluate the impact of ERP for owner organizations.

A Study on the Prediction System of Block Matching Rework Time (블록 정합 재작업 시수 예측 시스템에 관한 연구)

  • Jang, Moon-Seuk;Ruy, Won-Sun;Park, Chang-Kyu;Kim, Deok-Eun
    • Journal of the Society of Naval Architects of Korea
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    • v.55 no.1
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    • pp.66-74
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    • 2018
  • In order to evaluate the precision degree of the blocks on the dock, the shipyards recently started to use the point cloud approaches using the 3D scanners. However, they hesitate to use it due to the limited time, cost, and elaborative effects for the post-works. Although it is somewhat traditional instead, they have still used the electro-optical wave devices which have a characteristic of having less dense point set (usually 1 point per meter) around the contact section of two blocks. This paper tried to expand the usage of point sets. Our approach can estimate the rework time to weld between the Pre-Erected(PE) Block and Erected(ER) block as well as the precision of block construction. In detail, two algorithms were applied to increase the efficiency of estimation process. The first one is K-mean clustering algorithm which is used to separate only the related contact point set from others not related with welding sections. The second one is the Concave hull algorithm which also separates the inner point of the contact section used for the delayed outfitting and stiffeners section, and constructs the concave outline of contact section as the primary objects to estimate the rework time of welding. The main purpose of this paper is that the rework cost for welding is able to be obtained easily and precisely with the defective point set. The point set on the blocks' outline are challenging to get the approximated mathematical curves, owing to the lots of orthogonal parts and lack of number of point. To solve this problems we compared the Radial based function-Multi-Layer(RBF-ML) and Akima interpolation method. Collecting the proposed methods, the paper suggested the noble point matching method for minimizing the rework time of block-welding on the dock, differently the previous approach which had paid the attention of only the degree of accuracy.

Perceptions of Hospital Health Information Managers Regarding Present on Admission Indicators in Korea: A Qualitative Study (입원 시 상병의 수집 및 활용에 관한 보건의료정보관리사의 관점: 질적 연구)

  • Pyo, Jee-Hee;Choi, Eun-Young;Oh, Hae-Mi;Lee, Won;Kim, Ju-Young;Ock, Min-Su;Kim, So-Yoon;Lee, Sang-Il
    • Quality Improvement in Health Care
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    • v.26 no.1
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    • pp.23-34
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    • 2020
  • Purpose: This qualitative study was conducted to examine the current status and problems concerning the collection of present on admission (POA) indicators and determine how to use these indicators for evaluating the quality of care and degree of patient safety. Methods: A total of 11 health information managers were divided into two groups according to the size of their hospitals. Two focus group discussions (FGDs) were conducted, one for each group, which followed a pre-developed semi-structured guideline. The verbatim transcriptions of the FGDs were analyzed. Results: The majority of participants were concerned about entering POA flags honestly because they did not know how future POA indicators would be used. In particular, for some participants, POA N was a burden that could imply a signal of mismanagement within the medical institution. In addition, the lack of awareness and indifference of physicians regarding POA indicators were some of the difficulties for POA flag entry. Although medical institutions are making efforts to improve the accuracy of POA flagging, many participants mentioned the need to develop real case-oriented POA entry guidelines to improve the accuracy of POA flagging. Conclusion: To increase the validity of POA indicators, it is necessary to increase the level of awareness of POA indicators in physicians and other medical professionals. Furthermore, efforts related to POA indicators by individual medical institutions need to be reflected in the process evaluation.

The Effect of Support Quality of Chatbot Services on User Satisfaction, Loyalty and Continued Use Intention: Focusing on the Moderating Effect of Social Presence (챗봇서비스의 지원품질이 사용자 만족, 충성도 및 지속사용의도에 미치는 영향에 관한 연구 : 사회적 실재감의 조절효과를 중심으로)

  • Kim Jung Tae;Choi Do Young
    • Journal of Service Research and Studies
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    • v.12 no.4
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    • pp.106-124
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    • 2022
  • This study examined whether the social support (emotional support, information support) provided by customers through chatbot service affects the satisfaction of chatbot service felt by customers and whether the satisfaction of chatbot service affects loyalty and intention to continue using chatbot service. In order to confirm the moderating effect of social presence of chatbot service, a total of 300 effective data were obtained by conducting an online survey divided into a group that recognizes social presence highly and a group that recognizes low. As a result of the analysis, the path from emotional support to satisfaction of chatbot service was supported in the group that recognized social presence highly, and the path from emotional support to satisfaction of chatbot service was not supported in the group that recognized social presence low, and the difference was confirmed in the hypothesis path coefficient. This is interpreted as the social presence affecting human emotional response.This study can provide implications for the function of social presence of chatbot service in that it applied information support and emotional support, which are two factors of social support, to chatbot service, and demonstrated the relationship between satisfaction, loyalty, and continuous use according to the degree of social presence of chatbot users.

Performance Analysis of a Cell - Cluster - Based Call Control Procedure for Wireless ATM Networks (셀집단화 방식에 근거한 무선 ATM 호제어절차의 성능분석)

  • Cho, Young-Jong;Kim, Sung-Soo
    • The Transactions of the Korea Information Processing Society
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    • v.4 no.7
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    • pp.1804-1820
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    • 1997
  • In this paper, an efficient call control procedure is presented for next generation wireless ATM networks and its performance is mathematically analyzed using the open queueing network. This procedure is based on a new scheme called as the cell clustering. When we use the cell clustering scheme, at the time that a mobile connection is admitted to the network, a virtual cell is constructed by choosing a group of neighboring base stations to which the call may probabilistically hand over and by assigning to the call a collection of virtual paths between the base stations. Within a microcell/picocell environment, it is seen that the cell clustering can support effectively a very high rate of handovers, provides very high system capacity, and guarantees a high degree of frequency reuse over the same geographical region without requiring the intervention of the network call control processor each time a handover occurs. But since mobiles, once admitted, are free to roam within the virtual cell, overload condition occurs in which the number of calls to be handled by one base station to exceed that cell site's capacity of radio channel. When an overload condition happens, the quality of service is abruptly degraded. We refer to this as the overload state and in order to quantify the degree of degradation we define two metrics, the probability of overload and the normalized average time spent in the overload state. By using the open network queueing model, we derive closed form expressions for the maximum number of calls that can be admitted into the virtual cell such that the two defined metrics are used as the acceptance criteria for call admission control.

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