• Title/Summary/Keyword: the quality control

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The Effectiveness of Quality Control of 119 Emergency Medical Services on Survival Rate of Cardiac Arrest Patients (119구급서비스 품질관리가 병원 전 심정지 환자의 생존율에 미치는 영향)

  • Jung, Eun-Kyung;Yun, Hyeong-Wan
    • The Korean Journal of Health Service Management
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    • v.7 no.1
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    • pp.21-34
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    • 2013
  • Hospitals in Korea are enforcing a quality control over 119Emergency Medical Services to increase the survival rate of Out of Hospital Cardiac arrest patients. This study is to analyze the factors that effect the survival rate of Out of hospital Cardiac arrest patients by comparing the results of before and after the quality control enforcement. Cardiac arrest patients can be assorted into pre-decision group and decision group. The study analyzed the survival factors which was based on the adequate use of 119 BLS and ACLS usage rates, response time of 119EMS, qualification of ambulance worker, number of EMS team members, and adequate use of AED according to ECG diagnosis. The analyzation was done over total 1,233 of Cardiac arrest patients from January 1, 2010 to December 31, 2011 After the enforcement of the quality control, the usage of Vital sign check and BLS showed a big difference. Especially, as the usage of ECG showed a significant difference, Shockable rhythm, which is the most important to Cardiac arrest patients, also showed a significant difference. After the enforcement of quality control, the performance of ACLS showed a significant difference in IV. The study showed 119 ambulance workers provided better service in Vital sign and BLS and ACLS after the enforcement of quality control. It is considered a 119 ambulance service effects the survival rate of Cardiac arrest patients. Therefore, it can increase the survival rate and it is necessary to continue a quality control.

A Study on Improving Concrete Quality Control using Customized Checklist (맞춤식 체크리스트를 응용한 콘크리트 품질관리 개선방안)

  • Park Sangmin;Kim Changduk
    • Korean Journal of Construction Engineering and Management
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    • v.1 no.2 s.2
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    • pp.53-62
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    • 2000
  • A concrete element is obtained through multi-steps, and its quality is affected by site conditions and control constituents of procedures. In these regards, in order to assure designed qualities of concrete and associated materials of the element good quality control method is necessary in various procedures. The existing quality control measures do not satisfy the requirements for the quality control activities at each production step. This study provides a more effective checklist for each phase of concrete work, which improves existing quality control checklist through extensive research on current practices and surveys from expertises. This paper also proposes the application of multi-facet codes to develop a customized checklist to improve the efficiency in field practices and the effectiveness in assuring the designed performance of concrete. This study finally provides a more effective checklist for each phase of concrete work by improving usability of the developed project sensitive matric quality control checklist through application experiments on construction project sites.

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Mixed Mode Control of Constant Power and Constant Current for Resistance Spot Welder using Dynamic Resistance Characteristics (동저항 특성을 이용한 저항 스폿 용접기의 정전력과 정전류의 혼합모드 제어)

  • Kang, Sung-Kwan;Jung, Jae-Hun;Nho, Eui-Cheol
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.11
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    • pp.1571-1577
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    • 2015
  • A new mixed mode control of constant power and constant current for resistance spot welding inverter is proposed to improve the weld quality. The conventional control scheme adopts constant current or constant power control mode, however, it is not easy to guarantee the high weld quality because of the nonlinear resistance characteristics of the welding point. The proposed method utilizes the nonlinear characteristics by measuring the dynamic resistance in real time. Therefore, it is possible for the welder to be controlled adaptively depending on the welding state. Experimental results show that the proposed control scheme improves the weld quality by 6.8 times compared with the conventional constant current mode control.

A Study on the Urban Transit Vehicle Reliability Improvement Method using Quality Control Technique (품질관리기법을 이용한 도시철도차량 신뢰도 향상방안 연구)

  • Park, Kee-Jun
    • Proceedings of the KSR Conference
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    • 2011.05a
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    • pp.860-869
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    • 2011
  • It is very important that reduce the maintenance cost and extend life time of the urban transit EMU through effective maintenance method research. The maintenance cost of the urban transit EMU shares 60%~70% of it's life cycle cost. It means that the maintenance cost is bigger than the introduction cost of the urban transit EMU. In this study, I introduces a quality control technique to improve the urban transit vehicle reliability. I suggest the control chart using quality control technique. And the control charts apply to the Static Inverter of EMU.

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The Determination of Control Limit and Testing Interval in the On-Line Quality Control of Taguchi Method (Taguchi Method의 On-Line Quality control에 있어서 관리한계 및 검사간격 결정에 대한 연구)

  • Kim, Uk-Il;Gang, Chang-Uk
    • Journal of Korean Society for Quality Management
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    • v.20 no.2
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    • pp.11-20
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    • 1992
  • We discuss the feed back control of the on-line QC in the Taguchi method. Taguchi(1982) used the assumptions that the quality characteristics follow an uniform distribution and the Brownian motion to draw the loss function and proposed ${\Delta}/3$ or ${\Delta}$ for the initial control limit. Adams and Woodall(1989) also proposed a different procedure but using the same loss function. We propose, in this paper the new loss function under the assumption of mainly Brownian motion and compare the results with the results of the above.

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STATISTICAL PROCESS CONTROL FOR MULTIPLE DEPENDENT SUBPROCESSES

  • Yang Su-Fen
    • Proceedings of the Korean Society for Quality Management Conference
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    • 1998.11a
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    • pp.217-224
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    • 1998
  • A cost model, controlling multiple dependent subprocesses with minimum cost, is derived by renewal theory approach. The optimal multiple cause-selecting control chart and individual Y control chart are thus constructed to monitor the specific product quality and overall product quality contributed by the multiple dependent subprocesses. They may be used to maintain the process with minimum cost and effectively distinguish which component of the subprocesses is out of control. The optimal design parameters of the proposed control charts can be determined by minimizing the cost model using simple grid search method, An example is given to illustrate the application of the optimal multiple cause-selecting control chart and individual Y control chart.

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The Effect of Perception on the Quality of Nosocomial Infection Control on the Intention to Revisit : Focusing on the Mediating Effect of Perceived Risk and Trust (병원감염관리 질에 대한 인식이 재이용의도에 미치는 영향 -지각된 위험과 신뢰의 매개효과를 중심으로-)

  • Kang, Jae-Shin;Kim, Kwang-Jum
    • Korea Journal of Hospital Management
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    • v.24 no.3
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    • pp.11-26
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    • 2019
  • Objectives: The purpose of this study was to investigate the effect of the perception on the quality of nosocomial infection control on perceived risk, trust, and the intention to revisit among the medical consumers. Method: 361 patients and their guardians who were hospitalized in women's hospital, Gangnam-gu, Seoul, participated in this study. The data was analyzed using SPSS Statistics 21.0. Results: The perception on the quality of nosocomial infection control had a negative(-) effect on perceived risk, a positive(+) effect on trust, a positive(+) effect on the intention to revisit. The perceived risk had a negative(-) effect on trust, a negative(-) effect on the intention to revisit. The trust had a positive(+) effect on the intention to revisit. The perceived risk was partially mediated by the perception on the quality of nosocomial infection control and the intention to revisit, while the trust was fully mediated by the perception on the quality of nosocomial infection control and the intention to revisit. Thus, it indicated that the perceived risk and trust had dual mediated effects as well as full mediated effects in the relationship between the perception on the quality of nosocomial infection control and the intention to revisit. Conclusions: The nosocomial infection control can be an important factor to contribute to hospital management by attract the loyal medical customers, not just cost-expenditure. The nosocomial infection control can help hospital revenue and customer management strategy. Thus, it will contribute to the effective marketing strategy in the medical field.

Optimal Bandwidth Allocation and QoS-adaptive Control Co-design for Networked Control Systems

  • Ji, Kun;Kim, Won-Jong
    • International Journal of Control, Automation, and Systems
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    • v.6 no.4
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    • pp.596-606
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    • 2008
  • In this paper, we present a co-design methodology of dynamic optimal network-bandwidth allocation (ONBA) and adaptive control for networked control systems (NCSs) to optimize overall control performance and reduce total network-bandwidth usage. The proposed dynamic co-design strategy integrates adaptive feedback control with real-time scheduling. As part of this co-design methodology, a "closed-loop" ONBA algorithm for NCSs with communication constraints is presented. Network-bandwidth is dynamically assigned to each control loop according to the quality of performance (QoP) information of each control loop. As another part of the co-design methodology, a network quality of service (QoS)-adaptive control design approach is also presented. The idea is based on calculating new control values with reference to the network QoS parameters such as time delays and packet losses measured online. Simulation results show that this co-design approach significantly improves overall control performance and utilizes less bandwidth compared to static strategies.

Factors for Postoperative Gallstone Occurrence in Patients with Gastric Cancer: a Meta-analysis

  • Chen, Xiang-Jun;Li, Nian;Huang, Ying-De;Ren, Shuang;Liu, Fang;Chen, Lian;Wang, Yong;Chen, Min
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.877-881
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    • 2014
  • Objective: To evaluate risk factors for gallstones after gastrectomy. Methods: To identify documents published from 1990 to 2011 the Pubmed, Cochrane Library, Springer Link, CBM and WanFang databases were searched and a meta-analysis was performed with RevMan 5.2 software for odds ratios and 95%CIs. Results: Fifteen studies were selected for the meta-analysis. The pooled ORs [95%CIs] were 0.56 [0.43, 0.73], (P<0.0001) for digestive tract reconstruction, 0.80 [0.54, 1.17], (P=0.25) for pylorus preservation, 0.33[0.15, 0.75], (P=0.008) for resection scope of stomach, 0.33 [0.15, 0.75], (P=0.008) for lymphadenectomy, and 0.13 [0.05, 0.33], (P<0.0001) for vagotomy. Conclusions: Digestive tract physical reconstruction and vagus nerve preservation can reduce the morbidity of gallstones after gastrectomy. Total gastrectomy can add to the morbidity of galltones as does increasing the degree of lymph node dissection. There was no significant difference in gallstones with or without pylorus preservation.

A Model for Power Quality Control Mechanism for Electric Power Market (전력시장체제하에서의 전력품질제어 메커니즘에 대한 모델링)

  • 이근준
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.52 no.7
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    • pp.381-386
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    • 2003
  • To provide a specified power quality under electric market system is becoming an important issue for customers and utility company. However, there is no realistic infra-structure to design a power system for the specified power quality. Present electric market is operating under the economic point of view. The low power price could be attractive, but the effect of low price could result the lower power quality for the long time and threat power system security. This paper presents a model which conceptualize the dynamic power quality control mechanism to minimize total cost of a society which is affected electric power quality. This model aims to produce a basic infra-structure to balance cost and quality under the electric market system.