• Title/Summary/Keyword: Assessment Guidelines

Search Result 1,053, Processing Time 0.026 seconds

Consensus on definition and quality standard of clinical practice guideline using RAND method (RAND 방법으로 합의한 임상진료지침의 정의와 질 평가 기준)

  • Ji, Seon-Mi;Kim, Soo-Young;Sheen, Seung-Soo;Heo, Dae-Seog;Kim, Nam-Soon
    • Health Policy and Management
    • /
    • v.20 no.2
    • /
    • pp.1-16
    • /
    • 2010
  • Background : Clinical practice guidelines are an increasingly familiar part of clinical practice. Moreover, rigorously developed evidence based guidelines has been widely used. However, in Korea, some of published documents as clinical practice guidelines have shown considerable disparity in structure, contents and quality. This is mainly because there is no consensus on the definition and quality standard of clinical practice guidelines. The purpose of this study was to draw consensus on the definition and the quality standard about clinical practice guidelines. Method : We developed a questionnaire about the definition of clinical practice guidelines with inclusion criteria(23 items) and the quality standard(30 items). We selected 9 experts who had prior experience in developing and implementing guidelines. Rating methods for appropriateness of items were adopted from the RAND method. Consensus was drawn in three rounds. Results : Of the 47 items agreed, 40 items were determined to be appropriate. Clinical practice guidelines were defined as "scientifically and systematically developed statements to assist practitioners and patients on making decisions about appropriate health care for specific clinical circumstances." Narrative reviews, systematic reviews or health technology assessment without recommendations, translation of foreign guidelines, guidelines for patients only and training manuals were not considered as clinical practice guidelines. For the quality standard of clinical practice guidelines, 27 items were deemed necessary. Conclusions : The consensus on the definition with inclusion criteria and the quality standard of clinical practice guidelines carries an important meaning as the first attempt to draw a general agreement in our society. The unique achievement of the consensus reflects the current status of clinical practice guidelines that there has been a high tendency to adapt foreign guidelines. We hope efforts of this kind will continue to bring improvement in clinical practice guidelines.

Improvements in the Environmental Impact Assessment on Seawater and Sediment Qualities for Coastal Dredging Projects (연안준설 사업에 따른 해양 수질 및 퇴적물 영향평가 개선 방안)

  • Kim, Yeong-Tae;Kim, Gui-Young;Jeon, Kyeong-Am;Lee, Dae-In;Yu, Jun;Kim, Hee-Jung;Kim, In-Chul;Eom, Ki-Hyuk
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.19 no.2
    • /
    • pp.119-128
    • /
    • 2013
  • Since the early 2000s, demand for coastal dredging projects have been significantly increased, and the dredged sediments have showed the continuing marked increases through the multiple projects with other coastal development and constructions. As significant or potential degradation of marine environment has been mounting, we checked the current situation of marine environmental impact assessment through marine water and sediment qualities in relation with dredging projects of the sea area utilization consultation statements submitted in 2011. While analysis percentages of the general items were usually higher, harmful components such as metals revealed wide variation of analysis percentages. In the event of analysis of metals, the pre-treatment process (full digestion) and analysis method were not properly implemented in accordance with the guidelines for preparation of consultation statements. Although not specified in the guidelines, verification procedures (tests of recovery efficiency and detection limit) to secure the reliability were almost ignored. As a result, most of developers did conduct poor marine environmental impact assessment on coastal dredging and related projects. We suggested that the responsible government authority should establish new detailed guidelines on the sea area utilization consultation for more strict evaluation and diagnosis of marine environment and distinctly request the developer to obey the guidelines by complementing the system of the sea area utilization consultation.

Development of Management Guidelines and Procedure for Anthropometric Suitability Assessment: Control Room Design Factors in Nuclear Power Plants

  • Lee, Kyung-Sun;Lee, Yong-Hee
    • Journal of the Ergonomics Society of Korea
    • /
    • v.34 no.1
    • /
    • pp.29-43
    • /
    • 2015
  • Objective: The aim of this study is to develop management guidelines and a procedure for an anthropometric suitability assessment of the main control room (MCR) in nuclear power plants (NPPs). Background: The condition of the MCR should be suitable for the work crews in NPPs. The suitability of the MCR depends closely on the anthropometric dimensions and ergonomic factors of the users. In particular, the MCR workspace design in NPPs is important due to the close relationship with operating crews and their work failures. Many documents and criteria have recommended that anthropometry dimensions and their studies are one of the foremost processes of the MCR design in NPPs. If these factors are not properly considered, users can feel burdened about their work and the human errors that might occur. Method: The procedure for the anthropometric suitability assessment consists of 5 phases: 1) selection of the anthropometric suitability evaluation dimensions, 2) establishment of a measurement method according to the evaluation dimensions, 3) establishment of criteria for suitability evaluation dimensions, 4) establishment of rating scale and improvement methods according to the evaluation dimensions, and 5) assessment of the final grade for evaluation dimensions. The management guidelines for an anthropometric suitability assessment were completed using 10 factors: 1) director, 2) subject, 3) evaluation period, 4) measurement method and criteria, 5) selection of equipment, 6) measurement and evaluation, 7) suitability evaluation, 8) data sharing, 9) data storage, and 10) management according to the suitability grade. Results: We propose a set of 17 anthropometric dimensions for the size, cognition/perception action/behavior, and their relationships with human errors regarding the MCR design variables through a case study. The 17 selected dimensions are height, sitting height, eye height from floor, eye height above seat, arm length, functional reach, extended functional reach, radius reach, visual field, peripheral perception, hyperopia/myopia/astigmatism, color blindness, auditory acuity, finger dexterity, hand function, body angle, and manual muscle test. We proposed criteria on these 17 anthropometric dimensions for a suitability evaluation and suggested an improvement method according to the evaluation dimensions. Conclusion: The results of this study can improve the human performance of the crew in an MCR. These management guidelines and a procedure for an anthropometric suitability assessment will be able to prevent human errors due to inadequate anthropometric dimensions. Application: The proposed set of anthropometric dimensions can be integrated into a managerial index for the anthropometric suitability of the operating crews for more careful countermeasures to human errors in NPPs.

A study on the development of assessment tools using graphing calculators for the assessment of mathematical process -focused on middle school mathematics- (그래핑 계산기를 활용한 수학적 과정의 평가도구 개발에 관한 연구 -중학교 수학을 중심으로-)

  • Choi-Koh, Sang Sook;Joo, Hongyun;Han, Hyesook
    • The Mathematical Education
    • /
    • v.53 no.2
    • /
    • pp.163-184
    • /
    • 2014
  • The purpose of this study was to develop the assessment tools using graphing calculators for the assessment of the mathematical process which was emphasized in 2009 reformed mathematics curriculum. In this paper, we presented three sample calculator-based test items for the assessment of students' mathematical process abilities and scoring rubrics for the paper and pencil assessment and assessment based on observation on each item. In order to improve mathematics teachers' understanding of the assessment tools using graphing calculators and to show the procedures of assessment using technological devices, we also drew up assessment guidelines. We hope the results of the study contribute to the promotion of assessment environment encouraging the use of graphing calculators in assessments.

An Approach to Introduce Biodiversity Components for the EIA System in Korea

  • Kwon, Young-Han
    • Journal of Environmental Policy
    • /
    • v.7 no.2
    • /
    • pp.91-104
    • /
    • 2008
  • In foreign countries, efforts are in progress to apply guidelines to minimize the loss of biodiversity within environmental assessment, yet those efforts have not been considered in Korea. If this continues, biodiversity in our nation will quickly diminish. Therefore, Korea needs to urgently prepare guidelines that minimize the loss of biodiversity. In this study 32 environmental impact assessment statements on express-highway construction projects were analyzed to evaluate potential problems with the current EIA system and to provide ideas on how to introduce a biodiversity/ecosystem item into the system. In the analyses of the 32 statements, few contents that deal with habitat/biodiversity were found and a lack of assessment of biodiversity issues was noticed in the EIA system in Korea. The system, therefore, should be improved to consider biodiversity issues in the survey, to predict impacts on biodiversity, and to establish corresponding mitigation measures.

  • PDF

A Study on the Environmental Impact Assessment for the Unconventional Gas Development (비전통 가스 개발의 국내외 환경영향평가 현황)

  • Cho, Hanna;Park, Joo-Yang
    • Journal of Environmental Impact Assessment
    • /
    • v.23 no.3
    • /
    • pp.227-235
    • /
    • 2014
  • Interest has been growing worldwide in unconventional natural gas that has become an increasingly important source of energy in the world. Unconventional gas development, including shale gas, generally involves a larger environmental impact, compared to conventional gas development, due to its intensity and scale of the operation. There are a growing number of studies on identifying and minimizing the environmental impacts of unconventional gas development. This study aims to examines the current environmental policies and regulatory systems related to the unconventional gas development. The study shows that few environmental regulation exists concerning unconventional gas development, even in the USA where unconventional gas development is most actively pursued. Regulations, however, are being developed based on studies currently underway on health and environmental risks of unconventional gas development and on guidelines designed to reduce the risks. In a world where environmental regulations are ever strengthening, review the environmental regulatory systems and guidelines about unconventional gas need to be established for Korean firms to understand environmental impacts of unconventional gas development they invest or take part in, enabling them to manage and operate gas activities in a way that minimizes environmental damages.

A Study of Computer Models Used in Environmental Impact Assessment II : Hydrologic and Hydraulic Models (환경영향평가에 사용되는 컴퓨터 모델에 관한 연구 II : 수리수문 모델)

  • Park, Seok-Soon;Na, Eun-Hye
    • Journal of Environmental Impact Assessment
    • /
    • v.9 no.1
    • /
    • pp.25-37
    • /
    • 2000
  • This paper presents a study of hydrological and hydraulic model applications in environmental impact statements which were submitted during recent years in Korea. In many cases (almost 70 %), the hydrological and hydraulic changes were neglected from the impact identification processes, even if the proposed actions would cause significant impacts on those environmental items. In most cases where the hydrological and hydraulic impacts were predicted, simple equations were used as an impact prediction tool. Computer models were used in very few cases(5%). Even in these few cases, models were improperly applied and thus the predicted impacts would not be reliable. The improper applications and the impact neglections are attributed to the fact that there are no available model application guidelines as well as no requirements by the review agency. The effects of mitigation measures were not analyzed in most cases. Again, these can be attributed to no formal guidelines available for impact predictions until now. A brief guideline is presented in this paper. This study suggested that the model application should be required and guided in detail by the review agency. It is also suggested that the hydrological and hydraulic items shoud be integrated with the water quality predictions in future, since the non-point source pollution runoff is based on the hydrologic phenomena and the water quality reactions on the hydraulic nature.

  • PDF

Validity and Reliability of an Oral Health Assessment Tool for Elderly in Long-Term Care Facilities (요양시설 노인을 위한 구강건강 평가 도구의 타당도와 신뢰도)

  • Kim, Na-Yeon;Bae, Hyun-Sook
    • Journal of Korean Dental Hygiene Science
    • /
    • v.4 no.1
    • /
    • pp.53-64
    • /
    • 2021
  • Background: The elderly in long-term care facilities tend to have a diminished oral health status, with a high prevalence of dental caries and periodontal disease, as reduced cognitive function, joint mobility, and gait ability hinder the performance of oral hygiene. To improve the oral health of the elderly at long-term care facilities, it is necessary to have precise guidelines for oral health care and assessment; however, such guidelines are not readily available. Therefore, the present study aimed to develop an oral care assessment tool with verified reliability and validity. Methods: The participants in this study were 100 elderly patients at a care facilities and 10 clinical dental hygienists. Collected data were analyzed using the descriptive statistics, content validity index, and inter-rater reliability, as well as the analyses of intra-class correlation coefficient. Results: After a review of relevant literature, a preliminary questionnaire comprised of seven questions related to the evaluation of oral health was formed. After revising and supplementing the questions through a content validity test, a total of nine questions were selected. Conclusion: The novel assessment tool developed for the present study is anticipated to allow analyses of the level of problems related to oral health care before routine and professional care. Moreover, regular oral health status check-ups will enable the early diagnosis and treatment of diseases.