• Title/Summary/Keyword: Critical quality

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Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing (중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발)

  • Park, Myong-Hwa
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.68-78
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    • 2009
  • Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

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Development and Clinical Application of Critical Pathways for Vaginal Delivery and Cesarean Section (정상산모의 질식분만 및 제왕절개술에 대한 표준진료지침서의 개발과 임상 적용)

  • Park, Yong Won;Bai, Sang Wook;Jung, Young Nae;Lee, Hae Woo;Kim, Young Ran;Hong, Sun Bok;Park, Heun Ju;Tark, Kwan Chul
    • Quality Improvement in Health Care
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    • v.7 no.1
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    • pp.32-45
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    • 2000
  • Background : Critical pathway is an optional sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to minimize delays and resource utilization, and to maximize quality of care; abbreviated versions of case management plans that show critical outcome and key incidents that occur in a predictable and timely fashion to achieve an appropriate length of stay. This study is to develop a critical pathway for vaginal delivery and cesarean section to assess the degree of contentment of the patients and medical personnel and to implement clinical application to see how we could meet the need to guide patients to achieve continuum of care. Method : Critical pathways were developed for normal vaginal delivery and casarean section. LOS(length of stay) target for vaginal delivery was 1 day after delivery & 5 days after C-section. It was distributed to the mother at the OPD and explained thoroughly. It was applied when patients got into the Labor & Delivery Floor. We applied total of 42 patients (30 normal deliveries & 12 C-sections) from February to March, 2000. We performed patient satisfaction survey to all 42 patients, 24 nurses, and 7 residents for internal customer satisfaction. Results : Twenty six patients out of 42 responded to the survey. Twenty one patients out of 26 answered satisfactory. Eighty four percent of 21 respondents replied Critical pathway worked very well. Treatment column got the most compliance. Eleven out of 31 employees thought critical pathway is very helpful for the patient care. Eighteen people didn't see any difference. In their opinion, treatment got the least compliance, which is the contrary to patients opinion. Fifty eight percent of respondents thought that critical pathway can expedite early discharge. Conclusion : Patient satisfaction was higher than we expected but we still need to revise the form. It is recommended to analyze the cost and variance check in the future.

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A Model for Detection and Refinement of Fixed Bending Regions for Improving the Degree of Thickness Uniformity in Rolled Film Manufacturing (롤 형상 필름 생산에서 두께평활도 개선을 위한 고정굴곡부 발현 모형 및 개선 모델)

  • Bae, Jae-Ho
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.38 no.3
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    • pp.21-28
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    • 2015
  • As film products are increasingly used in a wide range of areas, from producing traditional flexible packaging to high-tech electronic products, a higher level of quality is demanded. Most film products are made in the form of rolled finished goods, therefore, various quality issues related to their shape characteristics must be addressed. The thickness of the film products is one of the most common and important critical-to-quality attributes (CTQs). Particularly, the degree of thickness uniformity is more important than other thickness parameters, because it will be potential causes of many secondary thickness-related quality problems, such as wrinkles or faulty windings. To control the degree of thickness uniformity, the fixed bending region is oneof the most important CTQs to manage. Fixed bending regions are special points in the transverse direction of a rolled product with consistent minute variations of the thickness gap. This paper describes the measurement and analysis of thickness uniformity data, which were performed in a real manufacturing field of biaxial oriented polypropylene (BOPP) film. In previous researches, quality function deployment (QFD) or fault tree analysis were used to find the most critical process attributes out to controlthe CTQ of thickness uniformity. Whereas, this paper uses traditional control charts to find the most critical process attributes out in this problem. In addition, the selection of one of the major critical process attributes (CTPs) that is expected to affect the CTQ of thickness uniformity is also described. The selected critical-to-process attributes are the controlled temperatures along the transverse direction. A dramatic improvement in thickness uniformity was observed when the selected CTPs were controlled.

An Experimental Study on the Convective Boiling in Inclined Tubes (경사진 원형관내에서의 강제대류비등 열전달에 대한 실험적 연구)

  • 이홍욱;이준식;박군철
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.13 no.8
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    • pp.674-681
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    • 2001
  • An experiment is conducted to investigate the effect of the inclination angle on convective boiling heat transfer of a uniformly heated tube. The test section used is a stainless steel tube with10.7mm in inner diameter. The hating length is 3m and is heated directly by an AC current. The test fluid is R-113. Experiment are carried out with mass flow rates of 300, 500 and $700\;kg/m^{2}s$, and heat fluxes varying from 5 to 65 kW/$m^2$. The inclination angles of the tube are $0^{\circ},\;5^{\circ},\;11^{\circ}\;and\;25^{\circ}$. the circumferential temperature variation at low quality region and the location of dryout at high quality region are mainly observed. Circumferential anisothermality occurring at low mass flow rate and low quality conditions is gradually reduced with the increase in the inclination angle and finally disappears at the inclination angle of $25^{\circ}$. Critical quality where dryout is initiated is seriously influenced by the inclination angle. Wall temperature after critical quality is also affected by the inclination angle.

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Determination of the CTQ of Cell Phone Using Kano model & AHP (Kano Model과 AHP를 활용한 휴대폰의 CTQ 선정에 관한 연구)

  • Cho, Tae-Yeon
    • Proceedings of the Safety Management and Science Conference
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    • 2009.04a
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    • pp.429-438
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    • 2009
  • In order to find out the customer requirements and to develop new products more effectively, the Kano model and QFD(Quality Function Deployment), AHP(Analytic Hierarchy Process) developed and applied. But, Many companies difficult to select the CTQ(Critical to Quality) of new product. Especially the life cycle of cell phone is very short. In this thesis, the Kano model and AHP(Analytic Hierarchy Process) for finding the CTQ(Critical to Quality) for customer satisfaction are suggested. It is explained and discussed with the example of cell phone.

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Determination of the CTQ of Digital Camera Integrating Kano model & AHP (AHP와 Kano 모델 통합에 의한 디지털 카메라의 핵심품질특성 결정)

  • Cho, Tae-Yeon
    • Proceedings of the Safety Management and Science Conference
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    • 2010.04a
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    • pp.359-369
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    • 2010
  • In order to find out the customer requirements and to develop new products more effectively, the Kano model and QFD(Quality Function Deployment), AHP(Analytic Hierarchy Process) developed and applied. But, Many companies difficult to select the CTQ(Critical to Quality) of new product. Especially the life cycle of Digital Camera is very short. In this thesis, the Kano model and AHP(Analytic Hierarchy Process) for finding the CTQ(Critical to Quality) for customer satisfaction are suggested. It is explained and discussed with the example of Digital Camera.

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Developing the Measurement Model of Service Quality in the Public Sector (공공부문의 서비스품질 측정모형 개발)

  • Rha, Jun-Young;Rhee, Seung-Kyu
    • IE interfaces
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    • v.20 no.3
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    • pp.339-352
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    • 2007
  • Beyond SERVQUAL-based service quality research, we develop a measurement model of public service quality that would provide researchers and practitioners in the public sector with a foundation for systematic investigation and implementation. Firstly, we explore the attributes of public service quality that lead to customer satisfaction by using the critical incident technique (CIT). We identified four dimensions of public service qualities. We also found that the critical attributes of service quality differ according to the types of customers. Secondly, to achieve a high degree of empirical confidence, we conduct statistical tests and analyses on the classification scheme and on the attributes of service quality that we derived from the CIT analysis. Through these analyses, we could remove the redundancy among attributes and group the attributes into new constructs, which are mutually exclusive and exhaustive; we built a more sophisticated measurement model of service quality.

Studies on Determination of Larval Critical Weight in Silkworm, Bombyx mori L. - An Index of Quality

  • Saha, Atul Kumar;Chaudhuri, Anath Bandhu;Moorthy, S Monthira;Roy, Subrata
    • International Journal of Industrial Entomology and Biomaterials
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    • v.19 no.2
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    • pp.243-248
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    • 2009
  • The Larval critical weight is the minimal mass at which further growth in not necessary for a normal time course to pupation. Larval critical weight (Lcw), pupal critical weight (Pcw) and adult critical weight (Acw) of different breeds of Bombyx mori L. were determined through starvation (food deprivation). The Lcw was found to be about 938.46, 2397.26, 2283.57 and 2220.97 mg in males and 1118.15, 2681.04, 2604.9 and 2455.88 mg in females of the multivoltine breed (Nistari), Bivoltine breeds (P5 & NB18) and their hybrid (P5$\times$NB18) respectively. Bivoltine breed P5 took more time (3.35 days) followed by NB18 (3.13 days) & P5$\times$NB18 (3.02 days) to attain larval critical weight (In $5^{th}$ Instar) than the multivoltine breed Nistari (2.42 days). Decrease in weight from larval maximal weight to pupal weight and to adult weight was also observed more in multivoltine than bivoltines, which may be due to more latent feeding period in bivoltines. Since Lcw is a stable character and independent of environment, it could be utilized for characterization of silkworm breeds to assess the quality of an insect.

ICU Nurses' Compliance with Standards for Critical Care Nursing Practice (중환자실 간호사의 중환자간호 실무표준 이행에 대한 조사)

  • Yi, Young-Hee;Jung, Yoen-Yi;Kim, Mi-Soon;Kim, Soon-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.4
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    • pp.478-486
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    • 2010
  • Purpose: To explore nurses' compliance with standards for critical care nursing practice in intensive care units (ICUs) and to provide basic data for high quality of critical care nursing. Method: A total of 616 participants from 61 ICUs which are graded from 1 to 7 throughout the nation were surveyed. Data were collected from February 9 to February 27, 2009 using a questionnaire consisting of 58 questions including 50 nursing activities as indicators. Results: The rate of ICU nurses' compliance with standards for critical care nursing practice was high. As for individual standards, compliance with the standard of assessment was the highest, followed by implementation, diagnosis, and planning in that order. There were differences in compliance according to nurses' ICU experience, work place (unit), and ICU grade. A shortage of manpower was considered as a main cause for noncompliance. Conclusion: The present compliance rate with standards for critical care nursing practice by ICU nurses was identified. Therefore, compliance rate can be used to promote quality of critical care nursing and development of educational programs for ICU nurses.

An Improvement Method of Sound Quality of the High-speed Coastal Passenger Ship

  • Kim, Yoon-Seok;Kim, Sa-Soo
    • International Journal of Ocean Engineering and Technology Speciallssue:Selected Papers
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    • v.3 no.1
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    • pp.56-62
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    • 2000
  • The trends of recent passenger ships are becoming speedy and luxury style to enhance comfortableness in cabin. In order to meet these trend, ship designer has to improve the sound quality as well as to reduce the sound pressure level in cabins. In this paper, the trend of noise and sound quality of real high-speed coastal passenger ships are measured and analyzed, while running on their regular courses. The sound quality parameters such as loudness, roughness, fluctuation strength, and sharpness are evaluated by Zwicker loudness calculation. In addition, we try to find sensitive critical frequency band for the improving sound quality by using signal editing. Finally, the expected effective design methods are proposed to designer for the improving sound quality of passenger ships.

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