• Title/Summary/Keyword: Daily quality assurance

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The effective quality assurance for image guided device using the AMC G-Box (AMC G-Box를 이용한 영상유도장치의 효율적인 정도관리)

  • Kim, Chong Mi
    • The Journal of Korean Society for Radiation Therapy
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    • v.26 no.2
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    • pp.199-206
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    • 2014
  • Purpose : According to the rapid increase recently in image-guided radiation therapy, It is necessary to control of the image guidance system completely. In particular for the main subject to the accuracy of image guided radiation therapy device to be done essentially the quality assurance. We made efficient phantom in AMC for the management of the accurate and efficient. Materials and Methods : By setting up of five very important as a quality assurance inventory of the Image guidance system, we made (AMC G-Box) phantom for quality assurance efficient and accurate. Quality assurance list were the Iso-center align, the real measurement, the center align of four direction, the accuracy of table movement and the reproducibility of Hounsfield Unit. The rectangular phantom; acrylic with a thickness of 1 cm to $10cm{\time}10cm{\time}10cm$ was inserted the three materials with different densities respectively for measure the CBCT HU. The phantom was to perform a check of consistency centered by creating a marker that indicates the position of the center fixed. By performing the quality assurance using the phantom of existing, comparing the resulting value to the different resulting value using the AMC G-Box, experiment was analyzed time and problems. Therapy equipment was used Varian device. It was measured twice at 1-week intervals. Results : When implemented quality assurance of an image guidance system using AMC G-Box and a phantom existing has been completed, the quality assurance result is similar in $0.2mm{\pm}0.1$. In the case of the conventional method, it was 45 minutes at 30 minutes. When using AMC G-Box, it takes 20 minutes 15 minutes, and declined to 50% of the time. Conclusion : The consistency and accurate of image guidance system tend to decline using device. Therefore, We need to perform thoroughly on the quality assurance related. It needs to be checked daily to consistency check especially. When using the AMC G-Box, It is possible to enhance the accuracy of the patient care and equipment efficiently performing accurate quality assurance.

Good manufacturing practice of radiopharmaceuticals in Korea

  • Oh, Seung Jun
    • Journal of Radiopharmaceuticals and Molecular Probes
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    • v.1 no.2
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    • pp.98-103
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    • 2015
  • Good manufacturing Practice (GMP) regulation for diagnostic and therapeutic radiopharmaceuticals was prepared at 2014. The mandatory GMP regulation becomes effective on $1^{st}$, July 2015,with two years of grace periods. Korean radiopharmaceuticals GMP regulation was consisted of quality management, personnel, premise and facility, documentation, production, quality control and self-audit and they have a very similar structure to European Union and PIC/S GMP regulation. Here, we describe detailed description of GMP regulation each part and application to radiopharmaceuticals production. And we also compare Korea, Japan and USA radiopharmaceuticals GMP regulation. GMP is a method to maintain quality of radiopharmaceuticals in daily production and it must be embedded on the manufacturing operation and management.

Factors Affecting the Operating Performance of General Hospitals (종합병원 수익성에 미치는 영향요인 분석)

  • Kim, Ji-Hyoung;Ha, Ho-Wook;Lee, Hae-Jong;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.10 no.3
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    • pp.45-66
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    • 2005
  • The purpose of this study was to analyze related factors affecting profitability on general hospitals(300-499 beds). The data were derived from survey by the Korean Hospital Association on 33 hospitals during 10 years (from 1993 to 2002). Profitability was measured by 3 ratios - net profit to total assets, normal profit to total assets and operating margin to gross revenue - as dependent variables. Independent variables were classified by general factors (ownership, number of bed, period of establishment, region), financial factors (total asset turnover, current ratio, liabilities to total assets, personnel costs per operation profit, material costs per operation profits), productivity index(number of daily patient per nurse), the score of quality assurance activity and the time lag score. Multiple regression model was used in this study. First, Number of bed, region was not statistically significant for profitability. But ownership was affect positively to normal profit to total assets and operating margin to gross revenue. Private hospitals had higher profitability than that of public hospitals Second, the score of quality assurance activity was not statistically significant to profitability. Third, Those hospitals having more daily patient per nurse had significantly higher profitability than the others. Fourth, Those hospitals having higher proportion in total asset turnover had significantly higher profitability than other hospitals. But liabilities to total assets and liquidity ratio had no difference to the profitability. Those hospitals having higher proportion in personnel costs and material costs per operation profits had significantly lower hospital profitability than others.

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Evaluation of Uncertainties in the Measurement of Ambient NO2 Level (대기 중 NO2 측정의 불확도 평가)

  • 이진홍;임종명;우진춘
    • Journal of Korean Society for Atmospheric Environment
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    • v.18 no.5
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    • pp.355-362
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    • 2002
  • There has been relatively a few studies that focused on evaluation of uncertainty for standard methods by which criteria pollutants are analyzed in ambient air. Especially, uncertainty evaluation has not been made yet for sampling and analysis of airborne NO$_2$. Ambient NO$_2$ has been thought to be a major criteria pollutant worldwide because of the potential of ozone formation as well as of its own toxicity. In this study, we tried to assess uncertainties associated with the every step of sampling and of analytical procedure of Griess-Saltzman method. Quality assurance (QA) and quality control (QC) were also emphasized with the uncertainty characterization. The use of Griess-Saltzman method for ambient NO$_2$ analysis showed very uniform daily concentration distribution with the mean of 10.8 ppb and the standard deviation of 1.08ppb during the sampling period. However, seven daily samples collected at the same sampling time and place exhibited highly different concentration distribution. Therefore, we evaluated uncertainties associated with sampling and analysis through the precise application of ISO Guide. Estimates of expanded uncertainties for a total of 62 samples fell in a relatively broad range of 5.17% to 11.85%. On the other hand. the expanded uncertainties were smaller for the high concentration range of greater than 15ppb.

As how artificial intelligence is revolutionizing endoscopy

  • Jean-Francois Rey
    • Clinical Endoscopy
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    • v.57 no.3
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    • pp.302-308
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    • 2024
  • With incessant advances in information technology and its implications in all domains of our lives, artificial intelligence (AI) has emerged as a requirement for improved machine performance. This brings forth the query of how this can benefit endoscopists and improve both diagnostic and therapeutic endoscopy in each part of the gastrointestinal tract. Additionally, it also raises the question of the recent benefits and clinical usefulness of this new technology in daily endoscopic practice. There are two main categories of AI systems: computer-assisted detection (CADe) for lesion detection and computer-assisted diagnosis (CADx) for optical biopsy and lesion characterization. Quality assurance is the next step in the complete monitoring of high-quality colonoscopies. In all cases, computer-aided endoscopy is used, as the overall results rely on the physician. Video capsule endoscopy is a unique example in which a computer operates a device, stores multiple images, and performs an accurate diagnosis. While there are many expectations, we need to standardize and assess various software packages. It is important for healthcare providers to support this new development and make its use an obligation in daily clinical practice. In summary, AI represents a breakthrough in digestive endoscopy. Screening for gastric and colonic cancer detection should be improved, particularly outside expert centers. Prospective and multicenter trials are mandatory before introducing new software into clinical practice.

Deposition Characteristics of Water-soluble Inorganic Ions in the Iksan Ambient Air during Fall, 2004 (가을철 대기환경 중 수용성 이온성분의 침적특성)

  • Kang, Gong-Unn;Kim, Nam-Song;Jeon, Seon-Bok
    • Journal of Environmental Health Sciences
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    • v.32 no.4 s.91
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    • pp.359-372
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    • 2006
  • In order to investigate the daily deposition characteristics of water-soluble inorganic components in airborne deposit on the Iksan, deposition samples were collected using a deposition gauge from October 16 to November 1, 2004. Deposition samples were collected using two different sampling gauges, a dry gauge and a wet gauge, respectively. To get wet the bottom of wet gauge during the sampling period, the volume of $30{\sim}50ml$ distilled ionized water was added in a wet gauge before the beginning of each deposition sampling. Deposition samples were collected twice a day and analyzed for inorganic water-soluble anions ($Cl^-,\;{NO_3}^-,\;{SO_4}^{2-}$) and cations (${NH_4}^+,\;Na^+,\;K^+,\;Mg^{2+},\;Ca^{2+}$) using ion chromatography. Qualify control and quality assurance of analytical data were checked by the data obtained from reinjection of standard solution, Dionex cross check standard solutions, and random several deposition samples, and measured data was estimated to be reliable. Considering the deposition sample volume, the sampling time, the surface area of sampling container, and the ion concentration measured, the daily deposition amounts for measured ions were calculated in $mg/m^2$. The total daily deposition amounts of all measured ions for dry and wet gauge were $7.5{\pm}2.8$ and $17.7{\pm}4.2mg/m^2$, respectively. A significant increase in deposition amount during rainfall days was observed for both wet gauge and dry gauge, having no difference of deposition amount between in wet gauge and in dry gauge. The mean deposition of all ions measured in this study were higher in wet gauge than in dry gauge because of the surface difference of the sampling container, especially for ${NH_4}^+\;and\;{SO_4}^{2-}$. The mean deposition amounts of ${NH_4}^+\;and\;{SO_4}^{2-}$ in wet gauge were found to be about 10 times and 3 times higher than those in dry gauge, while the rest of the chemical species were equal or a little higher in wet gauge than in dry gauge. Dominant species in dry gauge were ${NO_3}^-\;and\;Ca^{2+}$, accounting for 21% and 28% of the total ion deposition, whereas those in wet gauge were ${SO_4}^{2-}\;and\;{NH_4}^+$, accounting for 19% and 41% of the total ion deposition, respectively.

Development of the Standard Blood Inventory Level Decision Rule in Hospitals (병원의 표준 혈액재고량 산출식 개발)

  • Kim, Byoung-Yik
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.1 s.23
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    • pp.195-206
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    • 1988
  • Two major issues of the blood bank management are quality assurance and inventory control. Recently, in Korea blood donation has gained popularity increasingly to allow considerable improvement of the quality assurance with respect to blood collection, transportation, storage, component preparation skills and hematological tests. Nevertheless the inventory control, the other issue of blood bank management, has been neglected so far. For the supply of blood by donation barely meets the demand, the blood bank policy on the inventory control has been 'the more the better.' The shortage itself by no means unnecessitate inventory control. In fact, in spite of shortage, no small amount of blood is outdated. The efficient blood inventory control makes it possible to economize the blood usage in the practice of state-of-the-art medical care. For the efficient blood inventory control in Korean hospitals, this tudy is to develop formulae forecasting the standard blood inventory level and suggest a set of policies improving the blood inventory control. For this study informations of $A^+$ whole bloods and packed cells inventory control were collected from a University Hospital and the Central Blood Bank of the Korean Red Cross. Using this informations, 1,461 daily blood inventory records were formulated.48 varieties of blood inventory control environment were identified on the basis of selected combinations of 4 inventory control variables-crossmatch, transfusion, inhospital donation and age of bloods from external supply. In order to decide the optimal blood inventory level for each environment, simulation models were designed to calculate the measures of performance of each environment. After the decision of 48 optimal blood inventory levels, stepwise multiple regression analysis was started where the independent variables were 4 inventory control variables and the dependent variable was optimal inventory level of each environment. Finally the standard blood inventory level decision rule was developed using the backward elimination procedure to select the best regression equation. And the effective alternatives of the issuing policy and crossmatch release period were suggested according to the measures of performance under the condition of the standard blood inventory level. The results of this study' were as follows ; 1. The formulae to calculate the standard blood inventory level($S^*$)was $S^*=2.8617X(d)^{0.9342}$ where d is the mean daily crossmatch(demand) for a blood type. 2. The measures of performace - outdate rate, average period of storage, mean age of transfused bloods, and mean daily available inventory level - were improved after maintenance of the standard inventory level in comparison with the present system. 3. Issuing policy of First In-First Out(FIFO) decreased the outdate rate, while Last In-First Out(LIFO) decreased the mean age of transfused bloods. The decrease of the crossmatch release period reduced the outdate rate and the mean age of transfused bloods.

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Evaluation of Daily Intake of $^{238} U$ and $^{232} Th$ in a Korean Mixed Diet Sample Using RNAA

  • Chung, Yong-Sam;Moon, Jong-Hwa;Kim, Sun-Ha;Park, Kwang-Won;Kang, Sang-Hoon;Cho, Seung-Yeon
    • Nuclear Engineering and Technology
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    • v.32 no.5
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    • pp.477-484
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    • 2000
  • To estimate the degree of intake of $^{238}$ U and $^{232}$ Th through daily diet, a Korean mixed diet sample was prepared after the investigation of the amount of consumption of the daily diet which corresponds to the age of 20 to 60 years. For the analysis of U and Th, the RNAA method was applied. Two standard reference materials were used for quality control and assurance and the analytical results were compared with a certified value. The determination of U and Th in the Korean mixed diet sample was carried out under the same analytical conditions and procedures with SRM. It is found that the concentration of U and Th in a Korean mixed diet was about 35.4 ppb and 3.4 ppb. From these results, the daily intake of $^{238}$ U and $^{232}$ Th by diet is evaluated to be 6.98 and 0.67 $\mu\textrm{g}$ per day, respectively. Radioactivities related to the intake of $^{238}$ U and $^{232}$ Th were estimated to be about 86 mBq and 27 mBq per person per day and the annual dose equivalents from $^{238}$ U and $^{232}$ Th revealed as 3.18 $\mu$Sv and 0.29 $\mu$Sv per person, respectively.

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Development of 2D Data Quality Validation Techniques for Pipe-type Underground Facilities (2차원 관로형 지하시설물 정보 품질검증기술 개발)

  • Sang-Keun Bae;Sang-Min Kim;Eun-Jin Yoo;Keo-Bae Lim;Da-Woon Jeong
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.46 no.3
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    • pp.285-292
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    • 2023
  • As various accidents have occurred in underground spaces, we aim to improve the quality validation standards and methods as specified in the Regulations on Producing Integrated Map of Underground Spaces devised by the Ministry of Land, Infrastructure and Transport of the Republic of Korea for a high-quality integrated map of underground spaces. Specifically, we propose measures to improve the quality assurance of pipeline-type underground facilities, the so-called life lines given their importance for citizens' daily activities and their highest risk of accident among the 16 types of underground facilities. After implementing quality validation software based on the developed quality validation standards, the adequacy of the validation standards was demonstrated by testing using data from two-dimensional water supply facilities in some areas of Busan, Korea. This paper has great significance in that it has laid the foundation for reducing the time and manpower required for data quality inspection and improving data quality reliability by improving current quality validation standards and developing technologies that can automatically extract errors through software.

Critical Factors for Adoption of PSM Program of Korea (국내 PSM 프로그램 도입의 성공요인에 관한 연구)

  • Shin, Pan-Seok;Lee, Myung-Moo;Kim, Yun-Ho
    • Journal of Engineering Education Research
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    • v.17 no.3
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    • pp.59-68
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    • 2014
  • Quality assurance in high level education is one of the most important problems in Korea, and around the world. Many studies have examined means of assuring the quality of education, mostly focusing on what type of graduate we should launch into the real world. However, it has been realized only in technical fields, such as Engineering, Medicine, etc. Here, we discuss the problems of Korean high level education in scientific fields, and present some answers from American innovation policies. The USA has changed the idea about how to innovate, and in recent years has developed the Professional Science Master's(PSM) degree, which is now awarded by over 100 American universities. PSM programs have produced graduates who can innovate in scientific fields, e.g., in biology, environmental science, and statistics. The degree is highly praised by the Council On Competitiveness, which consists of CEOs of major corporations, university presidents, and heads of labor organizations. The PSM seems to meet their expectations. Interestingly, many research universities have established PSM programs. We examined the reasons why many American universities have accepted the PSM despite their daily duties for research and doctoral education. Finally, we discuss the possibility that programs such as the PSM can succeed in Korean universities.