• 한국병원경영학회지
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• 제27권3호
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• pp.39-49
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• 2022

Purposes: This study purposed to analyze the relationship between patient safety and patient-centerendess. Methodology: The comprehensive scores from patient safety assessment program and patient experience survey conducted by Health Insurance Review & Assessment Service were used as independent variables and dependent variables. This study analyzed the relationship between 4 patient safety-related areas(i.e. risk standardized readmission ratio, intensive care unit, preventive antibiotic, the drug evaluation) and 6 patient experience areas(i.e. nurse services, doctor services, medication & treatment, hospital environment, patient's right, overall experience) by using robust regression analysis. Findings: According to results, the score in 'patient's right' and 'risk standardized readmission ratio' areas were found to have a significant relationship, and 'overall experience' and the 'preventive antibiotic' areas. The ratio of senior beds and specialists was a general characteristics of hospitals that had a significant relationship on patient experience assessment. Practical Implication: The relationships between patient safety and patient experience assessment were varied depending on areas. Further study is needed to make clear the supposed relationship.

• 한국유전체학회:학술대회논문집
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• 한국유전체학회 2006년도 The 15th Korean Genome Organization Conference KOGO 2006 Annual Meeting
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• pp.68-68
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• 2006

• 분석과학
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• 제27권1호
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• pp.66-77
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• 2014

본 연구는 국내외에서 생산되는 다양한 식용유지에 대한 탄소 안정동위원소 비율 및 지방산 조성을 분석하고, 국내 유통 식용유지의 순수 여부 등 과학적 관리 방안을 위한 기초자료를 마련하고자 수행되었다. 본 연구에 수집된 식용유지의 탄소 안정동위원소 비율은 참기름 등 $C_3$ 식물군, $C_4$ 식물군인 옥수수유, 유의적인 차이가 인정되는 미강유 등 총 3개 그룹으로 구분이 가능하였다. 수거된 식용유지의 지방산 조성은 각각의 지방산 마다 식용유지별로 유의성을 나타내었다. 또한, 탄소 안정동위원소 비율만으로 구분이 어려웠던 $C_3$ 식물 기원의 식용유지는 지방산을 동시 활용한 산점도 분포 분석을 통해 대표적인 저가 식용유지인 콩기름과 고가 식용유지인 참기름의 구분이 가능하였다. 따라서 탄소 안정동위원소 비율과 지방산 조성을 동시 활용하여 식용유지의 판별이 부분적으로 가능하였으며, 이는 추후 식용유지류 관리 방안으로 검토할 예정이다.

• 분석과학
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• 제27권3호
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• pp.172-180
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• 2014

Pyrazole계 살균제 fenpyrazamine은 복숭아 (2.0 mg/kg), 포도 (5.0 mg/kg) 및 감귤 (2.0 mg/kg)에 잔류허용기준이 설정된 신규농약으로 농산물 중 fenpyrazamine 잔류량을 측정하기 위해 고성능 액체크로마토그래프를 이용한 정확하고 신뢰성 있는 효율적인 공정 시험법을 확립하고자 하였다. 추출용매는 acetonitrile로 선정하였으며, 액-액 분배 단계에서 dichloromethane과 물의 분배로 극성불순물을 제거하였고, 정제단계에서는 silica cartridge를 이용하여 hexane/acetone 용매 조성으로 다양한 매트릭스 간섭 물질로부터 fenpyrazamine을 효과적으로 정제할 수 있었다. 확립된 시험법으로 7종의 대표농산물[과일류 (복숭아, 포도, 감귤), 채소류 (고추), 서류 (감자), 콩류 (대두), 곡류 (현미)]에 처리농도 0.05, 0.5, 5.0 mg/kg으로 각각 5 반복의 회수율 실험을 시행한 결과 회수율 범위가 71.8~102.7%이었고, 분석오차가 10% 미만으로 시험법의 정확성을 확인하였으며, LC-MS를 통한 재확인 과정을 수행함으로써 시험법의 신뢰성과 선택성을 확보할 수 있었다. 따라서 본 연구에서 개발한 시험법은 농산물에 잔류하는 fenpyrazamine을 분석하기 위한 공정 시험법으로 활용할 수 있을 것으로 판단된다.

• 환경위생공학
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• 제8권2호
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• pp.11-24
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• 1993

Methodology for health risk assessment has been developed by governmental agencies and research institutions in the United States concerning environmental and industrial health such as Environmental Protection Agency, Pood and Drug Administration, and Occupational Safety and Health Administration. The basic concept, process, and scientific rational of the health risk assessment are discussed in order to introduce this field of research for future application to risk assessment and management in Korea. As environmental criteria for most of the environmental carcinogens and nonfarcinogens are set based on the quantitative risk assessment, this quantitative methodology should be emphasized and studied in Korean situation.

• 한국환경농학회:학술대회논문집
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• 한국환경농학회 2011년도 30주년 정기총회 및 국제심포지엄
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• pp.469-470
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• 2011

• 한국임상약학회지
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• 제21권4호
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• pp.311-318
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• 2011

Misinformation and inappropriate use of medication has become one of the most pressing concerns in drug safety. The purpose of this study was to survey public perception on drug safety as well as the channels most relied upon providing such information. The survey was performed for patients or their families visiting pharmacies in a local city in Korea. Analysis was performed from 367 respondents to the survey. The contents of this survey revealed that consumers were aware of the fact that medications should not be taken at any higher dosage or more often than directed by their prescriptions. The survey revealed a general awareness that symptoms might not be relieved immediately by their medications. However, the perception that there could be adverse drug reaction (ADR) at therapeutic dose was low except among the young or highly educated members. Respondents recognized that skin rashes were the most whereas drowsiness was the least common ADR symptom. There was a high awareness of drug-food or drug-drug interactions except in the case of certain nutraceuticals. Doctors and pharmacists were ranked as the most reliable resources to the consumer for providing drug related information. However, public relations or education programs were in need since there were still not negligible numbers of consumers depending on personal experience rather than health professionals.

• 한국환경농학회지
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• 제29권3호
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• pp.266-272
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• 2010

국내 유통되고 있는 농산물에 대한 비소 함량을 확인하여 국민의 식품별 섭취량을 고려한 비소 위해성을 평가하였다. 총 비소 함량은 microwave장치를 이용해 전처리한 후 ICP/MS로 측정하였으며, 농산물 중 유기 (AsC, AsB, MMA, DMA) 및 무기비소 (As(III), As(V)) 함량을 측정하기 위해 50% 메탄올을 이용한 액액추출법과 이온교환크로마토그래피를 활용한 HPLC-ICP/MS법을 사용하였다. 비소 함량 실태조사를 위해 국내 유통 중인 농산물 20개 품목, 329건을 수거하였으며, 농산물 중 총 비소 함량은 0.001~0.718 mg/kg인 반면 무기 및 유기비소 함량은 모든 시료에서 검출한계 이하이었다. 노출 및 위해평가를 위해 농산물별 섭취를 통한 비소 노출량을 산출한 후, JECFA에서 설정한 PTWI값 대비 위해도를 평가하였으며 비소의 PTWI 는 무기비소로써 15 ${\mu}g$/kg b.w./week이다. 쌀을 제외한 농산물 섭취를 통한 총 비소 및 무기비소의 중간노출량은 0.0002~0.012, 0.0001~0.001 ${\mu}g$/kg b.w./day 이었으며, 이는 PTWI 대비 0.01~0.5%, 0.002~0.1%에 해당 하였다. 쌀을 통한 총 비소 및 무기비소 중간노출량은 0.603, 0.041 ${\mu}g$/kg b.w./day이었으며, 각각 PTWI 대비 28.1%, 1.9%에 해당하였다. 따라서, 국내 유통되는 농산물 섭취를 통한 비소의 노출량은 JECFA의 안전권고치보다 낮았으며, 우리나라 국민은 농산물에 존재하는 비소의 위해성으로부터 안전한 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.69-73
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• 2013

Background: An increasing trend of cytotoxic drug use, mainly in cancer treatment, has increased the occupational exposure among the nurses. This study aimed to assess the change of nurses' safety-related knowledge as well as attitude levels and subsequently to assess the change of cytotoxic drug handling practices in wards after a series of pharmacist-based interventions. Materials and Methods: This prospective interventional study with a before and after design requested a single group of 96 nurses in 15 wards actively providing chemotherapy to answer a self-administered questionnaire. A performance checklist was then used to determine the compliance of all these wards with the recommended safety measures. The first and second assessments took 2 months respectively with a 9-month intervention period. Pharmacist-based interventions included a series of technical, educational and administrative support measures consisting of the initiation of closed-system cytotoxic drug reconstitution (CDR) services, courses, training workshops and guideline updates. Results: The mean age of nurses was $32.2{\pm}6.19$ years. Most of them were female (93.8%) and married (72.9%). The mean knowledge score of nurses was significantly increased from $45.5{\pm}10.52$ to $73.4{\pm}8.88$ out of 100 (p<0.001) at the end of the second assessment. Overall, the mean practice score among the wards was improved from $7.6{\pm}5.51$ to $15.3{\pm}2.55$ out of 20 (p<0.001). Conclusions: The pharmacist-based interventions improved the knowledge, attitude and safe practices of nurses in cytotoxic drug handling. Further assessment may help to confirm the sustainability of the improved practices.

• 식품기술
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• 제24권2호
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• pp.146-164
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• 2011