• Quality Improvement in Health Care
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• v.17 no.1
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• pp.69-78
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• 2011

Objectives : The purpose of this study was to determine whether the published AMI report card could reduce in-patient mortality, 7-day after discharge mortality, and length of stay (LOS). Methods : Interrupted time-series intervention analysis was used to evaluate the impact of the report card for AMI care quality in November 2005 in terms of risk-adjusted in-patient mortality, risk-adjusted 7-day after discharge mortality, and DRGs case-mix LOS using the claim data of Health Insurance Review and Assessment Service. Results : Public disclosure of AMI care quality decreased risk-adjusted in-patient mortality and DRGs case-mix LOS by 0.00050% per month and 0.042 days per month respectively, however there was no effect on risk-adjusted 7-day after discharge mortality. Patterns of effect of public disclosure on AMI outcomes were a fluctuating pattern on risk-adjusted mortalities and a pulse impact for 1 month on DRGs case-mix LOS. Conclusions : We found the public disclosure of AMI care quality had decreasing effects on risk-adjusted in-patient mortality and DRGs case-mix LOS, but the size of the effect was marginal.

• Safety and Health at Work
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• v.7 no.4
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• pp.299-306
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• 2016

Background: Noncompliance of operators with work procedures is a recurrent problem. This human behavior has been said to be situational and studied by many different approaches (ergonomic and others), which consider the noncompliance with work procedures to be obvious and seek to analyze its causes as well as consequences. Methods: The object of the proposed method is to solve this problem by focusing on the performance of work procedures and ensuring improved performance on a continuous basis. Results: This study has multiple results: (1) assessment of the work procedures' performance by a multicriteria approach; (2) the use of a continuous improvement approach as a framework for the sustainability of the assessment method of work procedures' performance; and (3) adaptation of the Stop-Card as a facilitator support for continuous improvement of work procedures. Conclusion: The proposed method emphasizes to put in value the inputs of continuous improvement of the work procedures in relation with the conventional approaches which adopt the obvious evidence of the noncompliance to the working procedures and seek to analyze the cause-effect relationships related to this unacceptable phenomenon, especially in strategic industry.

• Journal of agricultural medicine and community health
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• v.36 no.2
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• pp.113-119
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• 2011

The aims of this study were to survey, evaluate the accuracy of personal immunization record of vaccination card, and to establish the applicability of personal immunization record for presuming population based immunization rate and evaluation method. In 2005, a population-based survey of 12-35 months old children was carried out in Nonsan, Korea. We conducted household survey and provider check using questionnaire and checklist to obtain data on immunization status for children. Total 11 vaccinations were checked in vaccination card such as BCG, hepatitis b, polio, chickenpox vaccine. For estimating accuracy of immunization status and dates of immunization, we estimated correspondence rate between data from personal vaccination card and data from medical records and immunization registry data. Accuracy of the child's vaccination card by type of National Immunization Program vaccine in whole medical institutions were from 41.8% to 83.2%. Accuracy for the date of vaccination of vaccination card in National Immunization Programme vaccine were from 55.3% to 89.7%. In spite of this study limitations, this study verified the validity of vaccination record of vaccination card substantially, but suggests more efforts to reassure the validity of vaccination card.

• Research in Community and Public Health Nursing
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• v.17 no.2
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• pp.283-294
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• 2006

Purpose: The purpose of this study was to identify the factors influencing childhood immunization. Method: Data were collected by questionnaires from 251 Parents who have 6 months to 7 years old children at public health centers in Seoul and Kyunggi Province. The data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression. Result: According to general characteristics of the parents and children, there were statistically significant differences in education level of parents, child immunization card, gender, age, and birth order of children. The main factors that affected children's immunization were perceived barriers of action, perceived control, birth order of children, child immunization card, and education level of parents, and these factors explained 49.4%(explanatory power of this model was 49.4%). Conclusion: The results of this study showed strategies for compliance of children immunization. Therefore, when the program are developed for public immunization, these factors need to be considered.

• Journal of Engineering Education Research
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• v.13 no.5
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• pp.36-40
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• 2010

The vehicle oriented block box system based on the u-healthcare and the human-free guard functions is developed in this paper. We also suggested the design philosophies, ideas, and analyzed the performance of the suggested system. The developed vehicle oriented black box system has some characteristics such as; 1) detects the dangerous situation by ultrasonic sensor in advance, and stores the situation information of the neighborhood of the vehicle to the imbedded SD memory card if the dangerous situation may be occurred in the parked vehicle; 2) detects the present location and speed information of the vehicle by GPS receiver and 3-axes acceleration sensor, and stores the information to the SD memory card periodically if the vehicle is running; 3) measures the dioxide carbon in the vehicle inside using $CO_2$ sensor, and forces the ventilation motor of the vehicle to operate and maintains the driver's health if the measured level is more than standard health requirements; 4) provides the stored vehicle's operating information to the driver by GUI (Graphical User Interface) based touch LCD monitor.

• Journal of the Korea Safety Management & Science
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• v.17 no.2
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• pp.27-34
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• 2015

If examining utilization by completion of National Competency Standards development, efforts are made so as to organize curriculum matched to education or training and perform subjects based on competence unit educationally in specialized high schools, colleges and university. However, National Competency Standards is insignificantly utilized in enterprises and on the spot due to characteristics of occupation type and diversity of process. This thesis intended to measures of safety efficiency improvement of final enterprise through the human resources assessment system of National Competency Standards based enterprise. Therefore, various methodologies were introduced and results of analysis by Balanced ScoreCard method were suggested for policy measures improving final safety efficiency. The results of this analysis are expected to make contribution to improving the effectiveness of the government's industrial safety and health policies through the establishment of systematic safety and health systems according to the risk level of individual business.

• Journal of Home Health Care Nursing
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• v.18 no.1
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• pp.40-47
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• 2011

Purpose: This study investigated changes in neurocognitive function over a 2-month period of board game therapy in patients with schizophrenia. Method: Twenty-one schizophrenic patients treated with board game therapy and nineteen control schizophrenic patients were evaluated with neuropsychological and clinical tests, such as the Wisconsin Card Shorting Test (WCST). The same tests were re-administered after 2 months of board game therapy. Results: At the first series of neuropsychological tests, no difference was seen in performance, demographical aspects, or clinical severity among both patient groups. After 2 months, the group receiving board game therapy showed significant improvement of WCST performances compared to the controls. However, no difference was observed in clinical symptoms between the groups. Conclusion: The results of cognitive enhancement in patients playing board games indicates that board game play, easily used in an inpatient setting, is a promising tool for executive function improvement in chronic schizophrenic patients.

• Quality Improvement in Health Care
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• v.23 no.1
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• pp.69-90
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• 2017

Purpose: The purpose of this study was to analyze the impact of healthcare accreditation and to provide empirical evidence to validate positive effectiveness. Methods:Six electronic databases (KERIS, KoreaMed, NDSL, Ovid-medline, Embase, Cochrane library) were accessed in May 2016. Keywords used were 'accreditation' and 'Joint Commission on Accreditation of Healthcare Organization (JCAHO)'. Of the initially identified 3,008 articles, 60 studies on healthcare accreditation were selected based on inclusion criteria that are hospital accreditation, accreditation by disease and clinical center accreditation. These were retrieved and analyzed. Result: The 60 study results were on the impact of healthcare accreditation. Results were classified into four perspectives of Balanced Score Card (Financial, Customer, Internal Process, Learning & Growth). In internal process perspective, results revealed that healthcare accreditation has made a positive impact on "care process and procedure". In learning & growth perspective, healthcare accreditation has made a positive influence on "leadership", "organizational cultures" and "change mechanisms". However, it revealed that healthcare accreditation does not directly affect financial performance. It is also difficult to reach a definitive conclusion that healthcare accreditation programs affect patient satisfaction of customer and clinical outcome of the internal process. Conclusion: Healthcare accreditation programs provide positive impact on change of care process and building communication-oriented hospital culture. However, more rigorous and diverse research is needed on financial effects and clinical outcomes of healthcare accreditation.

• Journal of Korean Home Economics Education Association
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• v.34 no.1
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• pp.1-16
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• 2022

This study was performed to develop educational materials in the form of card news that can be easily accessed on mobile phones or the Internet for milk intake education of the elderly based on the scientific evidence and their needs. The themes included in the card news were selected based on the literature and focus group interviews with 10 elderly individuals (78.10±6.66 years old). For the selected themes, information that elderly users most want to know was selected for the purpose of effective communication, while reflecting the eating habits, lifestyle, living environment, and nutrition and health status of the elderly in Korea. The draft of the card news was reviewed by the researcher, consulted by experts, and surveyed with 50 elderly individuals (70.44±5.16 years old). Based on the results of the review, consultations, and the survey, a final draft of the card news consisting of 12 pages was completed. The card news of the present study is expected to be an effective educational material considering the high level of satisfaction (higher than 4 on the 5-point scales) indicated by the survey respondents. Therefore this card news is expected to help increase milk intake through friendly milk education for the elderly.

• Journal of Korean Home Economics Education Association
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• v.32 no.3
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• pp.97-110
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• 2020

The purpose of this study is to develop milk education materials for adults based on the scientific basis of right milk consumption in the format of card news that can be easily accessed on a mobile phone or the internet and has high impact. The topics to be included in the card news were selected based on the findings from literature analysis and focus group interviews with 10 adults(32.0±6.4 years). For the eight selected topics, effective communication was made by suggesting some information that users want to know while reflecting adult eating habits, lifestyle habits, and nutrition and health interests. The card news draft was reviewed by researcher and consulting experts, and then questionnaire survey was conducted using Likert 5-point scales by 50 adults(42.7±10.2 years). Based on the results of the review, consultation and questionnaire survey, a final draft of the card news consisting of 11 cuts was completed. Card news proposal is expected to produce educational effects, since the respondents showed high satisfaction with the card news (higher than 4 on the 5-point scales) according to the questionnaire survey. Adults can easily access and use the card news developed in this study, and thus this card news is expected to increase milk consumption in adulthood and improve nutrition and health through friendly and systematic milk education.