• 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 The Korea Institute of Healthcare Architecture
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• v.25 no.4
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• pp.61-70
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• 2019

Purpose: This study aims to find directions to improve the barrier-free (BF) certification criteria by assessing the current BF certification system, which is used as a method to improve access to passenger facilities and as a method for universal design planning, and by comparing BF certified facilities with non-BF certified facilities. Methods: This study assesses 20 BF certified facilities and 39 non-BF certified facilities, which were constructed in 2005 and onwards. The results of the assessment are compared and analyzed based on the following three categories: railway stations, urban railway stations and bus terminals. Results: The results of the analysis show that the total scores of the BF certified facilities are higher than those of the facilities that were not BF certified, indicating that the BF certification system is effective. Implication: However, there are some criteria items showing higher scores in facilities that are not BF certified than in BF certified facilities. This suggests the need to improve the BF certification criteria.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.1
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• pp.67-76
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• 2015

Purpose : The current tactile walking surface indicators have not been easily accessible to blind and vision-impaired people due to unexpected variation of walking environment and walking behavior of transportation poor. Moreover, those indicators frequently cause the inconvenience to transportation users' walking. Thus, this study aims to investigate the improvement of tactile walking surface indicators, by comparing and analyzing findings from the relevant research. Results from this study contribute to suggest the better standard criteria of tactile walking surface indicators for transportation users, especially blind and vision-impaired people, the handicapped, the child and the elderly and weak, providing the secure and convenient circumstance for walking. Method : This study presents the problems about the standard criteria of tactile walking surface indicators via the examination of finding from the past studies. For example, we examine all standard criteria, focusing on shapes, colors and qualities of materials used for Tactile Walking Surface Indicators. Then, the present study suggests the improvement of standard, which apply to the current walking environment practically and reasonably. Results : To improve the current condition of tactile walking surface indicators, the analysis on international and domestic standard criteria need to be conducted. Findings from these analyses helps to suggest the better criteria for the interval between projecting points of tactile walking surface indicators, effective perceived range of walking road, and the brightness contrast between tactile walking surface indicators and finishing materials. Implication : The suggested standard criteria of tactile walking surface indicators need to be tested by transportation users, and the practical instructions of establishing tactile walking surface indicators should also be developed.

• Korean Journal of Construction Engineering and Management
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• v.17 no.4
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• pp.28-39
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• 2016

The multi-mixed complex medical care facility consisting of mainly hospital and other associated facilities such as retail, office, accommodation, healthcare services, and so on, is currently recognized as a new segment in the real estate market. This study intends to identify the customer choice criteria for the development of multi-mixed complex medical care facility. Based on literature review and expert consultation, the 3 criteria with 12 sub-criteria for customer choice have been defined. And the AHP methodology has been implemented for the development of relative weight of those criteria depending on the type of facility including 'medical facility', 'supporting facility', 'healthcare service facility' and 'other ancillary facility'. Research findings indicated the implication for the optimal combination of facility development based on the customer choice criteria controlled by facility. Accordingly, this research intends to provide the guidance toward the development of multi-mixed complex medical care facility.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.4
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• pp.37-47
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• 2015

Purpose: Due to increase of interest in the viewing environment for the disabled, ordinances that are related to an optimal auditorium for the disabled are being executed. However, since there are no detailed criteria regarding the optimal auditorium, there is a necessity that it should be supported by more concrete criteria for installation. Therefore, the study is aimed to be utilized as basic data to suggest the criteria for installation of the optimal auditorium in the future through domestic and international legal standards and the analysis of design guidelines that are related to the auditorium for the disabled. Methods: First, legal standards and design guidelines that are related to the auditorium for the disabled were analyzed, and Second, items and things to be improved that are required to suggest the criteria for installation of the optimal auditorium in the future were looked into by comparing and analyzing each contents. Results: Items and considerations by items that are required to establish the criteria for installation of the optimal auditorium were looked into, and based on these results, concrete and standardized installation criteria can be suggested. Implications: Based on the analysis results, the optimal viewing environment for the disabled within cultural facilities can be created through establishment of more concrete installation criteria for the optimal auditorium in the future.

• Journal of The Korea Institute of Healthcare Architecture
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• v.28 no.1
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• pp.31-39
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• 2022

Purpose: The study aimed to extract the space mentioned in the criteria for evaluation and certification of psychiatric institutions in which the most specific standards for medical services of psychiatric institutions are prepared, and to organize and analyze the requirements. Method: The implied space is derived by analyzing the evaluation and certification criteria. The derived space is re-classified by departments of the hospital, and the requirements are organized and analyzed. Results: First, a total of 41 spaces were derived. The derived spaces can be considered as spaces to be treated as important in psychiatric institutions. Second, as a result of reclassifying the derived space by department, 10 spaced for the hospital as a whole, 10 for wards, 12 for central/outpatient departments, 5 for pharmaceutical departments, 2 for catering facilities, and 2 for facilities. Third, if organized by psychiatric institution, there is a total of 40 spaces for psychiatric hospitals according to certification criteria, and according to evaluation criteria, there is 38 spaces for psychiatric hospitals and departments and 19 spaces for the clinics. The difference between the certification and evaluation criteria of psychiatric hospitals is insignificant. In order to promote the qualitative improvement of psychiatric institutions, it is necessary to gradually strengthen from the certification criteria. Fourth, the requirements reflecting the characteristics of a psychiatric institution were very limited to emergency exits and treatment rooms. It is necessary to prepare the space requirements for other rooms in consideration of the behavior of the mentally ill. Implications: The derived spaces and requirements can serve as practical reference materials for practitioners preparing to receive certification and evaluation of psychiatric institutions. In addition, it has meaning as a basic data for estimating the level of space and requirements of psychiatric institutions that are currently required in Korea.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.1
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• pp.99-110
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• 2015

Purpose: The purpose of this study was to suggest agenda priorities for nursing service R&D (Research and Development) related policies development. Methods: Two steps in developing the agendas and priorities were performed in this descriptive study. First, nursing service R&D agendas were extracted through needs assessment of nursing researchers and practitioners. Then, the priority of agendas was set by Analytic Hierarchy Process by ten experts who were representatives of nursing and other healthcare professionals. Results: Six core areas and forty-six nursing service R&D agendas were developed. The priority of agendas was different according to the evaluation criteria depending on weight value of nursing services. Conclusion: In order to select and promote nursing service R&D projects within national healthcare policy, nursing service R&D policy should be proposed with consideration to the importance of the criteria in reflecting characteristics of nursing care. By strengthening R&D capabilities for quality improvement and sensitive awareness of national directions for healthcare R&D policies, nursing service R&D can be appropriately promoted.

• Journal of The Korea Institute of Healthcare Architecture
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• v.25 no.3
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• pp.75-83
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• 2019

Purpose: There are no clear criteria for slip performance in the BF certification process, so the evaluator relies on subjective judgments depending on the field situation. Physical criteria for determining the slip performance of various floor finishes are not clear. C.S.R., the only criterion currently being used to check slip performance, may raise questions about its coverage, feasibility and reliability. Method: For an analysis of domestic standards and status, KS L 1001, KS M 3510, and KS F 2375. External standards are analyzed for ADA Standard, ANSI Standard, and BS EN Standard. Analyze the test methods and evaluation criteria of O-Y-PSM, BPT, and the dynamic slip resistance test used in these criteria. It also presents an improvement plan for the rational presentation of standards. Results: To date, various kinds of test methods and measuring devices of the slip resistance coefficient have been developed, but there are not many ways to trust useful results related to user safety. Reliability and thoroughly verified test methods and criteria should be used to assess the slip performance of the floor. In order to improve the standard for the evaluation of slip performance in Korea, the existing standard should first be raised to the same level as the overseas standard, and the application of the discriminatory standard should be applied considering the characteristics and usage patterns of each space. Implication: Currently, Korean standards propose various test methods, but the proper use of test methods, scope and assessment criteria are not established, so improvement of the comprehensive standard is necessary.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.30 no.4
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• pp.21-29
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• 2007

We derive priority decision making on healthcare service technology standardization in the home network through the decision support process with industry professionals. We configured a research group with 4 industrial areas including Industry, Academic, Research Institution and Medical Institution. And we also applied AHP methodology for the priority decision making. The research group decides an evaluation criteria which are consisted of marketability, technology, ripple effect, strategy for national policies in order to make a priority for healthcare service on a home network. And it is also decided 7 fields and 24 sub-fields, technically. In order to make a priority for the standardization, we use an AHP methodology, that is more objective and feasible, as a decision tool. After two-phase survey that consists of paper survey and face to face meeting, we get a conclusion that home healthcare content is at the top and then wireless home network follows it.

• Journal of The Korea Institute of Healthcare Architecture
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• v.21 no.2
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• pp.35-43
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• 2015

Purpose: A large number of the mobility impaired have increasingly used the railway station, so the application of UD(Universal Design) on urban railway station has been interested. However, the current criteria used in domestic areas have concerned about the effective administration of railway station facilities rather than the needs of he mobility impaired. Of diverse facilities in railway station, the platform is considered as an important space due to many transportation users' riding or transfer in railway stations. Therefore, this study aims to explore the detailed criteria in adapting ideas from UD to platform within railway station. Methods: This study explores the criteria by evaluating findings from previous studies. First, all criteria related to platform in domestic and foreign areas are taken together and analyzed, and appropriate criteria first are established. Based on these, the current situation of platform facilities in railway station is evaluated. Then, the detailed criteria applicable to railway station platform are concluded, by reviewing types of the mobility impaired and principles of UD. Result: Findings from this study are as follows. First, the current criteria applied to railway station platforms lack ideas of UD, while the criteria used in foreign countries adequately reflect the ideas of UD on railway station platforms; therefore, the better criteria applicable to platform facilities in domestic railway station are necessary. Second, standard criteria used in domestic areas with newly additional criteria suggest that platform facilities should be established according to those criteria. Taken together, the better platform facilities should be provided to railway users through the application of UD to railway station platforms. Implications: For the future users in railway station platforms, the additional research on criteria of UD as well as diverse types of spaces within railway stations should have been continued.