• Title/Summary/Keyword: Hospital evaluation

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Development of a Web-based Diagnostic Evaluation Program for Prevention of Nurse Malpractice Liability (간호과오책임 예방을 위한 웹기반 진단평가 프로그램 개발)

  • Kim, Ki-Kyong
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.1
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    • pp.33-43
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    • 2011
  • Purpose: This study was done to develop a web-based diagnostic evaluation program for nurses to prevent malpractice liability. Methods: A comprehensive review of the literature and 9 specialist interviews were used to search for learning goals and content for protection for nurses from malpractice. Data on needs for learning goals were collected from 56 hospital nurses who agreed to complete a self-report questionnaire. The diagnostic program was evaluated between September 2008 and August 2009 by 35 new hospital nurses using an application of the web-based program evaluation tools by Chung (2000). Results: A comprehensive review of the literature and interviews were used to search for learning goals and content. The evaluation program was composed of the 73 questions for diagnostic evaluation under 23 learning goals and 6 grand learning goals which included the principles of law, patient's rights, legal responsibility, patient's safety, regulation on nursing practice and patient's rights protection. Evaluation of the program showed that the mean for program evaluation was 3.43 (SD=.37). Conclusion: This diagnostic evaluation program could be an efficient method for teachers and learners to improve nurses' behavior in protecting the patient's rights and preventing malpractice claims.

Construction and Evaluation of the Student Practice Program in the Hospital under the 6-year College of Pharmacy Curriculum (6년제 약학대학에서의 필수실무실습 현황과 평가 - 병원약국실무실습 중심으로 -)

  • Chang, Min Jung;Noh, Hayeon;Lee, Jangik I.
    • Korean Journal of Clinical Pharmacy
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    • v.23 no.4
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    • pp.300-306
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    • 2013
  • Background: 6-year College of Pharmacy curriculum had started in Korea, and the students in college of pharmacy are supposed to have student practice in the hospital pharmacy, community pharmacy, pharmaceutical company and administration to experience the role of pharmacists in advance. However, despite Korean Association of Pharmacy Education provided its own teaching plan, most Pharmacy Schools and the hospital pharmacy have difficulty in performing the desirable student practice program because they seldom experienced it. So, we reported the student practice program in the hospital pharmacy conducted by Yonsei University College of Pharmacy prior to the other numerous universities and the evaluation of survey on the student pharmacy practice program. Method: Severance Hospital, Gangnam Severance Hospital and National Health Insurance Service Ilsan Hospital took part in the student pharmacy practice program of Yonsei University. Students took 8-week pharmacy practice in Severance Hospital or Gangnam Severance Hospital plus 4-week pharmacy practice in National Health Insurance Service Ilsan Hospital. Also, students had once-a-week presentation class at school. A survey was conducted to evaluate the student practice program. Results: The presentation class was considerably helpful to share their own experiences at different practice sites in different hospitals, but there were some disadvantages that students could not experience the specific pharmacy practice site on the day of once-a-week presentation at school and so on. The results of the survey on the student practice program reported that students were satisfied with the overall practice program and presentation class at school. Also, they answered that the student practice program in the hospital pharmacy was significantly helpful for planning of the future career. Conclusion: Through the performance of the student practice program in Yonsei University, the adjustment of the student practice program in the hospital is planned to provide better experience of practice to the students and the results will be helpful for the student practice in the hospital of the other colleges of pharmacy.

2 Cases of a Benign Pulmonary Metastasizing Leiomyoma

  • Lee, Eun Joo;Jeong, Hye Cheol;Lee, Sung Yong;Kim, Je Hyeong;Lee, Sang Yeub;Shin, Chol;Shim, Jae Jeong;In, Kwang Ho;Kang, Kyung Ho;Yoo, Se Hwa;Lee, Sang Hoon;Kim, Han-Kyeom;Oh, Yu Whan
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.6
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    • pp.551-555
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    • 2009
  • A benign pulmonary metastasizing leiomyoma is a recognized clinical entity that has been infrequently reported in the medical literature. We report two cases of a benign pulmonary metastasizing leiomyoma. A 35-year-old woman who underwent myomectomy and a cesarean section approximately 6 years earlier visited our hospital for further evaluation of incidentally revealed multiple lung nodules. A diagnostic percutaneuous biopsy was performed. Finally she was diagnosed with a benign metastasizing leiomyoma. The patient then received LH-RH and has been followed up since. The other 44-year-old woman presented after an initial radiology evaluation revealed the presence of multiple, small-sized lung nodules. She underwent a right middle lung wedge resection to confirm the diagnosis. Finally she diagnosed with a benign metastasizing leiomyoma. The multiple lung nodules have been followed up closely.

Evaluation on the Record Completeness of the Nursing Process in Electronic Nursing Record for Patients Undertaken Gastrectomy (전자간호기록에 사용된 간호과정 완성도 분석 - 위절제술 환자를 중심으로 -)

  • Park, Ihn Sook;Yoo, Cheong Suk;Lee, Soon Hyeung;Woo, Kyung Shun;Joo, Young Hee;Choi, Woan Heui;Kang, Hyun Sook;Jung, Mi Ra;Kim, Hee Jin;Park, Mi Ok;Lee, Su Hee;Ahn, Seon Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.107-116
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    • 2009
  • Purpose: This study was conducted to evaluate the record completeness of the nursing process in the Electronic Nursing Record(ENR) in a university hospital. Methods: We compared nursing statements documented in 2004 with those from the year 2007, given the fact that the ENR system had been utilized since 2004. The ENRs of 35 gastrectomy patients in each year were selected for evaluation. The selected data were 11,822 nursing statements in 2004 and 27,870 in 2007. Results: The number of nursing records which documented the whole nursing process completely was 4,010 (48.3%) in 2007, whereas 513 (5.9%) in 2004 (p<.001). The number of incomplete records in 2004 was 8,142 (94.1%), while 4,300 (51.7%) in 2007 (p<.001). The number of nursing diagnoses was 846 in 2004 and 4,313 in 2007, which increased in number more than 5 times. The most frequently used diagnoses were 'pain', 'risk for infection' and 'risk for ileus' in both years. Conclusion: There was a significant increase in the record completeness on nursing process in 2007 compared to the records in 2004. The reasons for this increase are attributed to nurse training for encouraging to complete recording and nursing record auditing.

2024 Consensus Statement on Coronary Stenosis and Plaque Evaluation in CT Angiography From the Asian Society of Cardiovascular Imaging-Practical Tutorial (ASCI-PT)

  • Cherry Kim;Chul Hwan Park;Bae Young Lee;Chan Ho Park;Eun-Ju Kang;Hyun Jung Koo;Kakuya Kitagawa;Min Jae Cha;Rungroj Krittayaphong;Sang Il Choi;Hwan Seok Yong;Sung Min Ko;Sung Mok Kim;Sung Ho Hwang;Nguyen Ngoc Trang;Whal Lee;Young Jin Kim;Jongmin Lee;Dong Hyun Yang
    • Korean Journal of Radiology
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    • v.25 no.4
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    • pp.331-342
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    • 2024
  • The Asian Society of Cardiovascular Imaging-Practical Tutorial (ASCI-PT) is an instructional initiative of the ASCI School designed to enhance educational standards. In 2021, the ASCI-PT was convened with the goal of formulating a consensus statement on the assessment of coronary stenosis and coronary plaque using coronary CT angiography (CCTA). Nineteen experts from four countries conducted thorough reviews of current guidelines and deliberated on eight key issues to refine the process and improve the clarity of reporting CCTA findings. The experts engaged in both online and on-site sessions to establish a unified agreement. This document presents a summary of the ASCI-PT 2021 deliberations and offers a comprehensive consensus statement on the evaluation of coronary stenosis and coronary plaque in CCTA.

Analysis of Clinical Research Trends for Acupotomy Treatment of Peripheral Facial Palsy

  • Jeon, Seok Hee;Choi, Ji Min;Yoo, Jae Hee;Shin, Jeong Cheol
    • Journal of Acupuncture Research
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    • v.38 no.4
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    • pp.276-283
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    • 2021
  • The purpose of this review was to investigate acupotomy treatment for peripheral facial palsy. By reviewing recent clinical trends, this may contribute to standardizing acupotomy treatment methods. There were 7 randomized controlled trials and 6 case series using acupotomy treatment for peripheral facial palsy published between January 01, 2014 and April 05, 2021, which were retrieved from 9 online databases. The number and characteristics of participants, main treatment sites, combination treatments, size of acupotomy needle, frequency and total period of treatment, evaluation indices, efficacy, and adverse events were analyzed. "Tender point or induration," "infraorbical foramen," and "buccal mucosa" were the most used treatment sites. The sizes of acupotomy needles varied from 20 mm to 80 mm in length, and 0.35 mm to 1.0 mm in diameter. One treatment cycle was performed every 3 to 5-7 days, and the number of treatments per treatment session ranged from 3 to 5-9 cycles. The results were evaluated using 1 to 4 evaluation indices and 9 different evaluation indices were used overall. The efficacy rate was the most used index, followed by the House-Brackmann grade, and electrocardiography. The "Risk of Bias 2," categorized most studies as having "some concerns." There were few adverse events reported.

Intermediate Evaluation after the Introduction of Electronic Nursing Record System in a General Hospital (일개 종합병원 전자간호기록시스템 도입 후 중기 평가연구)

  • Kim, Doh Yeon;Park, Myong Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.133-144
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    • 2010
  • Purpose: This study intended to evaluate the intermediate effects of using Electronic Nursing Record System which was introduced 4 years and 4 months ago. Methods: Participants were 65 nurses engaged in 3 shifts in a general hospital. The specific methods were identification of nursing activity times by means of nurses' self-recording in structured forms, survey of user satisfaction using questionnaires, and examination of nurses' responses to open-ended questions about using the system. Results: The direct nursing activities took more than 50% of the time during day and evening shifts. In night shift, direct nursing activities took more than 41% of the time. Comparing to the initial evaluation, measured at 10 months after the introduction, the time spent in indirect nursing activities have decreased about 10% in each shift. The user satisfaction was 3.54 points which was higher than 3.33 points measured at 10 months after the introduction. The nurses recommended some changes needed in the current system to make it better, such as speeding up the system. Conclusion: The intermediate evaluation shows reduced indirect nursing time, increased direct nursing time, and improved user satisfaction.

Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Lung Cancer (폐암 한의 평가도구 개발 기초 연구)

  • Park, So Jung;Kim, Seon Young;Cho, Chong Kwan;Jung, In Chul;Yoo, Hwa Seong
    • The Journal of Korean Medicine
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    • v.36 no.3
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    • pp.53-64
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    • 2015
  • Objectives: The aim of study was to develop a standard instrument of oriental medical evaluation lung cancer. Methods: For this study, the committee advisor was organized by 10 Korean Medicine professors of the Korean Association of Traditional Oncology. The items and structure of the instrument were quoted from the instrument of pattern identification for lung cancer. We had a consultation with the committee twice and took additional advice from it via E-mail. Results: According to the research, we determined the Korean oriental medical assessment tool for lung cancer comprised of the 6 types of patterns of syndrome differentiation. The advisor committee gave the answers about discrimination between bian-zheng and su-zheng, mean weight of each symptom and sign. The final weight was calculated from the combination of the ratio of bian-zheng and mean weight. Conclusions: The instrument of oriental medical evaluation for lung cancer was developed through experts' discussion. If the validity and the reliability of this instrument are validated through additional clinical trial, the instrument of oriental medical evaluation for lung cancer is expected to be applied to the later research.

Study on the Physical Imaging Characteristics by Using Magnetic Resonance Imaging 1.5T (1.5T 자기공명영상을 이용한 물리적 영상 특성에 대한 연구)

  • Min, Jung-Whan;Jeong, Hoi-Woun;Han, Ji-Hyun;Lee, Si-Nae;Park, Jang-Ho;Kim, Ki-Won;Kim, Hyun-Soo
    • Journal of radiological science and technology
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    • v.42 no.5
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    • pp.329-334
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    • 2019
  • This study was purpose to quantitative evaluation of noise power spectrum(NPS) and studied the quantitative evaluation and characteristics of modulation transfer function(MTF) by obtain the optimal edge image by using Coil in magnetic resonance imaging(MRI) equipment through Fujita theory using edge method. The MRI equipment was used (Tim AVANTO 1.5T, Siemense healthcare system, Germany) and the head matrix coil were 12channels(elements) receive coil. The NPS results of showed the best value of 0.004 based on the T2 Nyquist frequency of $1.0mm^{-1}$, and the MTF results of showed that the T1 and T2 values were generally better than the T1 CE and T1 CE FC values. The characteristics of this study were to explain the characteristic method of image quality evaluation in general. To present the quantitative evaluation process and results in the evaluation of MRI image characteristics in radiology.

An Action Convergence Research to Improve Evaluation Index of Pneumonia Adequacy in Regional Public Hospital (지역거점 공공병원의 폐렴 적정성 평가 지표 개선을 위한 융복합 실행연구)

  • Eun Young Choi;Yoen-Im Park;Seung-Ju, Kang;Ja-Ok Kim
    • Journal of Digital Convergence
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    • v.21 no.1
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    • pp.19-27
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    • 2023
  • This is an implementation study towards the development of a strategy to improve the pneumonia adequacy evaluation index of regional public hospital and to confirm its effectiveness. One physician, eight nurses, one computer room staff, and one nursing professor working at a regional base public hospital located in N city participated in this study from March to October 2021. An implementation study was conducted based on the conceptual model of Zuber-Skerritt & Fletcher. The stages of planning, implementation, evaluation, and reflection were operated in two cycles, and the effectiveness was evaluated in the second and third quarters. Compared to the pneumonia adequacy evaluation index in 2019, all indicators reached 100% of the standard target in 2021. The results of this study therefore infer that to provide higher quality medical services in the future, it is necessary to apply medical quality improvement activities through practical research under multidisciplinary participation and cooperation and to review the applicability of clinical sites.