• Title/Summary/Keyword: Implementation Steps

Search Result 417, Processing Time 0.021 seconds

Development of a Critical Pathway for the Chemotherapy of Non-small Cell Lung Cancer Patients and Its Effects (비소세포성 폐암 환자의 항암화학요법을 위한 Critical Pathway개발과 적용효과)

  • Choe, Ja-Yun;Jang, Geum-Seong;Choe, Eun-Yeong
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.8 no.1
    • /
    • pp.85-95
    • /
    • 2002
  • The purpose of this study was to develope a critical pathway for the chemotherapy of non-small cell lung cancer patients and to identify its effects after implementation. Critical pathway was developed through 5 steps including content and clinical validity tests with collaborative efforts of nurses, clinicians, and other allied healthcare professionals with the aim of improving the quality of patient care, while minimizing cost to the patients. This paper was described an evaluation of the impact of a developed critical pathway on complication rate, length of stay, costs, the interval of treatment and patient satisfaction by nonequivalent control group posttest-only non-synchronized research design.Results were compared between the two groups of patients. There were no significant differences in demographic variables and the occurrence of bone marrow suppression between experimental group and control group(t=-0.01, p=0.992). There were statistically significant decreases in the average length of stay(t=-10.45, p=0.000), in the average cost(t=-2.988, p=0.004), and in the interval of treatment(t=-6.75, p=0.000) after implementation of the critical pathway compared to control group. Also, there was a statistically significant improvement of the patient satisfaction after implementation of the critical pathway compared to control group(t=4.57, p=0.000). This paper concludes that critical pathway in chemotherapy for lung cancer, implemented in the context of an general hospital, is the useful tool to shorten the hospital stay, reduce treatment costs, and improve the quality of life in cancer patients. Further study needs to be conducted to identify other clinical outcomes including job satisfaction, collaboration among health professionals and potential for use in education. Also, it is recommended that nurses should revise continuously the developed critical pathway through clinical implementation and maintain their role of patient advocacy through monitoring pathway compliance.

  • PDF

3D Implementation of Wooden Structure System in Korea Traditional Wooden Building (전통목조건축물 내부 구조의 3D 구현)

  • Lee, Kang-Hun;Cho, Sae-Hong
    • Journal of Korea Multimedia Society
    • /
    • v.13 no.2
    • /
    • pp.332-340
    • /
    • 2010
  • This paper presents the digitally implementable methods to preserve and restore the traditional wooden buildings, which are the typical "Korean Cultural Contents," by using computer and multimedia technologies. We first define the meaning of the digital implementation of Korean traditional wooden buildings and important points to be considered. In addition, we present the steps and methods for implementation. Furthermore, we considered wooden materials, structures and Danchung (patterns of paintings on the wooden pieces) in implementing of Gongpo (wooden structure system) for both Geunjeongjeon of Gyeongbok Palace and Injungjeon of Changduk Palace by using the presented methods. We present the mechanical method to digitally implement wooden buildings by using numerical ratios of Gongpo. The other advantage of this paper over the other studies, which focus on implementation of exterior of wooden buildings, is presenting the methods how to show the complicated relations of inner parts in Korea wooden buildings. Thus, it can be practically used in preserving and restoring Korean traditional wooden buildings.

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.4
    • /
    • pp.2329-2336
    • /
    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

Quality Driven Approach for Product Line Architecture Customization in Patient Navigation Program Software Product Line

  • Ashari, Afifah M.;Abd Halim, Shahliza;Jawawi, Dayang N.A.;Suvelayutnan, Ushananthiny;Isa, Mohd Adham
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • v.15 no.7
    • /
    • pp.2455-2475
    • /
    • 2021
  • Patient Navigation Program (PNP) is considered as an important implementation of health care systems that can assist in patient's treatment. Due to the feasibility of PNP implementation, a systematic reuse is needed for a wide adoption of PNP computerized system. SPL is one of the promising systematic reuse approaches for creating a reusable architecture to enabled reuse in several similar applications of PNP systems which has its own variations with other applications. However, stakeholder decision making which result from the imprecise, uncertain, and subjective nature of architecture selection based on quality attributes (QA) further hinders the development of the product line architecture. Therefore, this study aims to propose a quality-driven approach using Multi-Criteria Decision Analysis (MCDA) techniques for Software Product Line Architecture (SPLA) to have an objective selection based on the QA of stakeholders in the domain of PNP. There are two steps proposed to this approach. First, a clear representation of quality is proposed by extending feature model (FM) with QA feature to determine the QA in the early phase of architecture selection. Second, MCDA techniques were applied for architecture selection based on objective preference for certain QA in the domain of PNP. The result of the proposed approach is the implementation of the PNP system with SPLA that had been selected using MCDA techniques. Evaluation for the approach is done by checking the approach's applicability in a case study and stakeholder validation. Evaluation on ease of use and usefulness of the approach with selected stakeholders have shown positive responses. The evaluation results proved that the proposed approach assisted in the implementation of PNP systems.

A Systemic Model for the Gifted Education (체제적인 영재교육을 위한 Renzulli의 전교 심화학습 모형(SEM)의 개성방안)

  • Park, Eun-Young
    • Journal of Gifted/Talented Education
    • /
    • v.10 no.2
    • /
    • pp.1-23
    • /
    • 2000
  • The Schoolwide Enrichment Model(SEM) is a representative model for the gifted education. As the model seems to be more conceptual in nature, it is hard to respond to the different interests and changing needs of the gifted learners. Also it does not provide specific procedures and prescriptions in teaching-learning processes for the teachers. Therefore, SEM needs to be modified into a Systemic Model that is more flexible and procedural. The paper proposes an Instructional Systems Design(ISD) model for SEM. The Systemic Model for SEM consists of 5 major steps. These are as follows: Planning, Diagnosis, Prescription, Implementation, Evaluation. In Planning step, there is a six-stage procedure for initiating the implementation of the SEM. In Diagnosis step, there are two-phases in identifying students for participation in the SEM and assessing strengths, interests, and talents of the learners and recording in The Total Talent Portfolio(TTP). In Prescription step, Curriculum Compacting is administered as a systematic procedure for modifying thecurriculum for above-average ability students. In Implementation step, Enrichment Learning and Teaching is an instructional strategy designed to promote active engagement in learning for teachers and students. Whenever each step has completed, Evaluation step should be followed. These 5 steps are repetitive, cycling and interactive. That is, each one becomes input for the next step, process for itself, and output for the previous step. Each step is monitored through the process of Review and Revision step. In conclusion, the paper suggests six strengths of the Systemic Model for SEM; The Model (1) provides the specific procedure in teaching-learning process; 92) has interactive relations with each component; (3) can be revised continuously for creation of the most effective system; (4) can be implemented more flexibly; (5) can be developed as an unique system for each school; (6) facilitates communications between teachers and students.

  • PDF

Development of Revised Korean Version of ICF (ICF 한글개정판 개발)

  • Lee, Haejung;Song, Jumin
    • The Journal of Korean Physical Therapy
    • /
    • v.26 no.5
    • /
    • pp.344-350
    • /
    • 2014
  • Purpose: The purpose of this study was to translate and culturally adapt the International Classification of Functioning, Disability and Health (ICF) into the Korean language. Methods: The process of translation and adaptation of the ICF used here followed the translation guidelines of WHO. Implementation of this procedure comprised of four steps; forward translation, expert panel back-translation, pre-testing and cognitive interviewing, and final adaptation. The translators included health professionals with knowledge of ICF and non-health professionals blinded to the ICF. Clinical academics with significant experience in the use of disability survey, medical doctors, special educators, related policy makers, clinicians, architecture professionals, and international experts in ICF were invited to integrate all versions of the ICF for testing; 151 clinicians volunteered from 19 medical institutes across the country. Four different core-sets and a questionnaire were used for testing its practical usability and adaptation. Results: All translations were reviewed and a consensus was reached on any discrepancy from the earlier versions. Over 90% of the newly translated version of K-ICF was found to be different from the 2004 K-ICF version in the ICF language. Understanding of K-ICF language was responded difficult and very difficult by 50% of participants, whereas its practical use was responded 'useful' by more than 50% of subjects. Conclusion: It can be suggested that the new version of K-ICF should be widely used for final adaptation in the field of areas. Future studies will be required for implementation of K-ICF.

Design and Implementation of IoT Collaboration Module Supporting User Context Management (사용자 상황 정보 관리를 지원하는 IoT 통합 제어 모듈 설계 및 구현)

  • Kum, Seung Woo;Lim, Tae Beom;Park, Jong Il
    • IEMEK Journal of Embedded Systems and Applications
    • /
    • v.10 no.3
    • /
    • pp.129-137
    • /
    • 2015
  • Various personalized services are provided based on user context these days, and IoT(Internet of Things) devices provides effective ways to collect user context. For example, user's activity such as walking steps, calories, and sleeping hours can be collected using smart activity tracker. Smart scale can sense change of user's weight or body fat percentage. However, these services are independent to each other and not easy to make them collaborate. Many standard bodies are working on the documents for this issue, but due to diversity of IoT use case scenarios, it seems that multiple IoT technologies co-exist for the time being. This paper propose a framework to collaborate heterogeneous IoT services. The proposed framework provides methods to build application for heterogeneous IoT devices and user context management in more intuitive way using HTTP. To improve compatibility and usability, gathered user contexts are based on MPEG-UD. Implementation of framework and service with real-world devices are also presented.

Low-power MPEG audio filter implementation using Arithmetic Unit (Arithmetic unit를 사용한 저전력 MPEG audio필터 구현)

  • 장영범;이원상
    • Journal of the Institute of Electronics Engineers of Korea SP
    • /
    • v.41 no.5
    • /
    • pp.283-290
    • /
    • 2004
  • In this paper, a low-power structure for 512 tap FIR filter in MPEG audio algorithm is proposed. By using CSD(Canonic Signed Digit) form filter coefficients and maximum sharing of input signal sample, it is shown that the number of adders of proposed structure can be minimized. To minimize the number of adders, the proposed structure utilizes the 4 steps of sharing, i.e., common input sharing, linear phase symmetric filter coefficient sharing, block sharing for common input, and common sub-expression sharing. Through Verilog-HDL coding, it is shown that reduction rates in the implementation area and relative power consumption of the proposed structure are 60.3% and 93.9% respectively, comparison to those of the conventional multiplier structure.

ASN.1 Source Code Auto-Generator (ASN.1 원시 코드 자동 생성기)

  • 정진영;김영철
    • Journal of the Korea Society of Computer and Information
    • /
    • v.8 no.4
    • /
    • pp.28-34
    • /
    • 2003
  • ASN.1 is the most fundamental technology in network management. The develoment of ASN.1 environment requires three steps : compiler work to parse ASN.1 languages, updating database with the parsing results, and pretty-printing work for data in the database. This paper presents the design and implementation of the translator which automatically translates the specification of ASN.1 to the object-oriented language C++. This system provides a total environment including for various graphic user interface, DB interface, browser to develop ASN.1 for development environment of ASN.1 For the implementation, Objectivity DB is used for database, flex and yacc for compiling, and Tcl/Tk for user interface.

  • PDF

A NOVEL PARALLEL METHOD FOR SPECKLE MASKING RECONSTRUCTION USING THE OPENMP

  • LI, XUEBAO;ZHENG, YANFANG
    • Journal of The Korean Astronomical Society
    • /
    • v.49 no.4
    • /
    • pp.157-162
    • /
    • 2016
  • High resolution reconstruction technology is developed to help enhance the spatial resolution of observational images for ground-based solar telescopes, such as speckle masking. Near real-time reconstruction performance is achieved on a high performance cluster using the Message Passing Interface (MPI). However, much time is spent in reconstructing solar subimages in such a speckle reconstruction. We design and implement a novel parallel method for speckle masking reconstruction of solar subimage on a shared memory machine using the OpenMP. Real tests are performed to verify the correctness of our codes. We present the details of several parallel reconstruction steps. The parallel implementation between various modules shows a great speed increase as compared to single thread serial implementation, and a speedup of about 2.5 is achieved in one subimage reconstruction. The timing result for reconstructing one subimage with 256×256 pixels shows a clear advantage with greater number of threads. This novel parallel method can be valuable in real-time reconstruction of solar images, especially after porting to a high performance cluster.