• Title/Summary/Keyword: Provider quality

Search Result 383, Processing Time 0.023 seconds

Identification and delegation of indirect care interventions (간접간호중재의 수행 및 위임에 관한 분석)

  • Yom, Young-Hee;Kim, So-In;Cha, Boo-Kyung
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.5 no.2
    • /
    • pp.197-207
    • /
    • 1999
  • The purpose of this research was fourfold: (a) to identify the use rate of the indirect care interventions performed by nurses, (b) to estimate the time to perform each intervention, (c) to identify the indirect care interventions to be delegated to others, and (d) to determine the level of provider preparation needed to delegate indirect care interventions. The sample consisted of 199 nurses working in three hospitals. The Indirect Care Survey developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean and validated by nurse experts. Each of the 26 indirect care interventions were used several times a day. Four interventions (i.e.. Documentation, Shift Report, Specimen Management, and Transport) were performed several times a day by 50% or more of the nurses. The most frequently used intervention was Documentation, followed by the interventions Shift report. Environmental Management, Transport, and Examination Assistance. The least used intervention was Quality Monitoring, followed by the interventions Order Transcription, Referral, Health Care Information Exchange, Multidisciplinary Care Conference, and Product Evaluation. The intervention taking the most time to per-form was Technology Management (155.3 minutes), followed by the interventions Documentation, (122.2 minutes), Delegation (84.4 minutes), Supply management (83.4 minutes), and Preceptor: Student (79.9 minutes), Overall, the nurses reported that they would not delegate to others the majority of the interventions. More than 50% of the nurses would not delegate 21 interventions. Shift Report would not be delegated by 95% of the nurses and Documentation would not be delegated by 92% of the nurses. Caregiver Support would be delegated by 68% of the nurses to family. Three interventions (i.e.. Environmental Management, Examination Assistance, and Transport) would be delegated by more than 50% of the nurses to Nursing Assistant. This study will contributes to determining costs of nursing services and enhancing quality of nursing care. Replication study will be needed with large sample.

  • PDF

A Design and Implementation of Vehicle State Information and Location Monitoring System Using GPS and SMS (GPS와 SMS를 이용한 차량 상태정보 및 위치관제시스템의 설계 및 구현)

  • Byun, Sang-Kyoo;Ryu, Han-Kyoung;Lee, Choong-Hoon;Yoo, Woo-Sik;Chae, Jin-Seok
    • Journal of Korea Multimedia Society
    • /
    • v.9 no.7
    • /
    • pp.914-926
    • /
    • 2006
  • Small-sized domestic logistics-companies are required to satisfy the high quality of logistics information service. However, these companies are not prepared to complete customers' requirement because of the e-logistics process, excess of logistics distribution steps, and so forth. Moreover, large-sited foreign logistics companies are going into domestic market and trying to share the market. In this paper, we propose an ASP-based real-time Logistics Information Control System using location-based service(LBS) and logistics information service to reinforce the competitiveness of domestic logistics-companies and improve the customer service quality. This system is designed to trace and control the real-time logistics movement information by using GPS and to process the transportation information by using SMS.

  • PDF

Network Adaptive Prefetching for Constant QoS Guarantee in Media Streaming (미디어 스트리밍에서 일정한 QoS보장을 위한 네트워크 적응적 프리페칭 기법)

  • Lee, Joa-Hyoung;Jung, In-Bum
    • The KIPS Transactions:PartC
    • /
    • v.15C no.6
    • /
    • pp.547-556
    • /
    • 2008
  • Recently, with the advance of computing and networking technique, the high speed internet becomes widespread, however, it is still hard job to do streaming the media which requires high network bandwidth over the internet. Previous researches for streaming over the internet mainly proposed techniques that controls the QoS(Quality of Service) of the media in proportion to the network status. Though, this could be the solution for the service provider while the service user who wants constant QoS may not satisfy with variable QoS. In the paper, we propose a network adaptive prefetching technique, NAP, for guarantee of constant QoS. The NAP prefetches frames by increasing the frame transmission rate while the available network bandwidth is high. The NAP uses the prefetched frames to guarantee the QoS while the available network bandwidth is low. The experiment result shows that the proposed NAP could guarantee the constant QoS by prefetching the frames adaptively to the network bandwidth with the characteristic of video stream.

Cause and Solution of an Artifact Generation by Parameter in Computed Radiography System (Computed Radiography 영상에서 Parameter에 의한 Artifact 원인과 해결방안)

  • Dong, Kyung-Rae;Choi, Jun-Gu;Hong, Seong-Il
    • The Journal of the Korea Contents Association
    • /
    • v.9 no.5
    • /
    • pp.145-155
    • /
    • 2009
  • There is a great deal of merit in CR system but artifact not produced in old system of film or screen newly is created. we studied 3 cases of artifact with CR system in one hospital, Gwangju. In the first case of the delay time and density, As the time was delayed, the density of the artifact was increased up to 67 percent in the natural radiation. The Second, Fading of the artifact decreased 33 percent in the rate of the emission after 10 hours, and the more the time was delayed, the less the quality of image was deteriorated. Third, Artifact was produced by the collimation when the radiologic technologist was performed, and by the Guiding plate and Suction cup when the radiation equipment was done. Therefore, when health care provider have to understand the artifact exactly and check regularly, the quality of the picture and the satisfaction of the medical examination is increased.

Quality Improvement Plan of Elementary School Teacher's Distance Training (초등교사를 위한 원격연수의 질적 향상 방안)

  • Ryu, Geun-Young;Lee, Ae-Jung;Lee, Jae-Ho
    • Journal of The Korean Association of Information Education
    • /
    • v.9 no.4
    • /
    • pp.617-625
    • /
    • 2005
  • With enforcement of information usage education since 1997, teachers have been given many different types of training to improve teacher's expertise. Especially, It has established distance education centers as an attempt to construct advanced training system in digital information society to solve the problems with current attendance-based training, and then its number has increased until now, total 53 institutes are on the list at the moment (Sep.2004). In this research, it has conducted a survey and analysis on educational contents and general management state, based on the curriculum of distance training center, for making its quality improvement plan including mutual contentment of both provider and demander for elementary school teachers. Examining the survey, it is expected for providers to accommodate persistent feedback to reflect periodically changing needs and various interest. From users' perspective, they wanted varied programs to choose in many other subjects for enhancing its expertise, rather than taking classes just for evaluation.

  • PDF

Evaluation of Provider Skills in Performing Visual Inspection with Acetic Acid in the Cervical Cancer Screening Program in the Meknes-Tafilalet Region of Morocco

  • Selmouni, Farida;Sauvaget, Catherine;Zidouh, Ahmed;Plaza, Consuelo Alvarez;Muwonge, Richard;Rhazi, Karima El;Basu, Partha;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.9
    • /
    • pp.4313-4318
    • /
    • 2016
  • Background: This study documented the performance of providers of visual inspection with acetic acid (VIA) at primary health centers, assessing their compliance with the VIA skills checklist and determinants of non-compliance, and exploring their perceptions of VIA training sessions. Materials and Methods: A cross-sectional study was conducted among VIA providers in the $Mekn\grave{e}s$-Tafilalet region of Morocco. Structured observation of their performance was conducted through supervisory visits and multiple focus group discussions (FGDs). Results: Performance of all the recommended steps for effective communication was observed in a low proportion of procedures (36.4%). Midwives/nurses had higher compliance than general practitioners (GPs) (p<0.001). All recommended steps for VIA examination were performed for a high proportion of procedures (82.5%). Compliance was higher among midwives/nurses than among GPs (p<0.001) and among providers in rural areas than those in urban areas (p<0.001). For pre-VIA counselling, all recommended steps were performed for only 36.8% of procedures. For post-VIA counseling, all recommended steps were performed in a high proportion (85.5% for VIA-negative and 85.1% for VIA-positive women). Midwives/nurses had higher compliance than GPs when advising VIA-positive women (p=0.009). All infection prevention practices were followed for only 14.2% of procedures, and compliance was higher among providers in rural areas than those in urban areas (p<0.001). Most FGD participants were satisfied with the content of VIA training sessions. However, they suggested periodic refresher training and supportive supervision. Conclusions: Quality assurance of a cervical cancer screening program is a key element to ensure that the providers perform VIA correctly and confidently.

SGOSST Mechanism for Quality of Service In Network (네트워크 QoS를 위한 SGOSST 메커니즘)

  • Kim, In-Bum
    • Journal of the Korea Society of Computer and Information
    • /
    • v.16 no.9
    • /
    • pp.107-114
    • /
    • 2011
  • Because of boost of communications devices furnishing diverse services and rapid expansion of mobile business, good use and management of the existing network system become very important. Also, offering service corresponding with user communication requirement grades which vary widely in each person, is vital for communication service provider. In this paper, SGOSST, a mechanism of efficient network construction with minimum cost for network QoS is proposed. In experiments, though spending 252.97% more execution times, our SGOSST QoS network consumed 5.11% less connecting costs than the network constructed by weighted minimum spanning tree method. Therefore our mechanism can work well for efficient operation and service providing in the network formed with users and communication devices of various service requirement grade as smart/mobile equipment.

Cultural Competence of Health Care Providers in Daegu and Satisfaction on Health Care Services of Chinese Medical Tourists (대구지역 의료서비스 제공자들의 중국 문화에 대한 문화적 역량과 중국 의료관광객의 만족도)

  • Park, Sa-Ra;Lee, Kyeong-Soo;Kim, Sang-Kyu;Hwang, Tae-Yoon
    • Health Policy and Management
    • /
    • v.26 no.2
    • /
    • pp.115-124
    • /
    • 2016
  • Background: This study aims at making a survey on health care service providers' cultural competence and making an appraisal of Chinese medical tourists on service quality, health care service providers' cultural competence, perceived value, and satisfaction. Methods: The data was collected from August until November, 2014 and 150 health care service providers and 65 Chinese medical tourists from 12 medical institutions in Daegu were enrolled in analysis. Results: The results showed that health care service provider's knowledge on Chinese culture was very low with 33.5% of correct answer. Health care service providers were found to get 3.82 point on a 5 point-scale in cultural perception, 3.53 points in cultural sensitivity, and 2.85 points in cultural skills. Chinese medical tourists were analyzed to give 4.08 points on a 5-point scale to satisfaction on health care service, followed by 4.01 points to health care service quality, 4.00 points to perceived value of health care service, and last 3.85 points to a health care service providers' cultural skills. However, there was a difference in points in cultural skills between health care service providers and Chinese medical tourists. Chinese medical tourists' satisfaction with health care service in Daegu was found to be comparatively high, but in relation to satisfaction with communication, it was found to be relatively low. Conclusion: Through this research, health care service providers' knowledge level of Chinese culture and cultural skills were low while they seemed to take a half-hearted attitude towards educational experience for building up cultural competence and foreign patient service response.

Number Portability Introduction Way Between $3G\rightarrow2G$ ($2G{\rightarrow}3G$간 번호이동성 도입 방안)

  • Choi Seung-Gwon;Lee Byeong-Rok;Ji Hong-Il;Choi Woon-Soo;Jo Yong-Hwan
    • Proceedings of the Korea Contents Association Conference
    • /
    • 2005.11a
    • /
    • pp.210-218
    • /
    • 2005
  • Recently, customers can select various service providers using number portability according to given select options such as quality of service and fare organization. Therefore it is possible that subscriber maintenance and quality competition are converted to fare competition which is real competition concept. However, it is time that we need number portability between $2G{\rightarrow}3G$ for activating 3G services because some important issues are closed such as domestic number portability, WiBro service provider selection. In this paper, we proposed applying method and necessity of $2G{\rightarrow}3G$ number portability Also, we analyzed $2G{\rightarrow}3G$ number portability examples of domestic and foreign countries and domestic market situation about abstract of 3G mobile communication service and number portability introduction between $2G{\rightarrow}3G$ for 3G service activation appearing newly in this research.

  • PDF

Adaptive Differentiated Integrated Routing Scheme for GMPLS-based Optical Internet

  • Wei, Wei;Zeng, Qingji;Ye, Tong;Lomone, David
    • Journal of Communications and Networks
    • /
    • v.6 no.3
    • /
    • pp.269-279
    • /
    • 2004
  • A new online multi-layer integrated routing (MLIR) scheme that combines IP (electrical) layer routing with WDM (optical) layer routing is investigated. It is a highly efficient and cost-effective routing scheme viable for the next generation integrated optical Internet. A new simplified weighted graph model for the integrated optical Internet consisted of optical routers with multi-granularity optical-electrical hybrid switching capability is firstly proposed. Then, based on the proposed graph model, we develop an online integrated routing scheme called differentiated weighted fair algorithm (DWFA) employing adaptive admission control (routing) strategies with the motivation of service/bandwidth differentiation, which can jointly solve multi-layer routing problem by simply applying the minimal weighted path computation algorithm. The major objective of DWFA is fourfold: 1) Quality of service (QoS) routing for traffic requests with various priorities; 2) blocking fairness for traffic requests with various bandwidth granularities; 3) adaptive routing according to the policy parameters from service provider; 4) lower computational complexity. Simulation results show that DWFA performs better than traditional overlay routing schemes such as optical-first-routing (OFR) and electrical-first-routing (EFR), in terms of traffic blocking ratio, traffic blocking fairness, average traffic logical hop counts, and global network resource utilization. It has been proved that the DWFA is a simple, comprehensive, and practical scheme of integrated routing in optical Internet for service providers.