• Title/Summary/Keyword: QI

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A Case Study on Quality Improvement of the Food Services for Patients - Focused on Satisfaction Offered Menu and Differentiated Service - (환자 급식서비스의 질 향상 사례 연구 - 메뉴 만족도와 차별화 중심으로 -)

  • 이승림;장유경
    • Korean Journal of Community Nutrition
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    • v.9 no.2
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    • pp.225-232
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    • 2004
  • The objective of this study is to investigate how patients satisfaction are affected by satisfaction with the patient menu and differentiated service resulting from QI activities and to evaluate the efficiency of QI activities. In order to improve satisfaction with menus through QI activities, this study strengthened meal round, examined the quantity of food waste produced by patients, diversified one-dish menus and used seasonal food as much as possible to reflect patients ′tastes to the maximum. With regard to cooking, additionally, it strengthened sampling and standardized recipes to maintain the constancy of taste and cooking/seasoning. From July 2003, dining time was changed from 08 : 00 to 07 : 30 for breakfast and from 17 : 30 to 18 : 00 for dinner. Statistical data analyses were completed using the SPSS 11.0 program. The results can be summarized as follows: The goal of QI was to improve food service by raising the score of "Satisfaction with Offered Menus" from 3.49 before QI to 3.55 after QI and differentiating nutrition service at the VIP ward. The score of "Satisfaction with offered menus" after QI was 3.56, and services related to the VIP ward were 7 dishes per meal, meal round once per day and the use of a napkin for a spoon in setting the table. In addition a variety of dishes were used in order to heighten the visual effect. Among the 10 items included on the patient satisfaction questionnaire, 8 items showed higher scores before QI. "Taste of meals" (p < 0.05), "Satisfaction with offered menus" (p < 0.05), "Kindness of meal serving assistants" (p < 0.05) and "Cleanliness of clothes & features" (p <0.05) of VIP ward were significantly higher than those of a general ward.

Factors Associated with the Degree of Quality Improvement Implementation (국내 의료기관의 질 향상 사업의 활성화에 영향을 미치는 요인 - 조직동인적 관점에서)

  • Choi, Kui-Son;Kang, Hye-Young;Cho, Woo-Hyun;Chae, Yoo-Mi;Lee, Sun-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.4
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    • pp.363-371
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    • 2001
  • Objectives : To assess the degree of quality improvement (QI) implementation and to identify its associated factors. Methods : A mailed questionnaire survey of the QI staffs at hospitals with 400 beds or more was conducted between September 15 and October 30, 2000. Of the 108 hospitals eligible for inclusion in our study, 79 participated, yielding a response rate of 73.1%. After excluding 12 hospitals that did not perform any QI activities, 117 responses from 67 hospitals were used in our analysis. The degree of QI implementation was measured using the Malcolm Baldrige National Quality Award Criteria (MBNQAC). Factors evaluated for association with the degree of QI implementation were cultural, technical, strategic, and structural factors of the hospitals. Results : The average 01 implementation score across the 7 dimensions of MBNQAC was 3.34 on a 5-point scale, with the highest score for the area of customer satisfaction (3.88) followed by information and analysis (3.59) and quality management (3.35). The results of regression analysis showed that hospitals with a ofter information system (p<0.05) and using scientific and systematic problem solving approach (p<0.01) tended to perform a higher degree of QI implementation. While statistically insignificant, positive associations were observed for the factors of group or developmental culture, the degree of employee empowerment, and the use of prospective strategy. Conclusions : It appears that the most important factors contributing to active implementation of QI in Korean hospitals were the use of scientific skills in decision making, and having a quality information system to produce precise and valid information.

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Qi-deficiency in the Patients with Allergic Disorders

  • Yei, Young Chul;Jin, Chul;Choi, Won Woo;Hwang, Jae Woong;Jang, Hyeung Jin;Kim, Bum Joon;Lim, Kook Jin;Kwon, Seungwon;Cho, Seung Yeon;Park, Seong Uk;Park, Jung Mi;Ko, Chang Nam;Moon, Sang Kwan;Cho, Ki Ho;Jung, Woo Sang
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.16 no.1
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    • pp.19-24
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    • 2015
  • ■ Introduction Allergy refers a hypersensitive immune response to the various environmental factors and Qi is considered as vit al energy to defend oneself from environments in Traditional Chinese Medicine. Therefore, this study was performed to assess the relationship between allergy and Qi-deficiency ■ Methods We enrolled the subjects with allergic disorders and the healthy controls without allergic disorders. We got the information on the general characteristics, and the score of Qi-deficiency from all of the subjects, and measured their total Immunoglobulin E(IgE) level. ■ Results There were one hundred forty three subjects with allergic disorders and 211 of the control. The educational level, total IgE, and the scores of the Qi-deficiency were higher in the allergy group than in the control. ■ Conclusion Allergic subjects tend to have more severe Qi-deficiency. This could suggest the clinical effectiveness of some herbal medicines for Qi-deficiency on allergic disorders.

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Intelligent Digital Redesign for Qi System (Qi 시스템에 대한 지능형 디지털 재설계)

  • Seong, Hwa-Chang;Ju, Yeong-Hun;Park, Jin-Bae
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2007.11a
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    • pp.399-402
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    • 2007
  • 본 논문은 Qi 시스템 제어를 위한 지능형 디지털 재설계 접근 방안을 제안한다. 디지털 재설계란, 기존의 안정화 된 연속시간 플랜트와 이산 시간에서 설계된 디지털 제어기와의 상태 접합 및 안정도 분석을 통해 전체 시스템을 재구성 하는 것을 말한다. 퍼지 모델링을 통해 Qi 시스템을 퍼지 규칙으로 표현하며, 디지털 재설계를 통해 재설계된 디지털 제어기를 통해 이를 제어하게 된다. 주어진 조건은 LMI를 통해 표현되며, 시스템의 안정도를 증명함으로써 디지털 제어기절계의 활용성 및 가능성을 검증하고자 한다.

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A Study of Literature Review on Needling Sensation and the Flow of the Needling Sensation (침감(鍼感) 및 침향(鍼響)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim, Sung-chul
    • Journal of Acupuncture Research
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    • v.18 no.3
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    • pp.201-214
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    • 2001
  • Objective : To study needling sensation and the flow of the needling sensation the ancient and the present literatures were reviewed. Results : 1. The needling sensation was getting the Qi and a normal reaction of acupuncture. 2. The flow of the needling sensation was promoted the Qi and normalized the flow of the Qi 3. The needling sensation of a patient expressed soreness, distension, heaviness, numbness, tingling, flushing, fervor, chill, itching, and so forth. 4. The needling sensation of a patient expressed simple or complex syndrome. 5. The needling sensation of a doctor expressed objectively more than the needling sensation of a patient in the hand feeling of a doctor. 6. The doctor was compared good needling sensation and bad needling sensation. 7. The needling sensation and the flow of the needling sensation were processed continuously. 8. The needling sensation and the flow of the needling sensation were connected with a nervous system and expressed variously in the anatomical structure and hand acupuncture tenchnique.

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Study of Qi-pattern and Syndrom in Donguibogam ("동의보감(東醫寶鑑)" 목록(目錄) 중 '기(氣)' 자(字)가 포함된 병증(病證)에 대한 연구)

  • Lee, Seon-Goo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.4
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    • pp.427-431
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    • 2012
  • Pattern identification is the process of overall analysis of clinical data to determine the location, cause and nature of a patient's disease and achieving a diagnosis of a pattern and syndrome. In Korean medicine, Pattern identification is very important act. In order to get good Pattern identification act is important to understand the Pattern and syndrom concept. In this studies, I would like to know Qi-Patten and syndrom means in Donguibogam. So, I looking for analysis that could be associated with the Qi-pattern and syndrom in Donguibogam. As a result, Qi-pattern and syndrom related to the Jeongjisang(情志傷). Jeongjisang(情志傷) is used in referring to illness related to unhealthy emotions. It also refers to illness where Jeongji(情志) plays a role in creating a more direct cause of illness in the larger pathogenic process.

Directional Properties of 4 Type Constitution in Sasang Constitutional Medicine (사상의학에서 각 체질별 기운의 방향 특성)

  • Kim, Kwang-Hyeon
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.1
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    • pp.53-62
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    • 2009
  • 1. Objectives The purpose of this study is to find the ground why constitution must be classified into 4 types. 2. Methods I analysed the basic presuppositions to class 4 Type Constitution in Sasang Constitutional Medicine(SCM). And I connected the presuppositions with other theories from the viewpoint of directional properties of human body. 3. Results and Conclusions The most important presupposition to class 4 Type Constitution and apply to clinical therapy in SCM is that there is native strength and weakness of lung's Exhale Dispersing Qi, liver's Inhale Gathering Qi, spleen's Ascending Yin Qi and kidney's Descending Yang Qi. If there is superior tendency of Qi flow direction in human body, 6 directions(upward, downward, forward, backward, outward and inward) will be remarkable. But, in embryonic period, the outer skin is originated from the back(ectoderm) and the alimentary canal is from the front(endoderm). Therefore 4 directions(upward, downward, outward and inward) will be more remarkable, and those directions are included in the former presupposition.

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A Bibliographic Study on the Nature and the Emotion of Confucians and the Nature Qi and the Emotion Qi of Lee Jae-Ma (유학자(儒學者)들의 심성정(心性情) 이제마(李濟馬)의 성정기(性情氣)에 관한 문헌적 고찰)

  • Son, Sang-Kon;Kim, Dal-Rae
    • Journal of Sasang Constitutional Medicine
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    • v.8 no.2
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    • pp.11-39
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    • 1996
  • The purpose of this investigation is to seek the concepts of the Nature and the Emotion in the Sasang Constitutional Medicine. The results summerized as following. 1. When feelings like joy, anger, sorrow and happiness are kept in heart this state is the Nature. When they are expressed this state is the Emotion. In this point Confucianism and the Sasang Constitutional Medicine are same each other. 2. The Nature and Emotion of Confucianism are the psychic concepts. But the Nature and Emotion of the Sasang Constitutional Medicine are the psychosomatic concepts. 3. QI(氣) of joy, anger, sorrow and happiness, each of them share with qi(氣) of the Nature and Emotion. Qi(氣) of the Nature and Emotion directly influence the formation of Sasang Constitution, physiological and pathological state. As mentioned above, though the Nature and Emotion of the Sasang Constitutional Medicine come from Confucianism they are used the more opened conception.

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