• 간호행정학회지
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• 제1권2호
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• pp.388-407
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• 1995

This study is (a) to describe the history of Total Quality Management (TQM) generated in the industry, health care service, and nursing society ; (b) to define the concept, total quality management including the definition of quality ; (C) to explain the each principle of TQM theory developed by main theorists, E. Deming, J. Juran, and B. Crosby ; (d) to give the examples related to TQM implementation at the health care organization ; and (e) to mention the extent to which the health care organizations are able to evaluate their cultural organization toward TQM and have had the way to measure the effect of TQM implementation. TQM referred to Continuous Quality Improvement(CQI), Quality Improvement(QI), and Total Quality Improvement(TQI), was not recognized by experts in the United States industry, but by economists in Japan until the end of the 1970's. However, the United States' government led to introduce the principles of TQM to general industry as well as health care service area so that TQM became a main philosophy to manage the organizations in health care service. TQM is a structured, systematic process for creating organization-wide participation in planning and implementing continuous improvement in quality. E. Deming established the "Chain reaction in Quality" and the fourteen point of TQM. The Chain reaction in quality is to describe the relationship among the reduction of waste, rework, and delay, quality improvement, customer satisfaction, and productivity. There are fourteen points to explain the principles of TQM by E. Deming. Juran defined the "Quality Trilogy" to improve the level of quality in any organization. Quality Trilogy has three steps such as quality planning, quality control, and quality improvement for implementing the TQM projects. Crosby describes his TQM theory by establishing "Four Absolutes" and "Fourteen steps in TQM" implementation. Until now, most healthcare organizations have made efforts to organize the TQM task team and to implement TQM principles with various issues. There are three priorities to select the TQM issues : High-volume, High-risk, and Problem-prone. However, there is no absolute, credible measurement yet to evaluate the effects of TQM implementation in health care organization regardless of the classification of health care organizations, geographical background, and social influence. Thus, developing the evaluation way in terms of TQM is the foremost task in health service area. The most important thing for TQM implementation in the organization is to settle up the concept, cultural transformation from traditional management toward quality.

• 산업공학
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• 제14권4호
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• pp.409-420
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• 2001

In this paper, We study the development of Quality Competitiveness Assessment System(QCAS), which is a computer software developed to support the assessment criteria. It, first, describes the structure of the assessment criteria and the quality competitiveness model developed for promoting quality management. QCAS is then further explained by delineating its design, functional characteristics, and feedback from the experts. A systematic procedure is also proposed for possible application of QCAS in real world situations. Finally, This research propose a systematic procedure that can be used to apply QCAS in setting up a long-term plan for continuous quality improvement.

• 품질경영학회지
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• 제20권2호
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• pp.94-108
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• 1992

This study involves an experiment for the cognitive experiment design and the human reliability in software engineering. Its overall objectives are to analyze common-cause human domain error and reliability in human-software interaction. A laboratory study was performed to analyze software engineers' task behavior in software production and to identify software design factors contributing to the effects in common cause failure redundancy. Common-cause model and its function were developed, then the main experiment using programming experts was conducted in order to define a new cognitive paradigm, in the aspects of identification, pattern recognition, and behavior domain for human reliability and quality control in software development. The results and analytical procedures developed in this research can be applied to reliability improvement and cost reduction in software development for many applications. Results are also expected to provide guidelines for software engineering quality control and for more effective design of human-software interface system.

• 한국건설관리학회논문집
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• 제22권3호
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• pp.12-20
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• 2021

건설 품질 및 안전 확보, 비용분쟁 방지를 위해 최근, '적정 공사기간' 산정의 중요성이 부각되었다. 건축공사기간 산정기준 마련을 위해서는 상당량의 과거자료 분석이 필요하다. 그러나, 근로시간 단축, 품질규정 강화 및 기후조건 변화 등 건설사업 환경이 이미 변경되어 과거자료의 사용에 대해 많은 전문가들이 의문을 제기하고 있는 실정이다. 또한, 건축공사는 공사 여건에 따라 작업순서, 생산성 등이 매우 다양해 과거 통계치를 활용한 획일적인 공사기간 산정 시 오류 가능성이 상승한다. 따라서, 적극적인 '생각의 전환'을 통해 과거자료 분석 방식에서 현재생산자료 검토 방식으로 변경하는 새로운 해법을 본 연구를 통해 제시하였다. 즉, 설계단계에 '공정관리 전문가' 및 '공종별 시공전문가'를 투입하여, '적정 공사기간'을 검토·산정하는 절차를 제도화하였다.

• 품질경영학회지
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• 제30권3호
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• pp.20-37
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• 2002

In this paper, we studied the purpose of this paper is like that; the first one is to find the factors associated with operational strategy by variable website types classified into information-providing type, product-providing type and service- providing type by user approach purposes. The second one is to propose the successful operational strategy through analyzing the factors affecting the financial and non-financial performance of websites. A framework of research model including above factors is developed and tested statistically. The data are collected from Internet website experts of 80 Korean firms through survey. The main results of this research are as follows. First, in information-providing websites, the community factor is regarded as the most important factor But for the Improvement of the performance, not only community factor but also user interface, customization, total quality and playfulness factors should be regarded as important factors equally. Second, in product-providing websites, customization, total quality and visual design factors are regarded as important factors. But for the improvement of the performance, community and visual design factors should be regarded as important factors. Third, in service-providing websites, user interface, customization and community factors should be regarded as important factors in order to improve the performance.

• 보건의료산업학회지
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• 제9권4호
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• pp.1-12
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• 2015

Objectives : The aim of this research was to develop evaluation indicators that ensure safe services and enhance the quality of small-sized dental hospitals within local communities to prepare for the dental hospital accreditation system. Methods : Materials and data from a total of 460 respondents were analyzed after quality improvement indicators were formed by surveying experts and studying documents in Korea and abroad, and by conducting a survey from August 21, 2013 to September 30, 2013 for validation purposes. Results : Based on the results of factor analysis. all measured items appeared to be statistically significant with a factor loading score of at least 0.5, and the correlation between the factors all appeared to be high as well. The goodness-of-fit for the model also appeared to be within the recommended acceptance level. Thus, the proposed evaluation indicators for dental hospital accreditation developed in this study consisted of a total of seven major category factors and a total of 91 detailed items. Conclusions : Furthermore, the results suggest that the evaluation indicators can be used to improve the quality and to ensure the safe services of dental hospitals in local communities.

• 대한간호학회지
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• 제35권4호
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• pp.649-655
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• 2005

The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was $41.7\%$. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M = 4.54), and Abuse Recovery: Financial, the lowest score (M = 2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M = 3.91) and lowest for Community Health (M = 2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M = 4.32) and lowest for Community Well-Being (M = 2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

• 품질경영학회지
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• 제42권4호
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• pp.701-716
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• 2014

Purpose: In the paper, I studied success factors and measures for win-win quality management for boosting corporate competitiveness through the achievement of high quality. Methods: As such, to that end, data of companies' win-win quality management activities and Cooperation performance were gathered. Also, I had a literature review and working staffs'opinions were gathered to develop items related to trade dependence, quality cooperation, and mutual trust and cooperation. To develop the questionnaire, sufficient literature survey was conducted, and advice was sought from experts of manufacturing companies which practice Win-Win Cooperation. Results: Based on these previous researches and analysis by structural equation modeling, among trade dependence factors, overall, other factors except financial dependence and some detailed factors were found to have a relatively significant influence relation. Conclusion: The findings of this study suggest that if individual organizations can construct an effective quality improvement system and positively pursue win-win activities, it will contribute greatly to achieving high quality and improving financial performance. However, given the time and regional limits of this study, more in-depth studies need to be conducted on measures for boosting quality competitiveness through Win-Win Cooperation.

• 여성건강간호학회지
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• 제29권3호
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• pp.190-199
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• 2023

Purpose: This study aimed to describe the characteristics of mobile applications (apps) related to pregnancy in South Korea and evaluate their quality. Methods: We conducted a systematic search for pregnancy-related apps available in Korea in two app stores as of April 29, 2022. The quality of apps was assessed using the Korean translation of the Mobile Application Rating Scale for objective quality with four subdomains (engagement, function, aesthetics, and information) and four items for subjective quality. Results: In total, 163 apps were selected and reviewed. Both the objective and subjective quality of the apps were found to be desirable, with scores exceeding 3 out of 5 (range, 34-82). All subdomain scores in the objective quality assessment were also desirable. Among the four objective quality subdomains, aesthetics received the highest scores, followed by information, function, and engagement. In terms of subjective quality, the scores for a comprehensive overall evaluation, continuous use, and recommendation exceeded 3 out of 5, with the exception of payment. Only a small number of apps (n=4, 2.9%) were backed by a reliable authority, such as an expert review. Significant differences were observed in the objective quality of apps across different content categories (F=3.86, p=.003). Conclusion: Most pregnancy-related apps had desirable levels of objective and subjective quality. However, app content experts seldom provide reviews. It is crucial for nurses to recommend apps to expectant mothers that offer dependable content, regularly updated with the latest information.

• 한국의료질향상학회지
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• 제4권2호
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• pp.260-278
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• 1997

Background : Quality of professional nursing care is the most essential factor for survival and growth of nursing profession. Then, nursing professionals have responsibility for the evaluation of quality of professional nursing care. The purpose of this study was to develope an evaluation tool of nursing care for patients received gastrointestinal surgery with general anesthesia. This study was a primary work for the developement of a computer program for the evaluation of nursing care. Methods : This study was done through some consecutive steps. They were (1) Developement of items for the tool (2) Developement of an evaluation tool of nursing care quality for the G-I surgery patient (3) Test of reliability and validity of the tool. Two groups of experts and expert pannels who had much experience of the QA and the care of G-I surgery patients participated for developement of the items. 85 nursing records were used for the test of reliability and validity of the developed tool. The evaluation tools were developed with two types of scoring, norm-referenced tool and criterion-referenced tool. Results The system of items for tool was evaluation area evaluation item-indicator. There were 7evaluation areas which contained 32evaluation items which contained 7lindicators. Evaluation areas 1, 2, 3, 4 were for the evaluation of process and 5, 6, 7 were for the evaluation of outcome of nursing care for G-I surgery patient. For the test of interrator reliability, correlation coefficients of each scores of items and intragroup correlation coefficients were calculated. The average correlation coefficients between two rators were 0.65, 0.54 and the intragroup correlation coefficient were 0.99 and 1.00 by the types of scoring. The Cronbach alpha coefficients of the tools were 0.54 and 0.46 by the types of scoring. The average content validity index of the items was 0.95 from 4 pairs of experts. Because there were significant differences between some scores of quality of nursing care of 3 general hospitals regardless of the types of scoring, the tools could be thought to have some construct validity. And also, there were significant correlations between some scores of quality of nursing care and admission days and admission days after surgery regardless of the types of scoring, the tools could be thought to have predictive validity. Conclusion In this study, the evaluation tool of nursing care was developed for the very specified group of patient, G-I surgery patient. And the items were developed and tested by the experts of nursing practice. Because of these reasons, it was supposed that the tool could be used effectively in nursing pratice. And the procedures for the development and the test of the evaluation tool of nursing care in this study were supposed to be used for the developement of other tools.