• Title/Summary/Keyword: Reporting Culture

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Contamination Rates in Duodenoscopes Reprocessed Using Enhanced Surveillance and Reprocessing Techniques: A Systematic Review and Meta-Analysis

  • Shivanand Bomman;Munish Ashat;Navroop Nagra;Mahendran Jayaraj;Shruti Chandra;Richard A Kozarek;Andrew Ross;Rajesh Krishnamoorthi
    • Clinical Endoscopy
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    • v.55 no.1
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    • pp.33-40
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    • 2022
  • Background/Aims: Multiple outbreaks of multidrug-resistant organisms have been reported worldwide due to contaminated duodenoscopes. In 2015, the United States Food and Drug Administration recommended the following supplemental enhanced surveillance and reprocessing techniques (ESRT) to improve duodenoscope disinfection: (1) microbiological culture, (2) ethylene oxide sterilization, (3) liquid chemical sterilant processing system, and (4) double high-level disinfection. A systematic review and meta-analysis was performed to assess the impact of ESRT on the contamination rates. Methods: A thorough and systematic search was performed across several databases and conference proceedings from inception until January 2021, and all studies reporting the effectiveness of various ESRTs were identified. The pooled contamination rates of post-ESRT duodenoscopes were estimated using the random effects model. Results: A total of seven studies using various ESRTs were incorporated in the analysis, which included a total of 9,084 post-ESRT duodenoscope cultures. The pooled contamination rate of the post-ESRT duodenoscope was 5% (95% confidence interval [CI]: 2.3%-10.8%, inconsistency index [I2]=97.97%). Pooled contamination rates for high-risk organisms were 0.8% (95% CI: 0.2%-2.7%, I2=94.96). Conclusions: While ESRT may improve the disinfection process, a post-ESRT contamination rate of 5% is not negligible. Ongoing efforts to mitigate the rate of contamination by improving disinfection techniques and innovations in duodenoscope design to improve safety are warranted.

Factors affecting the Organizational Commitment of Industrial Accident Hospital Employees by Job Category (병원 구성원들의 직종별 조직몰입의 영향요인에 관한 연구)

  • Bang, Yong-Joo;Ha, Ho-Wook;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.7 no.4
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    • pp.24-56
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    • 2002
  • The purpose of this study was to analyze the characteristics of socio-demographic, organizational culture, organizational conflict and organizational commitment, and to examine the interrelation of influential factors in the organizational commitment. The data for this study were collected through a self-administrated survey with a structured questionnaire to 1,027 subjects from several medical doctor staff members, nursing staff members, administration staff members, pharmacist, and technical expert of eleven hospitals. The data were collected by self-reporting questionnaire from July 29 to September 7, 2002. In this analysis frequency test, t-test, ANOVA, multiple regression were used. The main results of this research is as following; 1. According to socio-demographic characteristics the respondents' level of the organizational commitment was higher in a administration staff members than others, for males than females, and for employees aged more than forty, as working for longer time, and as higher level of the working position. 2. According to the organizational culture characteristics the progressive culture, affiliative culture, and task-focused culture among many types of organizational culture were moderately and positively correlated with the level of the organizational commitment while the hierarchical culture was negatively correlated. 3. According to the organizational conflict characteristics as the respondents who got less conflict experience in the organization, their level of the organizational commitment was higher. And, technical conflict experiences were expressed greater than hierarchical conflict experiences. 4. According to the job satisfaction characteristics as his or her satisfaction that is about the promotion, working itself, salary, and fellowship in the organizational was higher, the level of the organizational commitment was higher. The most important factor of the satisfactions was the fellowship among the respondents while the level of job satisfaction for the promotion and salary was average. 5. Overall, according to the result of Multiple Regression as older age and longer working hours, the level of the organizational commitment was higher and as a higher level of the satisfaction for the promotion, working itself, salary, and fellowship in the organization, it caused more effective factors for the organizational commitment. 6. According to the result of Multiple Regression for the doctor staff members in special hospitals rather than general hospitals the hierarchical culture and task focused culture was positively correlated with the satisfaction of working itself while hierarchical conflict factors in the organizational conflict characteristics was negatively correlated with the organizational commitment. For the nursing staff members the affiliative culture and the job satisfaction for the promotion, working itself, salary, and fellowship were positively correlated with the organizational commitment. For the administration staff members as the job satisfaction for the fellowship was positively correlated with the organizational commitment. For medical and pharmacy staff members as more working experience, correlation with the organizational commitment was positive. Besides, as he or she has a high perception of the affiliative culture, it caused statistically more effective factors for the organizational commitment. For the skill and technicians, male worker expressed greater organizational commitment in the organization than female worker. And also older age along with higher education also showed higher organizational commitment. Moreover, the job satisfaction for the fellowship was positively correlated with the organizational commitment. This study identified the major effective factors of the organizational commitment and analyzed the differences among the job category. In that respect, it is significant for the study to be able to provide a reference for managing hospital of industrial accident and organizational development. However, this study has a problem, which is not to identify a valuable model for examining the relationship between organizational factors such as organizational culture, conflict, satisfaction, and commitment. Therefore, further study is needed and strengthened in the field of organizational commitment for hospital for industrial accident.

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Stress of Mothers-in-Law from Multi-Cultural Families (다문화 가정 시어머니가 경험하는 스트레스에 관한 연구)

  • Kim, Kye-Ha;Park, Gyeong-Sook;Sun, Jeong-Ju
    • Korean Journal of Adult Nursing
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    • v.21 no.6
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    • pp.639-651
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    • 2009
  • Purpose: This study examined relationships among stress, stress coping strategies, and somatization in mothers-in-law from multi-cultural families in a rural area. Methods: Elderly mothers-in-law (n=227) living with foreign daughters-in-law completed a self-reporting questionnaire. Data were collected from April to August 2009. Questions related to stress (Visual Analog Scale, VAS), coping strategies (Coping Strategy Scale) for stress, and somatization (Symptom Check List 90, Revised). SPSS/WIN 12.0 program was used for descriptive analysis, t-test, one-way ANOVA, Pearson correlation, and multiple regression analyses. Results: Subjects had a moderate level of stress (5.03). There were significant differences in stress level according to age, educational level, religion, chronic disease, health status, number of children, agreement of an international marriage of her sons, satisfaction in living with a foreign daughter-in-law, and family conflict. Stress showed a significant positive correlation with offensive coping strategy, passive strategy, and somatization. Stress, offensive coping strategy, and passive coping strategy affected the level of somatization. Conclusion: In a family situation involving co-habitation of mother- and foreign daughter-in-law, increased stress experienced by the mother-in-law can lead to increased offensive and passive coping strategies, and increased somatization. More effective means of stress reduction are needed for mothers-in-law from multi-cultural families.

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Perceptions about the Aviation Safety of the student pilots depending on the proficiency in Flight Training (비행훈련에서 학생조종사의 숙련도에 따른 안전인식)

  • Bok, Jung-Jin;Pak, Seon-Rae;Choi, Youn-Chul
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.18 no.4
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    • pp.80-85
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    • 2010
  • The study of the safety perceptions between two groups, trained and untrained student pilots were compared as pre-studies of that how the safety perceptions of the flight instructors affect that of the student pilots. As a results, the factors of the communication and the safety procedures shows higher values on the one-year trained group than the other because the trained students get used to the safety procedures which are necessary to the practical training. In reliability for the flight instructor, the factors of two groups show the high tendency without regard to groups. Despite of the lack of the specific research, the result implies that the student pilots are influenced by the safety perceptions of the flight instructors. In addition, the factors of the accident report were investigated as that the trained group has lower mean, however the factors of the receiving penalties of the trained group were higher than the other. These results imply that the trained group feels concern for the penalties and the punishments by reporting the accidents in spite of amounts of the training.

Determinants Influencing the Conversion of Financial Statements: The Case of Multinational Firms in Vietnam

  • TRAN, Manh Dung;NGO, Thi Tuyet Mai;PHAN, To Uyen;DO, Duc Tai;PHAM, Thi Thuy Hang
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.3
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    • pp.17-27
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    • 2020
  • The research aims to investigate the impact levels of determinants on the conversion of financial statements from Vietnamese accounting standards (VAS) to International financial reporting standards (IFRS) in the multinational firms in Vietnam. The method of data collection was done through the survey and subjects are accountants in Multinational Firms doing business in Hanoi and ten neighboring provinces. After checking the information on the votes, there are 170 questionnaires with full information for data entry and analysis. We use Cronbach's Alpha, EFA analysis and run regression model to investigate the impact levels of each independent variable on dependent variable of the conversion of VAS financial statements to IFRS. The results show that five determinants including Economic, Politics, Law, Culture, and Conditions for implementation have positive relationships with the conversion of VAS financial statements to IFRS. In particular, Economic determinant is the most strongest. Based on the findings, some recommendations are given for improving the conversion of VAS financial statements to IFRS of multinational firms doing business in the context of Vietnam. The results are considered a useful reference for firms when making financial statements to transparently change the financial statement information and improve the quality of financial statement information.

A Study on Efficient Operation of Safety Management System for Airport Organization (공항운영조직의 안전관리시스템(SMS) 운영 효율성 향상에 관한 연구)

  • An, Gyeong-Ryeong;Jang, Jing-Lun;Jang, Jung-Hwan;Lee, Chang-Ho
    • Journal of the Korea Safety Management & Science
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    • v.17 no.1
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    • pp.13-19
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    • 2015
  • Continued efforts to build up Safety Management System(SMS) and to improve its efficiency in airports, to which customers have direct access, are taken for granted due to continuous development of the aviation industry in both quantity and quality and rapid growth of air transportation market. This thesis proposed efficient operation methods of SMS for domestic airport organizations including Incheon International Airport(IIA), the largest airport in South Korea, aiming at strengthening aviation safety from the perspective of airport operators who play a pivotal role in service provider SMS. Those are consolidation of the existing safety management organizations and various improvements to promote voluntary incident reporting system. To draw a proposal for the improvements, conducted a research on domestic safety management status, carried out an analysis on operating conditions and did a research on ICAO regulations, domestic legal system as well as statistics data. Relevant studies and researches were also gathered and analyzed. A search for further improvements can also help increase operational efficiency and promoting a higher-level of safety awareness among operators can establish mature safety culture at airports.

Social Cohesion of Public Rental Housing Residents in Seoul - Community Activities and Cultural Influences - (서울시 공공임대아파트 커뮤니티의 사회적 결속력에 관한 연구 - 단지 내 커뮤니티 활동과 주거문화 특성을 중심으로 -)

  • Seo, Bokyong
    • Journal of the Korean housing association
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    • v.25 no.2
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    • pp.45-54
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    • 2014
  • In line with the previous study on the level of social cohesiveness of public rental housing communities in Seoul, this study investigated the community activities as a result of community cohesiveness and identified the cultural influences on the cohesiveness of the same case study areas. In general, there was relatively more active and voluntary participation of the residents in the community activities in the housing estates with higher social cohesiveness. The four communities were active in reporting community problems to the housing managers, greatly relying on the housing managers to solve the problems. In addition, mutual aid and community self-help were facilitated mainly through the activities of women's associations. However, small membership of community organisations and occasional disputes between the community organisations and estate managers, and among the community organisations themselves, seemed to have hampered the positive effects of the social cohesiveness in the case study areas. In terms of the cultural attributes, coexistence of collectivism and individualism, consideration of neighbourliness as an ideal social norm, incorporation of the neighbourhood environment into the housing estate environment and extensive use of outdoor public spaces were found.

Analysis of Risk Factors for Patient Safety Management (환자안전 관리를 위한 위험요인 분석)

  • Ahn, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.373-384
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    • 2006
  • Purpose: This is a pilot study to identify patient safety risk factors and strategies for patient safety management perceived by nurses. Methods: Data were collected and analyzed with an open questionnaire from April to May 2005, targeted on 100 nurses working in two hospitals. The issues were 'what are risk factors for patients, nurses, and other medical practitioners? How do they prevent with the aftermath of risk factors, causes of incidents?' For data analysis, types and frequency of risk factors were worked out, using the Australian Incident Monitoring System Taxonomy. Results: The types of patient safety risk factor perceived by nurses were as follows ; therapeutic devices or equipment, infrastructure and services (29.5%), nosocomial infections (16.3%), clinical processes or procedures (15.4%), behavior, human performance, violence, aggression, security and safety (12.2%), therapeutic agents (9.7%), injuries and pressure ulcers (8.7%), logistics, organization, documentation, and infrastructure technology (5.6%). Strategies for patient safety included training of prevention of infection, education about safety management for patients and medical professionals, establishment of reporting system, culture of care, pre-elimination of risk factors, cooperative system among employees, and sharing information. Conclusion: These results will be used to provide evidences for patient safety management and educational program.

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Authorship Attribution in Korean Using Frequency Profiles (빈도 정보를 이용한 한국어 저자 판별)

  • Han, Na-Rae
    • Korean Journal of Cognitive Science
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    • v.20 no.2
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    • pp.225-241
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    • 2009
  • This paper presents an authorship attribution study in Korean conducted on a corpus of newspaper column texts. Based on the data set consisting of a total of 160 columns written by four columnists of Chosun Daily, the approach utilizes relative frequencies of various lexical units in Korean such as fully inflected words, morphemes, syllables and their bigrams in an attempt to establish authorship of a blind text selected from the set. Among these various lexical units, "the morpheme" is found to be most effective in predicting who among the four potential candidates authored a text, reporting accuracies of over 93%. The results indicate that quantitative and statistical techniques in authorship attribution and computational stylistics can be successfully applied to Korean texts.

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A Study of the Producing Conventions of Lifestyle News in the Newspaper (신문매체에서의 라이프스타일 뉴스 제작관행 연구)

  • Hong, Eun-Hee
    • Journal of the Korean Home Economics Association
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    • v.45 no.2
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    • pp.105-117
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    • 2007
  • The purpose of this study is to examine the producing conventions of lifestyle news and search for problems with these conventions. This research is about the entire process of production of lifestyle news, while dividing it into sourcing conventions and editing conventions. With this concept as a goal, we analyzed the content of lifestyle articles over the last six months in two types of daily papers, and then interviewed journalists in-depth. The results of the study indicate that as for sourcing conventions, reporting is accomplished by focusing on a reporter and using anonymous or false-named news sources. These conventions spread widely over not only ideas but also valuation of news items and security of news sources. This is because in terms of lifestyle news that is closely related to one's private life such as family relations, a reporter often attempts to prevent a news source from being exposed to secondary damage, such as the criticism of readers. In the meantime, editing conventions of lifestyle articles are irrelevant in terms of the quality of each media enterprise. Instead, these conventions are connected with the day of publication. Moreover, editors tend to approach editing conventions to spread the culture of upper classes, recognizing that the readers are consumers who have purchasing power.