• Title/Summary/Keyword: Safety Indicators

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Application of Patient Safety Indicators using Korean National Hospital Discharge In-depth Injury Survey (퇴원손상심층자료를 이용한 환자안전지표의 적용)

  • Kim, Yoo-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2293-2303
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    • 2013
  • Objective: This study aims to determine whether national patient safety indicators (PSIs) can be calculated. Methods: Using PSI criteria from Organization for Economic Co-Operation and Development (OECD) Health Technical Papers 19 based on the Agency for Healthcare Research and Quality (AHRQ), PSIs were identified in the Korean National Hospital Discharge In-depth Injury Survey (KNHDIIS) database for 875,622 inpatient admissions between 2004 and 2008. Logistic regression was used to estimate factors of variations for PSIs. Results: From 2004 to 2008, 3,084 PSI events of 8 PSIs occurred for over 80 thousands discharges. Rates per 1,000 events for decubitus ulcer (PSI3, 4.88), foreign body left during procedure (PSI5, 0.05), postoperative sepsis (PSI13, 1.32), birth trauma-injury to neonate (PSI17, 7.92) and obstetric trauma-vaginal delivery (PSI18, 32.81) are all identified between ranges from maximum to minimum of OECD rates, respectively. However, rates per 1,000 events for selected infections due to medical care (PSI7, 0.22), postoperative pulmonary embolism or deep vein thrombosis (PSI12, 0.90) and accidental puncture or laceration (PSI15, 0.71) are below the minimum of OECD range. 7 PSIs except PSI 18 showed statistically significant relationship with number of secondary diagnoses. When adjusting patient characteristics, there are statistically significant different rates according to bed size or location of hospitals. Conclusion: This is the first empirical study to identify nationally number of adverse events and PSIs using administrative database. While many factors influencing these results such as quality of data, clinical data and so on are remain, the results indicate opportunities for estimate national statistics for patient safety. Furthermore outcome research such as mortality related to adverse events is needed based on results of this study.

Study on the improvements for Managerial Efficiency of the Designated Lane Law (지정차로제의 합리적 운영방안에 대한 연구)

  • Lee, Seung-Jun;Lee, Choul-Ki;Lee, Yong-Ju;Kim, Yong-Man
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.2
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    • pp.85-94
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    • 2016
  • Lane Designation is defined as reasonable road management to ensure the road safety and enhance road efficiency. While the lane designation system was abolished in 1999, it was redefined because of the increasing number of large vehicles in the passing lane, violent on driving and traffic accidents in 2000. The needs of improvement on operating the lane designation has been increasing more in recent due to the low ratio of compliance with the system and difficulties to keep the right lane due to need of turning and demand of widening of designates lane for two-wheeled vehicles and truck. In this study, we presented the improvement plan through the question survey, simulation analysis, safety evaluation. It found a problem that the low-speed vehicle is to use the upper level roadway, difficulties of supervision, the imbalance in the lane use, imbalance traffic and does not match the international standards. This study suggested five different alternatives through the survey. micro simulation has used in order to examine each alternative by management effectiveness and feasibility. It analyzed the traffic speed, efficiency, traffic balance of alternatives. Also, safety evaluation conducted in terms of the range of field-of-view to ensure the easiness of field of view by various configurational difference between the vehicles. By the analysis results of such indicators, This study presents proposals for improvement in operating designated lane that low-speed-big-sized vehicles keep to the right lane, and high-speed-small sized vehicles keep to the left lane.

Emission Rates Estimation by Vehicle Type in Seoul Using the Vehicle Inspection Data (차량 검사 데이터를 활용한 서울시 자동차 유형별 배출 가스량 원단위 산정)

  • Lee, Hyosun;Han, Yohee;Park, Shin Hyoung;Hwang, Ho Hyun;Kim, Youngchan
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.20 no.6
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    • pp.177-191
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    • 2021
  • One of the major causes of serious air pollution worldwide is emissions from road transportation. A number of countries are working to reduce vehicle emissions, and the Seoul Metropolitan Government is also implementing active policies to reduce emissions by setting a target of 40% by 2030. Implementing these policies requires the introduction of practical indicators. Most of the domestic emissions are calculated by the emission coefficient, a function of speed at the National Institute of Environmental Research under the Ministry of Environment, but the dynamic variable speed is limited to being used as an indicator of the number of eco-friendly vehicles. Therefore, this study calculated the emission rates in Seoul using the vehicle registration data of Seoul and the vehicle inspection data from the Korea Transportation Safety Authority. The tendency of emissions was determined according to key variables such as vehicle type, fuel and mileage. Emissions were based on carbon monoxide, hydrocarbons, nitrogen oxides and particulate matter measured by vehicle inspection from the Korea Transportation Safety Authority. As a result, the emission rates showed a significant trend according to the model year and mileage. This can be used as a policy indicator to preferentially switch commercial vehicles with old model years and long mileage when switching eco-friendly vehicles in Seoul.

Development of Quality Evaluation Model for Tug Service in Korea using AHP (AHP를 활용한 우리나라 예선서비스 품질평가 모형 개발 연구)

  • Sung-ki, Kim;Sang-gyun, Choi;Chan-ho, Kim
    • Journal of Navigation and Port Research
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    • v.46 no.6
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    • pp.530-537
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    • 2022
  • Tug services are essential services to ensure port safety. However, due to the relatively low barrier to entry into the tug service market, the number of service companies has increased, which has led to growing concerns about excessive competition among companies and poor service quality. To solve these problems, it is necessary to prepare a service quality evaluation system, but full-fledged implementation remains far away. The purpose of this study is to develop a tug service quality evaluation model that can be practically applied. To this end, an evaluation model consisting of two major categories, eight middle categories, and 25 detailed evaluation indicators was developed through a literature review, case studies, and expert interviews. AHP analysis is also conducted to derive the relative importance of the evaluation items. As a result of the analysis, it was found that the weight of user satisfaction was higher than that of management evaluation. In addition, the weights for each detailed indicator of management evaluation were in descending order of facility management, company management, and financial soundness, and it was analyzed that the management of facilities directly used for services was important. User satisfaction is in descending order of safety, punctuality, service satisfaction convenience, and transparency. These results show that securing safety is a top priority, and that the inherent quality of services such as safety and punctuality is more urgent than those of the convenience and transparency of the process in terms of providing preliminary services.

A study on the quality change of fish cakes by storage conditions to set the use by date of fish cakes (어묵의 소비기한 설정을 위한 보관방법 별 어묵의 품질변화 연구)

  • Sun Hye, Hwang;Min Joo, Kim;Ji Yeon, Choi;Yong Sun, Cho
    • Analytical Science and Technology
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    • v.35 no.6
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    • pp.267-273
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    • 2022
  • In this study, a quality evaluation was conducted to change the sell-by date of fish cakes to the use-by date. For product quality evaluation, storage conditions were set at 5, 10, and 15 ℃, and five tests of pH, acid value, volatile basic nitrogen, bacterial count, and coliform group were performed. As a result of the experiment, the quality safety limit period of fish cakes stored at 5 ℃ was 43 days, that of fish cakes stored at 10 ℃ were 30 days, and that of fish cakes stored at 15 ℃ was 7 days. Among the five test items used for quality evaluation, the quality-limit indicators were acid value, number of bacteria, and coliform groups. The index that determined the quality safety-limit period under the three storage conditions was the bacterial count. The sell-by date of the fish cake used in this experiment was 10 days. However, through quality evaluation, the use-by date at 10 ℃ was 28.5 days, which was calculated by multiplying the 30 days; the quality limit period, by a safety factor of 0.95. However, this study conducted a quality study on one item of fish cakes from a single company, and it was difficult to use the quality safety-limit period and use-by date set in this study universally. To change the sell-by date to the use-by date, extensive quality research on various products will be required. If this system is well established, it can help reduce food waste through proper consumption of food, and consumers will be able to consume food with confidence.

A Study on the Analysis of Market Efficiency of Agricultural Products in E-Commerce B2C Platform -Based on the Consumers' Price Fairness Perceptions- (전자상거래 B2C 플랫폼 농산물 시장효율성 분석에 관한 연구 -소비자의 가격공정성 관점 기준으로-)

  • Bai, Xiu-Na;Chung, Gi-Young;Kim, Hyung-Ho
    • Journal of the Korea Convergence Society
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    • v.11 no.6
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    • pp.237-248
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    • 2020
  • The purpose of this study is to measure the agricultural product market efficiency of the three e-commerce platforms from the perspective of consumer price fairness perception, analyze the quality and price gap of invalid brands, and help agricultural products enterprises to formulate reasonable price strategies. The characteristics of farm products sold in e-commerce platforms(quality, origin, taste, safety level) were selected as output indicators and the prices of products were selected as input indicators to evaluate the efficiency of the market through DEA analysis. According to the analysis, JD mall has the largest proportion of effective brands, while YHD.com has the highest average market efficiency, and northeast rice has the largest difference in average efficiency among the three platforms. The results show that price inefficiencies still exist in the electronic market. The development of online market for agricultural products should pay attention to consumer price fairness and pay attention to the coordination between price and quality. The limitation of this paper is that it does not focus on the influence of words of mouth marketing in internet market and consumer experience, which can be the future research direction.

Availability Evaluation of TOC as the Environmental Standard - Survey of Lakes in Nakdong River Basin - (환경기준으로서의 TOC에 대한 활용성 평가 - 낙동강수계 호소를 대상으로 -)

  • Choi, Byoungwoo;Kang, Meea
    • Journal of Wetlands Research
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    • v.20 no.2
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    • pp.173-180
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    • 2018
  • The utilization of TOC(Total organic carbon), a new environmental standard, was evaluated for 30 lakes in the Nakdong River Basin, which is used for drinking and agricultural usage. The active use of water resources begins with securing satisfactory water quality. Since this allows people and nature to maintain stability of quality, water quality standards are being tightened to ensure good water quality. In order to improve the pollution level of organic matter in lakes in the living environment, it is important to use the appropriate organic substance index. The relationship between the newly introduced TOC and the existing COD(Chemical oxygen demand) in the targeted lake was positively correlated with the possibility of replacing the TOC with COD. However, the environmental grade standard using TOC is better than the environmental grade standard using COD, so it has the same effect as that of the grade of water quality using TOC as an organic substance factor. This indicates the limitation of TOC to directly replace existing COD when trying to determine or improve the quality level using organic indicators of lakes. Therefore, in order to secure the qualitative safety of the lake, it is required to strengthen environmental standards of TOC in terms of water quality grade. In addition, the correlation between TOC and COD shows a great difference depending on the utilization characteristics of the lake. This requires clear scientific identification, and it requires continuous monitoring of COD that has been used to accumulate indicators of lake organic matter.

Study of the Factors Determining Life Satisfaction of Local Residents in Chungbuk Province (지역주민의 생활 만족도에 영향을 미치는 결정요인 연구 -충청북도를 대상으로-)

  • Cho, Taek-Hee;Bae, Min-Ki
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.591-601
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    • 2017
  • The purpose of this research was to identify the effects of factors determining life satisfaction (LS) of local residents in chungbuk province. After reviewing the literature, this research selected and developed the 9 categories and specific indicators of LS. This research had obtained data through a face to face investigation using questionnaire, which surveyed 1,619 residents at 11 local governments in chungbuk province. This research analyzed the data using descriptive statistical methods and multiple linear regression method. This research found that 1) the level of overall LS had 4.433 points out of 7, the level of residential environment satisfaction had highest point (4.911), but the level of leisure culture satisfaction had lowest point (4.155), 2) in multiple regression analysis, The effect of income and consumption level on LS was highest. The degree of labor and life-social services was important factor to increase LS. The results of this study were expected to provide many implications for implementing policies to improve LS in the country and local governments.

Novel two-stage hybrid paradigm combining data pre-processing approaches to predict biochemical oxygen demand concentration (생물화학적 산소요구량 농도예측을 위하여 데이터 전처리 접근법을 결합한 새로운 이단계 하이브리드 패러다임)

  • Kim, Sungwon;Seo, Youngmin;Zakhrouf, Mousaab;Malik, Anurag
    • Journal of Korea Water Resources Association
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    • v.54 no.spc1
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    • pp.1037-1051
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    • 2021
  • Biochemical oxygen demand (BOD) concentration, one of important water quality indicators, is treated as the measuring item for the ecological chapter in lakes and rivers. This investigation employed novel two-stage hybrid paradigm (i.e., wavelet-based gated recurrent unit, wavelet-based generalized regression neural networks, and wavelet-based random forests) to predict BOD concentration in the Dosan and Hwangji stations, South Korea. These models were assessed with the corresponding independent models (i.e., gated recurrent unit, generalized regression neural networks, and random forests). Diverse water quality and quantity indicators were implemented for developing independent and two-stage hybrid models based on several input combinations (i.e., Divisions 1-5). The addressed models were evaluated using three statistical indices including the root mean square error (RMSE), Nash-Sutcliffe efficiency (NSE), and correlation coefficient (CC). It can be found from results that the two-stage hybrid models cannot always enhance the predictive precision of independent models confidently. Results showed that the DWT-RF5 (RMSE = 0.108 mg/L) model provided more accurate prediction of BOD concentration compared to other optimal models in Dosan station, and the DWT-GRNN4 (RMSE = 0.132 mg/L) model was the best for predicting BOD concentration in Hwangji station, South Korea.

ESG Management Strategy and Performance Management Plan Suitable for Social Welfare Institutions : Centered on Cheonan City Social Welfare Foundation (사회복지기관에 적합한 ESG경영 전략도출 및 성과관리방안 : 천안시사회복지재단을 중심으로)

  • Hwang, Kyoo-il
    • Journal of Venture Innovation
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    • v.6 no.3
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    • pp.165-184
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    • 2023
  • Since municipal welfare institutions operate for different purposes from general companies or public enterprises, ESG practice items and model construction should be conducted through various and comprehensive social welfare studies. Since there are not many studies available in domestic welfare institutions yet and there are no suitable ESG management utilization indicators, the Cheonan Welfare Foundation's strategy and management strategy system were established to spread the model to other welfare institutions and become a leading foundation through education and training. The foundation and front-line welfare institutions selected issues identification and key issues through the foundation's empirical analysis and criticality analysis, focusing on understanding ESG management and ways to establish a practice model that positively affects institutional image and business performance. Based on this, the promotion system was examined by establishing a performance management plan after deriving appropriate strategies and establishing a strategic system for social welfare institutions. Environmental and social responsibility, transparent management, safety management system establishment, emergency and prevention, user (customer) satisfaction system establishment, anti-corruption prevention and integrity ethics monitoring and evaluation, responsible supply chains, and community contribution programs. This study attempted to specifically present efforts to settle ESG management through the consideration of the Cheonan Welfare Foundation. Therefore, it is considered to be useful data for developing ESG management by referring to the systematic development process of the Cheonan City Restoration Foundation to develop ESG measurement indicators.