• 한국의료질향상학회지
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• 제30권1호
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• pp.44-54
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• 2024

Purpose: This study aimed to identify tasks performed by patient safety personnel using importance-performance analysis. Methods: An online survey was conducted during a mandatory educational course. The questionnaire consisted of 43 items categorized into four subscales: management of patient safety accidents, education of healthcare personnel, education of patients and guardians, and patient safety activities. Importance-performance analysis was employed to ascertain the relationship between the importance and performance of tasks conducted by patient safety personnel. Results: A total of 145 patient safety personnel participated in the survey. The perceived importance of tasks by participants averaged 3.67 out of four, while the average performance was 3.40 out of four, indicating a significant difference (t=8.04, p<.001). Activities such as collecting patient safety reports, conducting root-cause analyses, and educating new employees were identified as low-performance tasks compared to their perceived importance. Conclusion: Tasks recognized as having low importance but high performance among patient safety personnel should be addressed through increased awareness and education. Analyzing the causes of tasks with low importance and performance is crucial for recognizing their importance and implementing improvement measures.

• Perspectives in Nursing Science
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• 제10권2호
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• pp.158-166
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• 2013

Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권3호
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• pp.49-55
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• 2014

Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people with dementia is becoming a big social issue. Therefore, this paper studies the development of therapeutic environmental rating scales for the elderly people with dementia in korean nursing homes. Methods: We identify the development process and structure of TESS-NH and understand the details of its nature and features. Then, based on the detailed items, we provide major scale factors which do influence on therapeutic environmental rating scales using PCA. Results: In the results, TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environments for a short period of time. TESS-2 + sets a large rage of activities of the elderly people with dementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessment features for improving quality of care (Quality of Care) On the other hand, the main factors affecting the therapeutic environmental rating scales in nursing homes are "a consideration for facility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Care for spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In the future, to develop the therapeutic environmental rating scales on Korea's dementia nursing home, we should actively consider cares of spaces and facility utilization which the residents (the elderly people with dementia) are more secure and comfortable.

• 한국병원경영학회지
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• 제21권3호
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• pp.65-70
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• 2016

The Long-Term Care Hospital (LTCH) accreditation system was initiated in 2013 in the form of mandatory accreditation system in order to improve patient safety and the quality of medical service at LTCHs. By June 2016, the accredited LTCHs were 76.2%. This research was conducted to review the implementation process in the first cycle and to promote development of the second cycle of LTCH accreditation system. There are some changes which reinforced the accreditation standards, accreditation survey, and public access to accreditation results in order to strengthen patient safety in the first cycle LTCH accreditation system. LTCHs which participated in the accreditation system achieved certain outcomes in respect to patient safety and employee satisfaction. However, there are several urgent problems in placement criteria of night duty health care providers, reinforcement plans in the accreditation system, and incentives for accredited hospitals. In order to solve these problems, the most important thing is to clearly recognize the fact that the healthcare accreditation system is not the means for control and regulate hospitals but a system to induce hospitals to continue to strive for improvements in patient safety and medical service quality. In addition, it is required that LTCHs, accrediting agency and the Ministry of Health and Welfare compromise and cooperate to seek solutions every time issues related to the accreditation system arise.

• 보건의료산업학회지
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• 제7권1호
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• pp.119-131
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• 2013

The purpose of this study is to analyze contents on media about the problems of long-term care facilities. For achieving this purpose, we reviewed 'KINDS(http://www.kinds.or.kr/)' from July, 2008 to May, 2012 which was an synthetic newspaper and TV news searching system. Among 320 articles, we finally analyzed 72 articles: 218 articles were duplicated and 30 articles did not directly related or were not objective. The results were divided with seven parts: 'long-term care facilities', 'employee' 'health care and accidents', 'providing and management of service', 'meals related problems', 'maltreatment of client', 'disorders & unfairness long-term care benefit. Among these seven parts, we could confirm specific and major problems, which were lack of safety management, incompleteness facilities & equipments, shortage of long-term care manpower, insufficient service providing low quality of service, hiding money from elderly's accounts, and providing some money to get national subsidies. For resolving these problems, the long-term service guidelines must be prepared and the related facilities must cooperate each other for providing high quality of service. In addition, the efficient systems must be made to find out long-term care problems and unfairness of service providing and strict management rules or sanctions must be needed.

• 대한간호학회지
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• 제40권2호
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• pp.213-224
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• 2010

Purpose: The purpose of the study is to develop a web-based program on child health care, and to identify the effect of the program on knowledge of, attitudes towards child health care, and health care practice in staff of daycare centers. Methods: The program was developed through the processes of needs analysis, contents construction, design, development, and evaluation. After the program was developed, it was revised through feedback from 30 experts. To identify the effect of developed program, onegroup pretest-posttest design study was conducted with 64 staff members from 12 daycare centers in Korea. Results: The program was developed based on users' needs and consisted of five parts: health promotion, disease and symptoms management, oral health, injury and safety, sheets and forms. This study showed that the total score of staff who used the program was significantly higher in terms of knowledge, attitudes, and their health care practice compared with pretest score (p<.05). Conclusion: These results suggest that this Web-based program can contribute to the child health promotion as well as can provide the staff with the insightful child health information. Therefore, it is expected that this program will be applied to staff of other child care settings for children's health.

• 지역사회간호학회지
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• 제19권2호
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• pp.188-195
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• 2008

Purpose: The research purpose was analysis of the effect of a health education program for newly-married executed from 2003 to 2005 as a part of health care service from community health center and providing the fundamental source for health education needed during newly-married. Method: The data collection with structured questionnaires was conducted during October to December in 2006. From the health center 106 brides who participate the program and 130 brides who didn't participate. Health care program for newly married couple were composed health examinations and health educations. Health examinations were CBC, LFT and Ag & Ab prevallence rates of hepatitis B, rubella. Health educations were done two times, the first individual health education was done at enrolled in health center for establishment of desirable couple relationship, family planning, contraception method and management of pre-pregnancy. The second individual health education was done for explanation of blood examination results, prevention of the congenital deformity and the vertical transmission of hepatitis B, management for pregnancy, breast feeding method, introduction to safety delivery method and encouraging self-study using by materials made by health center after two weeks at revisiting health center. SPSS/PC(ver. 12.0) and $X^2$-test, t-test was used to analyze the collected and tabulated data. Socio-demographic characteristics and regional characteristics of residence area of two groups shows no significant difference. Result: As a variables of experimental effect. The natural childbirth rates of participants group was significantly higher than Non-participants group(p=.012). Breast feeding rates for participants group was also statistically significant higher than Non-participants group. Contraception rates showed no significant difference. The rubella vaccination rates (p=.001) and The hepatitis B vaccination rates (p=.012) shows statistical differences. Conclusion: Therefore health care program for newly married couple in a community health care center was effective generally. We supposed that explore participation ways for nonparticipants, expand the program to community health care center in whole country.

• 대한안전경영과학회지
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• 제23권3호
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• pp.19-25
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• 2021

The purpose of this study is to understand the relation of peer group caring interaction, Professional self-concept, and Nurses' Retention. The subjects of this study are 133 nurses who have worked for more than three months at five general hospitals with more than 300 beds in S city. As a result of the study, nurses' retenstion was higher than those of under 25 years of age between 30 and 35(F=3.313, p=.039).The professional self-concept of hospital nurses has been identified as an influence factor of intent to serve. Professional self-concepts have been shown to be better with higher peer-care and consideration(r=.397, P=.004). The peer group caring interaction behavior can occur not only between colleagues but also between managers. Therefore, it is necessary to proceed with the manager's group caring interaction as a follow-up study.

• Journal of Information Processing Systems
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• 제19권3호
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• pp.385-393
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• 2023

Since the proportion of elderly citizens is increasing every year, the social interest is increasing for the health and the safety of the elderly. The nursing home is continually being created to care for more elderly people. However, the quality of service is not enough due to the lack of elderly caregivers. Elderly care and management services are being studied to replace the shortage of caregivers. Existing research for the implementation of an automatic care system has a high initial system cost. Furthermore, it lacks the ability to store and manage large amounts of data. In this paper, we propose a system that manages a large amount of data continuously generated through CCTV and provides a streaming service with a high level of quality-of-service (QoS) to users with collected video. Through the proposed system, it is possible to record and manage the behavioral information of the elderly occurring in the nursing home together with the video. In addition, according to the user's request, it has built a service that streams the video and behavioral information according to the date and time in real-time.

• 부모자녀건강학회지
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• 제13권2호
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• pp.63-77
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• 2010

Purpose: The purpose of this study was to develop child's health assessment tools and tailored home visiting nursing service model in a community. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors and visiting nurses in public health centers from May to December 2009, the standards of child health assessment tools, service model and education materials for visiting nurses were developed. Results: Some record forms were newly developed, including neonatal assessment, breast feeding, mother-infant interaction, oral care, vaccination and safety, and appropriate developmental screening tests in the community were selected. For systematic health care management in the community, problem list, problem criteria, health care plan, outcome criteria were also developed. Conclusion: On the demand of growing need for health promotion and early intervention for children and their association with parenting and socioeconomic status, assessment and control measures are indispensable to the promotion of child health for vulnerable population. Children's health and developmental problems, and safe circumstances can be assessed using this assessment tools, and can be used for tailored home visiting nursing care for children.