• Title/Summary/Keyword: Standardized Model

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Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2329-2336
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    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

Comparison of plant species diversity and its relationship with physical environmental factors in Gotjawal Forest, Jeju Island, Republic of Korea, using the modified Whittaker plot method

  • Ju-Seon Lee;Young-Han You;Ji-Won Park;Yeo-Bin Park;Yoon-Seo Kim;Jung-Min Lee;Hae-In Yu;Bo-Yeon Jeon;Kyeong-Mi Cho;Eui-Joo Kim
    • Journal of Ecology and Environment
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    • v.48 no.3
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    • pp.247-255
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    • 2024
  • Background: To effectively understand and evaluate plant diversity in a specific area and make meaningful comparisons between regions, standardized methods that measure diversity irrespective of survey plot size are crucial. This study proposes a model equation for comparing plant species diversity using the modified Whittaker plots. Plant species diversity was measured in two Gotjawal areas on Jeju Island, where the coexistence of northern and southern limit species significantly impacts diversity. By analyzing the relationship between plant species diversity and environmental factors, the study clarified the characteristics of plant and habitat diversity in the Gotjawal ecosystem. Results: The species richness of vascular plants, herbaceous plants, and woody plants increased with area and was higher in Jeoji Gotjawal than in Seonheul Gotjawal. Similarly, the species turnover rate (slope value) was higher in Jeoji Gotjawal (4.37) than in Seonheul Gotjawal (3.85). This indicates that the species richness in Jeoji Gotjawal increases more with the expansion of the survey area (1-1,000 m2), reflecting a faster species turnover rate. Additionally, in Gotjawal areas, species richness increased with greater leaf litter depth, elevation, slope, and rock ratio. These results indicate that differences in plant species diversity were attributed to soil environmental factors. Conclusions: The plant species diversity of Gotjawal, surveyed using standardized methods, was lower than that of forested areas in the central region of South Korea where the same method was applied. Most previous studies on species diversity likely compared diversity without considering a consistent survey area. Therefore, when comparing plant species diversity domestically and globally, it emphasizes the need for the use of standardized survey methods.

Psychometric Properties of the Korean Version of the Kaufman Assessment Battery for Children (한국판 K-ABC의 심리측정학적 조명 : 확인적 요인분석을 중심으로)

  • Moon, Tai Hyong
    • Korean Journal of Child Studies
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    • v.19 no.2
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    • pp.97-113
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    • 1998
  • The purpose of this paper was to evaluate hypothesized alternative models for the factor structure of the Korean Version of the Aberrant Behavior Checklist(K-ABC) using standardized samples. Confirmatory factor analyses of correlated factor models using the Jeroskog method were carried out. Analyses supported the two-factor processing model. When the achievement scale was added, a three factor model (two processing factors and an achievement factor) emerged. When factorially uncorrelated models were analyzed, fit indices proved to be improper.

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Estimating the Credit Value-at-Risk of Korean Property and Casuality Insurers

  • Hong, Yeon-Woong;Suh, Jung-Soo
    • Journal of the Korean Data and Information Science Society
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    • v.19 no.4
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    • pp.1027-1036
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    • 2008
  • Value at Risk(VaR) is a fundamental tool for managing market risks. It measures the worst loss to be expected of a portfolio over a given time horizon under normal market conditions at a given confidence level. Calculation of VaR frequently involves estimating the volatility of return processes and quantiles of standardized returns. In this paper, we introduced and applied the CreditMetrics model to estimate the credit VaR of Korean Property and Casuality insurers.

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Assessment of foodservice quality and identification of improvement strategies using hospital foodservice quality model

  • Kim, Kyung-Joo;Kim, Min-Young;Lee, Kyung-Eun
    • Nutrition Research and Practice
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    • v.4 no.2
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    • pp.163-172
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    • 2010
  • The purposes of this study were to assess hospital foodservice quality and to identify causes of quality problems and improvement strategies. Based on the review of literature, hospital foodservice quality was defined and the Hospital Foodservice Quality model was presented. The study was conducted in two steps. In Step 1, nutritional standards specified on diet manuals and nutrients of planned menus, served meals, and consumed meals for regular, diabetic, and low-sodium diets were assessed in three general hospitals. Quality problems were found in all three hospitals since patients consumed less than their nutritional requirements. Considering the effects of four gaps in the Hospital Foodservice Quality model, Gaps 3 and 4 were selected as critical control points (CCPs) for hospital foodservice quality management. In Step 2, the causes of the gaps and improvement strategies at CCPs were labeled as "quality hazards" and "corrective actions", respectively and were identified using a case study. At Gap 3, inaccurate forecasting and a lack of control during production were identified as quality hazards and corrective actions proposed were establishing an accurate forecasting system, improving standardized recipes, emphasizing the use of standardized recipes, and conducting employee training. At Gap 4, quality hazards were menus of low preferences, inconsistency of menu quality, a lack of menu variety, improper food temperatures, and patients' lack of understanding of their nutritional requirements. To reduce Gap 4, the dietary departments should conduct patient surveys on menu preferences on a regular basis, develop new menus, especially for therapeutic diets, maintain food temperatures during distribution, provide more choices, conduct meal rounds, and provide nutrition education and counseling. The Hospital Foodservice Quality Model was a useful tool for identifying causes of the foodservice quality problems and improvement strategies from a holistic point of view.

Trends in standardization of IoT based electrical safety technology (사물인터넷 기반 전기안전 기술 및 표준화 동향)

  • An, Y.Y.;Kim, S.H.;Jeong, S.J.;Kang, H.J.
    • Electronics and Telecommunications Trends
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    • v.35 no.1
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    • pp.49-59
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    • 2020
  • This paper describes an IoT-based electrical safety management system for managing the electrical power distribution systems in factories or buildings and for managing private electrical devices in apartment complex. The IoT-based electrical safety management system collects IoT data from the electrical facilities or devices to provide various electrical safety services. In some cases, it uses an IoT adaptor to collect data from legacy facilities. By monitoring and analyzing the IoT data, it is possible to provide protection from and prevent electrical hazards. In addition, an IoT-based electrical safety management system can benefit from using the IoT identification system and standardized data model of the electrical facilities and devices. An IoT identification system is used to increase manageability of large-scale electrical facilities which consists of numerous IoT devices. A standardized data model is used to support interoperability. This paper also explores some international and Korean standards related to IoT-based electrical safety management.

Process-Aware Internet of Things: A Conceptual Extension of the Internet of Things Framework and Architecture

  • Kim, Meesun;Ahn, Hyun;Kim, Kwanghoon Pio
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.10 no.8
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    • pp.4008-4022
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    • 2016
  • This paper tries to extend the conventional conceptual framework of the Internet of Things (IoT) so as to reify an advanced pervasive IoT-community collaboration concept, which is called the process-aware Internet of Things. The extended conceptual framework is embodied as a referential architecture that can be a standardized reference model supporting the conceptual integration of the Internet of Things and the process awareness. The extended referential architecture covers the full range of the architectural details from abstracting the process-aware behavioral semantics to reifying the IoT-process enactments. These extended framework and architecture ought to be the theoretical basis for implementing a process-aware IoT-community computing system supporting process-aware collaborations of Things in pervasive computing environments. In particular, we do point up that the proposed framework of the process-aware Internet of Things is revised from the Internet of Things framework announced in ITU-T SG133 Y.2060 [26] by integrating the novel concept of process awareness. We strongly believe that the extended conceptual framework and its referential architecture are able to deliver the novel and meaningful insight as a standardized platform for describing and achieving the goals of IoT-communities and societies.

Effects on Problem Solving Ability and Learning Satisfaction of Nursing Students of Receiving a Teaching Method Using Standardized Patients - Blood Transfusion (표준화 환자를 활용한 수혈 간호 실습교육이 간호대학생의 문제해결능력과 학습만족도에 미치는 효과)

  • Kim, Su Mi;Park, Min Jung;Yang, Ya Ki
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.4
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    • pp.406-415
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    • 2015
  • Purpose: This study was conducted to investigate the effects on problem solving ability and learning satisfaction in nursing students using a teaching method with a standardized patient (SP) receiving blood transfusion. Method: The research design was a quasi-experimental pre-and-post-test control and experimental group for the methodological comparison study. Participants were 43 (Exp.=22, Cont.=21) nursing students in G city. The experimental group participated in the teaching class using SP. The control group received conventional education using a simple model. Data were collected between June 5 and July 15, 2015, through self-report structured questionnaires and data were analyzed using the SPSS/WIN 21.0 program. Results: There were significant differences in the level of problem solving ability (t=-2.75, p=.009), and learning satisfaction (t=-2.53, p=.016) between the experimental and control groups. Conclusion: The research findings indicate that, the teaching method using an SP is more effective in improving nursing students' problem solving ability and learning satisfaction compared to conventional education using a simple model. In the future it is necessary to develop scenarios of various cases and content, and to test their effectiveness.

A Model for the Improvement of the Foodservice Management Structure of Fast Food Restaurants (패스트푸드 업체의 급식관리 구조 개선을 위한 모형설정에 관한 연구)

  • Lyu, Eun-Soon;Kwak, Tong-Kyung
    • Journal of the Korean Society of Food Culture
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    • v.5 no.4
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    • pp.455-462
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    • 1990
  • The purpose of this study were to investigate relationships between the franchisors and franchisees in terms of management, satisfaction and cooperation, and to establish a model for improvement of the foodservice management structure of fast food franchise system. Data were collected from 4 hamburger and 7 noodle franchisors, and from 21 hamburger and 38 noodle franchisees. Surveyed chains were composed of 10 franchisor-owned units and 49 franchised units. The instrument used in this study was Liker type 5-scale guestionnarie. Hypotheses concerning relations between management practices by franchisor and satisfaction of franchisee, cooperation of franchisee were tested using path analysis. Unit management practices by franchisors were significantly different according to the operation style. Franchisor-owned hamburger chains rather than franchised noodle chains were better managed by franchisors in terms of QSC and management support. Management practices by franchisors in the whole showed a significant relationship with the satisfaction, cooperation, and the implementation of standardized recipes by franchisees. Franchisees' satisfaction had a significant positive relation with the cooperation and the implementation of standardized recipes. QSC management practices and management support by franchisors, had no direct relevance to the general cooperation of franchisees, and management practices in the whole had a little relevance to it, but franchisees' satisfaction in terms of QSC and the whole had a strong effect to their QSC Cooperation.

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A Study on an Automatical BKLS Measurement By Programming Technology

  • Shin, YeounOuk;Kim, KiBum
    • International journal of advanced smart convergence
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    • v.7 no.3
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    • pp.73-78
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    • 2018
  • This study focuses on presenting the IT program module provided by BKLS measure in order to solve the problem of capital cost due to information asymmetry of external investors and corporate executives. Barron at al(1998) set up a BKLS measure to guide the market by intermediate analysts. The BKLS measure was measured by using the changes in the analyst forecast dispersion and analyst mean forecast error squared. This study suggests a model of the algorithm that the BKLS measure can be provided to all investors immediately by IT program in order to deliver the meaningful value in the domestic capital market as measured. This is a method of generating and analyzing real-time or non-real-time prediction models by transferring the predicted estimates delivered to the Big Data Log Analysis System through the statistical DB to the statistical forecasting engine. Because BKLS measure is not carried out in a concrete method, it is practically very difficult to estimate the BKLS measure. It is expected that the BKLS measure of Barron at al(1998) introduced in this study and the model of IT module provided in real time will be the starting point for the follow-up study for the introduction and realization of IT technology in the future.