• Title/Summary/Keyword: Work-waiting time

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Clinical Pathway Verification through Process Mining

  • Jung, Jong-Duk;Kim, Suk-Hoon;Yeo, Hyun-Jin
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.4
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    • pp.115-120
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    • 2018
  • A Clinical Pathway(CP) is standard process to way of treat diseases or injuries which is adapted to each hospital based on National Clinical Practice Guideline(CPG). Since CP is standard guideline for doctors and nurses working in a hospital, making and modifying CP is one of the most important administrational work for hospital and also rare work because once it is fixed, it's not changed whether there are new kind of disease discovered or new treatment is developed. However, in present, patient's waiting time during hospital residence process, is discussed as service competitive for patients. In this research, we utilize process mining tool to verify patients treatment process follows CP with EMR(Electronic Medical Record) in a sample hospital, and suggest modifcation point of CP through verification.

Measuring productivity improvement by Machine Guidance through work sampling in earthwork

  • Eom, Julee;Kang, Youngcheol;Lee, Yongsei;Choi, Pyungho
    • International conference on construction engineering and project management
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    • 2020.12a
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    • pp.409-416
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    • 2020
  • This paper proposes a study measuring productivity improvement by using a type of technology called "Machine Guidance" through work sampling in earthwork. Earthwork is the activity typically on the critical path, indicating that productivity for the activity is critical for managing schedule on time. Thanks to the development of sensing and information system technologies, productivity for earthwork has been improved. While there have been many studies investigating the application of a certain type of technology to earthwork, few studies have measured the productivity improvement and presented how the technology leads to productivity improvement. Based on the thorough literature review, it is hypothesized that Machine Guidance contributes to improving productivity of earthwork by reducing indirect workhours spent for information waiting and inspection. In addition to the literature review, this paper presents a research model to test the hypothesis by using the work sampling technique. By proving and quantifying the productivity improvement from the technology use, this study can help practitioners justify the investment for technology use, which will contribute to the deployment of technology and more effective execution of earthwork.

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An Analysis of Primary Causes for Waiting for Inpatient Admission and Length of stay at Emergency Medical Center(EMC) (응급의료 센터의 체류 및 입원대기 시간 지연 요인 - 일개 의료기관을 중심으로 -)

  • Kil Suk-Yong;Kim Ok-Jun;Park Jin-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.522-531
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    • 1999
  • This research identifies the ingress to egress primary factors that causes a patient to receive delayed emergency medical care. This material was collected between February 1st to 28th, 1998. Research envolved 4,118 people who visited the college emergency medical center in Kyeongido Province, South Korea. Medical records were examined, using the retrospective method. to determine the length of stay and the main cause for waiting. Results are as follows : 1. The age group with the highest admission rate was 10 and under, approximately 1,394 (33.9%). Followed by an even distribution for ages between 11-50 at 10-15% for their respective ranges. The lowest admission rate was 50 years and above. 2. From the 4,118 records examined, 3,489 received outpatient treatment (84.7%); 601 were admitted for inpatient care (14.6%); 25 arrived dead on arrival (0.6%); and 4 people died at the hospital. 3. Between 7PM to 12AM, 42.9% were admitted to the EMC. The hours from 9PM to 11PM recorded the highest admission rate and 5AM to 8AM was the lowest From 8PM to 12AM, the most beds were occupied. 4. For most patients. the average length of stay was approximately 2.2 hours. By medical department, external medicine was the longest for 2.8 hours. Pediatrics was the shortest for 1.6 hours. The average waiting period for inpatient admission was 2.6 hours. Inpatient admission for pediatrics and external medicine was 3.4 hours and 2.2 hours respectively. 5. Theses are primary factors for delay at EMC: 1) pronged medical consultations to decide between inpatient versus outpatient treatment, and delaying to be inpatient, 2) when you call physicians they are delayed to come 3) Understaffing during peak or critical hours, 4) Excessive consulting with different medical departments, 5) some patients require longer monitoring periods, 6) medical records are delayed in transit between departments, 7) repeated laboratory tests make delay the result, 8) overcrowded emergency x-ray place causes delay taking x-ray and portable x-ray, 9) the distance between EMC and registration and cashier offices is too far. 10) hard to control patient's family members. The best way to reduce EMC waiting and staying time is by cooperation between departments, both medical and administrative. Each department must work beyond their job description or duty and help each other to provide the best medical service and satisfy the patient needs. The most important answer to shortened the EMC point from ingress to egress is to see things from a patient point of view and begin from there to find the solution.

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Implementation And Performance Evaluation of a Synchronization System based on the multi-queue on Mobile Environments (모바일 환경에서 다중 큐 기반의 동기화 시스템 구현 및 성능 비교)

  • Kim, Hong-Ki;Kim, Dong-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.1
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    • pp.141-146
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    • 2011
  • The GIS service has to provide latest spatio-temporal data for the effective service. The two-way synchronization scheme collects updated spatio-temporal data in the field and synchronizes with a server by using the wireless network. However, since the two-way synchronization scheme processes sequentially synchronizing work of clients, it has the problem that the synchronization of multiple clients takes long time. In this paper, we propose the concurrent synchronizations scheme based on the multi-queue in order to reduce the waiting time of multiple clients. We also build both schemes and evaulate the performance test. The results show that the proposed scheme reduce the waiting time by 31%.

A Study on the Optimal Routing Problem for a Transfer Crane (컨테이너 터미널에서의 트랜스퍼 크레인의 최적 운영 방안에 관한 연구)

  • Kim, Hu-Gan;Kim, Chul-Han
    • Journal of the Korean Operations Research and Management Science Society
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    • v.33 no.1
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    • pp.35-49
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    • 2008
  • To load a container in a yard block onto a ship, a Transfer Crane (TC) moves to a target yard bay, then its hoist picks up a selected container and loads it onto a waiting Yard Truck (YT). An optimal routing problem of Transfer Crane is a decision problem which determines a given TC's the visiting sequence of yard-bays and the number of containers to transfer from each yard-bay. The objective is to minimize the travel time of the TC between yard-bays and setup time for the TC in a visiting yard. In this paper, we shows that the problem is NP-complete, and suggests a new formulation for it. Using the new formulation for the problem, we investigate some characteristics of solutions, a lower and upper bounds for it. Moreover, our lower and upper bound is very efficient to applying some instances suggested in a previous work.

A simulation study on S-Button factory production system (시뮬레이션을 이용한 S단추공장생산시스템 분석 및 연구)

  • Quan, GenShou;Chang, Byeong-Yun
    • Journal of the Korea Society for Simulation
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    • v.23 no.4
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    • pp.229-235
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    • 2014
  • Improving the time and cost efficiency of production systems is one of the important means of building competitive advantage and staying profitable in the ever increasing competitive business environment. Among others, CONWIP (constant work-in-process) and DBR (drum-buffer-rope) methods are widely used in improving production process efficiency. In this study, we have developed simulation models for a real button factory production system. We have tried to improve the efficiency of the production process by implementing these two approaches to our model. According to our results, both CONWIP and DBR production approaches were found to have equivalently better results in reducing the waiting time of the bottleneck process. By applying either of the two production systems, efficiency of the real production process can be significantly improved as the simulated model results demonstrate.

A study on Classification of Temporarily Access Group about Sanitation Workers in Nuclear Medicine Department (핵의학과 환경미화원의 일시 출입자 분류에 대한 고찰)

  • Yoo, Jae-Sook;Jang, Jeong-Chan;Kim, Ho-Seong
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.1
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    • pp.50-56
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    • 2012
  • Purpose: Those who access to the nuclear medicine department are classified as radiation workers, temporarily access group, and occasional access group as defined by the atomic energy law. The radiation workers and temporarily access people wear a personal radiation dosimeter for checking their own radiation absorbed dose periodically. However, because of the sanitation workers, classified as temporarily access group, who are working in the nuclear medicine department are moved in a cycle with other departments and their works are changeful, it is hard to control their radiation absorbed dose. Thus, this study is going to examine the state of the sanitation worker's radiation absorbed dose, and then make sure whether they are classified as temporarily access group or not. Materials and methods: In the first instance, the first sanitation worker who works in vitro laboratory and PET room and the second sanitation worker who works in gamma camera rooms (invivo room) wore radiation dosimeter-OSL(Optically Stimulated Luminescence)- to measure their own radiation absorbed dose during work time from May to June 2011. Secondly, this study was taken place 5 places in gamma camera rooms, 2 places in PET bed room, operating room, waiting room and cyclotron room in PET and 4 places in vitro laboratory. And then to measure the radiation space dose rate, it is measured 10 times each of places as sanitation worker's work flow by using radiation survey meter. Results: The radiation absorbed dose on OSL of the first c who works in vitro laboratory and PET room and the second one who works in gamma camera rooms are 0.04, 0.02 mSv per month respectively. That means the estimated annual radiation absorbed doses are less than 1mSv as 0.48, 0.24 mSv/yr respectively. The radiation space dose rates as sanitation worker's work flow using survey meter are 0.0037, 0.0019 mSv/day, so the estimated annual radiation absorbed dose are 0.93, 0.47 mSv/yr respectively. The weighted exposure dose of first sanitation worker of each places are 1.62% in cyclotron room, 3.88% in waiting room, 2.39% in operating room, 81.01% in bed room of PET and 11.01% in vitro laboratory. The weighted exposure dose of second sanitation worker of each places are 45.22% in radiopharmaceutical laboratory, gamma 30.64% in camera rooms, 15.65% in waiting room, 8.49% in reading room. Conclusion: The annual radiation absorbed doses on OSL of both sanitation workers are less than 1 mSv per year and the annual radiation absorbed doses by using survey meter are less than 1mSv either, but close up to 1 mSv. Thus, to clarify whether the sanitation workers are temporarily access group or not, and to be lessen their s radiation absorbed dose, they should be educated about management of radiation and modified their work flow or work time appropriately, their radiation absorbed dose would be lessen certainly.

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Comparison of CONWIP with Kanban in a Production Line with Constant Processing Times (상수 공정시간을 갖는 라인 생산 시스템에서 CONWIP과 간반의 성능 비교)

  • Lee, Ho-Chang;Seo, Dong-Won
    • Journal of the Korean Operations Research and Management Science Society
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    • v.36 no.2
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    • pp.51-65
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    • 2011
  • We compared a CONWIP(constant work-in-process) system with a kanban system in a production line with constant processing times. Based on the observation that a WIP-controlled line production system such as CONWIP and kanban is equivalent to a m-node tandem queue with finite buffer, we applied a max-plus algebra based solution method for the tandem queue to evaluate the performance of two systems. Numerical examples with 6 workstations were used to demonstrate the proposed analysis. The numerical results support the previous studies that CONWIP outperforms kanban in terms of expected waiting time and WIP. Unlike the kanban case, sequencing workstations in a CONWIP does not affect the performance of the system.

Analyzing the Service Blueprint for Aircraft Cabin Service (항공사 기내서비스의 서비스청사진 분석에 관한 연구)

  • Lee, Ji-Min;Kim, Youn-Sung;Lee, Dong-Won
    • Journal of Korean Society for Quality Management
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    • v.38 no.4
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    • pp.593-600
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    • 2010
  • This study aims to explore the service activities in the aircraft cabin service, develop the service process structure, and design a more efficient service delivery system in Korean airline industry. We prepare the architectural drawings of the basic components in providing the cabin service using the service blueprint technique and service process perspective. Through the case study largely based on our own research and long-time work experiences in the airline industry, we propose service failure points as well as customer waiting points. This study will be helpful for managers at all levels to use the service blueprint strategically or at a shop-floor level and improve their cabin service quality.

A Study on the Spatial Characteristics of the Pharmacy and Worker's Satisfaction about Interior Design (약국의 공간 특성과 근무자 만족도 연구)

  • Ju, Su-Eun;Shin, Kyung-Joo
    • Korean Institute of Interior Design Journal
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    • v.15 no.2 s.55
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    • pp.37-47
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    • 2006
  • The purpose of this study was to provide basic data for better design of Pharmacy after introducing the new system of separation of dispensing from prescribing medicine. To analyze characteristics of interior design in pharmacy and to measure worker satisfaction, a survey was conducted with 255 workers who serve at any Pharmacies located in Busan, Korea. For data analysis, descriptive statistics, t-test, One-way ANOV A were performed with the SPSS Win program(Ver. 10.0). The major findings were as follows: 1) As a result of analyzing the role and functions of the pharmacist is to be classified into many items such as entrance, a waiting room, a dispensary, a medication & consultation area, a drug storage and a worker's room. 2) Natural substances should be used more widely instead of using chemical substances for the pharmacy interior design as finishing materials 3) Pharmacy worker's satisfaction with dispensary is specially low among the total satisfaction which is :slightly higher than the average. 4) The degree of satisfaction between pharmacy workers from different groups varied depending on work hours, and especially long time(over 10hrs) workers showed dissatisfaction. Pharmacy managers need to consider the option of expanding convenience facilities. 5) According to the satisfaction analysis for each pharmacy conditions, the group who worked in 30-pyeong spaces were most satisfied. Since the 30-pyeong space is most standardized space research should be conducted.