• 한국의료질향상학회지
• /
• 제6권1_2호
• /
• pp.150-160
• /
• 1999

Background : Because hospitals had to faced with financial hardship, we have to have more effective hospital management. In this study, we tried to improve job performance and to reduce cost maintaining safety in fields of patients care. Methods : Central Supply Room(CSR) staffs taught strategy of material cost reduction to middle level managers and staffs 14 times. All staffs and voluntary service workers, working in 33 nursing units, participated in this activity. We developed questionnaire to check the degree of participate in cost reduction activity and job performance in CSR, and quality improvement in the wards. Two hundred questionnaires were distributed and 197 returned. Results : Because CSR staffs developed new items and every item was managed at each department, stocks of each department were reduced. Overall, by comparing before and after cost reduction activity, almost 1.2 billion won reduced for one year. Staffs' loyalty and spirits of cost reduction were improved by changing clothes and duty environment. Furthermore, these activity improved patients' satisfaction. Conclusion : We suggest that CSR activity in a university hospital contributes to improve job performance and to reduce cost without any problem in patient care.

• 한국콘텐츠학회논문지
• /
• 제18권7호
• /
• pp.609-619
• /
• 2018

국내 방송사업자는 재난 상황에서 국민을 보호하고 국민이 재난에 신속히 대처할 수 있도록 관련 재난정보를 빠르고 정확하고 제공할 의무를 지닌다. 특히 한국공영방송 KBS는 방송통신발전 기본법 제40조의2에 의하여 '재난방송 등의 주관방송사'로 지정되어 있기 때문에 다른 방송사보다도 빠르고 정확하게 재난방송을 송출할 의무를 가지고 있다. 이 연구는 재난주관방송사가 지카바이러스와 관련된 사회적 재난 보도를 어떻게 다루고 있는지 살펴보고, 재난 대응에 도움이 되는 프레임을 시의적절하게 활용하였는지 평가하였다. 분석 결과, 재난이 발생한 사실을 단순히 알리는 역할을 하는 '사실 전달 프레임'의 비중이 가장 많았다. 반면 지카 바이러스의 원인 및 예방법을 소개하거나 지카 바이러스 감염 시 목격되는 증상과 진단 및 검사방법 등에 대한 정보를 제공하는 기사, 즉 '정보성 프레임'을 활용한 기사와 대책 마련에 대한 '책임 프레임'은 상대적으로 적은 것으로 나타났다. 이 연구는 이와 같은 분석 결과를 바탕으로 재난 보도의 효율성과 신뢰도를 제고하기 위한 방안에 대한 실무적 함의를 제시하였다.

• 한국직업건강간호학회지
• /
• 제8권2호
• /
• pp.176-192
• /
• 1999

The purpose of this study is to analysis change of industrial health and safety before and after economic crisis(1997~1998). The data were obtained through mail interview with health supervisor(occupational health nurses) during February, 1999. The final sample was consisted of 127 respondents, 97 are selected in this study. The major findings were as follows: First, the percent of industries whose empl safe supervisors, physicians and industry hygi decreased in number is 79.4%, 3.8%, 50.0 21.5% in each. Second, man receiving over 1.5 million won as an average wage of health supervisor is 27.5% in 1997, but it decreased to 25.3% in 1998. Man receiving under 100~150 million won is 48.4% in 1997, but this percent decreased to 36.3% in 1998 and 13.6% of health supervisor regularly were transformed to contingent worker in 1998. Third, especially, budgets for health and saf work place decreased to 13.8% in 1998 than 19. Fourth, industrial accident case, unre accident case, occupational disease decreased than 1997, but mortality from industrial a increased in 250%. Fifth, according to the health diagnosis report, number of case with evidence of disease increased in liver disease, tuberculosis and so on, and number of case with evidence of occupational disease increased in noise induced hearing loss, pneumoconiosis. organic solvent poisoning and so on. Sixth, this survey shows that health council, health education in duty of health supervisor was conducted passive in 1998 thin 1997, and percent of hold two or more positions is 47.6% in medical insurance, 10.7% in accountant's business 8.3 in secretory. 7.1% in telephone operator awl 22.6% in etc. Seventh, distress of health supervisor after economic crisis is 30.9% in employment instability, 19.8% in hold two or more positions and decrease of budgets. For subjugation of the trouble, the respond of active policy of government occupied most.

• 한국경영과학회:학술대회논문집
• /
• 한국경영과학회 1998년도 추계학술대회 논문집
• /
• pp.413-414
• /
• 1998

This paper presents a real-time Spatial Decision Support System(SDSS) for security camera image monitoring. Other SDSSs are not real-time systems, i.e., they show the images that are already transformed into data format such as virtual reality. In our system, the image is broadcasted in real-time since the purpose of the security camera needs to do it in real-time. With these real-time images, other systems do not add up anything more; the screen just shows the images from the camera. However in our system, we created a motion detection system so that the supervisor(Judge) of a sec.urity monitoring system does not have to pay attention to it constantly. In other words, we created a judge advising system for the supervisor of the security monitoring system. Most of small objects do not need the supervisor's attention since they could be birds, cats, dogs, etc. if they show up in the screen image. In this new system the system only report the unusual change to the supervisor by calculating the motion and size of objects in the screen. Thus the supervisor can be liberated from the 24-hour concentration duty; instead he/she can be only alerted when the real security threat such as a big moving object like an human intruder appears. Thus this system can be called a real-time Spatial DSS. The utility of this system is proved mathematically by using the concept of entropy. In other words, big objects like human intruders increase the entropy of the screen images significantly therefore the supervisor must be alerted. Thus by proving its utility of the system theoretically, we can claim that our new real-time SDSS is superior to others which do not use our technique.hnique.

• 대한유전성대사질환학회지
• /
• 제18권2호
• /
• pp.50-54
• /
• 2018

Jehovah's Witnesses do not accept blood transfusions, because of their particular interpretation of the Old and New Testaments. When people with such religious convictions are in need of medical care, their faith and belief may become an obstacle for proper treatment, and pose legal, ethical, and medical challenges for the health care providers. We report two inherited metabolic disorder cases in South Korea where the infants died whilst under medical care because of parental refusal of blood transfusions for religious reasons. Case 1 had methylmalonic acidemia, Down syndrome and associated congenital cardiac anomalies requiring surgery. Case 2 had anemia and methylmalonic acidemia requiring dialysis to treat hyperammonemia and metabolic acidosis. For effective medical management, they needed life-saving blood transfusions. As a part of alternative treatment, Erythropoietin was administered in both cases. As a result, two babies died from their extremely low hemoglobin and hematocrit. The hemoglobin concentrations below 2.7 g/dL without cardiac problem and 5.4 g/dL with cardiac anomaly complicated by pulmonary hypertension are considered life-threatening hemoglobin threshold. The medical professional must respect and accommodate religious beliefs of the patients who can make informed decisions. However, when parents or legal guardians oppose medical treatment of their babies and incompetent care receivers on cultural and religious grounds, the duty to assist and save persons exposed to serious danger, particularly life-threatening events must come first.

• 한국융합학회논문지
• /
• 제13권5호
• /
• pp.219-228
• /
• 2022

감사품질의 제고를 위해 감사인과 경영자 간 의견불일치 발생에 대한 이해는 필수적이며, 본 연구는 회계적 관점이 아닌 기업의 경영전략 유형이 감사위험과 회계감사 지연에 미치는 영향에 대해 분석하고자 한다. 이를 위해 유가증권 및 코스닥 상장기업의 2018년부터 2020년까지의 표본 2,910 기업-연도 자료를 이용하여 실증분석하였다. 본 연구의 실증분석결과는 다음과 같다. 첫째, 방어형 기업에 비해 선도형 기업은 신제품, 연구개발비용, 무형자산 등에 대한 감사절차를 확대시킬 수 있고, 경영자와 감사인 간에 의견불일치로 인해 감사지연을 증가시키는 것으로 나타났다. 둘째, KOSPI 상장 기업에 비해 KOSDAQ 내 선도형 기업은 재무보고품질이 낮아 감사지연을 더욱 증가시키는 것으로 나타났다. 본 연구의 결과는 기업의 경영전략이 감사인과 회사 간의 의견불일치 가능성에 영향을 미치는지 분석하고, 주식시장 별로 감사시차에 차이가 있는지 검증하였다. 본 연구결과는 감사위험이 높은 선도형 기업에 대해 감사인의 강한 주의의무가 필요함을 보여주며, 아울러 선도형의 정의를 통해 선도형 기업에 대한 강화된 감사제도와 구체적인 가이드라인을 제시할 수 있다는 정책의 의의를 갖는다. 또한 향후 선도형 기업을 구성하는 비재무적 요소와 감사위험의 관계를 규명하는 후속 연구가 수행될 것을 기대한다.

• 한국직업건강간호학회지
• /
• 제27권3호
• /
• pp.180-189
• /
• 2018

Purpose: The aim of this study was to investigate the influence of nurses' awareness of healthcare accreditation on their job stress and turnover intention. Methods: Across-sectional correlation study design was used. Participants consisted of 143 nurses from two tertiary hospitals in Seoul and Gyunggido, South Korea. Data were collected in October 2016 using self-report questionnaires and analyzed using descriptive statistics, t-test, an ANOVA, Pearson's correlation coefficient, and multiple regression in SPSS/WIN 21.0. Results: Awareness of health care accreditation correlated negatively with job stress (r=-.63, p<.001) and turn over intention (r=-.50, p<.001). Awareness of health care accreditation was the factor that most influenced job stress, explaining 38% of the variance (F=23.10, p<.001). Awareness of health care accreditation and duty pattern were the factors that most influenced intention to leave, explaining 32% of the variance (F=10.35, p<.001). Conclusion: These findings suggest raising nurses' awareness of certification systems to reduce their job stress and turnover intentions. It will be necessary to provide support for the aggressive work nurses do and improve their work structure, highlighting the need for both manpower and institutional support. Accordingly, providing regular education programs and appropriate compensation schemes, by raising nurses' awareness of medical institutions' certification systems, is necessary.

• Journal of Trauma and Injury
• /
• 제26권4호
• /
• pp.266-272
• /
• 2013

Purpose: Although the duodenum and the pancreas are protected by surrounding organs and have a low probability of injury during trauma, the mortality and the morbidity due to complications is high. This report includes the pancreaticoduodenal injuries we observed that were treated at a single institute. Methods: The medical records of patients admitted to our institute between 2001 and 2012 for pancreaticoduodenal injury were retrospectively reviewed. Results: In our hospital, between 2001 and 2012, 15 patients were admitted for a pancreaticoduodenal injury. All patients experienced blunt trauma, 6 of whom were involved in traffic accidents and 9 of whom received injuries from physical assault. Most of the patients were men(13 of 15 patients, 86%) with a mean age of 23 years (range, 5?39 years). All patients were admitted to the emergency center and managed by the surgeons on duty. The mean value of the injury severity score was 22. The mortality rate was 6%(1 of 15 patients). Seven of the fourteen surviving patients(50%) had duodenal injury, 6 patients(42%) had a pancreatic injury, and 1 patient(7%) had a combined pancreaticoduodenal injury. The surgical procedures were targeted at damage control. Conclusion: In conclusion, we believe that damage control surgery is the optimal management for a pancreaticoduodenal injury.

• 대한본초학회지
• /
• 제24권4호
• /
• pp.63-67
• /
• 2009

Objectives : Quality control for imported medicinal herbs is duty for regulation, however to the best of our knowledge there has been no report regarding quality control of imported ones. Therefore, this study investigated the data of imported ones for monitoring quality issue. Methods : These data are categorized according to item, the amount of import, country, inspection item, suitability, and incongruity reason based on the 248 results performed by KIOM. Results : China is the number one country for import with the value of 73%. Inspected medicinal herbs were 139 species, among them Poria is ranked as top for requested number and the amount of import. The amount of import is similar between high ranking 20 species and low ranking 119 ones, showing high ranking ones are major. The incongruity ratio was 7.7% from the total number of inspected items, the reason for incongruity was excess of tolerable amount of Cd residue. Conclusions : From the data, it is effective way to focus on high ranking herbs for evaluating imported herbs for quality control. The study of mechanism on Cd accumulation and its decrease is essential for environmental matter. And identification and storage for mixed used and easily decomposable herbs are remained for further study. Our study might be small step for showing guideline for proper quality control.

• 디지털융복합연구
• /
• 제12권1호
• /
• pp.61-70
• /
• 2014

공직윤리의 문제는 끊임없이 제기되고 다양한 법과 제도적 장치를 마련하고 있으나, 계속되는 공직윤리 위반행위는 해결되기 보다는 오히려 악화되고 있는 실정이다. 특히, 우리나라는 전통적으로 긴밀한 유대관계를 형성하고 있는 가족문화의 특수성으로 인하여 공직자의 이해충돌관계가 더욱 심각화될 수 있는 여건에 처해 있다. 최근 부산저축은행 부실관련 여러원인이 감독기관 (금융감독원) 전직자들의 취업이 문제된 바와 같이 상당수의 정부 부처고위 공직자가 로펌이나 이해관계가 얽혀 있는 회사의 영입대상이 되고, 이들이 회사의 사적 이익을 위해 공공기관에 영향력을 행사함으로써 부정부패가 발생하는 사건이 줄지어 나타나고 있다. 또한 스폰서 검사, 사회복지 예산 횡령사건과 권력형 부패사건 발생 등 온갖 불법부패 사건과 부패혐의에 대해 엄정하지 못한 법집행은 정부의 반부패 정책에 대한 국민신뢰를 크게 훼손 시키고 있다. 따라서 공직윤리제도가 완벽한 목적을 수행하기 위해서는 지속적인 제도적 문제점을 개선하고 노력해야 할 것이다.