• Title/Summary/Keyword: improvement assessment

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Evaluation of a Fall Risk Assessment Tool to Establish Continuous Quality Improvement Process for Inpatients' Falls (낙상예방 활동의 지속적 질 관리 프로세스 확립을 위한 위험 사정도구 평가)

  • Park, Ihn-Sook;Cho, In-Sook;Kim, Eun-Man;Kim, Min-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.484-492
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    • 2011
  • Purpose: The aims of study were; (1) to evaluate the validity and sensitivity of a fall-risk assessment tool, and (2) to establish continuous quality improvement (CQI) methods to monitor the effective use of the risk assessment tool. Methods: A retrospective case-control cohort design was used. Analysis was conducted for 90 admissions as cases and 3,716 as controls during the 2006 and 2007 calendar years was conducted. Fallers were identified from the hospital’s Accident Reporting System, and non-fallers were selected by randomized selection. Accuracy estimates, sensitivity analysis and logistic regression were used. Results: At the lower cutoff score of one, sensitivity, specificity, and positive and negative predictive values were 82.2%, 19.3%, 0.03%, and 96.9%, respectively. The area under the ROC was 0.60 implying poor prediction. Logistic regression analysis showed that five out of nine constitutional items; age, history of falls, gait problems, and confusion were significantly associated with falls. Based on these results, we suggested a tailored falls CQI process with specific indexes. Conclusion: The fall-risk assessment tool was found to need considerable reviews for its validity and usage problems in practice. It is also necessary to develop protocols for use and identify strategies that reflect changes in patient conditions during hospital stay.

A Study on the Improvement of Assessment Criteria for Housing Performance Indicator System and Green Building Certification Criteria (주택성능등급과 친환경건축물인증의 평가방법 비교를 통한 개선안 연구 -환경관련등급을 중심으로-)

  • Kim, Myoung-Shin;Hwang, Jae-Woo;Chun, Jung-Gil;Ha, Dae-Woong;Park, Kyung-Soon;Son, Won-Tug
    • Proceedings of the SAREK Conference
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    • 2009.06a
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    • pp.9-14
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    • 2009
  • A variety of Certification systems are initiated, as increased demands for housing quality of building & house owner. New building and apartment built in Seoul metropolitan should acquire Building Energy Rating System and Housing Performance Grade indication System, Green Building Certification System. Building Energy Rating System could be acquired through the certification from energy performance index of environment grade in Housing Performance Grade Indication. Between Housing Performance Grade Indication and Green Building Certification System, There are troublesome to acquire certification because a lot of assessment items are overlapped. At a result, the rational and efficient certification system should be initiated not only to avoid overlap among those certification systems and promote Green Building market share but also efficient certification system operation. We will discuss on assessment items between Housing Performance Grade Indication System and Green Building Certification System and release the improvement method those Certification Systems to avoid overlapping to assessment items.

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A Study on the Improvement of Prior Environmental Review System(PERS) in a Administrative Plan & Program Including a Small-Scale Development - Focus on Hot Spring Hole Wildness - (소규모 개발이 수반되는 행정계획 사전환경성검토 발전방안에 관한 연구 - 온천공보호구역을 중심으로 -)

  • Kim, Jeong-Hyun;Kim, Im-Soon;Han, Sang-Wook
    • Journal of Environmental Impact Assessment
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    • v.17 no.3
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    • pp.167-176
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    • 2008
  • Korea has made the rapid economical development under the condition with the high population density and low available land. In this context, conservation of land environment, connected directly with living quality of human, has mostly ignored. Prior Environment Review System(PERS) is the one to investigate the locational validity, environmental impacts, harmony with surrounding environment, from the early stage of administrative plan or development project. PERS was amended to include SEA(Strategic Environment Assessment) system on June 1, 2006. But, several problems, including the loss of administrative ability, cost, and time, have been appeared, since the system is applied to all administrative plans without any distinction and plans or projects are delayed generally. In this study, the weaknesses of PERS were indicated through the comprehensive analysis including literature survey, study of legal and internet database, and the recently published PERS reports. Based on that, the improvement schemes were suggested to be harmonized with the nature of SEA. This study was mainly focused on a PERS for the designation of conservational area of hot-spring wells, conducted by authors.

Continuous Quality Improvement of Medical Equipments Based on Clinical Monitoring: A Case Study of Dental Implants (의료기기에 대한 임상모니터링 기반의 지속적 품질개선: 치과용 임플란트의 사례)

  • Kim, Myung-Duk;Eom, Tae-Gwan;Kim, Young-Jin
    • Journal of Korean Society for Quality Management
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    • v.36 no.2
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    • pp.59-66
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    • 2008
  • Dental implant has recently become one of the most viable treatment options for regaining the oral function and dental aesthetics compared with conventional fixed or removable dentures. Dental implants vary in material, dimensions, geometries, surface properties, and interface geometries. It has been reported that there has been a proliferation of manufacturers who produce implants using various materials and surface treatments, and the dentist needs to select from over 2,000 different dental implants and abutments in a specific treatment situation. Unfortunately, however, no metrics have been specifically identified for the purpose of quality assessment and selection of an appropriate dental implant. This study aims to provide practical guidelines for quality assessment of dental implant based on clinical data. Like other medical devices and materials, the superiority related to specific characteristics of the dental implant needs to be verified through extensive clinical studies. The procedures of clinical monitoring for dental implants have been proposed along with a case study to exemplify the usefulness of clinical monitoring for the purpose of continuous quality improvement in medical industry.

Improvement Plan of Implementing Condition Assessment in Process Safety Management (PSM) System (공정안전관리(PSM)제도의 이행상태평가 개선방안)

  • Lee, Joo Yeob;Lee, Keun Won;Ahn, Byung Joon;Kim, Tae-Ok
    • Journal of the Korean Society of Safety
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    • v.31 no.4
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    • pp.27-34
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    • 2016
  • Process Safety Management (PSM) system was introduced since 1996 and it makes voluntarily organizing and managing chemical accident prevention system by company itself that contributes to reduce the chemical accidents. However, large or small scaled chemical accidents had occurred frequently in these days. This trend is brought up the necessity to analyze and improve PSM system. In this study, it was conducted by the questionnaire survey and workshop for prevention of major industrial accidents in PSM sites in order to collect extensive opinions from all walks of life and identify overall operation condition. It was proposed to establish improvement plan of implementing condition assessment in PSM system. By results of the study, company's voluntary safety management will be induced by improved PSM system and management plan and it expects to prevent the major industrial accidents.

The Approach of Robot-assisted Gait Therapy for Locomotor Recovery of Chronic Stroke Patients: a Case Report

  • Shin, Hee-Joon;Lee, Ju-Hyeok;Seo, Dong-Kyu;Kim, Hong-Rae;Moon, Ok-Kon;Park, Si-Eun;Park, Joo-Hyun;Kim, Nyeon-Jun;Min, Kyung-Ok
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.1
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    • pp.207-213
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    • 2011
  • In this case report, we investigated the effects of robot-assisted gait therapy in a chronic stroke patient using motor assessment and gait analysis. A patient who suffered from the right hemiparesis following the left corona radiata and basal ganglia infarction received 30 minutes of robot-assisted gait therapy, 3 times a week for 4 weeks. Outcome was measured using Motoricity index(MI), Fugl-Meyer assessment(FMA), modified motor assessment scale(MMAS), isometric torque, body tissue composition, 10-meter gait speed and gait analysis. After robot-assisted gait therapy, the patient showed improvement in motor functions measured by MI, FMA, MMAS, isometric torque, skeletal muscle mass, 10-meter gait speed. In gait analysis, cadence, single support time, double support time, step length, walking speed improvement in after robot-assisted gait therapy. The results of this study showed that robot-assisted gait therapy is considered to facilitate locomotor recovery of the chronic hemiparetic stroke patient.

A Study of assessment criteria and reliability improvement for power supply of electrodeless fluorescent lamp (고효율 무전극형광등용 전원장치의 평가기준 및 신뢰성향상 연구)

  • 함증걸;신종욱
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.17 no.2
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    • pp.34-40
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    • 2003
  • This paper gives an assessment criteria and reliability improvement for high frequency power supply of high efficacy electrodeless fluorescent lamp. The electrodeless fluorescent lamp system consist of electrodeless fluorescent lamp, high frequency power supply and lighting fixtures. The high frequency power supply has a shortest life at the system. Therefore It is need th assess the Failure Rate or mean Time To Failure(MTTF) for the high frequency power supply of electrodeless fluorescent lamp system and improve the reliability at design. We suggest the assessment criteria and improve methods of the reliability on the design basis for the electodeless fluorescent system.

Present Condition and Direction of Improvement for Future Technology on the Prevention and Reclamation of Mining Induced Subsidences (지반침하 방지기술의 현황 및 발전방향)

  • Bang, Ki Mun
    • Tunnel and Underground Space
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    • v.27 no.6
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    • pp.377-386
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    • 2017
  • This study was carried out to predict the future technology on the prevention and reclamation of mining induced subsidences in Korea. We summarized the technical improvement of ground surveys and investigation, ground stability assessment, ground reinforcement, ground monitoring system and so on. It is essential to improve the technology that we try to collect and review all the data that is implemented on the site of mined area in Korea and collaborate all the members of public and private business sectors. We, also, try to expand our business area to related industry such as tunnelling, civil infrastructure, underground environmental assessment etc, and continue to develop oversea's market.

Framework for Continuous Assessment and Improvement of Occupational Health and Safety Issues in Construction Companies

  • Mahmoudi, Shahram;Ghasemi, Fakhradin;Mohammadfam, Iraj;Soleimani, Esmaeil
    • Safety and Health at Work
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    • v.5 no.3
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    • pp.125-130
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    • 2014
  • Background: Construction industry is among the most hazardous industries, and needs a comprehensive and simple-to-administer tool to continuously assess and promote its health and safety performance. Methods: Through the study of various standard systems (mainly Health, Safety, and Environment Management System; Occupational Health and Safety Assessment Series 180001; and British Standard, occupational health and safety management systems-Guide 8800), seven main elements were determined for the desired framework, and then, by reviewing literature, factors affecting these main elements were determined. The relative importance of each element and its related factors was calculated at organizational and project levels. The provided framework was then implemented in three construction companies, and results were compared together. Results: The results of the study show that the relative importance of the main elements and their related factors differ between organizational and project levels: leadership and commitment are the most important elements at the organization level, whereas risk assessment and management are most important at the project level. Conclusion: The present study demonstrated that the framework is easy to administer, and by interpreting the results, the main factors leading to the present condition of companies can be determined.

Assessment and Improvement of Ocean Physics for Coastal Erosion Projects (연안침식방지사업의 해양물리분야 평가실태 및 개선방안)

  • TAC, Daeho;OH, Hyuntaik
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.4
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    • pp.947-956
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    • 2016
  • This study analysed the documents of Sea Area Utilization Consultation of JongChun and ApHae located in West Coast of Korea and NaJeong located in East Coast of Korea in order to find out problems of site surveys and numerical simulations for coastal erosion projects of ocean physics, and suggested the improvement way to go. Current especially like wave-induced current is the one of the important external forces to handle coastal erosion but underestimated in the west coast. In case of east coast the various tests including wave-induced current were conducted but less efficient to find out the reasons of coastal erosion. The stiffness structure to protect coastal line like beach made the secondary erosion by using them without sufficient analysis for the erosion. In order to consult a Sea Area Utilization Consultation those are needed to review the scenarios for external forces such as wave and tidal currents, the site surveys for external forces, the net sediment analysis for years, the long periods of monitoring, and the guide line and revision of the rule for coastal erosion.