• Title/Summary/Keyword: inspection education

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A Study on the Level of Medical Record Documentation and Agreement in the Information on the Patient's Past History (과거력 의무기록 정보의 기재정도 및 일치도 분석)

  • Seo, Jung-Sook;Yu, Seung-Hum;Oh, Hyohn-Joo;Kim, Yong-Oock
    • Korea Journal of Hospital Management
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    • v.13 no.1
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    • pp.42-64
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    • 2008
  • This study was conducted to evaluate the quality in medical records by analyzing its completeness through setting up the level of record on the patient's past history and through examining the actual medial records. Targeting the information on the patient's past history in interns' records, residents' records and nurses' records toward 403 inpatients who were admitted first in 2004 at an university hospital due to stomach cancer. We analyzed whether the charts were recorded or not, recording level, the satisfaction with the expectant level of the records in the hospital targeted for a research and the level of agreement. The results were as follows; first, as for the rate of recording those each items, they were high in the chief complaint & present illness and the past illness history. Depending on the group of recorders, the recording rate showed big difference by items. Second, as a result of measuring the level after dividing the recording level of items for the patient's past history from Level 1 to Level 4 by each item, the admission history, the past illness history, and the family history were about Level 3, and the smoking history, the medication history, the chief complaint & present illness, the drinking history and allergy were about Level 2. In the admission department, it was excellent in the interns' records for the medical department. Third, as a result of its satisfactory level by comparing the expect level of a record and the actual record by item in information on the patient's past history, which was expected by the medical-record committee members of the hospital targeted for a study. And forth, we analyzed the level of agreement with Kappa score in the level of 'Yes' or 'None' related to the corresponding matter in Level 1, in terms of information on the past history in the intern's record, the resident's record, and the nurse's record. The level of agreement in the resident's record & the nurse's record, and in the intern's record & the resident's record was from "excellent" to "a little good". There were differences in the level of completeness and in reliability for the information on the past history by the recorder group or by the admission department. The encounter process that was performed by the admission department or the recorder group, indicated the result that was directly reflected on the quality of medical records, thus it was required further study about the medical record documentation process and quality of care. The items that showed the high recording rate quantitatively were rather low, consequently we'd should develop the tool for the qualitative inspection and evaluate the medical records further. And the items were needed to be detailed in the record level were rather low, and hence there needed to be a documentation guideline and education by the clinical departments.

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Evaluation of the Management of Sanitation in Food Service Establishments in Korea and Strategies for Future Improvement (국내 급식위생관리의 현황고찰 및 발전방안)

  • 김종규
    • Journal of Food Hygiene and Safety
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    • v.15 no.3
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    • pp.186-198
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    • 2000
  • The quality of the management of sanitation in food service establishments (school lunch programs, hospital patient food services, and commercial catering food services) in Korea was reviewed and evaluated, and ten strategies fur future improvement were suggested. They were: (1) An increase of qualified manpower and improvement of the professional training of the staff; (2) Obtaining special facilities exclusively for food service; (3) Improvement of facilities especially the kitchens; (4) Improvement of policy fur procuring raw materials and being assured of their quality by designing some standards and specifications for the raw materials to be purchased; (5) Production and use accurate and reliable kitchen apparatus and instruments; (6) An increase of the laboratory apparatus and instruments for inspection and evaluation of the sanitary level of raw materials and food service environments; (7) Enforced improvement of personal hygiene of the staff; (8) Use of a variety of methods in sanitary education and training; (9) Actively inspect the quality of imported foods; (10) Strengthening the research and accumulation of background data regarding sanitation management. There is a long process from the production of food to eating. The cooking process is the ultimate end of preparation of food before eating. This process sometimes increases the occurrence of food-borne diseases if we mishandle the food, even we obtained safe food. The process can also remove health hazards and reduce the risk from the hazards if we handle the food well although we have unsafe foods. This means the cooking process is a major key to preventing food-borne diseases. The concepts of hazard analysis critical control point (HACCP) should be applied and practiced in food service establishments in Korea as soon as possible.

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Learning Diagnosis & Prescription Service in Cyber Home Learning System : Improvements on User Experience by doing Usability Evaluation (사이버가정학습 진단처방학습관리시스템 사용성 평가 및 학습 경험 개선 방향 도출)

  • Cha, Hyun-Jin;Ahn, Mi-Lee
    • 한국HCI학회:학술대회논문집
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    • 2009.02a
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    • pp.876-883
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    • 2009
  • Learning Diagnosis & Prescription Service(LDPS) in Cyber Home Learning System is a educational service which provides customized learning contents based on student's academic level and individualized counseling and comments after diagnosing learner's study habits beyond the past e-Learning systems which offer the same contents to different students. For a national point of view, it is a crucial project in public education to achieve the goals of the next-generation e-Learning service by making a lot efforts both in time and money. However, those efforts has been made, not in terms of providing a better quality of service and a better user experience in a effective and enjoyable way, but in terms of developing the technology-driven system. Therefore, in this study, two types of usability evaluations has been conducted in order to enhance a user experience on the LDPS. One is the expert reviews by utilizing the usability evaluation tools (heuristics) which was focused on educational contexts developed by Suh Young-suhk(2007). The other is the user testing with students who have done think-aloud during the evaluation, remembering their retrospective experience with LDPS, and the interview with teachers & service operators were conducted. As the implications on the research, this is an effort to provide an user-friendly educational system for the students nationwide.

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A Study for Faliure Examples Involved Diode, Thermo Sensor and Wiring Short of Electronic Control A/C System in a Vehicle (승용자동차 전자제어 에어컨 장치의 다이오드, 써모센서와 배선단락에 대한 고장사례 고찰)

  • Lee, IL Kwon;Kook, Chang Ho;Ham, Sung Hoon;Lee, Jeong Ho;Moon, Hak Hoon;You, Chang Bae;Hwang, Han Sub;Lim, Chun Moo;Jung, Dong Hwa;Na, Yun Whan
    • Journal of the Korean Institute of Gas
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    • v.21 no.5
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    • pp.83-88
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    • 2017
  • The purpose of this paper is to study for a failure examples producing in electronic control air conditioner in vehicle. The first example, it looked for the repetitive fuse cutting phenomenon that the diode using for a surge voltage prevention of inner A/C relay damaged because of no absorbing the surge voltage by short of diode when the A/C is off. The second example, it knew the icing phenomenon of evaporator that the A/C ECU didn't control the A/C because of inner cutting of fin thermo sensor. The third example, it verified the operation trouble phenomenon because of the A/C switch and for sensor burned in flames by short phenom enon when the sheath of the cable has peeled off. Therefore, the driver have to manage the optimism system of a car by thoroughgoing inspection and improvement the failure phenomenon.

Evaluation of Mechanical Test Characteristics of Fillet Welding (필릿 용접의 기계적 시험 특성 평가)

  • Cho, Byung-Jun;Lee, Soung-Jun;Rhim, Jong-Guk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.535-541
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    • 2020
  • FCAW is used mainly in the welding of carbon steel and alloy steel because it can be welded in all positions and can obtain excellent quality at sites with variable working conditions. Recently, many studies in Korea have estimated the fatigue strength, residual stress, and deformation, and to develop a fillet welding process. On the other hand, there have been few studies of the mechanical properties based on the strength, macro and magnetic particle test results for fillet welding. This study shows the following results through fillet welding, macro testing and strength testing using SM490A (solid-structure rolled steel) for thick plates using SS400 (rolled steel) for the upper plate and FCAW. The hardness test, macro test and magnetic particle test were then conducted. The hardness tests showed that all result values were smaller than the KS B 0893 standard values of 350Hv. The macro-test showed that each type of welded part was in a normal organic state and that there were no internal errors, bubbles, or impurities on the front of the welded part. Therefore, there were no concerns about lamination. The magnetic particle examination showed no problems.

A Study on Development of Job-based Expert Training Model for International Maritime Dangerous Goods (직무기반 국제해상위험물 전문교육 모델 개발에 관한 연구)

  • Lee, Hong-Hoon;Rim, Geung-Su;Seo, Hye-Kyung;Keum, Jong-Soo;Kim, Chol-Seong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.19 no.6
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    • pp.649-657
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    • 2013
  • In this study, for a proposal of job-based IMDG code expert training model, the training cases of other countries were analyzed comparatively and a questionnaire-survey was conducted to find the needs of workers. As results of comparative analysis, various curriculums were operated by jobs of workers in USA and by kinds of dangerous goods or vehicles in UK, but a common curriculum was provided for various jobs of workers in Korea. It was analyzed that current domestic curriculum is not efficient, and the respondents demand expansion of training including provision of information via web-site as results of questionnaire survey. Therefore, in conclusion, after the shore workers were classified into three groups(on-site worker, office worker, & carrying worker), the customized training program of each group was suggested. Furthermore, this study proposed the regional operation of training course to meet regional demand on education including establishment of on-line curriculums.

Study on Safety Management Plan through Chemical Accident Investigation in PCB Manufacturing Facility Etching Process (PCB 제조시설 에칭공정 화학사고 조사를 통한 안전관리 방안 연구)

  • Park, Choon-Hwa;Kim, Hyun-Sub;Jeon, Byeong-Han;Kim, Duk-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.132-137
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    • 2018
  • Although the number of chemical accidents has been declining since the Chemical Control Act of 2015, there have been repeated occurrences of similar types of accidents at printed circuit board (PCB) manufacturing facilities. These accidents were caused by the overflow of hydrochloric acid and hydrogen peroxide, which are toxic chemicals used in the printed circuit board manufacturing process. An analysis of the $Cl^-$ content to identify the cause of the accident showed that in the mixed route of hydrochloric acid and hydrogen peroxide, which are accidental substances, the $Cl^-$ concentration was 66.85 ppm in the hydrogen peroxide sample. Through reaction experiments, it was confirmed that the deformation of a PVC storage tank and generation of chlorine gas, which is a toxic gas, occurred due to reaction heat occurring up to $50.5^{\circ}C$. This paper proposes a facility safety management plan, including overcharge, overflow prevention, leak detection device, and separation tank design for mixing prevention in printed circuit board manufacturing facility etch process. To prevent the recurrence of accidents of the same type, the necessity of a periodic facility safety inspection and strengthening of the safety education of workers was discussed.

The Effects of the Q-Ray View on Reliability of Assessing a Tooth Status for Dental Hygiene Process (Q-Ray View 활용이 치위생과정을 위한 치아 검사의 신뢰도 향상에 미치는 영향)

  • Oh, Hye-Young;Jung, Hoi-In;Ku, Hye-Min;Kim, Baek-Il
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.461-467
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    • 2014
  • The objective of this study was to evaluate the impact of the Q-ray view, a novel optical device on reliability of assessing a tooth status by dental hygiene students in the training for dental hygiene process. Twenty patients were enrolled in this study. Oral examinations were conducted by both seventeen third-year dental hygiene students and a trained faculty member. Traditional visual inspection was performed in phase I and then re-examined with Q-ray view in phase II. Restoration codes and lesion codes for each tooth were recorded separately according to the predefined criteria. As a measure of reliability, percent agreement and Cohen's kappa were determined. Agreements for each intraoral regions and types of lesion and restoration were calculated. Paired t-test and Pearson chi-square test for two proportions were used to compare mean Cohen's kappa and percent agreement at each phase. For the lesion code, mean kappa values of phase II for intraoral regions were significantly greater than that of phase I (p=0.017). For the both of the lesion code and restoration code, percent agreements of phase II for each types of lesion and restoration were significantly greater than that of phase II (p<0.001 and p<0.001, respectively). Especially difference of percent agreements between phase I and II for incipient caries, caries and fracture were significant for the lesion code (p=0.046, p<0.001, and p=0.029, respectively) and for not restored or sealed, tooth-colored restoration were significant for the restoration code (p<0.001 and p=0.011, respectively). The reliability of assessing a tooth status was improved when the Q-ray view used in dental hygiene student with beginner level of expertise. Q-ray view can be a promising device for conducting and educating the dental hygiene process better.

Role of Print and Audiovisual Media in Cervical Cancer Prevention in Bangladesh

  • Nessa, Ashrafun;Hussain, Muhammad Anwar;Ur Rashid, Mohammad Harun;Akhter, Nargis;Roy, Joya Shree;Afroz, Romena
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3131-3137
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    • 2013
  • Background: Visual inspection of cervix with acetic acid (VIA) is offered at 252 centers in 64 districts of Bangladesh. VIA+ve women are managed at colposcopy clinics of Bangabandhu Sheikh Mujib Medical University (BSMMU) and 14 Medical College Hospitals (MCHs). This research work has been supported by 'UICC Cancer Prevention Campaign' programme. Objectives: This study explored the role of print materials and electronic media to improve cervical cancer screening in the present socio-cultural context of Bangladesh. Methods: This study was performed from January to August 2011 at two upazilas of Bangladesh (Singair with screening facility and Sonargaon without screening facility). Data were collected by focus group discussion (FGD) with women, husbands and community people before and after intervention. Information on cervical cancer screening and VIA camps was disseminated using advertisement through local cable line of the television, microphone announcement, service providers and leaflet throughout the week prior to a VIA camp. Three-day VIA camps were organized at the upazila health complex (UHC) of both upazilas. Quantitative data was gathered from women at the camps on source of information on VIA and the best method of awareness creation. Results: The population was aware of "cancer" and a notable number knew about cervical cancer. Baseline awareness on prevention and VIA was low and it was negligible where screening services were unavailable. Awareness was increased fourfold in both upazilas after interventions and half of the women and the majority of the community people became aware of screening and available facilities. Cable line advertisement (25.5%), microphone announcement (21.4%), and discussion sessions (20.4%) were effective for awareness creation on VIA. Television was mentioned as the best method (37.4%) of awareness creation. Conclusion: Television should be used for nation-wide awareness creation. For local awareness creation, cable line advertisement, microphone announcements and health education at Uthan Baithaks/ EPI sessions can easily be adopted by the government.

Determining Relative Weights of Criteria for Evaluating National Quarantine Station by the Analytic Hierarchy Process (AHP방법을 적용한 국립검역소 평가 준거의 가중치 결정)

  • Jeong, Mun-Yong;Lee, Moo-Sik;Kim, Dae-Kyung;Yoo, In-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.335-340
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    • 2010
  • In accordance with the increasing possibility that the new and reoccurring epidemics continuously appearing abroad flow into Korea, it is very important to evaluate the efficiency of quarantine management projects of National Quarantine Station. This study adopted the pairwise comparison approach using the analytical hierarchy process(AHP) that has been recognized with its scientific adequacy for allocating the weight, the relative importance of evaluation components. AHP technique is evaluated to be distinguished in measuring the impact by making hierarchy of, simplifying and systemizing the complicated multi-criteria decision making problems. The weights by evaluation indexes were 0.2 in the organization evaluation field and 0.8 in the service and program field. The quarantine business showed the highest value, 0.45, in the service and program field. The indexes were classified into the upper category (organization evaluation field, service and program evaluation field) and lower category (input/process/result/quarantine field, inspection field, hygiene management field, pathogenic organ investigation and monitoring field, epidemics prevention promotion/education field). The evaluation indexes that were finally selected were applied to the actual businesses in National Quarantine Station. Next, the minimum evaluation indexes were selected and so the evaluation system on the businesses in National Quarantine Station was more systemized.