• Title/Summary/Keyword: quality management item

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Correlation between the components of dying with dignity and quality of life (웰다잉의 구성요소와 삶의 질 간의 상관관계)

  • Lim, HyoNam;Lee, Seo-Hui;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.137-144
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    • 2019
  • The purpose of this study is to investigate the relationship between the perception of dying with dignity and the quality of life based on the opinions of the Korean populations. The participants were selected using a stratified proportional allocation method and 1,000 adults aged between 19 and 74 years from 17 municipalities and provinces in Korea. The questionnaire consisted of 2 demographic items; 26 items on the quality of life scale; and 57 items on the perception of dying with dignity. The statistical methods used included frequency analyses, independent sample t-tests, and correlation analyses. The results showed that the quality of life was highest for the social life quality item, and that the participants who had experienced a death in the family were more likely to have statistically lower quality of life in physical, psychological, environmental, and social areas. In terms of the participants' perception on dying with dignity, the score for death preparation was the highest; specifically, the score for psychological/economic burden reduction was the highest. The quality of life of the participants showed a positive correlation in all aspects of the perception of dying with dignity: physical symptoms and control, death preparation, death environment, family and social relations, hospital treatment, psychological dignity, and spirituality. Other studies conducted with middle-aged populations showed that their quality of life was higher when they perceived the acceptance of death is important and were willing to participate in death preparation education. Therefore, in order to improve the quality of life and have a positive influence on the participants, educational programs on death preparation and dying with dignity considering all the areas of the perception of dying with dignity should be provided.

Effects of a Critical Pathway of Posterolateral Fusion in Patients with Lumbar Spinal Stenosis (측후방융합술을 시행한 요추관협착증 환자의 Critical Pathway 적용효과)

  • Park, Hae-Ok
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.2
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    • pp.265-284
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    • 2001
  • The case management has been applied to improve the quality of care and the cost-effectiveness in the most health care institutions. In a way of case management, the critical pathway(CP) has been executed in many acute care settings, focused on the diagnoses with high cost, high volume, and high risk. This study was conducted to develop a case management program using CP as an intervention of patients with lumbar spinal stenosis for the surgery of posterolateral fusion, and to find out the effects of the critical pathway on the quality of nursing care, patient satisfaction as an outcome of care, length of stay and medical charge, and nurses' job satisfaction. At the same time, patients' functional states were checked with the Oswestry Low Back Pain Index, to show that the CP would not decrease the patients' function compared to the control group. The subjects were 25 control patients with a usual operation of lumbar fusion and 25 experimental patients with CP. They were all female, aged $50s{\sim}70s$, admitted in the Orthopedic surgery ward of a university hospital. Also nurses on the floor using CP were asked to respond to measurement tool of job satisfaction before and after the application of CP, and compared with other nurses on the different wards. Data were analyzed with t-test for continuous variables and chi-square for non-parametric variables in addition to the reliability test of the measurement tools. The results of this study were as followings: 1. Patients' functional states The differences in Oswestry scores of the experimental and control groups assessed at preoperation and at discharge were not statistically significant. The change in scores of the experimental group measured at preoperation and at discharge was larger than that of the control group, however the difference was not statistically significant. The results indicate that the CP did not decrease the patients' functional status. 2. The quality of nursing care The total of quality of nursing care given to the experimental group was better than that of the control group(P=.000). In addition, the experimental group showed better scores of quality of every item of care than the control group(P=.000 -.004). 3. Patient satisfaction Patients of the experimental group were not more satisfied with general care than the control group. But they were more satisfied with discharge care of 'explanation about medication, body posture, and brace application' and 'explanation about the adjustment of daily living and exercise during recovery'(P= .047, P=.028). 4. Nurses' job satisfaction Nurses working with the CP showed more job satisfaction than before the CP introduction(P=.048). But the control group of nurses on a different floor showed no change in job satisfaction at the same period of time. 5. Length of stay and medical charge The mean length of stay of the experimental group was shorter than that of the control group without statistical significance. The charge of medication and treatment of the experimental group were smaller than that of the control group(P=.011, P=.000). The results of the study support that the case management using critical pathway enables to improve the quality of care and job satisfaction, to reduce the medical charge, and consequently to increase satisfaction with care. However, the case management should be instituted focusing on the quality improvement of nursing and the client satisfaction, not just for the purpose of cost-effectiveness of health care facilities.

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A study on the Diminishing Manufacturing Source and Material Shortages Management and Cost Analysis based on Pilot Application of the Guided Weapons (부품단종관리 방안 및 유도무기 시범적용을 통한 비용분석)

  • Park, Kwang-Hyo;Shim, Bo-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.390-398
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    • 2020
  • To solve the problem of frequent component failure in guided weapons, a process of component failure in developed countries was investigated and analyzed. The suitability of component control, including risk assessment, analysis of operational impact, and the establishment of response measures, was also demonstrated. In addition, the economic effects of component control were presented by estimating the costs incurred if component control is performed in advance, after-sales, and non-management. DMSMS problems refer to losses or impending losses of an item, raw material, or software manufacturer or supplier. A problem with the discontinuation of parts occurs when the manufacturer or supplier ceases to produce and support the necessary parts, materials, or software, or when the supply of raw materials is no longer possible. Hence, it is important to recognize that failure to all parts of the system can occur.

Reducing Medical Errors : Patients' Self Protect Behaviors and Involvement in Decision Making (의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여)

  • An Kyung-Eh;Kim Jeong-Eun;Kang Kim Min-Ah;Jung Yoen-Yi
    • Health Policy and Management
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    • v.16 no.3
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    • pp.70-85
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    • 2006
  • The purposes of this study were (1) to describe patients' behaviors to protect themselves from medical errors and their involvement in decision making on the diagnostic and treatment procedures (2) to examine whether patients' characteristics, such as age, sex, education, experience of hospitalization and/or surgery influence their self protect behaviors and involvement in decision making on the diagnostic and treatment procedures. A survey was conducted with 99 patients visited one university hospital in Seoul, Korea. A 20-item questionnaire, a 4-point Likert scale, was used to measure the degree of patients' active involvement in decision making; patients' self protect behaviors regarding medication, hospitalization, and surgery; and communication (Cronbach's alpha=0.801). SPSS 12.0 was used for the descriptive and correlation analysis. Only 6.1% of the participants were involved in the decision making process for the diagnostic tests and treatment. More patients did self-protect behaviors associated with the medication than other areas but widely varied from 18.2 to 94.3 % among various items. More people with age of 60 or older compared to people in younger age groups reported more protect behaviors particularly associated with medication. Patient education is needed to improve their active role in preventing medical errors and to promote patients' safety.

A Study on the Electronic Manual of Maintenance System for Bridge Facilities on Local Area (중소규모 교량시설물의 유지관리를 위한 전자매뉴얼 구성)

  • Jeong Won-Myung;Chang Kyung-Tae;Kang Leen-Seok
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.581-584
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    • 2003
  • Recently, construction industry has an interest on the maintenance area of construction facilities to maximize utilization of the each facility. This study suggests an interactive electronic technical manual for bridge facility to improve quality and to ensure safety of the bridge facility. The improvement method of bridge maintenance system consists of the basic information ell the facilities, maintenance manuals and measurement system. And the suggested system is based on the facilities, maintenance manuals and measurement system. And the suggested system is based on IETM (Interactive Electronic Technical Manual), and this study defines and develops a $BF\_IETM (Bridge Facility\_ITEM$ as the bridge maintenance system.

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A Non-parametric Trend Analysis of Water Quality Using Water Environment Network Data in Nakdong River (낙동강수계 물환경측정망 자료를 이용한 비모수적 수질 경향 비교 및 분석)

  • Kim, Jungmin;Jeong, Hyungi;Kim, Hyeran;Kim, Yongseok;Yang, Deukseok
    • Journal of Environmental Impact Assessment
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    • v.29 no.1
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    • pp.61-77
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    • 2020
  • In South Korea, major public waters have been systematic management under national level. Water environment network has been continuous monitoring for change of aquatic ecosystem, river and reservoir. In Water Quality Monitoring Networks, the data have been generally monitored Per eight days or month, while in Automatic Water Quality Monitoring Network the data have been monitored at daily intervals. Therefore, we were compared and analyzed water quality data between the networks using statistic method for same water quality item. Mann-kendall test results confirm that all points in Water Temperature (WT) and DO were not statistically significant. In particular, the result revealed that there is significant variation of TOC in the four different sites, TN in two different sites, TP in three different sites, WT in seven different sites, pH in two different sites between Water Quality Monitoring Network and Automatic Water Quality Monitoring Network. As a result firm LOWESS, TOC and pH clearly shows different trend. Among different sites, the water quality show the significantly positive correlations between at Sinam-Sangju2 and Namgang-Namgang4. Negative correlation significantly appeared in TP (ADD_Lower-AD1 site), TOC (DG-SG site), pH (GR-GR site), TP (JP-CN) and TN, TP, pH, EC, DO (GC-GC2-1 site).

An Analysis of Impact Factors on Performance in Operating Agrifood Export Organizations (농식품 수출조직 운영성과 영향요인 분석)

  • Kim, Kyung-Phil;Kim, Sang-Hyo;Han, Jung-Hoon
    • Journal of Distribution Science
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    • v.14 no.10
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    • pp.93-107
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    • 2016
  • Purpose - This study aims to derive directions and implications for improving performance in operating agrifood export organizations by identifying significant performance impact factors. Research design, data, and methodology - A seemingly unrelated regression (SUR) model was estimated using data from a survey conducted among 120 exporters including 16 leading export organizations. In the SUR estimation, the export volume and price are used as dependent variables and securing the quantity of products ordered and exported, quality management, and marketing activities are considered as explanatory variables for the operation performance. Results - The amount of farmer education, the manpower in charge of marketing, and the interaction terms between whether or not they belong to a leading export organization and the item dummy for mushrooms have a significant impact on the export volume where the export volume is specified as a dependent variable. The export volume is greater with a greater amount of farmer education and greater manpower in charge of marketing from the perspective of quality management. When the export price is estimated as a dependent variable, the manpower in charge of marketing is shown to have a significant impact on the export price. Conclusions - The government needs to strengthen its support of the performance of agrifood export organizations. The analysis indicates that the education of and consulting with farmers, and the manpower number in charge of marketing are key factors in the operation performance of export organizations. Therefore, supporting the export organizations in expanding their human resources in charge of marketing can increase the export volumes for agrifoods. Given, however, that the export volume associated with joint payments, human resources specialized in quality management, and the amount of participation in export exhibitions are not significant factors, it is essential to improve the supporting policies for those areas. The manpower in charge of marketing from the perspective of marketing has a significant impact on both the export volume and export price. Thus, we identify this as the most important category that should be supported to enhance performance in export organizations.

Brand Image and VMD Strategy of Sports Stores in Korea (2017년 이후 스포츠매장의 브랜드이미지와 VMD 전략)

  • Seo, Jung-Hwa;Kim, Hwa-Kyung;Kim, Jong-Jin;Youn, Myoung-Kil
    • Journal of Distribution Science
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    • v.15 no.11
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    • pp.83-93
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    • 2017
  • Purpose - The study aims to analyze the VMD(Visual Merchandising) perception factors in recent sporting goods store and clarify the effect of each VMD perception factors on brand image, satisfaction, and customer revisit intention. The VMD perception factors play an important role in attracting and actually inducing sales to the visiting customers. It has investigated the effect of VMD perception on customer satisfaction and revisit intention. It is expected that the company's marketing strategy with VMD will be differentiated and competitive in sports item stores, brand image enhancement, customer retention, and acquisition. Research design, data, and methodology - In order to verify the hypotheses of this study, a total of 380 questionnaires had been distributed. 360 respondents were used in the final analysis excluding 20 respondents' incomplete answers. The SPSS 18.0 program was used and the data analysis was conducted for the demographic characteristics and distribution behavior. Principal Components Analysis was used for the common factor extraction for validity analysis, and factor analysis was conducted to verify such as validity in brand image or brand attitude. As for Multiple regression analysis, was performed to verify and in the research model, and in and , the mediation was defined through the Sobel Test in order to verify the brand image mediating effects on VMD, store satisfaction, and revisit inquiry of sports store. Results - Qualitative research shows that VMD sub-variables such as aesthetic, fitness, and functional convenience influence store satisfaction and revisit intention. As a result of analyzing the mediating effect of the brand image, the more VMD is strengthened, the more brand image is improved and store satisfaction is also increased. Conclusions - VMD enhancement requires a VMD strategy aligned with the company's management policies and objectives, a visual directing and consistent concept that delivers a strong message to customers. The customer actual purchasing behavior is a combination of various factors such as sports item stores' interior design, display, advertisement promotion like POP(Point of Purchase), salespersons and their service quality, so that the VMD image and the brand image must be consistent and a unique strategic plan is required.

The Effects of Recognition of Material Safety Data Sheets in Dental Hygienist (치과위생사의 물질안전보건자료 인식에 대한 융복합 연구)

  • Oh, Na-Rae;Kim, Hae-Kyoung;Cho, Min-Jeong
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.215-223
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    • 2017
  • This research conducted a survey targeting 238 dental employees in Daegu Gyeongbuk region in order to improve awareness on danger risk of dental materials henceforth by analyzing the awareness on material safety health data (MSDSs) and working environment characteristics that influence thereon. Accordingly, the average score of importance per item based on material safety health data(MSDSs) appeared $3.98{\pm}0.59$, and the highest item appeared 'danger risk', and the average score of necessity in improvement appeared $4.34{\pm}0.57$. Average score of necessity in improvement appeared higher as the career increased, and difference in importance per item showed higher score in the target who worked in the dentist (p<0.01). This research expects that the employees of dentist hospital secure safety on chemical substances of dental materials and pay more attention on chemical substance material of dental material and the material safety health data (MSDSs) that explains this, in order to improve quality of working environment, also, the researcher wishes that concrete policy and institution would be prepared for the safety of dentist hospital employees' working environment safety.

Lifetime Assessment Criteria and Failure Analysis for the Clutch Coil in an Automotive Air Conditioner (자동차용 에어컨 클러치 코일의 수명평가 기준과 고장해석)

  • Choi, Man-Yeop;Wei, Shin-Hwan;Kim, Jung-Sik;Jeong, Hai-Sung
    • Journal of Applied Reliability
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    • v.11 no.2
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    • pp.111-126
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    • 2011
  • The clutch coil mounted on the automotive air conditioner is an important part which actuates the clutch to connect or disconnect the pulley and the compressor according to the climate control condition in an automobile. Here, it is generally required that the clutch coil should ensure the long term durability requirement, such as a warranty for the 10 years of field operation or 160,000 km driving, especially in a brand new item, and so forth. However, some difficulties have arisen in restoring its credibility, since domestic specifications for the part have not been yet unified. In order to ensure the reliability, test methods and assessment criteria should be standardized. Moreover, assessed lifetime under specific conditions and potential failure analysis would be important. In this study, lifetime test specifications for the clutch coil have been reviewed and methodological suggestions are provided to ensure reliability, utilizing a quality function deployment through the potential failure mode effect analysis.