• 제목/요약/키워드: urgency

검색결과 392건 처리시간 0.026초

급성기병원 인증기준의 가중치 도출: 계층적 분석법을 활용하여 (Deriving Criteria Weights for Acute Care Hospital Accreditation in South Korea: Using Analytic Hierarchy Process)

  • 오화영;이현정;옥민수;김인호;장호열;최지은
    • 한국의료질향상학회지
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    • 제30권1호
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    • pp.33-43
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    • 2024
  • Purpose:The acute hospital accreditation program launched in South Korea has shown positive effects on safety culture and quality of care. However, relative weights have not yet been investigated for accreditation criteria with a hierarchical structure. This study aimed to derive the relative weights of acute-care hospital accreditation criteria. Methods: We conducted an online survey using the analytic hierarchy process (AHP) technique to assess the validity, importance, and urgency of acute hospital accreditation criteria. The AHP online survey link was distributed in November 2022 after obtaining informed consent from 10 experts in hospital accreditation. Results: 'Basic value system' ranked highest, while 'patient care system' ranked second in terms of validity, importance, and urgency. 'Performance management system' had the lowest validity and urgency, while 'organizational management system' carried the lowest importance. Within the 'patient care system' domain, 'surgery and anesthesia sedation management' scored highest in validity and importance, and 'patient care' scored highest in urgency. 'Care delivery system and evaluation' received the lowest scores for all three aspects. In the 'organizational management system' domain, infection control ranked highest in terms of validity, importance, and urgency. The lowest validity was observed for 'management and organizational operation' and the lowest importance and urgency were noted for 'human resource management'. Conclusion: The weights for validity, importance, and urgency, as shown in each domain and chapter, and the number of measurable elements included, are largely inconsistent. This study will contribute to the development of the structure and scientific improvement of accreditation standards.

차량 내 경고음의 인간공학적 설계에 관한 연구 (Ergonomic Design of Warning Sounds Used in Cars)

  • 최광이;이한나;최재호;정의승
    • 대한산업공학회지
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    • 제35권1호
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    • pp.101-108
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    • 2009
  • This study aims to design ergonomic warning sound that is not confusing and enhancing preference. Four factors of the warning sound represented as interval, chord, reverberation and pitch were selected as independent variables. And, perceived urgency, perceived criticality, degree of confusion and user preference are measured as dependent variables. An experiment was conducted in silent lab environment. Warning sounds were given in 90dB constantly to subjects through stereo speakers. A statistical analysis revealed that interval was significant for perceived urgency; also interval and chord were both effective for perceived criticality. Pitch, interval, chord and the interaction between pitch and chord were effective in degree of confusion, so were reverberation, the interaction between reverberation and pitch and the interaction between reverberation and chord for preference. This study characterized the situation under which warning sounds are required into three types in terms of urgency and criticality; and found the right warning sound that the subjects perceived to best represent the situation through the validation study. These findings are expected to help the designer choose the right warning sound according to the situational contexts in which such warning sounds are implemented.

이동 애드 혹 네트워크상에서 멀티미디어 서비스를 위한 크로스레이어 기반의 전송 기법 (Cross-layer based Transmission Scheme for Multimedia Service over Mobile Ad Hoc Network)

  • 안기진;주현철;송황준
    • 한국통신학회논문지
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    • 제34권11B호
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    • pp.1216-1224
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    • 2009
  • 본 논문에서는 이동 애드 혹 네트워크상에서 지연에 민감한 멀티미디어 데이터를 효과적으로 전송하기 위한 크로스레이어 기반 패킷 스케줄링 및 라우팅 기법을 제안한다. 우선 패킷 긴급도, 노드 긴급도, 경로 긴급도를 각 패킷의 종단 간 지연 요구사항과 경로 상의 전체 홉 수를 고려하여 정의한다. 제안하는 기법은 긴급도 척도를 기반으로 MAC 계층에서의 패킷 스케줄링 기법과 네트워크 계층에서의 라우팅 기법이 긴밀하게 결합되어 이동 애드 혹 네트워크상에서 지연에 민감한 멀티미디어의 전송 성능을 향상시킨다. 마지막으로, 실험 결과를 통해 제안 하는 전송 기법의 성능을 검증한다.

수력댐 비상방류밸브의 선정조건에 관한 연구 (The Study of the Decision Criteria for the Urgency Released Valve in Hydraulic Dam)

  • 노형운;이갑수;박영무;김범석;이영호
    • 유체기계공업학회:학술대회논문집
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    • 유체기계공업학회 2005년도 연구개발 발표회 논문집
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    • pp.613-616
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    • 2005
  • In general, the hollow jet valve, the fixed cone valve had been used for the urgency released or maintenance of the flow rate. Nowadays, the butterfly valve, the gate valve are applied in economic performance and operation maintenance more than the hollow jet valve, the fixed cone valve. However, in the case of butterfly valve, it should be required the strict application standard to the cavitation coefficient because the structural axis and disk were situated in pipe channel and the occurring the shock problem by Karman Vortex. And, the judgment data for choice were slight lowdown in water supply and drainage facilities standard or Japanese penstock technology standard, various standard of KOWACO etc. Therefore. there were investigated the valve inside phenomenon (cavitation, disk chattering, vibration) by velocity of flow and the stability examination of body by high velocity of flow through flow scale model test using the numerical analysis and PIV to establish the applicable extensibility of the butterfly valve for the urgency released valve.

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신규간호사의 직무분석을 통한 간호학생의 실무수행 능력수준 결정 (Determination the nursing student's clinical competency based on new nurses' job analysis)

  • 강익화;이은자;이규정
    • 간호행정학회지
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    • 제7권3호
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    • pp.497-509
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    • 2001
  • The purpose of this study was to examine frequency of job performance, level of urgency, index of importance experienced by 138 new nurses who were working at 6 hospitals that had over 400 bed in Incheon and Bucheon. The data were analyzed using a SPSS program for descriptive statistics [numbers of job performance, level of urgency, index of importance(job performance+1/4 level of urgency)]. Some of the most frequent job performance were application of aseptic technique, application of principle of infection control, and medication (IV, PO, IM, supply fluid and electrolyte). Some of the most uncommon job performance were activity as a lecturer in nursing department, activity of arrangement of community resources, and participation in multidisciplinary conference. Some of the highest level of urgency were use of aseptic technique, CPR, application of principle of infection control, defibrillation for dysrhythmia, blood transfusion, observation of patient's status in procedure (operation), v/s check, intervention for improvement of respiratory function and medication of antihypertensives. Some of the lowest level of urgency were activity as a lecturer in nursing department, preceptor's activity, supervisor and delegation of job to nurse aids, attendance at nursing conference, activity of arrangement of community resources, participation in clinical teaching practice, participation in multidisciplinary conference, and delegation of patient care. Those were indirect patient care. The order was physiologic integration(60.99%), safety and effective nursing environment, psychosocial care, and health maintenance and improvement. The most importance item in maintenance of physiologic integration was medication. Some of the highest index of importance were aseptic technique and application of principle of infection control, v/s check, observation of patient's status in operation and medication. Some of the lowest index of importance were activity as a lecturer in nursing department, preceptor's activity, activity of arrangement of community resources, participation in multidisciplinary conference, nursing conference, participation in clinical teaching, and delegation of job to nurse aids.

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실시간 환경에서 긴급한 정도의 계산을 통한 자율적인 에이전트의 유연한 의사결정 (Flexible Decision-Making for Autonomous Agent Through Computation of Urgency in Time-Critical Domains)

  • 노상욱
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제31권9호
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    • pp.1196-1203
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    • 2004
  • 자율적인 에이전트들은 이성적인 의사결정을 위하여 상당한 양의 계산자원을 필요로 하며, 실시간 환경에서 항상 최적의 행동을 수행하는 완벽하게 이성적인 에이전트(rational agent)의 구현은 실질적으로 가능하지 않다. 이러한 실시간 문제 해결기법에서의 전통적인 접근 방식은 미리 정의된 규약에 의존한 조건-행동 추론 방식이다. 조건-행동 추론 방식은 주어진 상황에 빠르게 반응하지만, 문제 영역이 다양하거나 문제의 재설계가 필요한 경우에는 아무런 해법을 갖지 못한다. 따라서 이러한 문제점을 해결하기 위해 본 논문에서는 주어진 행동들의 유틸리티를 실시간에 계산하고, 긴급한 정도(urgency)를 측정하여 상황이 긴급할 경우에는 더 이상의 계산을 중단하고 즉각적인 행동을 취하며, 반면에 상황이 긴급하지 않을 경우에는 최선의 의사결정을 위하여 추가적인 정보를 고려하여 더 바람직한 행동을 결정하는 방법론을 제안한다. 제안한 방법론의 평가를 위하여 시간 제약적인 환경에서 최선의 의사결정을 수행하는 실질적이며 유연한 에이전트를 구현하고자 한다.

요절박을 호소하는 과민성 방광 환자에 대한 폐정격 및 직접구 복합치료 치험 1례 (A Case Report on Urgencyby Overactive bladder(OAB) Treated with Sa-am Acupuncture and Moxibustion treatment)

  • 오지원;김상빈;남동우
    • 대한융합한의학회지
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    • 제3권1호
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    • pp.29-38
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    • 2022
  • Objectives : The purpose of this study is to investigate the effect of Sa-am acupuncture and Moxibustion on urgency by Overactive bladder in a 79-year-old female patient who has undergone Tension-free Vaginal Tape (TVT) operation. Methods : Patient was treated with Sa-am acupuncture on four acupoints including 太淵(LU9), 太白(SP3), 魚際(LU10) and 少府(HT8) and Moxibustion on two acupoints including 水道(ST28) and 中極(CV12). Patient's symptom was assessed Overactive Bladder Symptom Score(OABSS), Bladder diary and King's Health Questionnaire (KHQ). The treatment was executed once everyday from June, 13th to June, 22th of 2017. Patient was observed from June, 11th to June, 22th. Results : After ten sessions of Sa-am acupuncture and Moxibustion, patient's urinary symptoms were evaluated by OABSS, Bladder diary, and KHQ. After the treatment, total OABSS score decreased from 9 to 5. The frequency of Urgency decreased from 4 to 1. The Urgency grade decreased 4~5 to 1. The mean number of pad changing decreased 3.5 to 1. The score of Role Limitations, Physical Limitations, Social Limitations, Emotions in KHQ decreased. Conclusions : The results suggest that Sa-am acupuncture and Moxibustion can be a valuable option in treating urgency by OAB.

AGV시스템에서 적응 규칙을 갖는 퍼지 급송알고리듬에 관한 연구 (A Fuzzy Dispatching Algorithm with Adaptive Control Rule for Automated Guided Vehicle System in Job Shop Environment)

  • 김대범
    • 한국시뮬레이션학회논문지
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    • 제9권1호
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    • pp.21-38
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    • 2000
  • A fuzzy dispatching algorithm with adaptable control scheme is proposed for more flexible and adaptable operation of AGV system. The basic idea of the algorithm is prioritization of all move requests based on the fuzzy urgency. The fuzzy urgency is measured by the fuzzy multi-criteria decision-making method, utilizing the relevant information such as incoming and outgoing buffer status, elapsed time of move request, and AGV traveling distance. At every dispatching decision point, the algorithm prioritizes all move requests based on the fuzzy urgency. The performance of the proposed algorithm is compared with several dispatching algorithms in terms of system throughput in a hypothetical job shop environment. Simulation experiments are carried out varying the level of criticality ratio of AGVs , the numbers of AGVs, and the buffer capacities. The rule presented in this study appears to be more effective for dispatching AGVs than the other rules.

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합성음성 경보의 주관적 위급도에 관한 연구

  • 박경수;장필식
    • 대한인간공학회:학술대회논문집
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    • 대한인간공학회 1996년도 추계학술대회논문집
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    • pp.191-196
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    • 1996
  • This paper presents an experimental study of the relationship between sound parameters of synthesized voice warning and perceived(psychoacoustic) urgency. Eighteen subjects participated in two experimental sessions to evaluate and quqntify the effects of the voice parameters. Experiments showed that speech rate, fundamental frequency and voice types have clear and consistent effect on perceived urgency. The results of these experiments can be applied to the improvement of existing auditory warning systems and the design of new systems.

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