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RISS 인기검색어
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이승철(Seung-Chul Lee),김승진(Seung-Jin Kim),한승우(Seung-Woo Han),김순교(Soon-Gyo Kim),정인영(In-Young Jeong),김선각(Sun-Kak Kim),엄인석(In-Suk Eom) 대한전기학회 2009 대한전기학회 학술대회 논문집 Vol.2009 No.7
실시간으로 긴박하게 진행되는 화력발전소의 기동 및 정지시의 각종 운전 조작 시퀀스는 상당 부분이 자동으로 진행된다. 그러나 발전엔지니어들은 모든 시퀀스가 정확하게 진행 되는지의 여부에 대한 감시와 판단을 백업(back-up)으로 진행하며 동시에 수동으로 조작해야 하는 기기들에 대해서는 적기에 기기조작을 해야 할 필요성이 있다. 긴박하게 진행되는 수많은 상황들이 모두 제대로 진행되고 있는지를 실시간으로 감시하는 일은 매우 복잡하고 긴장을 요하는 태스크이다. 본 논문은 발전소 기동 시 모든 기기 조작들이 기동 시?스에 따라 정확히 진행되는지의 여부를 지속적으로 감시하고 그 결과를 취합하여 발전 엔지니어들에게 편리하게 요약하여 제공하기 위한 지능시스템 개발에 관하여 기술한다.
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김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2
Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.
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