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      • KCI등재후보

        병리검사 처방오류 개선 시스템 구축

        이현임,최영진,구숙희,양승주,김병로,김묘정,신일근,신미옥,서임선 한국의료QA학회 2006 한국의료질향상학회지 Vol.13 No.2

        문제: 조직병리검사의 처방이 복잡하고 전문화됨에 따라 오류처방이 빈번하게 발생되고 이를 해결하기위한 프로세스가 복잡하여 부서간의 갈등과 업무의 가중, 또한 병원 수입 감소가 초래되었다. 목적: 발생된 오류처방의 유형과 발생율, 오류처방을 해결하기 위한 프로세스를 파악하여 이에 대한 문제점을 개선하여 업무의 효율성과 관련부서간의 부가업무 감소와 갈등해소, 더불어 병원수익을 향상시키는 것에 목표를 두고 활동하였다. 의료기관: 서울시에 소재한 종합병원 질 향상 활동: 조직병리검사 처방의 오류처방 발생 원인과 유형, 발생율을 조사하여 원인을 파악하고 개선을 위한 프로세스를 구축하여 질 향상을 도모하였다. 개선효과: 수술실에서 의뢰한 외과 입원환자의 일반조직병리검사 오류율은 개선 전 7.8%에서 개선 후 3.5%, 동결절편조직검사 오류율은 개선 전 28.6%에서 개선 후 0%로 이전보다 모두 개선되었다. 또한 수술실 간호사의 업무 만족도는 일반조직병리검사의 처방시 95%, 동결절편조직검사 처방시 90%로 높은 만족도를 보였다. 단 병리과의 경우 업무가 증가됨에 따라 초과근무시간이 증가하였다.

      • 당뇨병환자에서 게이트심장혈액풀신티그라피를 이용한 심기능 평가

        윤상임,송치운,이진홍,안미애,성기양,송민호,이강욱,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

        Major cardiovascular complications of diabetes are coronary atherosclerosis, diabetic dilated cardiomyopathy, autonomic neuropathy and those are major causes of morbidity and mortality in diabetic patients. Gated blood pool heart scan is noninvasive and useful method for evaluation of functional status of heart in diabetics. We evaluated 52 patients with diabetes and divided 3 groups. Group 1 were 11 patients without proteinuria or with proteinuria less than 550mng during 24 hours. Group 2 were 9 patients with proteinuria more than 550mg during 24 hours and group 3 were 32 patients with endstage renal diasese due to diabetes. We performed 99mTc-HSA cardiac gated blood pool scan and used left ventricular ejection fraction(LVEF), peak ejection rate(PEF) to indices of LV systolic function and peak filling rate(PER) to index of LV diastolic function. The results were follows : 1) LVEF, PER were significantly lower in diabetics with ESRD than diabetics without ESRD, but there were no significant difference between normal controls and diabetics without ESRD 2) PFR was significantly lower in diabetics than normal controls, but there were no significant differences in diabetics with or without nephropathy. 3) There were negative correlation between PER, PFR and duration of diabetes. On the basis of results, PFR is a LV functional index of GBPS which can disclose early change of LV dysfunction in patients with diabetes.

      • 영어로 진행하는 영어수업 지도방안

        유미자,임병빈 公州大學校敎育硏究所 2004 교육연구 Vol.18 No.-

        Starting in 2001, the Ministry of Education has announces English be required to be taught in English for at least one hour a week. The main aim of learning a language is to learn to communicate in that language. However, many Korean English try but fail to use English in the classroom. The main reason is a lack of English ability. Another reason is the current college entrance examination system. It doesn't test the ability to speak English. Moreover, there are not enough studies on the explicit techniques of how to teach English in English. The goal of this study is to facilitate designating of English classes and teaching English in English, particularly from the teacher's perspectives. For this purpose, this study includes four research issues: ( I ) the theories of language acquisition that support the target language use and the studies on the target language use in teaching a foreign language; ( ii) the strategies to help students understand what the teacher says; ( iii ) the dialogs based on social, personal and organizational uses according to the teaching procedures; ( iv ) the teaching techniques and demonstration according to the language skills.

      • KCI등재후보
      • 간호조직에서의 MBO(Management By Objectives: 목표관리) 적용

        하나선,임미영 瑞逸專門大學 2000 論文集 Vol.18 No.-

        MBO defines a system for making organizational structure work, to bring about vitality and personal involvement in the hierachy by means of statements of what is expected from everyone involved and measurement of what is actually achieved. It stresses ability and achievement rather than personalty. MBO allows the individual nurse to contribute to the common goal of the enterprise while nurse managers focus on the business goals. It promotes high standards, focusing on the job and not on the manager or the worker. The MBO concept implies that evert person or group in a work setting has specific, attainable, and measurable objectives that are in harmony with those of the organization. MBO requires managers and workers to meet to establish specific objectives, develop alternative means of reaching them, and periodically review progress toward those objectives. MBO spells out the results expected of the clinical nursing unit and of the unit in relation to other units. It emphasizes teamwork and team results. MBO is needed for organizational development and vice versa. It allows the organization to be managed against goals and for results. MBO is not panacea for all management problems, but the system works well in managing nurse activities. Nurse managers need to take the lead in using and guiding MBO, because it is the managers themselves who most influence the organizational climate, employee morale, and motivation.

      • KCI등재후보

        카드뮴폭로후 혈액과 요중 카드뮴의 변화양상

        박정덕,김미정,최병선,홍연표,장임원 大韓産業醫學會 1994 대한직업환경의학회지 Vol.6 No.2

        The changes of cadmium(Cd) in plasma, whole blood, erythrocyte and urine in Sprangue-Dawley male rats exposed to intravenous singleinjection of 0.8 ㎎ CdCl₂/kg of body weight were investigated. Blood was taken at 0.5 to 672 hours, and 24 hour-urine was collected by using metabolic cage for the same period. The plasma level of Cd was reached to peak at 0.5 hour after injection and reduced rapidly in 1 hour. The Cd level in blood was the highest in plasma and the lowest in erythrocyte at 0.5 hour after injection. However, in one hour postinjection, the levels of Cd were higher in order of erythrocyte, whole blood and plasma, up to 4 weeks. The changes of urinary volume and creatinine were not significant between Cd-treated and saline-treated groups. However, urinary protein was slightly increased with time in Cd-treated group. Urinary Cd level was higher in Cd treated group than control. These results suggest that the measurement of Cd in erythrocyte and urine is valuable for the biological index to estimate recent Cd exposure.

      • 체크리스트를 통한 대학생의 환경실천현황 분석

        이은희,정재훈,임미정,박은정 서울여자대학교 학생생활연구소 2011 학생생활연구 Vol.24 No.-

        본 연구는 서울여자대학교 대학생의 환경실천현황과 인식조사를 통해 기후변화시대에 대응하기 위한 대학에서의 환경교육 활성화와 실천의 문제점 등을 파악하기 위하여 수행되었다. 연구는 2011학년도 1학기 ‘기후변화와 녹색성장' 과목을 수강한 학생을 대상으로 설문조사를 통해 학생들의 행동양식을 분석하였다. 설문내용은 크게 응답자에 대한 일반사항, 체크리스트에 관한 설문, 그리고 기후변화와 녹색성장과 환경에 대한 사항의 3개 분야로 나누어 41개 문항으로 이루어져 시행되었다. 설문조사를 통해 강의 후 환경의 심각성에 대해 느끼는 정도와 설문대상자들의 환경을 위한 실천 활동 정도 등에 대해 분석한 결과 평소 환경에 관심을 갖고 있던 학생이 50%정도로 나타났으며, 강의 후 환경의 심각성을 느낀다고 답한 학생은 75%정도의 비율을 보여 이는 환경에 대해 큰 관심이 없던 학생들에게 대학에서의 환경교육을 통해 그 심각성을 일깨워준 것으로 나타났다. 또한 수업을 들은 학생의 대부분이 항상 또는 자주, 가끔 등 그 빈도의 차이는 있으나 환경을 위해 평소 생활에서 가능한 실천들을 행하고 있는 것을 확인할 수 있었다. 이러한 결과를 종합해 볼 때 대학에서의 환경교육은 학생들의 환경의식 변화를 꾀하여 보다 지속가능한 삶을 위해 필요한 환경적 인재를 양성하는 것은 물론 지역사회로의 확대를 통해 사회적, 환경적 변화를 가져올 수 있을 것으로 판단된다. 본 연구에서 확인할 수 있었던 학생들의 환경에 대한 인식을 통해 대학에서는 지속가능하며, 로하스적인 삶을 위한 교육을 더욱 확대해야함을 인지하고, 또한 이를 위해 환경에 대한 교육적 프로그램에 관한 연구가 이루어지는 것이 필요하다. 주요어:인식조사, 체크리스트, 한국대학, 환경교육 For this study, the check list for environment were written through the environment education of 'Climate change and green growth', an academic liberal arts subject which is necessary for freshmen of Seoul Women's University. And then, the study was conducted so as to vitalize the environment education of universities for responding the age of climate change based on the survey of students' recognition on environment after the class. For the study, students' behavior pattern was analyzed by the survey for students who attended the subject of ‘Climate change and green growth' during the first semester of 2011. The survey was fulfilled with 41 questionnaires whose contents are divided into 3 fields greatly. Through the survey, the degree that they feel the seriousness of environment, the degree that they conduct environment action, etc. after the class were analyzed. As the result, students who were usually interested in environment were about 50% and students who responded they felt the seriousness of environment after the class were about 75%, so it means that environment education of universities let students who were not interested greatly in environment know its seriousness. Also, most of students who attended the class put the things which are possible in daily life for environment into practice although each student had a difference of the frequency. If synthesizing the above results, environment education of universities is judged to not only cultivate environmental people which are necessary for more sustainable life by promoting the change of students' recognition on environment but also bring social and environmental changes by expanding into regional society. Through the students' recognition on environment, which could be confirmed by this study, universities must recognize that the education for sustainable and LOHAS life should be more expanded and conduct studies on the educational program for environment. Key words:Check List, Environment Education, Korean Universities, Survey of Recognition.

      • 혈액투석중인 만성신부전 환자에서 골대사 지표로써의 Osteocalcin치

        송치운,이진홍,안미애,윤환중,윤상임,성기양,이강현,송민호,이강욱,신영태,김영건,노흥규 충남대학교 의과대학 지역사회의학연구소 1993 충남의대잡지 Vol.20 No.2

        Background : Serum osteocalcin is synthesized by osteoblast and has been shown to be sensitive indicator of bone turnover inpatients with various metabolic bone disease. In renal osteodystrophy, serum osteocalcin is elevated due to decreased renal clearance and elevated level of PTH. This study was done to evaluate the usefulness of serum osteocalcin as a marker of bone metabolism and the correlation with other biochemical markers of bone metabolism. Methods : We measured serum osteocalcin, calcium, phosphorus, ALP(alkaline phosphatase) and PTH(parathyroid hormone) in 37 patients with end stage renal disease on hemodialysis. Osteocalcin was determined by radioimmunoassay and PTH was determined by radioimmunometric assay. Results : 1) The mean level of serum osteocalcin in ESRD patients was 233.8± 218.2ng/ml which was significantly higher than that of controls(p<0.0001). 2) The mean level of serum PTH in ESRD patients was 40.5± 43.8pg/ml was significantly higher than that of controls(p<0.005). 3) There was a significant positive correlation between the level of serum PTH, ALP and the level of serum osteocalcin in ESRD patients. 4) By using multiple regression, PTH is most reliable factor that affect to elevated level of serum osteocalcin ( beta coefficient = 0.687, Sig T<0.05). Conclusion : Serum osteocalcin as a marker of bone metabolism in ESRD patients is more useful than other biochemical marker such as serum calcium, phosphorus, ALP and PTH is a most reliable factor that affect to elevated level of serum osteocalin.

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