Factors Influencing the Level of Fall Incidents in Korean Hospitals

Shinae Ahn,Da Eun Kim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim(s): Falls are the most prevalent patient safety incidents in hospitals and can cause serious injury and death. This study aims to examine the prevalence and the factors that influence the level of fall incidents in Korean hospitals. Method(s): This cross-sectional descriptive study used secondary data from the “Korean Patient Safety Incident Report 2019” and was based on the International Classification for Patient Safety conceptual framework. We analyzed 4,176 fall incidents between January 1 and December 31, 2019. Data were analyzed using descriptive statistics and χ2-test. Also, multinomial logistic regression analyses were conducted to identify factors that influence the level of these incidents. Result(s): Among the fall incidents, 443 (10.6%) were sentinel events, 2,514 (60.2%) were adverse events, and 1,219 (29.2%) were near miss. The level of incident (sentinel event, adverse event, and near miss) showed significant differences according to age (χ2=50.06, p<.001), gender (χ2=63.39, p<.001), diagnosis (χ2=120.68, p<.001), medical department (χ2=64.42, p<.001), type of hospital (χ2=239.74, p<.001), bed size (χ2=82.28, p<.001), accident location (χ2=19.21, p<.014), and reporter (χ2=69.17, p<.001). The result of the multinomial logistic regression showed that the factors associated with sentinel events were old age (≥60 years), gender, diagnosis, medical department, early detection after falls, long-term care hospital, and reporter. Adverse events were significantly associated with patients’ diagnosis, medical department, nurses’ night shift time, large bed size, accident location (operating room, recovery room, and intensive care unit), and reporter. Conclusion(s): Our findings indicate that both patient and incident characteristics were significantly associated with the level of fall incidents in hospitals. Therefore, multiple factors should be taken into account to establish healthcare policies, and thus prevent fall risks and minimize damages following falls in hospitals.

Establishment of Critical Difference for Diagnostic Immunoassays

Shinae Yu,문수영,신경화,이선민,Chul Min Park,Kyung Ran Jun 대한임상검사정도관리협회 2022 Journal of Laboratory Medicine And Quality Assuran Vol.44 No.2

Background: Critical difference (CD) is a significant difference between sequential laboratory results in a patient and is a major parameter for comparative evaluation of quantitative clinical laboratory tests, and how significant the difference is should be set by the laboratory itself. In this study, we established the criteria for CD that can be referenced in each laboratory for diagnostic immunoassays. Methods: We targeted 17 major diagnostic immunoassays as follows: alphafetoprotein (AFP), cancer antigen 125 (CA125), cancer antigen 15-3 (CA15- 3), cancer antigen 19-9 (CA19-9), carcinoembryonic antigen (CEA), prostatespecific antigen (PSA), free PSA, tri-iodothyronine (T3), thyroxine (T4), free T4, thyroglobulin, thyroid-stimulating hormone (TSH), estradiol (E2), folliclestimulating hormone (FSH), luteinizing hormone (LH), testosterone, and prolactin. According to Clinical and Laboratory Standards Institute EP31, we investigated acceptance criteria for CD based on clinical outcomes, clinician’s questionnaire, biological variation, published professional recommendations, goals set by accrediting agencies, and general capability in the Korean Association of External Quality Assessment Service. Results: We selected the acceptance criteria for CD as follows: 6.0% for total PSA and TSH based on well-designed clinical study’s outcomes; 20.0% for AFP, CA19-9, CEA, and free PSA, 10.0% for T3, 14.3% for T4, 12.5% for free T4, 16.9% for thyroglobulin, 22.2% for E2, 22.9% for FSH, 20.0% for LH, 10.0% for testosterone, and 25.0% for prolactin based on clinician’s questionnaire; 8.4% for CA125 and 10.2% for CA15-3 based on general capability. Conclusions: Applying the acceptance criteria for CD from this study may help assess the comparability of the quantitative tests in routine laboratory practice.

Identification of a Temperature-Sensitive Mutation in the ribE Gene of an Escherichia coli Keio Collection Strain

Shinae Suk,Yuna Kim,Geunu Bak,이영훈 대한화학회 2014 Bulletin of the Korean Chemical Society Vol.35 No.7

Factors Influencing Healthcare Provider-Patient Communication in Korea

Shinae Ahn,Hanna Choi 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim(s): The aim of the study is to establish a hypothetical model for the medical service communication of medical consumers and to verify of the factors affecting the medical service communication of consumers, based on Cox’s interaction model of client health behavior and Street’s ecological framework of communication in medical encounters. Method(s): This cross-sectional descriptive study used data from a national survey of cancer and healthrelated information–seeking behavior for Koreans. The data was collected for consumers, aged 19 years or older in 2018. Regional quota sampling method was used. Socio-demographic characteristics, personal characteristics, media characteristics, and cognitive-affective influences were assessed as factors related to health care provider-patient communication. Data were analyzed for 895 Korean adults using descriptive statistics, t-test, ANOVA, and multiple regression analyses. Result(s): The average score for healthcare provider-patient communication was 2.30 (SD: 0.68). Among the six items, “patients made sure they understood the things they needed to do to take care of their health” was the highest (2.45±0.79), whereas the score of “spent enough time with healthcare provider” was the lowest (2.13±0.87). Provider-patient communication in healthcare was significantly associated with age, patients who lived alone, patient activation, and health information technology (HIT) efficacy. Conclusion(s): Our findings indicate that socio-demographic, personal, and media characteristics were significantly associated with provider-patient communication in hospitals. To improve communication in healthcare, providers need to be aware of the level of patient activation and HIT efficacy, and it is necessary to provide more information to patients based on patient-centered care.

The Effects of Experiences of Patient Participation on Patient Satisfaction in Korea

Shinae Ahn 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

Aim(s): Patient participation is an important factor for improving patient safety and quality of care. This study examined experiences of patient participation, the level of patient satisfaction, and the factors that influenced patient satisfaction with outpatient care. Method(s): This cross-sectional descriptive study used secondary data from the 2018 Survey on the Experience with Healthcare Service conducted in South Korea. Data from 6,684 outpatients over the age of 20 years who had visited hospitals were analyzed. We measured five categories of patient participation experiences based on four types of safety activities (SAFE: speaking up, asking questions, finding health information, and engaging in the healthcare process). Patient characteristics, health-related characteristics, and experiences of patient participation were assessed as factors related to patient satisfaction. Data were analyzed using descriptive statistics and the χ2-test. Logistic regression analysis was conducted to identify factors that influenced patient satisfaction with outpatient care. Result(s): Overall, 84.9% of the participants were satisfied with the outpatient care they received. Participants reported that they participated in finding health information through physicians (84.1%) and nurses (84.1%), engaging in shared decision-making (82.8%), asking questions (81.9%), and engaging in communication with healthcare providers (81.6%). Higher patient satisfaction with outpatient care was significantly associated with middle age (40-59 years) and old age (≥60 years), good self-rated health status, and experience of patient participation in patient safety activities. Conclusion(s): Multiple factors were related to patient satisfaction with outpatient care, and these factors need to be taken into account when evaluating satisfaction levels in hospitals. To improve patient satisfaction with health care use, it is necessary to provide more experiences and expand opportunities for patient participation during the care process and to establish healthcare policies and strategies for patient participation in patient safety.

Pre-Transplant Angiotensin II Type 1 Receptor Antibodies and Anti-Endothelial Cell Antibodies Predict Graft Function and Allograft Rejection in a Low-Risk Kidney Transplantation Setting

Shinae Yu,Hee Jae Huh,Kyo Won Lee,Jae Berm Park,Sung Joo Kim,Wooseong Huh,Hye Ryoun Jang,Ghee Young Kwon,Hyung Hwan Moon,Eun-Suk Kang 대한진단검사의학회 2020 Annals of Laboratory Medicine Vol.40 No.5

Background: Non-HLA antibodies, anti-angiotensin II type 1 receptor antibodies (anti-AT1R) and anti-endothelial cell antibodies (AECA), are known to play a role in allograft rejection. We evaluated the role of both antibodies in predicting post-transplant outcomes in low-risk living donor kidney transplantation (LDKT) recipients. Methods: In 94 consecutive LDKT recipients who were ABO compatible and negative for pre-transplant HLA donor-specific antibodies, we determined the levels of anti-AT1Rs using an enzyme-linked immunosorbent assay and the presence of AECAs using a flow cytometric endothelial cell crossmatch (ECXM) assay with pre-transplant sera. Hazard ratio (HR) was calculated to predict post-transplant outcomes. Results: Pre-transplant anti-AT1Rs (≥11.5 U/mL) and AECAs were observed in 36 (38.3%) and 22 recipients (23.4%), respectively; 11 recipients had both. Pre-transplant anti-AT1Rs were a significant risk factor for the development of acute rejection (AR) (HR 2.09; P=0.018), while a positive AECA status was associated with AR or microvascular inflammation only (HR 2.47; P=0.004) throughout the follow-up period. In particular, AECA (+) recipients with ≥11.5 U/mL anti-AT1Rs exhibited a significant effect on creatinine and estimated glomerular filtration rate (P<0.001; P=0.028), although the risk of AR was not significant. Conclusions: Pre-transplant anti-AT1Rs and AECAs have independent negative effects on post-transplant outcomes in low-risk LDKT recipients. Assessment of both antibodies would be helpful in stratifying the pre-transplant immunological risk, even in low-risk LDKT recipients.

Bortezomib Induced Tumor Lysis Syndrome in Multiple Myeloma

Shinae Yu,Sung Woo Ryu,Kyoung-Ha Kim,Se-Hyoung Kim,Nam-Su Lee,Sung-Kyu Park,Jong-Ho Won 순천향대학교 순천향의학연구소 2013 Journal of Soonchunhyang Medical Science Vol.19 No.1

The tumor lysis syndrome (TLS) commonly occurs in the lymphoproliferative disorder, either spontaneously or in response to therapy. TLS is uncommon in multiple myeloma. However, with the use of bortezomib in the treatment of multiple myeloma, cases of TLS have been reported. We report here threepatients who presented with TLS after the administration of bortezomib. Two of them presented mild symptoms and recovered with hydration only. However, death of the other patient was associated with TLS. We should monitor patients who had high tumor burden, especially in early phase of bortezomib therapy and appropriate prophylaxis for high risk patient is also needed.

A Metadata Conversion Method From Topic Map Scheme to RDF Scheme for the Semantic web Application

Shinae Shin,Dongwon Jeong,Doo-Kwon Baik 대한전자공학회 2004 ITC-CSCC :International Technical Conference on Ci Vol.2004 No.7

Image Based Study of PET Detector Module for Hybrid MRI System

Shinae Lee,Jaeseong Lee,Yeunchul Ryu 한국자기학회 2018 한국자기학회 학술연구발표회 논문개요집 Vol.2018 No.11

Structural health monitoring of a cable-stayed bridge using smart sensor technology: deployment and evaluation

Shinae Jang,Hongki Jo,조수진,Kirill Mechitov,Jennifer A. Rice,심성한,정형조,윤정방,Billie F. Spencer, Jr.,Gul Agha 국제구조공학회 2010 Smart Structures and Systems, An International Jou Vol.6 No.5

Structural health monitoring (SHM) of civil infrastructure using wireless smart sensor networks (WSSNs) has received significant public attention in recent years. The benefits of WSSNs are that they are low-cost, easy to install, and provide effective data management via on-board computation. This paper reports on the deployment and evaluation of a state-of-the-art WSSN on the new Jindo Bridge, a cable-stayed bridge in South Korea with a 344-m main span and two 70-m side spans. The central components of the WSSN deployment are the Imote2 smart sensor platforms, a custom-designed multimetric sensor boards, base stations, and software provided by the Illinois Structural Health Monitoring Project (ISHMP) Services Toolsuite. In total, 70 sensor nodes and two base stations have been deployed to monitor the bridge using an autonomous SHM application with excessive wind and vibration triggering the system to initiate monitoring. Additionally, the performance of the system is evaluated in terms of hardware durability, software stability, power consumption and energy harvesting capabilities. The Jindo Bridge SHM system constitutes the largest deployment of wireless smart sensors for civil infrastructure monitoring to date. This deployment demonstrates the strong potential of WSSNs for monitoring of large scale civil infrastructure.