의료 질 관리 활동에 대한 병원종사자들의 태도와 인식

황정해,조성현,김창엽,서정돈,한만청,이정예,Hwang, Jeong-Hae,Cho, Sung-Hyun,Kim, Chang-Yup,Seo, Juag-Don,Han, Man-Chung,Lee, Jeong-Ye 한국의료질향상학회 1997 한국의료질향상학회지 Vol.3 No.2

Background : It is a primary goal for hospital personnel to improve the quality of patient care. In Korea the concept of quality assurance has been spread over the last five years. Many hospitals have implemented quality assurance programs that fit their own philosophy and needs. As a result, they are supposed to have different experiences and attitudes toward quality assurance. To investigate their diversity will be helpful to have a direction to the future and to enhance the quality assurance activities in Korean hospitals. Objectives : The aim of this study is to obtain information about hospital personnel's attitude and opinion toward quality assurance in hospitals. Methods : A questionnaire was developed which consisted of five parts; the general characteristics of respondent, the concepts of quality assurance, need for quality assurance program, current status of quality improvement activities, and participation in programs. Using the registry of Korean hospitals, 102 hospitals with more than 400 beds were selected. Questionnaires were mailed to hospital staffs of each hospital; top managers, clinical department heads, registered nurses, medical recorders, and administrators. Results : Of 2038 questionnaires sent, 877 were returned, giving response rate of 44%. Most respondents(70%) regarded quality assurance as efforts to provide patient with care in highest quality and to improve effectiveness or resource utilization. Ninety-nine percent of respondents agreed to need for quality assurance in their hospitals. There were current quality improvement programs implemented in the department of 553 respondents(62%), and most of the(85%) have participated in at least one program. Lack of motivation was pointed out as a barrier to implement the programs. Conclusion : Although most respondents have known of the concept and need for quality assurance, this study suggests that education and motivation of hospital personnel be needed to activate the quality assurance programs in hospitals.

Ensuring the Quality of Higher Education in Ukraine

Olha Oseredchuk,Mykola Mykhailichenko,Nataliia Rokosovyk,Olha Komar,Valentyna Bielikova,Oleh Plakhotnik,Oleksandr Kuchai International Journal of Computer ScienceNetwork S 2023 International journal of computer science and netw Vol.23 No.11

The National Agency for Quality Assurance in Higher Education plays a crucial role in education in Ukraine, as an independent entity creates and ensures quality standards of higher education, which allow to properly implement the educational policy of the state, develop the economy and society as a whole.The purpose of the article: to reveal the crucial role of the National Agency for Quality Assurance in Higher Education to create quality management of higher education institutions, to show its mechanism as an independent entity that creates and ensures quality standards of higher education. and society as a whole. The mission of the National Agency for Quality Assurance in Higher Education is to become a catalyst for positive changes in higher education and the formation of a culture of its quality. The strategic goals of the National Agency are implemented in three main areas: the quality of educational services, recognition of the quality of scientific results, ensuring the systemic impact of the National Agency. The National Agency for Quality Assurance in Higher Education exercises various powers, which can be divided into: regulatory, analytical, accreditation, control, communication.The effectiveness of the work of the National Agency for Quality Assurance in Higher Education for 2020 has been proved. The results of a survey conducted by 183 higher education institutions of Ukraine conducted by the National Agency for Quality Assurance in Higher Education are shown. Emphasis was placed on the development of "Recommendations of the National Agency for Quality Assurance in Higher Education regarding the introduction of an internal quality assurance system." The international activity and international recognition of the National Agency for Quality Assurance in Higher Education are shown.

Ensuring the Quality of Higher Education in Ukraine

Olha, Oseredchuk,Mykola, Mykhailichenko,Nataliia, Rokosovyk,Olha, Komar,Valentyna, Bielikova,Oleh, Plakhotnik,Oleksandr, Kuchai International Journal of Computer ScienceNetwork S 2022 International journal of computer science and netw Vol.22 No.12

The National Agency for Quality Assurance in Higher Education plays a crucial role in education in Ukraine, as an independent entity creates and ensures quality standards of higher education, which allow to properly implement the educational policy of the state, develop the economy and society as a whole. The purpose of the article: to reveal the crucial role of the National Agency for Quality Assurance in Higher Education to create quality management of higher education institutions, to show its mechanism as an independent entity that creates and ensures quality standards of higher education. and society as a whole. The mission of the National Agency for Quality Assurance in Higher Education is to become a catalyst for positive changes in higher education and the formation of a culture of its quality. The strategic goals of the National Agency are implemented in three main areas: the quality of educational services, recognition of the quality of scientific results, ensuring the systemic impact of the National Agency. The National Agency for Quality Assurance in Higher Education exercises various powers, which can be divided into: regulatory, analytical, accreditation, control, communication. The effectiveness of the work of the National Agency for Quality Assurance in Higher Education for 2020 has been proved. The results of a survey conducted by 183 higher education institutions of Ukraine conducted by the National Agency for Quality Assurance in Higher Education are shown. Emphasis was placed on the development of "Recommendations of the National Agency for Quality Assurance in Higher Education regarding the introduction of an internal quality assurance system." The international activity and international recognition of the National Agency for Quality Assurance in Higher Education are shown.

How Through-Process Optimization (TPO) Assists to Meet Product Quality

( Klaus Jax ),( Yuyou Zhai ),( Wolfgang Oberaigner ) 한국부식방식학회 2024 Corrosion Science and Technology Vol.23 No.2

This paper introduces Primetals Technologies’ Through-Process Optimization (TPO) Services and Through-Process Quality Control (TPQC) System, which integrate domain knowledge, software, and automation expertise to assist steel producers in achieving operational excellence. TPQC collects high-resolution process and product data from the entire production route, providing visualizations and facilitating quality assurance. It also enables the application of artificial intelligence techniques to optimize processes, accelerate steel grade development, and enhance product quality. The main objective of TPO is to grow and digitize operational know-how, increase profitability, and better meet customer needs. The paper describes the contribution of these systems to achieving operational excellence, with a focus on quality assurance. Transparent and traceable production data is used for manual and automatic quality evaluation, resulting in product quality status and guiding the product disposition process. Deviation management is supported by rule-based and AI-based assistants, along with monitoring, alarming, and reporting functions ensuring early recognition of deviations. Embedded root cause proposals and their corrective and compensatory actions facilitate decision support to maintain product quality. Quality indicators and predictive quality models further enhance the efficiency of the quality assurance process. Utilizing the quality assurance software package, TPQC acts as a “one-truth” platform for product quality key players.

일부 치과위생사의 방사선 질관리에 관한 지식, 태도 및 행위

김희경 ( Hee Kyoung Kim ),김혜영 ( Hae Young Kim ),박지일 ( Ji Il Park ),임희정 ( Hee Jung Lim ),홍수민 ( Su Min Hong ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.2

Objectives. The purpose of this study was to investigate the awareness of dental hygienists about the quality assurance of radiation and activities to improve and ensure radiograph quality. Methods. A self-administered questionnaire was implemented among 205 dental hygienists who worked at general hospitals, dental offices, and dental clinics in Seoul and Gyeonggi Province from September to October, 2009. Results. The hygienists scored a mean of 7.0±2.22 out of 15 for knowledge of quality control in radiation. For attitude to quality control, they got 75.5 out of 100 points. Quality assurance behavior, scored 41.9 out of 100 points. Dental hygienists with extra education on quality assurance (p=0.001) and were better at it (p=0.003) had a better knowledge score, and those with higher self-rated quality assurance (p=0.006) and those with higher knowledge score (p<.0001) showed a more positive attitude toward quality control. Conclusions. Boosting radiation quality assurance among dental hygienists requires programs to improve, knowledge and incentives to focus attention on quality control and job performance.

Clinical image quality evaluation for panoramic radiography in Korean dental clinics

최보람,최다혜,허경회,이원진,허민석,최순철,배광학,이삼선 대한영상치의학회 2012 Imaging Science in Dentistry Vol.42 No.3

Purpose: The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Materials and Methods: Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. Results: A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed ‘optimal for obtaining diagnostic information,’ 153 were ‘adequate for diagnosis,’ 107 were ‘poor but diagnosable,’ and nine were ‘unrecognizable and too poor for diagnosis’. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Conclusion: Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively. Purpose: The purpose of this study was to investigate the level of clinical image quality of panoramic radiographs and to analyze the parameters that influence the overall image quality. Materials and Methods: Korean dental clinics were asked to provide three randomly selected panoramic radiographs. An oral and maxillofacial radiology specialist evaluated those images using our self-developed Clinical Image Quality Evaluation Chart. Three evaluators classified the overall image quality of the panoramic radiographs and evaluated the causes of imaging errors. Results: A total of 297 panoramic radiographs were collected from 99 dental hospitals and clinics. The mean of the scores according to the Clinical Image Quality Evaluation Chart was 79.9. In the classification of the overall image quality, 17 images were deemed ‘optimal for obtaining diagnostic information,’ 153 were ‘adequate for diagnosis,’ 107 were ‘poor but diagnosable,’ and nine were ‘unrecognizable and too poor for diagnosis’. The results of the analysis of the causes of the errors in all the images are as follows: 139 errors in the positioning, 135 in the processing, 50 from the radiographic unit, and 13 due to anatomic abnormality. Conclusion: Panoramic radiographs taken at local dental clinics generally have a normal or higher-level image quality. Principal factors affecting image quality were positioning of the patient and image density, sharpness, and contrast. Therefore, when images are taken, the patient position should be adjusted with great care. Also, standardizing objective criteria of image density, sharpness, and contrast is required to evaluate image quality effectively.

신뢰성 기반의 국방 품질정책 전환을 위한 방안 연구

정영권 ( Jeong Younggkwon ),유한주 ( Yoo Hanjoo ),송광석 ( Song Gwangsuk ) 한국품질경영학회 2018 품질경영학회지 Vol.46 No.2

Purpose: The purpose of this study is to escape from the existing defense quality policy focused on government- led quality assurance for mass-produced items and to secure quality reliability of weapon systems through a defense quality policy paradigm shift based on designing a verification systems anchored on reliability through the enhancement of military supply quality control in the development stage, the enhancement of quality responsibility of the manufacturing contractor and other methods. Methods: For the shift to the quality-based defense quality policy, the status and the problems of the status quo are analyzed and the direction of future defense quality policy is suggested based on literature review of the concept of reliability and reliability in the field of defense, on case studies of global corporations and their quality policies, on the background on quality assurance in defense, and on case studies of quality policies in other government organizations, Results: Based on the case studies of quality policies in global corporations and other government agencies, the importance of preventive quality control from the early development stages, quality control based on the reliability of the materials and parts, and shift of the quality policy to a certification system to achieve these objectives were highlighted. Conclusion: To secure reliability of weapon system quality, the quality policy must be shifted to a system focused on reliability-based design and verification and there is a further need to enhance the operational efficiency and capacity of DTaQ based on studies and evaluation of weapon system reliability.

병원 간호사의 질 관리 및 의료기관평가제도에 대한 인식과 간호업무성과와의 관계

유문숙,정명숙 대한간호학회 간호행정학회 2008 간호행정학회지 Vol.14 No.3

Purpose: The objective of this study was to identify relationships among the perception of quality assurance and national hospital evaluation program and nursing performance of hospital nurses. Method: The participants were 401 nurses who worked at the A medical center. The data were collected from 25 April to 9 May. 2008. The cross-sectional descriptive survey was done using a structured questionnaire. Result: The perception of the quality assurance correlated significantly with nursing performance. Also, the perception of national hospital program correlated significantly with nursing performance. However, the scores of perception of quality assurance & national evaluation program of hospital nurses is relatively low. Conclusions: These results means positive perception of quality assurance of nurses can produce good nursing performance, It suggests that nurses need more education and training for quality assurance. And the incentives will be needed to enhance the perception of quality assurance. Moreover, the detailed nursing performance indicators should be developed to measure the quality of nursing performance properly.

무기체계 소프트웨어 품질 개선을 위한 ISO/IEC 25023의 소프트웨어 개발 프로세스 적용 방안

윤경환(Gyeonghwan Yoon),류지선(Jiseon Yu) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.5

본 연구에서는 기존의 무기체계 소프트웨어 개발 프로세스에 ISO/IEC 25023의 소프트웨어 품질 평가 모델을 적용하여 기존보다 무기체계 소프트웨어의 품질을 향상시킬 수 있는지 확인하였다. 현재 무기체계 소프트웨어 개발 프로세스는 소프트웨어 품질 요구사항을 관리하고 있지만 소프트웨어 품질은 제한적으로만 향상시키고 있었다. 소프트웨어 품질 요구사항에서 품질 특성을 정의하고 관리하였지만 개별적인 사업에 따라 품질 특성이 다르게 정의되었기 때문이다. 따라서 소프트웨어 품질 요구사항의 품질 특성이 동일하여도 산출물이 다르고 사업에 따라 품질 관리의 차이가 컸다. 무기체계 소프트웨어 개발 프로세스 내에서 소프트웨어 품질 관리 제한점의 원인은 소프트웨어 품질 특성에 대한 일관된 정의 부족과 정량적으로 측정되지 않는 산출물로 파악하였다. 국제표준 소프트웨어 품질평가 메트릭인 ISO/IEC 25023은 소프트웨어를 8가지 주특성 및 31가지 부특성으로 구분하여 품질 특성을 정의하고 정량적으로 소프트웨어 제품 품질을 평가할 수 있는 기준을 제시한다. ISO/IEC 25023을 무기체계 소프트웨어 개발 프로세스에 적용하여 소프트웨어 품질을 향상시키는 방안을 검토하고 소프트웨어 품질 향상 효과를 분석하였다. This study aimed to improve the software quality in weapon systems by applying ISO/IEC 25023 to the software engineering process. The software engineering process in weapon systems manages the Software Quality Requirement but has restrictively improved the software quality. Software quality items are already defined and used for software engineering processes in weapon systems, but they are defined inconsistently according to individual software development cases. Thus, the methods of quantifying software quality are different, even though the same software quality is defined. In addition, the software quality has been managed differently. The major problems of software engineering processes in weapon systems are the unclear definition of the software quality requirements and the absence of quantifying software quality standards. ISO/IEC 25023 is composed of eight quality characteristics and thirty-one sub-characteristics. ISO/IEC 25023 provides measurement functions that can quantify the software product quality based on its characteristics. To improve the software quality further, the measurement functions in ISO/IEC 25023 are suggested to quantify and manage software quality for software engineering processes in weapon systems. The expected effects of this study were analyzed.

비정상감사시간과 비정상심리시간이 자기자본비용에 미치는 영향과 감사인 규모의 조절효과

여재호,조용언,하순금 한국회계정책학회 2021 회계와 정책연구 Vol.26 No.4

[Purpose] This study examines the effects of abnormal audit hours and abnormal internal audit quality assurance hours on the cost of equity capital and the moderating effect of audit firm size. [Methodology] Using the relevant financial statements data and samples of 709 firmyears listed in Korea Exchange between 2014 and 2016, this study conducts regression tests on the effects of abnormal audit hours and abnormal internal audit quality assurance hours on the cost of equity capital and the moderating effect of audit firm size. [Findings] The general association between abnormal audit hours and the cost of equity capital is partially supported by empirical evidences. More specially, it is supported that as abnormal internal quality assurance hours are higher, the cost of equity capital measured by Easton(2004)’s PEG decreases. But in a sample of positive abnormal audit hours, as abnormal audit hours are higher, the cost of equity capital increases rather than decreases. And it shows that there was no evidence of the moderating effect of audit firm size on relationship between abnormal audit hours or abnormal internal quality assurance hours and the cost of equity capital in a full sample. But audit firm size moderates relationship between abnormal audit hours and the cost of equity capital in a sample of positive abnormal audit hour. [Policy Implications] As follows are the meanings of these findings. First, internal quality assurance is internal control system of audit firm in order to improve its audit quality. So, higher internal quality assurance hours results in increasing the reliability of accounting information and decreasing asymmetry of information and information risk that finally leads to lower the cost of equity capital. Second, audit quality of Big4 may not be higher than that of non-Big4. This result is different from previous studies. This means that both Big4 and non-Big4 need to make additional efforts to improve and differentiate their audit quality. [연구목적] 본 연구는 비정상감사시간과 비정상심리시간이 자기자본비용에 미치는 영향을 실증적으로 분석하고 이들의 관계에서 감사인 규모가 조절작용을 하는지를 검증하고자 한다. [연구방법] 본 연구는 2014년부터 2016년까지 유가증권시장과 코스닥시장에 상장된 709개의 기업-연도 표본이다. 실증분석을 위해 자기자본비용은 Easton(2004)의 PEG모형을 이용하여 추정하였고 비정상감사(심리)시간은 표본을 양(+)인 집단과 음(-)인 집단, 그리고 전체집단으로 구분하여 분석하였다. [연구결과] 실증분석 결과는 다음과 같다. 첫째, 비정상감사시간과 자기자본비용 간의 분석결과 전체집단과 음(-)인 집단에서는 유의적인 결과가 나타나지 않았지만 양(+)인 집단에서는유의한 양(+)의 영향을 미치는 것으로 나타났다. 둘째, 비정상심리시간과 자기자본비용 간의분석결과 전체 집단과 음(-)인 집단에서는 유의한 음(-)의 영향을 미치는 것으로 나타났다. 그러나 양(+)인 집단에서는 유의적인 결과가 나타나지 않았다. 셋째, 비정상감사시간과 자기자본비용 간의 관계에서 감사인 규모가 조절작용을 하는지 분석하였다. 분석결과 전체집단과음(-)인 집단에서는 유의한 결과가 나타나지 않는 반면 양(+)인 집단에서는 Big4 감사인이Non-Big4 감사인 보다 재무제표의 신뢰성을 증가시키는 노력을 기울인 결과 정보비대칭과정보위험을 낮추어서 피감사기업의 자기자본비용을 감소시키는데 이바지하는 것으로 나타났다.넷째, 비정상심리시간과 자기자본비용 간의 관계에 감사인 규모의 조절작용을 분석한 결과는모든 집단에서 유의한 결과가 나타나지 않았다. [정책적 시사점] 본 연구의 결과는 감사시간이 가진 학문적 의미를 밝혀줌으로써 회계감사분야에 관한 연구의 외연을 확장하고 후속연구의 토대를 마련하는데 기여할 것이다. 또한 규제당국과 감사인 조직에서 감사품질을 제고하기 위한 품질관리 정책 및 절차의 수립에 필요한 증거와 논리적 근거를 제공할 것이다.