RISS 학술연구정보서비스

검색
다국어 입력

http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.

변환된 중국어를 복사하여 사용하시면 됩니다.

예시)
  • 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
  • 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
닫기
    인기검색어 순위 펼치기

    RISS 인기검색어

      검색결과 좁혀 보기

      선택해제
      • 좁혀본 항목 보기순서

        • 원문유무
        • 음성지원유무
        • 원문제공처
        • 학술지명
        • 주제분류
        • 발행연도
          펼치기
        • 작성언어
        • 저자
          펼치기

      오늘 본 자료

      • 오늘 본 자료가 없습니다.
      더보기
      • 무료
      • 기관 내 무료
      • 유료
      • 응급실에서의 질 향상 기법 적용

        황지인,황정해,김창엽,신희영,오병희 한국의료QA학회 1999 한국의료질향상학회지 Vol.6 No.1-2

        Background : Although a number of studies are related to QA improvement, there are few studies applied various method of QA tools. This study reviewed the availability of general quality assurance(QA) tools according to ten steps in performing quality improvement activities at emergency room of a tertiary teaching hospital which has more than 1,000 beds. Methods : All patients in emergency room from 15th Oct. 1997 to 5th Sep. 1998 were surveyed. The survey .data based on the patient's records of emergency room were evaluated according to length of stay, and we tried to identify problems with management of emergency room. To solve the problems, our team applied general QA tools(brainstorming, flow chart, nominal group technique, benchmarking, cause-and-effect diagram, run chart, control chart) to quality improvement activities and discussed the availability of the tools. Results : After the activities such as changes of staffing, the establishment of local area network and chest pain clinic, application of triage and so on, the percentage of patient who had stayed more than six hours was reduced from 56.0% to 46.8%. The mean number of patients per day in emergency room was increased from 49 to 62. But the reporting time for laboratory test was not changed after these activities. Conclusion : Each QA tool has unique benefit and limitation, but we can implement and evaluate the quality improvement activities more scientifically and systematically by applying these tools to practice according to QA ten steps.

      • 의료서비스의 질향상 진화와 현안 : 미국의 동향

        한휘종 한국의료QA학회 2008 한국의료질향상학회지 Vol.14 No.2

        흔히 관리의료 (Managed Care)라 불려지는 미국의 의료체계는 과거 약 30여년간 미국내 의료비용증가의 억제, 의료서비스 접근성 개선, 의료의 질향상이라는 세가지 목표를 이루기위해 시행되어 왔다. 이 관리의료체계는 지속적으로 증가하는 의료비용을 어느정도 억제하는데는 성공하였으나, 몇년전부터 의료정책전문가들은 관리의료체계의 의료비용증가 억제 역할은 이미 한계에 다다렀다고 판단하고 있으며, 의료서비스 접근성 개선이나 의료의 질향상에는 큰 성과를 이루지 못했다고 평가하고 있다. 그럼에도 불구하고 미국의 의료서비스 질향상을 위한 노력은 지속적이면서도 체계적으로 진행되어왔다고 자부하고 있다. 최근 미국내 의료서비스 질향상을 위한 형태를 살펴보면 자주 거론되는 것이 Prevention activity, Physician Profiling, Pay-for-Performance (P4P), Clinical Practice Guideline, Health Information Technology (Health IT)등임을 알 수있다. 미국의 이러한 노력들이 최근 1-2년사이 한국내에도 널리 알려지고 이미 일부는 시범사업형태로 실시되고 있는점을 감안하면 별반 다를것이 없다고 여겨질 수 있으나, 여기서 주목할 것은 이러한 노력들이 미국내에서 시도되게된 계기와 목적, 그리고 그 과정들을 눈여겨 볼 필요가 있다는 점이다. 하지만 민간보험 주도 형태의 미국 의료시장에서 탄생한 이런 일련의 노력들이 정부주도하의 전국민건강보험체계로 운영되는 국내 의료시장에 도입되어 실효를 거두기 위해서는 모방형 도입이 아닌 국내 의료체계와 실정에 적합하도록 수정 혹은 개선된 형태로 선별, 도입되어야 함을 암시하고 있음도 주지해야 한다.

      • 환자안전과 관련된 정부의 정책방향

        권준욱 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.1

        의료환경안전관리란 병원 내 감염뿐만 아니라, 혈액, 약품, 의료기기 등 전반적 안전관리 및 그 대상에 있어서도 환자 뿐 아니라 의료인까지 포함하고 있는 확대된 개념이며 이를 위해서는 의료기관 내에서의 감염관리 - 의료진, 다른 환자, 오염된 의료기기, 병원 내의 주위 환경 등 - 가 내성관리, 전파 차단의 핵심으로 볼 수 있다. 최근 선진국을 중심으로 의료 환경 개선과 질 향상을 위한 감시체계 가동 및 감시 자료를 바탕으로 분석된 근거에 따라 각종 지침, 권고를 통해서 의료 환경개선을 위한 노력이 활발하게 전개되고 있다. 병원감염은 궁극적으로 유병율의 증가, 치료 지연 및 심한 경우 환자 사망까지 발생시키고 있으며 나아가 주요 원인균들이 항생제 내성을 획득하여 다른 환자의 치료에도 지장을 초래하게 된다. 국내에서도 병원감염은 보건 의료의 질을 떨어뜨려 국민 건강을 위협하는 공중 보건문제이며 보건의료 비용 증가로 건강보험 재정에 악영향을 미치며 또한 입원기간의 연장으로 의료비용이 증가하여 경제적 손실이 크다. 이에 질병관리본부는 의료환경안전관리를 위해 2004년부터 전국병원감염감시체계를 구축 운영하고 있으며, 관계 전문학회 등과의 파트너쉽을 통해 의료기관에서 필요로 하는 감염관리 지침개발, 예방홍보물 지원 등으로 병원감염으로 인해 발생하는 국민건강 위해를 줄이고자 적극적인 사업을 추진하고 있다.

      • 한국의 병원 구조에서 QA 팀을 어떻게 구성하고 운영 할 것인가?

        양웅석 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.2

        Since the start of the Korean Society of Quality Assurance in Health Care in 1994, QA has improved, but it is time to develop our own policies that are more appropriate for Korean hospitals. American Quality Assurance policies are difficult to apply to the Korean medical community due to the differences in health insurance policies, and hospital structure between the two countries. Methods : I would like to propose more efficient organization and management of Quality Assurance according to the specific structures of hospitals in Korea. All of the hospital departments and committees should report to the Quality Assurance office, which in turn should report to the director. I would like to suggest that the current insurance review staff be used for the Quality Assurance office. A nurse should be in charge of the Quality Assurance department. The Quality Assurance department should have three sections : Medical Inssurance Review, QA records for the different Medical Departments, and QA records for the Ancillary Departments. A staff physician should be the chairman of the hospital QA committee, which should serve as the advising body to the QA Department. The QA Committee should be organized into eight subcommittees so that all departments throught the hoapital are represented. The current Medical Insurance Review offices in Korea have similar responsibilities to the QA Department : therefore I would like to recommend that the Medical Insurance Review office be changed the the QA office. If there are presently two separate Medical Insurance and QA offices, these should be combined into one office. Conclusion : These changes would surely benefit hospitals and strengthen the efficiency of both Insurance Review and Quality Assurance.

      • 종합병원의 비용절감과 업무개선을 위한 중앙공급실의 활동

        송규남,송선옥,황운순,구본업,최혜숙,이상윤 한국의료QA학회 1999 한국의료질향상학회지 Vol.6 No.1-2

        Background : Because hospitals had to faced with financial hardship, we have to have more effective hospital management. In this study, we tried to improve job performance and to reduce cost maintaining safety in fields of patients care. Methods : Central Supply Room(CSR) staffs taught strategy of material cost reduction to middle level managers and staffs 14 times. All staffs and voluntary service workers, working in 33 nursing units, participated in this activity. We developed questionnaire to check the degree of participate in cost reduction activity and job performance in CSR, and quality improvement in the wards. Two hundred questionnaires were distributed and 197 returned. Results : Because CSR staffs developed new items and every item was managed at each department, stocks of each department were reduced. Overall, by comparing before and after cost reduction activity, almost 1.2 billion won reduced for one year. Staffs' loyalty and spirits of cost reduction were improved by changing clothes and duty-environment. Furthermore, these activity improved patients' satisfaction. Conclusion : We suggest that CSR activity in a university hospital contributes to improve job performance and to reduce cost without any problem in patient care.

      • 노인 입원환자 병원서비스 분석

        장현숙 한국의료QA학회 2000 한국의료질향상학회지 Vol.7 No.1

        Background : This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 genera! hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted. Result : The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2-3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%. Conclusion : Lots of elderly patients, who are staying in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs

      연관 검색어 추천

      활용도 높은 자료

      이 검색어로 많이 본 자료

      해외이동버튼