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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Quality Improvement in Health Care
Journal Basic Information
Journal DOI :
The Korean Society of Quality Assurance in Health Care
Editor in Chief :
Volume & Issues
Volume 19, Issue 2 - Dec 2013
Volume 19, Issue 1 - Aug 2013
Selecting the target year
Can Health Information Technology Really Improve Patient Safety?
Lee, JaeHo ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 16~26
Health information technology (HIT) is one of the most familiar tools to healthcare providers. It is used in routine practice to reduce cost, to improve clinical performance, and to improve patient safety. Patient safety is the driving force of recent expansion of HIT industry. But there are many evidences that it can be harmful to patient safety. Role of HIT and HIT-related error became big issues because more and more healthcare providers and healthcare organizations are willing to adopt it. Adoption rate of HIT in Korea is higher than that of United States. But researches of HIT regarding patient safety are rare. In this article, types of HIT, their mechanisms of improving patient safety and HIT-related errors were reviewed. Status of HIT in terms of patient safety in Korea was also reviewed. Knowledge of how HIT can improve patient safety, its' limitation, and how to make it safer is crucial to whom have to use it to improve patient safety. Impact of HIT on patient safety must be evaluated actively in Korea. HIT which was proven to improve patient safety must be widely adopted. Government must prepare a strategic plan to improve HIT quality, support hospitals financially and institutionally to introduce qualified HIT, and develop HIT infrastructures and standard designed for patient safety.
Effects of Infection Control Strategies & Analysis of Risk Factors for Vancomycin Resistant Enterococci
Hong, Hae Kyung ; Lee, Kkot Sil ; Park, Sung Choon ; Chung, Eun Kyung ; Park, Mi Ra ; Kim, Sae Chul ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 30~42
Objectives: This study was intended to check if the "Creating Clean Wards" project, which is an innovative reinforced campaign activity targeting infection control strategies and active surveillance cultures for VRE (vancomycin resistant enterococci) high-risk patients to be admitted in the NS (neuro-surgery) wards, would be reduced the incidence rates of VRE acquisition, transmission rates. Methods: 75 subjects of the VRE high-risk patients were surveyed by carrying out active surveillance cultures of VRE colonization 11 times from January to March, 2012. And the retrospective study was conducted dividing them into two groups. Results: The incidence rates of VRE acquisition was reduced to 3.67 cases per 1,000 patients day in the control group and to 2.88 cases in experimental group, which was not statistically significant (p = .753). VRE transmission rates of 0.0015 per day before the project tended to increase to 0.0019, although not statistically significant (p = .650). As a result of multivariate analysis with regard to using glycopeptide antibiotics in order to find out risk factors of VRE colonization, the patients who had been treated with glycopeptide until VRE colonization showed 274.41 times higher rate. Conclusion : For effective VRE infection control in NS wards, We should carry out active surveillance culture regularly, especially patient of using glycopeptide. And block the spread of VRE by strengthening infection control through the strict isolation and the changed mind-set of members motivated by the "Creating Clean Wards" campaign.
The effect of interventions in implementation of nutrition therapy for malnourished inpatients
Bae, Eun-Joo ; Park, So-Hee ; Kim, Jung-Eun ; Shim, Jin-Joo ; Lee, Yun-Jung ; Kim, Ji-Yoon ; Jang, Young-Eun ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 44~52
Objectives: Several studies on hospital malnutrition have reported that malnutrition among patients is highly prevalent and that more than 40% of hospitalized patients have nutritional risk factors. The purpose of this study was to assess the implementation of physicians' prescribed nutrition therapy before and after a protocol on nutrition therapy for malnourished inpatients was instituted. Methods: Data regarding the rates of physician implementation of nutritional therapy and the duration of therapy were collected and analyzed using SPSS version 20. Results: The percentages of physicians who prescribed nutrition therapy before and after the protocol was initiated were 47.5% and 74.6%, respectively, which statistically significant with 95% confidence. The rates of therapy lasting less than 24 hours before and after the protocol was in place were 100% and 86.4%, respectively, which was not statistically significant. This result suggests that the improvement activity was not effective. Conclusion : The percentage of physicians who prescribed nutritional therapy based on improved nutritional program was significantly increased. Nutrition therapy for malnourished inpatients can be advanced through this new model.
Producing Radiotherapy Guidance Movie for patients
Wang, Chul-Hwan ; Kang, Seung-Hee ; Moon, Bong-Ki ; Park, Dong-Wook ; Won, Yeong-Jin ; Park, Kwang-Hyeon ; Kim, Joo-Hyeon ; Bang, Seung-Mi ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 56~61
Objectives: This video has been produced to provide better awareness for our patients about radiotherapy treatment for anxiety and stress. This video will give inexperienced patients a better understanding of the processes and expectations of the radiotherapy. We have produced a radiotherapy guidance video regarding work flow and a method of radiotherapy to relieve anxiety and stress. It also improves patients satisfaction and understanding of radiotherapy to provide a high-quality health care for radiotherapy patients with indirect experience. Methods: We have evaluated the effectiveness of the video compared to our existing verbal method. See below for the evaluation criteria; 1) Patients satisfaction rate of guidance 2) a comparison of understanding of radiotherapy 3) a comparison of a time of education for patients 4) a researching of an incidence rate of radiotherapy. Results: When compared to the verbal explanation the patients had a increased level of understanding of the radiotherapy treatment. The time to educate patient was decreased and the level of incidents during the treatment was decreased due to the patient having a better understanding of the whole process. Conclusion : In conclusion, the audiovisual education increased the understanding of radiotherapy for patients compared to verbal education. The video also helped patients to cooperate in treatment room so we can provide premium radiotherapy treatment. By reducing the treatment time and education processa we improved the patients overall experience.
Optimizing the work process through improvement of reservation system
Seo, Eunhee ; Chung, Yonghwan ; Gu, Bonseung ; Park, Jong Bin ; Park, Youngjae ; Park, Kyung Jin ; Kin, Soo Mi ; Kwoun, Soon Ahn ; Dae, Chang Min ; Min, Kwan Hong ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 64~72
Objective: To improve customer satisfaction through accurate information using computerized automation of the test reservation system and by performing all fasting tests on the same day with one fasting. Methods: Quality improvement activities of the test reservation system of Seoul National University Bundang Hospital improves internal and external customer satisfaction at the time of test scheduling by having the reservation system reflect test order and test time automatically and making the system to increase the same day test reservation rate. Results: Test process was smooth due to accurate test reservation and information based on test priority due to the introduction of the computerized test reservation system. Internal and external customer satisfaction improved due to the marked reduction in time required for making a reservation thanks to the improvement of work process. Conclusion: Building a computerized test reservation system was an effective measure to improve external and internal customer satisfaction.
Measures to Reduce Medical Supplies in Stock through Improved Manageme
Kim, Kyoung Mi ; Park, Jee Hye ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 74~81
Research Problem: 45-65% of all medical supplies in hospital are used in operating rooms. Medical supplies in operating rooms are difficult to manage in general because many of them are frequently used and come in a variety of types. Purpose: Our aim was to strive for user-friendliness and reduce the inventory through efficient management of medical supplies stocked in operating rooms. Medical Facility: Korea University, Ansan Hospital Quality Improvement Activity: On the last day of each month, we checked the inventory of medical supplies in all operating rooms by identifying the amount of medical supplies in each room, warehouse, and OCS, identified problems, and presented the ways to improve. Improvement Outcome: We increased the number of post-processing medical supply items by 8%, and reduced the inventory cost by 15% through improved management of medical supplies.
Process modeling and improvement activity for preventing fall in radiation examination rooms
Ju, Won Ha ; Noh, Gi Heon ; Lee, Jin Wook ; Lee, Seung Min ; Shin, Pil Soo ; Lee, Byung Koo ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 86~88
소아청소년과 입원환자의 care plan 서식 전산화
Yun, So-Yeong ; Sin, Son-Mun ; Lee, Hui-Cheol ; Jeong, Go-Un ; Nam, Seung-U ; An, Eun-Seop ; Lee, Min-Jae ; Lee, Su-Jin ; Hwang, Yu-Jeong ; Go, Hye-Won ; Kim, Gyeong-A ; Song, Min-Jeong ; Kim, Yun-Gyeong ; Yuk, Sim-Gyeong ;
Quality Improvement in Health Care, volume 19, issue 1, 2013, Pages 90~92