환자안전사건 조사용 근본원인분석 소프트웨어의 비교

최은영,이현정,옥민수,조민우,이상일,Choi, Eun-Young,Lee, Hyeon-Jeong,Ock, Min-Su,Jo, Min-Woo,Lee, Sang-Il 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.1

Root Cause Analysis (RCA) has been widely used as a structured approach to investigate patient safety incidents. RCA helps identify what, how, and why something happened, therefore preventing recurrence of incidents. Since many quality tools can be used during RCA, various formats of RCA exist. If RCAs are performed incorrectly or incompletely, they are likely to produce unusable results. To address this issue, RCA software has been developed. The use of RCA software in investigating patient safety incidents may offer several advantages, such as potential reduction in learning time, shortening of the analytic process, facilitation of collection, analysis, and presentation of data and production of meaningful RCA reports. We introduced six healthcare RCA software and compared characteristics. Results from this study will enable the RCA team to choose proper RCA software.

미술치료의 치료요인 범주화 연구 -미술치료서비스 제공자를 대상으로-

최은영 ( Choi Eun-yeong ),이영숙 ( Lee Young-sook ),손병문 ( Son Byeong-mun ),오지은 ( Oh Jee-eun ) 대구대학교 특수교육재활과학연구소 2019 특수교육재활과학연구 Vol.58 No.2

본 연구에서는 미술치료서비스 제공자들이 범주화한 미술치료 치료요인을 확인하고자 하였다. 본 연구에서는 개념도 방법으로 현장에서 미술치료서비스를 제공하고 있는 10명의 연구참여자를 대상으로 진행하였다. 이영숙, 최은영과 공마리아(2017)이 도출한 66개의 최종 진술문을 사용하여, 각각 카드로 제작한 후, 연구참여자가 각 카드를 유사성에 따라 분류하고, 각 진술문에 대해 미술치료 치료요인으로서 중요도를 5점 척도로 평정하도록 하였다. 본 연구의 자료처리는 다차원척도법과 위계적 군집분석을 실시하였다. 연구결과는 다음과 같다. 미술치료서비스 제공자들의 미술치료 치료요인은 개념도 상 2차원 6개로 범주화되었다. 2개의 차원은 ‘내적경험의 공유와 외현화’, 그리고 ‘창조성과 안정화’이며, 6개로 범주화된 치료 요인은 ‘표현의 용이성과 안전한 치료환경’, ‘상징화를 통한 다양하고 새로운 문제해결 시도’, ‘시각적 외현화를 통한 자기이해’, ‘창의적 치료경험’, ‘치료자와의 미술작품 공유’, ‘감각기억활성화를 통한 문제접근 용이성’으로 나타났다. 본 연구는 미술치료 치료요인을 미술 치료서비스 제공자를 통해 체계적으로 분류하여 범주화하였다는 점에서 의의가 있다. This study sought to identify the art therapy therapeutic factors categorised by art therapy service providers. The concept mapping method was conducted to 10 participants who were providing art therapy services on field. 66 final statements derived by Lee et al.(2017) was used, each of them was made with a card, and each statement was classified by a research participant according to its similarity, and its importance as a therapeutic factor for art therapy was leveled on a five-point scale. Data processing was done with multidimensional scaling method and hierarchical clustering analysis. The results found that categorization of the therapeutic factors of art therapy by art therapy service providers was divided into six two-dimensional categories on a concept map.The two dimensions were ‘creative and stabilizing’ and ‘sharing of internal experience and externalizing.’ The six categorised therapeutic factors were ‘ease of expression and safety treatment environment’, ‘trying various and new problems solving through visualization’, ‘self-understanding through visual externalization’, ‘experience of creative treatment’, ‘sharing art works with the therapist’ and ‘ease of problem access through sensory memory activation’. This study is meaningful in that categorized and classified therapeutic factors of art therapy systematically by art therapy service providers.

편측성 안면 신경마비 환자에서의 총의치 수복 증례

최은영,이지현,최순영,Choi, Eunyoung,Lee, Ji-Hyoun,Choi, Sunyoung 대한치과보철학회 2017 대한치과보철학회지 Vol.55 No.4

벨마비는 원인이 명확하지 않은 급성 말초성 안면 신경마비로 주로 편측으로 나타난다. 일부에서는 완전히 회복되지 못하여 안면 근육의 불완전 마비, 구축 등의 후유증으로 인해 하악의 편측 변위 또는 편측 저작 습관 및 부조화가 나타나며, 따라서 만약 무치악 환자에서 총의치로 수복한다면 더욱 세심한 주의가 필요하다. 본 증례에서는 벨마비의 후유증과 불안정한 하악 운동으로 인해 술자에 의한 중심위 채득이 어려운 무치악 환자에서 고딕아치 묘기법으로 재현성 있는 중심위를 채득하고, 중심위와 환자의 습관적인 하악 기능 운동 범위 간의 자유도 부여를 위해 설측 교합을 이용하여 총의치를 제작함으로써 기능 및 심미적으로 양호한 결과를 얻었기에 보고하는 바이다. Bell's palsy is an acute-onset unilateral peripheral facial neuropathy. For patients with sequelae of facial paresis, the successful rehabilitation of fully edentulous arches is challenging. This case report described the treatment procedures and clinical considerations to fabricate complete dentures of a patient who showed unilateral displacement of mandible, unilateral chewing pattern and parafunctional jaw movement due to sequelae of Bell's palsy. Gothic arch tracing was used to record reproducible centric relation and lingualized occlusion was performed to provide freedom to move between centric relation and the patient's habitual functional area in fabricating satisfactory dentures in terms of function and esthetics.

ERRATUM : 반밀폐형 온실 내에서 탄산가스 시비에 따른 광강도와 엽온에 반응한 토마토 잎의 최대 카복실화율, 전자전달율 및 광합성율 실측값과 모델링 방정식에 의한 예측값의 비교

최은영,정영애,안승현,장동철,김대현,이동수,권진경,우영회,Choi, Eun-Young,Jeong, Young-Ae,An, Seung-Hyun,Jang, Dong-Cheol,Kim, Dae-Hyun,Lee, Dong-Soo,Kwon, Jin-Kyung,Woo, Young-Hoe 한국생물환경조절학회 2022 생물환경조절학회지 Vol.31 No.1

DEA 용액으로부터 히드라진의 환원 반응에 의한 니켈 분말 제조

최은영,이윤복,윤석영,김광호,김진천,임영목,김형국,김양도,Choi, Eun-Young,Lee, Yoon-Bok,Yoon, Suk-Young,Kim, Kwang-Ho,Kim, Sin-Chun,Rhyim, Yaung-Mok,Kim, Hyong-Kuk,Kim, Ynng-Do 한국세라믹학회 2005 한국세라믹학회지 Vol.42 No.6

Nickel powders synthesized by the reduction of hydrazine of nickel salts fiom diethanolamine(DEA) solution, and investigated the morphological characteristics of nickel powders with the addition of hydrazine, reaction temperature, the composition of mixed solvents. The addition of hydrazine in DEA solution largely affected on size control of nickel powders. Under $N_2H_4/Ni^{2+}$ molar ratio= 1.5 and 2.0 conditions, spherical nickel powders in the submicron range obtained, owing to higher the reduction rate. An increase of temperature increased the size of nickel particles. At $220^{\circ}C$ for 40 min, the nickel powders composed of polyhedral particles with high crystalline in the submicron range. The mixed volume ratio of TEA to DEA affected on the increase of particle size and the inhibition of agglomerate between particles.

매입임대주택 공급의 문제점과 개선 방안: 서울을 중심으로

최은영,박신영,Choi, Eun-Young,Park, Shin-Young 한국토지주택공사 토지주택연구원 2016 LHI journal of land, housing, and urban affairs Vol.7 No.2

본 연구에서는 임대주택에 대한 수요가 많은 서울을 중심으로, 최저소득계층을 대상으로 하는 매입임대주택의 공급 현황과 문제점을 구체적으로 파악함으로써 이에 대한 개선 방안을 제시하고자 한다. 주거비 부담 문제의 심화로 매입임대주택의 공급 확대가 필요함에도 불구하고, LH공사와 SH공사에 의해 서울에 공급되는 신규 매입임대주택 호수는 2009년 이후 감소 추세를 보이고 있다. 매입임대주택은 지역 거주민을 입주 대상으로 하기 때문에, 지역별 공급 규모가 주거복지 수혜의 형평성 문제를 야기하게 되는데, 전반적으로 저소득층이 많이 거주하는 도심에 공급이 적고, 서울 외곽의 특정구에 공급이 편중되어 있다. 이와 같은 신규 공급 정체와 지역 편중 문제의 원인은 정부의 낮은 지원 기준단가로 인해 재원 구조가 취약하기 때문이다. 따라서 실거래가 기준으로 정부 기준단가를 인상하고, 실거래가 변동률과 정부 기준단가를 연계하는 것이 필요하다. 수요에 기반한 공급물량 배분을 위한 종합계획이 수립되어야 하며, 매입임대주택을 비롯한 저렴임대주택 공급이 많은 지역들에서는 차상위계층 및 저소득 청년으로 입주 대상이 확대되어야 한다. This research suggests improvement strategies for the problems of 'public housing supplied through the purchase of existing house' by understanding the situation of supply to lowest income class in Seoul where there are many demands. Due to the heavy housing expenditure burden, in spite of the fact that the needs for affordable housings are increasing, the number of 'public housing supplied through the purchase of existing house' which has been supplied to Seoul by LH & SH has decreased since 2009. It is caused by the low standard purchasing price set by government especially Seoul. Since 'the public housing supplied through the purchase of existing house' is targeted for indigenous inhabitants, different supply stocks among different regions cause equity problem. Generally regions with low income class are in short supply, on the contrary the supply is especially concentrated specific regions in outskirts of Seoul. The main reason of such new supply stagnation and regional concentration is the low standard purchasing price. Therefore, it is necessary to increase the government's standard price according to the actual transaction price. Also it is needed to associate actual transaction price's increasing rate with the government's standard price. The housing supply based on demands must be established. In addition, the provision of 'public housing supplied through the purchase of existing house' should be expanded to low-middle income inhabitants and low income youth in the regions where the supply of the affordable housing excess demands.

환자안전사건 분석을 위한 한글 근본원인분석 소프트웨어 개발

최은영,이현정,옥민수,이상일,Choi, Eun-Young,Lee, Hyeon-Jeong,Ock, Min-Su,Lee, Sang-Il 한국의료질향상학회 2018 한국의료질향상학회지 Vol.24 No.1

Purpose: The purpose of this study is to develop the Korean root cause analysis (RCA) software that can be used to systematically investigate underlying causes for preventing or reducing recurrence of patient safety incidents. Methods: We reviewed the existing guidelines and literatures on the RCA in order to figure out the RCA process. Also we examined the existing RCA softwares for investigating patient safety incidents to design the contents and interface of the RCA software. Based on the results of reviewing literatures and softwares, we developed a draft version of the Korean RCA software that can be easily used in Korean hospital settings by RCA teams. Results: The Korean RCA software consisted of several modules, which are modules for identifying patient safety incidents, organizing RCA team, collecting and analysing data, determining contributory factors and root causes, developing the action plans, and guiding evaluation. Conclusion: The Korean RCA software included optimized RCA process and structured logic for cause analysis. Thus even beginners in RCA are expected to easily use this software for investigating patient safety incidents. As software has been developed with the public financial support, it will be distributed free of charge. We hope that it will contribute to facilitating patient safety improvement activities in Korea.

여성의 피부건강행위에 대한 인식도와 실천도의 상관관계분석

최은영,오현주,백승화,Choi Eun-Young,Oh Hyun-Ju,Baek Seung-Hwa 대한예방한의학회 2000 대한예방한의학회지 Vol.4 No.2

The objective of this study consists on clarifying what factors are influenced upon skin care behavior using fender's Health Promotion Model, widely used to anticipate practices of health care behavior for women with keen interest in skin care and then manifesting their correlations from July 1 to August 22, 1998, on 159 women interested in skin care. A subvariable included practice of skin care behavior and independent variables include general characteristics, health fitness, the level of agreement with the advantages of the perceived skin care behavior, the level of cognition of the necessity for skin care behavior The data collected processed with ANOVA and multiple regression analysis to clarify what factors among other independent variables have the most powerful effects upon skin care. The resultant findings were revealed, as follows : 1. In health care behavior among skin care behavior,'full ingestion of water' represented the highest value by 3.45 points, 2. The testees of this study had for the most part a higher level of cognition for the necessity for skin care behavior than for practice of skin care behavior. The more points they have for cognition of the necessity for skin care behavior, the more points they present for practice of skin care behavior. 3. From the perspective of the relationship between sociometic factors on the testees and their skin care behavior, the higher level married women were on (p<0.05) and the more points they have for economic status, the higher points were reflected . 4. The correlations between the testees' recognition or perception factors and points for practice of skin health state showed the higher points than the group who thought that they did not know their own skin health state (p<0.05). The higher the points of skin care fitness (p<0.0001), the higher the points of self-awareness (p<0.0001) 5. The factors that had the most powerful influence upon cognition and practice of women's skin care behavior were found, with statistical significance, to be adjustable factors such as age, smoking, drinking habit, economic status, etc. and points of cognition of the necessity for skin care behavior.

A Case of Progressive Ductal Constriction in a Fetus

최은영,Mei-Hua Li,Chang Won Choi,Kyo Hoon Park,최정연 대한심장학회 2013 Korean Circulation Journal Vol.43 No.11

The ductus arteriosus is a normal and essential structure in fetal circulation. Since the introduction of fetal echocardiography, there have been reports of ductal constriction, many of which were related to maternal use of some medications. However, there have been some reports of idiopathic ductal constriction, which usually present in later gestation. Recently we experienced a case, which initially showed an S-shaped ductus with mild narrowing at 23 weeks and 27 weeks gestation and developed severe ductal constriction at 33 weeks. Soon after birth, ductus was searched for but no ductus was found in 2-D and color images. The neonate required mechanical ventilation with supplemental oxygen for 3 days. All echocardiographic abnormalities were normalized in 7 months. We report progressive ductal constriction in an S-shaped ductus and emphasize the importance of continuous follow up extending to the third trimester and even immediately after birth.

사상체질에 따른 스트레스 반응의 차이에 관한 연구

최은영,장병수,Choi, Eun-Young,Chang, Byung-Soo 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.3

This study was founded to identify the differences of the stress responses according to Sasang Constitutions(the Taeyangin, Taeumin, Soyangin and Soumin) of female college students. The subject were 226 the regular female students who majored in nursing in Kyungbuk, Kimcheon. Tools used in this study were the Questionnare for the Sasang Constitution Discrimination and the Scale for the Stress Response which were revised in some parts. The values of Cronbach's alpha for the Questionnare for the Sasang Constitution Discrimination and the Scale for the Stress Response were $0.45{\sim}0.73$ and $0.66{\sim}0.85$ respectively. The collected data was anaylyzed with the SPSS 10.0 windows statistical program. The results of this study were as follows; 1. The constitutions were shown in the order of Taeumin(45%), Soyangin(28%), Soumin(18%) and Taeyangin(9%). 2. There were significant difference in the stress response for Depression(p<.05), Anxiety(p<.05), Emotional irritability(p<.01) and the Total stress response(p<.05) according to the Sasang Constitutions (the Taeyangin, Taeumin, Soyangin and Soumin). In conclusion, it is needed to find out an effective ways of treating stress individually to apply Sasang Constitutions to a new esthetic treatment.