Joo-Yeon Lee

Our study showed that DEWS was superior to MEWS in three key aspects (IHCA predictive, alarming, and timeliness performance). This study demonstrates the potential of DEWS as an effective, efficient screening tool in rapid response systems (RRSs) to identify high-risk patients.

BACKGROUND: Healthcare workers' mobile phones are easily contaminated with pathogenic bacteria and could be vehicles of transmission. Smart phones are increasingly used in the hospital. The objective of this study was to compare the contamination rate of bacteria with pathogenic potential between smart phones and non-smart phones. METHODS: We screened mobile phones of healthcare workers in three teaching hospitals in South Korea. The identification of cultivated micro-organisms and assessment of

Efforts to detect patient deterioration early have led to the development of early warning score (EWS) models. However, these models are disease-nonspecific and have shown variable accuracy in predicting unexpected critical events. Here, we propose a simpler and more accurate method for predicting risk in respiratory ward patients. This retrospective study analyzed adult patients who were admitted to the respiratory ward and detected using the rapid response system (RRS). Study outcomes included

Although family satisfaction is an important indicator for quality improvement of intensive care units (ICUs), few studies have translated family satisfaction data into quality improvement in Asia. A prospective multicenter study was conducted to evaluate family satisfaction regarding the care of patients and their family.The family satisfaction in the ICU (FS-ICU) questionnaire was administered from January 2015 to February 2016 at ICUs of 3 tertiary teaching hospitals in South Korea. Family me

제품과 서비스가 경쟁적으로 고급화, 전문화, 다양화되고 고객의 수준이 높아진 현대사회에서는 미소를 지으며 친절하게응대하는 종업원을 만나는 것은 당연한 일이 되었다. 서비스는 종업원의 감정노동에 의해 전달되며 서비스종업원의 감정은 고객에게 전이될 수 있다. 고객과 서비스 종업원간의 상호작용을 통해서만 제공받을 수 있는 서비스의 특성상 서비스프로세스에서 고객이 지각하는 서비스종업원의 진정성과 조작의도는 고객만족에 결정적인 영향을 미친다. 제품중심 경제에서는 유형적 자원인 제품 자체의 효용, 제품자체의 거래를 통해 창출되는 경제가치가 고객만족에 주요한 영향을 미쳤으나, 시장이 고객과의 상호작용을 통해 제공되는 무형적인 서비스 중심 경제로 변화하면서 가치를 창출해내는 참여자로서의 고객의 역할과 더불어 관계가치의 중요성이 부각되고 있다. 본 연구에서는 진정성과 조작의도가 고객만족에 미치는 영향을 경제가치와 관계가치의 매개적 영향을 중심으로 살펴보았다. 본 연구의 주요 분석 결과는 다음과 같다

BACKGROUND: Retrospective studies have demonstrated that the deep learning-based cardiac arrest risk management system (DeepCARS™) is superior to the conventional methods in predicting in-hospital cardiac arrest (IHCA). This prospective study aimed to investigate the predictive accuracy of the DeepCARS™ for IHCA or unplanned intensive care unit transfer (UIT) among general ward patients, compared with that of conventional methods in real-world practice. METHODS: This prospective, multicenter coh

BACKGROUND: Differentiating cardiogenic pulmonary edema from other bilateral lung diseases such as pneumonia is frequently difficult. We conducted a retrospective study to identify predictors for cardiogenic pulmonary edema and non-cardiogenic causes of bilateral lung infiltrates in chest radiographs. METHODS: The study included patients who had newly developed bilateral lung infiltrates in chest radiographs and patients who underwent echocardiography. Cases were divided into two groups based on

Variability in rapid response system (RRS) characteristics based on the admitted wards is unknown. We aimed to compare differences in the clinical characteristics of RRS activation between patients admitted to medical versus surgical services. We reviewed patients admitted to the hospital who were detected by the RRS from October 2012 to February 2014 at a tertiary care academic hospital. We compared the triggers for RRS activation, interventions performed, and outcomes of the 2 patient groups.

Acute respiratory distress syndrome (ARDS) remains an unsolved problem in the intensive care unit (ICU), which can be treated with venovenous extracorporeal membrane oxygenation (VV-ECMO). We summarized retrospectively collected data from an institutional experience with VV-ECMO in patients with severe acute respiratory failure and identified the clinical parameters associated with successful ECMO weaning. Among the 45 cases who received ECMO for pneumonia (n = 19), exacerbation of interstitial

신체상에 대한 사회문화적 관점에 의하면, 청소년의 주관적인 체형인식은 사회문화적으로 이상화된 체형 기준과의 비교를 통해 체형만족도에 영향을 미쳐 전반적인 자아존중감에 영향을 주는 것으로 가정된다. 한편, 사회문화적으로 이상화된 체형 기준은 젠더에 따라 다르게 설정되어 있으므로, 체형인식, 체형만족도, 자아존중감 간의 영향 관계를 탐구함에 있어 성별 차이를 중요하게 고려해야 한다. 본 연구는 정상체중 중학생의 주관적인 체형인식이 전반적인 자아존중감에 미치는 영향에서 체형만족도의 매개효과를 검증하고 성별 차이를 탐색하려는 목적으로 수행되었다. 이를 위해 한국청소년정책연구원의 ‘2010 한국 청소년 건강 실태 조사’ 참여자 중 체질량지수(BMI)를 기준으로 정상체중에 해당하는 남녀 중학생 2,403명의 자료를 활용하여 구조방정식모형 분석을 실시하였다. 먼저 전체 표본을 대상으로 체형만족도의 매개효과를 검증한 결과, 자신을 저체중 또는 과체중이라고 인식하는 학생은 정상체중이라고 인식하는 학

The evaluation of the quality of a sputum specimen prior to bacterial culture has been an accepted practice. However, optimal sputum criteria for pulmonary tuberculosis (TB) are not well established. We investigated indicators for sputum acceptability in tuberculosis cultures and acid-fast bacilli (AFB) smear. A post-hoc analysis of a randomized trial with 228 sputum specimens from 77 patients was conducted. In the trial, pulmonary TB suspects were requested for collecting three sputum specimens