Task Force Team Research Articles

The First 100 Days: Establishment and Effectiveness of Campus Protection Measures at a College during the COVID-19 Pandemic.

To prevent transmission of the coronavirus, we established the campus protection measures for coronavirus disease 2019 (COVID-19) (CPMCV-19) and analyzed the effectiveness and cost in practice. This project was set in Taiwan. We organized an anti-epidemic task force team from multidisciplinary co-workers to establish the CPMCV-19. The essential components were as follows: no close contact communication, sterilization, temperature control, social distancing, activity restrictions, personal hygiene control, and situational awareness. During 100 days of operation, the mean time spent for frontal temperature measuring was 2.7 ± 0.3 s per person. The mean on-duty time for individual personnel to control the gate and measure temperature was 3.5 h per day. In total, 31 persons with loss of taste/smell or fever were detected on campus and sent to hospital for screening within 1 h. A total of 6 persons were instructed to observe self-health management due to possible contact or travel history, and none were diagnosed with COVID-19 infection. A total budget of USD 27,100 was used for CMPCV-19 in this period. The established campus protection measures for COVID-19 were practical and might be effective. They can be used as reference for schools in a pandemic, such as COVID-19.

Crisis Management System- an overview

The crisis is an emergency which interrupts the manhood, leads to instability everywhere. It affects an individual, group, or society etc. There are various types of crises, and everyone should have its management model and perfect plan to come out of it. Every must have a crisis management system and team. This management system a task force having minimum three to four capable members, who find out ways to overcome the crisis, and they should be able to succeed crisis. In a crisis, stress management is an important factor that may affect peoples as well as management severely. The significant part depends on the role of people and the leaders or officials, their in a critical situation. or officials should communicate effectively with needy peoples, helping members, task force, media persons to tackle the situation meticulously, as communication is the best way-out to the interpersonal conflicts. personnel must coordinate with the media to provide time to time accurate information. So, cumulatively crisis management capable task force team, cooperative peoples or officials, excellent communication, stress management practices, person who deal with media and well-equipped .

Quality Indicators in Vascular Surgery: Toward a National Consensus on 20 Quality Indicators in Belgium

The aim of the present study is to develop relevant quality indicators (QI) to monitor and improve quality of care in vascular surgery. The Delphi method was used to incorporate expert opinion to reach consensus on a set of QI. A national expert panel consisting of 52 vascular surgeons was installed on a voluntary basis and endorsed by the Belgian Society of Vascular Surgery and the Flemish Hospital Network KU Leuven. A task force team consisting of 12 surgeons was created to serve as a delegation of the expert panel to discuss and filter the obtained data from the different Delphi rounds. A total of 3 Delphi rounds were needed to reach consensus on a set of 20 QI. Each QI had a content validity index (using a 7-point Likert scale), a feasibility index, and a target level. Twelve outcome indicators and 8 process indicators on several vascular topics were selected: overall for all vascular treatments (n=1), arterial occlusive disease in general (n=3), arterial occlusive disease of the lower limbs (n=4), arterial occlusive disease of the carotid arteries (n=5), arterial aneurysm disease in general (n=2), arterial aneurysm disease with endovascular treatment (n=1), and venous disease (n=4). This resulted in the successful identification of 20 validated and relevant vascular QI, focusing on arterial occlusive disease, arterial aneurysm disease, and venous disease. The next step in this project will be the performance of an implementation study.

NEUROLOGICAL MANIFESTATION ON HOSPITALIZED PATIENT WITH PROBABLE COVID-19 IN SAIFUL ANWAR HOSPITAL INDONESIA (SERIAL CASES)

Background: Coronavirus disease 2019 (Covid-19) caused by SARS-Cov-2 had been spreading worldwide including Indonesia, but In Indonesia, it was difficult to diagnose confirmation Covid-19 by Polymerase Change Reaction (PCR). and in clinical practice to treat covid-19, Indonesia Health Ministry use term probable covid-19 for patients under observation Covid-19, but study for neurological manifestation on  probable Covid-19 is very lacking.Objective: Knowing the neurological manifestation of patient probable Covid-19.Methods: Observational study from Covid-19 medical record and neuro-Covid-19 medical record of all probable Covid-19 hospitalized in the isolation ward of Saiful Anwar Hospital (RSSA) Malang since March-May, 2020 (3 months). Probable Covid-19 criteria were given by Covid-19 task force team based on Health Minister Indonesia criteria. This criterion was based on clinical manifestation (severe upper respiratory symptoms, or mild-severe pneumonia), radiologic examination (lung infiltrate and or chest CT scan), and laboratory examination. Neurological manifestation is based on clinical symptom appeared while patient hospitalized, supported with radiologic and laboratory data which was supervised by neurologist or neurologist resident. All data was inputted to neuro-Covid-19 e-registry on the smartphone application, sent periodically to the data center in Neurology Department RSSA Malang.Results: A hundred and fourteen probable Covid-19 was registered with mean age 34,5 year old and mostly at the young age of 20-50 years (38%). The neurological manifestation was observed in 4 patients (3,4% from all possible Covid-19 patients) with thrombotic stroke as the most common manifestation (50%), followed by myelum tumor (25%) and hypoxia encephalopathy (25%). Stroke patients in probable Covid-19 had old age (72 and 82 years) accompanied by several comorbid such as hypertension, DM and CVA history and Covid symptoms of cough, shortness of breath and fever. Hemiparesis was found improved with aspirin and neurotropic therapy. Patient with myelum tumor had a covid symptom of shortness of breath, cough, and fever with UMN tetraparesis. Previous MRI examination results suspected meningioma. The patient died while hospitalized. Patients with hypoxia encephalopathy admitted with decreased consciousness due to shortness of breath with acidosis respiratory symptoms (pH 7,22 ). This condition improved after oxygenation without focal neurologic deficit.Conclusion: Neurological manifestation in probable Covid-19 was 3,4% of all patients. The most common diagnosis was a thrombotic stroke, followed by myelum tumor, hypoxia encephalopathy, and mortality rate is 25%.

Korean clinical practice guidelines for preventing transmission of coronavirus disease 2019 (COVID-19) in hemodialysis facilities.

Coronavirus disease 2019 (COVID-19) is a highly contagious viral disease that is caused by the novel virus Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). COVID-19 has become pandemic since December 2019, when the first case developed in Wuhan, China. Patients receiving hemodialysis are more vulnerable to viral transmission because their immune functions are impaired and they receive treatment within a narrow space. Calling on previous experience with Middle East Respiratory Syndrome during the 2015 outbreak, the joint committee of the Korean Society of Nephrology and the Korean Society of Dialysis Therapy quickly formed a COVID-19 task force team to develop a manual before the first index case was diagnosed in the hemodialysis unit. This special article introduces clinical practice guidelines to prevent secondary transmission of COVID-19 within hemodialysis facilities, which were developed to protect patients, healthcare workers, and caregivers from this highly transmissible virus. The areas of infection control covered by these guidelines include standard precautions, performing dialysis therapy for confirmed or suspected cases, performing cohort isolation for contact patients, and disease monitoring and contact surveillance. We hope these guidelines help healthcare workers and hemodialysis patients around the world cope with the COVID-19 pandemic.

1696년 안용복 ·뇌헌 일행의 도일과 의승수군에 관한 해석학적 연구

King Sukjong and Chosun government officials including Nam Gu-Man, a prime minister of the Chosun dynasty, paid special attention to defense policy and guard the frontier area. The five monks including Noehun, the head of Gumo monk soldiers who went to Japan with Ahn Yong-bok in 1696, were not ‘the drifting merchant monk’ but the head of monk soldiers and regular monk soldiers(Eui-Seung-Su-Gun) under the Jeolla Jwasuyeong. The party of An Yong-bok and Noehun comprised “Civil and Official Task Force Team” for confirmation to the Korean-dominated Ulleungdo and Dokdo islands. And they went together to accomplish the purposes of special mission of the Chosun government. By the way, why did the Chosun government send Uiseungsugun, a Buddhist monk, instead of regular army or a Jeolla Jwasuyeong navy? The first reason is to avoid military and diplomatic disputes with Japan, which can be caused by the dispatch of regular troops. Second, the five members of Heungguksa Temple including Noeheon, were not only qualified to safely protect and escort civilian litigants such as Ahn Yong-bok and Lee In-Seong, but also the Chosun government's exquisite choice to avoid military and diplomatic disputes with Japan. Third, these party, from the Tokugawa shogunate of Japan, not only aims to be proved that sovereignty over Ulleungdo and Dokdo is Korean, but at the same time they also aims at Japan’s domestic spying or reconnaissance on the situation. The five monks, including Noeheon the head of Gumo monk soldier, who went with Ahn Yong-bok in 1696, were not ‘the drifting merchant monk’ but the head of monk soldiers and regular monk soldiers(Eui-Seung-Su-Gun) under the Jeolla Jwasuyeong. The conclusion is that The party of An Yong-bok and Noehun comprised “Civil and Official Task Force Team” for confirmation to the Korean-dominated Ulleungdo and Dokdo islands. And they went together to accomplish the purposes of special mission of the Chosun government.

Improving venous thromboembolism prophylaxis through critical thinking and health informatics

Venous thromboembolism (VTE) is a leading cause of preventable morbidity and mortality in hospitalised patients. Mafraq Hospital, a 450-bed tertiary-level hospital in Abu Dhabi, United Arab Emirates, has identified VTE...

Repurposing and reshaping of hospitals during the COVID-19 outbreak in South Korea

During the extensive outbreak of coronavirus disease 2019 (COVID-19) in South Korea, many strategies in the hospital setting, such as stratified patient care, the assignment of hospitals/beds by a task force team, and the establishment of dedicated COVID-19 hospitals, dedicated COVID-19 emergency centers, COVID-19 community facilities, and respiratory care split hospitals, were adopted to mitigate community transmission and prevent nosocomial infection. Most of these strategies were used during the Middle East Respiratory syndrome outbreak and were applied again successfully during the COVID-19 outbreak. The reallocation of health care capacity, repurposing of hospitals, and close collaboration between the government and the health care committee might have been the key to successfully addressing the crisis of COVID-19 given the shortage of health care resources.

Prevention of Early Marriage in Reducing the Level of Violence Against Women in Gorontalo Regency

Data from the Gorontalo Regional Police on cases of violence against women in 2015 were 212. While the number of violence against children was even more worrying, namely 423 cases, consisting of 232 sexual crimes against children, 181 physical violence and 41 cases of psychological violence. The purpose of this study was to determine efforts to prevent early marriage that have been carried out by the Office of Women's Empowerment and Child Protection in Gorontalo District against female violence and to determine the effect of early marriage prevention on the level of violence on women. The location of this research is the Women's Empowerment and Child Protection Agency. This research uses descriptive qualitative research methods. The results of this study are the efforts made by the Women's Empowerment and Child Protection Agency to prevent early marriage in reducing the level of violence in women, namely through an integrated service center for women and children empowerment, the Task Force Team for Violence against Women and Children, Community-Based Integrated Protection, Socialization, Assistance and Use the Puspaga mobile application.

Implementation of COVID-19 Preparedness and Prevention Policy at Makassar State University

COVID-19 virus has become an outbreak of a pandemic, almost all countries have issued a policy in breaking the chain of distribution of COVID-19, including the Republic of Indonesia. COVID prevention policy 19 at tertiary institutions has been issued by the Republic of Indonesia's educational and cultural mantras. All tertiary institutions have followed up on the circular including Makassar state university. The policy steps that have been implemented by the Rector of Makassar State University: in the context of preparedness and prevention of COVID-19 by issuing a circular, forming a Covid Task Force Team 19, making posters to educate the academics of Makassar State University have been well implemented

A Step-by-Step Guide to Managing the Educational Crisis: Lessons Learned from COVID-19 Pandemic.

Background:Medical education is facing great challenges and uncertainties amidst the COVID-19 pandemic.Aims and Objectives:This article aims to provide tips that can provide a guide for medical education leaders to coordinate crisis management referring to the Egyptian context.Materials and Methods:This work was done using a reflection on the COVID-19 response by Egyptian universities and analysis of such responses.Results:Medical Education Institutions are required to build a taskforce team for crisis management. These should be committed to supporting sudden online education transition, academic support, and the psychological well-being of students, staff members, health care professionals, paramedics, and faculty administration. As the situation evolves, the taskforce has to monitor the challenges and provide appropriate plans, guidance, and solutions. Leaders in medical education have a crucial role in response to the pandemic crisis in securing a successful educational process while ensuring the mental and psychological well-being of the stakeholders.Conclusion:Crisis management is the skill of the future and more investment needs to be placed in designing crisis response and in enabling universities to accommodate this response.

STRATEGI INTENSIFIKASI DAN EKSTENSIFIKASI DALAM UPAYA MENINGKATKAN PENDAPATAN ASLI DAERAH (PAD) KABUPATEN PAMEKASAN

Concrete steps that need to be taken by the Government of Pamekasan Regencyand its staff to further optimize the acquisition of local taxes and local user fees, namelyby conducting an Intensification and Extensification Strategy. The purpose of this research is to conduct analysis of Strengths, Weakness,Opportunities, Threats (SWOT) on issues related to efforts to increase the RegionalOriginal Revenue (PAD) of Pamekasan Regency, and to find out the Strategic Plan forthe Intensification and Extensification of the Pamekasan Regency Government inincreasing the District Revenue Pamekasan. While this study uses a descriptivequalitative approach, which is research that requires a deep and comprehensiveunderstanding related to the object under study to answer the problem by getting data tothen be analyzed and concluded. The Intensification Strategy is carried out in the following ways: Managing theTax and Retribution Administration Management System, Optimizing the collection ofTaxes and Levies through the application of the discipline of tax and retributionpayments to avoid the "Gap of tax and retribution receivable", Supervising andcontrolling systematic and sustainable by forming a Task Force Team (Satgas), Providingincentives to the Regional Apparatus Organizations that in the collection of taxes andretribution meet the targets set. The Extensification Strategy, carried out in the following ways, is as follows: Exploring and creating new tax and retribution objects, Conducting a review of theimposition of tax and retribution rates which so far have not been adjusted for tariffs andconducting comparative studies on regions that apply the "Management System Taxesand levies "good and achievers.Keyword : Intensification and Extensification Strategy

Development of Comprehensive Personal Health Records Integrating Patient-Generated Health Data Directly From Samsung S-Health and Apple Health Apps: Retrospective Cross-Sectional Observational Study.

BackgroundPatient-generated health data (PGHD), especially lifelog data, are important for managing chronic diseases. Additionally, personal health records (PHRs) have been considered an effective tool to engage patients more actively in the management of their chronic diseases. However, no PHRs currently integrate PGHD directly from Samsung S-Health and Apple Health apps.ObjectiveThe purposes of this study were (1) to demonstrate the development of an electronic medical record (EMR)–tethered PHR system (Health4U) that integrates lifelog data from Samsung S-Health and Apple Health apps and (2) to explore the factors associated with the use rate of the functions.MethodsTo upgrade conventional EMR-tethered PHRs, a task-force team (TFT) defined the functions necessary for users. After implementing a new system, we enrolled adults aged 19 years and older with prior experience of accessing Health4U in the 7-month period after November 2017, when the service was upgraded.ResultsOf the 17,624 users, 215 (1.22%) integrated daily steps data, 175 (0.99%) integrated weight data, 51 (0.29%) integrated blood sugar data, and 90 (0.51%) integrated blood pressure data. Overall, 61.95% (10,919/17,624) had one or more chronic diseases. For integration of daily steps data, 48.3% (104/215) of patients used the Apple Health app, 43.3% (93/215) used the S-Health app, and 8.4% (18/215) entered data manually. To retrieve medical documentation, 324 (1.84%) users downloaded PDF files and 31 (0.18%) users integrated their medical records into the Samsung S-Health app via the Consolidated-Clinical Document Architecture download function. We found a consistent increase in the odds ratios for PDF downloads among patients with a higher number of chronic diseases. The age groups of ≥60 years and ≥80 years tended to use the download function less frequently than the others.ConclusionsThis is the first study to examine the factors related to integration of lifelog data from Samsung S-Health and Apple Health apps into EMR-tethered PHRs and factors related to the retrieval of medical documents from PHRs. Our findings on the lifelog data integration can be used to design PHRs as a platform to integrate lifelog data in the future.

Fill the gap between traditional and new era: The medical educational reform in Taiwan.

The 7-year medical education program in Taiwan has been established since 1949. More than 60 years later, many medical professionals have observed and voiced its deficiencies following the outbreak of severe acute respiratory syndrome. The deficiencies are three-fold: (1) specialties are excessively institutionalized, (2) students engage in passive learning and memorization, and (3) passing one written national examination serves as the means of granting permanent physician qualification. The situation has aroused concerns and discussions among medical professionals and educators for a new medical education program. Authorized by the Conference of Deans of Medical Schools in Taiwan, Prof. Chyi-Her Lin assembled a team for planning medical curricular reform. Subsequently, Prof. Shan-Chwen Chang organized a task force team which has been monitoring the new 6-year program since 2013. The aims of medical reform by Prof. Lin are (1) to eliminate the specialty training part, (2) to use innovative teaching methods to motivate students to learn proactively, and (3) to implement competency-based medical education. Now, the first class of physicians will enter the workplace in 2019, subject to various clinical challenges.

2019 Consensus Korean Diagnostic Guidelines to Define Severity Classification and Treatment Refractoriness for Atopic Dermatitis: Objective and Subjective Assessment of Severity.

BackgroundSystemic immunomodulatory treatment is actively recommended in the treatment for moderate to severe atopic dermatitis (AD) patients. However, consensus criteria for the classification of AD severity or treatment refractoriness have not been established yet.ObjectiveTo establish consensus criteria on the definition of severity classification and treatment refractoriness of AD to provide a basis for proper treatment strategy.MethodsThe Korean Atopic Dermatitis Association (KADA) comprised a task force team to establish a definition of moderate to severe AD. A draft of definition of moderate to severe AD was made on the basis of evidence. The recommendation was confirmed by KADA members through a web-based survey.ResultsKADA approved that AD with 16≤eczema area and severity index (EASI)<23 should be basically defined as moderate AD whereas AD with EASI score ≥23 should be considered as severe AD. They agreed that it would be reasonable to raise the severity level if patient's daytime or nighttime pruritus numerical rating scale is equal to or higher than 7 (≥7) or dermatology life quality index score exceeds 10. AD patients who do not reach EASI 50 after appropriate treatment for three months should be considered as a non-responder. Patients with recurrence (EASI ≥16) within three months after cessation of treatment should be considered as a recurrent AD.ConclusionKADA built a consensus of definition of moderate and severe AD and treatment-refractoriness. These guidelines are expected to help physicians determine proper treatment options in need.

EL26 - The role of the regional cancer care critical paths to establish a regional medical network

Scince 2006, when the Basic Law of Management of Cancer was established, Japanese Government has set up the based-hospitals that are specialized for cancer diagnosis and treatment. In Kumamoto Prefecture, the task force team for the regional critical paths was launched. It performed surveys for clinic doctors and pharmacies to clarify their needs, and then produced the program of "My Karte". My Karte contains not only path but also a patient's medical information, messages between patients and medical staffs, and information about "the Salon for Cancer Patients" where patients talk and take care of each other. Kumamoto Prefecture also adopted coordinators for My Karte program to help the patients, their families, and the staffs in the based-hospitals and clinics. In Kanagawa Prefecture, own task force was also constructed and produced common critical paths, but the performance of them was quite limited. The contents of paths between Kumamoto and Kanagawa are almost same but Kanagawa has no special coordinators for the paths. The paths may be a useful tool for making regional medical network, but it must be insufficient by itself. We need a kind of network supporters or coordinators to establish good and functional medical network in the community in Japan. Here, I would like to introduce "the regional cancer care navigator" program launched by Japanese Society of Clinical Oncology as a candidate of supporter for the better regional medical network.

Design of a Hospice Referral System for Terminally Ill Cancer Patients Using a Standards-Based Health Information Exchange System.

ObjectivesThe demand for hospice has been increasing among patients with cancer. This study examined the current hospice referral scenario for terminally ill cancer patients and created a data form to collect hospice information and a modified health information exchange (HIE) form for a more efficient referral system for terminally ill cancer patients.MethodsSurveys were conducted asking detailed information such as medical instruments and patient admission policies of hospices, and interviews were held to examine the current referral flow and any additional requirements. A task force team was organized to analyze the results of the interviews and surveys.ResultsSix hospices completed the survey, and 3 physicians, 2 nurses, and 2 hospital staff from a tertiary hospital were interviewed. Seven categories were defined as essential for establishing hospice data. Ten categories and 40 data items were newly suggested for the existing HIE document form. An implementation guide for the Consolidated Clinical Document Architecture developed by Health Level 7 (HL7 CCDA) was also proposed. It is an international standard for interoperability that provides a framework for the exchange, integration, sharing, and retrieval of electronic health information. Based on these changes, a hospice referral scenario for terminally ill cancer patients was designed.ConclusionsOur findings show potential improvements that can be made to the current hospice referral system for terminally ill cancer patients. To make the referral system useful in practice, governmental efforts and investments are needed.

Consensus Statements by Korean Society of Interventional Neuroradiology and Korean Stroke Society: Hyperacute Endovascular Treatment Workflow to Reduce Door-to-Reperfusion Time.

Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present between each stroke centers. In this consensus statement, Korean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team propose a standard workflow to reduce door-to-reperfusion time for stroke patients eligible for EVT. This includes early stroke identification and pre-hospital notification to stroke team of receiving hospital in pre-hospital phase, the transfer of stroke patients from door of the emergency department to computed tomography (CT) room, warming call to neurointervention team for EVT candidate prior to imaging, neurointervention team preparation in parallel with thrombolysis, direct transportation from CT room to angiography suite following immediate decision of EVT and standardized procedure for rapid reperfusion. Implementation of optimized workflow will improve stroke time process metrics and clinical outcome of the patient treated with EVT.

Consensus Statements by Korean Society of Interventional Neuroradiology and Korean Stroke Society: Hyperacute Endovascular Treatment Workflow to Reduce Door-to-Reperfusion Time.

Recent clinical trials demonstrated the clinical benefit of endovascular treatment (EVT) in patients with acute ischemic stroke due to large vessel occlusion. These trials confirmed that good outcome after EVT depends on the time interval from symptom onset to reperfusion and that in-hospital delay leads to poor clinical outcome. However, there has been no universally accepted in-hospital workflow and performance benchmark for rapid reperfusion. Additionally, wide variety in workflow for EVT is present between each stroke centers. In this consensus statement, Korean Society of Interventional Neuroradiology and Korean Stroke Society Joint Task Force Team propose a standard workflow to reduce door-to-reperfusion time for stroke patients eligible for EVT. This includes early stroke identification and pre-hospital notification to stroke team of receiving hospital in pre-hospital phase, the transfer of stroke patients from door of the emergency department to computed tomography (CT) room, warming call to neurointervention (NI) team for EVT candidate prior to imaging, NI team preparation in parallel with thrombolysis, direct transportation from CT room to angiography suite following immediate decision of EVT and standardized procedure for rapid reperfusion. Implementation of optimized workflow will improve stroke time process metrics and clinical outcome of the patient treated with EVT.

Study on the Comparative Consideration of the Operative System of the Overseas Volunteer Fire Department

본 연구는 일본과 미국 의용소방대의 운영체계 전반에 관한 비교 고찰을 통해 우리나라 의용소방대의 개선방안을 모색하고자 수행되었다. 이를 위해 관련 학술논문, 선행 연구논문, 국가기관 발간 책자, 소방관련 서적 및 일본 소방단 신입단원용 교재, 해외 연수보고서 등의 문헌조사 연구방법에 따른 기술적 접근방법을 활용하였고, 우리나라 의용소방대의 효율적 운영을 위한 개선방안을 제안하였다. 연구결과는, 첫째, 지역사회의 공동체 의식 강화 및 의용소 방대의 위상 정립 둘째, 의용소방대 활동영역의 구조 · 구급분야 확대 운영 셋째, 의용소방대 현장 전문교육 · 훈련지도 전담팀 확대 설치 운영 넷째, 개별적 보상방법 개선과 의용소방대의 정체성 인식 및 재정적 지원 강화이다. 본연구결과는 향후, 우리나라 의용소방대 발전을 위한 기초자료로 활용될 수 있기를 기대한다.This research investigated the improvement plan for Korean Volunteer Fire Department through comparative consideration of overall operation system of Japanese and U.S. Volunteer Fire Department. For this, the researcher utilized descriptive approach according to documentary survey method including relevant academic essay, advanced research report, national institution publication, fire fighting-related books, textbook for new comers of Japanese fire department, and overseas training report, etc., and suggested an improvement plan for efficient operation of Korean Volunteer Fire Department. Research results are, first, enhance the community spirit of local community and establish of the status of Volunteer Fire Department. second, enlarge the scope of the work of Volunteer Fire Department to rescue, emergency medical services. third, organize task force team which is in charge of professional field education and training for Volunteer Fire Department. fourth, improve individual reward system and establishment of Volunteer Fire Department’s identity and reinforce financial support. The researcher expects the research results can be utilized as the basic materials for the development of Korean Volunteer Fire Department, henceforth.