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This study was to investigate the relationship between safety & quality management changes of patient and changes in management activities based on hospital workers in five mental hospitals and five geriatric hospitals which should be required medical certifying authorities. As a result of the research study, participation whether or not of certification service of mental hospital & geriatric hospital workers was positive correlation to improve change of 'Performance level of Safety Activities for the patient'·'Provide the High Quality Medical Service for the patient'·'Respect the Rights and Responsibility of the patient'·'Performance level of Infection Control Activities' out of contents of Patient Safety & Medical Service Quality. Also developmental changes of Safety Activities for the patient.Hospital Quality for the patient.Rights and Responsibility of the patient out of contents of Patient Safety & Medical Service Quality need to the Capacity Management Activities through Education and training, and Medical System & Evaluation of Management.Provide the High Quality Medical Service for the patient out of contents of Patient Safety & Medical Service Quality need to the need to the Customer Orientation Process. ■ keyword :∣Medical Institution Accreditation∣Patient Safety & Medical Service Quality∣Management Activity∣ Mental Hospital∣Geriatric Hospital∣  : 2014 11 17  : 2014 01 06  : 2014 01 09  : , e-mail : limjd5794@cup.ac.kr            :    287

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Relationship between Changes of Patient Safety &amp; Medical Service Quality and Changes of Management Activity after Medical Institution Accreditation: Mental Hospitals and Geriatric Hospitals