This research paper introduces the application and implementation of medical decision metrics that classifies medical decision-making into four different metrics using statistical diagnostic tools, such as confusion matrix, normal distribution, Bayesian prediction and Receiver Operating Curve(ROC). In this study, the metrics are developed based on cross-section study, cohort study and case-control study done by systematic literature review and reformulated the structure of type I error, type II error, confidence level and power of detection. The study proposed implementation strategies for 10 quality improvement activities via 14 medical decision metrics which consider specificity and sensitivity in terms of α and β. Examples of ROC implication are depicted in this paper with a useful guidelines to implement a continuous quality improvement, not only in a variable acceptance sampling in Quality Control(QC) but also in a supplier grading score chart in Supplier Chain Management(SCM) quality. This research paper is the first to apply and implement medical decision-making tools as quality improvement activities. These proposed models will help quality practitioners to enhance the process and product quality level.

Engineer and quality statistician use different terms and techniques but they have same meaning and concept. The terms accuracy and precision are frequently used by engineer and scientist in the department of R&D and production technology. This paper makes a contribution to the interpretation of statistical quality techniques by the use of accuracy and precision. Engineer and scientist who have six sigma black belt and statistical background can use efficiently and effectively accuracy and precision in a manner consistent with statistical usage according to this study.

In this study, water quality data of eight main sites in the Geumho River watershed were collected and analyzed for long-term changes in water quality over the period from 2005 to 2015. The results showed that BOD concentration was gradually improved by the Total Maximum Daily Load (TMDL), stages 1 and 2. Recently, a tendency of increasing BOD concentration was observed in the downstream section of the river. The concentration of COD was analyzed to be contaminated throughout the water system regardless of the water quality improvement project, and the TN concentration tended to increase in the midstream of the river from 2013. The TP concentration has clearly decreased from 2012 after the second stage of TMDL. For the statistical analysis of PCA ordination, monthly water qualities (pH, DO, Electrical Conductivity (EC), Water Temperature (WT), BOD, COD, TN, TP, TOC, and SS) and flow rate data for 5 years from 2012 to 2016 were used. Seasonally the Geumho River showed an increase in the TN concentration at point sources during the dry season (December to February). TP showed the effect of non-point sources in the summer, because rainfall has caused a rise in flow rate in the upstream. Besides, the origin of pollution source was changed from non-point sources with BOD, COD, and TOC.