대한산업공학회지 (Journal of Korean Institute of Industrial Engineers)

  • 제39권1호
  • /
  • Pages.20-29
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  • 2013
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  • 1225-0988(pISSN)
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  • 2234-6457(eISSN)
대한산업공학회 (Korean Institute of Industrial Engineers)
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동시적 의약품 사용평가(cDUR) 시스템 구축 및 적용 사례 연구 : 국내 한 대학병원을 중심으로

A Case Study of Implementation of Concurrent Drug Utilization Review System at a General Hospital

  • 최종수 (삼성서울병원 정보전략실, 숭실대학교 산업.정보시스템공학과) ;
  • 김동수 (숭실대학교 산업.정보시스템공학과)
  • Choi, Jong Soo (Department of IT Planning, Samsung Medical Center, Department of Industrial and Information Systems Engineering, Soongsil University) ;
  • Kim, Dongsoo (Department of Industrial and Information Systems Engineering, Soongsil University)
  • 투고 : 2012.08.25
  • 심사 : 2012.10.15
  • 발행 : 2013.02.15
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초록

Medical errors such as adverse drug event, improper transfusion, wrong-site surgery, mistaken patient identity and so on commonly occur at health care practice. Information technology, like Drug Utilization Review(DUR) system which reviews, analyzes, and interprets medication data when prescribing, can play a key role in reducing such medical errors and improving patient safety. Korean Government has guided all hospitals to implement concurrent DUR(cDUR) system, which is the first case worldwide in that all healthcare providers have to use cDUR system when prescribing. This paper introduced a case study that a tertiary hospital has integrated the cDUR system into its comprehensive Hospital Information System(HIS) and analyzed the whole prescription data during a week right after adoption of cDUR system. Considering technical strength and weakness, the cDUR system was integrated into the HIS, using Broker Servers for minimizing doctors' anxiety. As the quantitative analysis of the whole prescription data, DUR conflict events, which mainly included duplicate medications and contra-indicated drug interactions for outpatients, were 2.77%. Although only 0.7% is for the contra-indicated drug interactions, it will be greatly devoted to achieve the purpose of DUR such as improving patient safety.

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