한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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효과적인 간호간병통합서비스를 위한 실시간 웹시스템 개발

Real-time Web System Development for Effective Nursing & Care Integration Services

  • 김예림 (순천향대학교 의료IT공학과) ;
  • 권춘기 (순천향대학교 의료IT공학과) ;
  • 공용해 (순천향대학교 의료IT공학과)
  • Kim, Ye-Lim (Department of Medical IT Engineering, Soonchunhyang University) ;
  • Kwon, Chun-Ki (Department of Medical IT Engineering, Soonchunhyang University) ;
  • Kong, Yong-Hae (Department of Medical IT Engineering, Soonchunhyang University)
  • 투고 : 2016.10.14
  • 심사 : 2016.12.08
  • 발행 : 2016.12.31
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초록

병동에서 발생하는 처방, 픽업, 액팅 정보는 데이터베이스에 저장되고 조회되어 관련 부서에 전달된다. 그러나 처방, 픽업, 액팅은 많은 부서가 매우 자주 확인하는 정보이므로 빈번한 조회로 인해 병원정보시스템에 큰 부하를 유발한다. 특히 간호와 간병 업무가 통합되면 실시간으로 전달해야 하는 픽업과 액팅 업무도 함께 증가하는데 이로 인하여 데이터베이스 조회와 정보전송량 또한 증가하게 된다. 우리는 이러한 비효율 문제를 효과적으로 해결하기 위하여 데이터베이스 조회를 배제하고 실시간 웹 방식으로 픽업 및 액팅 정보를 전송하는 간호간병통합정보시스템 개발을 목표로 하였다. 아울러 간호간병통합서비스 도입으로 증가하는 업무와 함께 책임도 커지므로 병동의 모든 환자에 대한 액팅 상황을 모든 근무자가 실시간으로 점검할 수 있는 병동액팅현황판을 제공하여 서비스의 질을 향상시키고자 하였다. 이를 위해 픽업 및 액팅 업무 분석을 중심으로 데이터베이스를 설계하고, 픽업과 액팅 발생 즉시 정보 전달이 가능하도록 실시간 웹 기술을 정보시스템에 적용하였다. 기존 데이터베이스 조회 방법과 개발한 시스템의 소요 시간과 정보 전송량을 측정한 결과, 기존 방식 보다 시간과 전송량을 크게 줄일 수 있었다.

Prescription, pickup, and acting information from the ward are stored in a hospital database, and can be accessed and retrieved by the relevant departments. Frequent inquiries from many departments can cause a great load on the hospital information system. When the nursing and care services are integrated, the real-time pickup and acting tasks are also increased, which may lead to an increase in database inquiries, thereby increasing the amount of information being transferred. To effectively solve this inefficiency problem, we aimed to develop a nursing and care integrated information system that excludes database inquiries and incorporate a method that transmits pickup and acting information in real-time. Because the new system increases the workload and responsibility, we developed a ward acting dashboard so that every ward employee can determine all the acting situations of patients in real-time to improve the quality of services. We designed a database by concentrating on the pickup and acting business procedures, and applied real-time web techniques to enable pickup and acting information to be delivered instantly. Through our implementation, we were able to reduce the inquiry time and transmission amount significantly compared with the existing method.

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