• Title/Summary/Keyword: 병원 환자 관리시스템

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초고속 통신망을 이용한 원격진료시스템

  • 박경수;조동호
    • Information and Communications Magazine
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    • v.12 no.9
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    • pp.124-132
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    • 1995
  • 의료분야에서의 통신망 이용은 의료분야 전산화의 진전과 함께 계속 증가하고 있으며, 이의 일환으로 외국에서는 의료용 화상정보 표현, 전송 및 검색을 위한 표준 프로토콜인 DICOM을 이용한 PACS를 개발, 시험 또는 상용화 하고 있는 상황이다. 한편 국내에서는 이러한 PACS 시스템의 도입이 미미한 실정으로, 삼성의료원을 비롯한 몇몇 대형 의료기관에서 PACS의 일부를 도입, 운영하고 있으며, 보험청구 및 환자정보 관리를 중심으로 한 의료분야 전산화가 꾸준히 이루어지면서 많은 병원에서도 PACS 시스템의 도입 및 원격 진료 서비스 제공에 많은 관심을 가지고 있는 상황이다. 또한 이러한 의료용 화상정보 뿐만 아니라 일반적인 문자기반 의료정보의 표현, 전송 및 검색을 위한 표준 프로토콜인 HL7(health level 7)을 이용하여 의료보험 등과 같이 직접적인 의료행위 이외의 기타 부가정보를 의료기관 사이 또는 의료기관과 비의료기관 사이에서 공유하고 있다. 이러한 의료분야에서의 통신망 이용기술과 함께, 현재 고속 통신망에서 많이 개발되어지고 있는 화상회의 시스템의 발전에 기인하여 원격 진료 서비스에 관한 연구가 활발히 이루어지고 있는데, 이는 원거리에 위치한 의료기관간에 표준 프로토콜을 이용한 의료용 화상 또는 문자정보 공유가 가능해지고, 고속 통신망을 이용한 화상회의 및 긴급성을 가진 대용량 화상정보의 실시간 전송이 가능한 점에 기인한다. 본 고에서는 이러한 원격 진료 시스템의 발전 배경 및 전반적 시스템의 구조와 특성을 고찰하고, 국내외의 원격 진료 시스템 활용 현황에 관하여 기술한다.

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Design and Implementation of IoT based Urination Management System (사물인터넷 기반의 배뇨관리 시스템 설계 및 구현)

  • Lee, Hak-Jai;Lee, Kyung-Hoon;Kim, Young-Min
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.209-218
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    • 2017
  • Healthcare services can be provided through a number of independent service platforms for measurement of vital signs, diagnosis and prevention of diseases, and Information and communication technology(ICT) such as internet and mobile are converged to provide health information to users at anytime and anywhere, and it is in the center of the IoT(Internet of things). Accordingly, in this paper, we designed IoT based urination management system and evaluate the performance. A low - power Zigbee network was constructed for the configuration of the urination management system. The implemented capacitive diaper sensor was operable for the duration of 2,000 hours. We also built a database server using Raspberry Pi, a tiny embedded device, and stored the collected data to verify the data through an Android-based mobile application. The proposed urination management system can be utilized not only for the older patients, but also for the infants.

A Design and Implementation of MINI-PACS Employing the DICOM Converter on Web Environment (웹 상에서 DICOM 변환기를 이용한 MINI-PACS 설계 및 구현)

  • Ji, Youn-Sang;Rhee, Kang-Hyeon;Chung, Il-Yong;Lee, Sung-Joo
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.38 no.4
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    • pp.39-49
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    • 2001
  • Application of information system to hospital would bring innovative improvement on efficiency of business management and provide high quality services toward patients as well as the retrenchment of operating funds. PACS(Picture Archiving and Communication System) including X-ray film that manages the medical image information effectively, has drawn considerable attention to essential structural elements to the sophisticated information system for hospital. PACS system should be connected to the network after making a form of standard medical image file from different style of image information obtained from various medical instruments. In this paper, to solve this problem, we construct Mini-PACS that converts the form of Non-DICOM file to the form of standard file by designing the DICOM converter. This system is designed to be managed under Web environment. Comparing with the existed Mini-PACSs, consisting of the client and server module, our system is designed and implemented with integration of these functions in order to be strongly combine strongly between system.

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An Analysis of Epidemiological Investigation Reports Regarding to Pathogenic E. coli Outbreaks in Korea from 2009 to 2010 (최근 2년간(2009-2010) 우리나라 병원성 대장균 식중독 역학조사 보고서 분석)

  • Lee, Jong-Kyung;Park, In-Hee;Yoon, Kisun;Kim, Hyun Jung;Cho, Joon-Il;Lee, Soon-Ho;Hwang, In-Gyun
    • Journal of Food Hygiene and Safety
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    • v.27 no.4
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    • pp.366-374
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    • 2012
  • Recently pathogenic E. coli is one of the main foodborne pathogens resulting in many patients in Korea. To understand the characteristics of pathogenic E. coli outbreaks in Korea, the epidemiological investigation reports of pathogenic E. coli outbreak in 2009 (41 reports) and in 2010 (27 reports) were collected in the web site of the Korea Centers for Disease Control and Prevention, reviewed and analysed in this study. The main places of the pathogenic E. coli outbreaks were food catering service area (64.8%) and restaurants (25.0%). The main type of the pathogens were EPEC (44.7%) and ETEC (34.2%). EAEC and EHEC was responsible for 10.5 and 9.2%, respectively. Eight of 68 outbreak cases were caused by more than 2 types of pathogenic E. coli which implicates the complicated contamination pathways of pathogenic E. coli. The incidence rate of pathogenic E. coli was $33.6{\pm}30.5%$ and the main symptoms were diarrhea, stomach ache, nausea, vomiting, and fever etc. The two identified food sources were identified as frozen hamburger pattie and squid-vegetable mixture. To improve the food source identification by epidemiological investigation, food poisoning notification to the agency should not be delayed, whole food items attributed the outbreak should be collected and detection method of the various pathogenic E. coli in food has to be improved. In conclusion, the characteristics between the EHEC outbreaks in the western countries and the EPEC or ETEC outbreaks in Korea needs to be distinguished to prepare food safety management plan. In addition, the development of the trace back system to find the contamination pathway with the improved detection method in food and systemic and cooperative support by the related agencies are necessary.

Design and Implementation of Web-Based MINI-PACS using the DICOM (DICOM을 이용한 웹 기반 MINI-PACS 설계 및 구현)

  • 지연상;이성주
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.4 no.5
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    • pp.1095-1104
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    • 2000
  • In recent years, medical procedures have become more complex, while financial pressures for shortened hospital stays and increased efficiency in patient care have increased. As a result, several shortcomings of present film-based systems for managing medical images have become apparent. Maintaining film space is labor intensive and consumes valuable space. Because only single copies of radiological examinations exist, they are prone to being lost or misplaced, thereby consuming additional valuable time and expense. In this paper, mini-PACS for image archiving, transmission, and viewing offers a solution to these problems. Proposed mini-PACS consists of mainly four parts such as web module, client-server module, internal module, acquisition module. In addition, mini-PACS system includes DICOM converter that non-DICOM file format converts standard file format. In client-server module case, proposed system is combined both SCU (service class user: client) part and SCP(service class provider: sewer)part therefore this system provides the high resolution image processing techniques based on windows platform. Because general PACS system is too expensive for medium and small hospitals to install and operate the full-PACS. Also, we constructed web module for database connection through the WWW.

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Hospital Room Environment Monitoring System based on Wireless Communication (무선통신에 기반한 병실 환경 모니터링 시스템)

  • Lee, Seung-Chul;Kim, Nam-Ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.10a
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    • pp.28-30
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    • 2022
  • Recently, the number of confirmed cases has increased again with the new variant of COVID-19. Quarantine is recommended, especially to prevent the rapidly increasing spread, as environmental controls, such as minimizing contact with others, can increase safety. In addition, there are often cases in which the patient's condition cannot be confirmed from the standpoint of a guardian, such as visitation being prohibited under certain conditions. At this time, the sensor data values of oxygen, carbon dioxide concentrations, temperature and humidity, and alcohol, which are medical gases used in hospitals, are collected remotely using ZigBee wireless communication technology. Design a system that can be stored and monitored in a database. We propose an environmental monitoring system, which is a visualization system designed to allow hospitals to check and feedback data on the managed environment, and to give reliability to parents.

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A study on the standardization for outpatient management and adminstration process of some regional hospitals (일부지역 의료기관의 외래원무관리 표준화에 관한 연구)

  • Kim, Jin-A;Lee, Moo-Sik;Hwang, Hye-Jung;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.357-366
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    • 2016
  • This study evaluated the standardization of the outpatient management process in several regions of South Korea. The hospital workers in the administration department of the different medical institutions that are registered with the Korean Hospital Association were surveyed. These institutions can be standard hospitals or hospitals greater in size. A summary of the research results are as follows. There was no significant correlation in their registration procedures in relation to the institution's founder, number of sickbeds, number of staff employed in the administration department, and average number of outpatients per day. On the other hand, the prepayment of medical fees occurred more frequently when the number of sickbeds was larger. In addition, there was no large difference in their appointment procedures in relation to those features. Nevertheless, the prepayment of medical fees accounted for 11.8 % of the entire payment in institutions with less than five hundred beds, while fifty percent of the payment was made in advance in larger institutions with five hundred or more beds. From this research, there was only a small difference among the institutions' outpatient management, but a notable difference was observed in their electronic data processing systems and facilities. Therefore, more financial support should be generated for the implementation of a more integrated process. As a follow-up study, to provide patients with quality medical services, it will be necessary to apply the standardized procedure to an actual medical institution and analyze the expected effect.

An Analysis of Physicians' Online Information Search Process at the Point of Care (의사의 임상질문 해결을 위한 온라인 정보검색과정 연구)

  • Kim, Soon;Chung, EunKyung
    • Journal of the Korean Society for information Management
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    • v.33 no.3
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    • pp.177-193
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    • 2016
  • This study aims to analyze physicians' online information search process to solve the clinical questions at the point of care. To achieve this purpose, ten university hospital-based physicians participated in-depth interviews and observation studies. Based on Wilson's problem solving process, this study analyzed the characteristics of each information search stage and efficiency of online searching. The results showed that participants tend to relatively immediately formulate their clinical questions. However, basic searching strategies were only used and a few preferred information sources were chosen. However, average satisfaction degree of online searching appeared high with 5.7 (7 Likert-scale) and problem-solving index increased after searching. As physicians are likely to use well organized and evidenced-based credible information easily, it implies the needs for an integrated search system within the electronic medical record (EMR). In addition, as other online resources' awareness is lower comparing Google and PubMed, active promotions and training of other resources are needed.

Performance Evaluation of Transmitting Brainwave Signals in Ad-Hoc Network at Medical Center (의료센터의 애드혹망에서 뇌파전송 성능평가)

  • Jo, Jun-Mo
    • The Journal of the Korea Contents Association
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    • v.10 no.12
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    • pp.216-222
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    • 2010
  • To improve the quality of life, wireless ad-hoc network technologies are considered as one of the key research areas in computer science and healthcare application industries. The ubiquitous healthcare systems also provide alerting mechanisms against ill conditions in real time. This minimizes the need for care-givers and helps the chronically ill and elderly to survive. For the application of the system, supporting the efficient and proper network system is essential. So in this paper, I suggest some hospital network environments including patient mobile nodes continuously sending brainwaves to the server of the hospital area. Finally, the network systems are simulated by OPnet simulator and evaluate the performance among various mobility of the mobile nodes and topologies of the network for the efficient system.

A Convergence study on the effects of satisfaction of nurses using the Electronic Medical Record system on job stress (전자의무기록시스템을 이용하는 간호사의 만족도가 직무스트레스에 미치는 영향에 관한 융합연구)

  • Ha, Yun-Ju
    • Journal of the Korea Convergence Society
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    • v.8 no.5
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    • pp.69-78
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    • 2017
  • This is a convergence study to provide an effective way of managing nurses' job stress by improving nurse satisfaction through an integrated identification of the effect satisfaction level on job stress for nurses using an electronic medical record(EMR) system. The data were collected from August 1 to September 1, 2014. The participants were 377 nurses from C university hospital of G metropolitan city were analyzed using SPSS 21.0. The result shows that job stress decreases as nurses' satisfaction level of using the EMR system increases. Thus, a practical job stress mediation program should be developed to continuously enhance nurses' satisfaction with the EMR system, which is expected to shorten the nursing record writing time and improve the quality of nursing service for patients. Furthermore, to improve the satisfaction with the EMR, appropriate management, such as continuous nursing education on the EMR system, will be needed.