• Title/Summary/Keyword: 임상의사결정

Search Result 240, Processing Time 0.03 seconds

Prediction of complex disease using Decision Rules (의사결정규칙을 이용한 복합 질환의 예측)

  • Kim, Myoung-Ki;Kim, Seung-Hyun;Wee, Kyu-Bum
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2007.05a
    • /
    • pp.593-596
    • /
    • 2007
  • 복합 질환과 관련된 임상데이터에 대한 예측 모델을 회귀분석, 신경망, 또는 MDR과 같은 방법을 이용하여 분석할 경우 데이터의 차원 문제(Dimensionality Problem)가 발생할 수 있다. 엔트로피(Entropy)를 이용한 의사결정규칙 방법은 이러한 데이터의 차원 문제를 줄이고 의사결정규칙의 결과를 바로 해석할 수 있다는 점에서 질환 예측 모델을 만드는데 유용하다. 본 논문에서는 천식과 관련된 임상데이터를 사용하여 예측 모델을 구성하고 결과를 분석한다.

  • PDF

The Factors Affecting Self-Confidence in Performing Patient Safety Management Nursing students (간호대학생의 환자안전관리 수행자신감에 미치는 영향요인)

  • Im, Jin Sil;Lee, Jin Hee
    • Journal of the Korean Applied Science and Technology
    • /
    • v.38 no.1
    • /
    • pp.88-98
    • /
    • 2021
  • This study was conducted to identify the factors affecting the self-confidence in performing patient safety management in nursing students. As a result of the analysis, 7.0 points in knowledge of patient safety management, 3.86 points in attitude of patient safety management, 3.47 points in clinical decision making ability, and 4.15 points in self-confidence in performing patient safety management. Self-confidence in performing patient safety management was positively correlated with knowledge of patient safety management(r=.216, p<.01) and attitude of patient safety management(r=.375, p<.01), clinical decision making ability(r=.467, p<.01). The self-confidence in performing patient safety management was influenced by clinical decision making ability(β=.409, p<.001) and attitude of patient safety management(β=.198, p=.011), explanatory power was 26.3%.

A Study on Participation in Clinical Decision Making by Home Healthcare Nurses (가정전문간호사의 임상적 의사결정 참여도에 관한 연구)

  • Kim, Se-Young
    • Journal of Korean Academy of Nursing
    • /
    • v.40 no.6
    • /
    • pp.892-902
    • /
    • 2010
  • Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.

High Level Semantic Tagging in Clinical Documents Using a HMM Model (HMM 모델을 이용한 의료 문서 대상 고차원 개념 태깅)

  • Jang Hye-Ju;Song Sa-Kwang;Myaeng Sung-Hyon
    • Proceedings of the Korean Information Science Society Conference
    • /
    • 2006.06b
    • /
    • pp.19-21
    • /
    • 2006
  • 본 논문에서는 의료임상 문서의 구절(phrase)를 대상으로 고차원 개념의 정보를 태깅하는 시맨틱 태깅 시스템을 제안하고 있다. 시스템은 의사들이 기록한 임상 기록으로부터 정보를 추출한다. 태깅은 UMLS와 POS, 약어 태깅이 된 문서를 대상으로 HMM 모델에 의거하여 이루어지게 된다. 태깅된 결과는 의료 상에서의 경험적 지식을 추출하는데 이용되어 의사들의 의사 결정을 지원하게 된다.

  • PDF

Convergence Factors Influencing Clinical Reasoning Competency of Nursing Students (간호대학생의 임상적 추론 역량에 미치는 융합적 영향요인)

  • Hahn, Suk-Won;Chun, Yeoleo
    • Journal of the Korea Convergence Society
    • /
    • v.11 no.10
    • /
    • pp.181-186
    • /
    • 2020
  • In this study, an attempt was made to investigate the clinical reasoning of nursing students and to identify the factors that influence it. This study was held to grasp the learning ability related to core nursing competency for 297 3rd and 4rd grade nursing students. Results indicated that there was a significant difference when comparing clinical competence by grade(p=0.001). Also variables effecting clinical reasoning competence were Problem solving ability, Clinical Decision making ability, Clinical practice performance, and grade of nursing students were found to be significant (p,.001). Outcome of this study can be used as the basis for the development of various curriculums to enhance the clinical reasoning competence, in the future, research for this education development is expected to be needed.

Method of Document Retrieval Using Word Embeddings and Disease-Centered Document Clusters (단어 의미 표현과 질병 중심 의학 문서 클러스터 기반 의학 문서 검색 기법)

  • Jo, Seung-Hyeon;Lee, Kyung-Soon
    • 한국어정보학회:학술대회논문집
    • /
    • 2016.10a
    • /
    • pp.51-55
    • /
    • 2016
  • 본 논문에서는 임상 의사 결정 지원을 위한 UMLS와 위키피디아를 이용하여 지식 정보를 추출하고 질병중심 문서 클러스터와 단어 의미 표현을 이용하여 질의 확장 및 문서를 재순위화하는 방법을 제안한다. 질의로는 해당 환자가 겪고 있는 증상들이 주어진다. UMLS와 위키피디아를 사용하여 병명과 병과 관련된 증상, 검사 방법, 치료 방법 정보를 추출하고 의학 인과 관계를 구축한다. 또한, 위키피디아에 나타나는 의학 용어들에 대하여 단어의 효율적인 의미 추정 기법을 이용하여 질병 어휘의 의미 표현 벡터를 구축하고 임상 인과 관계를 이용하여 질병 중심 문서 클러스터를 구축한다. 추출한 의학 정보를 이용하여 질의와 관련된 병명을 추출한다. 이후 질의와 관련된 병명과 단어 의미 표현을 이용하여 확장 질의를 선택한다. 또한, 질병 중심 문서 클러스터를 이용하여 문서 재순위화를 진행한다. 제안 방법의 유효성을 검증하기 위해 TREC Clinical Decision Support(CDS) 2014, 2015 테스트 컬렉션에 대해 비교 평가한다.

  • PDF

Determine Optimal Timing for Out-Licensing of New Drugs in the Aspect of Biotech (신약의 기술이전 최적시기 결정 문제 - 바이오텍의 측면에서)

  • Na, Byungsoo;Kim, Jaeyoung
    • Knowledge Management Research
    • /
    • v.21 no.3
    • /
    • pp.105-121
    • /
    • 2020
  • With regard to the development of new drugs, what is most important for a Korean Biotech, where no global sales network has been established, is decision-making related to out-licensing of new drugs. The probability of success for each clinical phase is different, and the licensing amount and its royalty vary depending on which clinical phase the licensing contract is made. Due to the nature of such a licensing contract and Biotech's weak financial status, it is a very important decision-making issue for a Biotech to determine when to license out to a Big Pharma. This study defined a model called 'optimal timing for out-licensing of new drugs' and the results were derived from the decision tree analysis. As a case study, we applied to a Biotech in Korea, which is conducting FDA global clinical trials for a first-in-class new drug. Assuming that the market size and expected market penetration rate of the target disease are known, it has been shown that out-licensing after phase 1 or phase 2 of clinical trials is a best alternative that maximizes Biotech's profits. This study can provide a conceptual framework for the use of management science methodologies in pharmaceutical fields, thus laying the foundation for knowledge and research on out-licensing of new drugs.

Factors Influencing Confidence in Patient Safety Management in Nursing Students (간호대학생의 환자안전관리 수행자신감에 영향을 미치는 요인)

  • Jeong, Hyun-Sook;Kong, Jeong-Hyeon;Jeon, Mi-Yang
    • Journal of the Korea Convergence Society
    • /
    • v.8 no.6
    • /
    • pp.121-130
    • /
    • 2017
  • The purposed of this study was to identify the factors that affect Confidence in Performance Patient Safety Management targeted nursing students. The study subjects were 228 nursing students. The nursing students experienced patientl safety accidents in the fall (50.0%), needle puncture (18.5%), Patient identification error (12.0%), injection medication error (7.5%) and oral medication errors (4.3%). In the logistic regression analysis, Attitude of Patient Safety Management(t=6.09, p<.001), Clinical Decision Making(t=3.97, p<.001) and gender(t=2.56, p=.011) were significant factors related to Confidence of Performance Patient Safety Management. Based on the results of this study, we propose to develop a convergence education program that considers patient safety management attitude, clinical decision making ability, and gender in order to improve confidence of performance patient safety management of nursing students.