• Title/Summary/Keyword: 전자의무기록 관리

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A Study on the Analysis and Methods to Improve the Medical Records Management in a Large University Hospital (대형 대학병원의 의무기록관리 현황분석 및 개선방안에 관한 연구)

  • Lee, Ju-Yeon;Kim, Yong;Kim, Geon
    • Journal of Korean Society of Archives and Records Management
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    • v.13 no.1
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    • pp.107-134
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    • 2013
  • Many hospitals introduce the electronic medical record systems (EMRS) to implement a digital type of hospital. However, there are various problems in managing and preserving medical records. Systems, such as OCS, PACS, and EMR, are independently operated without formal standards related to medical records management. To manage medical records effectively, distributed medical records including paperand electronic-type should be managed in an integrated manner. With its analysis of the current status in the management of medical records of J University Hospital, this study proposes methods to solve the problems extracted from the results of the analysis, and a management model for an integrated medical records management based on the process of records management of ISO 15489.

A Study on Current Status Analysis and Improvement Plans for Electronic Medical Records of Closed Medical Institutions (폐업 의료기관 전자의무기록 관리현황 및 개선방안 연구)

  • Choi, Kippeum;Kim, Hwi Eon;Jang, Ji Hye;Oh, Hyo-Jung
    • Journal of Korean Society of Archives and Records Management
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    • v.20 no.3
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    • pp.55-76
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    • 2020
  • Although most medical institutions in Korea use electronic medical records (EMR), there are many problems in the management and preservation of records when such medical institutions are closed. Records of closed medical institutions need to be systematically managed; however, the rate of closed medical institutions transferring records to public health centers is significantly low. Given that each medical institution has a different system and format, public health centers often cannot access records. In addition, there are no management standards that suit the reality of public health centers and the specificity of EMR. Recently, a strengthened Medical Law has been passed wherein records of closed medical institutions should be kept by health centers; therefore, this study focused on drawing up measures for efficient records management by public health centers. To this end, the relevant laws and management status were identified and an interview was conducted. After analyzing the problems, improvement plans in institutional, technical, and administrative aspects were proposed.

A Study on the Importance of the Assessment of Records Management Metadata Elements Related to the Electronic Medical Records Management System for Medical Records Managers (전자의무기록 관리시스템 관련 기록관리 메타데이터 요소들에 대한 의무기록 관리자의 중요도 평가 연구)

  • Lee, Eun-Mi;Kim, Myeong;Yim, Jin Hee
    • Journal of Korean Society of Archives and Records Management
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    • v.13 no.3
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    • pp.151-171
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    • 2013
  • To comprehend the importance and necessity of record management metadata standard implemented in an electronic medical records system, a survey was undertaken to 50 medical records managers in charge of 5 major hospitals in Seoul. Analysis of the survey results was performed by averaging the responses given by those who answered the survey. SPSS was utilized for statistical analysis. Managers of medical records placed importance on metadata that are related to security of records, such as "levels of security", "types of access to medical records", "levels of authorization granted to personnel", and "users accessing medical records". It shows that these managers need the functions of privacy protection in ERMS. Metadata on "external disclosure" had the lowest level but those surveyed with more than 7 years of experience placed greater importance in this area more those surveyed with less than 7 years of experience in a hospital. This shows that managers need the functions of external disclosure to meet the needs of third partiesfor medical research and medical education.

A Study on the Current Status and Tasks of Medical Records Management: Focused on Applying the KS X ISO 15489 to the Y Hospital (의무기록관리의 현황과 개선방안: KS X ISO 15489표준의 Y병원 적용 중심으로)

  • Lee, Eun-Mi;Kim, Myeong;Hee, Jin
    • Journal of the Korean Society for information Management
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    • v.29 no.3
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    • pp.257-285
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    • 2012
  • As the electronic medical records systems (EMRs) are introduced into the hospitals in Korea and the needs of chief stakehoders of medical records are changed, the environments related to creating and managing medical records has been changed dynamically. At this moment it might be meaningful to examine medical records based on records management principles rather than information management principles. The purpose of this paper is to apply the KS X ISO 1549 standards, which covers the principles of records management, to hospital medical records management and assess the current quality of medical records management, and define a few tasks of improvement for hospitals. To achieve this goal, this study has performed following activities: Firstly, principles that could be applied to medical records management were prepared for each record management steps described in the standards, such as capture, registration, classification, storage, access, trace and disposition, and 22 principles were selected from those 7 steps of the record management. Secondly, the Y hospital, which is affiliated with a medical school in Seoul, was chosen to evaluate the current situation regarding medical records management. The department head of the medical records management team in Y hospital was interviewed and the present status was evaluated according to each principle. Thirdly, tasks for improvement were suggested, in such stages as access, trace and disposition. With this study as a cornerstone, useful implications are expected to be gathered from future studies that apply standards for metadata of records, management systems for records, and record management systems to medical record management in hospitals.

Study on the Factors Affecting the Intention to Share Electronic Medical Records (전자의무기록 공유 의도에 영향을 미치는 요인 연구)

  • Young Eun Kim;Jee Yeon Lee
    • Journal of the Korean Society for information Management
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    • v.41 no.1
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    • pp.283-311
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    • 2024
  • This study examined the factors affecting the intention of the public to share electronic medical records(EMR) based on the theory of reasoned action and the privacy calculus model. It also investigated whether the purpose of EMR sharing varies depending on personal characteristics, such as the degree of interest in health and personal medical history. According to an online survey of 145 people, altruistic enjoyment, awareness of personal information protection, recognition of legal and institutional roles, and interest in health had a positive impact on the level of EMR sharing, and trust in hospitals positively adjusted the relationship between recognition of legal and institutional roles and sharing intentions. Accordingly, we confirmed that the public recognized the role of the government and hospitals in the sharing process as necessary. The public interest benefits of sharing are critical to activating public participation in the sharing of EMR, and it is also essential to prepare guidelines that legally guarantee the security and proper use of EMR.

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.

Development of Electronic Medical Chart for Radiation Oncology (방사선종양학과에서의 전자의무기록 활용)

  • Cho, Sam-Ju;Shim, Su-Jung;Lee, Suk;Lee, Sang-Hoon;Cho, Kwang-Hwan;Huh, Hyun-Do;Lim, Sang-Wook;Choi, Jin-Ho;Choi, Jun-Young;Yun, Hyong-Geun;Shin, Dong-Oh
    • Progress in Medical Physics
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    • v.20 no.3
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    • pp.167-173
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    • 2009
  • As the radiotherapy technique development, the needs for using of medical electronic chart in the department of radiation oncology is growing. However, the complexity of affairs of radiation oncology make it difficult to develop a electronic medical chart. In this study, we introduce the electronic medical chart developed by domestic hospital. The function and example of electronic medical chart designed as radiation treatment progress was showed and the future study was presented.

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Development of Electronic Medical Record System Using XML (XML을 이용한 전자의무기록시스템 개발)

  • Kang, Byeong-Do;Jung, Suk-Ho
    • The KIPS Transactions:PartD
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    • v.9D no.6
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    • pp.1127-1136
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    • 2002
  • In the medical field. the desire of the hospital information system based on the advanced computer technology has been increased because hospital staffs wanted to provide better medical services to their patients by using it. So, the electronic medical records have emerged to share and exchange medical and healthcare information stored in database. In this paper. we developed an electronic medical record system using XML. This system includes four modules : data repository. document structure manager, document writter and XML automatic generator. For the purpose of evaluating the usability of the electronic medical records of our system, we also applied it to out-patient medical records in the department of orthopedic surgery.

Integration of Student Health Record and Electronic Medical Record (학생건강기록부와 전자의무기록부의 통합)

  • 김창용;이복근;배재학
    • Proceedings of the Korean Information Science Society Conference
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    • 2001.10b
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    • pp.562-564
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    • 2001
  • 본 논문에서는 초.중등하교 종합정보관리시스템을 국가인적자원관리시스템으로 활용할 수 있다고 보고 전 국민의 건강정보관리에 이용할 방안을 모색하였다. 이를 위해 종합정보관리시스템의 학생건강기록부와 의사가 기록하는 전자의무기록부의 통합DB화를 강구하였다. 그 결과, 학교와 병원에서 공통으로 관리해야 할 건강정보들을 파악하였고, 수요자에게는 어떤 정보를 제공하여야 하는지가 밝혀졌다.

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Development of Guideline on Electronic Signatures for Electronic Medical Record (전자의무기록에 대한 공인전자서명 적용 지침 개발)

  • Park Jeong-Seon;Shin Yong-Won
    • The Journal of the Korea Contents Association
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    • v.5 no.6
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    • pp.120-128
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    • 2005
  • One of the most secure ways of maintaining the confidentiality and integrity of electronic information is to use electronic signatures. So, in this paper, we developed guideline on electronic signatures for EMR(electronic medical record) based on the Medical Law and the Electronic Signature Act. This guideline is intended to introduce EMR easily in the medical field and to facilitate the promotion of EMR. We developed it through consulting from the advisory committee that was made up of experts in the fields of medical record, EMR system and electronic signatures. The contents of the guideline consist of subject and time stamp of electronic signatures, validity of a certificate, management of electronic signatures and custody and management of EMR. In the future, we will develop practical cases and promote educations and publicities of them to use in the medical institutes and EMR system related industries.

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