• Title/Summary/Keyword: 표준병원

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A Study of Awareness of CDC Dental Infection Control Guidelines (CDC 치과감염관리 표준예방지침 인식에 관한 연구)

  • Hye-Young Oh
    • Journal of Korean Dental Hygiene Science
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    • v.6 no.1
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    • pp.27-36
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    • 2023
  • Background: The purpose of the study was to investigate the level of infection control and prevention awareness among dental practitioners in Korea based on the infection control and prevention guidelines of the Centers for Disease Control and Prevention (CDC) in the United States. Methods: A survey was created on 'Standard and Education on CDC Infection Control Standards', 'Matters related to CDC Infection Control Prevention', and 'Characteristics of Research Subjects and Infection Control Characteristics' based on the CDC Dental Infection Control List.' A total of 222 surveys were conducted and used for frequency and cross-tabulation analyses. Results: Most research participants worked at university or general hospitals, and 93.7% had received infection prevention education within the past year. The average awareness of the CDC dental infection control standards and education was 77.2 %, which was higher than previous research results. Preventive awareness was 71.5% on average, and there was a statistically significant difference in preventive awareness between the certified and non-certified evaluation groups (p<0.001). Conclusion: The participants of this study showed a higher awareness of infection control standards, education, and prevention than those in previous studies. However, this was insufficient compared with the CDC dental infection control standard prevention guidelines. Therefore, government agencies and related organizations must establish systematic infection control systems.

핵의학 DICOM 영상 Data 분석

  • Kim, Sae-Rom;Jeong, Hae-Jo;Seong, Min-Mo;Choe, Seung-Uk;Jang, Bong-Mun;Yang, Geon-Ho;Kim, Hui-Jung
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2004.11a
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    • pp.108-112
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    • 2004
  • 현재 많은 병원의 핵의학과에서 핵의학 장비를 이용하여 많은 수의 핵의학영상을 생성하고 있다. 생성된 핵의학영상은 환자의 질병을 진단 또는 치료하기 위해 기능적 정보를 많이 포함하고 있다. 하지만 이렇게 중요한 기능적 정보가 현재의 PACS 에서는 그 중요한 기능적 정보를 모두 표현하지 못 하는 문제점이 있다. DICOM 에서는 핵의학 영상 및 데이터에 대하여 표준을 정해놓고 그 표준을 따르도록 규정하고 있다. 이러한 DICOM 3.0 표준에서 핵의학 영상 및 데이터에 대하여 표준을 정해놓은 일은 비교적 최근의 일이어서 많은 수의 핵의학 영상 장비나 PACS에서는 핵의학영상에 대한 특징이 반영되지 않고 있는 실정이다. 이에 핵의학 영상의 호환성을 향상과 PACS와 핵의학 장비간의 호환성을 향상시키기 위하여 DICOM 3.0 Part 3에 정의된 IOD 중 꼭 필요하다고 생각되는 최소한의 Tag들을 선별하여 Guideline을 작성하여 DICOM 영상을 Guideline의 내용을 토대로 분석하였고 핵의학 영상이 PACS에서 제대로 활용되지 못 하는 원인을 분석 하였다.

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A Design on HL7-based Diagnosis Support System for Home Healthcare Medical device Biometric Data And Medical Information (홈 헬스케어 의료기기 생체 데이터와 의료 정보의 활용을 위한 HL7 기반 진단지원 시스템 설계)

  • Heo, Sung-uk;Kang, Sung-in;Kim, Gwan-hyung;Choi, Sung-wook;Kim, Jong-Pan;Oh, Am-Suk
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2013.05a
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    • pp.947-949
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    • 2013
  • 개인 휴대단말기로부터 측정된 생체정보 데이터가 PHR에 데이터베이스화되기 위해서는 응용 계층 표준 프로토콜인 HL7 CDA 표준에 따라야 한다. 하지만 국제 표준 HL7 CDA는 병원 시스템 간 의료정보 전달을 위한 프로토콜이기 때문에 개인 건강 기기로부터 측정된 생체 정보가 IEEE 11073 PHD 표준에 준하여 전달하더라도 HL7 CDA 프로토콜과 연동될 수 없다. 즉, 모바일 단말기 기반의 u-헬스케어 모니터링 서비스를 위해서는 IEEE 11073 PHD와 HL7 CDA 간 메시지 변환 게이트웨이가 필요하다. 이에 본 논문에서는 개인 휴대단말기를 통해 원격지에 있는 의료진이 사용자의 생체데이터를 실시간 관리하기 위해 ISO/IEEE 11073과 HL7 CDA 간 메시지 변환 게이트웨이 및 HL7 기반 진단지원시스템을 설계하였다.

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Impact of Limb Lead for Generating the Standard 12-Lead ECG: Performance Evaluation (표준 12 유도 심전도 생성을 위한 활용 리드의 영향 분석)

  • UiJong Kim;Dong-Hyuk Seo;Sang-Wook Kim
    • Proceedings of the Korea Information Processing Society Conference
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    • 2024.05a
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    • pp.683-686
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    • 2024
  • 의학계에서 심혈관 질환을 정확하게 진단하는 것이 중요해지면서 이를 진단하는 가장 대표적인 방법인 심전도 검사 또한 꾸준한 관심을 받아왔다. 이와 함께, 최근 웨어러블 기기의 발전으로 인해 병원에서 전극을 부착하지 않고 간편하게 심전도를 측정할 수 있게 되었다. 하지만, 이러한 기기들은 단일 사지 유도만을 측정할 수 있다는 한계가 명확하게 존재하여, 심혈관 질환의 정확한 진단이 어렵다. 이러한 배경 속에서, 단일 사지 유도(특히, Lead I 혹은 Lead II)를 활용해 표준 12 유도 심전도를 생성하는 연구들이 활발하게 진행되고 있다. 그러나 웨어러블 기기에서 측정이 가능한 단일 유도 중 어떠한 리드를 활용하는 것이 유리한가에 관한 연구는 매우 미흡하다. 본 논문은 두 가지의 실제 데이터셋과 세 가지의 심전도 생성 기법에 대한 실험을 통해 각기 다른 사지 유도를 활용하여 표준 12 유도 심전도를 생성하였을 때의 정확도를 비교한다. 실험 결과, Lead II 를 활용하였을 때가 다른 사지 유도를 활용하였을 때 보다 훨씬 정확한 표준 12유도 심전도를 생성할 수 있음을 보여준다.

Effects of Empowerment and Regarding Standard Precautions for Healthcare associated Infection Control in Healthcare Workers on Performances (의료종사자의 임파워먼트와 의료관련감염 관리 표준주의지침 인지도가 수행도에 미치는 요인)

  • Jung, Mi-Ra
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.243-250
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    • 2018
  • The purpose of this study was to examine relationships among empowerment, awareness and performance on standard precautions and identify the factors that affect performance of standard precaution in the health care workers. The data were collected from 200 health care workers working in the general hospital located Y city. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe, Pearson's correlation coefficient, and stepwise multiple regression. The result of the stepwise multiple regression indicates the awareness predict 49.0% (F=191.98, P<.001) in the performance of standard precaution. Therefore, it is necessary to develop awareness of the standard precaution strategy program for improving the performance of standard precautions in health care workers.

The Effects of Service-Orientation Perceived by Customers(Patients) of Small & Medium-Sized Hospitals on Relationship Commitment and Prosocial Behavior (중소병원 고객(환자)이 지각하는 서비스 지향성이 관계결속과 친사회적 행동에 미치는 영향)

  • Ji, Hee-Jin
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.61-67
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    • 2017
  • The objective of this study is to understand the effects of service-orientation perceived by customers(patients) on relationship commitment and prosocial behavior, in order to suggest the direction necessary to establish the management strategies of small & medium-sized hospitals. The elements of service-orientation were composed of customer treatment, service failure recovery, and service standard suitable for the characteristics of small & medium-sized hospitals. In order to verify if the effects of three sub-factors of service-orientation on relationship commitment would cause prosocial behavior, the path analysis through AMOS was conducted. In the results of study, all the sub-factors of service orientation showed significant results, and also the relationship commitment and prosocial behavior showed significant effects. Based on such results, the implications and future research were suggested.

A Study on Drug awareness information, Usage and Misusage on Elderly Inpatients of Veterans Hospital (보훈병원입원노인환자의 약물정보인식, 약물사용 및 오용실태에 관한 연구)

  • Heo, Young Hi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4326-4334
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    • 2013
  • This study is descriptive research, attempts to determine the status of elderly inpatients of veterans hospital' of drug awareness information, drug use status and drug Misusage. The subjects were 220 patients of aged 65 and over only five metropolitan areas nationwide in drug use in the Veterans Hospital, national merit, the study is from May to June. SPSS Win 18.0 program was used as the data analysis and a statistical statement by mean, standard deviation, t-test and ANOVA, and multiple regression analysis. As a results, there was showed a statistically significant level 'age', 'type of marriage', 'education', 'triage', 'health status' as the general characteristics of the subjects. It showed the 'age' of the variables that influence recognition in the area of drug awareness information, and drug Misusage and drug use status factors seemed to affect the 'health status'. Therefore, It need for a comparative study of elderly inpatients and inpatients of veterans hospital, the research should be qualitative research of veterans medical services to the on reasonable support measures in the Veterans Affairs health care system and national merit.

Status of the Development and Utilization of Critical Pathways in Medical Institutions in South Korea (국내 의료기관의 표준진료지침 개발 및 운영 현황)

  • Oh, In-Ohg;Chang, Tae-Ik;Kim, Hyun-Jin;Han, Jung-Mi;Lee, Chun-Kyon
    • Quality Improvement in Health Care
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    • v.28 no.1
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    • pp.2-13
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    • 2022
  • Purpose: This study assessed the status of the Development and Utilization of critical pathways (CP) in South Korea. Methods: We surveyed 195 hospitals obtained on the Korean Hospital Association website. Data were collected using structured questionnaires for staff members in charge of CP management personnel in these hospitals. The questionnaire included CP developed by the institutions, the coverage rates and completion rates of CP in the current year, and management indicators related to CP. The questionnaire also included CP support systems and content within the institutions and questions regarding the advantages of CP utilization and obstacles associated with the CP development process. Results: Analysis of the responses from 70 hospitals (35.9% response rate) showed that a total of 1,370 CP sets were developed. The number of CP related to surgery departments was 365 (26.6%), and CP related to surgery and procedure was 1,093 (79.8%), respectively. The CP coverage rate was the most frequently used indicator to monitor the effect of CP (97.1%), followed by the completion rate (90.0%) and the length of stay in hospital (61.4%). CP managers reported that CP were highly useful for communication (3.39±0.493) and accurate information provision (3.39±0.491). The perception that CP violated doctors' autonomy in treatment was relatively low (2.87±0.645). Conclusion: It is necessary to establish an infrastructure in hospitals for CP. CP can facilitate communication and provide accurate information.

A Prospective Case Series Protocol for Clinical Pathway of Carpal Tunnel Syndrome (손목터널증후군의 한의표준임상경로 임상시험 프로토콜)

  • Park, Hye-Jin;Kim, Hyun-Tae;Park, Sun-Young;Heo, In;Hwang, Man-Suk;Shin, Byung-Cheul;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.4
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    • pp.73-82
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    • 2022
  • Objectives The purpose of this study is to develop a case study protocol to complete final version of Korean medicine clinical pathway (CP) by applying Korean medicine CP based on carpal tunnel syndrome Korean medicine clinical practice guidelines developed by clinical experts to clinical field. Methods After applying previously developed CP, 10-point Likert scale questionnaires on satisfaction of CP, appropriateness and improvement on out patient department (OPD) treatments are carried out in the 2nd week of OPD treatment. An open-ended questionnaire is also carried out to ask if there is any requirement to be added or improved among CP interventions. Results Final version of CP is going to be completed based on the questionnaire, excluding articles of which average or median value is less than 5 from 10-point Likert scale. Conclusions This evidence-based case study protocol is expected to contribute development of carpal tunnel syndrome clinical pathway.

Development of Korean Medicine Clinical Pathways for Carpal Tunnel Syndrome (손목터널증후군의 한의표준임상경로 개발)

  • Hye-Jin Park;Hyun-Tae Kim;Sun-Young Park;In Heo;Man-Suk Hwang;Byung-Cheul Shin;Eui-Hyoung Hwang
    • Journal of Korean Medicine Rehabilitation
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    • v.33 no.2
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    • pp.57-76
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    • 2023
  • Objectives This study aims to develop Korean Medicine Clinical Pathway (CP) based on Clinical Practice Guideline of carpal tunnel syndrome to improve quality of treatment and reduce medical cost to maximize the quality of patient management. Methods A draft version of CP for carpal tunnel syndrome is developed by expert agreement and a prospective case study was carried out based on the draft CP. Twenty experts working at various medical institution answered validity verification survey of developed CP. Fifteen patients enrolled in the prospective case study answered survey on demand and satisfaction. Qualification and adjustment process of the draft CP was conducted based on results of both surveys. Results Final version of CP for carpal tunnel syndrome is confirmed after qualification and adjustment on the draft version. Conclusions CP for carpal tunnel syndrome will provide patients with standardized, high-quality Korean medicine treatment and also reduce financial burden of health insurance by reducing medical cost.