• Journal of The Korea Institute of Healthcare Architecture
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• v.3 no.4
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• pp.59-68
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• 1997

This study is intended to review the Nucleus System of standard hospitals in U.K. The research is focused on the theoretical background, contents of Nucleus System, and the operational problems through the survey of sample hospitals. The contents of research include the development history of standardization, outlines, aimes, advantages, the data of Nucleus system, and the study-visits of sample hospitals. The conclusion could be summarized as follows ; 1) The form of standard hospitals is compact and low-rise the major movements are horizontal. The standard plans of the functional dpartments are unified as cruciform with $15m{\times}15m$ module. 2) The Nulceus System has been developed. The hospitals have 3 stories maximum and courtyards for natural light & ventilation. 3) The advantages of Nucleus System includes reduction of design & construction period, the buildability due to the repetitive construction, and the running cost. And the disadvantages are mentioned as the lack of storage, staff accomodation, pantry, and sanitary facilities. 4) Sample hospitals provide human scale, possibilities of growth & change, and curing environment from art decoration & artificial lake. 5) In case of Korean situation, even the minimum standardization such as hospital design guidelines should be developed in near future.

• Journal of Digital Convergence
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• v.16 no.4
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• pp.231-249
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• 2018

The purpose of this study is analyze the factors affecting the standard precaution(SP) performance on the knowledge, awareness, attitude and safety environment for SP of healthcare workers of general hospitals. The research method was a descriptive research study. The subject were 262 of healthcare workers of general hospitals. The data were analyzed using descriptive statistics, t-test, Chi-square test, ANOVA, Person's correlation coefficient and Multiple regression analysis using the SPSS program. As a result of the correlation analysis SP Performance was positively correlated with attitude (r=.18, p=.003), safety environment (r=.42, p<.001) and awareness (r=.63, p<.001). As a result of the stepwise multiple regression analysis on the factors influencing SP performance were SP awareness and safety environment. Therefore, in order to improved performance of SP, it's important to improve a awareness and safety environment of SP. Different and persistent infection management educational programs that consider the occupational characteristics and monitoring are required.

• The Korean Chronic Disease News
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• no.322
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• pp.1-18
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• 2007

은퇴의사 보건소 봉사체계 도입/내년부터 병원 등 전면파업 금지/노인요양병원 30곳 종합실사/한국인 혈당 기준 대폭 강화/흡연이 40대 발기부전 직접 원인/노인 성병 감염자 대책 절실/복강경 대장수술 97%가 대장암/이화의료원, 여성전문대학병원 재도약/베트남에 한양대 류마마티스 센타 설립/김안과, 범태평양 안과병원 네트워크 구축/약제비절감 의사에 인센티브 제공/의약품 표준코드 시행 1년 유예 요청/전 국민 살빼기 캠페인/자궁경부암 백신, 45세까지 접종 확대/제약협회와 긴밀한 관계 유지/만성폐쇄성폐질환(COPD) 환자 급증/흡연, 음주가 대사증후군 2배 높여/골다공증에 대한 이해 여전히 부족/표준체중 성인도 '복부비만' 주의/녹차, 충치 예방과 치아 착색의 양면성/마음을 여는 Heart행정 실현-충주시보건소/'열심, 합심, 양심', 三心행정 지향/만성질환관리의 정책적 추진 방향/

• Journal of KIISE:Databases
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• v.33 no.2
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• pp.239-249
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• 2006

Interoperability has been deemphasized from the hospital information system in general, because it is operated independently of other hospital information systems. This study proposes a future-oriented hospital information system through the design and actualization of the HL7 clinical document architecture. A clinical document is generated using the hospital information system by analysis and designing the clinical document architecture, after we defined the item regulations and the templates for the release form and radiation interpretation form. The schema is analyzed based on the HL7 reference information model, and HL7 interface engine ver.2.4 was used as the transmission protocol. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible medical information-sharing among various healthcare institutions.

• The Korean Nurse
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• v.20 no.5 s.113
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• pp.13-20
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• 1981

• Journal of the Korea Society of Computer and Information
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• v.17 no.3
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• pp.33-40
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• 2012

Recently, to enhance the quality and efficiency of health care services, smart health care services utilizing a smart phone and tablet pc are mainly being introduced into the large hospital and the interest for personal health record service which manages personal medical information utilizing PC and smart phone and technology development is actively underway. In order to build a next generation hospital information systems, the interoperability of data between the different hospital information systems and UX consistency between the various user devices must be assured. Therefore, in this paper, medical information standard and the study for improving the performance is conducted to design the gateway system which converting and integrating the medical information under multi-platform environment. In this paper, CCR standard is adapted to the mapping method between the data which is the key feature of the gateway system and design the system utilizing multi-table-based mapping method. To evaluate the performance of the system, experiment was done and the result has been improved approximately 20 percent for response rate.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.39C no.6
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• pp.497-502
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• 2014

In general, all physicians have some standardized diagnosis and treatment methods. However, there are differences in the precise order and examination depending on the hospital size, system, medical equipment, etc. To reduce this difference, the interest about standardized guidelines recently increased and a variety of research is being conducted. The uniform guideline cannot reflect the differences of each situation and environment to meet the hospitals. Therefore, standardized medical guidelines(=clinical pathway) should provide customized guidelines based on the relevant medical data to ensure the quality of the medical service and the doctor's autonomy. In this paper, we will analyze medical data made by two thyroid specialists in the same hospitals. Moreover, this paper mentions the implement of automatic generating clinical pathway system which consider its real hospital situation and result.

• Journal of the Korean Applied Science and Technology
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• v.38 no.3
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• pp.813-823
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• 2021

This study was conducted to identify the factors affecting the compliance of standard precautions for nurses working in long term care hospitals. As a result of the analysis, 8.50 points in perception of the standard precautions, 3.76 points in health beliefs(subcategories- 4.03 points in perceived sensitivity, 4.04 points in perceived seriousness, 3.91 points in perceived benefits, 3.54 points in perceived barrier, 2.92 points in cues to action), 37.90 points in compliance status of the standard precautions. The performance of the standard precautions was positively correlated with perception of the standard precautions(r=0.419, p=.001) and health beliefs (r=0.443, p<.001), perceived sensitivity (r=0.169, p=.044), perceived barrier(r=0.486, p<.001), perceived benefits (r=0.207, p=.013), cues to action (r=0.204, p=.014). The compliance status of the standard precautions was influenced by the perceived barrier(β=0.373, p<.001), cues to action (β=0.271, p<.001), perception of the standard precautions(β=0.245, p=.004)explanatory power was 32.5%.

• Proceedings of the Korean Information Science Society Conference
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• 2001.10a
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• pp.22-24
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• 2001

HL7은 텍스트 기반의 의료정보교환 표준이다. HL7메시지는 한 환자가 내원하여 퇴원할 때까지 여러종류의 메시지가 계속적으로 다량 발생하게 되는데, 그 메시지들의 일부 특정 세그먼트들은 반복적으로 생성되어 사용된다는 특징이 있다 그러므로 HL7메시지를 데이타베이스에 저장할 때는 불가피하게 특정 세그먼트들에 많은 중복이 발생하게 된다. 또한 HL7메시지는 프로세스 흐름중심으로 발생되므로, 중복을 제거한 환자중심의 데이터베이스 설계가 필요하다. 본 논문에서는 XML데이타베이스를 사용하여 HL7메시지를 저장하는 방식을 제안한다. 이는 XML DTD가 병원정보를 다루는 여러 의료정보표준들 상호간의 정보교환 및 공유를 위한 스키마로서의 역할을 할 뿐만 아니라, 인터넷을 통해 여러 가지 서비스 제공할 수 있도록 효과적인 저장 및 검색을 지원하기 때문이다. 이질적인 병원정보시스템을 가지고 있는 병원들 간에 의료정보를 교환하고, 환자들의 의료정보를 통합관리 하기 위한 XML데이터베이스를 설계하고 구현하였다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2010.07a
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• pp.183-186
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• 2010

유비쿼터스 환경에 대한 기술적 발전에 따라 다양한 u-Health 서비스 시스템이 개발되어 시행되고 있다. u-Health 시스템은 서비스 인프라인 병원, 의료기관의 의료정보시스템 연동을 통한 의료정보활용이 불가피하다. 그러나 HL7 의료정보 표준안은 헬스케어 시스템에서 활용하는 의료정보에 대한 명세를 제시하지 못하고 있다. 즉 의료정보시스템으로부터 정보를 요청/제공 받기 위한 HL7 표준 메시지가 명시되어 있지 않다. 따라서 본 논문에서는 헬스케어 시스템에서 필요로 하는 병원 내 의료정보를 분석하고 적합한 HL7 표준 메시지 구조를 설계하였다.