• Title/Summary/Keyword: 환자 안전

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Patient Information Transfer System Using OAuth 2.0 Delegation Token (OAuth 2.0 위임 Token을 이용한 환자정보 전달 시스템)

  • Park, Jungsoo;Jung, Souhwan
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.30 no.6
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    • pp.1103-1113
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    • 2020
  • Hospitals store and manage personal and health information through the electronic medical record (EMR). However, vulnerabilities and threats are increasing with the provision of various services for information sharing in hospitals. Therefore, in this paper, we propose a model to prevent personal information leakage due to the transmission of patient information in EMR. A method for granting permission to securely receive and transmit patient information from hospitals where patient medical records are stored is proposed using OAuth authorization tokens. A protocol was proposed to enable secure information delivery by applying and delivering the record access restrictions desired by the patient to the OAuth Token. OAuth Delegation Token can be delivered by writing the authority, scope, and time of destruction to view patient information.This prevents the illegal collection of patient information and prevents the leakage of personal information that may occur during the delivery process.

A Validity and Reliability of Korean Version of the Student Perception of Patient Safety Knowledge, Skills, Attitudes (한국판 환자안전 지식, 기술, 태도 측정도구의 타당도와 신뢰도)

  • Park, A Young;Kim, Ja Ok
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.479-488
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    • 2018
  • To develop and test validity and reliability of Korean version of the Student Perception of Patient Safety Knowledge, Skills, Attitudes to assess applicability for nursing students. Survey data were collected from convenience sample of 425 fourth year nursing students who enrolled in four universities. Data were evaluated using item analysis, content validity, exploratory factor analysis, and Cronbach's alpha. The attitudes scale was eliminated since item-total correlations were less than .3, on the final Korean Version Scales. The attitudes subscale needs further refinement before implementation. The finding out this study demonstrate that the knowledge and skills scales showed satisfactory validity and reliability. It is useful to evaluate nursing students during educational preparation and in practice.

Interprofessional Patient Safety Education for Undergraduate (보건의료관련 학과 간 환자안전 교육)

  • Ha, Sungmin;Kim, Eun-Jung;Shin, Eunhee
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.261-268
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    • 2019
  • In this study, we report the effectiveness of an interprofessional patient safety education in impacting student knowledge, attitudes and self-confidence around interprofessional communication. Thirty third-year students took part in a six weeks education that included a 90 minutes lecture and group discussion. Self-administered questionnaire were used for examining knowledge, attitudes, self-confidence and interviewed about team communication. There was no change in the knowledge(p=>0.05) but the attitude and self-confidence improved significantly after the education(p=<0.05). Students also noted that the importance of collaboration with other occupational groups. The first implementation of the interprofessional patient safety education had a positive effect on student attitudes, self-confidence and interprofessional teamwork.

Affecting Factors on Performance of Standard Precaution for Healthcare associated Infection Control and Prevention in Nursing Students: focused on Patient Safety Attitude, Empowerment, Awareness (간호대학생의 의료관련감염 관리를 위한 표준주의지침 수행도 영향요인 : 환자안전에 대한 태도, 임파워먼트, 인지도를 중심으로)

  • Park, Min Kyoung;Ahn, Mi Na
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.265-275
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    • 2019
  • The purpose of this study was to investigate the relationship between attitude toward patient safety, empowerment and awareness, performance of standard precaution for healthcare associated infection control and prevention and to identify the influencing factors of the performance in nursing students. The participants were 185 nursing students on one college in J city, Data collection was conducted from september 10 to 21, 2018. The collected data were analyzed with independent t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression using SPSS Statistics 22.0 program. As a result of multiple regression analysis showed that the factors influencing the performance of the standard precaution were awareness, empowerment, participation in the patient safety campaign and the performance was explained by 51.0%. Therefore, In order to improve the performance of standard precaution for nursing students, various convergent education programs should be applied to raise awareness and improve empowerment, and it is necessary to seek ways for nursing students to participate actively in patient safety campaigns.

Fusion of Relations among Medications in Medication Recommendation (의약품 추천 방법에서의 의약품들 간의 다양한 관계를 효과적으로 융합하기 위한 방법 성능 평가)

  • Jiho Heo;Taeri Kim;Sang-Wook Kim
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.05a
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    • pp.453-455
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    • 2023
  • 의약품 추천 방법은 환자의 현재 건강 상태가 주어졌을 때, 해당 환자에게 효과적이면서도 안전한 의약품들을 추천해주기 위한 방법이다. 최근 의약품 추천 방법들은 환자에게 효과적이면서도 안전한 의약품들을 추천해주기 위해, 환자의 방문 정보(즉, 환자에게 진단된 질병, 수술 정보) 뿐만 아니라 의약품들 간의 (1) 동시 처방 여부 관계와 (2) 부작용 유발 관계를 추가적으로 활용하고 있다. 구체적으로, 이들은 의약품들 간의 두 관계를 각각 임베딩으로 나타낸 뒤 하나의 임베딩으로 융합하여 활용한다. 그러나 기존 의약품 추천 방법들은 이 두 임베딩을 융합하는데 있어서, 두 임베딩 간의 관계를 깊게 고려하지 않고 단순히 뺄셈 연산을 적용하고 있다. 따라서 본 논문에서는 실세계 데이터 집합을 활용하여, 의약품들 간의 두 관계에 대한 임베딩들을 다양한 방법을 통해 융합한 뒤각 방법이 추천 정확도에 어떠한 영향을 미치는지 비교 및 분석하여 더욱 정확한 의약품 추천을 제공하고자 한다.

Effect of Patient Safety Culture and Patient Safety Competence on Safety Nursing Activity among Nurses working in Anesthetic and Recovery Rooms (마취·회복실 간호사의 환자안전문화와 환자안전역량이 안전간호활동에 미치는 영향)

  • Kim, Jin Joo;Jung, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.164-174
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    • 2020
  • Purpose: This study was to investigate the relationships among patient safety culture, safety competence and safety nursing activity among nurses in anesthetic and recovery rooms, and to identify the factors contributing to safety nursing activity. Methods: A descriptive correlational study was conducted. Participants were 156 nurses from 13 hospitals. Data were collected from February 11 to March 15th, 2019, and analyzed using descriptive statistics, t-test, Mann-Whitney U test, one-way ANOVA, Pearson's correlation and multiple regression analysis with SPSS statistics 24.0 Program. Results: Safety nursing activity was significantly different in relation to nurses' level of education, position at work, clinical career, clinical career at anesthetic and recovery rooms, and work experience in patient safety. Safety nursing activity demonstrated a significant positive correlation with patient safety culture and patient safety competence. Factors contributing to safety nursing activity were patient safety knowledge, skill and attitude, clinical career, clinical career at anesthetic and recovery rooms, and the patient safety improvement system which explained 57.0% of total variance of safety nursing activity. Conclusion: To improve safety nursing activities at anesthetic and recovery rooms, it is necessary to develop patient safety programs with enhanced knowledge, skill and attitude to take patient safety as a top priority.

The Effect of Organizational Commitment and Perceived Patient Safety Culture on Patient Safety Nursing Activities in Public Hospital Nurses (공공의료기관 간호사의 조직몰입, 환자안전문화인식이 환자안전간호활동에 미치는 영향)

  • Lee, Hyun Kyung;Kim, Geun Myun;Kim, Eun Joo
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.2
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    • pp.145-154
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    • 2019
  • Purpose: This study was conducted to identify and analyze organizational commitment, patient safety culture, and patient safety nursing activities on patient safety in public hospitals. Methods: The data were collected from 190 nurses in 6 public hospitals within the Gyeonggi region and were analyzed using SPSS 23.0 for descriptive statistics and multiple regression. Results: Patient safety nursing activity was positively correlated with the number of participants in patient safety training programs, organizational commitment, and patient safety culture awareness. Patient safety culture awareness was positively correlated with the number of participants in patient safety training programs and organizational commitment. Organizational commitment was positively correlated with age and total work experience. Factors affecting patient safety activities, frequency of patient safety training, and patient safety culture awareness were significant influencing factors with an explanatory power of 30.1%. Conclusion: In order to increase patient safety nursing activities in public hospitals, systematic patient safety training policies are required. In addition, diverse interventions are required to increase organizational commitment.

Changes in Compliance Rates of Evaluation Criteria After Healthcare Accreditation: Mainly on Radiologic Technologists working at University Hospitals in Daejeon Area (의료기관인증평가 전후 인증기준 준수율의 변화 : 대전지역 대학병원의 방사선사를 중심으로)

  • Ko, Eun-Ju;Lee, Jin-Yong;Bae, Seok-Hwan;Kim, Hyun-Joo
    • Journal of radiological science and technology
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    • v.36 no.4
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    • pp.281-290
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    • 2013
  • This study aimed to assess whether the changes in compliance rates of evaluation criteria after healthcare accreditation among radiologic technologists working at four university hospitals which had acquired healthcare accreditation in Daejeon metropolitan area. In this study, the evaluation criteria of healthcare accreditation were reclassified and reevaluated to three areas which include patient safety, staff safety, and environmental safety. Each area has eight, three, and five questions, respectively. Each compliance rate was quantitatively measured on a scale of 0 to 10 before and after in this study. The result shows that the overall compliance rates were decreased on all areas compared to the time healthcare accreditation was obtained. The compliance rate of hand hygiene was drastically reduced. To maintain the compliance rates, not only individuals but healthcare organizations should simultaneously endeavor. In particular, healthcare organizations should make an effort to provide continuous education opportunity to their workers and supervise the compliance regularly.

Influencing Factors of Near Miss Experience on Medication in Small and Medium-Sized Hospital Nurses (중소병원 간호사의 투약 근접오류경험 영향요인)

  • No, Me-Hee;Chung, Kyung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.424-435
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    • 2020
  • The study was descriptive survey research for establishment of patient safety culture in small and medium-sized hospitals as providing baseline data of educational program regarding safe medication and prevention of near miss on medication, checking influencing factors of nurses near miss experience on medication in small and medium-sized hospital. The collected data was analyzed by SPSS/WIN 20.0 program to obtain mean, frequency, x2-test, independent t-test, one-way ANOVA, logistic regression. The influencing factors of near miss experience on medication was working department and patient safety culture among general characteristic. The nurses who were working in general ward had lesser chance to experience near miss rather than nurses working in special department (Odds ratio:2.23, 95%, Confidence Interval: 1.07~4.67, p=.032). The 1 point higher in patient safety culture, the lesser chance to experience in near miss (Odds ratio: 2.24, 95% Confidence Interval: 1.02~4.95, p=.045). To sum up the result of this study, nurses working in special department had higher chance to experience near miss rather than nurses working in general wards. The higher patient safety culture awareness was the lower near miss was experienced. Thus, miss surveillance system for improvement of nurses' patient safety culture awareness should be developed. Moreover, educational program for medication considering nurses' career and department' character should be requested with simulation training considering and theory education.

Suggestion for the Application of the ADR system under the Patient Safety Act (환자안전법상 ADR제도 적용을 위한 제언)

  • Mingyu, Choi
    • Journal of Arbitration Studies
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    • v.32 no.4
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    • pp.3-31
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    • 2022
  • In the past, there has not been a law with the main purpose of preventing or preventing a risk in advance in order to protect the safety of patients in relation to medical services. It is evaluated that the enactment of the Patient Safety Act has a very important meaning in protecting patient safety as the top priority and further improving the quality of medical care. However, looking at the status of patient safety accidents reported to the Patient Safety Reporting System after the Patient Safety Act was enacted and implemented, various types of risk factors for patient safety still exist in the medical field. Meanwhile, Korea Consumer Agency and Korea Medical Dispute Mediation and Arbitration Agency, the existing domestic ADR specialized agencies, have been operating reasonable damage relief procedures such as recommendation of settlement, mediation, and arbitration according to the purpose of their establishment. Therefore, with the aimof broadening the choice of compensation system for patients, we propose the establishment and revision of ADR-related laws to apply the damage relief procedures of both institutions.