• Title/Summary/Keyword: Healthcare information management

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Development of Realtime Bridge Safety Monitoring System (실시간 교량 안전감시시스템 개발)

  • Nam, Myung-Woo;Yang, Ok-Yul;Lee, Young-Seock;Oh, Myung-Kwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.79-84
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    • 2010
  • In this paper, we developed the BMSWare(Bridge Management System Middleware) for bridge safety surveillance in real time processing. The developed system operates on web and considers the general monitoring application for bridges. In various environments in geographical location of bridge, it can obtain reliably data from various logger and sensors without re-programming. The main functions of the developed system include the acquisition, processing, backup and transmission of the collected sensor data. It was proved to be the safety and effectiveness by application of Mooyeong bridge.

A Strategy for Administration and Application of a Patient Safety Culture Survey (환자안전문화 측정을 위한 설문조사 수행 및 결과 활용 기법)

  • Lee, Gyeong-sil;Park, Mi-jin;Na, Hae-ran;Jeong, Heon-jae
    • Quality Improvement in Health Care
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    • v.21 no.1
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    • pp.80-95
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    • 2015
  • Objectives : A safety culture is the bedrock for all patient safety improvement initiatives; thus, many resources have been invested in measuring hospital culture. However, many of these endeavors have failed to yield meaningful results. This article proposes a practical checklist to ensure successful administration of a safety culture survey and describes current methodologies for analyzing survey results to develop safety improvement programs. Methods : We reviewed currently used safety culture surveys and summarized their strengths and weaknesses. We also reviewed studies using safety culture surveys and found several pitfalls leading to failure in survey administration. With this information, we developed a checklist that covers critical items in the survey process. We also reviewed newly developed methodologies for survey results analysis and application and described them using the Korean version of the Safety Attitudes Questionnaire as an example. Results : The checklist consists of three steps: survey preparation, administration, and analysis and application. Each step contains clear action items. The content even describes how to get buy-in from hospital executives and manage communication channels with them. Also, common misunderstandings regarding survey scores are described and possible solutions are suggested. In the analysis section, we demonstrate new methods for obtaining more accurate survey results and how to utilize these methods to develop and implement hospital-wide safety improvement programs. Conclusion : A successful safety culture survey is the foundation of all future safety improvement projects. This review is intended to guide hospitals in enhancing safety.

Exploratory Analysis to Investigate the Process Effectiveness of IT Convergence based Service Industry Model (IT융합 서비스 산업 모델의 프로세스 효과성 탐색)

  • Han, Hyun-Soo;Moon, Tae-Eun
    • Journal of Information Technology Applications and Management
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    • v.19 no.4
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    • pp.227-242
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    • 2012
  • It is a daunting task to theorize the process effectiveness of IT convergence based service model. Despite the criticalness of investigating process enhancement impact of IT-convergence based service model, the theoretical research in this field is relatively scarce, possibly due to the too wide and comprehensiveness of research scope. In this vein, we conducted exploratory study to understand the contributional impact of IT convergence based service model on resolving service process limitations. We first identified five IT convergence based service models in the area of typical service industry, which include entertainment, learning, location based services, tourism, and healthcare. Our research model classified value creation factors of the IT convergence model in twofold. The one is defined as basic value creation factor of the IT convergence, which is treated as the second-order factor that consists of two first-order factors of mobile functionality and Internet with digital contents merging functionality. The other is defined as service process limitations resolving factor which are comprised with the two first-order factors of simultaneousity and perishability. Both the second-order factors are modeled, each respectively, with the two first-order factors in formative manner. Using PLS, empirical validation is executed to analyze each value creating factor's contribution impact on the relative advantage, as well as the mediating effect of basic value creation factor on resolving service process limitations. On the basis of the insights revealed from this paper, further theory building research could be elaborated in the area of IT convergence applications for service industry.

An Overview of Electroacupuncture Research Trend in Korea (한국의 전침연구 동향 분석)

  • Kwon, Sunoh;Lee, Jeong Won;Kim, Seungtae
    • Korean Journal of Acupuncture
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    • v.35 no.3
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    • pp.123-129
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    • 2018
  • Objectives : Electroacupuncture is a procedure in which pulses of weak electrical current are sent through acupuncture needles into acupuncture points in the skin. Since the 1970s, electroacupuncture has been widely used for treating various diseases including pain, inflammatory diseases and neurodegenerative diseases and electroacupuncture research has also been actively conducted in Korea. This study was designed to assess the tendencies and research performances in Korea. Methods : Articles referring to electroacupuncture in Korea were searched in Korean Studies Information Service System, Oriental Medicine Advanced Searching Integrated System, DBpia, Pubmed and Scopus, and assessed by distribution of document types, published articles, source institutes, journals, and subject categories. Results : Total 677 articles were included in this study. Among them, basic researches were 395, clinical researches were 210, reviews were 68 and others were 4. Kyung Hee university published the most articles, followed by Wonkwang univresity, Daejeon university and Pusan national university in Korean institutes. Journal of Acupuncture Research published the most articles, followed by Korean Journal of Acupuncture, Journal of Korean medicine rehabilitation and Journal of physiology & pathology in Korean medicine among journals. Animals were used in the most articles, followed by human, literatures and protocol in subject categories. The number of articles per year was related to the increase of research fund and the number per institution was related to the number of professors and researchers. Conclusions : In order to carry out better electroacupuncture researches, it is necessary to cultivate electroacupuncture researchers and increase in research funds.

Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure (심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과)

  • Shim, Jae Lan;Hwang, Seon Young
    • Journal of Korean Academy of Nursing
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    • v.46 no.6
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    • pp.881-893
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    • 2016
  • Purpose: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity. Methods: A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0. Results: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group. Conclusion: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.

An Analysis of the Contents of Medication Education in Health Textbooks for Children and Adolescents (초·중·고등학교 보건 교과서의 의약품 교육 내용 분석)

  • Kim, Kwon Ha;Kang, Eun Jeong;Park, Hye Kyung;Lee, Eui-Kyung
    • Korean Journal of Health Education and Promotion
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    • v.31 no.2
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    • pp.41-53
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    • 2014
  • Objectives: The purpose of this study was to evaluate the education contents on safe use of medications in healthcare textbooks for elementary, middle and high schools. Methods: We examined 6 textbooks for the $5^{th}$ grade, 4 textbooks for middle school, 3 textbooks for high school, and 5 education materials published by the Korea Food and Drug Administration, National Health Insurance Service, and Seoul City Government. To evaluate the contents in health textbooks, we developed the 30 evaluation items. Results: Middle school textbooks had the most educational contents followed by high school and elementary school textbooks. Public education materials for the teenagers included more educational contents than those for children. The education material published by National Health Insurance Service had the highest score and the rest of the books earned under 15. And there were no core contents in medication education. Conclusions: Medication education through health textbooks should be strengthened to raise the level of medication awareness, to use medications safely, to prevent the drug abuse and misuse, and to establish the responsible judgment of medication information in the mass media. The current contents were found to be insufficient to meet these goals of medication education.

An adaptive load balancing method for RFID middlewares based on the Standard Architecture (RFID 미들웨어 표준 아키텍처에 기반한 적응적 부하 분산 방법)

  • Park, Jae-Geol;Chae, Heung-Seok
    • The KIPS Transactions:PartD
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    • v.15D no.1
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    • pp.73-86
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    • 2008
  • Because of its capability of automatic identification of objects, RFID(Radio Frequency Identification) technologies have extended their application areas to logistics, healthcare, and food management system. Load balancing is a basic technique for improving scalability of systems by moving loads of overloaded middlewares to under loaded ones. Adaptive load balancing has been known to be effective for distributed systems of a large load variance under unpredictable situations. There are needs for applying load balancing to RFID middlewares because they must efficiently treat vast numbers of RFID tags which are collected from multiple RFID readers. Because there can be a large amount of variance in loads of RFID middlewares which are difficult to predict, it is desirable to consider adaptive load balancing approach for RFID middlewares, which can dynamically choose a proper load balancing strategy depending on the current load. This paper proposes an adaptive load balancing approach for RFID middlewares and presents its design and implementation. First we decide a performance model by a experiment with a real RFID middleware. Then, a set of proper load balancing strategies for high/medium/low system loads is determined from a simulation of various load balancing strategies based on the performance model.

The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress (대학생 집단에서 사회적 지지와 대사증후군 예방 건강 행동 간의 상관관계: 지각된 스트레스의 매개효과)

  • Park, Sooyeon;Cho, Suah;Lee, Eugene;Choi, Sungchul;Choo, Jina
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.404-414
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    • 2021
  • Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

Computer-based clinical coding activity analysis for neurosurgical terms

  • Lee, Jong Hyuk;Lee, Jung Hwan;Ryu, Wooseok;Choi, Byung Kwan;Han, In Ho;Lee, Chang Min
    • Journal of Yeungnam Medical Science
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    • v.36 no.3
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    • pp.225-230
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    • 2019
  • Background: It is not possible to measure how much activity is required to understand and code a medical data. We introduce an assessment method in clinical coding, and applied this method to neurosurgical terms. Methods: Coding activity consists of two stages. At first, the coders need to understand a presented medical term (informational activity). The second coding stage is about a navigating terminology browser to find a code that matches the concept (code-matching activity). Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT) was used for the coding system. A new computer application to record the trajectory of the computer mouse and record the usage time was programmed. Using this application, we measured the time that was spent. A senior neurosurgeon who has studied SNOMED CT has analyzed the accuracy of the input coding. This method was tested by five neurosurgical residents (NSRs) and five medical record administrators (MRAs), and 20 neurosurgical terms were used. Results: The mean accuracy of the NSR group was 89.33%, and the mean accuracy of the MRA group was 80% (p=0.024). The mean duration for total coding of the NSR group was 158.47 seconds, and the mean duration for total coding of the MRA group was 271.75 seconds (p=0.003). Conclusion: We proposed a method to analyze the clinical coding process. Through this method, it was possible to accurately calculate the time required for the coding. In neurosurgical terms, NSRs had shorter time to complete the coding and higher accuracy than MRAs.

Status of Handling Carcinogenic, Mutagenic, and Reproductive Toxic Materials Contained in Oil Paint-related Products used by Automobile Maintenance Companies in Busan (부산지역 자동차정비업체에서 사용하는 유용성도료 관련 제품에 함유된 발암성, 생식세포변이원성, 생식독성 물질 취급 현황)

  • Eunseok Kim;Jiyoung Chun;Sangjun Choi
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.1
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    • pp.40-49
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    • 2023
  • Objectives: The handling of carcinogenic, mutagenic or reproductive toxic (CMR) materials in paint-related products used by automobile maintenance companies in Busan was investigated and its characteristics were analyzed. Methods: MSDS for paint-related chemical products used by automobile repair companies in Busan were collected and the manufacturers, product uses, names of chemical substances in each component, CAS numbers, content, and more were listed. Results: As a result of collecting MSDS on 4,800 kinds of products handled in the painting process of automobile repair companies in Busan and comparing them with the latest toxic information database, 60 out of a total of 438 substances were found as CMR materials. Seven carcinogens (1A), including quartz, benzene, formaldehyde, and hexavalent chromium, were present. Two reproductive toxic 1A substances were included: hexavalent chromium in paint pigments and lead. Conclusions: Most of the products (95.5%) were found to contain at least of one CMR component, so it was judged that a study on exposure assessment of CMR substances by automobile maintenance workers is needed in the future.