• Title/Summary/Keyword: Hospital Information system (HIS)

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Remote Vital Sign Monitoring System Based on Wireless Sensor Network using Ad-Hoc Routing (애드혹 라우팅을 이용한 무선센서네트워크 기반의 원격 생체신호 모니터링 시스템)

  • Walia Gaurav;Lee Young-Dong;Chung Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.426-429
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    • 2006
  • A distributed healthcare monitoring system prototype for clinical and trauma patients, was developed, using wireless sensor network node. The proposed system aimed to measure various vital physiological health parameters like ECG and body temperature of patients and elderly persons and transfer his/ her health status wirelessly in Ad-hoc network, to remote base station which was connected to doctor's PDA/PC or to a hospital's main Server using wireless sensor node. The system also aims to save the cost of healthcare facility for patients and the operating power of the system because sensor network is deployed widely and the distance from sensor to base station was shorter than in general centralized system. The wireless data communication will follow IEEE 802.15.4 frequency communication with ad-hoc routing thus enabling every motes attached to patients, to form a wireless data network to send data to base-station, providing mobility and convenience to the users in home environment.

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Design of an Mobile Healthcare Manager for Interoperability (상호 운용성을 위한 모바일 헬스케어 매니저 설계)

  • Lee, Ku-Yeon;Park, Ju-Young;Lee, Chul-Ju;Kang, Kyung-Tae
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.11a
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    • pp.313-314
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    • 2014
  • 인구의 고령화로 만성질환자가 증가함에 따라 개인건강관리를 위한 U 헬스 서비스에 관심이 증대되고 있다. U 헬스 서비스를 활용하기 위해서는 다양한 생체정보를 간편하게 측정하는 개인건강기기(PHD, Personal Health Device)가 필요하다. 하지만 혈압, 심전도, 혈당, 산소포화도 등을 측정하는 개인건강기기는 제작 회사마다 서로 다른 프로토콜과 포맷으로 개발되어 기기간의 상호 운용성(Interoperability)이 보장되지 않는다. 또한 각기 다른 포맷으로 측정된 데이터를 병원정보시스템(HIS, Hospital Information System)간 공유하고 관리하는데 어려움이 존재한다. 이에 따라, 본 논문에서는 개인건강기기 국제 표준인 IEEE 11073 PHD 를 기반으로 다양한 개인건강기기와 실시간으로 통신하며, 측정된 생체정보를 관리하고 전송하는 모바일 헬스케어 매니저 설계를 제시한다. 제시한 매니저는 다양한 모바일 기기 중 스마트폰 기반으로 설계하였고, 각기 다른 포맷으로 측정된 데이터를 국제표준 메시지 교환방식인 HL7 (Health Level Seven)메시지로 변환하여 전달하는 게이트웨이 역할을 담당한다.

Analysis of Factors Affecting on Satisfaction of Pharmacy Service (약국서비스 만족에 영향을 미치는 요인 분석 - 환자체감시간과 실 조제시간 비교를 중심으로 -)

  • Park, Seong-Hi;Suh, Jun-Kyu;Yoon, Hye-Seol;Hong, Jin-Young;Park, Gun-Je
    • Quality Improvement in Health Care
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    • v.5 no.2
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    • pp.202-215
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    • 1998
  • Purpose : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for drug delivery after doctor's prescription is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors influencing patient satisfaction related with waiting time for drug delivery. Methods : The data were collected from July 21 to August 12, 1998. A total 535 patients or their families who visited outpatient clinics of Inha University Hospital were subjected to evaluate the drug delivery time and the level of their satisfaction related, which were compared with those objectively evaluated by Quality Improvement Team. The reliability of the scale was tested with Cronbach's alpha, and the data were analyzed using frequency, t-test, ANOVA, correlation analysis and multiple regression. Results : The mean drug delivery time subjectively evaluated by the patient (16.1 13.0 min) was longer than that objectively evaluated (10.9 7.6 min) by 5.2 min. Drug delivery time objectively evaluated was influenced by the prescription contents, total amount or type of drug dispensed, etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. One of those proved to be a patient's late response to the information from the pharmacy which the drug is ready to deliver. Interestingly, this discrepancy was found to be more prominent especially when waiting place for drug delivery was not less crowded. Other factors, pharmaceutical counseling at the pharmacy, emotional status or behavior of a patient while he waits for the medicine, were also found to influence the time subjectively evaluated. Regarding the degree of patient satisfaction with the drug delivery, majority of patients accepted drug delivery time with less than 10 min. It was also found to be influenced by emotional status of the patient as well as kindness or activity of pharmaceutical counselor. Conclusion : The results show that, besides prescription contents, behavior pattern or emotional status of a patient, environment of the waiting place, and quality of pharmaceutical counseling at the pharmacy, may influence the patient's subjective evaluation of waiting time for drug delivery and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for drug delivery, it will be cost effective to qualify pharmaceutical counseling and information system at the drug delivery site or waiting place rather than to shorten the real processing time within the pharmacy.

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Factors Affecting Users' Satisfaction with Order Communicating System (처방전달체계에 대한 사용자 만족도에 영향을 미치는 요인)

  • Kim, Chang-Yup;Ha, Bum-Man;Kang, Gil-Won;Kim, Byoung-Yik;Kim, Yong-Ik;Lee, Jin-Seok
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.436-448
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    • 2000
  • Objectives : To identify the factors affecting users' satisfaction with the Order Communicating System(OCS) and to highlight the factors important for the successful establishment of OCS. Methods : A Users Satisfaction survey was sent to 4,513 people, consisting of 1,503 doctors, 2,379 nurses, 255 pharmacists and 370 administrative workers in 16 hospitals which had introduced OCS. The response rate was 63.9%. Measurement of users' satisfaction was peformed with the instrument which was used in Doll's study. Some aspects of Doll's instrument were adjusted according to the aims of this study. The classifying sections of this survey included age, job and status classification, computer experience, OCS education, duration of daily OCS use, type of order entering, number of personnel in the Hospital Information System's department, cost of OCS, problem frequency, proportion of work managed by hand, OCS type, and Hospital establishment type. Results : There was a positive correlation between satisfaction level and managerial status throughout all job classifications. Irrespective of the importance of OCS education as a factor relating to users' satisfaction, the additional work load caused by OCS lowered users' satisfaction. Different factors affected users' satisfaction according to job and status classification. The composition of factors affecting the pharmacist and administrative worker satisfaction levels was simpler than that of the doctor and nurse levels. There were no statistically significant differences between the actual computer experience duration of daily OCS use and users' satisfaction with OCS. Conclusions : There was an understandable relationship between users' attitude to OCS and factors affecting users' satisfaction. The results of this study could be used as a basis for the successful expansion of the operation of OCS. But more detailed studies on users' satisfaction and further improvements of methodologies are required for the successful establishment of OCS.

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A Comparative Study on the Perception of the Impediment Factors between Mothers and Nurses in Nursery (모유수유 저해요인에 대한 산모와 신생아실 간호사간의 인식정도 비교 연구)

  • Lee, Mi-Ja
    • Women's Health Nursing
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    • v.1 no.1
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    • pp.138-152
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    • 1995
  • The condition of nutrition during infancy will greatly affect infants' physical, emotional growth, especially breast feeding is important in their growth and development, and emotional stability, too. Despite such advantages of breast-feeding, its rate has continued to fall year after year in Korea : the 95% rate in 1960's has fallen to 25.4% in 1990. It is known that such a downfall of breast-feeding rate is associated with various factors. The purpose of the study is to examine mother's and nurses' in nursery perception of the impediment factors of breast-feeding : to compare those between of breast-feeding : to compare those between two groups : to provide fundamental data for developing strategies for increasing breast-feeding. The subjects were 45 new mothers from one hospital and the same number of nurses sampled from 3 university hospitals, in Seoul. The data were collected for 11 days from April 12 to April 23, 1994 and a questionnaire was developed based on the interview with 14 nurses and 10 mothers and the literature reviews. Liker's Five-Point Scale was used as measurement. The Data were analyzed using SPSS / PC and descriptive statistics, t-test, ANOVA. The results of study are as follows : 1) Most new mothers get the information about breast-feeding from their mothers, books or newspaper, and relatives in rank than professionals(nurses or doctors). 2) The impediment factors the breast-feeding are categorized as mothers, hospital system, medical personnels and social factors. The most frequently mentioned impediment factors from mothers are 'Difficulty by operational wounds'(3.13), 'Lack of will for breast-feeding'(3.47), 'Insufficient rest and sleep'(3.52) and 'Opposition from husband or his family members'(4.77)in rank. On the other hand those factors from nurses are 'Inadequate nipple condition'(2.37), 'Decreasing milk secretion given medicine after operation'(2.63), 'Mothers knowledge deficit by poorly prepared education'(2.79) and 'Mothers abhorance of breast-feeing'(3.87) in rank. 3) As for the hospital system, the highly perceived impediment factors by mothers are 'Seperation of baby from mother after birth'(2.78), 'Lack of space for breast-feeding in the hospital'(2.93), 'Lack of facility for informing the time for breast-feeding'(3.18) and 'Because of babys' preference artificial nipple by being accustomed to it in hospital(3.97), in rank. Meanwhile, those from nurses are "Seperation of baby from mother after birth",(1.92), "Inconsistency between hospital's nursing time and mother's breast secretion time" scretion time(2.97), "Lack of space for breast-feeding in the hospital"(3.39), and "Lack of facility for informing the time for breast-feeding"(3.74) 4) As for the medical personnels, the highestly perceived Impediment factor from mothers in "Lack of professional nurses for breast-feeding"(2.96), and the lowestly perceived one is "Doctors' reluctance"(4.75). Nurses perceived same as mothers, too. 5) As for the social factors, the highestly perceived impediment factor by mothers and nurses is "Inconvience of social activities"(2.83) and the lowestly ones are "The sense of self-sacrifice"(4.22) by mothers, and "The sense of old fashioned"(4.13) by nurses. 6) The difference of the perception of impediment factors between mothers and nurses is statistically significant only in mother factor.

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A Medical Integration Framework based on XML for efficient exchange and sharing of Electronic Health Record using HL7 (The LEX System : HL7을 사용하는 전자의무기록의 효율적인 교환과 공유를 위한 XML기반 통합의료환경의 구축)

  • Lee, Min-Kyung;Cheong, Jae-Heon;Chun, Jong-Hoon;Yoo, Soo-Young;Kim, Bo-Young;Choi, Jin-Wook
    • The KIPS Transactions:PartD
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    • v.9D no.5
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    • pp.769-778
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    • 2002
  • The LEX system is a XML-based framework for medical information consolidation. The Lex makes it possible for heterogeneous HISs(Hospital Information Systems) exchange and share HL7 messages by storing the messages into a single Central Clinical Database. In this paper, we propose a HL7 message server independently interoperable from existing HIS to generate HL7 messages, and design an XML database schema suitable for storing and manipulating such data. We also propose a new DTD for efficient transformation of HL7 messages to XML documents for storage saving as well as supporting patient-oriented information retrieval.

Facial Injury after Airbag Deployment in Occupant Motor Vehicle Accident (자동차 교통사고 시 에어백에 의한 안면부 손상특성)

  • Lee, Hee-Young;Lee, Kang-Hyun;Lee, Jung-Hun;Sung, Sil;Kang, Chan-Young;Kim, Ho-Jung;Kim, Sang-Chul;Youn, Young-Han
    • Journal of Auto-vehicle Safety Association
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    • v.8 no.3
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    • pp.10-15
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    • 2016
  • The purpose of this study is to evaluate the injury mechanism of facial injury related to an air-bag's deployment in occupant motor vehicle accident (MVA) by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 309 patients with agreement for an investigation, thirty five (11.3 %) were the severe who had ISS over 15. And also, sixteen (5.2%) derived from the reconstructed data (maximum collision energy, maximum acceleration, delta V) by PC-Crash. As a result, ISS including the facial injuries was affected by the condition. It was high when the number of crash extent, the safety belt was not fastened, and the seating position of occupant and the direction of collision is same. For accurate analysis of the relationship between occupant injury and vehicle damage in MVAs, build-up of an in-depth database through carrying out various policies for motor vehicle accidents is necessary for sure.

Development of the Disaster Medical Manual in Korea (국가재난의료매뉴얼의 개발)

  • Wang, Soon-Joo
    • Journal of Korean Society of Disaster and Security
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    • v.9 no.1
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    • pp.39-45
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    • 2016
  • The disasters in Korea, such as the Sewol Ferry Ship sinking disaster has had problems related to the medical response system, with the problems of emergency medical support team in the site, the cooperation between medical staff and fire department officer at disaster site, field medical support and hospital acceptance of the wounded in trouble, the lack of specific systematic medical response manual. Therefore, from May 2014, when the disaster emergency information center in Central Emergency Medical Center starts, collection, modification and education of scattered preexisting disaster emergency medical manual had appeared as important issues. So, it was necessary to develop the early medical response system to disaster. The correction planning of disaster emergency medical response system by Central Emergency Medical Center included quick response system with the fast medical team operation, but the practical application was not enough. So the researcher and his team developed the first Korean disaster emergency medical response manual and the process of development was documented and arranged with the application by education and training.

Analysis of Lower Extremity Injury Mechanism Centered on Frontal Collision in Occupant Motor Vehicle Crashes (정면충돌 시 차량 탑승자의 하지 손상기전에 대한 분석)

  • Lee, Hee Young;Lee, Jung Hun;Jeon, Hyeok Jin;Kim, Ho Jung;Kim, Sang Chul;Youn, Young Han;Lee, Kang Hyun
    • Journal of Auto-vehicle Safety Association
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    • v.10 no.4
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    • pp.7-12
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    • 2018
  • Injury mechanisms of lower extremity injuries in motor vehicle accidents are focused on fractures, sprains, and contusions. The purpose of this study is to evaluate the analysis of lower extremity injury mechanism in occupant motor vehicle accident by using Hospital Information System (HIS) and reconstruction program, based on the materials related to motor vehicle accidents. Among patients who visited the emergency department of Wonju Severance Christian Hospital due to motor vehicle accidents from August 2012 to February 2014, we collected data on patients with agreement for taking the damaged vehicle's photos. After obtaining the verbal consent from the patient, we asked about the cause of the accident, information on vehicle involved in the accident, and the location of car repair shop. The photos of the damaged vehicle were taken on the basis of front, rear, left side and right side. Damage to the vehicle was presented using the CDC code by analytical study of photo-images of the damaged vehicle, and a trauma score was used for medical examination of the severity of the patient's injury. Among the 1,699 patients due to motor vehicle crashes, 88 (5.2%) received a diagnosis of lower extremity fracture and 141 (8.3%) were the severe who had ISS over 15. Nevertheless during 19 months for research, it was difficult to build up in-depth database about motor vehicle crashes. It has a limitation on collecting data because not only the system for constructing database about motor vehicle crash is not organized but also the process for demanding materials is not available due to prevention of personal information. For accurate analysis of the relationship between occupant injury and vehicle damage in motor vehicle crashes, build-up of an in-depth database through carrying out various policies for motor vehicle crashes is necessary for sure.

An Empirical Study of User Perceptions on EMR Standardization Leading Medical & IT Convergence (의료·IT융합을 이끄는 EMR 표준화에 대한 이용자 인식 연구)

  • Lee, Ji-Eun;Nah, Suk-Gyu
    • Journal of Digital Convergence
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    • v.13 no.5
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    • pp.111-118
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    • 2015
  • Electronic Medical Record(EMR) is medical record that has been saved electronically onto a computer. The standardization activities for EMR is actively underway as it may not only improve the overall quality of the medical services but as the value of medical big data (medical & IT convergence area) is being considered very important. One of the most important issues is ensuring the necessary and effectiveness of EMR standardization to the stakeholder. Researchers did an empirical study to find out how the doctors perceived the EMR standardization from both technical and economical perspective. The results of the empirical analyses showed that system quality and an economical value had a positive effect on perceived usefulness and intention to adopt EMR standardization, yet interoperability have only affected the perceived usefulness. Additionally, the economical value seemed to be the most important variable in forming a consensus in the need of EMR standardization.