• 한국컴퓨터정보학회논문지
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• 제20권1호
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• pp.185-195
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• 2015

병원에서 특정 시각 대에 집중하는 외래환자 접수상황을 효과적으로 해당 진료과에 전달하는 기술적 방식이 기존의 병원 접수시스템에 부재하다. 따라서 모든 진료과는 접수상황을 알기위해서 병원접수 데이터베이스 전체를 반복적으로 순차탐색하게 되고 이는 병원정보시스템 성능저하의 큰 요인이 된다. 따라서 본 논문에서는 이러한 병원 접수시스템의 효율 향상을 위해 웹소켓을 이용한 주키전송 일괄처리시스템과 접수정보전송에 의한 실시간시스템을 개발하였다. 주키전송 일괄처리시스템은 기존의 순차탐색시스템에 비해 데이터베이스 조회속도를 크게 단축하였을뿐만 아니라 접수환자 수에 무관한 빠른 조회속도를 유지하였다. 또한, 접수정보전송 실시간시스템은 데이터베이스를 조회하지 않고도 기존의 요청/응답 접수시스템의 대기환자 갱신시간을 효과적으로 줄일 수 있었다.

• 한국병원경영학회지
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• 제14권4호
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• pp.149-162
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• 2009

The purpose of this study is to design strategic hospital service based on each hospital's features. For this study, an assessment was conducted by 398 in-patents of one university hospital located in Seoul. The self-questionnaires, which were investigated from Oct. 15th to 29th in 2008, compared central reception desk with ward reception desk in satisfaction and re-use rate of patients. The major results of this study are as follow. First, according to each reception desk user, they have different satisfaction of it. As for the staff kindness, admission procedure, discharge procedure and manner of staff, those made patients be gratified as well. Second, when it comes to the intention of re-use, there were no significant features between them. Only convenience in admission and discharge procedure, however, was an attractive factor for the recommendation. Third, this study found out the reasons for higher re-use rate of central reception desk users. Regarding service, they were contented with the time for test and treatment. As for the hospital service, they would like to re-use this hospital because of convenient steps of paying interim fee and getting certificates. Forth, this study found out the reasons for higher re-use rate of ward reception desk users. As a point of hospital service view, they responded that respected privacy, hospital facility and general service were good for staying. As for the manner of staff, they mentioned nurses and staff in charge and whole staff members were kind. When it comes to the procedures of patient management, steps of discharge and paying interim fee were convenience. In conclusion, the results of this study suggest that providing a ward reception desk service can boost the satisfaction and re-use rate of in-patients. Furthermore, this strategic management method would be good for not only cutting the moving line but also efficient in-patient care system. These results can be used for the strategic hospital marketing field, as well. Even though this study has a limitation of the targeted populations which were only in a ward reception desk running hospital, it can say that having competitiveness in satisfaction of hospital service is good for promoting and differencing each hospital. Consequently, whole general management system would be adjusted first for differencing each hospital; however, this sort of additional factor should be concerned as well. I expect that this study would give meaningful data for designing strategic and differencing marketing method to lots of hospitals.

• 한국병원경영학회지
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• 제16권1호
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• pp.77-100
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• 2011

The purpose of this study is to the improvement of general hospital outpatients waiting time using Theory Of Constraints(TOC) methodology and to the development of a Reception Desk in general hospital. This study is to provide decision-making guidelines for hospital managers and to provide feedback for the efficiency of job process. The target people of the study are outpatients and Cashiers on Chungnam national university hospital in Daejeon. The methods of study are summarized as follows. First, The team managers from a Reception Desk group were appointed. This team managers have the adjustment authority to the Outpatients schedule of doctor and Cashier members. Second, The consolidation of the general Reception desk and special inspection the Reception Desk. A movement line and waiting time of patients were simple and fast to accept. As a result of study, it shows that the TOC is the method for a job process and waiting time improvement, patients' satisfaction increase and we need an objective measurement indexes in the medical treatment industry.

• 핵의학기술
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• 제25권2호
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• pp.29-34
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• 2021

핵의학과 검체 접수 환경시스템은 20년 전과 비교하여 보았을 때 크게 달라지지 않은 채 동일한 시스템으로 검체 접수 업무가 이루어지고 있다. 핵의학과 검사 특성상 진단검사의 학과와 달리 검체 용기 자체로 검사가 시행되는 것이 아니라 모검체에서 자검체를 생성하여 검사를 시행하는 시스템이기 때문에 지금까지 큰 변화 없이 이어져 온 것으로 보인다. 본원에서는 이러한 검체 접수 환경시스템을 개선하고자 검체의 뚜껑을 자동으로 제거해 주고 동시에 자동접수가 가능한 decapper 자동화 장비를 도입한 사례와 가접수 시스템 적용 사례에 대해서 소개해 보고자 한다. 본원에서는 2019년 환자의 검체 뚜껑을 자동으로 제거해 주는 장비를 도입하고자 진단검사의학과 응급검사실에서 사용하는 Vacuette ® Unicap Belt Decapper(Greiner bio-one, Austria) 제품을 벤치마킹하여 구매를 시도하였으나 5 ml SST, 8 ml SST 튜브를 사용하는 핵의학과 검체를 처리하려면 2대의 장비가 필요하여 예산과 공간 문제에 부딪혀 구매가 지연되었다. 2020년 1월 국산 decapper 자동화 장비를 대여 받아 검체 검사실 접수 실정에 맞게 지속적인 아이디어 제공과 테스트로 수정 보완하여 2020년 10월 검체 뚜껑을 자동으로 제거해 주는 동시에 자동접수 해주는 decapper 자동화 장비를 도입하게 되었다. 또한 검체 접수 전 단계에서 가접수 시스템을 도입하여 병동과 응급실, 건강증진센터 이송사원이 검체를 갖고 검사실에 도착하면 검체를 셀프로 가접수 하여 빠른 시간 내에 검체 도착 여부를 알릴 수 있도록 개선하였다. Decapper 자동화 장비가 도입되면서 자동으로 검체 뚜껑이 제거되고 접수되는 순간에 다른 업무를 수행할 수 있게 되어 검사자의 업무 효율성을 크게 증대 시킬 수 있었고 검사 소요시간에 영향을 미칠 수 있는 검체 접수 마감시간이 단축되어 검사시작을 10분~20분 정도 단축시킬 수 있는 효과를 볼 수 있었다. 또한 반복된 손목 사용으로 인하여 발생되는 근골격계 질환의 감소로 검사자의 건강장해를 예방할 수 있었다. 가접수 시스템을 설치한 후 병동에서는 빠른 퇴원이 가능해졌고 검체 도착 여부를 묻는 불필요한 전화문의 횟수도 감소하게 되었다. 대부분의 핵의학과 검체 검사실은 소규모의 인력으로 운영되고 있는 것이 현실이다. 최소 인력으로 검체 검사와 검체 접수 업무를 동시에 수행해야 되는 소규모 기관에서는 decapper 자동화 장비와 가접수 시스템을 도입 시 업무를 보다 원활히 수행하는데 도움이 될 수 있을 것으로 사료된다.

• Journal of Gastric Cancer
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• 제23권4호
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• pp.549-560
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• 2023

Purpose: According to the American Joint Committee on Cancer cancer staging system, positive peritoneal washing cytology (PWC) indicates stage IV gastric cancer. However, rapid intraoperative diagnosis of PWC has no established reliable method. This study evaluated and compared the diagnostic accuracy of the Shorr and the modified ultrafast Papanicolaou (MUFP) methods for intraoperative PWC. Materials and Methods: This study included patients with gastric cancer who were clinically diagnosed with stage cT3 or higher. The Shorr and MUFP methods were performed on all PWC specimens, and the results were compared with those of conventional Papanicolaou (PAP) staining with carcinoembryonic antigen immunohistochemistry. Sensitivity, specificity, and partial likelihood tests were used to compare the 2 methods. Results: Forty patients underwent intraoperative PWC between November 2019 and August 2021. The average time between specimen reception and slide preparation using Shorr and MUFP methods was 44.4±4.5 minutes, and the average time between specimen reception and pathologic diagnosis was 53.9±8.9 minutes. Eight patients (20.0%) had positive cytology in PAP staining. The Shorr method had a sensitivity of 75.0% and specificity of 93.8%; the MUFP method had 62.5% sensitivity and 100.0% specificity. The area under the curve was 0.844 for Shorr and 0.813 for MUFP. In comparing the C-indices of each method with overall survival, no difference was found among the Shorr, MUFP, and conventional PAP methods. Conclusions: The Shorr and MUFP methods are acceptable for the intraoperative diagnosis of PWC in advanced gastric cancer.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2011년도 춘계학술대회
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• pp.77-80
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• 2011

의료용 로봇은 크게 네 분야로 나눌 수 있는데, 수술을 보조하는 수술보조 로봇, 수술 로봇, 수술시뮬레이터, 재활 로봇이라 할 수 있다. 이와 같이 의료용 로봇은 주로 고 정밀도 및 신뢰성을 요구하는 작업을 위해 개발되고 있다. 의료용 서비스 로봇의 또 다른 분야로 수술이 아닌 진료를 위한 서비스 로봇이 있다. 진료 서비스 로봇은 병원의 접수 업무 및 진료 시 사용할 수 있는 환자의 생체 데이터 취득, 병원 내 위치 및 콘텐츠 정보 등을 환자에게 제공할 수 있는 로봇이다. 하지만 지금까지의 의료 서비스 로봇은 실제적인 접수 처리과정을 진행하는 역할을 하지는 못하였다. 본 논문에서는 의료 서비스 로봇 시스템을 설계 및 구현하였다. 구현된 로봇 시스템은 의료정보 교환을 위한 표준 프로토콜을 사용해 직접 병원 정보 시스템과의 연동이 가능하고, 병원의 환자 접수 및 처리, 진료 대기자 수와 같은 정보를 제공할 수 있다.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1992년도 춘계학술대회
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• pp.118-120
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• 1992

We have developed and been using laboratory order communication system which is a computerized laboratory request and reception system wi th bar code between inpatient or outpatient and the clinical laboratory in Chungbuk National Unversity Hospital. Work flows are as follows: Tests are requested by the physicians through hospital information system without issuing request forms. Bar code stickers containing demographics of patient and other informations such as sample number, slip code and specimen code are printed and attached to smaple tubes. At the department of clinical pathology, smaples are received through the bar code reader. Area numbers are automatically created and laboratory work numbers are determined. Worklists can be issued by each section of laboratory when needed. Our order communication system alleviates the human labor such as specimen labelling and making worklist and reduces clerical errors that occur from sample collection to laboratory analysis.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권1호
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• pp.21-28
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• 2023

Purpose: Evidence-based design is the process of making design decisions based on reliable research to achieve the best results, so it is important to accumulate reliable evidence through research. Therefore, the purpose of this study is to present new evidence by applying the evidence-based design process to improve the digital signage for each room spaces in hospitals and verifying its effectiveness. Method: Through the 8-step process of evidence-based design, improved digital signage for each room spaces are installed. It conducted surveys and statistical analysis to prove hypotheses by linking design and research. Results: The hypotheses established in the study are: 1) improvement in the readability of digital signage is correlated with patient satisfaction; 2) Improving the intuitiveness of digital signage correlates with patient satisfaction; 3) Improving the sufficiency of digital signage correlates with patient satisfaction. As a result of satisfaction analysis and correlation analysis, all of the above hypotheses were proven. Implications: Although the hospital sign system is the element that patients rely on most intuitively in the long journey of reception, waiting, examination, and treatment, there is insufficient evidence to refer to or apply it when designing. It is necessary to expand future research to expand the evidence that can be applied to hospital sign design.

• 한국실내디자인학회논문집
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• 제13권5호
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• pp.133-142
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• 2004

Recently, the Korean medical system changed with diversification & specialization and the field of medical service is also specialized in these days. And healing environment is proposed as a general concept in the hospital architecture. There is a trend that a establishment of women's hospital is increasing as specialized type. In difference from general hospital, they are providing specialized and integrated services in response to the women's disease and demand. Particularly, Outpatient department space in women's hospital has been changed in terms of area, shape and program. However, there used to be not enough research efforts of responding these changes. This study includes the Outpatient department of s women's hospital in the form of small and medium sized building over a certain level in Korea. And the methods of the study adopted the theoric examination based concept and features of women's hospital, the abstraction of distinctions in the Outpatient department through the analysis of the drawing, and the analysis of distinctions in the Outpatient department of women's hospital with the structural space classified and the analysis of space relation. Therefore, the purpose of this is to study investigates and analyzes the spatial characteristics of the Outpatient department space in women's hospital through a analysis of case study. To conclude, the space composition can be classified into the entry space, the clinic space for patients, the support space of patients' check-up, the reception and waiting space, the rest and convenience space, and the link space in the Outpatient department of women's hospital. The level space can account for the waiting space type, the clinic office type, the type based on the relation between the waiting room and the clinic office with its features. As a result, the results will be applied for the planning & design for the future women's hospital.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권4호
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• pp.27-36
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• 2017

Purpose: The characteristics of spatial allocation planning in dentistry through examining the dental hospitals in Korea and comparison between them are necessary for the development of planning of the dental healthcare system. This study has been started to provide basic informations such as zoning, allocation distribution, and space configuration for the planning of dental hospital architecture. Methods: Literature review of dental care departments and investigation on current status of dental hospital in Korea have been conducted. The spatial allocation and space configuration of eleven dental hospitals have been analyzed. Results: The result of this study can be summarized in three points. The first one is that dental hospitals in Korea are consisted with eight to eleven dental care departments and they are divided with the horizontal allocation type with three to four departments in a floor for the spatial communication or the vertical allocation type with a department in each floor for the independent space. The second one is that oral medicine and oral maxillofacial radiology are located near the main entrance, orthodontics and pedodontic dentistry in lower level, prosthodontics in upper level, and conservative dentistry and periodontics have no specific spatial consideration. The third one is that the factors to consider the allocation planning are zoning for examination & diagnosis, basic practice, adolescence, surgery, circulations for patient, dentist, staff, different access for department like as easy access for reception and pedodontic dentistry, enclosure space for prosthodontics and surgery, frequency of visit and treatment care time, and change of treatment concept from treatment department to disease control corporative practice. Implications: This study is the starting point for the research of spatial configuration in dentistry and it is necessary to analyze the architectural planning to develop the dental healthcare system.