• Title/Summary/Keyword: Korea record

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Evaluation of Current Coding Practices in 3 University Hospitals (3개 대학병원의 주 진단 코딩사례 평가)

  • Seo, Sun Won;Kim, Kwang Hwan;Pu, Yoo Kyung;Suh, Jin Sook;Seo, Jeong-Don;Park, Woo-Sung;Yoon, Seok Jun;Lee, Young Sung;Lee, Moo-Sik;Chung, Hee-Ung
    • Quality Improvement in Health Care
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    • v.9 no.1
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    • pp.52-64
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    • 2002
  • Background : Coding of principal diagnosis is essential component for producing reliable health statistics. We performed this study to evaluate the current practice of principal diagnoses determination and coding, and to give some basic data to improve coding of principal diagnosis. Method : Nineteen medical record administrators (MRAs) of 3 university hospitals participated in coding principal Dx. from August 1, 2001 to August 31, 2001. From each hospital, 10 medical records of patients with high frequency disease were selected randomly. Each 10 medical records were grouped into three (A. B, C). Then, these 30 medical records were given to each MRAs for coding. At the same time questionnaire was given to each of them. Questions were to prove how they decide and code the principal diagnosis among many current diagnoses; how they decide and code the principal diagnosis when they see irrelevant diagnosis recorded as the principal diagnosis in medical record, when only tentative diagnoses were recorded without final diagnosis, and when different diagnoses were recorded in different sheets of same record. Agreement of coding among 3 hospitals were compared and survey results were analysed with SAS 6.12. Results : Agreement of coding was found in medical records 5-6 of each 10 medical records. Causes of disagreement were as follows. Difference of clinician's opinion from each hospital; mixed use of guideline from KCD-3 and guideline from DRG; difference in 4th digit classification according to the absence of pathology report in the medical record; difference of abbreviations among hospitals. 57.9% of MRAs selected the principal diagnosis recorded by physician, 42.1% of MRAs decided principal diagnosis after consulting to KCD-3 guideline. When there were difficulties in determining the principal diagnosis, 42.1% of MRAs decided principal diagnosis after discussion with the physician, 26.3% after discussion with fellow MRAs. Conclusion : There were differences in codings among hospitals. To minimize the difference, we suggest the development of disease-specific guidelines for coding in addition to the current general guideline such as KCD-3. To do this, Coding Clinic which can produce guidelines is needed.

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Importance and Management of the Laboratory Notebooks in the Research Record (연구기록물 중 연구노트의 중요성과 관리 제도화)

  • Kim, Sang-Jnu
    • Journal of Information Management
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    • v.39 no.2
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    • pp.45-74
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    • 2008
  • The purpose of this study was to promote the understanding of laboratory notebook's record characteristics through getting a line on the importance of the notebooks which have record, information, communication, and proof functions. To improve the research ethics and cultures, this study was examined and investigated by literature references and survey results. This study analyzed the status of the notebooks in part of laboratory information system of the R&D institutes, paper notebooks for laboratory records management, and the introduction of ELN for digital record. For the notebook's institutionalization, more review is needed to the possibility of involvement in the conflict, evidential requisite and signature by inspector, the limitation of autonomous policy for the notebook's operation, the difficulty of preservation for 30 years, the introduction of ELN and utilization for the notebooks. To improve management and institutionalization for the notebooks, it is needed to the notebook's record for knowledge management and evidential values, support and budget for the notebook's management department, researcher's recognition conversion for the notebooks related to the intellectual property and technology transference, the record method train for the notebooks from the university classes, and the introduction of ELN related to the laboratory information management system or project management system.

A new species and new record of Pacificincolidae (Bryozoa: Cheilostomata) from Korea

  • Min, Bum Sik;Chae, Hyun Sook;Yang, Ho Jin;Noh, Geon Woo;Lee, Dong Hee;Seo, Ji Eun
    • Journal of Species Research
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    • v.10 no.3
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    • pp.276-286
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    • 2021
  • We performed a taxonomic study on Korean Pacificincolidae (Bryozoa: Cheilostomata) with the materials collected from 39 localities(ports, intertidal and subtidal zones) in the coastal seas of South Korea from 1981 to 2020. Korean Mucronella perforata reported by Rho and Seo (1985) turned out to be not Pacificincola perforata, but Primavelans glabricollaris n. sp. based on morphological data. Pacificincola perforata, which was transferred from Mucronella perforata (Okada and Mawatari, 1937), is also added to the Korean fauna. This study is the first to use mitochondrial 16S rRNA gene sequences to study the family Paficincolidae. The NJ analysis also reconfirmed the validity of the genus Primavelans, established on the basis of the early astogeny by De Blauwe in 2006, with the mitochondrial 16S rRNA sequences. The inter-genetic distance among two species belong to the Pacificincolidae was in the range of 13.39±1.83 mm. Primavelans glabricollaris n. sp. is thus distinguished from Pacificincola perforata with both morphological and molecular data. A new species, Primavelans glabricollaris, and a new record, Pacificincola perforata from Korea are herein described in detail and illustrated by scanning electron microscopy.

A Study on Medical Laws and External Evaluation Criteria with Reference to the Essential Forms consisting Medical Records and to the Items for Each Medical Record (의료기관 종별 의무기록 중요서식 항목별 작성 실태 및 의무기록 완결점검표 분석)

  • Seo, Sun Won;Kim, Kwang Hwan;Hwang, Yong-Hwa;Kang, Sunny;Kang, Jin Kyung;Cho, Woo Hyun;Hong, Joon Hyun;Pu, Yoo Kyung;Rhee, Hyun Sill
    • Quality Improvement in Health Care
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    • v.9 no.2
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    • pp.176-197
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    • 2002
  • Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

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The Awareness and the Challenges about Protection and Access Control of Record (기록정보의 안전한 보호와 접근통제에 관한 인식과 과제)

  • Lim, Mi-Hyun;Yim, Jin-Hee
    • Journal of the Korean Society for information Management
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    • v.38 no.1
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    • pp.191-219
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    • 2021
  • The development of IT technology that has come to symbolize the fourth industrial revolution, the introduction of online government, and the change in environment has caused radical changes in record management. Most public institutions under the government make use of information systems that are objects of information protection such as electronic document system, document management system, and Onnara system. Further, protection and access control of record information through physical environment and electronic system in a user-centered record management environment is an essential component. Hence, this study studies how professional records management professionals in public institutions recognize safe protection and access management of record information, deriving areas that require improvement and providing a discussion and suggestions to bring about such improvement. This study starts by examining laws and policies on information protection in Korea, analyzing items on access control to compare them with laws and policies, as well as the current situation on records management and derive implications. This study is meaningful in that it aims to substantialize records management by suggesting areas of improvement necessary for the protection and management of record information in public institutions and providing professionals with tangible authority and control.

First records of Hemicyclops tanakai Itoh and Nishida, 2002 and Tisbe ensifer Fischer, 1860 (Crustacea, Copepoda) in Korea

  • Karanovic, Tomislav;Lee, Wonchoel
    • Journal of Species Research
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    • v.5 no.3
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    • pp.289-299
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    • 2016
  • Extensive survey of invertebrates in Korea, led by the National Institute of Biological Resources in Incheon, continues to uncover many new and endemic species, but also elements of neighbouring faunas that were previously unknown here. Hemicyclops tanakai Itoh and Nishida, 2002 was originally described from estuarine mud-flats in Tokyo Bay, Japan. We report one male and two females from a sandy beach on Jeju Island, which represent its first record in Korea and second record ever. No morphological differences were observed between these two disjunct populations, so we expect more records of this species in Korea and Japan. Tisbe ensifer Fischer, 1860 was originally described from Madeira and later on reported from numerous other parts of the Northern Atlantic, as well as from the Indian Ocean. We report two females from a shallow littoral in Sokcho, which represents its first record in Korea and the first record in the entire Pacific Ocean. Because of morphological discrepancies reported in previous records we recognize that this species might be in reality a species complex, and we only tentatively identify our Korean specimens as T. cf. ensifer. We provide numerous light photographs of both species in addition to short descriptions, in hope that they might elucidate global problems of their zoogeography and dispersal of small marine invertebrates in general. Further samplings from Korea and other parts of the world will be necessary to test our identifications and phylogenetic relationships of Korean populations with molecular and other tools.

First Record of the Gobiid fish, Clariger chionomaculatus (Perciformes: Gobiidae) from off Geojedo Island, Korea (우리나라 거제도 연안에서 채집된 망둑어과 첫기록종, Clariger chionomaculatus)

  • Cho, Hyun-Geun;Kim, Byung-Jik
    • Korean Journal of Ichthyology
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    • v.32 no.2
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    • pp.110-114
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    • 2020
  • A single specimen (40.5 mm in SL) of Clariger chionomaculatus was collected at 4 m depth on mud bottom from off Geojedo Island, Korea. This species is characterized by having an elongated body without scales, several barbels below eyes, I, 12~15 second dorsal fin rays, I, 12~14 anal fin rays; 19~20 pectoral fin rays with one free soft ray on upper part, and a unique color pattern with numerous white blotches on dorsal part of body. Because it has been known from Japan only to date, we describe in detail C. chionomaculatus as the first record from Korea. A new Korean name, "Huin-jeom-wae-mang-dug", is proposed for the species.

A research for partition recovery method in a forensic perspective (포렌식 관점의 파티션 복구 기법에 관한 연구)

  • Namgung, Jaeung;Hong, Ilyoung;Park, Jungheum;Lee, Sangjin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.23 no.4
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    • pp.655-666
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    • 2013
  • As the capacity of storage devices becomes larger, most users divide them into several logical partitions for convenience of storing and controlling data. Therefore, recovering partitions stably which are artificially hidden or damaged is the most important issue in the perspective of digital forensic. This research suggests partition recovery algorithm that makes stable and effective analysis using characteristics of each file system. This algorithm is available when partition is not distinguishable due to concealment of partition or damage in partition area.

New record of Pilaria crane flies(Diptera: Limoniidae) from Korea

  • Podenas, Sigitas;Park, Sun-Jae;Byun, Hye-Woo
    • Journal of Species Research
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    • v.11 no.1
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    • pp.38-46
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    • 2022
  • This study is based on crane fly specimens collected during more than 80 years, starting from 1938 through 2019, in the Republic of Korea and Democratic People's Republic of Korea and are in collections maintained at the United States National Museum, Smithsonian Institution, Washington DC, USA; the Snow Entomological Museum, University of Kansas, Lawrence, KS, USA; and the National Institute of Biological Resources, Incheon, South Korea. Pilaria crane flies are aquatic and semiaquatic, developing in fast running and stagnant water bodies and in wet muddy places at the margins of water pools. Such habitats usually prevail at lower altitudes, but these areas most often are used for agriculture and human settlement, making natural habitats scarce and fragmented. Pilaria crane flies are rare, thus it is not surprising that genus was left unnoticed by previous researchers. The genus Pilaria Sintenis, 1889 with two species P. melanota Alexander, 1922 and P. simulans Savchenko, 1983, is a new record for the Korean Peninsula. We present general information on the genus, redescriptions of species based on Korean specimens, illustrations of both sexes, elevation range, period of activity, habitat information, general distribution, and a distribution map for the Korean Peninsula for each species.

First Reliable Record of the Yellow-dotted Butterflyfish, Chaetodon selene (Perciformes: Chaetodontidae) from Jwasarido Island, Korea (경남 통영시 좌사리도 연안에서 채집된 나비고기과 한국첫기록종, Chaetodon selene)

  • Hyun-Geun Cho;Byung-Jik Kim
    • Korean Journal of Ichthyology
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    • v.36 no.3
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    • pp.282-287
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    • 2024
  • The Yellow-dotted butterflyfish, Chaetodon selene is newly reported from Korea based on a single juvenile specimen (28.6 mm SL) collected from rocky reef of the Jwasarido Island, southern Korea. The present specimen represents the first reliable record of C. selene from Korea supported by a voucher specimen. The specimen is characterized by having 12 spines of dorsal fin, and a dark lunate-shaped marking on posterior half of body as well as a vertical black bar crossing eye. A new Korean name, "No-rang-jeom-na-bi-go-gi", is adopted for the species.