• Title/Summary/Keyword: Medical Communication

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Integrated Medical Information System Implementation for the u-Healthcare Service Environment (u-Healthcare 서비스 환경에서의 통합의료정보시스템 구축방안 연구)

  • Sok, Yun-Young;Kim, Seok-Hun
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.1-7
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    • 2014
  • Nowadays hospitals have been improving their job performances through informatization and also establishing an advanced, integrated medical information system through their manager's decision making support system in order to play roles as a hub hospital providing high quality medical services integrated with ICT technology. This study connects the OCS system and HIS system to the integrated medical information system to design an optimized, customized mobile health care and medical treatment environment and also investigates the systematic medical system that can perform patients' cure and medical treatment promptly and accurately in order to maximize convenience of treatment by inquiring into patients' information and information of medical treatment promptly.

The Design of Integrated system for the cloud-based medical Information sharing

  • Lee, Kwang-Cheol;Hwang, Chigon;Lee, Seong Ro;Lee, Jong-Yong;Jung, Kye-Dong
    • International journal of advanced smart convergence
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    • v.4 no.2
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    • pp.145-153
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    • 2015
  • Development of IT technology, in combination with the medical area, a number of developments have been made of the digital advanced medical devices, also increased interest in health, sharing of medical information has become increasingly necessary. Standardization for medical information sharing to satisfy these requirements have been studied. However, the medical information system is to build a system independent hospital itself, is difficult to share and exchange medical data with other medical institutions. In this paper, we provide a medical cloud system that can share medical information. Use DBaaS of cloud services. And is an international standard to have a HL7 share information by forming a meta-schema, each of the data transfer, the format of the document oriented data solves the heterogeneity between hospitals. Extracts the required field name of examination information, to exchange information with each of the local information and mapping. Health diagnostic information in the present study and diagnosis through accurate information sharing and exchange is possible ongoing management.

Perceptions and Attitudes towards Interprofessional Education in Medical Schools (의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식)

  • Kim, Soyun
    • Korean Medical Education Review
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    • v.19 no.1
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    • pp.10-17
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    • 2017
  • Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.

Effects of Simulated Interdisciplinary Communication Training for Nursing Students on Self-confidence in Communication, Communication Behavior and Technical Skill Performance (학제간 의사소통을 포함한 시뮬레이션 교육이 간호대학생의 의사소통 자신감, 의사소통 행위, 기술적 술기 수행에 미치는 효과)

  • Nam, Kyoung A;Kim, Eun Jung;Ko, Eun Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.409-418
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    • 2017
  • Purpose: Ineffective communication between healthcare professionals leads to medical errors and puts patients at risk of harm. The aim of this study was to examine the effects of interdisciplinary communication training in simulated settings on self-confidence in communication, observed communication behavior, and technical skill performances of nursing students. Methods: A repeated measures design with one group was conducted. Data was collected from 92 nursing students through a self-administered questionnaire and an observed behavior checklist. Data analysis was performed using descriptive statistics, a paired t-test, the Wilcoxon signed rank test, the Friedmann test, a Repeated Measures ANOVA, and the Spearman correlation coefficient. Results: Self-confidence in communication, observed Identification-Situation-Background-Assessment-Recommendation-Read Back communication behavior, and technical skill performances of nursing students were significantly improved. In observed communication behavior, the performance of Assessment and Read Back communication significantly improved. However, communication of Background, Assessment, and Recommendation did not improve to a satisfactory level. Observed communication behavior was not correlated with the overall technical skill performance. Conclusion: These results indicate that interdisciplinary communication training in simulated settings was effective in improving nursing students' confidence and communication skills with physicians. Longitudinal studies with larger samples are recommended in order to verify the effects of interdisciplinary communication training on clinical outcomes as well as communication competence.

Intensive Care Unit Nurse's Communication Experience (중환자실 간호사들 간의 의사소통 경험)

  • Won, Youn-Hui;Kang, Jiyeon
    • Korean Journal of Adult Nursing
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    • v.26 no.3
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    • pp.352-361
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    • 2014
  • Purpose: The purpose of this study was to explore the communication experience of intensive care unit (ICU) nurses in the workplace. Methods: The present study utilized a qualitative approach using focus group interview method. A total of three focus groups of 15 ICU nurses from two university hospitals were formed. The conversations during the focus group interviews were recorded and analyzed through Colaizzi's phenomenological method. Results: As a result of analyzing participants' conversation, Five theme clusters were elicited, namely, "one-way communication", "differences in the position of senior and junior nurses", "communication crisis", "beginning of understanding", and "movement toward change" out of 15 themes and 138 significant sentences. Conclusion: ICU nurses report having experienced communication crisis because of the one-way communication of the ICU nursing environment and the hierarchical differences in junior and senior nurses' position. Systematic education and continuous training on communication skills need to be provided to improve interpersonal relationship among nurses and work environment in the ICUs.

Conflict Management Style, Communication Competence, and Collaboration among Hospital Nurses and Physicians (병원 간호사와 의사의 갈등관리유형과 의사소통능력 및 협력 간의 관계)

  • Lee, Im Sun;Kim, Chang Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.20 no.1
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    • pp.69-78
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    • 2017
  • Purpose: This study aimed to identify the relationship among conflict management style, communication competence and nurse-physician collaboration in hospital nurses and physicians. Methods: This is a descriptive study. Using a questionnaire, data were collected from 230 nurses and 107 physicians at a university hospital in D city. With SPSS/WIN 22.0 program, data were analyzed by t-test, ANOVA, $Scheff{\acute{e}}$ test, and Pearson's correlation coefficient. Results: Physicians scored the highest for communication competence in nurse-physician relationship and the lowest in medical decision making, while nurses scored the highest in patient information sharing and the lowest in nurse-physician relationship. Physicians with problem solving tendency scored higher in communication competence than those with avoiding tendency. Among the nurses, those with avoiding tendency scored the lowest. For both physicians and nurses, communication competence showed a significant negative correlation with avoidance. For nurses there was also a significant positive correlation with compromising tendency. Finally, there was a significant correlation between nurse-physician collaboration and communication competence in both groups. Conclusion: This study demonstrates that nurse-physician collaboration and communication competence are correlated with conflict management style. We suggest educational programs at more hospitals in various locations to improve nurse-physician collaboration reflecting conflict management style.

Relationships among personal and organizational communication skills, occupational stress, and patient safety activities of nursing workforce working in the integrated nursing care service ward (간호·간병통합서비스병동 간호사와 간호보조인력의 개인 및 조직 의사소통능력, 직무스트레스와 환자안전활동의 관계)

  • Oh, Danbi;Yi, Yeojin
    • Korea Journal of Hospital Management
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    • v.27 no.3
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    • pp.15-25
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    • 2022
  • Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.

Classification of White Blood Cell Using Adaptive Active Contour

  • Theerapattanakul, J.;Plodpai, J.;Mooyen, S.;Pintavirooj, C.
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.1889-1891
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    • 2004
  • The differential white blood cell count plays an important role in the diagnosis of different diseases. It is a tedious task to count these classes of cell manually. An automatic counter using computer vision helps to perform this medical test rapidly and accurately. Most commercial-available automatic white blood cell analysis composed mainly 3 steps including segmentation, feature extraction and classification. In this paper we concentrate on the first step in automatic white-blood-cell analysis by proposing a segmentation scheme that utilizes a benefit of active contour. Specifically, the binary image is obtained by thresolding of the input blood smear image. The initial shape of active is then placed roughly inside the white blood cell and allowed to grow to fit the shape of individual white blood cell. The white blood cell is then separated using the extracted contour. The force that drives the active contour is the combination of gradient vector flow force and balloon force. Our purposed technique can handle very promising to separate the remaining red blood cells.

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Adjustable Phase, Discrete Time Sinewave Generator

  • Klunium, Sawitree;Praesombool, Sukunya;Hinjit, Watcharapong;Yimman, Surapun;Dejhan, Kobchai
    • 제어로봇시스템학회:학술대회논문집
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    • 2004.08a
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    • pp.277-281
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    • 2004
  • The following paper proposes the new design of digital sine wave generator which allows users to define the phase shift of the out put sinewave according to user's demands. This new sinewave generator will have 2 outputs, cos(${\omega}_0n$) and cos(${\omega}_0n$+${\phi}$) The design of the new system starts from the construction of discrete time system with impulse response as cos(${\omega}_0n$) in a pair of conjugate complex poles and a pair of zeros at the origin and the real axis. If users want to make a phase shift of sign wave, users can change the position of zero at the real axis. The results of the experiment have shown that the new design of sign wave generator has generated sine wave with the correct phase shift according to the theory.

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Development of Open H/W-Based IEEE 11073 Agent and Manager for Non-Standard Health Devices (비표준 건강 기기를 위한 오픈 H/W 기반의 IEEE 11073 에이전트 및 매니저 개발)

  • Lee, Jang-Yeol;Jeong, Yeong-Rok;Park, Hee-Dong
    • Journal of Korea Multimedia Society
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    • v.19 no.3
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    • pp.595-602
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    • 2016
  • With the evolution and development of many kinds of healthcare devices and techniques, u-health standards have emerged as a major issue. Yet, most legacy medical devices and systems are still being used without deployment of the standards. Therefore, it is required to support backward compatibility for u-health standard-compliant systems to communicate with legacy non-standard medical and healthcare devices. This paper proposes a new scheme to support backward compatibility of IEEE 11073 system by adding a codec module to IEEE 11073 agent. The codec converts data sent by non-standard health devices to IEEE 11073 MDER data. Plus, we implemented the proposed IEEE 11073 agent with an Intel Edison board which is one of popular open source H/W platforms. The IEEE 11073 manager of the proposed system can monitor and control legacy non-standard devices through the proposed agent system. In our experimental results, we examined the proposed system can support interoperability between u-health standard and non-standard devices and contribute to the growth and expansion of u-health services.