• 대한의용생체공학회:의공학회지
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• 제42권3호
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• pp.86-93
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• 2021

Purpose: The purpose of this study is to find out the cognizance of medical device safety information (MDSI) monitoring in the hospital and oriental hospital workers, and the different aspect of MDSI between oriental medical devices and medical devices. Methods: The survey was performed both in the oriental medicine hospital and general hospital. The survey had 16 items; 2 items basic questions, 5 items in the awareness of MDSI, 5 items in the education of MDSI, 4 items in the necessity of defining oriental medical devices and differences between general and oriental medical devices. A total of 120 hospital worker were participated; 60 oriental medicine hospital workers and 60 general hospital workers. They had worked in the oriental medicine or general hospital associated with 'Medical Device Safety Monitoring Center, Dongguk University Ilsan Hospital' in 2019 and 2020. Results: The cognizance of MDSI was high both in oriental medicine hospital and general hospital workers and there were no significant differences between oriental medicine and general hospital workers. When we divided the hospital workers into the senior workers who had worked for over 3 years and junior workers for less than 3 years, the senior workers had higher awareness of MDSI than junior workers. However, the cognizance of education of MDSI was high which was not different between senior and junior workers. Both hospital workers thought that it was necessary to define oriental medicine device legally and the oriental medical device might have low risk and less side effect than medical device. Conclusion: The cognizance of MDSI was high and there was no significant differences between oriental medicine and general hospital workers. Because the senior hospital workers had higher recognition of MDSI, we need to provide the continuous education program for junior hospital workers. Although oriental medical device are thought to be safer than medical device, we need to have a legal definition.

• 품질경영학회지
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• 제50권3호
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• pp.503-515
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• 2022

Purpose: As ISO 13485 was revised in 2016, the domestic GMP (Good Manufacturing Practice) system was also revised and implemented in 2019. However, there are many problems in the domestic medical device industry because most of the small and medium-sized enterprises lack human and material resources. Accordingly, this study was conducted to provide education programs for domestic medical device companies to induce information provision and improve the company's quality management ability. Methods: First, analyze existing education. Second, based on the revised GMP system, a survey paper was produced to investigate difficulties and problems experienced by companies. Third, a two-week survey was conducted on domestic medical device manufacturers, and a total of 77 companies responded to this survey. Fourth, educational program development was conducted based on the results of the survey. Results and Conclusion: The developed education program consists of a total of five sessions. In this study, the educational program developed by grasping the needs of the company through a survey consists of a total of five sessions. The first session consisted of theoretical education and the second to fifth sessions of practical education. Through the education program developed in this study, it is expected to contribute to the overall development of medical device quality by establishing a domestic medical device manufacturing environment that secures the safety and performance of domestic medical device companies.

• 한국임상수의학회지
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• 제37권1호
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• pp.15-22
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• 2020

This study investigated the effectiveness of radiation safety rules in animal hospital and the awareness and behavior of veterinary radiation workers. With the questionnaires, the data was collected from randomly selected veterinarians in animal hospitals and animal medical imaging centers. Collected data were about radiation device, shielding device, regulations, safety management, education, knowledge, behavior and awareness. Frequency, correlation and multiple regression analysis were performed. The medical devices related with radiation in animal hospital were X-ray (59%), CT (15%), fluoroscopy (12%), mobile X-ray (12%) and others (2%). The number of people using radiation shielding device is high. The answers were low on knowing radiation related regulation and receiving radiation protection education. The group with higher knowledge and awareness shows positive correlation with safety behavior. The increase of use of the radiation related medical devices in veterinary hospital causes the increase of radiation exposure risk. This study suggests that radiation safety management system and policies need to be developed to protect radiation workers and give them correct information and consciousness.

• 재활복지공학회논문지
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• 제11권4호
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• pp.287-297
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• 2017

본 연구는 의료기기 안전성에 관한 의료인들의 인식(지식, 태도)과 행동에 관한 기초현황을 파악하여 보고, 직종 간 차이를 평가해보기 위한 탐색적 조사연구이다. 인천광역시에 소재한 900병상 규모의 상급종합병원을 대상으로 설문지를 배포하여 220명의 응답 자료를 분석에 사용하였다. 연구결과, 연구대상 의료인들은 대체적으로 의료기기 종류에 따른 잠재적 위험성에 대한 인식이 갖춰져 있고, 의료기기 안전성 교육의 필요성을 느끼고 있었다. 또한 의료진들의 직종 간 의료기기 안전성에 관한 인식의 차이를 살펴봤을 때, 등급 높은 의료기기를 주로 사용하지만 의료기기 안전에 관한 인식이 가장 낮은 전공의를 대상으로 하는 의료기기 안전교육의 필요성이 크다는 것을 알 수 있었다. 향후 전국규모의 연구를 통하여 자료의 질을 향상하고 결과의 수준을 높이며, 이를 바탕으로 의료기기 안전성 관리에 있어 정책적, 교육적 기반으로 활용할 필요가 있다.

• 만화애니메이션 연구
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• 통권47호
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• pp.273-294
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• 2017

우리나라는 최근 세월호 사건 등 안전 불감증으로 인한 많은 사고로 인해 수많은 인명피해를 입었다. 따라서 안전교육이 어느 때 보다 중요한 시기이며 여기에는 '어떤 콘텐츠로 어떻게 교육할 것인가'가 중요한 주제이고 특히 안전교육의 특성상 이론 교육이 아닌 체험 교육이 효과적이다. 그러나 이런 안전교육 프로그램을 접하기란 쉬운 일이 아니며 안전교육의 일환인 응급 처치에 대한 교육은 공공기관을 통해 의무적으로 배우지 않으면 접할 기회가 많지 않아 아직까지도 우리나라의 안전 교육에 대한 프로그램 활성도는 미미한 수준이다. 본 논문은 이런 문제를 인식하고 의료 응급처치 교육을 위해 재미와 몰입을 가미한 효과적인 기능성게임을 제안한다. 이를 위해 응급처치 정보 애플리케이션 20가지 사례를 통해 의료 게임 5개를 분석하고 기능성게임의 지속 사용성을 높이는 5가지 요소를 도출하였다. 5개의 의료게임분석을 통해 1개의 게임을 선택하여 게임 방식을 차용하고, 5가지 요소를 level-up 구조, 반복학습, 보상결과, 경쟁 구조, 정보전달의 형태로 적용하였다. 제안된 의료 교육 기능성 게임은 1) 환자의 역할을 하는 캐릭터가 있어야 하며, 2) 상황을 보여주는 내러티브 흐름에서 3) 사용자가 상황을 판단하고 응급 처치를 하도록 유도해야한다. 또한 4) 보상과 레벨 그리고 단순하게 반복하는 기능이 디자인되어야 하며 5) 커뮤니티로 타인과 정보가 공유될 수 있어야 한다. 향후 본 연구의 결과로 구현된 콘텐츠는 우리나라 의료 응급처치 교육의 대중화에 기여할 것이라 사료된다.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.418-426
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• 2021

이 연구는 방사선 발생장치 제조업체 종사자와 의료기관 종사자들 간의 방사선안전관리에 대한 인식을 알아보고 적극적인 대처능력과 안전수준을 향상시키는데 기초자료로 활용하기 위하여 연구조사하게 되었다. 방사선에 대한 지식, 태도 실천 점수는 성별, 연령, 결혼상태, 직종, 직위, 현 직장근무기간, 직장 총 근무기간, 방사선 관련 유사업무 유무, 매뉴얼 비치 여부, 방어 시설유지 여부, 방어 장비보유 수, 방사선 안전교육 여부, 특수건강검진 여부, 방사선 용어인지 여부와 관련이 있었으며, 특히 방사선 관련 직종에서 방사선사의 지식 점수가 가장 높았다(p<0.05). 방사선 안전관리는 방사선제조업체 종사자 및 의료기관 종사자 모두 방사선 노출에 적극적인 방어 노력이 필요하며방사선 안전관리를 위해서는 지침 준수, 주기적인 교육, 시설보강, 매뉴얼 작성, 특수 건강검진 등 제도적 장치가 필요하다.

• 대한방사선기술학회지:방사선기술과학
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• 제41권4호
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• pp.329-337
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• 2018

This study was investigated quantitative ultrasound (QUS) usage in Korea for the QUS quality control guidelines. A total of 344 questionnaires collected from July 24th to August 25th 2017 were analyzed. Questionnaires were created through user interviews, expert group advice, literature review and field observation. As a result of the general characteristics of quantitative ultrasound holding amounted to 81.98% of clinic and 6.69% of hospitals. The main user was radio-logical technologists as 31.39%. The contact methods of the gel pad (balloon) were the most used at 56.68% and the scan region was 91.9% of calcaneus. The quantitative ultrasound quality control cycle was 67.37% when the abnormality was found in the equipment, and 63.66% when the accuracy control was implemented according to the manual. The phantoms of QUS were 34.30% of the manufacturer's own phantoms. User of QUS had never received education for quality control of quantitative ultrasound as 62.20%. This study was expected to be useful when creating detailed quality control guidelines in the future, as well as guidelines for the quality control of Korea's standard quantitative ultrasound.

• 한국방사선학회논문지
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• 제16권7호
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• pp.815-824
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• 2022

현행 방사선안전관리 제도가 대학에서 방사선 실습을 하는 경우에도 적용되어 방사선 실습 교육의 부실과 방사선학의 발전을 저해할 우려가 있다. 이에 대한 방사선(학)과 교수협의회는 전국 방사선학과 학과장을 대상으로 각 대학의 방사선 실습 교육에 대한 관리체계 및 방사선안전관리 제도의 현실을 파악하기 위해 설문조사를 실시하였다. 설문조사를 통해 현행 방사선(학)과의 방사선안전관리에 대해 「원자력안전법」을 적용받는 것은 과도한 제한이며, 효과성도 크지 않다는 것을 알 수 있었다. 또한 방사선학과 실습 교육은 보건의료인 양성을 목적으로 하고 있기에 보건복지부 및 질병관리청의 지휘를 받아야 하나 원자력안전관리위원회의 관리감독을 받는 문제가 있다. 본 논문에는 「원자력안전법」 시행령을 개정하여 수시출입자의 정의에서 실습 교육을 수강하는 학생을 제외하는 방안을 기본으로 제안하였다. 추가적으로 첫째, 「고등 교육법」 일부개정법률안에 따른 방안, 둘째, 「의료법」 제37조 개정을 통해 보건복지부의 감독을 받는 방안, 셋째, 「의료기사에 관한 법률」 제20조의2를 신설하여 보건복지부의 감독을 받는 3가지 방안을 제안하였다.

• Healthcare Informatics Research
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• 제24권4호
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• pp.387-393
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• 2018

Objectives: This paper describes an experience of implementing seamless service trials online and offline by adopting Internet of Things (IoT) technology based on near-field communication (NFC) tags and Bluetooth low-energy (BLE) beacons. The services were provided for both patients and health professionals. Methods: The pilot services were implemented to enhance healthcare service quality, improve patient safety, and provide an effective business process to health professionals in a tertiary hospital in Seoul, Korea. The services to enhance healthcare service quality include healing tours, cancer information/education, psychological assessments, indoor navigation, and exercise volume checking. The services to improve patient safety are monitoring of high-risk inpatients and delivery of real-time health information in emergency situations. In addition, the services to provide an effective business process to health professionals include surveys and web services for patient management. Results: Considering the sustainability of the pilot services, we decided to pause navigation and patient monitoring services until the interference problem could be completely resolved because beacon signal interference significantly influences the quality of services. On the other hand, we had to continue to provide new wearable beacons to high-risk patients because of hygiene issues, so the cost increased over time and was much higher than expected. Conclusions: To make the smart connected hospital services sustainable, technical feasibility (e.g., beacon signal interference), economic feasibility (e.g., continuous provision of new necklace beacons), and organizational commitment and support (e.g., renewal of new alternative medical devices and infrastructure) are required.

• Medical Lasers
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• 제10권4호
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• pp.201-206
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• 2021

The recent development of new surgical techniques using lasers has increased the opportunities for open surgery involving minimal manipulation and faster and more accurate removal of lesions. The increasing use of laser technology requires nurses to play an extensive role. As assistants, nurses play an important role in maintaining the efficacy and safety of the laser device. In addition, they are also responsible for providing pre-and post-operative care to patients. Therefore, nurses should be aware of how to proceed with operative laser treatment for all surgical procedures and the steps for maintaining safety prior to, during, and after laser treatment. This review provides in-depth knowledge for nurses undertaking continuing education on lasers and patient care in the field of gynecology.