• 한국임상약학회지
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• 제31권2호
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• pp.104-114
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• 2021

Objective: To explore the perception of drug utilization review (DUR) system and DUR modernization pilot project among healthcare professionals and patients. Methods: We conducted 8 times of focus group interviews (FGI) between August 1, 2019 to December 31, 2019. The healthcare professionals and patients who participated in the DUR modernization pilot project were included in the present study. Based on the type of project participation or medical institution, the participants were divided into the following four groups: group 1, hospital; group 2, clinic; group 3, pharmacy; and group 4, patient. Within each group, interviews were conducted under a pre-defined agenda to identify the implicit perceptions of the participants; the contents of the interviews were, then, categorized. Results: Healthcare professionals established a consensus on the positive aspects of the DUR system and DUR modernization pilot project. However, substantial concerns remain, such as additional workload associated with monitoring adverse events or acquiring consents from patients. Furthermore, a difference of opinion over the DUR convenience system was observed. Among 3 DUR convenience system, the personal medication history review service was highly utilized, but pop-up hold function and communication system was rarely used. Conclusion: We observed that systematic intervention using the DUR system is effective for both healthcare providers and consumers. Adverse events caused by inappropriate drug use can be prevented by continuous patient monitoring. Therefore, the role of DUR system needs to be expanded to establish a safe drug management system.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2003년도 춘계종합학술대회
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• pp.534-537
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• 2003

환자감시장치란 환자로부터 기본적인 생체신호들을 받아서 보여주는 장치이다. 그중 의사용 환자 감시장치는 환자의 건강상태를 알아야 하는 의사의 이동성을 보장하여, 언제든 원하는 곳으로 환자의 상태를 알리는 역할을 한다. 기존의 환자감시장치의 의사용 환자감시장치는 실시간 전송의 PPP 프로토콜 기반으로 네트워크를 구성하고 있다. 본 논문에서는 의사용 환자감시장치가 보다 자유롭고, 효율적이며, 충분한 기능을 할 수 있도록 설계하였다. CDMA의 SMS 프로토콜은 적은 양의 데이터를 보낼 때 효율적인 프로토콜로 적은 전력소모, 저렴한 이용요금, 적은 양의 전자파방출의 특징을 가지고 있다.

• 센서학회지
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• 제15권6호
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• pp.417-424
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• 2006

An ubiquitous healthcare monitoring system for elderly person at home was designed for continuous healthy monitoring of elderly person or patients. Human vital signals, such as ECG and body temperature, were monitored by terminal PC or PDA via ECG and temperature sensor nodes on the patient's body. From the ECG data, the heart rate, tachycardia, bradycardia and arrhythmia were diagnosed on the terminal PC or PDA to assist doctor's or nurse's aid or patient itself to monitor the patient's condition and give medical examination. Artificial judgement support system was designed in server computer and the system support a doctor or nurser for management or treatment of the patient. This system can be applied to vital signal monitoring system for solitude elderly person at self house or home health care service part. And this ubiquitous healthcare system can reduce the medical expenses in coming aging or aged society.

• 전자공학회논문지 IE
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• 제49권2호
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• pp.82-88
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• 2012

본 논문에서는 안드로이드 기반의 모바일 플랫폼을 이용한 통합형 유헬스케어 시스템 설계하여 개인의 건강관리 서비스를 위한 시스템을 제안하였다. 통합형 생체 계측 시스템은 심전도, 산소포화도, 혈압, 호흡, 체온 등 모듈을 통하여 생체 신호를 계측하고 신호처리된 생체 정보를 무선 통신모듈을 이용하여 안드로이드 기반의 모바일 플랫폼 게이트웨이로 전송한다. 전송된 생체 데이터는 모바일 시스템에서 건강상태를 감시하거나 유헬스케어 서버로 전송하도로 설계하였다. 생체신호 감시 시스템을 구현함으로서 측정되어진 생체 데이터를 모니터링하여 현재의 건강상태를 확인할 수 있었으며 보호자의 이동성을 보장할 수 있는 장점을 보였다. 이와 같은 시스템은 개인 건강관리 및 응급환자 감시 시스템을 위한 유헬스케어 시스템 발전에 도움이 되리라 본다.

• 전기학회논문지
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• 제62권10호
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• pp.1444-1450
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• 2013

Esophageal stethoscope is used for monitoring the heart sounds and breath sounds of patients during surgery under a general anesthesia. Recently, an electronic esophageal stethoscope (EES)[1] has been developed for the purpose of real-time monitoring these information visually. This system uses only a microphone as the sound sensor. A drawback of the EES system is that it may be difficult to distinguish the first sound ($S_1$) and the second sound ($S_2$) of heart, because their periods are irregular depending on patients. In this paper, we propose an improved EES system in which the infrasound is measured by adding a pressure sensor as well as a sound sensor. We investigate some correlations between the infrasound and characteristics of the heart sound. The proposed system has been tested on 15 patients. The results show that the new system is capable of detecting the first sound more reliably and easily determining the heart rate and breathing period.

• 대한임베디드공학회논문지
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• 제10권1호
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• pp.33-40
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• 2015

The number of people who are suffering from chronic sleep disorder has been growing dramatically in modern era. In order to diagonse the sleep disorder, sleep doctors perform polysomnography: Patients sleep with attaching several vital sign sensors on their body, and doctors monitor the patients in order to find the exact reason of the sleep disorder. Typical polysmonography makes patients sleep with several sensors on their bodies, which prevents the patients from making a comfortable sleep. Furthermore, it is impossible to have a long-term monitoring since the measurements should be done in sleep hosiptal within a few hours. In order to tackle these problems in the typical polysomnography, we envision the development of a non-contact long-term home polysomnography system using UWB radar and related technologies such as multi-modal signal processing.

• 대한의용생체공학회:의공학회지
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• 제44권6호
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• pp.363-376
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• 2023

According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software development standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can identify hazardous situations and evaluate potential hazards and confirms the implementation of cybersecurity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.The purpose of this study is to conduct a usability assessment to ensure that ergonomic design has been applied so that the ventilator central monitoring system can improve user satisfaction, efficiency, and safety. The rapid spread of COVID-19, which began in 2019, caused significant damage global medical system. In this situation, the need for a system to monitor multiple patients with ventilators was highlighted as a solution for various problems. Since medical device software is closely related to human life, ensuring their safety and satisfaction is important before their actual deployment in the field. In this study, a total of 21 participants consisting of respiratory staffs conducted usability test according to the use scenarios in the simulated use environment. Nine use scenarios were conducted to derive an average task success rate and opinions on user interface were collected through five-point Likert scale satisfaction evaluation and questionnaire. Participants conducted a total of nine use scenario tasks with an average success rate of 93% and five-point Likert scale satisfaction survey showed a high satisfaction result of 4.7 points on average. Users evaluated that the device would be useful for effectively managing multiple patients with ventilators. However, improvements are required for interfaces associated with task that do not exceed the threshold for task success rate. In addition, even medical devices with sufficient safety and efficiency cannot guarantee absolute safety, so it is suggested to continuously evaluate user feedback even after introducing them to the actual site.

• 디지털융복합연구
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• 제11권5호
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• pp.347-354
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• 2013

양질의 의료 서비스를 요구하는 환자들은 증가하는 반면 의사나 간호사와 같은 전문 의료 인력은 한정되어 있어 그들에게 가해지는 업무 부담이 과중하게 부여되고 있는 실정이다. 이러한 문제를 해결하기 위한 대안으로 USN(Ubiquitous Sensor Network)을 이용한 환자 모니터링 시스템이 대두되고 있다. 본 논문에서는 USN을 산부인과에 적용하여 간호사의 업무 부담을 줄이기 위해 산모 모니터링 시스템 모델을 설계하였다. 효율성 평가는 서울소재 대학병원(S, K 병원) 두 곳을 모델로 설정하여 의사의 처방에 따른 측정 주기를 산출하여 실시하였으며, 그 결과는 간호사 1인이 12명의 환자(자연분만 6명, 자연분만 외 출산 6명)를 케어하는 경우 입원기간(5일 기준) 동안에 1,260분이 경감되는 것으로 나타났다. 또한 간호사의 기존 업무량과 모니터링 시스템 적용 후 업무량을 비교해 보았을 때 자연분만 산모의 경우 산모 수가 1명씩 증가함에 따라 하루에 50분씩, 자연분만 외 수술 산모의 경우 산모 수가 1명씩 증가함에 따라 하루에 130분씩 업무량 감소 효과가 있는 것으로 나타났다.

• International Journal of Computer Science & Network Security
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• 제22권1호
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• pp.269-275
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• 2022

Public healthcare has recently become an issue of great importance due to the exponential growth in the human population, the increase in medical expenses, and the COVID-19 pandemic. Speed is one of the crucial factors in saving life, particularly in case of heart attack. Therefore, a healthcare device is needed to continuously monitor and follow up heart health conditions remotely without the need for the patient to attend a medical center. Therefore, this paper proposes a portable electrocardiogram (ECG) monitoring system to improve healthcare for heart attack patients in both home and ambulance settings. The proposed system receives the ECG signals of the patient and sends the ECG values to a MySQL database on the IoT-cloud via Wi-Fi. The signals are displayed as an ECG data chart on a webpage that can be accessed by the patient's doctor based on the HTTP protocol that is employed in the IoT-cloud. The proposed system detects the ECG data of the patient to calculate the total number of heartbeats, number of normal heartbeats, and the number of abnormal heartbeats, which can help the doctor to evaluate the health status of the patient and decide on a suitable medical intervention. This system therefore has the potential to save time and life, but also cost. This paper highlights the five main advantages of the proposed ECG monitoring system and makes some recommendations to develop the system further.

• 한국컴퓨터정보학회논문지
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• 제16권3호
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• pp.9-15
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• 2011

u-healthcare 시스템은 센서 네트워크로부터 수집된 대량의 생체신호를 신속히 처리 분석하여 의료진에게 전달함으로써 시간과 장소에 관계없이 환자에게 적절한 의료 서비스를 제공할 수 있다. 현존하는 u-healthcare 시스템들은 단지 환자의 건강 상태만을 모니터링 한다. 본 논문에서는 무선 센서네트워크에 기반한 u-health 모니터링의 프로토타입을 구현하고 검증하였다. 이 시스템은 수집된 생체 신호를 신속히 분석하여 의학적으로 의미 있는 결과를 도출하는 것이 용이하다. 이 모니터링 시스템은 피검자의 이상 데이터 수집 시에만 서비스 제공자에게 데이터를 전송한다. 이러한 방법은 모니터링부와 서비스 제공자사이의 무선 데이터 패킷의 부하를 줄일 수 있다. 실시간 생체 신호 모니터링 시스템을 구현함으로 유-헬스 서비스가 가능하게 되고 의료서비스의 효율성을 향상시킨다.