• Title/Summary/Keyword: Secure Healthcare

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A Study on the Architectural Planning of Clinical Practice Spaces at the College of Medicine (의과대학의 임상실습공간에 관한 건축계획 연구)

  • Choi, Kwangseok
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.4
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    • pp.7-14
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    • 2021
  • Purpose: This study summarized architectural planning data for clinical practice spaces for CPX/OSCE and Simulation spaces, through analysis of domestic and foreign literature and a survey of domestic colleges of medicine. Methods: This study analyzed the architectural planning elements of the clinical practice spaces of the college of medicine, through a literature review on the clinical practice space and the survey of four recently established colleges of medicine. Results: ① It is desirable to plan the floor plan type for Simulation and CPX/OSCE spaces as a corridor-separated type that separates the circulations between students and staff (faculty). ② The simulation area arranges their practice rooms around the control space where the circulation of the staff is made. Conversely, it is desirable to arrange the CPX/OSCE rooms around the test waiting room where students enter. ③ It is desirable to separate access to the staff and students to allow student control, and to install various support spaces facing the staff corridor to secure the movement of equipment and the flow of evaluators. ④ In the simulation area, the equipment stored in the storage must be set in each room before the practice according to the setting of delivery or surgery like, and the equipment that has been removed must be back, so the circulation is short and does not intersect with the student circulations. ⑤ Debriefing rooms, seminar rooms, etc. are arranged in the staff area for review and discussion of clinical situations where practice and evaluation have been completed. Implications: It is important to configure an appropriate movement system and spatial zoning for each space for simulation and CPX/OSCE.

A Study on the Evacuation Performance Analysis Model Considering Clustering Types at the Fire Event in Geriatric Hospital (노인 요양병원에서 화재 시 군집유형에 따른 피난 성능 분석 모델에 관한 연구)

  • Kim, Mijung;Kweon, Jihoon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.1
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    • pp.63-74
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    • 2022
  • Purpose: The purpose of this study is to present an evacuation performance analysis model that can derive vulnerable evacuation spaces with considering the movement behavior as per the elderly groups in the event of a fire in a geriatric hospital. Methods: The evacuation characteristics of geriatric hospital users were investigated through the review of precedent studies. First, the occupant conditions and the evacuation scenario were set to analyze a study target hospital. Then, the evacuation simulation was carried out considering the group types and the density of each group. Finally, an evacuation performance analysis model according to the group type was presented based on the simulation results. Results: The results of this study are as follows: (1) The evacuation performance according to the group type is to be clarified through the suggested study model. (2) It is necessary to secure a ramp or an emergency elevator to distribute the evacuation personnel at the design stage because congestion occurs due to collisions between evacuees on the stairs and delays the evacuation time. (3) It is necessary to consider the evacuation stairs and openings of sufficient size by analyzing the frequency of congestion occurrence and the escape routes of occupants in advance to identify the space where the evacuation flow overlaps. Implications: It is expected that the study result is to be used as primary data for studies that consider the elderly and clustering evacuation behavior in the event of a fire in a geriatric hospital.

A study on the Types of Urgent Isolation Ward (긴급치료격리병동의 평면유형)

  • Lee, Hyunjin;Kwon, Soonjung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.28 no.4
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    • pp.61-69
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    • 2022
  • Purpose: In response to the rapid spread of COVID-19 in 2020, the government supported facilities and equipment through the 'Urgent Isolation Ward Expansion Project'. Design and remodeling of efficient negative pressure isolation facilities had to be done in a short period of time, and the performance gap between facilities was very large because the types of hospitals and wards of existing medical facilities were diverse. In order to secure the stability of isolation wards between medical facilities and reduce the facility gap, guidelines for planning isolation wards considering the diversity of each hospital should be appropriately presented. In consideration of these points, this study aims to provide basic data for future remodeling guidelines for each plan type of the negative pressure isolation ward first. Methods: We analyzed the plans before and after the change of 13 case hospitals that performed the urgent care bed expansion project for COVID-19 confirmed patients. Before the remodeling, the current status of the facility was analyzed according to the type of corridor, the location of the nursing station, and the location of the elevator. After remodeling, the flow of medical staff and patients, the flow of entry and exit of clean and contaminated items, and the space of negative pressure and non-negative pressure areas. Results: The ward type was divided into three types according to the corridor type and room arrangement: double loaded corridor type with two side wards, race track type with one side ward, and race track type with two side wards. Based on these three types, the standard floor plan type of the isolation ward was proposed in terms of the location of the elevator bank and Nurse station. Implications: When the existing general ward is converted into a negative pressure isolation ward, this study can be a basic data to present customized guidelines for each ward type.

A Scheme for DID and EMR Integrated System based on Hyperledger Indy (Hyperledger Indy 기반의 DID와 EMR 통합 시스템 기법)

  • Jiyong Yang;Hyosang Eom;Keun-Ho Lee
    • Journal of Internet of Things and Convergence
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    • v.10 no.1
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    • pp.47-52
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    • 2024
  • The efficiency and quality of healthcare services rely heavily on the secure protection and transparent management of individuals' medical information, which is becoming increasingly important in the digital age. To address this issue, we propose a distributed identity management (DID) and electronic medical record (EMR) integration system based on Hyperledger Indy, which aims to ensure the ownership of medical information to individuals and increase the accessibility and utilization of medical information. The system will allow individuals to manage their own medical information and share it transparently when necessary, which will improve the efficiency of healthcare services. In addition, the system will securely protect and transparently manage medical information, increasing the transparency of medical services and strengthening individuals' control over their medical information. Thus, the system will contribute significantly to improving the quality of medical services, protecting individuals' medical information, and improving the efficiency of medical services.

A Secure Personal Health Record System for Handling of Emergency Situations (응급 상황 처리를 위한 안전한 개인건강기록 시스템)

  • Yi, Myung-Kyu;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.16 no.5
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    • pp.117-123
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    • 2016
  • In recent years, Personal Health Record (PHR) has emerged as a patient-centric model of health information exchange. The Personal Health Record (PHR) owners enjoy the full right of accessing their records anywhere and anytime making storage and retrieval more efficient. Due to the sensitivity and confidential nature of the PHR, however, the PHR is maintained in a secure and private environment with the individual determining rights of access. In this paper, we propose a system which enables access to the user's PHR in the event of emergency. In emergency situation where the user is unconscious, the emergency staff can use the PHR information to request a emergency access to the PHR server based on the predefined rights of access for PHR. Under the proposed system, the PHR owner can specify a fine grain access control policy during emergency situations.

A Study on Taekwondo Uniform Wear and Design Preference -Focused on Target General Consumer and Taekwondo Player- (태권도복 착용 현황 및 디자인 선호에 관한 연구 -일반 소비자와 태권도 선수를 대상으로-)

  • Lee, Haeun;Choi, Jungwook
    • Journal of Fashion Business
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    • v.20 no.2
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    • pp.1-15
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    • 2016
  • Currently, a lot of people are aware of their health and well-being, so they are concerned about their healthcare. 'Taekwondo' is one of the popular sports that Korean people are passionate about Taekwondo has also become globalized. The uniform of Taekwondo is gaining importance. Taekwondo involves a lot of movement, hence the pattern should facilitate the movement. In addition Taekwondo uniform pattern should meet the demands of functionality, fit and consumer design preferences. This study aimed to provide the basic data for development of Taekwondo uniform pattern based on design preferences and functionality to wearer satisfaction. The result of this method indicated fit and design details. Also, the length of pants, top, and sleeve was too wide, which has to more fitted for both of genders. For females, the breakpoint was too low, which requires some increase to make females feel more secure. In conclusion, the results of this study indicated that in order to increase 'Takwondo' value, Taekwondo uniform is required to be more fashionable and comfortable to wear, which could influence other sports wear.

A Design of Secure Communication Framework for Device Management and User Authentication in Wireless Network Environment (무선 네트워크 환경에서 기기 관리 및 사용자 인증을 위한 안전한 통신 프레임워크 설계)

  • Park, JungOh
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.15 no.2
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    • pp.43-52
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    • 2019
  • The recent technological developments of smart devices, multiple services are provided to enhance the users' quality of life including smart city, smart energy, smart car, smart healthcare, smart home, and so on. Academia and industries try to provide the users with convenient services upon seamless technological research and developments. Also, whenever and wherever a variety of services can be used without any limitation on the place and time upon connecting with different types of devices. However, security weaknesses due to integrations of multiple technological elements have been detected resulting in the leakage of user information, account hacking, and privacy leakage, threats to people's lives by device operation have been raised. In this paper, safer communication framework is suggested by device control and user authentication in the mobile network environment. After implementations of registration and authentication processes by users and devices, safe communication protocol is designed based on this. Also, renewal process is designed according to the safe control of the device. In the performance evaluation, safety was analyzed on the attack of protocol change weakness occurred in the existing system, service halt, data leakage, illegal operation control of message, and so on, which confirmed the enhanced speed approximately by 8% and 23% in the communication and verification parts, respectively, compared to the existing system.

Safe clinical photography: best practice guidelines for risk management and mitigation

  • Chandawarkar, Rajiv;Nadkarni, Prakash
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.295-304
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    • 2021
  • Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients' data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.

Refugee Medical Administration in Republic of Korea (대한민국의 난민 의료지원)

  • Samin Hong
    • Health Policy and Management
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    • v.33 no.2
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    • pp.214-222
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    • 2023
  • Refugees who are persecuted can apply for refugee recognition in the Republic of Korea in accordance with the Refugee Convention and the Refugee Act. They can do so either at the port of entry or during their stay in Korea. After undergoing screening, individuals may be recognized and protected under different categories, such as recognized refugees, humanitarian status holders, refugee applicants, and refugees seeking resettlement. Recognized refugees are entitled to the same social benefits and basic livelihood guarantees as Korean nationals. Humanitarian status holders and refugee applicants may receive support such as minimum living expenses, housing facilities, medical care, and education. In the medical field, refugees and their unmarried minor children are eligible for medical support through the "Medical Service Support Project for Marginalized Populations, Including Foreign Workers." This support is in addition to the national healthcare coverage and medical benefits provided by the government. However, there are pressing concerns regarding the inadequate budget allocated to this project and the excessive cost burden placed on participating medical institutions. It is crucial to secure additional funding and implement administrative improvements. Furthermore, it is essential to develop medical support measures that ensure the minimum right to health for individuals who choose not to undergo the refugee recognition process at the port of entry.

Implementation of A Patient Card Integrating System Using by IC Card To Share A Medical Information (진료정보 공유를 위한 IC카드 기반 병원 진찰 카드 통합 시스템 구축)

  • Pack D.H.;Lee N.Y.;Kim Y.J.;Lee K.B.
    • Journal of Biomedical Engineering Research
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    • v.24 no.6 s.81
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    • pp.533-541
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    • 2003
  • In the paper. the health card system to integrate several cards into one card for protecting patient's privacy and security problems is proposed. Firstly, it is defined the minimal data set for integrating several patient cards into one card using IC card, and developed the issuing system to issue the integrated patient IC card. In order to secure and certificate a patient's personal information. the integrated patient IC card has applied 3-DES and the PKI certificate authority based Windows 2000 is established. The receipt and reservation system for taking care of a healthcare has developed to cooperate with the existing hospital computer system. The integrating patient IC card system proposed in this paper is implemented to 11 hospitals and used for 1.000 patients. On the result of the simulation. the proposed system can receive or reserve for a patient to take care of healthcare in the simulated hospitals and also establish the basis of the mechanism to share a medical information.